Standard 8. Organisational governance
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Standard 8 (PDF, 728.41 KB) - print version
(1) I am confident the organisation is well run. I can partner in improving the delivery of care and services.
(2) The organisations’ governing body is accountable for the delivery of safe and quality care and services.
Click on the links below each Requirement to view the Guidance material, including:
- Intent of the Requirement
- Reflective questions
- Examples of actions and evidence
(3) The organisation demonstrates the following:
(a) Consumers are engaged in the development, delivery and evaluation of care and services and are supported in that engagement.
(b) The organisation’s governing body promotes a culture of safe, inclusive and quality care and services and is accountable for their delivery.
(c) Effective organisation wide governance systems relating to the following:
Purpose and scope of the Standard
The intention of this Standard is to hold the governing body of the organisation responsible for the organisation and the delivery of safe and quality care and services that meet the Aged Care Quality Standards, 2018.
The governing body sets the strategic priorities for the organisation. It’s expected to promote a culture of safety and quality, and to include this in the organisation’s governance systems. The governing body is expected to drive and monitor improvements to make sure the organisation is committed to quality care and services and the best interests of consumers.
While governance systems are a foundation for most businesses, this Standard is focused on how these systems support the delivery of safe and quality aged care services. It’s expected the organsiation has governance systems in place to assess, monitor and drive improvement in the quality and safety of the care and services they provide. This includes making sure consumers have a quality experience. Organisations are expected to plan for, and manage internal and external emergencies and disasters.
There are also particular requirements related to the following key areas:
- Managing high-impact or high-prevalence risks in the care of consumers
- Identifying and responding to abuse and neglect of consumers
- Antimicrobial stewardship
- Minimising the use of restraint
- Practicing open disclosure.
How the governing body and governance structures are organised will depend on the organisation’s setting, size and the nature of care and services being provided. It will also depend on the level of responsibility and control the organisation has for consumer outcomes and the risks involved in delivery of care and services. The evidence needed to meet this Standard will reflect these things.
Assessment against this Standard
For each of the requirements, organisations need to demonstrate that they:
- understand the requirement
- apply the requirement, and this is clear in the way they provide care and services
- monitor how they are applying the requirement and the outcomes they achieve
- review outcomes and adjust their practices based on these reviews to keep improving.
Standard 8 supports all of the other Aged Care Quality Standards. This is because it supports how the organisation focuses on the requirements of the each standard strategically to make sure they run the organisation well.
Aged Care Act 1997 (Cth), Schedule 1 User Rights Principles 2014. Charter of Rights and Responsibilities – Residential Care
- Aged Care Act 1997 (Cth), Schedule 2 User Rights Principles 2014. Charter of Rights and Responsibilities – Home Care
- Aged Care Act 1997 (Cth), Schedule 3 User Rights Principles 2014. Charter of Rights and Responsibilities – Short-term restorative Care
- Anti discrimination legislation nationally
- Australian Privacy Principles 2013
- Privacy Act 1988 (Cth), Schedule 1, Australian Privacy Principles
- State and Territory food safety and handling legislation and regulations
- State and Territory mental health, guardianship and administration, enduring power of attorney and medical directive/advance care planning legislation
- State and Territory work health and safety legislation
Resources and references
Australian Government, Department of Health & Department of Agriculture 2015, Responding to the threat of antimicrobial resistance: Australia’s first National Antimicrobial Resistance Strategy 2015-2019, Commonwealth of Australia, Canberra
- Decision-making tool: Supporting a Restraint Free Environment in Residential aged care
- Department of Health, Guide for reporting reportable assaults
- Good Governance Principles and Guidance for Not for Profit Organisations
- National Health and Medical Research Council 2010, Australian guidelines for the prevention and control of infection in healthcare, Commonwealth of Australia, Canberra
- The Australian Commission on Safety and Quality in Health Care’s National Model Clinical Governance Framework
- Victorian Government health resources on partnering with consumers