Free online NSQHS Standards training - ACSQHC

The Australian Commission on Safety and Quality in Healthcare (ACSQHC) have a free online NSQHS Standards Orientation Course. 

The course includes: 

  • An introduction to the NSQHS Standards
  • Assessment of safety and quality systems.
  • The Australian Health Service Safety and Quality Accreditation Scheme
  • Each of the eight NSQHS Standards. 


Enrolment is required and you can access the form using this link 

The course has 11 modules, but you can complete the course at your own pace. 

For our OneVault clients, this could be a great addition to your external learning template.  

As usual, if you are new to OneVault and want to know more, reach out.



Director |Co-Founder |OneVault 

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Know about the Charter of Healthcare Rights

The new Charter of Healthcare Rights has been released. 

Link through for more information about the 2nd edition of the Charter of Healthcare Rights and how they were developed. 

Take advantage of the resources available which include posters, infographics for consumers, the charter in different languages and a video.  

For our OneVault clients, a great tip is to upload some of the resource material into your policies and procedures and insert the video URL too. 

While we are talking videos, it would be a great resource to use as part of an elearning created in OneVault to help those staff at point of care better understand what the new Charter of Healthcare Rights means and how to support them. 

For those of you that have some time and would like to delve deeper into this subject, here is the youtube link for the ACSQHC Virtual Launch of the 2nd edition of the Charter of Healthcare Righs. 

As always, should anyone out there like to have a chat with us about clinical governance and accreditation problems or challenges, just drop us a line on




Co-Founder | Director 

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ACQSC Clinical Governance Resources - there is help out there!

The Aged Care Quality and Safety Commission have some excellent resources to help providers understand clinical governance. 

The Clinical Governance toolkit includes 4 comprehensive fact sheets. 

Introduction to Clinical Governance

Clinical governance and the Aged Care Quality Standards

Roles and Responsibilities for Clinical Governance - this is a biggy 

Developing and Implementing a Clinical Governance Framework - easier said than done

As part of this toolkit there are also 2 self assessment tools and a Clinical Governance Framework Guide

I would also recommend the National Model Clinical Governance Framework  This has some really simple tables and illustations that help understand how the clinical framework works in principle. Clinical goverance can be challenging to grasp and even more challenging to implement. Simple images and basic practical advise can be extemely helpful. 

I can't write a broadcast about clinical governance without singing the praises of our own book! There is a stack of information out there about clinical governance. What we hear often from the people we help is "what does that actually mean for us?" Accrediation Ready for Aged Care Professionals  helps answer that question. it explains clinical governance in simple language that helps everyone get it. The book backs this up with an assortment of practical advise and easy to use tools that will assist any organisation, no matter how big or small. If you feel your organisation could use a "kick start" in it's clinical governance journey, drop us a line ( and we can have a chat about how our software, consultancy or both can give you a leg up.  
To know about our book, Accrediation Ready for Aged Care Professionals click on the Service tab from the homepage of our website.
All the best 
Director | Co-Founder

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Accreditation Ready Book Launch - Grab a copy!

Grab a copy of our book Accreditation Ready for Aged Care Professionals. Writen by our CEO Felicity Hamilton, it is a fantastic book with everything you need to be ready for accreditation 24/7. The book provides straight up, practical advise about managing accreditation preparedness and clinical governance with tips, check lists and good old fashioned know how. Contact us to know more and receive your free copy. 

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Clinical Governance: Golden Rules and Sound Advice

Organisaitons providing clinical care to consumers are required to implement a clinical governance framework, the efficetivenss of which is overseen by the Boards who are accountaible for safety and quality across the organisaiton. Fair enough, but where to start and how to manage and maintain the clinical governance system is the hard part.

At OneVault, we help our clients get on top of clinical governance using a number of stategies. One of these is the OneVault recipe for good clinical governance. Here are the main dot points with some key tips:

1. GAP analysis 

Do a gap analysis against each requirement of the Standards. Be brutal. Assume nothing. Assign work to people with the skills and time to complete the task. 

2. RISK analysis

Review your risk register and ensure you look at the clinical and corporate risks. dont forget the risk associated regarding your governance structure.  if the governance and committee structure needs reworking, then do this as a priority. The priority of what work gets done first is based on risk assessment, so start with your high risk areas and work down.

3. POLICY and procedures

Review all policy and procedure against Standards and in according to risk. Yes, policy should be risk rated. This determines how often they need to be reviewed. Ensure your systems of document and version control are robust and that all staff have rapid access to this informaiton. 

4. MONITOR feedback, audits, incidents and complaints

Review your survey and audit scedule. Make sure you are auditing the 3 core areas. Legislative requirments, Standards requirements and areas of identified high risk. Ensure that exising procedures match your newly reviewed Incident and Feedbac policy and if not, update them. Make sure your documentation clearly explains what quality improvements have been linked to audit results, complaints or other feedback. Close the communication loop with staff and share the lessons learnt.

5. QUALITY improvement 

The reason we analyse the incoming information from audit, survey, incidents, feedback, recommendations and risk analysis is to improve care delivery and reduce risk. Small improvements must be captured and large projects well managed. Track your large QI projects to make sure they deliver otherwise they will consume time, effort and money for zero benefit. 

6. TRAINING and upskilling

Back to risk...identify the training needs in priority of risk. Like monitoring, there is "must do" training. This includes training to uphold legislative requirements and training to ensure compliance to Standards. It also includes any training needed to address areas of identified high risk. Training for the leadership team is also included in this "must do" space. Do research on what free onlnine learning is available, there is more available each day. Just ensure they are provided by reputable sources. 


Finally, there is little use doing all this without good communication. This includes providihng meaningful reports to the Board and keeping in touch with the workforce. 

A final word of advice: 

If, as a board member, a director or a manager, you really want to know what is going on....go for a walk, closely observe the people both those recieveing care and those providing it, talk to these people, look at their living and working environment, imagine yourself as someone being cared for or providng the care and then ask yourself...would it be good enough for me?  


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