Implementation pack · Section 6.1
Governance and Leadership Accountability
Institutional governance structures that support safety, quality, ethical leadership, performance review and corrective action.
Pack in development Framework guidance for this domain
Status
Implementation pack in development
This implementation pack is in development. The framework content for the domain is published and available now.
01Purpose
Institutional governance structures that support safety, quality, ethical leadership, performance review and corrective action.
02ASQAT direction
Within 12 months, pilot hospitals should establish or strengthen quality and patient safety committees with documented minutes, action items, and quarterly reporting.
03Desired institutional state
The desired institutional state for this domain has not been approved yet. The priority components below describe what the framework asks institutions to be able to show.
04Priority components
- 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
05Initial actions
A recommended action sequence will be published once approved. Actions are not invented beyond approved ASQAT content.
06Leadership responsibilities
Leadership responsibilities for this domain are in development.
07Workforce responsibilities
Workforce responsibilities for this domain are in development.
08Measurement
Measurement specifications for this domain are being developed. Indicator definitions are published only once the numerator, denominator and data source are agreed.
09Evidence expectations
Evidence expectations for this domain are being defined with the measurement specifications.
10Tools and resources
Implementation resources for this domain are currently in development. Approved policies, procedures, checklists and tools will be released through the resource library.
11Related domains
12Implementation evidence
No approved implementation evidence has been published for this domain yet. Case studies are published only after review of what was measured and how.