Sonya Preston - Clinical Governance within a Community Child & Youth Health Nursing Context
Clinical Governance within a Community Child and Youth Health Nursing ContextPresentation by Sonya Prestonon Wednesday 24 October 2012
Clinical Safety and Quality Governance Framework in Hospital and Health Services Sets out the fundamentals of aframework Provides guidance on establishing thesystems, processes and behavioursReference: Queensland Health. 2012. Clinical Safety and Quality GovernanceFramework in Hospital and Health Services. State of Queensland (Queensland Health).
Four High Level Elements Planning for Safety and Quality Action for Safety and Quality Balanced Monitoring for Safety and Quality Appraisal, Learning and Action for Safetyand QualityReference: Queensland Health. 2012. Clinical Safety and Quality Governance Framework inHospital and Health Services. State of Queensland (Queensland Health).
Planning for Safety & QualityClinical Governance Plan developed, implemented& monitoredOperational plan reflects safety & quality objectives90 Day action plans include quality initiatives andrisk mitigation strategiesKPI’s measure quality & safety processes andoutcomes
Planning for Safety & QualityPAD processes monitor implementation of safetyand quality objectives.Service agreements are inclusive of safety &quality processesClinicians engaged in determining the safety &quality priorities for the service through monthlyprocesses that identify local risk priorities.
Planning for Safety & QualityAll services are supported by IHW to ensure culturally safeservices & facilitate consumer engagement leading to futureplanning processes.Clinical governance implementation progress is tabledquarterly utilising traffic light system.Investment in safety culture through implementation ofquality & safety training initiatives such as Caps,(Communication and Patient Safety) PRIME CI & CF (PatientRisk Information Management and Evaluation Clinical Incident& Consumer Feedback), TMS (Team Management Systems)
Planning for Safety & QualityIdentified the key service challenges withinstrategic plan by monitoring trends through safety &quality reporting systems.
Action for Safety & QualityEach role description includes duties,responsibilities & accountabilities that reflect a safetyculture.Organisational structure supports delegation ofaccountabilities associated with quality & safety.Safety & Quality Committee established with acomprehensive committee structure.
Action for Safety & QualityImplementation of a clinical incident managementprocess.Application of the clinical service capabilityframeworkConsumer feedback & complaints managementprocessImplementation of clinical audit & review process
Action for Safety & QualityRegistration, Credentialing & Scope of Practiceprocesses for regulation compliance.Mortality & morbidity reviewCritical incident review committeeClearly defined delegations regarding safety &quality decision making within service
Action for Safety & QualityIdentified integrated risk management procedureAll project plans, business cases and issuespapers include a risk management plan.All staff have access to training on riskmanagement
Balanced Monitoring for Safety & QualityActively monitor key performance indicators andcompare against other like service benchmarks.Measurement of clinical quality is achieved throughthe implementation of clinical performanceassessment toolFormalised case conferencing and peer groupsupervision is undertaken within each service
Balanced Monitoring for Safety & QualityEnsure compliance with accreditation bodies andNational Standards.Internal clinical auditing including scheduled andspot audits.Clinical practice reviews undertaken and serviceintervention based on scientific knowledge.Waiting timeframes monitored and minimisationstrategies implemented.
Balanced Monitoring for Safety & QualityLEAN thinking strategies implemented at all servicelevelsBoth lead and lag indicators are identified todetermine risk management processesReview of data collection and auditing processes toensure usefulness of data.
Balanced Monitoring for Safety & QualityTargeted clinical audits that are meaningful to theclinical service provisionEnsure appropriate sampling and datameasurements.
Appraisal, Learning and Action for Safety & Quality
Appraisal, Learning and Action for Safety & QualityMonitor compliance against the Hospital & HealthService readiness report in 12 months.Thoroughly investigate potential areas of concernsuch as issues identified in practice reviews,complaints and risks.Implementation of education and training
Appraisal, Learning and Action for Safety & QualityCultural practice training by Aboriginal & TorresStrait Islander consumerEscalation for reporting outcomes and risksImplemented plan do check act cycle to ensureactions & priorities are incorporated into planningcycle