D2: Optimising governance

Friday 20th September 2019
11:00am-12:15pm

Part A: Optimising Clinical Quality Governance for Safe Care

Our Clinical Quality Governance Model is unique. It supports networked multi-professional and managerial levels of support for clinicians working with the patient. The model was developed in 2016 and has been gradually implemented ensuring engagement of healthcare workers within the Lakes System. By networking in this way, ownership, mandate and accountability for safe care rests with the Department Level Teams who receive support from Service Level Teams and oversight from the Executive Level Teams.
After this session, participants will be able to:
1. Understand the networked organisational Clinical Quality Governance Model
2. Appreciate the need to socialise the model and engage healthcare workers
3. Support their organisation to deliver a ‘whole of system’ model that enables safe care

Sharon Kletchko, Quality Risk & Clinical Governance Director Lakes District Health Board, New Zealand

Part B: Moving from a compliance culture to building high reliability for patient safety

The traditional approach to clinical governance can establish a culture of compliance and assurance, with insufficient focus on improvement and reliability. This session will outline the development and implementation of a person centered contemporary framework for patient safety and clinical quality in Australia’s largest private healthcare provider. The essential elements of a framework will be described, including the supporting programs of improvement, and the analytic strategy focussing on the measurement of reliability and not harm

After this session, participants will be able to:
1. Understand the key components of a high reliability organisation
2. Understand key measures of reliability and not harm
3. Understand how to develop and implement a contemporary framework for patient safety and clinical quality

Bernadette Eather, National Manager Clinical Quality and Patient Safety, Ramsay Health Care; Australia

Part C: Create a Positive Patient Safety Culture

The governance of medical quality and patient safety needs to rely on top-down culture shaping. In this session we share the Taiwan’s journey of patient safety on both a national level and as an individual hospital, especially how Shin Kong Wu Ho-Su Memorial Hospital coordinates with the government’s strategy and effectiveness. A positive patient safety culture can be established through the determination of the CEO with continuous efforts of hospital staff.

After this session, participants will be able to:

  1. Understand the top-down governance concept

  2. Be familiar with Taiwan’s healthcare quality and patient safety practices

  3. Create continuous quality improvement


Sheng-Mou Hou, Superintendent Shin Kong Wu Ho-Su Memorial Hospital; President Taiwan Blood Services Foundation; Taiwan