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Governance, leadership and culture

The healthcare service sets up and uses clinical governance systems to improve the safety and quality of health care for patients.

Consumer outcome

The healthcare service is high quality and continuously makes improvements.

Intention of this standard

The healthcare service sets up and uses clinical governance systems to improve the safety and quality of health care for patients.

Governance, leadership and culture

1.01—The healthcare service:

  1. Has a culture of safety and quality improvement
  2. Partners with patients, carers and consumers
  3. Sets priorities and strategic directions for safe and high-quality clinical care, and ensures that these are communicated effectively to the workforce
  4. Establishes and maintains a clinical governance framework
  5. Clearly defines the safety and quality roles, responsibilities and accountabilities of those governing the healthcare service, management, and the workforce
  6. Monitors and reviews the safety and quality performance of the healthcare service
  7. Considers the safety and quality of health care for patients in its business decision-making
  8. Establishes and maintains systems for integrating care with other service providers involved in a patient’s care
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