Governance

Our commitment to patient care quality

Our clinical governance framework

The Gateway Day Hospital has developed a comprehensive clinical governance framework based on an integrated approach to clinical risk management and continuous quality improvement. This framework measures four major areas of organisational performance including:

Clinical risk management:

  • Our culture promotes and encourages staff to report incidents, risks and near misses.
  • Our incident management policy outlines the process for assessing and investigating incidents.
  • Clinical policies are developed in accordance with evidence-based best practice.
  • Clinical, risk and safety policies are reviewed on a regular basis and updated as required.

Clinical effectiveness:

  • Quality and safety indicators are used to measure and monitor performance.
  • Quality plans are initiated when significant issues are flagged.
  • Quality and safety indicators are benchmarked nationally.
  • Serious clinical incidents are reported to NSW Health.
  • Medical practitioners are represented on the Medical Advisory Committee, Clinical Practices Committee and Senior Medical Group.
  • High-risk areas are audited on a regular basis.
  • Quality performance and safety issues are reported to the Audit & Risk Committee.
  • All facilities meet the standards for accreditation.

Competent workforce includes:

  • A comprehensive recruitment program
  • A strict process for checking credentials, registration and scope of practice for all clinical disciplines
  • Having a comprehensive orientation for new staff and medical practitioners that includes quality and risk systems
  • Having targeted education and competency requirements in all clinical areas

Consumer participation includes:

  • Involving consumers to evaluate marketing material, forms, patient flow, procedures and clinical processes.
  • Consumers participating in our risk management and quality improvement activities.
  • The review of the complaints and feedback processes, including patient satisfaction surveys, to ensure they are managed in a timely way and that results are fed back to senior management.
  • Open disclosure between medical practitioners and consumers is actively promoted.

Contact Us

 1300 118 882 

Level 18

Gateway

1 Macquarie Place

Sydney, NSW 2000

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