John Fawkner 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 John Fawkner Private Hospital for their recent organisation wide survey compared to other Australian hospitals.

In April 2015 John Fawkner Private Hospital underwent a full accreditation survey against all 10 National Standards and is fully accredited by the Australian Council on Healthcare Standards (ACHS).  A total of 41 Met with Merits were awarded.

The surveyors were impressed with the high degree of teamwork and the planned integration of services provided for patients, carers and clinicians and also identified the commitment that John Fawkner Private Hospital has to the process of increasing involvement of consumers so to ensure clinical care is of high quality with a strong focus on evidence-based, patient centred care.

Listed are the following achievements and ongoing quality improvement activities we have implemented and practice to support and achieve all 10 National Standard Guidelines.

Patient Centred Care Project  
This is a project that was implemented over 3 years ago to improve care and communication with our consumers.  It includes bedside handover and hourly rounding to engage and educate patients and carers in reducing the risk of falls, malnutrition, venous thromboembolism and pressure injuries, including access to a wound care specialist nurse who provides resources to patients and staff on the prevention of pressure injuries in hospital.  We also have a Blood Transfusion Clinical Nurse on site who has developed education packages for both patients and staff about blood transfusions and informed consent.

From introducing the Patient Centred Care Program there has been a 4.7% increase in Patient satisfaction scores over a 12 month period (2013-2014).

To ensure our patients and carers are well informed, Consumer Information brochures have been developed and are available pre-admission or upon admission, and many are available in multilingual format.  Some of these Include:

  • Keeping a Step Ahead of Falls
  • Move, Move, Move - Preventing Pressure Injuries 
  • Stop the Clot, Reducing Your Risk of Blood Clots
  • Blood Transfusions, Frequently Asked Questions

Other Awards

In addition to accreditation, John Fawkner Private Hospital is proud of the recognitions of excellence bestowed on its hospitals and staff. Examples of recent awards are:

2013 Healthscope Achievement Award - Best Accreditation Performance
John Fawkner Private Hospital

2013 Healthscope Service Excellence Awards - Quality Improvement
2nd Floor Surgical Unit/ICU
John Fawkner Private Hospital (VIC)
Won the award for Quality Improvement for their world-first study, comparing the sensitivity of two renonwned Early Warning Track and Trigger systems. An abstract from the findindgs of the reseach has been submitted for consideration for the 8th International Rapid Response Conference - Royal College of Physicians, London.

2010 Healthscope Service Excellence Awards
The Falls Working Party
John Fawkner Private Hospital (VIC)
The Falls Working Party implemented improved risk assessment tool and changes to environmental factors, achieving a reduced number of falls. The risk assessment tool developed by the working party is now used in all Healthscope hospitals.


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