Clinical governance means having systems that support safe care, responsible provider oversight, clear escalation, incident learning and continuous improvement.
Provider quality
LifeCome HMO expects participating providers to meet licensing, staffing, documentation, infection-control, emergency-readiness and service-quality requirements.
Care pathways
Care pathways help members move from primary care to referral, specialist care, diagnostics, admissions or follow-up without unnecessary confusion.
Patient safety
Patient safety concerns, adverse events, poor service, delayed access and serious complaints should be escalated through formal channels.
Clinical review
Selected claims, authorisations, complaints and provider incidents may be reviewed by qualified clinical personnel to support appropriate care and cost control.