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HSE Clinical Governance Development Matrix

Poster · June 2019

DOI: 10.13140/RG.2.2.10577.56168

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Maitiu O Tuathail
Royal College of Surgeons in Ireland
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 “After this, there is no turning back”
The HSE Clinical Governance Development Matrix
Student ID:
17164192, 17156483, 17141451,
MSc in Healthcare Management, Institute of Leadership, Royal College of Surgeons in Ireland

1. introduction 5. Guiding Principles

“Clinical Governance is the system The HSE has drawn up a set of ten
through which healthcare teams are guiding principles for good clinical
accountable for the quality, safety governance to assist health service
and experience of patients in the providers3.
care they have delivered”1.
The principles should be tested
For health care staff, this means against every decision that is made
specifying the clinical standards you in relation to clinical governance
are going to deliver and showing development undertaken by health
everyone the measurements you service providers3.
have made to demonstrate that you
These are illustrated in figure 2.
have done what you set out to do”1.

2Clinical Governance Matrix 4. The Three layers 6. Core Processes and

The Health Service Executive (HSE)
developed a clinical governance
framework known as the Clincial
Governance Development Matrix.
This is based on Donabeidian’s
approach to quality in healthcare
which consists of three elements -
structure, process and outcome2.
These are incorporated into the
framework and are at its core2.
The matrix contains three core outcomes
elements at it centre Across the top are the processes
• The core processes required which the HSE deem vital to drive
to drive effective clinical effective clinical governance.
governance.
• The guiding principles. To the right are the four outcomes
• The patient outcomes. which user should aim to improve.
The Matrix, its three layers and the
These are surrounded by the local core processes and outcomes are
and organisational Governance illustrated in figure 1.
structures.

3. How does it work? Accountability is the outer most 7. Conclusion

It is intended to facilitate discussion
on good clinical governance and is
not intended to be “filled in” per se3.
For each decision that is made the
framework assists in deciding
whether the principle is reflected in
how the clinical governance
structures and processes operate3.
The aim is that it will allow HSE staff
and organisations achieve
excellence in clinical governance2.
layer that encircles the matrix.
Use of the HSE Clinical Governance
Development Matrix assists health
care providers to achieve excellence
in clinical governance2.
It has the potential to change the
culture, values and behaviours of
the health service towards improved
accountability, responsibility and
quality of care, leading to improved
patient satisfaction and overall
service improvement2.

References
1.Health Service Executive (2014)Report of the quality and safety clinical governance development initiative: Sharing our learning
2.Maureen A. Flynn, Philip Crowley, T.B (2015). Supporting and activating clinical governance in Ireland: Sharing our Learning. Journal of health organization and
maangement, 29(4), 455 – 481
3.Quality and Patient Safety Directorate (2012). Quality and Patient Safety: Clinical Governance Information document (Februrary) 1-4
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