Inter-Professional Shared Governance Structure (IPSG)

The Inter-Professional Shared Governance Structure (IPSG) is the process in which professional, clinical and support staff have a voice in decisions that may impact their work, practice and environment. The structure supports decentralized decision-making and increased ownership, accountability and empowerment. It allows key stakeholders involved in daily workflow processes to have their thoughts and recommendations voiced—ensuring that decision-making involving change is aligned and supported between leadership and employees.

Additionally, the IPSG is key to supporting the Mission and Vision of Driscoll Children’s Hospital: “Until all children are well.”

The 8 Levels of Inter-Professional Shared Governance (IPSG)

I. Patient and Family Experiences and Outcomes

Our patients and their families are the reason we do what we do each day, so it's no surprise they are at the center of the IPSG model. Patient Relations works closely with our healthcare team and departments to proactively provide services to meet the needs of our patients and families.

II. Unit Based Practice Councils (UBPC)

Each clinical/ancillary area should have a UBPC. The UBPCs identify opportunities for improvement in practice in their respective units/departments that enhance excellence in patient care. The UBPC structure is the essential process for staff decision-making in operational and professional practice issues at the unit level.

III. Clinical Forums

Clinical Forums provide coordinated system-level decision-making and guidance when there are stakeholders from more than one clinical site. The UBPC Chairs make up the Clinical Forums. Active participation in a UBPC is required to serve on a Clinical Forum.

The Forums:

  • Help validate standards of care and practice at the system level
  • Develop and implement processes and tools at the system level to promote consistency, safety and reliability in clinical areas
  • Provide feedback for system-level project management, equipment, supplies and quality-related information
  • Review data analytics at the system level and make recommendations for changes necessary to improve desired outcomes

There are 12 Clinical Forums:

  • Acute Care – Towers and IMCU
  • Ambulatory
  • Advanced Practice
  • Care Coordination – Social Work, Resource Management, Care Team, Psychiatry Clinics, Behavioral Health Services and Child Life
  • Critical Care – PICU, ED/Trauma and Transport
  • Heart Center – CICU, CVICU, Cath Lab and ECMO
  • Interprofessional – Radiology, Respiratory, Lab, Rehab and Pharmacy
  • Operative Invasive – Periop, Perianesthesia, Interventional Radiology, Sedation and Pain
  • Perinatal – NICU, NCC, NICU RGV, MFM, Lactation Services and High-Risk Clinics
  • Specialty Services – Vascular Access, Wound Care, Dialysis and Transplant
  • Patient Access & Logistics – DAC, House Supervisor and Bed Placement
  • Night Shift

IV. Safety and Quality

Safety and Quality encompasses disaster emergency preparedness, Regulations and Policies and Procedures. These committees provide guidance, oversee regulatory compliance and address patient safety issues.

V. Specialty Councils

There are five Specialty Councils that are composed of IPSG members who have interest, knowledge and passion related to a specialized area of the shared governance mode.

The Five Councils are:

  1. Research and Evidence-Based Practice Specialty Council
  2. Worker Well-Being/Diversity Specialty Council
  3. Staffing Effectiveness Specialty Council
  4. New Knowledge and Technology Specialty Council
  5. Education and Professional Development Specialty Council

VI. Coordinating Council

Consists of representation from all IPSG committees, forums and councils. The Coordinating Council provides a forum for sharing policy changes, updates to clinical practice, current trends in regulatory standards and best practices among all IPSG councils.

VII. Nurse Executive Council/Nursing Leadership

Communicates information and coordinates activities among the nursing units and IPSG councils. Develops, disseminates and implements nursing strategic plan in conjunction with the Driscoll Health System strategic plan.

VIII. Clinical Operations Council

Consists of director and manager representatives from each area of the hospital who work together to monitor patient care and outcomes—and to foster a shared decision-making process within the organization.

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