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Wairarapa Community PHO EOI - New Zealand Doctor

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achieving a systematic approach to change within the team which is<br />

internalised and embedded for the long term; (plan, do, study, act<br />

(PDSA cycle))<br />

To improve access and the quality of the care delivered to patients.<br />

4.11 Risk management<br />

Risk can be defined as the combination of the probability of an event<br />

and its consequences (ISO/IEC Guide 73).<br />

In all types of undertaking, there is the potential for events and<br />

consequences that constitute opportunities for benefit (upside) or<br />

threats to success (downside). Risk Management is increasingly<br />

recognised as being concerned with both positive and negative aspects<br />

of risk. Compass Health considers risk must be managed from both<br />

perspectives.<br />

WC<strong>PHO</strong>/CH recognises the importance of managing risks within its own<br />

organisation as well as across the primary health sector. The<br />

organisation has in place the following structures and embraces quality<br />

assurance and quality improvement to ensure risk management is<br />

integrated within its operations through:<br />

Strong Governance, the Trust Board and the Clinical Quality Board<br />

(CQB)<br />

Robust management structures, HR, IM, Finance, Primary and<br />

Clinical Services<br />

Formal change/project management processes<br />

Responsibilities for risk management is clear to all stakeholders<br />

(Risk Management Policy)<br />

Regular documentation and monitoring risk through a central risk<br />

register database(ReMeDy)<br />

Regular reporting to the Compass & <strong>PHO</strong> Boards and Clinical<br />

Quality Board (CQB)<br />

Strong budget management & clinician ownership of resource<br />

allocation decisions where applicable(e.g. <strong>Community</strong> radiology)<br />

Risk Management is categorised as either:<br />

Organisational Risk, risks affecting legislative/contractual<br />

obligations, financial integrity, information management etc.<br />

Clinical Risk, risks affecting patient, provider and staff safety.<br />

An internationally recognised Risk Matrix is utilised to rate risks and<br />

management processes follows the Risk Management Standards NZS<br />

4360:2004 with reference to the Guidelines for managing risk in the<br />

Australian/<strong>New</strong> <strong>Zealand</strong> public sector HB143:1999.<br />

4.11.2 Clinical Risk Management<br />

Clinical Risk Management (CRM) is an approach to improving the quality<br />

and safe delivery of health care through:<br />

115

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