Introduction to clinical governance
Clinical Governance (CG)
Strategy by which healthcare organizations commit themselves to continuously improve the quality of services, and to reach and maintain the highest standards of care, by stimulating the creation of an environment that encourages professional excellence
Introduction to clinical governance 2
Clinical Governance (CG)
Introduzione alla clinical governance 3
Introduction to clinical governance
Clinical Governance (CG)
Care pathways
Patient
Professionals
Organization and organizational systems
Healthcare system
4 Introduzione alla clinical governance 4
Clinical Governance (CG)
Titolo Presentazione 5
Introduction to clinical governance
Clinical Governance (CG)
Introction to clinical governance 6
Clinical Governance is NOT:
Titolo Presenazione 7
Introduction to clinical governance
Governance
8 • • • •
Introduction to clinical governance
Clinical Governance
Titolo Presentazione 9 • • • • •
Introduction to clinical governance
Clinical Governance
10
Introduction to clinical governance
What is the mission of healthcare organizations?
11
Introduction
to clinical governance
Clinical Governance
12 • • • • •
Introduction
to clinical governance
13
Introduction to clinical governance
Indicators
Indicators
Introduction to clinical governance 14
Standard (or threshold)
Introduction to clinical governance 15
Example indicator and its standard (or threshold)
Introduction to clinical governance 16
Quality indicators
Introduction to clinical governance 17
Quality
Introduction to clinical governance 18
Quality of care
Introduction to clinical governance 19 • • •
Determinants of health
Genetic Heritage
Culture + socioeconomic status
• Behaviours
• Lifestyles
• Attitudes
Outcomes
Environment (ecosystem)
Healthcare:
• Prevention
• Diagnosis
• Treatment
• Rehabilitation
Introduzione alla clinical governance 20
Safety
Users’ involvement
Efficacy
Appropiateness
Introduzione alla clinical governance 21
quality
The multidimensional system of quality indicators:
Healthcare
Efficiency Equity
Introduction to clinical governance 22 • •
Safety
Efficacy
Introduction to clinical governance 23 • •
Appropriateness
Introduction to clinical governance 24 • •
Users’ involvement
Introduction to clinical governance 25 • • • • • •
Equity of access
Introduction to clinical governance 26 • • • •
Efficiency
Introduction to clinical governance 27 • • • •
The quality of healthcare consists of six factors: safety, efficacy, appropriateness, users’ involvement, equity of access, and efficiency.
The implementation of clinical governance entails the multidimensional evaluation of healthcare quality.
All categories of indicators must be integrated in the governance process, including the budget.
Introduction to clinical governance 28
