2. Combined Associations and Colleges State Health Conference Tasmania, 2007 Brian Johnston

3. Mission Possible – reforming Tasmania’s health system Importance of Accreditation in Managing Risk

4. Some Questions What is risk? Why are we talking about risk management? How does the system perform? Things to do

5. What is risk? AS 4360 –The chance of something happening that will have an impact on objectives Australian Council for Safety and Quality in Health Care (ACSQHC, 2006, Shared Meanings. –The chance of something happening that will have a (negative) impact. It is measured in terms of consequences and likelihood.

6. What is risk? (cont.) Enterprise Risk Management The Australian Standard AS/NZ 4360 Establish the context Identify risks Analyse risks Evaluate risks Treat risks Communicate and Consult Monitor and Review Risk Assessment

7. What is risk? (cont.) Risk management process is defined as the systematic application of management policies, procedures and practices to the tasks of communicating, establishing the context, identifying, analysing, evaluating, treating and monitoring and reviewing risk. The Australian Council on Healthcare Standards (ACHS), Risk Management and Quality Improvement Handbook. Sydney, Australia, 2007.

8. Why are we talking about risk management? ‘The Quality in Australian Health Care Study’ 1995 – Wilson, Runciman, Gibberd et al Australian Council on Safety and Quality in Health Care, 2000 – 2006 Australian Commission on Safety and Quality in Health Care, 2006 →

10. Why are we talking about risk management? (cont.) Tasmania’s Health Plan, May 2007 –Planning –Workforce –Resource allocation –Capability and Sustainability –Integration –Enablers “…the way in which health systems are configured impacts on their quality…”

11. Why are we talking about risk management? (cont.) –Safety and quality fact sheet –Clinical Services Program Implementation Plan 2007 – 2010, Acute Health Services, August 2007 Risk identification and risk analysis

12. How does the system perform? EQuIP 4 Standard 2.1 –The governing body leads the organisation in its commitment to improving performance and ensures the effective management of corporate and clinical risk. 3 mandatory criteria

13. How does the system perform? (cont.)

15. Things to do Avoid too much intellectualising of the topic! Develop a (simple) framework –Accreditation is part of this framework Be clear about your organisation’s objectives Identify meaningful categories Engage staff

17. Things to do (cont.)

21. Conclusions Risk minimisation is not new – it’s what we (should ) do Lots of policy support Performance in the Australian health system is variable! Keep the framework simple Use the accreditation process to guide actions and monitor your progress