Indicator 8: Clinical governance and patient experiences

Manaaki Haumanu | Clinical Care

Criteria	Standard - what we'll be assessing on	Evidence to provide for assessment
8.1	The practice ensures there are clear clinical governance, leadership and equity responsibilities and processes, reflective of disciplines within the practice team.	Clinical governance roles and responsibilities written into job descriptions. A designated champion for equity with role description. Clinical governance policy and procedure.
8.2	The practice ensures processes are in place to deliver the four core elements of clinical governance: patient engagement and participation clinical effectiveness quality improvement/patient safety an effective and engaged workforce	Documented clinical governance activities: Clinical governance meeting agendas and minutes. Clinical governance quality plan, including goals and quality activities. Practice population experience survey results demonstrate consumer engagement. Explain the methods used to obtain feedback from all groups in the patient population (including Māori and under-represented groups).

Criteria

Standard - what we'll be assessing on

Evidence to provide for assessment

8.1

The practice ensures there are clear clinical governance, leadership and equity responsibilities and processes, reflective of disciplines within the practice team.

Clinical governance roles and responsibilities written into job descriptions.
A designated champion for equity with role description.
Clinical governance policy and procedure.

8.2

The practice ensures processes are in place to deliver the four core elements of clinical governance:

patient engagement and participation
clinical effectiveness
quality improvement/patient safety
an effective and engaged workforce

Documented clinical governance activities:
- Clinical governance meeting agendas and minutes.
- Clinical governance quality plan, including goals and quality activities.
- Practice population experience survey results demonstrate consumer engagement.
- Explain the methods used to obtain feedback from all groups in the patient population (including Māori and under-represented groups).

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