Manaaki Haumanu | Clinical Care

Indicator 9: Clinical governance

Standard
Guidance

Criteria	Standard	Evidence
9.1	The practice ensures there are clear clinical governance, leadership and equity responsibilities and processes, reflective of disciplines within the practice team.	Documented clinical governance roles, responsibilities and processes. A designated equity champion.
9.2	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: e.g. meeting agendas, minutes, discussions, an action register, quality activities, incident register and patient experience survey results.

Criteria

Standard

Evidence

9.1

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

Documented clinical governance roles, responsibilities and processes.
A designated equity champion.

9.2

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:
- e.g. meeting agendas, minutes, discussions, an action register, quality activities, incident register and patient experience survey results.

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