Clinical Governance Policy

Introduction

We are committed to the establishment and maintenance of the highest standards in the provision of occupational risk management through a system of Governance focused on quality, safety, and efficacy.

We achieve our objectives through each member of our company understanding and taking ownership of their responsibilities, to themselves, the company, and our stakeholders.

Our Governance is based upon the tenet of Service Excellence – which is achieved through the interrelationship between all stakeholders.

Responsibility for ensuring the integrity and effectiveness of the governance system rests with the Resile executive who recognise:

• The major characteristics of good governance: participatory, consensus oriented, accountable, transparent, responsive, effective and efficient, equitable and inclusive, and follows the rule of law; and
• The main requirements of good clinical governance:

• strong strategic and cultural leadership of clinical services
• clarity of responsibility for managing the safety and quality of clinical care
• reliable processes for ensuring systems for the delivery of clinical care that are designed and performing well and clinicians who are fully engaged in the design, monitoring and development of service delivery systems
• effective use of data and information to monitor and report on performance
• well-designed systems for identifying and managing risk

Criteria to achieve the Governance for Safety and Quality:

Governance and quality improvement systems

Resile is managed by an Executive Leadership Team (ELT) who are responsible for:

• identifying safety and quality risks
• establishing and maintaining a clinical governance framework
• implementing performance management strategies and procedures
• ensuring compliance with legislative requirements and relevant industry standards
• collecting and reviewing performance data

Our clinical governance framework is based on openness and transparency through audit and feedback processes. We believe that this promotes an environment of empowerment, inclusiveness and ownership amongst all team members.

Our ELT accepts responsibility for ensuring the integrity of the organisational risk management system which includes, but is not limited to:

• our vision, principles, objectives, practices, and responsibilities
• the allocation of resources
• definition of outcomes and how they will be measured.
• fostering an organisational culture that supports an unwavering focus on clinical safety and continuous improvement
• ensuring appropriate integration of clinical and non-clinical risk in all risk systems

We acknowledge the following areas of vulnerability and subsequent risk:

• document and records management
• information technology
• cyber security
• hazard management
• complaints

Document and Records Management

Our document control process incorporates the creation, distribution, review, storage and maintenance and version control of all documents. This covers all documents in all formats; printed or electronic.

Clinical records are created and stored in soft (electronic) format for the legislated period, with in-built redundancy through multiple secured backup systems. Where applicable, hard copies are destroyed in a secured manner.

Information Technology / Cyber Security

We work in collaboration with subject matter experts in designing and applying industry standard information technology solutions for hardware and software and to maintain security, stability and reliability to ensure information integrity.

Complaints

Complaints (clinical or other) are managed in accordance with our Complaints Policy.

Incident and Hazard Management

The prevention, management and reviewing of clinical incidents are completed in accordance with the requirements of our Operations Management System.

Hazard identification and management is also completed in accordance with the requirements of our Operations Management System.

Clinical Practice

We provide evidence-based healthcare and assessment to meet the requirements of our stakeholders through:

Clinician certification (individual):
Resile clinicians are required to undertake compulsory Continuing Professional Development (CPD).

Clinician Education forum (organisational):
This forum is open to all clinicians at Resile and regularly meets to discuss and present advancements in the evidence base of health service provision. Clinicians external to Resile are encouraged to join the forums.

Institutional Collaboration (external):
We actively design, guide and participate in research aimed at advancing the provision and outcomes of targeted healthcare. This is undertaken with a variety of private and tertiary institutions.

Performance and skills management

To deliver service excellence and quality, we have a number of processes which ensure our team members have the capability and competence to deliver services in accordance with agreed service levels.  In the main these include:

• in-depth recruitment procedures
• peer reviews of occupational work experience
• confirmation of credentials
• induction into the Resile Operations Management System
• performance reviews
• on-going training and skills enhancement
• mentoring and coaching

Approved provider network

Our Provider network is a key component of our capability to deliver service excellence and quality to our Clients. To ensure that we use Providers who have the resources and capabilities to meet our service level agreements we require Providers to undergo an accreditation processes.

In addition, we review performance after each service and, on an annual basis. Providers who do not meet our service standards are removed from the list of Approved Providers.

Candidate rights and engagement

Users of our services have the right to:

• safe, high quality health services
• the provision of the information needed to participate in such services
• open and honest communication

Candidates are provided with our Privacy Policy and a Consent Form at the time of the appointment. Copies of the same are available for referral or download at any times.

Our Privacy Policy describes:

• the purpose of collecting information, its storage, and its distribution to the referrer
• the individual’s right to privacy
• how we maintain privacy
• storage of private information

Dr Rob McCartney

Director

15 January 2018