Gisborne Hospital Report - Health and Disability Commissioner

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Gisborne Hospital 1999 – 2000 Introduction and Environment 5.7 The new Tairawhiti District Health Board and the new Chief Executive will need to show their commitment to providing safe and effective health services to all the people of Tairawhiti. Tairawhiti District Health needs to develop a culture of teamwork and trust. The co-operation of all clinical staff will be essential. This in turn will enhance staff and public confidence in Gisborne Hospital. 19
Chapter 2 Quality Assurance Systems 1. INTRODUCTION Overview of quality structure 1.1 In 2000 the Tairawhiti Healthcare Ltd (THL) quality structure consisted of the Chief Executive, Senior Management Group, Core Quality Group, Quality and Risk Management Committee, Group Managers, Clinical Directors and three quality resource roles (Quality Co-ordinator, the Infection Control Nurse and the Occupational Health Nurse). 1.2 The committee structure supporting quality consisted of the Clinical Board and a range of committees. These committees included Core Quality, Quality and Risk, Clinical Records, Maternity Services, Medicines and Therapeutics, Control of Infection, Medical Appointments, Medical Credentialling, the Nursing Reference Group and the Wound Management Group. 1.3 Terms of reference were available for all committees except the Medical Credentialling Committee, the Wound Management Group and the Maternity Services Committee. 1.4 Also in place, but not presented on the quality structure diagram, is the Board of Directors’ Audit Committee. This committee reported directly to the Board and at any one time consisted of a chairperson and two other Board members. The committee employed Mr Clive Gough from Gough, Brown Giffney Ltd as an external contracted auditor. On its own initiative and with assistance from management, this committee identifies the key projects to be reviewed each year. The extent of clinical input to this process was not specified. 1.5 THL informed me that the Board has established an audit (financial) committee and intends to establish a quality committee when additional Board members are appointed. 1.6 The Senior Management Group minutes of 13 April 2000 recorded discussion on an alternative draft structure diagram developed by the Human Resources Manager, the Chief Executive and the Quality Co-ordinator showing how quality related to the overall structure of THL. The Human Resources Manager was to review all committees to determine where/if they should be included in the quality structure. THL explained that “the drive came from the Board’s desire to have an accredited hospital”. Senior Management Group (SMG) 1.7 The Senior Management Group was established in November 1998. It is made up of the Chief Executive, Group Managers, Hospital and Community, Clinical Directors and the Corporate Managers (Human Resources, Finance, 20
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RECOMMENDATIONS Quality Assurance S
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APPENDIX NZNO LETTER TO MINISTER OF
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11. The anaesthetist had a practice
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THE ANONYMOUS LETTER The anonymous
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GLOSSARY ABBREVIATIONS A&E A,T&R AQ
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Gisborne Hospital Report - Health and Disability Commissioner

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