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Health boards' governance of quality and risk: quality improvement agenda for the board.
- Source :
- International Journal of Health Governance; 2021, Vol. 26 Issue 3, p292-306, 15p
- Publication Year :
- 2021
-
Abstract
- Purpose: This study explores key governance, leadership and management activities that have impact on quality, risk and safety within Australian healthcare organisations. Design/methodology/approach: Current non-executive directors (n = 12) of public and private health boards were interviewed about contemporary approaches to fiduciary and corporate responsibilities for quality assurance and improvement outcomes in the context of risk and safety management for patient care. Verbatim transcripts were subjected to thematic analysis triangulated with Leximancer-based text mining. Findings: Boards operate in a strong legislative, healthcare standards and normative environment of quality and risk management. Support and influence that create a positive quality and risk management culture within the organisation, actions that disseminate quality and risk broadly and at depth for all levels, and implementation and sustained development of quality and risk systems that report on and contain risk were critical tasks for boards and their directors. Practical implications: Findings from this study may provide health directors with key quality and risk management agenda points to expand or deepen the impact of governance around health facilities' quality and risk management. Originality/value: This study has identified key governance activities and responsibilities where boards demonstrate that they add value in terms of potential improvement to hospital and health service quality care outcomes. The demonstrable influence identified makes an important contribution to our understanding of healthcare governance. [ABSTRACT FROM AUTHOR]
- Subjects :
- HEALTH services administrators
HEALTH policy
EVALUATION of medical care
WORK experience (Employment)
OCCUPATIONAL roles
CLINICAL governance
HEALTH services administration
RESEARCH evaluation
HEALTH facilities
JUDGMENT (Psychology)
LEADERSHIP
HEALTH facility administration
ATTITUDE (Psychology)
RESEARCH methodology
MEDICAL personnel
MEDICAL care
PATIENTS
HOSPITAL laws
INTERVIEWING
DEPARTMENTS
QUALITATIVE research
RESPONSIBILITY
QUALITY assurance
DECISION making
INTERPROFESSIONAL relations
RISK management in business
MANAGEMENT
THEMATIC analysis
PATIENT safety
GOAL (Psychology)
CORPORATE culture
MEDICAL coding
Subjects
Details
- Language :
- English
- ISSN :
- 20594631
- Volume :
- 26
- Issue :
- 3
- Database :
- Complementary Index
- Journal :
- International Journal of Health Governance
- Publication Type :
- Academic Journal
- Accession number :
- 153013754
- Full Text :
- https://doi.org/10.1108/IJHG-01-2021-0006