A culture of quality
We are committed to providing excellent holistic care across our
services, increasingly caring for people at various stages of their
We aspire to meet and exceed industry best practice. We evaluate
our success and inform our continuous improvement programs by
involving patients and clients, peak industry bodies, and community
and government representatives. We also participate in qualitative
and quantitative measures such as accreditation, quality and
clinical risk management, clinical audits, reviews and
Quality and clinical risk management
Our quality and clinical risk management systems ensure patient
safety and quality outcomes and enable us to monitor and learn from
any advserse events.
St John of God Hospital Warrnambool is accredited by the
independent Australian Council on Healthcare
Standards under its Evaluation and Quality Improvement Program.
Accreditation surveys are on a rolling four year cycle, with a
major organisation wide survey every four years and a periodic
review ever two years.
During an organisation-wide survey, performance is reviewed
against 45 criteria, including 14 mandatory criteria in the
functional areas of clinical, corporate and support.
Our doctors are private visiting specialists, who apply to our
Medical Advisory Committees for accreditation to obtain clinical
privileges to provide medical, surgical, obstetric and other
services to patients. Our By Laws for Medical and Dental
Practitioners govern this process and detail the clinical
responsibilities and rules of conduct by which they abide.
An important part of the continuous improvement and quality
programs for our hospital are annual surveys of patient and
doctor satisfaction via the independent survey company, Press
Ganey, which benchmarks results against those of other
participating public and private health care groups. The surveys
provide us with specific information related to satisfaction,
enabling us to identify our strengths and opportunities to