“Governing bodies of approved providers should be comprised of members whose integrity, skills and independence enable them to act, first and foremost, in the best interests of the people receiving care. Evidence before us has demonstrated, in particular, a lack of adequate clinical governance expertise on the boards of some providers. We consider that each governing body should have a care governance committee, to ensure that quality of care is considered at the highest level of the organisation. The chair of the care governance committee should be a member of the governing body and have appropriate experience in providing care. The focus of care should cascade from the governing body through the executive leadership to all staff.’
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The Aged Care Quality Standards (Standards) set regulatory requirements for the provision of care and services in aged care. All approved providers of residential care, home care, and flexible care in the form of short-term restorative care must comply with the Standards, which are embedded in Schedule 2 of the Quality of Care Principles 2014 (made under the Aged Care Act 1997).
Effective management of incidents is critical to effective clinical governance and will enable you to manage risks to consumers and improve the quality of care and services you provide. By systematically recording and investigating incidents, you are better placed to identify trends and issues and to pursue continuous improvement
Person-centred care in clinical governance requires partnership with consumers – this ‘recognises the value of the consumer's voice, and the need for consumer experience and expertise to help shape decisions about health care at the level of the system, service, and individual.’
More on restrictive practices in aged care: highlighting the intersection of regulation and clinical governance
Restrictive practices are often used to manage the behavioural and psychological symptoms of dementia (BPSD) in aged care. However while restrictive practices may have a clinical foundation in this sense, they are not necessarily driven by clinical need.
Reporting is not just ‘red tape’ – it is an essential part of clinical governance. Why? Because unless we observe and assess care outcomes and experiences on an ongoing basis - which reporting enables – we cannot effectively identify risks, emerging risks, or areas for improvement.
Regulatory changes to the use of restraint in aged care (now referred to as restrictive practices, in line with the NDIS Standards) came into effect on 1 July 2021. These amendments require that aged care providers ensure restrictive practices ‘must only be used in a way that supports good clinical practice and provides safe and improved care for consumers’.
The challenges which COVID-19 presents to clinical governance has required intervention at the government level to promote safe, quality care in the context of a pandemic.
- Aged care
- Continuous improvement
- COVID-19/Infection control
- Cultural safety
- Digital health
- Health literacy
- Incident management
- Person-centred care
- Primary & Community Care
- Quality indicators
- Regulatory updates
- Residential care
- Restrictive practices
- Risk management
- Royal Commissions
- Training & education