JUNE 2023
EDITION 26
POLICY, PROCEDURE AND GUIDELINE (PPG) DEVELOPMENT IMPROVEMENT PROJECT
The Clinical Governance Unit commenced a project in January 2023 to streamline the development, review and approval process of Policies, Procedures and Guidelines (PPG) and improve the author experience.
A working group of Authors, Document Owners and NSLHD Policy and Procedure Governance Committee (PPGC) representatives met monthly from January 2023 to April 2023 to diagnose causes and to brainstorm change ideas towards improving the process for PPG development, review and approval. Solutions introduced
Updated resources for authors available on the PPG Intranet Site. 1.
Aboriginal Health Impact Statement (AHIS) intranet page with resources to assist completion of an AHIS Meeting Dates and Timelines for PPG Submissions – NSLHD PPGC, NSLHD Drug and Therapeutics Committee (DTC), Directors of Nursing & Midwifery Meeting and the NSLHD Forms Committee Prompt User Guides – How to ‘Check’ Out a Document and How to Pull Reports, found on the Prompt Staff Training and FAQs intranet page. PPG Intranet revamp is currently underway with the development of a PPG Author Resource Hub that will include a revised PPG Process Flowchart, Approval Guide, Author Guide – Tips for PPG Development and Review, Author Checklist and a revised Referencing Guide including Endnote training resources. Watch this space!
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Rebranding of ' Draft for Comment 'to ' Final Consultation' The Project Team identified a need to better utilise Final Consultation (formerly known as Draft for Comment) to ensure feedback is captured earlier in the PPG development process and to reduce delays when obtaining approvals. Key changes include:
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The duration of documents uploaded on Final Consultation extended to two weeks Weekly distribution of the documents on Final Consultation to the facility/ service Quality Managers and PPG Representatives to distribute to relevant teams and the Directors of Nursing and Midwifery. DTC reviewers will be included in this distribution from July 2023.
The project team are testing other potential solutions such as developing a combined PPG and DTC document library and an application and approval build on SharePoint to streamline submission and approval of PPGs, and to maintain version control throughout the PPG process. Recently published NSW Health Policy Directives and Guidelines, NSLHD PPGs, Legislative Alerts and documents uploaded on Final Consultation are listed in the Weekly PPG Update in the NSLHD Weekly Bulletin. CGU acknowledges the commitment and significant contribution of the PPG Improvement Project Working Group members; Alex Chan, Anna Jamison, Annette Penney, Cathy Vinters, Elliot Williams, George Barker, Jo Tallon, Lauren Connors, Louise Buchanan, Lizanne Dalgleish, Madeleine Borys, Michelle De Vroome, Nitisha Bangera, Oriana Kaminski, Rupali Sarker, Sharyn Rose, Sibusisiwe Maturure, Sue Toomey and Vicki Fox. Central coordination of District approvals for PPGs The Policy and Procedure Manager role coordinates approval from the District Directors, Directors of Nursing and Midwifery, General Managers and Service Directors and the NSLHD Drug and Therapeutic Committee (DTC). This ensures a coordinated approach with greater oversight of PPGs under development and review. The Clinical Governance Unit (CGU) is working closely with the NSLHD DTC to align the submission process of PPGs in an effort to streamline DTC approval for PPGs that relate to the prescribing, administration and storage of medications.
Contact NSLHD-Policies@health.nsw.gov.au for any queries relating to policy, procedure and guideline development.
Clinical Governance Standard
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