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Policy Development and Management
In May 2006 Hunter New England Clinical Governance was assigned responsibility for leading and supporting policy development and management processes within Hunter New England Health. The HNE Health Policy Development and Management Framework was endorsed by the Area Executive Team (AET) in June 2006. In this document, policy is defined as
“…an Area-wide statement of corporate or clinical action requiring mandatory compliance…”
The aim of the Policy Development and Management Framework is to ensure that NSW Health Policy Directives and Hunter New England Health corporate and clinical policies are relevant, realistic, implemented, monitored, evaluated and reviewed. Hunter New England Health has an identified Area-wide process for policy development and management that ensures consistency across the Area. Policy development includes developing policy compliance procedures to aid implementation and compliance with policy.
All policies (existing Hunter New England Health policy, NSW Health Policy Directives and new Hunter New England Helath policy) fall into one of eight portfolio areas
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Chief Executive
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Clinical Operations
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Clinical Governance
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Communication and Stakeholder Engagement
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Corporate Services
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Nursing and Midwifery
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Population Health, Planning and Performance
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Workforce
Each portfolio Executive Director is responsible for policy in their portfolio. Hunter New England Health policy development, implementation and evaluation is supported by Clinical Governance.
A fact sheet about the policy process is available.
A Policy Compliance Procedure is any procedure written to assist staff to comply with an Hunter New England Health policy or NSW Policy Directive. These will usually set out step-by-step actions which must be followed by staff in a given setting. Because NSW Health Policy Directives and other internal policies often have local implications to be addressed in implementation, Hunter New England Health has developed a template for policy compliance procedures. It is expected that this will mostly be used to support the implementation plans for NSW Health policy directives.
To discuss or seek advice about the policy development process please contact Dr Rosemary Aldrich, Ms Tonia Easton or Mr Mark Arnold
In December 2006 the AET determined that Clinical Practice Guidelines were to be authorised by the Area Clinical Quality and Patient Safety Committee. Guidance for Hunter New England Health staff developing Clinical Practice Guidelines will follow a similar framework to that of the Policy Development and Management Framework and is in development.
To discuss or seek advice about the process for Clinical Practice Guideline development or authorisation please contact Ms Tonia Easton or Dr Rosemary Aldrich
Clinical Governance policies
In addition to supporting the Area-wide policy development process, Clinical Governance is responsible for the development, implementation and evaluation of specific policies.
These include NSW Health Policy Directives and Hunter New England Health policies.
Policy Policy contact NSW PD 2005_261 Blood - Fresh Components - Management Area Quality Manager Tonia Easton NSW PD 2005_333 Clinical Practice - Model Policy for Safe Introduction of New Interventional Procedures Director Clinical Governance Dr Kim Hill NSW PD2007_079 Patient Identification - Correct Patient, Correct Procedure and Correct Site Model Policy Area Quality Manager Tonia Easton Associate Director, Associate Professor Anne Duggan NSW PD 2006_007 Complaint or Concern about a Clinician - Principles for Action Manager Executive Support Service Dianne Sales and Associate Director, Dr Rosemary Aldrich NSW PD 2006_028 Medication Chart - NSW Implementation of the National Inpatient Medication Chart Area Quality Manager Tonia Easton NSW PD 2006_030 Incident management Policy Acting Area Patient Safety Manager Di Dolan NSW PD 2006_069 Open Disclosure Associate Director, Dr Rosemary Aldrich and Acting Area Patient Safety Manager Di Dolan NSW PD 2006_070 Lookback Associate Director, Dr Rosemary Aldrich and Acting Area Patient Safety Manager Di Dolan NSW PD 2006_073 Complaints Management Policy and Complaint Management Guidelines Manager Executive Support Service Dianne Sales Policy Compliance Procedure NSW PD 2006_102 Safety Alert Broadcasting System Consultant, Clinical Governance Associate Professor Anne Duggan In addition Clinical Governance staff are supporting the implementation and evaluation of NSW Health Policy Directives in other Portfolios: PD2005_353 Fall Injury Among Older People - Management Policy to Reduce in NSW Health Area Quality Manager Tonia Easton
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