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Clinical governance and external audit.

S G Glazebrook1, J G Buchanan

  • 1Judge of the High Court of New Zealand, South Auckland Health, Auckland, New Zealand.

Journal of Quality in Clinical Practice
|June 26, 2001
PubMed
Summary
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This paper details a clinical governance model focused on improving healthcare quality and safety. It emphasizes a supportive culture for innovation and continuous improvement, rather than censure.

Area of Science:

  • Healthcare Management
  • Clinical Governance
  • Quality Improvement

Background:

  • Established clinical governance model at South Auckland Health (1995-2000).
  • Core objectives include clinical quality and patient safety.
  • Integrated quality systems with clinical and financial audits.

Purpose of the Study:

  • Describe a model for clinical governance.
  • Enhance quality systems and staff involvement.
  • Foster a culture of innovation and improvement.

Main Methods:

  • Multidisciplinary Clinical Board development and policy implementation.
  • Continuous Quality Improvement Committee for system enhancement.
  • Clinical and financial audit oversight by Board of Directors' Audit Committee.

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Main Results:

  • Established clear reporting lines for clinical and financial audits.
  • Defined the role of external auditors for clinical standards.
  • Implemented a system to monitor policy impact on quality and safety.

Conclusions:

  • The model promotes a supportive culture for quality initiatives.
  • Emphasis is placed on improvement rather than censure.
  • Aims to enhance clinical quality and patient safety through structured governance.