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  • Health boards' governance of quality and risk: quality improvement agenda for the board

    Author(s)
    Avery, Mark J
    Cripps, Allan W
    Rogers, Gary D
    Griffith University Author(s)
    Rogers, Gary
    Avery, Mark
    Cripps, Allan W.
    Year published
    2021
    Metadata
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    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, ...
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    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.
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    Journal Title
    International Journal of Health Governance
    DOI
    https://doi.org/10.1108/IJHG-01-2021-0006
    Note
    This publication has been entered in Griffith Research Online as an advanced online version.
    Subject
    Public health
    Science & Technology
    Life Sciences & Biomedicine
    Health Policy & Services
    Health Care Sciences & Services
    Healthcare
    Publication URI
    http://hdl.handle.net/10072/407927
    Collection
    • Journal articles

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