7e. Clinical quality registries:
i. As part of their governance framework, all clinical quality registries to include sets of indicators for quality and appropriateness of care, to be used for clinical audits at a health service organisation and clinician level
ii. To provide health service organisations and clinicians with regular reports showing their data for these indicators and how their data compares with data from other services
iii. To develop and publish their indicator sets in METeOR (National Metadata Online Registry).
7f. Health service organisations to:
i. Require clinicians to participate in data collection and quality improvement activities of relevant clinical quality registries, with the aim of improving patient outcomes
ii. Ensure that data and analyses from clinical quality registries are used efficiently in clinical peer review meetings; that records are kept of these meetings, including the clinicians who have attended them and any actions that are being taken to improve care as a result of the discussions; and that the results are reported to and reviewed by the organisation’s governing body as part of the clinical governance framework.