Clinical Governance - KPJ Healthcare University College PDF

CLINICAL GOVERNANCE DEVIKA K. KALIPAN (KPJU) LEARNING OBJECTIVES ❑ At the end of the module the students will be able to: ▪ Define quality governance ▪ Understand the sources of 7 pillar ▪ Describe patient center care DEVIKA K. KALIPAN (KPJU) ...

CLINICAL GOVERNANCE DEVIKA K. KALIPAN (KPJU) LEARNING OBJECTIVES ❑ At the end of the module the students will be able to: ▪ Define quality governance ▪ Understand the sources of 7 pillar ▪ Describe patient center care DEVIKA K. KALIPAN (KPJU)  AIM ❑ Clinical governance is the process by which healthcare organizations, maintain high standards of care, continuously improve service quality, and foster an environment that promotes excellence in patient-centered care. ❑ This framework ensures that all aspects of healthcare management are aligned with the goal of enhancing the quality of patient care. DEVIKA K. KALIPAN (KPJU)  DEFINITION ❑ Clinical governance defined as the framework through which healthcare organizations to accountable for continuously improving the quality of their services and safeguarding high quality of care. DEVIKA K. KALIPAN (KPJU)  SELF CARE ❑ Several methods are used to safeguard patients' care, and systems to minimize and manage risk should be in place. ❑ The goal is to understand the issue and allow lessons to be learned, shared, and acted upon constructively in order to prevent recurrence. ❑ Organizations that manage risk effectively and efficiently are more likely to achieve safe and effective care DEVIKA K. KALIPAN (KPJU)  INCIDENT REPORT ❑ An incident is any event or circumstance that led to unintended or unexpected harm, loss, or damage. ❑ A near miss is an event or occurrence which, but for skillful management or a fortunate turn of events, would have led to harm, loss, or damage DEVIKA K. KALIPAN (KPJU)  MORBIDITY AND MORTALITY ❑ Morbidity and mortality are similar terms that mean different things. Morbidity refers to an illness or disease. Mortality refers to death. ❑ An effective morbidity and mortality should identify events that have resulted in adverse outcomes, foster discussion, and lead to the dissemination of learning. ❑ Ideally this should be multidisciplinary and within a ‘safe’, non-critical environment where staff are encouraged to share and ‘speak up’, and focus on systems and process variations rather than individuals and blame. DEVIKA K. KALIPAN (KPJU)  RISK REGISTER ❑ This is a systematic record of risks to the organization, with a description and severity rating of the risk, along with the impact and consequences. ❑ Many risks cannot be eliminated and therefore it must be decided whether to accept, manage, or possibly avoid ❑ The risk register should be reviewed regularly. DEVIKA K. KALIPAN (KPJU)  EFFECTIVE CARE ❑ Effective care for patients should be based on good quality evidence from research, and incorporates the use of guidelines, standards of practice (SOP), and quality improvement (QI) processes. DEVIKA K. KALIPAN (KPJU)  GUIDELINES ❑ Where there is variation in practice that affects patient outcomes, and research demonstrates evidence of effective practice, guidelines. ❑ Appropriately implemented, guidelines may potentially improve the quality of care for patients and increase the efficiency of healthcare organizations through standardization. DEVIKA K. KALIPAN (KPJU)  STANDARDS ❑ A standard is a statement, reached through consensus, which clearly identifies the desired outcome. ❑ Standards should be measurable, often through the use of audit, and also achievable. DEVIKA K. KALIPAN (KPJU)  QUALITY IMPROVEMENT ❑ The purpose of QI is to bring about measurable improvements by applying systematic change methods and strategies within a healthcare setting. DEVIKA K. KALIPAN (KPJU)  PATIENT CENTRED CARE ❑ Patients, along with their relatives where appropriate, should be equal partners in planning, developing, and assessing care to ensure that it is the most appropriate for their needs. ❑ A safe experience may not be a person-centered one and a good experience might not be a safe one. DEVIKA K. KALIPAN (KPJU) 7 PILLARS  1. EDUCATION & TRAINING ❑ Education and Training ▪ It is the responsibility of the Continuing Professional Development (CPD) of their hospital staff. ▪ High quality education and training are considered to be essential to delivering excellence in healthcare and necessary to underpin any changes to the way healthcare is delivered. DEVIKA K. KALIPAN (KPJU)  2. CLINICAL AUDIT ❑ Clinical Audit ▪ This is the review of the clinical performance of a practice. ▪ Audits ensure that standards are maintained. DEVIKA K. KALIPAN (KPJU)  3. CLINICAL EFFECTIVENESS ❑ Clinical Effectiveness ▪ This reviews whether specific clinical interventions work, as well as being cost-effective. DEVIKA K. KALIPAN (KPJU)  4. STAFF MANAGEMENT ❑ Staff Management ▪ Ensure that hiring the best quality staff and ensure they keep up with their education and training throughout their time. ▪ This also involves project management to ensure that all projects are governed correctly and by the right people. DEVIKA K. KALIPAN (KPJU)  5. PATIENT AND PUBLIC INVOLVEMENT ❑ Patient and Public Involvement ▪ Transparency with the stakeholders is essential for good governance. ▪ Clinical practice should never be shrouded in secrecy. DEVIKA K. KALIPAN (KPJU)  6. RISK MANAGEMENT ❑ Risk management ▪ In clinical governance there are (3) components to risk management: i) Risk to patients – this requires compliance with statutory regulations, regularly reviewed and questioned systems, critical event audits, learning from complaints and finally, medical ethics standards. DEVIKA K. KALIPAN (KPJU)  6. RISK MANAGEMENT (CONT.) ii) Risk to practitioners – this means protecting your workers through access to immunisations, creating an anti-harassment and safe working culture and keeping employees up to date on basic safety including fire safety. iii) Risk to organisations – this is essentially ensuring good governance at every stage of your processes. This can be achieved by employing the best, creating a safe environment and engaging with your stakeholders. DEVIKA K. KALIPAN (KPJU)  7. INFORMATION MANAGEMENT ❑ Information Management ▪ Information governance is important in every industry to deals with special category data, patients information, and other sensitive information every day. ▪ There are also their own data protection protocols and documentation. ▪ It is of the utmost importance that all information is managed properly. DEVIKA K. KALIPAN (KPJU) PATIENT CENTRED CARE  DEFINITION ❑ Patient-centred care is about treating a patient with dignity and respect and involving them in all decisions about their health. ❑ It is an approach that is linked to a patient healthcare rights. DEVIKA K. KALIPAN (KPJU)  PATIENT- CENTRED CARE AS HEALTHCARE PROFESSIONALS ❑ When healthcare professionals and services gives patient-centred care by: ▪ Treating with (Dignity, Respect and Compassion) ▪ Communicating and coordinating patient by different treatment or services over time ▪ Sharing and caring DEVIKA K. KALIPAN (KPJU)  PATIENT- CENTRED CARE AS HEALTHCARE PROFESSIONALS (CONT.) ▪ Tailoring the care and basic needs ▪ Give moral support ▪ Helping patient and find ways to get better, look after patient ▪ Involving in decision making at all times expert ▪ Providing safe environment DEVIKA K. KALIPAN (KPJU)  THE 4 C’S OF PATIENT- CENTRED CARE ▪ Culture - Patient and family preferences, values, cultural traditions, and socioeconomic conditions are respected. ▪ Care - Care focuses on physical comfort as well as emotional well-being. ▪ Communication - Information is shared fully and in a timely manner so that patients and their family members can make informed decisions. ▪ Collaboration - Care is collaborative, coordinated, and accessible. The right care is provided at the right time and the right place. “Providing care that is respectful of, and responsive to, individual patient preferences, needs and values, and ensuring that patient values guide all clinical decisions.” DEVIKA K. KALIPAN (KPJU) THANK YOU DEVIKA K. KALIPAN (KPJU)