Article

Designing effective governance for quality and safety in Canadian healthcare.

Department of Health Policy, Management and Evaluation, University of Toronto, Toronto, Ontario.
Healthcare quarterly (Toronto, Ont.) 01/2010; 13(1):38-45. pp.38-45
Source: PubMed

ABSTRACT Governing boards of healthcare organizations in Canada are accountable for the performance of their organization and provide oversight on their decisions. Traditionally, many healthcare boards have focused on finances and community relations and have deferred responsibility for quality of care to the medical or professional staff. This deferral reflects not only recognition of the expertise of clinical leaders on these issues but also the historical separation of responsibilities between the administration and the medical staff, the former being responsible for financial and operational issues, and the latter for quality of care.

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Keywords

clinical leaders
 
community relations
 
financial
 
Governing boards
 
healthcare boards
 
healthcare organizations
 
historical separation
 
medical
 
medical staff
 
oversight
 
professional staff