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Governance and Management Health Student Name Institution 1. Executive Summary 3 2.0 Governance 4 3.0 Principles of governance 5 3.2 Structure5 4.3 Framework8 5.0 Clinical governance 8 5.1.1 Origin of

   

Added on  2020-02-23

15 Pages3724 Words169 Views
Running head: GOVERNANCE AND MANAGEMENT HEALTH 1Governance and Management HealthStudent NameInstitution

GOVERNANCE AND MANAGEMENT HEALTH 2Table of Contents1.Executive summary.............................................................................................................................32.Introduction.........................................................................................................................................43.0Governance......................................................................................................................................43.1 Principles of governance....................................................................................................................53.2 Structure............................................................................................................................................53.3 Framework.........................................................................................................................................64.0 Management..........................................................................................................................................64.1 Principle............................................................................................................................................74.2 Structure............................................................................................................................................74.3 Framework.........................................................................................................................................85.0 Clinical governance...............................................................................................................................85.1 Origin UK and New Zealand.............................................................................................................95.1.1 Origin of clinical governance in the UK.....................................................................................9Origin of clinical governance in New Zealand....................................................................................95.1.2 Relevance.................................................................................................................................106.0 Potential governance issues with possible implication in clinical governance.....................................106.1 Governance issues identified...........................................................................................................106.2 Implications on clinical governance................................................................................................107.0 Personal reflection...............................................................................................................................118.0 Conclusion...........................................................................................................................................129.0 Reference.............................................................................................................................................12

GOVERNANCE AND MANAGEMENT HEALTH 31.Executive summaryClinical governance stands as the main contributing factor for healthcare improvementwitnessed in New Zealand in terms of safety, quality, and standards of health services. Failuresand challenges evident in the healthcare system in early 2000 contributed to the need forimprovement that gave birth to clinical governance. This is similar to the case of the UnitedKingdom that also developed clinical governance because of failures in the National HealthService causing the numerous deaths of patients. The structure of clinical governance is clearlydesigned with DHB Boards at the apex followed by Chief Executive down to clinical leaders.The principles of operation, on the other hand, composed of quality services, administrativeinitiative, the point of contact and clinical decision making (Hufty,2011). The management aspart of clinical management focuses on managerial aspects and DHBs leadership at all level inthe ministry of health. The management framework is focusing on good communication,effective management, collaboration, and partnership, provision of good medical services andrisk management. The article ‘Do inquiries into health system failures lead to change in clinicalgovernance systems?’ presents various potential governance issues that affect clinicalgovernance such as poor reporting of the adverse event and lack of transparent system therebydiscrediting inquiries. The implications of these potential issues are evident in the poor clinicalgovernance characterized by failures and negative clinical outcomes (LaForgia & Harding,2013). Finally, my learning and understanding of clinical governance, especially on governanceorigin, structure, principles, and management, is critical for an effective understanding of the roleof clinical governance in NHS.

GOVERNANCE AND MANAGEMENT HEALTH 42.IntroductionClinical governance remains an important aspect of National Health Service in NewZealand and around the world. Leadership and management of health services pose challengeswith more public and political issues causing serious concerns. Development of good structuredclinical governance is part of policies reformation of health services that improved the qualityand safety of health care services. Clinical governance, therefore, is characterized by well-defined management and leadership. In addition, clinical governance also works to improvepartnership and involvement of stakeholders such as patients in health care services (Zwanenberg& Harrison, 2000). Some of the key aspects of clinical governance include principles ofgovernance, structure, and framework of governance. Management is another issue that is key toclinical governance setting stage for incorporation of financial aspect into the governance and therisk associated with management. The main focus of this report is to explore the clinicalgovernance in New Zealand unfolding some of the key issues in governance.3.0GovernanceGovernance plays an important role in leadership and management of health care servicesprovided. The main aim of clinical governance is to improve quality and standards of health careservices that are coupled with better patient's outcome. This implies that clinical governanceworks to improve leadership and management of various health care facilities to ensure that thequality of services is met. Governance is based on principles, structure, and framework that workto improve the quality of health care system in the country (Bevir,2013).

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