The challenges of an integrated governance process in healthcare

Lori DELANEY

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Purpose - Dysfunctional governance processes have contributed to catastrophic healthcare system failures due to discordance between clinical and corporate governance processes. The emergence of an integrated governance approach endeavours to overcome the traditional boundaries between corporate and clinical governance systems, to enhance understanding and transparency in the organisations approach to service provision. The purpose of this paper is to discusses the attributes of an integrated governance approach and its contribution to enhancing service delivery. Design/methodology/approach - The paper provides an overview of the governance approaches and the emergence of integrated governance to improve overall service delivery. Findings - An integrated governance approach erodes the traditional boundaries that exist within the complex healthcare system. This allows for a greater understanding of healthcare strategies and organisational objectives, and the dissemination of these throughout the organisation. Further, enhancing awareness within the clinical setting of the core attributes of the organisation and for the upper echelons of management to have a greater understanding of the clinical issues. Integrated governance acknowledges the contribution of all stakeholders including consumers in safe guarding the delivery of healthcare and its standards. Originality/value - This paper contributes to the discussion and debate regarding governance approaches and how these are situated in enhancing organisational performance.

Original languageEnglish
Pages (from-to)74-81
Number of pages8
JournalClinical Governance
Volume20
Issue number2
DOIs
Publication statusPublished - 2015

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governance approach
health care
Clinical Governance
Delivery of Health Care
Organizational Objectives
service provision
transparency
stakeholder
Integrated
Governance
Healthcare
methodology

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DELANEY, Lori. / The challenges of an integrated governance process in healthcare. In: Clinical Governance. 2015 ; Vol. 20, No. 2. pp. 74-81.
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The challenges of an integrated governance process in healthcare. / DELANEY, Lori.

In: Clinical Governance, Vol. 20, No. 2, 2015, p. 74-81.

Research output: Contribution to journalArticle

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AU - DELANEY, Lori

PY - 2015

Y1 - 2015

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AB - Purpose - Dysfunctional governance processes have contributed to catastrophic healthcare system failures due to discordance between clinical and corporate governance processes. The emergence of an integrated governance approach endeavours to overcome the traditional boundaries between corporate and clinical governance systems, to enhance understanding and transparency in the organisations approach to service provision. The purpose of this paper is to discusses the attributes of an integrated governance approach and its contribution to enhancing service delivery. Design/methodology/approach - The paper provides an overview of the governance approaches and the emergence of integrated governance to improve overall service delivery. Findings - An integrated governance approach erodes the traditional boundaries that exist within the complex healthcare system. This allows for a greater understanding of healthcare strategies and organisational objectives, and the dissemination of these throughout the organisation. Further, enhancing awareness within the clinical setting of the core attributes of the organisation and for the upper echelons of management to have a greater understanding of the clinical issues. Integrated governance acknowledges the contribution of all stakeholders including consumers in safe guarding the delivery of healthcare and its standards. Originality/value - This paper contributes to the discussion and debate regarding governance approaches and how these are situated in enhancing organisational performance.

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KW - Risk management

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