Clinical Governance Unit, Institute of Hygiene of the Catholic University of the Sacred Heart, Rome, Italy.
BMC Health Serv Res. 2010 Jun 21;10:174. doi: 10.1186/1472-6963-10-174.
The aim of Clinical Governance (CG) is to the pursuit of quality in health care through the integration of all the activities impacting on the patient into a single strategy.OPTIGOV (Optimizing Health Care Governance) is a methodology for the assessment of the level of implementation of CG within healthcare organizations. The aim of this paper is to explain the process underlying the development of OPTIGOV, and describe its characteristics and steps.
OPTIGOV was developed in 2006 by the Institute of Hygiene of the Catholic University of the Sacred Heart and Eurogroup Consulting Alliance. The main steps of the process were: choice of areas for analysis and questionnaire development, based on a review of scientific literature; assignment of scores and weights to individual questions and areas; implementation of a software interfaceable with Microsoft Office.
OPTIGOV consists of: a) a hospital audit with a structured approach; b) development of an improvement operational plan. A questionnaire divided into 13 areas of analysis is used. For each area there is a form with a variable number of questions and "closed" answers. A score is assigned to each answer, area of analysis, healthcare department and unit. The single scores can be gathered for the organization as a whole.The software application allows for collation of data, calculation of scores and development of benchmarks to allow comparisons between healthcare organizations. Implementation consists of three stages: the preparation phase includes a kick off meeting, selection of interviewees and development of a survey plan. The registration phase includes hospital audits, reviewing of hospital documentation, data collection and score processing. Lastly, results are processed, inserted into a final report, and discussed in a meeting with the Hospital Board and in a final workshop.
The OPTIGOV methodology for the evaluation of CG implementation was developed with an evidence-based approach. The ongoing adoption of OPTIGOV in several projects will put to the test its potential to realistically represent the organization status, pinpoint criticalities and transferable best practices, provide a plan for improvement, and contribute to triggering changes and pursuit of quality in health care.
临床治理（Clinical Governance，CG）的目的是通过将所有影响患者的活动整合到一个单一的策略中，追求医疗保健的质量。OPTIGOV（优化医疗保健治理）是一种评估医疗保健组织中 CG 实施水平的方法。本文旨在解释开发 OPTIGOV 的基本过程，并描述其特点和步骤。
OPTIGOV 由天主教圣心大学卫生研究所和 Eurogroup 咨询联盟于 2006 年开发。该过程的主要步骤包括：基于文献综述，选择分析领域和问卷开发；为个别问题和领域分配分数和权重；实现与 Microsoft Office 兼容的软件接口。
OPTIGOV 由以下部分组成：a）采用结构化方法进行医院审计；b）制定改进操作计划。使用一份分为 13 个分析领域的问卷。对于每个领域，都有一个带有可变数量问题和“封闭式”答案的表格。为每个答案、分析领域、医疗保健部门和单位分配一个分数。可以将单个分数汇总为整个组织。该软件应用程序允许数据的整理、分数的计算和基准的制定，以允许医疗保健组织之间进行比较。实施包括三个阶段：准备阶段包括启动会议、选择受访者和制定调查计划。注册阶段包括医院审计、审查医院文件、数据收集和分数处理。最后，处理结果，将其插入最终报告，并在与医院董事会的会议和最终研讨会上进行讨论。
采用循证方法开发了用于评估 CG 实施情况的 OPTIGOV 方法。该方法在多个项目中的持续采用将检验其真实反映组织现状、查明关键问题和可转移的最佳实践、提供改进计划以及促进医疗保健质量变化和追求的潜力。
