Clinical Governance Framework
Euroa Health Inc (EHI) will ensure consumer participation, clinical effectiveness, an effective workforce and risk management through a robust Clinical Governance System consisting of:
- Clear definition of roles and responsibilities across the organisation
- Clear priorities and strategic direction
- Compliance with legislative and regulatory requirements
- Committee and Organisational structure and processes
- Policies and procedures based on evidence-based best practice
- Transparent planning and allocation of resources to achieve goals
- Just culture allowing the organisation to learn from incidents and near misses improving patient
- safety and continuous quality improvements
- Measure, monitor, evaluate and improve organisational and clinical performance, quality and safety
- Continuity of care across the health spectrum
- Ongoing participation and feedback from consumers, community, service providers and staff
Euroa Health Inc (EHI) is guided by the Department of Health’s clinical governance policy framework which outlines four domains of clinical governance:
- Consumer participation
- Clinical effectiveness
- An effective workforce
- Risk management (encompassing incident reporting and management)
Euroa Health Board Subcommittees of the support and monitor implementation of quality and safety and participate in decision making. The operational committees ensure a systems approach to improving quality and performance; a cyclical model is used, which includes the following elements: monitoring, assessment, action, evaluation, and feedback. The Euroa Health Subcommittees can be seen below.
Image 1. Euroa Health Board Subcommittees
The Risk Management Framework and Risk Register assist staff to apply a consistent and comprehensive approach to risk management by identifying, analysing, evaluating, and treating risks. The Board has adopted Risk Management as an integral component of Clinical and Corporate Governance and Strategic direction. Successful risk management results in improved efficiency of operations, enhanced strategic direction, continuous quality improvement and assurance to stakeholders regarding EHI’s ability to manage risks and make decisions open and transparently.
Image 2. Model of Risk Analysis undertaken at Euroa Health.
The objectives of the risk management framework are to:
- Provide a systematic approach to the early identification and management of risks.
- Provide consistent risk assessment criteria.
- Make available accurate and concise risk information that informs decision making including business direction.
- Adopt risk treatment strategies that are cost-effective and efficient in reducing risk to an acceptable level.
- Monitor and review risk levels to ensure that risk exposure remains within an acceptable level.
EHI has a system to manage incident reporting, investigations, and management. Sentinel events are reported to the Sentinel event program (Department of Health), and a root cause analysis is conducted when required. All staff are accountable for identifying and reporting incidents and initiating quality improvements. Results are evaluated by the managers; incidents are trended and reviewed by the Quality and Risk Committee.