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Clinical Governance

Clinical Governance. Don’t Shoot the Messengers. What is Clinical Governance?. Quality Assurance in professional Practice. What are the Stages of Clinical Governance?. Baseline Assessment Organisational Review Clarification of Reporting Arrangements Parameters for Inclusion

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Clinical Governance

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  1. Clinical Governance Don’t Shoot the Messengers

  2. What is Clinical Governance? • Quality Assurance in professional Practice

  3. What are the Stages of Clinical Governance? • Baseline Assessment • Organisational Review • Clarification of Reporting Arrangements • Parameters for Inclusion • Development of an Action Plan • Action on Agreed Priorities • Continuous Monitoring

  4. Baseline Assessment • Achieved by Internal / External Audit • Who Audits You at Present? • Health Authority • Denplan • NRPB • Pressure Vessels

  5. Organisational Review • Managerial Structure • Professional Structure • Alignment of Objectives

  6. Clarification of Reporting Arrangements • Accountability within the Practice • Sharing Information • Identifying Areas of Responsibility

  7. Parameters for Inclusion • Evidence Based Practice • Risk Management • Continuing Professional Development • Clinical Audit • Managerial Audit

  8. Development of an Action Plan • Use of an Integrated and Systematic Approach

  9. Action on Agreed Priorities • This is a Team Activity • Must Include Clinical Governance Report

  10. Continuous Monitoring • Legality • Identification of Poor Performance • Learning from Errors or Near Misses • Learning from Complaints • Modification of Action Plans

  11. The Framework • Open Practice Culture • Where Ideas and Good Practice are Shared • Clear Areas Responsibility • Education and Research Valued • Collaboration Rather than Competition • Blame Only Used Rarely

  12. Standards Audit Patient Surveys Benchmarking Schemes Evidence Based Practice C P Development Training Programmes Risk Assessment Management Schemes Appraisal Tools of Clinical Governance

  13. Other Elements of Clinical Governance • Critical Incident Analysis • Open Dialogue with Stakeholders • Commissioning of Specialist Services • Centralised Incident Reporting

  14. Internal Elements of Clinical Governance • Acceptance of Responsibility for the Provision of a High Quality Service • This Service to Meet the Needs of Its consumers

  15. External Elements of Clinical Governance • As Well as Monitoring Their own Practice’s Performance • Association with Other General Dental Practices • Association with Specialist Dental Practices • Association with Hospital Dental Practices • Dissemination of Good Practice • Input to Collaborative Audit and Quality Initiatives • Training and CPD

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