Safety & Quality Account 2020-21 | 2021-22 Future Priorities

Governance for Safety and Quality in WSLHD WSLHD Safety & Quality Account

Clinical Governance Framework

WSLHD

Governance, leadership and culture

Patient Safety and quality improvement systems

Partnering with consumers

Patient Experience Coordinators

Patient & Carer Experience

Incident Management System

Carer Program

Open Disclosure

Mortality & Morbidity

CLINICAL GOVERNANCE FRAMEWORK

My Experience Matters

REACH

Complaint Management

MCCC

Safe environment for the delivery of care

Clinical performance and effectiveness

Staff Engagement and empowerment

Key Performance Indicators

Clinical Practice Improvement

Quality Awards and Research

Quality Improvement Systems

Quality Practice Audits

Policies & Procedures

Accreditation

In October 2020, the WSLHD Clinical Governance Framework 2020-2022 was published. The framework is modelled on the Australian Commission on Safety and Quality in Healthcare Framework together with the NSW Patient Safety and Clinical Quality Program. The intent of the framework is to assist in identifying areas of priority across our facilities and services, and the structures in place to support improvement in quality and safety across our District.

Clinical Performance and Effectiveness – Clinical effectiveness is measured via a large range of key performance indicators including Hospital Acquired Complications (HACs) and clinical indicators. Various improvement programs and initiatives including: intentional rounding, early mobilisation and safety huddles have been introduced as an outcome of evaluating data and identifying patient safety risks and areas for improvement. Staff Engagement and Empowerment – Promoting programs such as ‘Speak Up for Safety’ and encouraging incidents and near misses to be reported in the Incident Management System (IMS+) contribute to empowering staff and engaging staff in safety and quality conversations at all levels of the organisation. Safe Environment for the delivery of quality care – A range of policies and procedures safeguard the care provided to patients to ensure our services align with evidence-based best practices. Clinical audits and performance data aid in the identification of risks and inform actions needed to improve the delivery of safe, high quality care.

The six components of the WSLHD Clinical Governance Framework 2020-2022 are:

Partnering with Consumers – Within WSLHD we actively seek feedback from patients and consumers to ensure we understand what is important to them and work together to improve the care and services we provide. The “My Experience Matters” platform is one tool we have that provides timely insight into patient experience feedback. This information is used to implement quality improvement activities to improve the experience. In addition we use complaint and compliments data to also inform activities that will improve the experiences of patients, families and carers. Governance and Leadership – The framework articulates a shared vision for safety and quality across WSLHD. It reinforces that providing safe, high quality care that meets the needs of our community is multifaceted and everyone’s responsibility. Patient Safety and Quality Improvement – Patient and staff safety in our health care system is consistently achieved through quality improvement activities, risk identification and mitigation, redesign and research. Currently there are over 50 quality improvement projects registered in the Quality Improvement Data System (QIDS) database and underway across WSLHD.

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