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MyHealthscope - Quality & Safety in Healthscope Hospitals

At Healthscope, we take quality and safety seriously. To provide you with information about our performance, Healthscope publishes data which reflects the quality and safety of its network of 46 hospitals.

We are proud to have been the first private hospital group in Australia to publish its clinical performance and health outcomes on its website. This is just one part of our program to maintain and continually improve our high standards of quality and safety.

At our hospitals, quality is not just a simple measure. It includes many aspects of care and of a patient's experience.

Click on the menu below to view Healthscope data averaged across our 46 hospitals.

To see how your local Healthscope hospital compares, visit Our Hospitals.


All Healthscope hospitals are fully accredited against The National Safety and Quality Health Service Standards, a mandatory set of standards established by the Australian Government for all public and private hospitals.

Accreditation involves a visit to the hospital from an independent team of expert health professionals who review the quality and safety of services provided. This occurs once every three to four years, in accordance with the Australian Commission on Safety and Quality in Health Care. Hospitals are measured against ten overarching standards and many different criteria including patient care, medication management, clinical handover, infection control and falls prevention.

If any standards are not met, hospitals are given three months to resolve the issue. If a standard is met to an exceptionally high level, a rating of 'Met with Merit' is awarded.

This graph shows the proportion of 'Met with Merit' ratings achieved by Healthscope Hospitals for the most recent accreditation surveys conducted, compared to simple 'pass' ratings.

It shows that Healthscope Hospitals achieve a higher proportion of Met with Merit ratings compared to other Australian Healthcare Organisations.

To see how your local Healthscope Hospital compares, visit Our Hospitals.

The Healthscope corporate office is also accredited by ACHS using the National Safety and Quality Health Service Standards - Corporate Program.

This accreditation assesses how well we run our 46 hospitals, and measures the entire organisation against criteria such as risk management, quality improvement, occupational health and safety, human resources, IT service delivery and consumer involvement.

The graph above shows that the corporate office achieved a very high proportion of MM ratings at the most recent accreditation survey in December 2016.

Awards

Healthscope is proud of the recognitions of excellence bestowed on its hospitals and staff. Examples of recent awards are:

  • Coralee Loock - Mount Hospital (WA) was awarded the 2017 STAR Award for Service Excellence.
  • Nick Tauati - Flinders Private Hospital (SA) was awarded the 2017 Star Award for Teamwork & Integrity (Individual).
  • The Work Health & Safety Team (NSW/ACT) was awarded the 2017 Star Award for Teamwork & Integrity (Team).
  • Hitesh Tilokani - Prince of Wales Private Hospital (NSW) was awarded the 2017 Star Award for Aspiration (Individual).
  • The Food Services Team - Gold Coast Private Hospital (QLD) was awarded the 2017 Star Award for Aspiration (Team).
  • Kirsty Grant - Ashford Hospital (SA) was awarded the 2017 Star Award for Responsibility (Individual).
  • The Green Team - National Capital Private Hospital (ACT) was awarded the 2017 Star Award for Responsibility (Team).
  • Lynette Hernandez – The Sydney Clinic (NSW) was named in the ‘Nurse of the Year’ category at the 2016 HESTA Australian Nursing Awards.
  • Emma Piggott - Allamanda Private Hospital (QLD) won the 2015 Star Award for Teamwork and Integrity.
  • Stephen Carr – Campbelltown Private Hospital (NSW) was a 2015 Bupa Patient Choice Awards finalist.
  • Flinders Private Hospital (SA) won the 2015 Star Award for Responsibility.
  • Tony Rosendale – Hobart Private Hospital (TAS) was a 2015 Bupa Patient Choice Awards finalist.
  • John Fawkner Private Hospital (VIC) won the 2015 Healthscope Achievement Award for Best Accreditation Performance.
  • Anne Graham - John Fawkner Private Hospital (VIC) was awarded the Inaugural National Award for Excellence in Management of Blood and Blood Products at the Brisbane National Blood Symposium.
  • Anne Graham – John Fawkner Private (VIC) was awarded 2nd Place in the 2015 Star Awards for Service Excellence.
  • Deane Presdee – Lady Davidson Private Hospital (VIC) was awarded the 2015 Star Award for Responsibility.
  • Karyn Caldow – Memorial Private (SA) was a 2015 Bupa Patient Choice Award finalist.
  • Ross McAliece – Mount Private Hospital (WA) won the 2015 Star Award for Aspiration.
  • Kate Stafford – National Capital Private Hospital (ACT) won the 2015 Bupa Patient Choice Award.
  • Kate Stafford – National Capital Private Hospital (ACT) was awarded the 2015 Star Award for Service Excellence. This was for the introduction of Cardiac Surgical Services.

Safety and Quality Improvement Programs

Healthscope Hospitals have a wide range of programs and protocols, which focus on the continuous enhancement of safety and optimal health care for all patients, visitors and employees.

Our safety and quality improvement programs can be structured into 3 key areas: monitoring, reducing risk, and continuous improvement.

At Healthscope mental health facilities, we measure the mental health of our patients on admission and again on discharge to assess how they are improving.

We use the internationally recognised HoNOS (Health of the Nation Outcome Scales), a tool which allows clinicians to assess various aspects of a patient's mental health, such as depression, anxiety or problematic behaviour.

HoNOS Scores

This graph shows the improvement in patients after treatment at Healthscope mental health facilites. The dark coloured bars show mental health problems on admission. The pale coloured bars show that these problems have decreased on discharge. Healthscope mental health facilities achieve improvement outcomes similar to other private hospitals.

Mental Health Questionnaires

It is also important to ask patients whether they think that their mental health has improved during their hospital admission.

We use the MHQ–14 (Mental Health Questionnaire) which asks questions about symptoms of fatigue, anxiety and depression and the impact of those in daily life.

This chart shows patients' self-assessed mental health ratings on admission (dark coloured bars) and discharge (pale coloured bars). Patients at Healthscope mental health facilities achieve improvement similar to patients at other private hospitals.

To see how your local Healthscope hospital compares, visit Our Hospitals.

What we are doing with this data?

Healthscope employs a variety of strategies to improve our patients' mental health outcomes. These include:

  • a multidisciplinary team approach, including expert nursing and allied health professionals
  • group therapy, counselling and other kinds of therapy
  • regular review of patient medication to ensure it is optimal
  • involving family and carers in treatment, with the patient's consent

To view data for each Healthscope Hospital, see Our Hospitals.

If you are worried about your mental health, or that of someone close to you, there are people who can help you right now:

  • Lifeline Australia - 13 11 14
  • Kids Helpline - 1800 55 1800
  • MensLine Australia - 1300 78 99 78
  • Suicide Call Back Service - 1300 659 467
  • Beyond Blue - 1300 22 4636
  • Veterans' and Veterans' Families Counselling Service - 1800 011 046

At Healthscope, we measure the ability, mobility and independence of patients on admission and again on discharge to see how they are improving.

We use the internationally recognised FIM™ (Functional Independence Measure), a scale which measures the success of rehabilitation.

It is important to note that rehabilitation outcomes are not solely dependent on the quality of care provided. Patient-specific factors such as age, severity of condition and presence of other health issues can influence rehabilitation outcomes.

Orthopaedic Fracture Rehabilitation

This graph shows the average improvement in patients at Healthscope Hospitals following rehabilitation after a broken bone. The dark coloured bars show patient abilities on admission. The pale coloured bars show that these abilities have improved on discharge. Rehabilitation patients at Healthscope Hospitals achieve outcomes similar to those of patients in other Australian hospitals.

Rehabilitation for Hip, Knee or Shoulder Replacement


This graph shows the average improvement in patients at Healthscope Hospitals following rehabilitation after a hip, knee or shoulder replacement. The dark coloured bars show patient abilities on admission. The pale coloured bars show that these abilities have improved on discharge. Rehabilitation patients at Healthscope Hospitals achieve outcomes similar to those of patients in other Australian hospitals.

Stroke Rehabilitation


This graph shows the average improvement in patients after stroke rehabilitation at Healthscope Hospitals. The dark coloured bars show patient abilities on admission. The pale coloured bars show that these abilities have improved on discharge. Rehabilitation patients at Healthscope Hospitals achieve outcomes similar to those of patients in other Australian hospitals.

Rehabilitation for Other Neurological Conditions

This graph shows the average improvement in patients at Healthscope Rehabilitation facilities following rehabilitation for other neurological (brain) conditions such as Parkinson’s Disease and Multiple Sclerosis. The dark coloured bars show patient abilities on admission. The pale coloured bars show that these abilities have improved on discharge. Patients at Healthscope hospital achieve outcomes better than those of patients in other Australian hospitals.

To see how your local Healthscope hospital compares, visit Our Hospitals.

What we are doing with this data?

Healthscope employs a variety of strategies to improve our patients' rehabilitation outcomes. These include:

  • a multidisciplinary team approach, including expert nursing and allied health professionals
  • individual and group therapy, often including practice of tasks of daily living.
  • use of Functional Electrical Stimulation (FES) to improve strength and function in stroke patients.
  • depression screening for all stroke patients to support full rehabilitation participation
  • swallowing and/or speech/language therapy with a Speech Pathologist

All Healthscope Hospitals have infection control procedures, and staff take every precaution to prevent infections. However, some patients have a higher risk of acquiring an infection in hospital.

Patients with wounds, invasive devices (such as drips) and weakened immune systems are at greater risk of infection than the general public. We need to avoid infections because they may cause illness to the patient, resulting in a longer stay in hospital and a longer recovery time.

What are Healthcare Associated Infections?

Healthcare associated infections (HAI) are infections that occur as a result of healthcare interventions and are caused by micro-organisms such as bacteria and viruses. They can happen when you are being treated in hospital, at home, in a GP Clinic, a nursing home or any other healthcare facility.

Some infections occur after an invasive procedure such as surgery and can be treated with antibiotics. However there are some infections such as Methicillin Resistant Staphylococcus aureus (MRSA) and Clostridium Difficile that are more difficult to treat because they are resistant to certain antibiotics.

The risk of getting these infections depends on how healthy you are, how long you have been in hospital, and certain medications that you take (including antibiotics).

These specific infections require the use of special antibiotics and, at times, special precautions which may include placement in a single room and the use of personal protective equipment such as gloves and gowns.

What are Healthscope Hospitals doing to prevent infections?

Specialised Infection Control teams collect data on hospital acquired infections and analyse the data to identify patterns and trends. Infection rates are shared and discussed with clinicians in an effort to identify and implement the best practices to reduce the risks for infection.

There are several types of infections that we closely monitor at Healthscope Hospitals. Both are caused by bacteria. You may have heard of these:

  • Clostridium difficile – this is an infection of the bowel that causes diarrhoea.
  • Staphylococcus aureus bacteraemia – known as SAB for short. This is a serious infection caused when this bacteria enters the blood stream.


This graph shows the number of Staphylococcus aureus infections in Healthscope Hospitals for the year ending June 2016 compared with the Australian Government target.

The graph shows the number of infections that occur for every 10,000 patient days.

The national benchmark for Staphylococcus aureus Bacteraemia in Australian public hospitals is no more than two cases per 10,000 patient days.

Patients in Healthscope Hospitals on average have a very low number of infections.


This graph shows the number of Clostridium Difficile infections in Healthscope Hospitals compared with the rate typical in other hospitals in Australia.

Rates of infection typically vary from state to state. The rate varies from two to three cases per 10,000 days of patient care, so the industry rate reflects this range.

The graph shows the number of infections that occur for every 10,000 patient days.

Patients in Healthscope Hospitals on average have a very low number of infections.

Not all patients contract clostridium difficile in hospital - some patients are admitted already having this condition. The chart above shows all cases of cdiff identified in hospital, both community and hospital-acquired. The chart below shows whether or not the patient was admitted already having this condition. Hospitals need to identify both types of patients in order to have the best chance of preventing Cdiff from spreading to other patients.

To find out how we generated this data, see: Infection Rate Formulas

To view data for each Healthscope hospital, see Our Hospitals.

What we are doing to further reduce infections

Improvement strategies may vary from hospital to hospital. Examples are:

  • Watching, auditing and measuring how often staff wash their hands using soap and water or hand sanitiser.
  • Routine use of gloves and specially sterilised equipment.
  • An Infection Control Nursein each hospital, to investigate issues, educate staff and carry out strategies to reduce infections.
  • Use of specialised approved disinfectants for cleaning and disinfecting rooms, bathrooms, equipment and shared areas. High level disinfection and sterilisation are used according to national guidelines.
  • Placement of hand sanitiser dispensers in public areas throughout our hospitals including hallways, elevators and cafeterias, making this readily accessible to staff, patients, families and visitors.
  • If additional precautions are required, staff may wear gloves, gowns, masks and goggles.

How can you help?

At Healthscope, patients and visitors are part of the health care team. Hand washing is the most important way that patients and visitors can prevent the spread of infection in hospital. Waterless hand sanitiser is just as effective as washing with soap and water. Hospital staff will appreciate a reminder from patients or relatives if they forget to wash their hands.

There are a number of things you can do to reduce the risk of infection:

  • Wash your hands carefully with soap and water or use hand sanitiser upon entering the hospital.
  • Cover your mouth and nose with a tissue when you cough or sneeze (or into your elbow if you don't have one). Clean your hands afterwards – every time!
  • Report any infection you have had, especially if you are still on antibiotics.
  • Make sure you take the full course of antibiotics you have been given, even if you are feeling better.
  • If you have a dressing or a wound, keep the skin around the dressing clean and dry. Let the healthcare worker looking after you know promptly if it becomes loose or wet.
  • Tell the healthcare worker looking after you if the area around the drips, lines, tubes or drains inserted into your body becomes red swollen or painful.
  • Let the healthcare worker looking after you know if your room or equipment hasn't been cleaned properly.
  • Stop smoking before any surgery, as smoking increases the risk of infection.

Visitors

  • Reconsider your visit if you have an illness such as a cough, cold or gastroenteritis
  • Wash your hands carefully with soap and water or use hand sanitiser when entering and leaving a patient’s room.

For more information about how you can help:

Read: Hand Hygiene Information Leaflet

Watch: Interactive Video Training

Hand Hygiene is another name for hand washing or cleaning. Hands can be effectively cleaned with either soap and water, or with waterless hand sanitiser. Both are equally effective. It is an expectation that all staff at Healthscope Hospitals frequently clean their hands.

Hand hygiene is simple and is the most important way of preventing infections in hospital. Our hands may look clean but many germs are invisible to our eyes. We can unknowingly transmit bacteria and viruses to others and our environment. Germs can survive on unwashed hands for over an hour.

People (especially children) sometimes take short-cuts when they are supposed to wash their hands – particularly when there is no dirt visible. And unfortunately, hand hygiene is sometimes not well performed by health care workers.

What is Healthscope doing to improve hand hygiene?

It is important that we check whether healthcare workers are using correct hand hygiene. There is no magic way of knowing if a person has washed their hands. The accepted way of measuring hand hygiene is for a trained auditor to watch healthcare workers as they go about their day, treating patients in hospital. There is a government-approved organisation called Hand Hygiene Australia that helps with this measurement. Healthscope Hospitals use a gold-standard auditor, accredited through Hand Hygiene Australia. This person is trained to check that staff are washing their hands as often as they should.

Each opportunity for hand hygiene is called a moment. Five Moments for hand hygiene have been identified by the World Health Organisation as the critical times when hand hygiene should be performed in hospital. These are:

  • Before touching a patient
  • Before a procedure
  • After a procedure
  • After touching a patient
  • After touching a patient’s belongings or surroundings.

At Healthscope Hospitals we watch staff during each of these moments. The auditor records whether or not hand hygiene has been performed correctly by each staff member at each moment.

At the end of the audit, an overall score is calculated. This is shown in the graph below.

This graph shows the percentage of moments where hand hygiene was performed correctly in Healthscope Hospitals compared with the Australian benchmark of 80%.

Staff at Healthscope Hospitals on average have a high rate of compliance with hand hygiene. This suggests that our hand hygiene program is working.

The more hand hygiene moments are audited, the more reliable our figures. This figure shows how many hand hygiene moments were audited in Healthscope Hospitals (nationally) in the most recent period audited. Note that smaller hospitals are required to audit fewer moments than larger hospitals.

When audits are performed, each professional group is checked – including doctors, nurses, cleaners and other hospital staff.

The first graph on the left (below) shows which groups were audited. The graph on the right shows the hang hygiene rate for different staff within our hospitals.



This graph shows that doctor hand hygiene rates have improved since we introduced public reporting on this website in 2013.

What we are doing to further reduce infections

The reasons for staff not performing hand hygiene may include:

  • Time pressure - there just is not enough time to wash hands as often as necessary.
  • Hands do not appear dirty – but germs are there, even if they cannot be seen.
  • Problems with skin irritation - frequent washing with soap and water can cause dryness, skin irritation or damaged skin which makes washing uncomfortable.
  • Improvement strategies may vary from hospital to hospital.

The following strategies are typically used:

  • Conducting regular education programs for staff about infections and hand hygiene.
  • An Infection Control Nurse to investigate issues, educate staff and carry out strategies to reduce infections.
  • Placement of hand sanitiser dispensers in convenient areas throughout the hospital, including hallways and patient rooms. This makes hand hygiene readily accessible to staff, patients, families and visitors.
  • Monitoring the type of soap/hand sanitiser used, to minimise skin irritation.
  • In some areas - use of specially designed washbasins where water can be turned on and off without touching the tap.

How can you help?

In Healthscope Hospitals, patients and visitors are part of the health care team. Hand hygiene is the most important way that patients and visitors can prevent the spread of infection in hospital. Waterless hand sanitiser is just as effective as washing with soap and water. Hospital staff will appreciate a reminder from patients or relatives if they forget to wash their hands.

There are a number of things you can do to reduce the risk of infection:

  • Wash your hands carefully with soap and water or use hand sanitiser upon entering and leaving the hospital.
  • Wash your hands carefully with soap and water or use hand sanitiser when entering and leaving a patient’s room.
  • Observe hospital signage about hand hygiene.
  • If you are unable to find a hand sanitiser station, please ask staff for assistance.

For more information about how you can help:

Falls are a leading cause of hospital-acquired injury and frequently prolong or complicate hospital stays. Patients may experience a fall because they are weakened due to a medical condition or after an accident or surgery.

The graph below shows the percentage of patients who have had a fall in Healthscope Hospitals. The coloured bars show the Healthscope rate. This is compared to the rate of falls at other Australian hospitals, shown in the grey bar.

This graph shows that patients in Healthscope Hospitals on average have a lower rate of falls than those in other Australian hospitals.

See details on: How we work out our falls rate. For a discussion on the data, see: Limitations of data

To see how your local Healthscope hospital compares, visit Our Hospitals.

What are we doing with this data?

Healthscope employs a variety of strategies to reduce the risk of patient falls. These include:

  • a falls-reduction program that provides guidelines for everyone involved in the care of patients in all of our hospitals
  • risk assessments to identify patients who are at risk of falling
  • ongoing staff education about falls prevention
  • patient education on prevention of falls in hospital and at home
  • use of safety equipment such as lifting hoists, walking aids and chair or bed sensors that alert staff when a patient who is at risk of falling gets up unassisted
  • use of a traffic light system where patients are given a red, orange or green tag, which alerts staff to whether the patient is at risk of falling
  • review of each fall to assess if there were any preventable factors

How can you help?

At Healthscope, you, as a patient or visitor are part of the health care team. Print a brochure containing handy hints about preventing falls in hospital and at home. You can also watch a helpful video.

Brochures

Video

Pressure injuries - commonly known as bed sores - are areas of skin damage caused by prolonged pressure. They can range in severity from reddened skin to ulcers with underlying tissue damage.

Pressure injuries can sometimes occur when a patient remains in one position for a long period. Certain people are at increased risk of developing pressure injuries, such as the elderly, people who are bedbound or have poor mobility and people with chronic conditions like diabetes.

The graph below shows the number of patients in Healthscope Hospitals who have developed a pressure injury during their admission. The coloured bars show the Healthscope rate. This is compared to the rate of pressure injuries in other Australian hospitals, shown in the grey bar.

This graph shows that patients in Healthscope Hospitals are less likely to develop a pressure injury compared with other Australian hospitals.

To see how your local Healthscope hospital compares, visit Our Hospitals.

What are we doing with this data?

Healthscope employs a variety of strategies to minimise the risk of patients developing pressure injuries. These include:

  • risk assessments to identify patients who are susceptible to pressure injuries
  • education for nursing staff in pressure injury identification, prevention and management
  • patient education on prevention of pressure injuries in hospital and at home
  • use of pressure-relieving devices such as special mattresses, cushions, wedges, sheepskins, water-filled supports, contoured or textured foam supports, heel elevators and supports filled with gel or beads
  • regularly changing of patients' position and encouraging of walking or movement if possible
  • review of each pressure injury acquired in hospital to assess if there were any preventable factors

A blood transfusion is the transfer of blood or blood products, such as platelets or plasma, into a patient's veins, usually through an intravenous (IV) cannula. Transfusions may be necessary when a person:

  • has lost a large amount of blood
  • is unable to produce parts of their own blood
  • has blood cells that are not functioning properly.

Transfusions are carried out on doctor's orders by trained professional staff, in accordance with the guidelines in the National Safety and Quality Health Service Standards and with the patient's consent. Healthscope audits this on a regular basis.

A blood transfusion can be life-saving or significantly improve quality of life. Australia has one of the safest donor blood supplies in the world, but no transfusion is completely without risk. While adverse events are rare, they may include:

  • transfusion of incorrect blood / blood component
  • transmission of infection, for example bacteria or viruses
  • transfusion-related immune reaction
  • transfusion-related acute lung injury.

The graph below shows the number of patients at Healthscope Hospitals who had a transfusion with no significant adverse event. The coloured bars show the Healthscope rate. This is compared to the rate of successful transfusion events in other Australian hospitals, shown in the grey bar.

This graph shows that patients at Healthscope Hospitals are less likely to have an adverse transfusion event, compared with other Australian hospitals.

To see how your local Healthscope hospital compares, visit Our Hospitals.

Some useful resources about blood transfusions are available here.

What we are doing with this data?

Healthscope employs a variety of strategies to reduce the risk of adverse transfusion events. These include:

  • avoiding unnecessary blood transfusions through use of alternative medications, treatments and non-blood treatments
  • identifying any risk factors for adverse reactions before the transfusion commences
  • careful cross-matching of blood groups to make sure no errors occur
  • ongoing training for nursing staff involved in blood transfusion administration
  • patient education and provision of written materials explaining blood transfusions
  • careful monitoring of patients during administration of a blood transfusion
  • working closely with the pathology laboratory that supplies the blood
  • review of each adverse transfusion event to assess if there were any preventable factors

Healthscope has a National Transfusion Governance Committee that oversees best practice standards for transfusion management in all hospitals and reviews adverse events nationally so that all hospital can learn from them.

When a patient visits an Emergency Department anywhere in Australia or New Zealand, the triage nurse carries out an assessment of how urgent the patient’s condition is. Each patient is assigned a triage category from 1 to 5 on the Australasian Triage Scale.

According to the best practice guidelines, patients must be seen for medical assessment and treatment within the following times:

  • Category 1 patients must be attended to immediately (e.g. cardiac arrest)
  • Category 2 patients must be attended to within 10 minutes (e.g. severe blood loss)
  • Category 3 patients must be attended to within 30 minutes (e.g. head injury but conscious)
  • Category 4 patients must be attended to within 60 minutes (e.g. sprained ankle, possible fracture)
  • Category 5 patients must be attended to within 120 minutes (e.g. cut not requiring stitches)

Patients that are in categories 1, 2 or 3 will be seen before categories 4 and 5, even if they arrive in the department at a later time.

All hospitals with Emergency Departments measure how quickly their patients are seen. The graphs below show the percentage of patients in each category that are seen within the recommended time. The coloured bars show the Healthscope rate. This is compared to the rate at other Australian hospitals, shown in the grey bar.


These graphs show that patients attending Healthscope Hospital Emergency Departments are seen more quickly than at other Australian hospitals.

To see how your local Healthscope hospital compares, visit Our Hospitals.

What we are doing with this data?

Healthscope employs a variety of strategies to reduce waiting times in our Emergency Departments. These include:

  • continually reviewing our doctor and nurse staffing levels
  • monitoring the number of ambulance arrivals at our Emergency Departments
  • monitoring bed availability for transfers to hospital wards

Following surgery, all patients require close monitoring to ensure an uneventful recovery. This monitoring usually takes place in the Recovery Unit. For some major operations, such as heart surgery, an admission to the Intensive Care Unit may be planned to allow monitoring with specialised equipment.

Occasionally, a patient may have an unexpected reaction to the anaesthetic or a complication from surgery and will require an unplanned admission to Intensive Care.

The graph below shows the percentage of patients that have required an unplanned admission to the Intensive Care Unit within 24 hours of their operation. The coloured bars show the Healthscope rate. This is compared to the rate of unplanned admissions to Intensive Care in other Australian hospitals, shown in the grey bar.

This graph shows that patients admitted to Healthscope hospitals are less likely to have an unplanned admission to Intensive Care compared with other Australian hospitals.

To see how your local Healthscope hospital compares, visit Our Hospitals.

What are we doing with this data?

Healthscope employs a variety of strategies to minimise unplanned admissions to Intensive Care. These include:

  • pre-admission assessment of patients with particular risk factors to ensure that all precautions are taken
  • advance bookings of Intensive Care beds for patients who have specific risk factors
  • review of each unplanned admission to Intensive Care to assess if there were preventable factors

Many operations and procedures performed in Healthscope Hospitals do not require an overnight stay. For minor procedures like colonoscopies or arthroscopies, patients are usually admitted a few hours before their procedure and go home later the same day, once they have recovered from the anaesthetic.

Occasionally, a patient may have an unexpected reaction to a procedure or anaesthetic and will require an unplanned overnight stay or transfer to another hospital.

The graph below shows the percentage of day patients who have required an unplanned overnight stay or transfer to another hospital. The coloured bars show the Healthscope rate. This is compared to the rate of unplanned overnight stays in other Australian hospitals.

This graph shows that patients admitted to Healthscope hospitals are less likely to have an unplanned overnight stay or transfer to another hospital compared to other Australian hospitals.

To see how your local Healthscope hospital compares, visit Our Hospitals.

What are we doing with this data?

Healthscope employs a variety of strategies to minimise unplanned overnight stays. These include:

  • pre-admission assessment of patients with particular risk factors to ensure that all precautions are taken
  • intensive monitoring of patients during recovery
  • use of a consistent process for discharging patients home, to make sure they have fully recovered from the procedure
  • review of each unplanned overnight stay to assess if there were any preventable factors

Following discharge from hospital, patients sometimes require an unplanned readmission. There are many different reasons why a patient may need to return to hospital, such as a surgical wound infection that occurred after their initial hospital stay.

Good discharge planning can help reduce the rate of unplanned readmissions. This includes making appropriate follow-up arrangements, providing patients with clear care instructions and helping them recognise symptoms that may require immediate medical attention.

The graph below shows the percentage of patients who have required an unplanned readmission to a Healthscope hospital within 28 days of their first admission. The coloured bars show the Healthscope rate. This is compared to the rate of unplanned readmissions in other Australian hospitals, shown in the grey bar.

This graph shows that patients admitted to Healthscope hospitals are less likely to have an unplanned readmission compared with other Australian hospitals.

Please note: The unplanned readmission rates presented in this graph only include patients who have been readmitted to the same hospital. Currently we have no way of measuring unplanned readmissions to a different hospital.

To see how your local Healthscope hospital compares, visit Our Hospitals.

What are we doing with this data?

Healthscope employs a variety of strategies to minimise unplanned readmissions. These include:

  • robust discharge processes which ensure that patients understand their medications and any post-operative care instructions
  • arranging appropriate follow-up care and ongoing appointments, e.g. with the General Practitioner or Physiotherapist
  • reviewing each unplanned readmission to assess if there were any preventable factors

Following a procedure in the operating theatre, patients sometimes need an unplanned second operation. This is called return to theatre.

There are many reasons why a patient may require a further operation, such as complications from the first procedure, or an unrelated matter.

The graph below shows the percentage of patients that have required an unplanned return to theatre after having an operation at Healthscope Hospitals. The coloured bars show the Healthscope rate. This is compared against the rate in other Australian hospitals, shown in the grey bar.

This graph shows that patients undergoing surgery in Healthscope Hospitals are less likely to have an unexpected return to theatre compared with other Australian hospitals.

To see how your local Healthscope Hospital compares, visit Our Hospitals.

What are we doing with this data?

Healthscope employs a variety of strategies to minimise unplanned returns to theatre. These include:

  • pre-admission assessment of patients with particular risk factors to ensure that all precautions are taken
  • careful monitoring of patients in recovery
  • reviewing all unplanned returns to theatre to assess if there were any preventable factors

Childbirth is a natural, normal event, and although you may choose to have your baby in hospital, it doesn’t mean that medical intervention will be required. Most babies are born without any difficulties and with the encouragement and support from the Healthscope staff.

However, sometimes intervention by the obstetrician, paediatrician or midwife may be required in order for a safe outcome for your baby.

After a baby is born, the hospital staff will do a thorough check of all aspects of the baby’s health, measuring their Apgar Score to check the baby’s breathing, heart rate, colour, activity and temperature. Some babies may require closer monitoring, help with breathing, body temperature, or further investigations.

This sometimes happens in the Neonatal Intensive Care Unit. Neonatal means around the time of birth.

This is a specialised unit with staff that are experts in dealing with newborn babies. In some cases, if an unborn baby has a specific medical condition, an admission to the Neonatal Intensive Care Unit may be planned even before delivery of the baby.

On rare occasions, babies may be born with an unexpected medical condition, and may require an unplanned admission to the Neonatal Intensive Care Unit for treatment.

Tracking the number of patients who have an unplanned admission to the Neonatal Intensive Care Unit after birth is one way that we can judge the quality of hospital care. Good medical and nursing care during delivery and during the months of pregnancy, can help reduce the rate of unplanned admissions to Neonatal Intensive Care. Good monitoring during labour can pick up any problems early.

This graph shows the percentage of babies born in Healthscope Hospitals that have required an unplanned admission to the Neonatal Intensive Care Unit.

The rate for the past 5 years is shown in the pink bars. This is compared to the rate of “unplanned admission to Intensive Care” in other Australian hospitals (the grey bar).

The graph shows that babies born in Healthscope Hospitals are less likely to have an unplanned admission to the Neonatal Intensive Care compared with other Australian hospitals.

To view data for each Healthscope hospital see: Our Hospitals.

What we’re doing to further reduce unplanned admission to Neonatal Intensive Care

Improvement strategies may vary from hospital to hospital. Examples are:

  • We review each admission to Neonatal Intensive Care to check if there were any preventable factors.
  • Before a baby is born, and during the pregnancy, the midwives and obstetricians carefully assess and monitor the mother and baby for any risk factors, such as gestational (pregnancy) diabetes.
  • The Theatre and Recovery Units use a consistent process for discharging mothers and babies from the delivery suite to the ward, to make sure they have fully recovered from the birth.
  • If a mother or baby has additional risk factors, sometimes a Neonatal Intensive Care bed is planned and booked in advance, to make sure the post-natal monitoring is the best possible.
  • We monitor this data to make sure that the rate of unplanned admission to Neonatal Intensive Care is not increasing.

Following the birth of a baby, the doctor or midwife assesses the baby's overall condition, including heart rate, breathing, responsiveness, activity and skin colouration.

A score known as the Apgar score is used to measure these signs at one minute and again at five minutes after birth. A healthy Apgar score is defined as 7 or above. The highest possible score is 10.

The graph below shows the percentage of babies who have a healthy Apgar score at five minutes after birth. The coloured bars show the Healthscope rate. This is compared to the rate at other Australian hospitals, shown in the grey bar.

This graph shows that the percentage of babies born with a healthy Apgar score is higher at Healthscope hospitals than at other Australian hospitals.

To see how your local Healthscope hospital compares, visit Our Hospitals.

More Information

The table below lists the five Apgar signs. Each of the areas is given a score of 0, 1 or 2, to make a total Apgar score of up to 10 points.

The birth of a baby is a very exciting time, and we want to provide our patients with the best possible hospital experience.

Many new mothers choose to stay in hospital as long as possible after giving birth, particularly for a first baby. However, patients are free to go home earlier if they would like to.

The number of days women typically spend in hospital after having a baby will depend on whether they have had a vaginal delivery or a Caesarean section. In most cases, patients who have undergone a Caesarean section will stay a little longer.

The graph below shows the average length of stay for childbirth in Healthscope Hospitals. The length of stay in other Australian private and public hospitals is also shown.

This graph shows that women having a baby in Healthscope Hospitals and other Australian private hospitals stay in hospital longer than patients in Australian public hospitals.

To see how your local Healthscope hospital compares, visit Our Hospitals.

Some Healthscope Hospitals offer a Little Luxuries package, transferring mum and baby to a local luxury hotel after the birth, once approved by their Obstetrician and Paediatrician. There is a midwife on site for assistance 24 hours a day, 7 days a week.

Healthscope supports transparent public reporting of healthcare quality data and actively participates in initiatives of the following organisations:

Australian Commission on Safety and Quality in Healthcare (ACSQHC) – The Australian Commission on Safety and Quality in Healthcare (the Commission) was established in 2006 by the Australian, State and Territory Governments to lead and coordinate national improvement in safety and quality. Healthscope has representation on the Private Hospital Sector Advisory Committee and several key working groups.

Australian Institute of Health and Welfare - The Australian Institute of Health and Welfare (AIHW) is a major national agency set up by the Australian Government under the Australian Institute of Health and Welfare Act to provide reliable, regular and relevant information and statistics on Australia's health and welfare.

MyHospitals Website – This website lists all public and private hospitals in Australia, along with information about waiting times for elective surgery and emergency department access. Healthscope has representation on the MyHospitals Development Advisory Committee.

If you have any suggestions for improving this website, please Contact us.

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