Developing a Clinical Governance Framework for Healthcare Providers

About

Key Learning Objectives
• Understand key concepts of clinical governance and how they apply to your organisation
• Know the legal impacts of clinical governance
• Develop effective quality improvement programmes
• Understand the many methods for reviewing clinical practice
• Apply risk management approaches to the health sector

Outline

Course outline and introduction of delegates

Introduction to Clinical Governance
• What is governance
• What is clinical governance
• Review of the evidence
• The role of government, the board, management and clinicians
• A case study: "Turning clinical governance into sustainable reality”
• Clinical governance frameworks
• The six dimensions of quality

A clinician’s toolkit for improving patient care and managing clinical risk
• Clinical audit
• Retrospective medical record review
• Mortality and morbidity reviews
• Peer review
• Peer supervision
• Incident management
• The effective use of clinical indicators
• Clinical pathways
• Qualified privilege or statutory immunity (PQAAs)

An introduction to the human factors of health care
• Theory of cognition and error
• Systems vs. individuals
• Approaches to error management
• Engineering barriers into systems to prevent errors

Clinical practice improvement method
• Applying industrial improvement methods to health care
• A tutorial in the method
• Some practical experience of the various components of the method
• Developing an aim for improvement when you get back to work

The (new national NZ) policy for the management of healthcare incidents
• Principles of incident management
• Where does this fit into a clinical governance framework?
• The national priority strategy and policy for applicability for all health and disability services
• The use of the Severity Assessment Code
• Methods for managing healthcare incidents
• Open disclosure of adverse events

Key policy components of an effective clinical governance framework
• Credentialing
• The management of a complaint or concern about a clinician – a practical method
• Accreditation as  a governance framework
  - The benefits of accreditation to a health and disability service
  - Understanding standards
  - The role of certification in clinical governance
  - Choosing an accreditation programme
• Risk management – the Australian and NZ standard

But how do I?
• Develop an organisational performance framework
• Develop a clinical level review and performance structure and processes

Understanding the legislation and legislated processes
• Health Practitioners Competence Assurance Act (HPCAA)
• Occupational Safety and Health (OSH)
• MedSafe recommendations
• Health and Disability Commissioner recommendations
• Coroner’s inquiries

Case Study: Improving clinical governance in a New Zealand health organisation
This session will look at how a real life New Zealand health organisation has improved its governance, focusing on the following areas:
• A review of clinical governance arrangements
• Incident management
• Developing clinical level infrastructure and processes
• Provider education and development
• Clinical Audit

Implementing Clinical Governance
• Top Down vs Bottom up approaches
• The role of clinical governance committees
  - Membership
• Developing a performance frameworks
•  Engaging clinicians

Seminar Wrap, group discussion, Q&A and course evaluation

Facilitator

Maureen Robinson, Director, Communio

Maureen has an impressive track record of leading and creating reform in healthcare quality, including leading the review and redevelopment of the national Australian healthcare standards as Executive Manager for the Australian Council on Healthcare Standards. Among many other reports and policies, Maureen developed Australia’s first state based health quality and clinical governance framework, “The Framework for Managing the Quality of Health Services in NSW’ and wrote the “Clinician’s Toolkit for Improving Patient Care”. Maureen also designed and oversaw the implementation of the NSW Safety Improvement Program and the NSW Incident Information Management System.

Maureen has worked in the New Zealand health and disability sector since May 2006; among other work, establishing the priorities for quality in the sector and reviewing the clinical and corporate governance arrangements in District Health Boards. At present Maureen is directing the national priority project to introduce a national approach to the management of healthcare incidents in the NZ health and disability sector.

Maureen has clinical experience in both the Australian and United States health systems and an extensive background using quality improvement to enhance service delivery and patient care. She was a member of the Australian Council for Safety and Quality in Health Care, a founding member and Chair of the State Quality Officials Forum and a member of the Australian National Health Priorities Action Council.

In-house Training

Prices and Registration

* Early bird price available when you register and pay before the dates listed.