News Video | Policy | GPs | Hospitals | Medical | Mental Health | Welfare | Search

 


Clinical governance in hospitals making good progress


Clinical governance in hospitals making good progress

The largest and most complex survey of the New Zealand health workforce has just been completed showing good progress across many DHBs in the development and implementation of clinical governance by health professionals in public hospitals.

The extensive survey was led by the University of Otago’s Centre for Health Systems in collaboration with 19 DHBs, with facilitation and support from the DHB Shared Services (DHBSS). It was commissioned by the National Health Board, the Health Quality and Safety Commission and the DHBSS.

The ‘Clinical Governance Assessment Project’ (CGAP) will be presented at a final meeting of stakeholders at the University of Otago, Wellington on Thursday December 6 at 0930 by the Minister of Health, the Hon. Tony Ryall. This will be followed by a series of lectures on various aspects of clinical governance in this country and the UK.

“These reports update and assess how well the government’s objective of enhancing clinical governance in our public health system has progressed since 2009,” says project leader Professor Robin Gauld from the University of Otago’s Centre for Health Systems. “It also recommends ways of further developing clinical governance in the future.”

“The overall picture, after 165 face to face interviews with staff in over 19 DHBs and over 10,000 on-line surveys, is positive. Good progress has been made in the application and understanding of clinical governance by health professionals; that is doctors, nurses, midwives and allied staff.”

Authors Professor Gauld and Dr Simon Horsburgh say many respondents in public hospitals confirmed they were involved in shared decision-making with management; that DHBs have fostered the development of clinical leadership; that quality and safety are key over-riding goals; and that many DHBs have given responsibility to health professionals for clinical service decisions.

On three leading questions on quality and safety the report notes that:

57% of those surveyed believe health professionals work well together in co-ordinated teams
70% of respondents say they involve patients and families in efforts to improve care
69% of respondents agree it is easy to speak up when they see problems.

It says that compared to earlier research covering responses from Association of Salaried Medical Specialists members, this much wider study shows solid progress, albeit with some significant variations between DHBs.

It details areas where more work needs to be done to engage health professionals in improving management at the clinical and departmental level.

In that regard Professor Gauld recommends a number of actions:

Development of a national project so DHBs and health professionals receive ongoing information on clinical governance.
More sharing of information between DHBs in terms of what works to assist in the implementation of clinical governance.
More training of health professionals in what clinical governance means and how it is carried out.

The report says there is a need to get more health professionals, especially doctors, involved in clinical governance as well as achieving the right balance between various professional groups such as nurses, midwives and allied health professionals. Educational and training institutions, as well as professional colleges, have a crucial role to play in this regard says the report.

Professor Gauld says: “Health professionals are only as good as the systems in which they work and they have an obligation, in partnership with their DHB employers and the government, to ensure that these are safe, equitable, efficient, accessible and patient-centred.”

However he says that the part-time nature of many senior doctors’ employment creates difficulties with DHBs in clinical governance. He says that solutions to this require further analysis and debate. In that regard better administrative and other support for clinical leaders should be on the agenda of government and DHBs.

The Centre for Health Systems at the University of Otago says these comprehensive reports provide a robust template for the future assessment of clinical governance. They also determine important areas to focus on to progress clinical governance and leadership in New Zealand’s public hospitals.

Both reports can be obtained through nicola.casey@otago.ac.nz. They are also embargoed until 1000 on Thursday 6 December 2012. They will go live from that time on www.otago.ac.nz/healthsystems

ends

© Scoop Media

 
 
 
 
 
Culture Headlines | Health Headlines | Education Headlines

 

Review: Henry Rollins Burning Down The House

With his lantern jaw, close-cropped hair, and muscle-bound physique, Henry Rollins could not be further from the US Marine image his appearance might suggest. More>>

A Series Of Tubes: 150 Years Of The Cook Strait Cable

“It was a momentous achievement for its time. The successful connection came on the third attempt at laying the cable, and followed a near disaster when the first cable snapped - almost destroying the ship Weymouth in the process,” says Ms Adams. More>>

ALSO:

February 2017: Guns N' Roses - New Zealand Dates Announced

Founder Axl Rose and former members, Slash and Duff McKagan have regrouped for one of the century’s most anticipated tours... Rolling Stone said: "This was the real thing, the thing we'd all been waiting for: the triumphant return of one of the most important bands to cross rock music history. And it happened in our lifetime.” More>>

Werewolf: Brando, Peckinpah And Billy The Kid

Gordon Campbell: Initially, One-Eyed Jacks was supposed to have been directed by Stanley Kubrick from a script by Sam Peckinpah – yet it quickly became Brando’s baby... More>>

Book Awards: ANZAC Heroes Wins Margaret Mahy Book Of The Year

“Simply stunning, with gold-standard production values,” say the judges of the winner of this year’s Margaret Mahy Book of the Year Award in the prestigious New Zealand Book Awards for Children and Young Adults. ANZAC Heroes is also the winner of the Elsie Locke Award for the Best Book in the Non-Fiction category. More>>

Baby Animals: Hamilton Zoo Rhino Calf Named

Hamilton Zoo’s latest rhino calf has been named Samburu and he's being celebrated with a unique zoo experience... Samburu arrived after his mother Kito’s 16-month pregnancy and the calf brings the number of white rhinos at Hamilton Zoo to six. More>>

Get More From Scoop

 
 

LATEST HEADLINES

 
 
 
 
Health
Search Scoop  
 
 
Powered by Vodafone
NZ independent news