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Clinical Governance 

The pillars of Clinical Governance

Clinical Effectiveness
&
Clinical Practice

Clinical Risk
Management

Patient
Experience

Professional Development,
Management
& Training

Evidence based medicine
Clinical care pathways
Clinical outcomes
Clinical models of care
Cost effective care
Incident management system
Adverse events monitoring
Clinical investigation,
Root Cause
Analysis & Audit
Quality
Accreditation
Patient satisfaction
Patient complaints
Patient rights & confidentiality
Consent
Patient information
Recruiting best Doctors
& Nurses
Professional development
and CPD
Competency
Skills updating
Ethics
Code of conduct
OHS

Each of the four pillars has a nominated Netcare Champion who is responsible for the implementation:

  • Clinical Effectiveness and Clinical Practice ? Dr Kim Faure
  • Clinical Risk Management ? Daleen Nel
  • Patient Experience ? Helen Harris
  • Professional Development, Management & Training ? Linda van der Colff.  

Netcare?s Clinical Governance Programme aims are:

  • To create a Clinical Governance structure centrally and within all the business units of Netcare - Hospitals, Medicross, Renal Care, Transplant and Trauma, Ampath, Pharmacy, Netcare 911, Netcare UK
  • To nominate multi disciplinary teams of delegates such as doctors who play a pivotal role in the process
  • To create a system through which we are accountable for continuously improving the quality of their services within an ethical environment
  • Safeguarding high standards of care by creating an environment in which excellence in clinical care will flourish and
  • To focus on patient safety collectively and in a systematic way, which will have a positive impact on the quality of care and efficiencies.

Medical Advisory Ethics Committee (MAEC)

The formation of the Medical Advisory Ethics Committee is a historical first, not only for Netcare but for the whole private healthcare sector in that doctors will be involved on a strategic level to advise Netcare on Clinical Governance, ethical and professional practice matters related to hospital operations.

This committee consists of Netcare specialists elected by their fellow doctors to represent the views of the Netcare medical community (see doctor profile below). It also includes an external ethical expert from the academic sector and Clinical Governance representatives from Netcare Management. It is a body of specialists specifically chosen for their expertise as advisors, negotiators and members of various regulatory, decision making and ethical bodies in the medical field.

The MAEC meets quarterly and serve a term of 3 years to fulfil the following main functions:

  • To advise on how to maintain the highest standards of quality care possible in relation to international research and best clinical practice in order to effectively implement the systems and concepts of Clinical Governance;
  • To monitor that clinical outcomes of quality care are measured and corrected and clinical risks are investigated and minimised;
  • To advise on ethical issues related to patient care, patient information, patient confidentiality and record keeping;
  • To oversee the management of professional conduct and professional practice of doctors within Netcare facilities;
  • To determine the continuing professional developmental needs of doctors and ensure that doctors utilising Netcare facilities are suitably qualified and registered; and
  • To assist with the development of cost effective care and alternative reimbursement models.

Medical Advisory Ethics Committee (MAEC)

The formation of the Medical Advisory Ethics Committee is a historical first, not only for Netcare but for the whole private healthcare sector in that doctors will be involved on a strategic level to advise Netcare on Clinical Governance, ethical and professional practice matters related to hospital operations.

This committee consists of Netcare specialists elected by their fellow doctors to represent the views of the Netcare medical community (see doctor profile below). It also includes an external ethical expert from the academic sector and Clinical Governance representatives from Netcare Management. It is a body of specialists specifically chosen for their expertise as advisors, negotiators and members of various regulatory, decision making and ethical bodies in the medical field.

The MAEC meets quarterly and serve a term of 3 years to fulfil the following main functions:

  • To advise on how to maintain the highest standards of quality care possible in relation to international research and best clinical practice in order to effectively implement the systems and concepts of Clinical Governance;
  • To monitor that clinical outcomes of quality care are measured and corrected and clinical risks are investigated and minimised;
  • To advise on ethical issues related to patient care, patient information, patient confidentiality and record keeping;
  • To oversee the management of professional conduct and professional practice of doctors within Netcare facilities;
  • To determine the continuing professional developmental needs of doctors and ensure that doctors utilising Netcare facilities are suitably qualified and registered; and
  • To assist with the development of cost effective care and alternative reimbursement models.

Profile of Doctors on Medical Advisory Ethics Committee

The table below provides a brief profile of the doctors that currently sit on the Medical Advisory Ethics Committee:

DOCTORS NAME SPECIALITY HOSPITAL EXPERTISE
Dr Ingram Anderson Rheumatologist / Specialist Physician Jakaranda, Pretoria In private practice for 32 years after 6 years as an academic at Univ. of Pretoria. Past president of Physicians Association of SA and on the Advisory Boards for a number of pharmaceutical companies.
Dr Johann Coetzee Obstetrics & Gynaecology Krugersdorp , Gauteng Wide exposure to medical practice in SA as a general practitioner and Specialist since 1974. National membership of SAMA, and various O&G organisations both local and International. Received HASA Award for excellence in health care from the Minister of Health Nov 2003. Member of advisory, academic and educational boards. Speaker on medical ethics in O&G and clinical research.
Dr Paul Cooke Specialist General and Vascular Surgeon Olivedale , Gauteng Elected by Assoc. of Surgeons to represent them on a broad spectrum of forums. Led negotiations with most major Medical Aids, hospital groups, SAMA, BHF and DOH. Initiated contracts with above mentioned to make healthcare more cost effective, accessible and of higher quality. Initiatives included drafting of guidelines, ICD10 coding, self audit quality monitoring and peer review structures. Developed models for state and private Hospital alliances.
Dr Adri Kok Specialist Physician Union Hospital , Gauteng President of Faculty of Consulting Physicians of SA and member of Spesnet Board and SAMA Specialist Private Practice Committee. PAB chairperson at Union hospital for 3 years running.

Exposure to many international conferences across a broad spectrum of Internal Medical topics. Lecturer and speaker to various medical specialists across SADEC Countries, Mauritius and Kenya.
Dr Johan Naude' Urologist Groote Schuur Hospital, Cape Town Head of academic departments of Urology at Univ of Natal, WITS and UCT and in private practice for 9 years. Career long interest in ethics and wrote the HPCSA's first guideline on ethical management of HIV/AIDS. Involved in peer review for SAMA, Natal branch. Past president of the SA Urological Assoc, served on professional boards of Medical technology and Dietetics and specialist committee of HPCSA. Only South African elected to honorary membership of British Assoc. of Urological Surgeons.
Dr Mac Robertson General Practitioner Parklands, Durban Served on the SAMDC and Interim Committee for 15 years. Chaired or served on committee's of Preliminary Inquiry incl. the Perverse Incentive Committee and on more than 40 Inquiry Boards
Dr Neil Wright Specialist Vascular Surgeon Sunninghill , Gauteng Served as Ethics Committee chairperson for 2 hospitals for over 15 years and sat on the SAMA Gauteng Branch Council Ethics committee. National Councillor on the National Council of SAMA for 8 years. As Surgicom director, he was closely involved in the clinical guidelines development and peer review system. Principal investigator in 12 multicentre clinical trials.
Dr SA "SAS" Strauss Medical Law and Ethics Legal advisor to Netcare Advocate (senior counsel) of the High Court. Prof Emeritus of Medical Law, UNISA. Author and co-author of major books on Medical law. Former Vice-President of World Association for Medical Law. Honorary life president, SA Medico-legal Society and life member of SAMA. Awarded two honorary doctorates for contribution to Medical Law as specialised field. Long experience as legal assessor of HPCSA disciplinary Committees. Legal advisor to Netcare for many years.