Being For Others - Calvary Health Care Bethlehem

Quality and SafetyContinuum of Care Governance CommitteeThere are two subgroups of the Continuum of Care Governance Committee:Clinical Practice and Medication Advisory. The significant quality improvementand risk management work of these subgroups this year includes the review of:• operational processes relating to clinical handovers, team meetings,patient goal setting, care planning, family meetings and discharge planning• separation review meeting arrangements (i.e. morbidity and mortality) toimprove case selection, problem identification and remediation strategies• policies to ensure we meet standards, best clinical practice andlegislative and regulatory requirementsIt is very pleasing to report that during our November 2009 Organisation-Wide Survey for accreditation, the ACHS Surveyors endorsed ourmanagement of medications, falls and pressure ulcers and thesethree aspects of clinical governance were each awarded “ExtensiveAchievement” ratings.National Standards Assessment Program (NSAP)The Clinical Practice subgroup also carried out work related to NSAP;a quality improvement initiative funded by the Australian Government.Palliative Care Australia supports specialist palliative care services to identifyopportunities for improvement via interdisciplinary self-assessment against13 national standards.In March 2010, our clinical staff critiqued our systems, practices and policiesagainst these 13 standards and identified the following quality improvementactivities; a review of patient information brochures, methods to evaluatecare plan implementation, and provision of information for non-Englishspeaking patients and their families.Calvary Health Care Bethlehem 2009 –10 Annual Report12