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About Us

Accreditation

Burnside Hospital had been accredited by Australia’s leading independent authority on healthcare, the Australian Council on Healthcare Standards (ACHS), continuously since 1985. This is a professional and national recognition awarded to healthcare facilities that meet defined standards.

In August 2021, ACHS recognised the high quality care delivered to patients of Burnside War Memorial Hospital by awarding it another four years accreditation through its compliance with the The National Safety and Quality Health Service (NSQHS) Standards.

The NSQHS Standards were developed by the Commission in collaboration with the Australian Government, states and territories, private sector providers, clinical experts, patients and carers. The primary aims of the NSQHS Standards are to protect the public from harm and to improve the quality of health service provision. 

The eight NSQHS Standards provide a nationally consistent statement about the level of care consumers can expect from health services:

Organisations must demonstrate, during a four year period, how they have improved the healthcare services they deliver. The Burnside Hospital has achieved an outstanding result in this latest ACHS accreditation process, reflecting the ongoing hard work, professionalism and commitment of the Board, management team, staff and volunteers to providing safe, contemporary  care to every patient, every time.

The overall approach to meeting the requirements of the accreditation program which encompasses the mandated 8 National Safety and Quality Health Service Standards was evidenced during the 2021 Organisation Wide Survey.

The survey provided Burnside an opportunity to demonstrate the strong commitment it has to providing safe, high quality healthcare to its consumers.

The lead surveyor commenced the summation conference by praising the Hospital for having a board, leadership team and professional workforce who were open in their dealings with the Assessors. She said:

"The organisation has done very well. There is strong evidence of a positive culture of care, teamwork and kindness which means that we would all be very happy to have our families treated and cared for by the team at Burnside Hospital."

Some of the key findings of the accreditation team include:

  • Robust Safety and Quality Systems identified across the Organisation (Clinical Governance Framework)
  • Excellent organisational culture of a collaborative and consultative working relationship with Visiting Medical Officers (VMO’s) was evident throughout every standard
  • Identified the use of the PICMoRS action plan being a valuable way to capture and document actions being undertaken
  • Evidence of a culture of trust in and respect for each other throughout the organisation
  • Strong consumer involvement, consultation and consideration identified through every standard
  • Medication Management Reconciliation especially in relation to high risk medication patient reviews very well done, and highest level of reporting seen in any organisation by the Assessor
  • Assessor praised with highest accolades and could only see positive improvements happening in the Comprehensive Care Standard
  • Noted to have a very good patient safety culture through very low number of patient incidents (falls, pressure injuries)
  • Assessor ordered lunch from the patient menu and remarked the meals were stunning and this was reiterated to them from a patient who was interviewed
  • Very thorough patient handover witnessed that was really personal and tailored to the patient and respectful of their care needs
  • Team time out in the operating suite very well done with the surgeon and the team gracious
  • REACH (consumer escalation) procedure well used and consumers aware and gave feedback of reassurance that they can escalate care and be supported if doing this
  • Staff voiced feeling confident and have no hesitation in contacting Visiting Medical Officers should clinical condition require per the track and trigger process

 

"At Burnside Hospital we put the safety of our patients first and look for ongoing opportunities to improve our care and services. We recognise that improvement is a never-ending task and our teams commitment to meeting the ever-changing consumer requirements and providing excellence in patient care has once again been acknowledged.

Our ongoing accreditation is one way we continue to assure our community that Burnside Hospital meets the high standards set for private hospitals across the state and the level of care and service that patients can expect from our services."

Ms Wendy Gray
Quality, Safety and Risk Manager

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Any surgical or invasive procedure carries risks. Seek advice from an appropriately qualified health practitioner before proceeding with any procedure.