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Clinical Patient Outcomes
Gordon Private Hospital participates in the ACHS Clinical Indicator Program (CIP). The program offers our hospital with benchmarking of our clinical performance against industry benchmarks to assist us to continuously improve our services.
A Trend Report and Peer Comparison Report are provided half yearly as part of the program.
Clinical Indicators
Mental Health Care Outcomes
To assess the improvement in a patient’s mental health, Gordon Private Hospital uses the HoNOS (Health of the Nation Outcome Scales) which is an internationally recognised scale to measure progress of health and social functioning of people with a mental disorder. The HoNOS was specifically designed for use in general adult mental health services. On admission, and again prior to discharge, the patient's mental health is assessed. A decrease in the score on discharge indicates that there has been improvement in the patient's mental health since their admission. As a result, a lower score on discharge is better.
To assess the improvement in a patient’s mental health, Gordon Private Hospital uses the MHQ-14 (Mental Health Questionnaire), which is an internationally recognised scale. The MHQ–14 is a patient self–report measure consisting of items that address symptoms of fatigue, anxiety and depression and the impact of those symptoms on social and role functioning. On admission and again prior to discharge, the patient assesses their mental health status. An increase in the score on discharge indicates that the patient has noted an improvement in their mental health conditions since their admission. A higher score on discharge is better.
The charts below show the results for Gordon Private Hospital’s HoNOS and MHQ-14scores for 2022.
Individual Care Plan
Having an individual care plan help patients become more involved in their care. A care plan helps patients to set and achieve goals. Gordon Private Hospital’s Individual Care Plan rate is provided in the table below.
| Indicator Number/Description | Your Rate | 99% Confidence Interval for Your Rate | Aggregate Rate for Similar Organisations 2H2022 | Outlier | Graph |
|---|---|---|---|---|---|
| Individual care plan (H) | 100.000% | (98.941-100.000) | 91.895% |  |
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Source: ACHS Clinical Indicator Program’s Peer Comparison Report July – December 2022
Physical examination within 24 hours of admission
Gordon Private Hospital’s Physical examination of patient within 24 hours of admission rate has consistently been high. The table below provides the most updated information for July – December 2022.
| Indicator Number/Description | Your Rate | 99% Confidence Interval for Your Rate | Aggregate Rate for Similar Organisations 2H2022 | Outlier | Graph |
|---|---|---|---|---|---|
| Physical examination documented within 24 hours of admission (H) | 100.000% | (98.941-100.000) | 86.542% | |
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Source: ACHS Clinical Indicator Program’s Peer Comparison Report July – December 2022
Hygiene and Infection indicators
We aim to minimise the risk of infection to patients, staff and visitors that come to our hospital. Our infection rates have been consistently well below the industry benchmark. The hospital utilises HICMR for implementation and maintenance of our Infection Prevention and Control Program. A 94.6% score was achieved at the most recent facility wide audit held in June 2023.
Open Disclosure
Every effort is made to minimise risk at our hospital. Unfortunately, incidents do occur. Gordon Private Hospital actively supports open disclosure. This is the process of open communication with patients and families when an incident results in unintended harm. It involves discussion of the incident, investigation and any actions taken to improve the care delivered and ensure the incident is not repeated.
Patient Falls
Gordon Private Hospital continuously strives to minimise the number of falls-related incidents. Our hospital’s initiative aims to reduce the frequency and severity of falls during hospital admission and focuses primarily on:
Early identification of patients at risk of a fall;
Building capacity of medical and nursing staff to support the implementation of evidence-based interventions to prevent falls in hospital; and
Identifying key aspects of care that contribute to improved patient outcomes.
Gordon Private Hospital’s Patient Falls Rate for 2021 and 2022 are provided in the graph below.
Pressure Injuries
Gordon Private Hospital has systems for pressure injury prevention and wound management that are consistent with best-practice guidelines and ensures that equipment and devices are available to decrease the risk and effectively manage pressure injuries. This can be illustrated by our Pressure Injuries rate for 2021 and 2022 provided in the graph below.
