Developing a Clinical Governance Framework for Healthcare Providers


This course addresses one of the most important issues facing healthcare professionals, managers and policymakers today: how can we ensure that we provide the safest and highest quality health care services within the constraints of the current system?

With new expert trainer Professor David Ben-Tovim, you will be able to develop your understanding of clinical governance and its various components including a range of quality improvement and risk management theories and strategies.  



  • Understand key concepts of clinical governance and how they apply to your organisation
  • Know the legal impacts of clinical governance
  • Develop effective quality improvement programmes
  • Understand the many methods for reviewing clinical practice 
  • Apply risk management approaches to the health sector



Introduction to clinical governance

  • What is governance?
  • What is clinical governance?
  • Review of the evidence
  • The role of government, the board, management and clinicians
  • A case study: “Turning clinical governance into sustainable reality”
  • Clinical governance frameworks
  • The six dimensions of quality


A clinician’s toolkit to improve patient care and manage clinical risk

  • Clinical audit
  • Retrospective medical record review
  • Mortality and morbidity reviews
  • Peer review and supervision
  • Incident management
  • The effective use of clinical indicators
  • Clinical pathways


An introduction to the human factors of health care

  • Theory of cognition and error
  • Systems vs. individuals
  • Approaches to error management
  • Engineering barriers into systems to prevent errors


Clinical practice improvement method

  • Applying industrial improvement methods to health care
  • A tutorial in the method
  • Some practical experience of the various components of the method
  • Developing an aim for improvement when you get back to work


The management of healthcare incidents

  • Principles of incident management
  • Where does this fit into a clinical governance framework?
  • The national priority strategy and policy for applicability for all health and disability services
  • The use of the Severity Assessment Code
  • Methods for managing healthcare incidents
  • Open disclosure of adverse events

Key policy components of an effective clinical governance framework

  • Credentialing
  • The management of a complaint or concern about a clinician – a practical method
  • Accreditation as a governance framework
  • The benefits of accreditation to a health and disability service
  • Understanding standards
  • The role of certification in clinical governance
  • Choosing an accreditation programme
  • Risk management – the Australian and NZ standard


But how do I?

  • Develop an organisational performance framework
  • Develop a clinical level review and performance structure and processes


Understanding the legislation and legislated processes

  • Health Practitioners Competence Assurance Act (HPCAA) 
  • Occupational Safety and Health (OSH)
  • MedSafe recommendations
  • Health and Disability Commissioner recommendations
  • Coroner’s inquiries


Case Study: Improving clinical governance 

This session will look at how a real life health organisation has improved its governance, focusing on the following areas:

  • A review of clinical governance arrangements
  • Incident management
  • Developing clinical level infrastructure and processes
  • Provider education and development
  • Clinical Audit


Implementing clinical governance

  • Top down vs. Bottom up approaches
  • The role of clinical governance committees
  • Membership
  • Developing a performance frameworks
  • Engaging clinicians


Seminar wrap, group discussion, Q&A and course evaluation


Professor David I. Ben-Tovim, Director, Redesigning Care and Clinical Epidemiology Units, Flinders Medical Centre

Professor David Ben-Tovim has been actively involved in improving the safety and quality of health care for over a decade.

He studied medicine and psychiatry in London at the Middlesex and St George’s University Hospitals, and Clinical Epidemiology as a Wellcome Research Fellow. In 1998, he became the Director of the Clinical Epidemiology Unit at the Flinders Medical Centre in South Australia. In 2002, he was appointed Director of Clinical Governance for the hospital, the first Director of Clinical Governance in South Australia. He has continued to be actively involved in governance issues since that time, both as a Director of Clinical Governance and in other roles. He was part of the group of governance practitioners that introduced root-cause analysis programs in South Australia and elsewhere, and he has had a long involvement in developing and using indicators of various kinds to focus safety and quality initiatives.

He has been a long standing member of the South Australian Healthcare Safety and Quality Committee, and has  undertaken programs of work with Australian national groups such as the Commission on Safety and Quality in Healthcare. He has also been very involved in using industry based process improvement methods to improve the safety and quality of care in hospital and non-hospital setting. He is currently Professor in the School of Medicine, Flinders University. He has published extensively in the professional literature on a variety of topics, including a number of papers related to safety and quality issues.

In-house Training

Do you have a number of staff who would benefit from this course? Find out more about running Developing a Clinical Governance Framework for Healthcare Providers, in-house at your organisation or ask us about our team training discounts:

Contact the Training Team on 09 912 3616 or email or fill in the form below.
Visit to learn more about our in-house training options & training packages.

Add extra people for $1495 applies to this event:
Register two or more people from your organisation on this course at the same time, and the second and subsequent people pay only $1495 + GST each.

DatesLocationEarly bird priceLast minute price
20 - 21 Oct, 2014AucklandNot available$2296 + GST   

   Please note that a 2.5% surcharge applies to credit card payments on top of your total amount.