Manaaki Haumanu | Clinical Care

Indicator 8: Clinical governance and patient experiences

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.

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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