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The set of relationships and responsibilities established by health service organisations between their state or territory department of health, governing body, executive, clinicians, patients, consumers, and other stakeholders to ensure good clinical outcomes.

Components of Clinical Governance

Safe environment for the delivery of care

Clinical performance and effectiveness

Patient safety and quality improvement systems

Governance, leadership, and culture

Importance of Clinical Governance

Enhances patient safety and quality care

Fosters a culture of continuous learning and improvement

Promotes accountability and transparency within healthcare organisations

Supports effective risk management and clinical leadership

(Australian Commission on Safety and Quality in Health Care, n.d.)

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Clinical governance standards aim to ensure that there are systems in place within health service organisations to maintain and improve the reliability, safety, and quality of healthcare.

(Australian Commission on Safety and Quality in Health Care, n.d.)

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Established by the Australian Commission on Safety and Quality in Health Care (ACSQHS) to improve the quality of healthcare delivery in Australia.

(Australian Commission on Safety and Quality in Health Care, 2017)

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Aged care quality standards ensure that the care and services that healthcare providers deliver are safe, high quality, and meet the needs of patients.

(Australian Government, 2023)

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Concepts

=> An approach to decision-making about all aspects of patient care.

(Australian Commission on Safety and Quality in Health Care, n.d.)

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Alignment of Clinical Governance Components with NSQHS Standards (i.e. The Canberra Hospital)

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Alignment of Clinical Governance Components with NSQHS Standards (i.e. The Canberra Hospital)

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1. Role model for clinical governance

Demonstration of compliance with clinical guidelines, policies, and ethical standards.

2. Risk management

Conduct regular risk assessments to identify potential risks and vulnerabilities in clinical operations.

Prevent accident recurrence by thorough investigations of accidents.

3. Continuous improvement

Use data to monitor performance, identify areas that need to be improved, and measure the impact of changes.

4. Overall leadership

Maintain an open line of communication with healthcare professionals to keep everyone informed about changes, challenges and successes.

Utilise resilience and adaptability to learn from mistakes.

(Canberra Health Services the Foundation for Exceptional Care, n.d.)

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1. Conducting clinical management

2. Conducting initial and ongoing clinical assessments of residents to determine their medical or emotional needs

3. Developing care plans that address residents' specific or individual needs

4. Adhering to clinical governance standards or guidelines to develop their framework for delivering safe and person-centred care and enhancing health outcomes

(Randstad, 2019)

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Impact of NSQHS Standards to Health Outcomes

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Impact of NSQHS Standards to Health Outcomes

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Clinical Manager's Impact on Health Outcomes

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Clinical Manager's Impact on Health Outcomes

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Maintenance of high standards of care => patients receive quality care

Implementation of evidence-based practices => patient care is based on the latest research and proven methods

Patients' engagement in healthcare decision => improve patients' satisfaction and outcomes

Effective communication => improves patient understanding and compliance with treatment plans

Performance monitoring by analysing data => helps identify areas that need to be improved

(Canberra Health Services the Foundation for Exceptional Care, n.d.)

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Governance, Leadership, and Culture:

NSQHS Alignment: Clinical Governance (Standard 1)

Ensure leadership commitment to clinical governance, fostering a culture of safety and quality, and establishing a responsibility structure.

(Australian Commission on Safety and Quality in Health Care, 2017)

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Patient Safety & Quality Improvement Systems:

NSQHS Alignment: Clinical Governance (Standard 1) & Communicating for Safety (Standard 6)

Implement and supervise systems for incident reporting, risk management, and continuous quality improvement.

(Australian Commission on Safety and Quality in Health Care, 2017)

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Clinical Performance & Effectiveness:

NSQHS Alignment: Clinical Governance (Standard 1) & Comprehensive Care (Standard 5)

Healthcare professionals' credentials, evidence-based guidance implementation, and clinical performance monitoring.

(Australian Commission on Safety and Quality in Health Care, 2017)

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1. Reduced Rates of Hospital-Acquired Infections

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1. Reduced Rates of Hospital-Acquired Infections

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Preventing and Controlling Healthcare-Associated Infection (Standard 3)

Strict infection control practices minimise the risk of medical-related infections (HAIs) (inc. MRSA & C.difficle)

E.g. strengthening hand hygiene practices & strict adherence to sterilisation procedures

(Ausmed, 2022)

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Safe Environment for Care Delivery:

NSQHS Alignment: Preventing and Controlling Healthcare-Associated Infection (Standard 3) & Blood Management (Standard 7)

Create a safe working environment, ensure maintenance of facilities and equipment, and support employee safety policies.

(Australian Commission on Safety and Quality in Health Care, 2017)

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2. Fewer Medication Errors and Adverse Drug Events

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2. Fewer Medication Errors and Adverse Drug Events

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Medication Safety (Standard 4)

Implementing a robust medication management system can prevent errors and side effects.

E.g. use of electronic prescription & drug administration records

(Ausmed, 2022)

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Partnering with Consumers:

NSQHS Alignment: Partnering with Consumers (Standard 2)

Engage patients and their families in care plans, collect and act on patient feedback, and facilitate shared decision-making.

(Australian Commission on Safety and Quality in Health Care, 2017)

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Partnering with Consumers (Standard 2) & Communicating for Safety (Standard 6)

Engaging patients and their families in care decisions and planning

Reducing misunderstandings and improving patient trust

E.g. participation in patient feedback mechanisms & ISBAR handover

(Ausmed, 2022)

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Impacts of Aged Care Standards to Health Outcomes

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Impacts of Aged Care Standards to Health Outcomes

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Ensure patients receive high-quality care that addresses the patient's medical and emotional needs.

Conduct regular health assessments

Prompt medical interventions

Appropriate management of the patient's chronic conditions

=> Lead the patient's health to better outcomes.

(Australian Government, 2023)

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A health outcome refers to both physical and psychological well-being and takes into account the length of life as well as the quality of life.

(Lamberski, 2022)

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Aged Care Manager's Impact on Health Outcomes

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Aged Care Manager's Impact on Health Outcomes

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Staff training and education=> maintain high standards of care quality

Using individualised care plans => allows aged care managers to measure the effectiveness of care, eventually enhancing patients' health outcomes

(Taylor, 2023)