Standardisation of Clinic Governance
Clinical Governance refers to a structured framework through which quality health care is accountable for continually improving the quality of services and safeguarding high patient care standards. The standardisation of duty of care across all eight clinics and mobile services (31 sites), is of utmost importance in the implementation of effective governance.
This is applicable to all phases of the project, including:
- The initial risk assessment phase
- The development of medical surveillance systems
- The development of SOPs and Health Management Plans (HMPs) that guide implementation of OH, PHC, Travel Health and MERP
- Longitudinal risk assessment, monitoring of clinical performance and outcomes based on pre-determined KPIs.
The process is managed by the OHS Care Core Management Team with input from relevant specialists, where required.
The aforementioned framework will be developed in alignment with national legislation (to ensure regulatory compliance) and benchmarked against GIIP (to ensure Project standards are on par with international peer-reviewed systems).
A full suite of operational OH plans, SOPs and HMPs will be developed and implemented to ensure that health care management is standardised across all sites.
Primary Health Care Management
As anticipated in the TOR, Primary Health Care (PHC) Services are to be rendered by the incumbent OHNP under Section 22A(15) that allows the procurement, use and supply of Schedule 1 and 2 medications without a prescription.
The aforementioned approach also allows for the administration of vaccines, fluids for irrigations and application of certain topical ointments.
All PHC consultations, diagnoses, treatment and outcomes will be captured, managed electronically and reported in alignment with existing ICD-10 and NAPPI coding systems. The final selection of an electronic PHC management system will be determined by the anticipated number of end-users, integrative potential with OMP-Assist and functionality required by ACSA with regards to anticipated outputs of PHC management.
Where applicable, the PHC and OH systems will be integrated to bilaterally provide data that may influence fitness status (e.g. NCDs) or where incidental medical surveillance findings may trigger further medical management and referral.