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Clinical Governance Part 2. Independent performance review Quality Research and development. Independent Performance Review (IPR). The systematic, regular opportunity to meet with one’s line manager and discuss workload, expectations and aspirations. IPR GRID. Area. Objective.
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Clinical Governance Part 2 • Independent performance review • Quality • Research and development www.petersims.co.uk
Independent Performance Review (IPR) The systematic, regular opportunity to meet with one’s line manager and discuss workload, expectations and aspirations. www.petersims.co.uk
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 www.petersims.co.uk
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 www.petersims.co.uk
Ideal Minimal Unacceptable www.petersims.co.uk
The S-shaped Curve of Quality 100% Quality 75% Minimum Standard Cost www.petersims.co.uk A B C
The Quality Equation = MORALE x INVESTMENT WORKLOAD QUALITY www.petersims.co.uk
Research and Development (R&D) Health care systems and services are Learning Organisations. Research is their life blood www.petersims.co.uk
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 www.petersims.co.uk
Evidence Based Medicine • Clinical medicine is demanding, expensive and always potentially Dangerous. • Clinical medicine must be evidence based in its therapies and their applications www.petersims.co.uk
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 www.petersims.co.uk
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. www.petersims.co.uk
Honour a Physician with the honour due unto him for the uses which you may have of him The Bible (Apocrypha) Ecclesiasticus www.petersims.co.uk