Quality and Governance

Quality and Governance

The organisation has systems in place to ensure high quality individual care is provided through implementation of multi-professional governance arrangements. These include the use and review of evidence for clinical effectiveness and clinical quality, audit, quality management, integrated care pathways, active complaints and incident management, supported professional development/shared learning and the effective collection and use of data.

This standard includes the following:

• Integrated governance
• Quality management
• Financial governance
• Audit (clinical and non-clinical)
• Document control
• Management of complaints
• Litigation
• Patient and public engagement

The CHKS Standards criteria address these elements of quality and governance through succinct criteria statements that are supported by guidance which helps the organisation understand the intent of the criteria, so that it can be applied in the local context.

Additionally, references are provided to direct further reading on the relevant topic.

Throughout the standards, the criteria are linked to key assessment frameworks including ISO 9001, the Care Quality Commission, Quality Statements, and the Health Information and Quality Authority (Ireland) National Standards.