Taking off from the famed Stephen Bolsin case in the UK, governance of healthcare organizations has now come to stay as a main principle of many healthcare organizations which want to bring about transparency and accountability. This is brought about by putting in place processes towards this end.
Governance of healthcare organizations has been gaining credence of late, mainly as a result of the misdemeanors that the Stephen Bolsin case in the UK exposed, in which a whistleblower anesthetist laid bare many cases of incompetence in pediatric surgery.
This was a case in which surgeons who were causing an unacceptably high incidence of deaths due to lack of adherence to proper clinical procedures were eventually hauled up, resulting in a new set of processes for governance of healthcare organizations being put in place.
While this exposure led to reforms in the governance of healthcare organizations in the UK, the case was not without its repercussions in the US, too, as in many other countries.
Today, governance of healthcare organizations, or clinical governance, is being seen as a major factor in ensuring sound healthcare delivery. At its barest, governance of healthcare organizations is about implementing practices aimed at improving the standards of healthcare and clinical practice. It has to be understood as being a chain or set of processes and practices, and not just one step.
Since governance of healthcare organizations is often a chain of multifarious processes, people, policies, regulations, laws, customs and organizational structures; all these elements of the whole system should work in tandem at various levels to bring about:
Governance of healthcare organizations should aim at addressing problems of the healthcare industry relating to clinical practices, namely:
At the highest level, governance of healthcare organizations should ensure that results get delivered making optimal use of resources. To make this happen, organizations should instill: