The foundation of compliance is organisational governance

September 8, 2022 | Quality

Organisational governance

By Katie Airey, Quality, Risk and Compliance Lead 

With the transition from ACFI (Aged Care Funding Instrument) to AN-ACC (Australian National Aged Care Classification) being front of mind for many providers, it is important that compliance does not take a back seat but remains a focused priority.

The most recent sector performance report January – March 2022, shows a continued trend in non-compliance across Standard 3, Standard 8, Standard 7, and Standard 2. 

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Image: Aged Care Quality and Safety Commission Sector Performance Report January – March 2022. 

With the previous sector performance report October – December 2021 showing similar findings across the standards: 

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Image: Aged Care Quality and Safety Commission Sector Performance Report October – December 2021. 

Requirement 3(3)a Safe and effective personal and clinical care has been found the top-ranking non-complaint requirement for the past two years.  

Demonstrating compliance across each requirement 

The foundation of compliance is organisational governance, which encompasses operational systems and processes that support the organisation to take a proactive approach to improve consumer outcomes and ensure compliance to legal obligations.  

Under Standard 8, providers are required to have effective organisation-wide governance systems related to:

  • Information management  
  • Continuous improvement  
  • Financial governance 
  • Workforce compliance  
  • Regulatory compliance 
  • Feedback & complaints  
  • Risk management 
  • Clinical governance 

So, where do providers start? 

The key principles that promote governance excellence include;  

  • Clear roles & responsibilities  
  • Accountability  
  • Culture and ethics  
  • Engagement  
  • Transparency  
  • Structure & purpose

All providers will be at different stages of embedding changes to organisational governance into their daily operations and responsibility structures. 

Why have policies and procedures? 

Policies and procedures support the organisation to move towards its strategic goals, while minimising and managing risks.  

Sound operational policies and procedures should; 

  • Be easily accessible to your workforce & stakeholders 
  • Form part of your training and competency framework 
  • Be trialed and tested for practicality  
  • Be reviewed, evaluated and updated frequently as part of your continuous improvement process 

In simple terms, organisational policies & procedures should form a solid control for risk mitigation. 

Support is always available by partnering with independent experts to undertake key risk audits and data analysis. The addition of wider industry views to your own organisational experience should be seen as an essential component in the development of well-integrated compliance systems.  

Ready to improve your organisational compliance?