Improving quality through clinical governance in primary health care

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• Improving quality through clinical governance in
  primary health care

Christine Phillips, Christopher Pearce, Jo
Travaglia, Marjan Kljakovic, Sally Hall, Simon
deLusignan, Tom Love
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Studying clinical governance in practice

• Clinical governance is discussed with a macro
  lens
• Many studies of isolated strategies (part rather
  than whole)
• Needed an iterative method of devising a synoptic
  model and then testing which elements of it had
  been prioritised in the literature

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Regulation
Quality of care Accountability
Purpose
Ideals
Strategies
Structural levers
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Regulation
Leadership
Effective communication
Quality of care Accountability
Teamwork
Purpose
Systems awareness
Ownership
Ideals
Patient focus
Strategies
Structural levers
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Use of information
Risk management
Leadership
Effective communication
Quality of care Accountability
Teamwork
Staff management
Purpose
Education training
Systems awareness
Ownership
Ideals
Patient focus
Ensuring clinical competence
Patient involvement
Strategies
Clinical audit
Structural levers
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Regulation
Use of information
Risk management
Leadership
Health care funding
Effective communication
Quality of care Accountability
Teamwork
Cultural expectations
Staff management
Purpose
Education training
Systems awareness
Ownership
Ideals
Patient focus
Ensuring clinical competence
Patient involvement
Strategies
Clinical audit
Constitution
Workforce training
Structural levers
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(No Transcript)
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Informants

• International Kaiser Permanente, British Medical
  Council
• National Colleges, Collaboratives, aCcreditors
• Implementers NACCHO, ADF Medical Services,
  Corporate General Practice

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Constitution and conscription

• Likely to impact on the types of clinical
  governance activities undertaken
• Drive focus to self-regulation, or soft
  regulation
• Potential for medical software to drive
  governance?

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• The research reported in this presentation is a
  project of the Australian Primary Health Care
  Research Institute, which is supported by a grant
  from the Australian Government Department of
  Health and Ageing.