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Core Standard 3 Practice governance and management

Criterion C2.1 – Respectful and culturally appropriate care

Indicators

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C2.1 A

Our practice, in providing patient healthcare, considers patients’ rights, beliefs, and their religious and cultural backgrounds. C2.1 B Our patients receive information from the clinical team about the risks resulting from refusing a specific treatment, advice, or procedure. C2.1 C

Our practice acknowledges a patient’s right to seek other clinical opinions. C2.1 D Our patients in distress are provided with privacy. C2.1 E Our clinical team considers ethical dilemmas.

Criterion C2.2 – Presence of a third party during a consultation

Indicator

C2.2 A Our practice obtains and documents the prior consent of a patient when the practice introduces a third party to the consultation.

Criterion C2.3 – Accessibility of services

Indicator

C2.3 A Our patients with disabilities or special needs can access our services.

Core Standard 3 - Practice governance and management

Our practice has integrated governance and management systems that maintain and improve the quality of care provided to patients.

Practice governance relates to the principles, methods and processes that clinicians and health service managers follow in order to support patient safety and quality care. It also helps you to set, measure and achieve your social, fiscal, legal and human resources objectives.

The ACSQHC notes that good practice governance is: • participatory • accountable • responsive • equitable and inclusive • consensus-oriented • transparent • effective and efficient • compliant with all relevant laws.13

Good management and leadership foster a culture that is based on mutual respect. When you have this, the entire practice team will be supported to achieve excellence in all areas of the practice and participate in just and open discussions about how the practice can improve.

Criterion C3.1 – Business operation systems

Indicators

C3.1 A Our practice plans and sets goals aimed at improving our services. C3.1B Our practice evaluates its progress towards achieving its goals. C3.1 C Our practice has a business risk management system that identifies, monitors, and mitigates risks in the practice. C3.1 D Our practice has a complaints resolution process.

Criterion C3.2 – Accountability and responsibility

Indicators

C3.2 A All members of our practice team understand their role in the practice. C3.2 B Our practice has performance discussions with each team member. C3.2 C Our practice inducts new members of the practice team and familiarises them with our systems and processes. C3.2 D Our practice has at least one team member who has the primary responsibility for leading risk management systems and processes. C3.2 E Our practice has at least one team member who coordinates the resolution of complaints.

Criterion C3.3 – Emergency response plan

Indicator

C3.3 A Our practice has an emergency response plan for unexpected events, such as natural disasters, pandemic diseases, or unplanned absences of clinical team members.

Criterion C3.4 – Practice communication and teamwork

Indicators

C3.4 A Our practice team has the opportunity to discuss administrative matters with the principal practitioners, practice directors, practice management, or owners when necessary. C3.4 B Our practice encourages involvement and input from all members of the practice team.

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