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With the introduction of the revised Quality and Safety Standards on 1 July 2019, covering both residential and community services, many providers are reviewing or developing their clinical governance systems.

The standards have moved from residential specific and community-specific to now be set out under 8 Standards:

Standard 1  – Consumer Dignity and Choice
Standard 2  – Ongoing assessment and planning with consumers
Standard 3  – Personal care and clinical care
Standard 4  – Services and Support for Daily Living
Standard 5  – Organisation’s service environment
Standard 6  -Feedback and Complaints
Standard 7  -Human Resources
Standard 8  – Organisational Governance

Implications for Providers

Standard 8 is the area causing organisations and services most angst with many providers working to develop both clinical governance frameworks and developing sustainable links with corporate governance.

If you have been following the Royal Commissions transcripts, you will have noted that a number of organisations have been found wanting in the area of Board Governance of services.

The Quality Standards are built around customer focussed care.  This involves services ensuring that customers are engaged in consultations to develop care plans that are individual and which reflect their wishes, needs, and preferences.

It also includes the organisation’s governing body promoting a culture of safe, inclusive, and quality care and services, as well as being accountable for the delivery of such services.

Each organisation must have governance systems relating to:
  • Information management;
  • Continuous improvement;
  • Financial governance;
  • Workforce governance;
  • Regulatory compliance; and
  • Feedback and Complaints.
In Addition

They must also have risk management systems and practices in place – which also looks at identifying and responding to abuse and neglect of consumers.

With clinical care, there must be evidence of a clinical governance framework which also includes:

  • Antimicrobial stewardship;
  • Minimising the use of restraint; and
  • Open disclosure.
What is available to direct policy development

The Aged Care Quality and Safety Commission has published a series of resources that are available for download at the website. Click here>>

The documents available are:

  • Developing and Implementing a Clinical Governance Framework

Four Fact Sheets:

  • Introduction to clinical governance
  • Clinical Governance and Aged Care Quality Standards
  • Core Elements of clinical governance
  • Roles & Responsibilities for clinical governance.

And in addition:

  • Clinical Governance Framework Guide
  • Organisational Self Assessment Tool 1 & 2

If you are seeking guidance in the area of clinical governance and how this could impact your workplace, these documents are a great starting point to gain a strong knowledge base.