Patient Safety & Quality
Kahlyn Day Centre is committed to ongoing improvement of patient care in all areas. While we have an excellent record in delivering quality patient care and managing risks, our hospitals continue to focus on improvements to ensure that our services are as safe as possible and that we are minimising risks at all times.
Kahlyn Day Centre has a strong commitment to safety and quality and this is reflected in our approach to:
- Creating safe environments and systems of work for our staff;
- Reviewing and improving on a continuous basis the performance of our patient safety and quality systems;
- Assisting our healthcare professionals and Visiting Medical Practitioners to monitor the safety and quality of care they provide;
- Ensuring accountability for the safety and quality of care at all levels of our organisation reporting through to the Board of Ramsay Health Care
Kahlyn Day Centre operates under Ramsay Health Care’s comprehensive Clinical Governance Framework based on an integrated approach to clinical risk management and continuous quality improvement. This Framework measures four major areas of organisational performance including:
1. Clinical Risk Management (making sure our services are safe and minimising risk of error)
- The Ramsay culture promotes and encourages staff to report incidents, risks and near misses;
- Incident Management policy outlines the process for assessing and investigating incidents;
- Ramsay clinical policies are developed in accordance with evidence based best practice;
- Clinical, risk and safety policies are reviewed on a regular basis and updated as required; and
- Ramsay has a strategy and policy for ‘whistle blowers’.
2. Clinical Effectiveness (making sure that the clinical services we provide are effective)
- Quality and Safety Indicators are used to measure and monitor performance;
- Quality plans are initiated when significant issues are flagged;
- Quality and Safety Indicators are benchmarked nationally;
- Serious clinical incidents are reported and investigated;
- Clinicians are represented on the Governance Committee and expert clinical advisory panels;
- High risk areas are audited on a regular basis;
- Quality performance and safety issues are reported to the Ramsay Board; and
- All facilities meet the standards for accreditation.
3. Effective Workforce (making sure our staff are competent and up-to-date)
- Facility Rules are available to all existing and new medical and allied health personnel;
- Ramsay Health Care has a strict process for checking credentials, registration and scope of practice for all clinical disciplines;
- Ramsay Health Care has targeted education and competency requirements in all clinical areas with a particular focus on high risk areas; and
- Staff are orientated and updated on quality and risk systems.
4. Consumer Participation (involving our patients and carers in their care)
- Consumers participate in our risk management and quality improvement activities;
- Consumer complaints and feedback processes are managed in a timely way;
- Consumer feedback from Ramsay Patient Satisfaction
- Surveys informs strategic and business planning;
- Consumers participate and partner in improving patient experiences and health outcomes;
- Health and safety performance is publicly available on hospital website; and
- Open disclosure between clinicians and consumers is actively promoted when things don’t go to plan.
Performance across these areas by all Ramsay hospitals is closely monitored by Ramsay’s Clinical Governance Unit and reported through to the Company’s Risk Management Committee and the Board of Ramsay Health Care.
Our Safety & Quality Performance
Accreditation is an important driver for safety and quality improvement. Through accreditation our hospital has been able to assess our level of performance in relation to established national and international standards and implement ways to continuously improve.
All Ramsay Health Care hospitals are fully accredited with either the Australian Council on Healthcare Standards (ACHS) or certified by a recognised body as being compliant with the International Organization for Standardization (ISO) 9001 standard.
Mental Health Indicator
To assess the improvement in a patient’s mental health issues, our facility uses the HoNOS (Health of the Nation Outcome Scales) - an internationally recognised scale. On admission and again prior to discharge, the patient's mental health problems are assessed. A decrease in the score on discharge indicates that there has been improvement in the patient's mental health problems since their admission.
Lower score on discharge is better