To determine whether clinical governance has improved across the public health system through implementation of the accepted recommendations of Targeting Zero: Supporting the Victorian hospital system to eliminate avoidable harm and strengthen quality of care.
In 2016, the Minister for Health commissioned a wideranging review of clinical governance in response to the avoidable deaths of seven infants at Bacchus Marsh Hospital, part of Djerriwarrh Health Services. The review, Targeting Zero: Supporting the Victorian hospital system to eliminate avoidable harm and strengthen quality of care identified systemic clinical governance issues, which increase the risk of harm occurring in hospitals across the system. The review made 178 recommendations focused on improved data collection and analysis, better engaging clinical expertise and enhancing safety in the system.
DHHS accepted all recommendations and incorporated them into a response plan—Better, Safer Care: Delivering a world-leading healthcare system. These recommendations require that DHHS significantly improve its collection and analysis of data, and how it enacts its role in ensuring strong clinical governance in the public hospital system. The changes are underpinned by new structures and two specialist agencies within DHHS—Safer Care Victoria and the Victorian Agency for Health Information.
This audit will examine whether DHHS, its specialist agencies and a selection of health services have implemented accepted recommendations and the impact of these activities on clinical governance across the sector.
DHHS (including Safer Care Victoria and the Victorian Agency for Health Information), Ballarat Health Services, Djerriwarrh Health Services, Melbourne Health and Peninsula Health.