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Shared or brokered care: a paradigm shift for clinical governance frameworks

Governance Primary health care Integrated care Australia

Clinical governance is an essential component of a health service’s broader organisational governance system and ensures that there is a clear understanding of accountabilities for care outcomes from staff to the Board, who are responsible for ensuring services for every consumer are person-centred, connected, safe, and effective. However, as this paper identifies, care for individual consumers is being increasingly shared amongst multiple providers.

And yet a review of clinical governance frameworks has identified that, to date, there is no formal framework which addresses how a shared model of clinical governance can be effectively achieved; and which will support the objectives of person-centred, connected, effective, and safe care across multiple providers, especially when this occurs in community settings. These objectives need to bridge multiple sectors and are a fundamental component of a shared care model of clinical governance which is proposed in this paper.

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Deeble Institute Perspectives Brief 21