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Integrating Risk Management into Quality Management Systems Noel Fitzpatrick CEO. MACEDON RANGES HEALTH SERVICES. Macedon Ranges Health Services QUALITY MANAGEMENT SYSTEMS Mission Aims Objectives Continuous Quality Risk Management Improvement CQI Systems support Risk Management

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integrating risk management into quality management systems noel fitzpatrick ceo

Integrating Risk Management into Quality Management Systems Noel Fitzpatrick CEO

MACEDON RANGES HEALTH SERVICES

slide2
Macedon Ranges Health Services

QUALITY MANAGEMENT SYSTEMS

Mission

Aims

Objectives

Continuous QualityRisk ManagementImprovement

CQI Systems supportRisk Management

MRHS in achievingensures that MRHS identifies & manage risks

our Objectivesthat would prevent us from achieving ourObjectives

continuous quality improvement
Continuous Quality Improvement
  • Frame Work:

CONTINUOUS IMPROVEMENT ACTION PLAN (CIAP)

  • Tools:

OPPORTUNITY FOR IMPROVEMENT FORM (OFI)

RECEIPT OF OFI FORM (ROO)

OFI Tracer

slide6

MACEDON RANGES HEALTH SERVICES

Organisational Culture

when to use an ofi
When to use an OFI
  • For a comment or Complaint
  • If you want to change something
  • If you would like to buy something
  • If you have a great idea that you would like to share and/or develop
  • If you recognize a potential risk to the organisation – be careful you may actually need a Hazard Alert
an ofi may become a quality project
An OFI may become a Quality Project
  • If it requires a Team of people to investigate the ideas &/or issues &/or develop a proposal &/or make recommendations
risk management framework
RISK MANAGEMENTFRAMEWORK:
  • MAJOR Risk to the Organisation - Board & Management
  • MAJOR Risk to Units/Services - Management & Staff Teams
  • Operational i.e. Day to Day Risks – Staff & Contractors
1 major risk to the organisation board management
1. MAJOR Risk to the Organisation - Board & Management

Key Performance areas:

  • Finance
  • Our People
  • Consumers
  • Quality Management Systems
  • Marketing
  • Expansion
  • Services

Strategies:

  • At time of Annual Strategic Planning. SWOT analysis etc.
2 major risk to units services management staff teams
2. MAJOR Risk to Units / Services - Management & Staff Teams

Key Performance areas – Lifestyle Enhancement:

  • Financial Viability
  • Residential Aged Care
  • HACC Services
  • MRHS Dementia Specific Services
  • Respite
  • Resource Development
  • Internal & External collaborative associations
  • Staff development & Training

Strategies:

  • At time of Annual Strategic Planning. SWOT analysis etc.
  • Taken to The Board Strategic Planning SWOT analysis with recommendations
3 operational i e day to day risks residents clients staff contractors
3. Operational i.e. Day to Day Risks Residents Clients, Staff & Contractors

Key Performance areas:

  • OH&S:

 JSA

 Hazard/near miss reporting, analysis & evaluation

 Staff Incident reporting, analysis & evaluation

  • Services & Programs:

 Auditing Schedules, Satisfaction Surveys

 Staff orientation, education & development programs

 Maintenance Schedules & programs including Essential Services

 Policies, Procedures & Work Instructions

 Document Control

slide13

3. Operational i.e. Day to Day Risks Residents Clients, Staff & Contractors

.

  • Resident / Client Incident Reporting:  Falls  Behaviour  Infections  Medication  Other
  • Risk Management Projects