This requires the board to frequently review, evaluate and amend based on consumer and staff feedback about quality and safety, thereby continually improving all aspects of the business. The Royal Commission into Aged Care Quality and Safety, in addition to high-profile crisis events at other aged care providers, have highlighted the importance of effective organisational governance in aged care. Aged care royal commission interim report released – Impacts for NFP Governance, which includes a summary of critical issues that directors should be addressing in Aged Care facilities. Unsure: Measures a construct other than overall board capability as it reflects individual members of the board or leadership team that are unsure of the board’s level of functioning. tools to assist you identify key governance risks for the aged care sector questions to help you evaluate the effectiveness of information given to the board. With the prediction that 23% of the Australian population is forecast to be 65 years and over by 2066 and estimates that by 2050 the aged care workforce will need to have grown to around 980,000 workers, there are very specific risks and opportunities that need to be considered by directors in this sector. The only way to see improvement is to keep coming back. As we touched on in last month’s webinar (which you can watch here) resilience and... As we started to touch on in last month’s blog post, year three is a magic number in the evaluation journey. An iterative process of development was then undertaken with input from: 1. This commences the process leading to a change in status from ‘care recipient’ to ‘consumer’ and to being encouraged and supported to having a consumer voice which is at the centre of service delivery planning, design, delivery and evaluation. Safe, quality care is the core business of aged care organisations and this is a key focus of the board. The board is accountable for the quality of care delivered in, and by, the organisation and its staff. A look at the stakeholders of an aged care provider — and ways to interact and build relationships. Issues which a board should consider when inviting a new member onto the board of an aged care provider. LASA, the national peak body representing and supporting providers of age services across residential care, home care and retirement living, has a useful range of reports and policy documents on their website: Governance Evaluator Development & Skills Matrix for aged care boards –, Governance TV – Dr Liz Mullins – What I learnt at Djerriwarrh Health Services, Governance TV – Dr Alison Brown – How to lead culture at a board level for quality and safety, Understand your duty of care for staff by ensuring management are held to account for compliance with relevant Occupational Health and Safety Laws and sustaining a workplace culture that values staff, their professionalism and wellbeing, Receive high-quality information/reports about care delivery and other staff performance so that you are assured about the safety of the workplace and the ability of staff to perform their duties effectively, Emphasise to management the importance of, and hold management accountable for, employing appropriately skilled, credentialed staff, Encourage and support continuing professional development, staff education and training as a critical component of ensuring the delivery of safe and quality care, Credentialing health practitioners and defining their scope of clinical practice: A guide for managers and practitioners, which can be accessed, Governance Evaluator TV – Managing clinical risk, ensuring quality and safety (Effective Clinical Governance), Resources Manual – 4E Staff engagement and accountability. Effective governance of clinical care must also take into account the imperatives of the Aged Care Quality Standards (2018), including Consumer-Directed Care. It’s expected the organisation has governance systems in place to assess, monitor and drive improvement in the quality and safety of the care and services they provide. Please enable JavaScript in order to get the best experience when using this site. The purpose of clinical governance is to support the workforce and visiting practitioners in your service to provide safe, quality clinical care as part of an holistic approach to aged care that is based on the needs, goals and preferences of consumers. The ongoing scrutiny put on aged care sector by the Royal Commission and media focus, coupled with the added weight of the COVID-19 crisis has put an enormous pressure on directors and managers of companies in the industry. Australia and New Zealan… Yes: Represents a mature governance capability within the board and the criteria wholly satisfied, as judged by the participants. Both Standards are incorporated in the Governance of Clinical Care module themes of the Governance Evaluator board evaluation. Fig 2:  2018 evaluation findings for Governing Safety & Quality. aged care governance standards but is valid until 2022, and the City will continue to work with Juniper to develop an appropriate reporting mechanism in line with the City’s aged care governance framework, with updates to be provided to the next Committee meeting. Understand who your consumers are. Typically they are governed by Boards who are either: 1. Lead a culture for continuous review and development – it is not sufficient to just ‘hear the voice’, it is also essential to maintain the connection with consumers and others through the planning, implementation and review stages. The compliance and performance indicators requested from Juniper have since been provided to the City. This month we commence our two-part investigation into Governance of Clinical Care; the issues uncovered in our research, as well as tips and resources for ensuring your board is leading a culture that supports the delivery of safe & quality aged care. Q: Does the Board partner with consumers? Aged Care Governance Committee Minutes 15 December 2020 Page 7 The current standards cover consumer dignity and choice, ongoing assessment and planning with involvement by the care recipients as consumers, personal and clinical care, supports for daily living, the overall service environment, feedback and complaints and organisational governance. A checklist of information a potential board member should receive or request. The next generation search tool for finding the right lawyer for you. Clinical governance in aged care – putting the principles into practice 30th November 2020 Clinical governance is essential for delivering safe, quality clinical care and good clinical outcomes for each consumer. Code of Conduct (PDF) the user-pays system. As a key component of the Aged Care Quality Standards, it’s important that the board and executive have a shared understanding of their roles and responsibilities to … Aged and Community Services Australia 2. Traditional programmatic residential aged care and home care organisations and their service – business models are Red Telephone Boxes. Again, these point to opportunities for focus and education. The Aged Care Quality Standards require aged care services that provide clinical care to demonstrate the use of a clinical governance framework (Standard 8, 3 (e)). Download Adding value to governance in aged care at governanceinstitute.com.au/agedcare. A strong Chair/CEO relationship is vital in ensuring effective board performance and delivering good governance outcomes. A report by the Institute for Health and Ageing and the Australian Catholic University, Older and Wiser: Putting the Consumer’s Voice at the Centre of Residential Aged Care states that “the advent of Consumer-Directed Care (CDC) in Australian Residential Aged Care Facilities (RACFs) will require a revolutionary change in the service delivery mindset” (p7:2017). Only 39% of boards are satisfied that their directors all understand the increasing shift toward the paradigm of consumers-as-partners being genuinely embedded within the care framework and have actively and successfully embraced the level of engagement needed to bring these changes to fruition. 58% of boards are satisfied that their strategic and organisation quality and safety plans reflect the importance of safe, quality aged care; the leadership of the safety and quality committee is skilled, knowledgeable and committed; and that all directors have an appropriate level of understanding of the safety and quality of services provided to enable them to govern effectively. Introducing PRO ComplianceThe essential resource for in-house professionals. 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