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Integrating Risk Management into Quality Management Systems Noel Fitzpatrick CEO. MACEDON RANGES HEALTH SERVICES. Macedon Ranges Health Services QUALITY MANAGEMENT SYSTEMS Mission Aims Objectives Continuous Quality Risk Management Improvement CQI Systems support Risk Management
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Integrating Risk Management into Quality Management Systems Noel Fitzpatrick CEO MACEDON RANGES HEALTH SERVICES
Macedon Ranges Health Services QUALITY MANAGEMENT SYSTEMS Mission Aims Objectives Continuous QualityRisk ManagementImprovement CQI Systems supportRisk Management MRHS in achievingensures that MRHS identifies & manage risks our Objectivesthat would prevent us from achieving ourObjectives
Continuous Quality Improvement • Frame Work: CONTINUOUS IMPROVEMENT ACTION PLAN (CIAP) • Tools: OPPORTUNITY FOR IMPROVEMENT FORM (OFI) RECEIPT OF OFI FORM (ROO) OFI Tracer
Rather than hide from issues that arise: Make a Negative into a PositiveBe ProactiveBe Reactive when appropriate
MACEDON RANGES HEALTH SERVICES Organisational Culture
When to use an OFI • For a comment or Complaint • If you want to change something • If you would like to buy something • If you have a great idea that you would like to share and/or develop • If you recognize a potential risk to the organisation – be careful you may actually need a Hazard Alert
An OFI may become a Quality Project • If it requires a Team of people to investigate the ideas &/or issues &/or develop a proposal &/or make recommendations
RISK MANAGEMENTFRAMEWORK: • MAJOR Risk to the Organisation - Board & Management • MAJOR Risk to Units/Services - Management & Staff Teams • Operational i.e. Day to Day Risks – Staff & Contractors
1. MAJOR Risk to the Organisation - Board & Management Key Performance areas: • Finance • Our People • Consumers • Quality Management Systems • Marketing • Expansion • Services Strategies: • At time of Annual Strategic Planning. SWOT analysis etc.
2. MAJOR Risk to Units / Services - Management & Staff Teams Key Performance areas – Lifestyle Enhancement: • Financial Viability • Residential Aged Care • HACC Services • MRHS Dementia Specific Services • Respite • Resource Development • Internal & External collaborative associations • Staff development & Training Strategies: • At time of Annual Strategic Planning. SWOT analysis etc. • Taken to The Board Strategic Planning SWOT analysis with recommendations
3. Operational i.e. Day to Day Risks Residents Clients, Staff & Contractors Key Performance areas: • OH&S: JSA Hazard/near miss reporting, analysis & evaluation Staff Incident reporting, analysis & evaluation • Services & Programs: Auditing Schedules, Satisfaction Surveys Staff orientation, education & development programs Maintenance Schedules & programs including Essential Services Policies, Procedures & Work Instructions Document Control
3. Operational i.e. Day to Day Risks Residents Clients, Staff & Contractors . • Resident / Client Incident Reporting: Falls Behaviour Infections Medication Other • Risk Management Projects