Health Practitioners (Quality Assurance Activity—Waikato DHB) Notice 2014

2014/310

Coat of Arms of New Zealand

Health Practitioners (Quality Assurance Activity—Waikato DHB) Notice 2014

Pursuant to section 54 of the Health Practitioners Competence Assurance Act 2003, the Minister of Health, being satisfied of the matters set out in section 54(3) of that Act, gives the following notice.

Notice

1 Title
  • This notice is the Health Practitioners (Quality Assurance Activity—Waikato DHB) Notice 2014.

2 Commencement
  • This notice comes into force on 6 November 2014.

3 Revocation of this notice
  • This notice is revoked at the end of the period for which it remains in force under section 54(4) of the Health Practitioners Competence Assurance Act 2003.

4 Declaration of protected quality assurance activity
  • Each of the following quality assurance activities described in clauses 4 and 5 of the Schedule is a protected quality assurance activity:

    • (a) mortality and morbidity reviews, and clinical case reviews:

    • (b) credentialing of health practitioners in the context of the service.


Schedule 
Description of Waikato DHB quality assurance activity

cl 4

1 Interpretation
  • In this schedule,—

    event means a process or practice that resulted, nearly resulted, or could have resulted in an adverse outcome for patients

    participant means a health practitioner who—

    • (a) is employed by Waikato DHB, is authorised by Waikato DHB to provide health services, or has an access agreement with Waikato DHB; and

    • (b) is participating in a quality assurance activity described in clause 4 or 5

    Waikato DHB means the Waikato district health board established by or under section 19(1) of the New Zealand Public Health and Disability Act 2000.

2 Objective
  • The objective of an activity is to improve the practices and competence of participants by assessing the health services performed by them.

3 Information
  • An activity is based on information derived from the participants.

4 Mortality and morbidity reviews, and clinical case reviews
  • The mortality and morbidity reviews, and clinical case reviews quality assurance activity involves—

    • (a) examining patient records; and

    • (b) conducting case note reviews; and

    • (c) identifying and analysing patient outcomes arising from the conduct of mortality and morbidity studies; and

    • (d) making recommendations on how the clinical practitioners who are engaging in the activity can improve their performance; and

    • (e) information and documentation arising from mortality, morbidity, and case reviews.

5 Credentialing of health practitioners in the context of the service
  • The credentialing of health practitioners in the context of the service quality assurance activity involves—

    • (a) ensuring that each participant’s scope of practice is consistent with the requirements of the participant’s position description and within the context of their clinical unit/service to ensure patient and staff safety; and

    • (b) external peer review, which must occur with the involvement and input of all relevant professional advisors, including the review of—

      • (i) the clinical work the service is funded to provide; and

      • (ii) the service’s goals and objectives; and

      • (iii) the adequacy of the facilities and equipment; and

      • (iv) the composition and skill level of the clinical team, including all health professionals; and

      • (v) participant workload; and

      • (vi) the service outcome data, including clinical outcomes, patient satisfaction, and performance to plan; and

      • (vii) clinical teaching and research within the service; and

      • (viii) clinical quality assurance and improvement processes; and

      • (ix) the staff training and development environment.

Dated at Wellington this 15th day of September 2014.

Hon Tony Ryall,
Minister of Health.


Explanatory note

This note is not part of the notice, but is intended to indicate its general effect.

This notice, which comes into force on 6 November 2014, declares each of the 2 quality assurance activities sponsored by Waikato DHB to be a protected quality assurance activity. The effect of this declaration is that—

  • any information that becomes known solely as a result of the activity is confidential; and

  • any documents brought into existence solely for the purposes of the activity are confidential; and

  • the persons who engage in the activity in good faith are immune from civil liability.

The protections afforded by this notice are subject to certain statutory exceptions. For example, this notice does not prohibit the disclosure of information that does not identify, either expressly or by implication, a particular individual.

Under section 54(4) of the Health Practitioners Competence Assurance Act 2003, this notice remains in force for a period of 5 years after the date on which it is issued, unless it is sooner revoked.

This notice revokes the Health Practitioners (Quality Assurance Activities—Waikato DHB) Notice 2009.


Issued under the authority of the Legislation Act 2012.

Date of notification in Gazette: 18 September 2014.

This notice is administered by the Ministry of Health.