#

Pine Rivers Private Hospital

MyHealthscope - Quality and Safety

At Pine RIvers Private Hospital, we take quality and safety seriously.

To provide you with information about our performance, Pine Rivers Private Hospital publishes data which reflects the quality and safety of our care. This is only one part of our program to continually maintain and improve our high standards.

At Pine Rivers Private Hospital, quality is not just one simple measure. It includes many aspects of care and of a patient's experience.

Please click on the menu below to view data for each of the indicators we publish.

Pine Rivers Private Hospital is 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. Our achievements are measured against industry standards by this review team. Hospitals are measured against ten overarching standards and many different criteria including patient care, medication management, clinical handover, infection control, complaints management and preventing falls.

Hospitals receive a rating for each one of these criteria – either satisfactorily met or not met. If a criterion is not met, the hospital is given an action that it must follow-up within 3 months to ensure the criterion is satisfactorily met.

For hospitals achieving a higher level of quality, a higher rating is awarded “MM” or “met with merit".

This chart shows the proportion of “MM” ratings achieved by Pine Rivers Private Hospital for their organisation wide survey in 2017. Pine Rivers Private Hospital has maintained accreditation under the National Safety and Quality Health Service Standards.

Patient mental health is measured on admission to Pine Rivers Private Hospital and again on discharge so that we can measure the improvement made. Patients demonstrate improvement in their mental health after treatment at Pine Rivers Private Hospital. We use the HoNOS (Health of the Nation Outcome Scales) to measure the health of patients with mental illness. This is an established scale, used worldwide.


HoNOS Scores

This graph shows the improvement in patients after mental health treatment at Pine Rivers Private Hospital. The dark coloured bar shows mental health problems on admission and the pale coloured bar shows that these problems have decreased on discharge. Pine Rivers Private Hospital achieves improvement outcomes similar to other private hospitals.


MHQ-14 Scores

Importantly, we also ask the patients whether they think their mental status has improved during their hospital admission. The MHQ–14 (Mental Health Questionnaire) is completed by patients and asks questions about symptoms of fatigue, anxiety and depression and the impact of those symptoms in daily life.

This chart shows patient-self-assessed mental health ratings on admission (dark coloured bars) and discharge (pale coloured bars). Patients at Pine Rivers Private Hospital achieve self-assessed improvement better than patients at other private hospitals.

For more information on how to measure changes in mental health, refer to this excellent brochure produced by the Royal Australian and New Zealand College of Psychiatrists.

For more information on:


What we are doing to continually improve our patients’ mental health outcomes

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

  • Patients are seen by a multidisciplinary team, including expert nursing and allied health members
  • Group therapy, counselling and other kinds of therapy are scheduled
  • Patient medication is reviewed to make sure it is optimal
  • Family and carer involvement in the decision-making and planning of treatment

Pine Rivers Private Hospital follows strict infection control procedures, and staff take every precaution to prevent infections. Specialised infection control staff collect and analyse data on infections in order to identify and implement best practices to reduce infection rates.

Patients with weakened immune systems, with wounds and with invasive devices such as drips are at greater risk of infection than the general public.

There are several types of infections that we closely monitor at Pine Rivers Private Hospital. Two of the most important are:

  • Staphylococcus Aureus Bacteraemia – also known as SAB. This is a serious infection caused by bacteria entering the blood stream.
  • Clostridium Difficile - also known as C Diff. This is an infection of the bowel that causes diarrhoea.

The graph below shows the number of Staphylococcus Aureus infections at Pine Rivers Private Hospital. The coloured bars represent Pine Rivers Private Hospital's rate. This is compared to the Australian Government target, shown in the grey bar. The national benchmark for SAB is no more than 2 cases per 10,000 days of patient care.

This graph shows that the rate of SAB infections at Pine Rivers Private Hospital is very low and lies well below the Australian government target.

The graph below shows the number of Clostridium Difficile infections. The coloured bars represent Pine Rivers Private Hospital's rate. This is compared to the rate in other Australian hospitals, shown in the grey bars. The industry rate varies from 2 to 3 cases per 10,000 days of patient care.

This graph shows that the number of Clostridium Difficile infections at Pine Rivers Private Hospital is very low and lies well below the industry rate.

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

What are we doing with this data?

Pine Rivers Private Hospital employs a variety of strategies to prevent infections. These include:

  • auditing how often staff wash their hands using soap and water or hand sanitiser
  • using gloves and specialised sterile equipment
  • assigning a dedicated Infection Control Nurse responsible for educating staff and implementing infection control strategies
  • using specialised disinfectants when cleaning facilities
  • following national guidelines for high level disinfection and sterilisation processes
  • placing hand sanitiser dispensers in public areas throughout the hospital so that they are readily accessible to staff, patients and visitors

What can you do to help?

At Pine RiversPrivate Hospital, patients and visitors are part of the health care team. There are a number of things you can do to reduce the risk of infection for yourself and others:

  • 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. Clean your hands afterwards – every time!
  • If you don't have a tissue available, cough or sneeze into your elbow, not your hand.
  • As a patient, 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 for 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 your healthcare worker if the area around any drips, 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

  • Don't visit if you have an illness such as a cough, cold or gastroenteritis ('gastro').
  • 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:

Hand Hygiene is another name for hand washing or cleaning. Good hand hygiene is an important part of infection control. Germs can survive on unwashed hands for over an hour, and we can unknowingly transmit bacteria and viruses to others.

All Healthscope staff are required to frequently wash their hands with soap and water or with waterless hand sanitiser. Both are equally effective. We follow the World Health Organisation's guidelines for hand hygiene, which specify the following times when health care staff must wash their hands:

  • before touching a patient
  • after touching a patient
  • before a procedure
  • after a procedure
  • after touching a patient’s belongings or surroundings

At Pine Rivers Private Hospital, we use auditors who are accredited by Hand Hygiene Australia to record whether or not hand hygiene has been performed correctly. The graph below shows the levels of hand hygiene compliance. The coloured bars represent Pine Rivers Private Hospital's rate. This is compared to the Australian national benchmark of 80%, shown in the grey bar.

This graph shows that hand hygiene compliance at Pine Rivers Private Hospital improved in 2017.When audits are performed, each professional group is checked – including doctors, nurses, cleaners and other hospital staff.

The first graph below on the left shows which groups were audited. The graph on the right shows the hand hygiene compliance rate for different staff within the hospital. It shows that the compliance rate for nurses is higher than for other staff.

What are we doing with this data?

Pine Rivers Private Hospital employs a variety of strategies to improve hand hygiene compliance. These include:

  • ongoing education programs for staff about infections and hand hygiene
  • a designated Infection Control Nurse responsible for educating staff and implementing infection control strategies
  • placement of hand sanitiser dispensers in convenient areas throughout the hospital, including hallways and patient rooms
  • use of specially designed washbasins where water can be turned on and off without touching the tap

What can you do to help?

At Pine RiversPrivate Hospital, patients and visitors are part of the health care team. Good hand hygiene is the most important way in which patients and visitors can prevent the spread of infection in hospital. There are a number of things you can do:

  • 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:

Read: Hand Hygiene Information Leaflet

Watch: Interactive Video Training

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 by a medical condition or after an accident or injury.

The graph below shows the percentage of patients who have had a fall. The coloured bars represent Pine Rivers Private Hospital's rate. This is compared to the rate of falls at other Australian hospitals, shown in the grey bar.

This graph shows that patients at Pine Rivers Private Hospital have a lower rate of falls than patients in other Australian hospitals.

The number of falls at Pine Rivers Private Hospital is much lower than expected for a hospital of its size. Whilst this may appear to be positive, it is believed that staff are not always reporting every fall in the incident reporting system. Reporting is important, as it allows us to analyse reasons for falls or near-falls and focus on preventing them in future. Education has been carried out at Pine Rivers Private Hospital to ensure that all staff are aware of the requirement for reporting of any fall.

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

What are we doing with this data?

  • risk assessments to identify patients at risk of falling
  • ongoing staff education on 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 at risk of falling gets up unassisted
  • review of each fall to assess if there were any preventable factors

What can you do to help?

At Pine RIvers Private Hospital, patients and visitors are part of the health care team. You may like to print a brochure containing handy hints about preventing falls. You can also watch a helpful video.

Brochure: Don't Fall For It

Video: Speak Up reduce Your Risk of Falling

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

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

The graph below shows the percentage of patients who have required an unplanned readmission to hospital within 28 days of their first admission. The coloured bars represent Pine Rivers Private Hospital's rate bars. 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 Pine Rivers Private Hospital are less likely to have an unplanned readmission compared with patients in 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.

What are we doing with this data?

Pine Rivers Private Hospital employs a variety of strategies to minimise unplanned readmissions. These include:

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

    Pine Rivers Private Hospital 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.

    Our Assistance

    ... ... ... ... ...