Lyla Lindsey
Clinical governance in Australia is a set of relationships and responsibilities established by a health service organisation to ensure good clinical outcomes. It is about how we can deliver the best care possible and improve the patient experience, focusing on person-centred care and ensuring that everyone is accountable for high-quality, safe, and effective care. The National Model Clinical Governance Framework provides a consistent national framework for clinical governance, aiming to ensure that patients and consumers receive safe and high-quality health care through continuous improvement and collaboration between clinicians, managers, and consumers.
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What You'll Learn
Clinical governance framework
Clinical governance is a set of relationships and responsibilities established by a health service organisation between its state or territory health department, governing body, executive, workforce, patients, consumers and other stakeholders. It ensures that patients and consumers receive safe, effective, and high-quality health care. The clinical governance framework is designed to maintain and improve the reliability, safety, and quality of health care services.
In Australia, the Australian Commission on Safety and Quality in Health Care has developed the National Model Clinical Governance Framework to help health service organisations implement key clinical governance processes. This framework is based on the NSQHS Standards and provides a consistent, national approach to clinical governance. It promotes a shared understanding of clinical governance among clinicians, managers, and members of governing bodies.
The Australian definition of clinical governance includes 'systems' and recognises that everyone involved, from frontline clinicians to managers and governing bodies, is equally accountable for delivering high-quality care. It is about fostering a culture where quality and safety are everyone's primary goals.
The clinical governance framework helps ensure clinical safety, security, and privacy, managing these aspects to a very low-risk level. It uses a person-centred , all-of-systems approach to develop clinically safe, usable, and continually improving products and services. This framework guides everyone within the organisation to understand their responsibility to demonstrate clinical governance in their work and throughout the delivery lifecycle of their products and services.
Ultimately, clinical governance is about delivering the best possible care and supporting a fundamental commitment to high quality. It involves continuous reflection on how to improve and ensure that optimal care is provided holistically throughout all levels of an organisation.
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Continuous improvement
Clinical governance in Australia is about ensuring continuous improvement in the quality of healthcare services. It involves establishing clear relationships and responsibilities between various stakeholders in the health service organisation, including the state or territory department of health, governing body, executive, workforce, patients, consumers, and other stakeholders.
The National Model Clinical Governance Framework provides a consistent, nationwide framework based on the NSQHS Standards. It ensures that everyone in the health service organisation understands their role in delivering safe and high-quality healthcare. This includes clinicians, managers, and members of governing bodies, who are all equally accountable for the quality of care provided.
Clinical governance is about fostering a culture of continuous improvement, where everyone is committed to delivering the best possible care. It involves reflecting on how things can be done better and ensuring that the necessary systems and measures are in place to support this improvement. This includes implementing evidence-based practices to ensure clinical safety, security, and privacy are effectively managed.
By adopting a person-centred, holistic approach, clinical governance in Australia aims to provide patients with autonomy and the right to self-determination. It recognises that the patient (or consumer) experience is paramount, and that working collaboratively as a team with patients and consumers is essential to achieving the desired outcomes. This continuous improvement mindset is integral to clinical governance and ensures that healthcare services are safe, effective, integrated, and of the highest quality.
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Quality and safety
Clinical governance in Australia is a comprehensive framework that establishes clear relationships and responsibilities within the healthcare sector. It is designed to ensure that patients receive safe, effective, and high-quality healthcare services. This framework is built on the understanding that everyone involved, from frontline clinicians to managers and governing bodies, shares accountability for delivering optimal care.
The Australian Commission on Safety and Quality in Health Care has defined clinical governance as a set of relationships and responsibilities. This definition extends beyond individuals to encompass systems and organisational structures. It recognises that clinical governance is not solely the responsibility of practitioners but involves collaboration between various stakeholders, including clinicians, managers, governing bodies, patients, and consumers.
The National Model Clinical Governance Framework, based on the NSQHS Standards, provides a consistent national framework. It promotes a shared understanding of clinical governance among all stakeholders, emphasising the importance of patient-centred care. This framework serves as a mental framework for practitioners, guiding their everyday practices and decisions. It encourages a shift away from antiquated beliefs and towards empowering patients with autonomy and self-determination.
Clinical governance in Australia focuses on continuous improvement and holistic care. It involves regularly reflecting on how to enhance the quality and safety of healthcare services. This includes utilising health technologies and evidence-based practices to develop clinically safe and effective products and services. By adopting a person-centred, all-of-systems approach, clinical governance aims to integrate and coordinate care across different sectors, such as aged care and disability services, to meet the diverse needs of patients.
Overall, clinical governance in Australia is a robust system that prioritises quality and safety in healthcare. It fosters a culture of collaboration and accountability, ensuring that patients are at the heart of all decisions and improvements. By implementing national frameworks and promoting continuous reflection, Australia's clinical governance framework strives to deliver the best possible care to its citizens.
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Accountability
Clinical governance in Australia is a set of relationships and responsibilities established by a health service organisation. It ensures accountability and the delivery of safe, high-quality health care. Clinical governance is about how we can deliver the best care possible and improve the patient (or consumer) experience at the interface of care. It involves reflecting on how we can do things better and ensuring we are well-positioned to do so at all levels of an organisation.
The National Model Clinical Governance Framework provides a consistent national framework for clinical governance, based on the NSQHS Standards. It supports a shared understanding of clinical governance among everyone working in health service organisations, including clinicians, managers, and governing bodies. This framework helps to ensure that everyone understands their responsibility to demonstrate clinical governance in their work and maintain clinical safety, security, and privacy.
Clinical governance in Australia also recognises that practitioners who deliver care at the frontline are responsible for clinical governance. This means that those who provide direct patient care are accountable for the quality of that care and are expected to reflect on how they can improve the patient experience. This involves considering the concept of person-centred care, which promotes the ethical pillar of autonomy and the right to self-determination, rather than the antiquated belief that 'doctor knows best'.
Overall, accountability in clinical governance ensures that health service organisations are responsible for continuously improving the safety and quality of their services, ensuring that they are patient-centred and effective. It fosters a culture where quality and safety are everyone's primary goal, and helps to build trust in the community that safe and high-quality health care is being delivered.
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Person-centred care
Clinical governance in Australia is a system that ensures the delivery of safe, high-quality health care services that are centred on the patient. At its core, clinical governance is about creating a culture of continuous improvement and accountability, with a strong focus on
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Frequently asked questions
Clinical governance is a set of relationships and responsibilities established by a health service organisation to ensure good clinical outcomes. It ensures that patients receive safe, effective, and high-quality healthcare.
Clinical governance ensures that there are systems in place to deliver safe and high-quality healthcare, and to continuously improve services. It promotes a culture of collaboration and accountability among clinicians, managers, and governing bodies, with the shared goal of providing the best possible care to patients.
Clinical governance uses a person-centred, systems-based approach to develop clinically safe, effective, and continually improving products and services. It involves evidence-based practices and a commitment to maintaining clinical safety, security, and privacy.
Clinical governance recognises that everyone in a health service organisation is responsible for upholding its principles, from frontline clinicians to managers and governing bodies. Ultimately, clinical governance starts and ends with the practitioners who deliver care to patients.
The National Model Clinical Governance Framework is a set of standards and guidelines developed to help health service organisations implement key clinical governance processes. It provides a consistent, nationwide framework that supports a shared understanding of clinical governance among all individuals in a health service organisation.
