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CLINICAL GOVERNANCE bpac(临床治理bpac)
CLINICAL GOVERNANCE
A Guide for Primary Health Organisations
bpacnz
better medicine
CLINICAL GOVERNANCE
A Guide for Primary Health Organisations
Compiled by: David Kane
bpacnz Clinical Advisory Group:
Judi Dennis
Dr Peter Moodie
Associate Professor Jim Reid
Dr David Reith
Professor Murray Tilyard
Developed by bpacnz
Level 8, 10 George Street
PO Box 6032
Dunedin
Phone 03 477 5418
Fax 03 477 2622
.nz
© bpacnz September 2005
Table of Contents
Introduction 1
Defining Clinical Governance 2
Why We Need Clinical Governance 2
Suggested Elements of Clinical Governance 3
1. Clinical effectiveness3
2. Quality assurance4
3. Provider education and development 4
4. Clinical Audit → CQI 5
5. Risk Management 6
6. Research and Development6
Implementing Clinical Governance 7
Clinical Governance Committee7
Clinical Governance Committee – Membership 8
Referred Services Management the PHO Performance Plan 9
nz
The bpac Service 9
The Role of the Clinical Facilitator10
Managing the Economic Impact of Clinical Decisions 11
Who are the decision-makers?11
Where does responsibility lie?11
Appendix 1 12
PHO Performance Plan 12
Appendix 2 20
PHO Performance Management Programme 20
Phase 1 indicators20
Appendix 3 21
Recommended Reading21
Appendix 4 22
Enhanced Primary Health Care22
Introduction
Clinical governance can help Primary Health Organisations (PHOs) foster teamwork,
support individual clinical and non-clinical staff, meet the requirements of the PHO
Performance Management Programme and most importantly improve health
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