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 one’s line manager and discuss workload, expectations and aspirations. 4/9/2008 www.petersims.co.uk
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IPR GRID
Area Objective Resource Interim Review Work Goal date
R &D Dept. Health MRSA policy
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Protocol for Lit.srch, Date 6 months HIV+ Pts. Workshop Wrkshop Meet Perm.Sec. Write List, Contact Lit.srch Gp.meet
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Appt. Date 1stmeet
3 months 6 months
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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
Quality
100%
75% Minimum Standard
Cost
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A B
C
The Quality Equation
QUALITY = MORALE x INVESTMENT WORKLOAD
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Research and Development (R&D)
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
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