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

Avery, MJ, Cripps, AW and Rogers, Gary 2021, Health boards' governance of quality and risk: quality improvement agenda for the board, International Journal of Health Governance, vol. 26, no. 3, pp. 292-306, doi: 10.1108/IJHG-01-2021-0006.


Title Health boards' governance of quality and risk: quality improvement agenda for the board
Author(s) Avery, MJ
Cripps, AW
Rogers, Gary
Journal name International Journal of Health Governance
Volume number 26
Issue number 3
Start page 292
End page 306
Total pages 15
Publisher Emerald Publishing Limited
Place of publication Bingley, England
Publication date 2021-10-12
ISSN 2059-4631
Keyword(s) Science & Technology
Life Sciences & Biomedicine
Health Policy & Services
Health Care Sciences & Services
Healthcare
Board of directors
Governance
Quality
Risk
Safety
HOSPITAL BOARDS
OVERSIGHT
Summary PurposeThis study explores key governance, leadership and management activities that have impact on quality, risk and safety within Australian healthcare organisations.Design/methodology/approachCurrent 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.FindingsBoards 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 implicationsFindings 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/valueThis 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.
Language eng
DOI 10.1108/IJHG-01-2021-0006
HERDC Research category C1 Refereed article in a scholarly journal
Persistent URL http://hdl.handle.net/10536/DRO/DU:30153586

Document type: Journal Article
Collection: Faculty of Health
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