Section 6.1 · Pillar 2 · Health Systems, Governance & Infrastructure Transformation

Governance and Leadership Accountability

Institutional governance structures that support safety, quality, ethical leadership, performance review and corrective action.

Health Systems, Governance & Infrastructure Transformation

The issue

Every healthcare institution should have a governance structure that supports safety, quality, accountability, ethical leadership, performance review, and corrective action.

Priority components

What good looks like in this domain, expressed as the components an institution should be able to show.

  • 01Hospital governance boards
  • 02Quality and safety committees
  • 03Clinical governance committees
  • 04Ethics committees
  • 05Credentialing committees
  • 06IPC committees
  • 07Morbidity and mortality review and oversight committees
  • 08Finance and procurement oversight

Implementation

What this domain requires in practice: the standard, the pack, the measurement, the tools and the evidence.

Standards

No approved ASQAT standards have been published for this domain yet. The standards layer is in place so that approved statements can be released without restructuring the platform.

Implementation pack

Pack in development

Open the pack

Measurement

Measurement specifications for this domain are being developed. Indicator definitions are published only once the numerator, denominator and data source are agreed.

Measurement framework

Resources

Implementation resources for this domain are currently in development. Approved policies, procedures, checklists and tools will be released through the resource library.

Open the library

Awaiting approved content

Evidence in practice

No approved implementation evidence has been published for this domain yet. Case studies are published only after review of what was measured and how.