Clinical Governance Part 2

1
Clinical Governance Part 2

• Independent performance review
• Quality
• Research and development

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Independent Performance Review (IPR)
The systematic, regular opportunity to meet with
ones line manager and discuss workload,
expectations and aspirations.
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IPR GRID
Area
Objective
Resource
Interim
Review
Work
Goal
date
R D
Protocol for
Lit.srch,
Date
6 months
HIV Pts.
Workshop
Wrkshop
Dept.
Meet
List,
Appt.
3
Health
Perm.Sec.
Contact
months
MRSA
Write
Lit.srch
Date
6
st
policy
Gp.meet
1
meet
months
4
Quality
In Zen and the Art of Motor Cycle Maintenance,
Robert Pirsig suggests it is where Right and Left
Brain meet-the emotional with the logical
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Ideal
Minimal
Unacceptable
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The S-shaped Curve of Quality
100
Quality
75
Minimum Standard
Cost
A B C
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The Quality Equation
MORALE x INVESTMENT WORKLOAD
QUALITY
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Research and Development (RD)
Health care systems and services are Learning
Organisations. Research is their life blood
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Clinical Care needs to be Evidence based

• All patient care is in a sense a trial of
  treatment
• The cumulative experience of patient care is the
  starting point for hypothesis and discovery
• The extraction of information and its analysis by
  the Cochrane foundation helps to inform clinical
  care

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Evidence Based Medicine

• Clinical medicine is demanding, expensive and
  always potentially Dangerous.
• Clinical medicine must be evidence based in its
  therapies and their applications

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Medicine-a dynamic science

• Medical advances occur daily
• Technological change is fuelled by science
• Expectations and costs rise and rise
• The informed clinician has to try to decide what
  works best now

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Clinical Governance attempts to bring it all
together, to try to make sense of the new, and to
discard the old.. Clinical Governance has systems
to ensure that Audit, Risk Management and Quality
systems are in place. Clinical Governance is
about developing the People (IPR) and their
skills (CPD. Clinical Governance works closely
with Corporate Governance to ensure that
administrative mechanisms enable effective
clinical care.
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Honour a Physician with the honour due unto him
for the uses which you may have of him
The Bible (Apocrypha) Ecclesiasticus