Dorset Rehabilitation Centre

MyHealthscope - Quality and Safety

At Dorset Rehabilitation Centre, we take quality and safety seriously.

To provide you with information about our performance, Dorset Rehabilitation Centre publishes data which measures the quality and safety of our care. This is only one part of our program to continually maintain and improve our high standards. It reflects our commitment to our patients, staff and specialists, in line with Healthscope's Purpose: We work together for better care.

At Dorset Rehabilitation Centre, quality is not just one simple measure. It includes many aspects of care and of a patient's experience.

Please click on the menu below to view data for each of the indicators we publish.

Dorset Rehabilitation Centre 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. This occurs every three years, in accordance with the Australian Commission on Safety and Quality in Health Care. The hospital is measured against eight overarching standards with many different criteria, including patient-centred care, medication management, clinical handover, infection prevention and staff education.

At the most recent survey in December 2017, Dorset Rehabilitation Centre achieved full accreditation. The hospital's accreditation report can be viewed here.

At Dorset Rehabilitation Centre, we are committed to providing patients with the best possible experience during their hospital stay. Patient experience often reflects the personal side of care. To evaluate how well we meet patient needs, we invite our patients to complete a survey after discharge. We have based our survey on the Australian Hospital Patient Experience Question Set (AHPEQS) developed by the Australian Commission on Safety and Quality in Health Care for use in both public and private health services.

Completion of our survey is voluntary and anonymous. Most patients fill in their surveys online. We conduct surveys continually throughout the year, which provides us with feedback that is more accurate than periodic surveys. Sample size has been building as we focus on electronic rather than paper survey formats.

Our senior hospital staff have access to Dorset Rehabilitation Centre’s survey results via an electronic Patient Experience Portal. This allows them to review feedback immediately and identify any opportunities for improvement. Maintaining anonymity, both positive and negative patient comments are shared with relevant staff. This is part of our commitment to provide the best possible experience for our patients.

Dorset Rehabilitation Centre’s survey results are also monitored by the Quality Department at Healthscope Corporate Office. Reports are presented to senior management and the Board.

One of our key questions about patient experience is the overall quality of treatment and care, which can be rated on a scale of 1 to 5, from ‘very poor’ to ‘very good’. The graph below shows patients' responses during the most recent quarter.

This graph shows that the majority of our patients have rated their overall treatment and care at Dorset Rehabilitation Centre as 'very good.'

The graph below shows the percentage of patients who have rated their overall treatment and care as 'very good' since we first included this question in the survey.

This graph shows that 'very good’ ratings have been somewhat variable but generally high. There was a drop in the second quarter of 2019, however, rates have improved markedly since then. [Data correct as at 19 February 2020.]

What are we doing to improve patient experience?

Dorset Rehabilitation Centre employs a variety of strategies to improve patient experience. These include:

  • ongoing staff education and provision of resources to ensure that care is person-focused and of the highest standard
  • hospital management constantly monitoring the rating of overall treatment and care and taking action to address any areas of concern
  • consulting with Healthscope’s National Patient Experience Manager to assist us in implementing strategies to enhance patient experience
  • engaging Consumer Consultants who provide feedback from a patient’s or carer’s perspective
  • involving patients in their care, for example by shift handover occurring at the bedside
  • follow-up phone calls to patients after discharge from hospital to ensure they are recovering well
  • keeping relatives informed of the current location of their loved one in hospital via the ‘Patient Finder’ app
  • ‘Patient Journeys’ – volunteer patients diarising detailed feedback on every part of their hospital experience from pre-admission to post-discharge follow-up
  • focused initiatives to address areas of concern, such as taste testing to improve our menu, or measuring of noise levels within different hospital areas

At Dorset Rehabilitation Centre, we measure the ability, mobility and independence of patients on admission and again on discharge, to see how they are improving. We use the internationally recognised FIMâ„¢ (Functional Independence Measure), a scale which measures the success of rehabilitation.

It is important to note that rehabilitation outcomes are not solely dependent on the quality of care provided. Patient-specific factors such as age, severity of condition and presence of other health issues can influence how much improvement is achieved.

This chart shows that patients at Dorset Rehabilitation Centre are slightly older on average than patients in other Australian hospitals.

The graph below shows the percentage of patients with a severe impairment on admission. The coloured bars show Dorset Rehabilitation Centre's rate. This is compared to the rate in other Australian hospitals, shown in the grey bar.

This chart shows that patients at Dorset Rehabilitation Centre have fewer severe impairments on admission compared to patients at other Australian hospitals.

See a definition for severity here.The graph below shows the improvement in patients after rehabilitation for a fractured bone. The dark coloured bars represent patients' abilities on admission to Dorset Rehabilitation Centre. The pale coloured bars represent patients' abilities on discharge. This is compared to the outcomes at other Australian hospitals, shown in the grey bars.

This graph shows that orthopaedic rehabilitation patients at Dorset Rehabilitation Centre achieve outcomes similar to those of patients in other Australian hospitals.

The graph below shows the improvement in patients after rehabilitation for a joint replacement. The dark coloured bars represent patients' abilities on admission to Dorset Rehabilitation Centre. The pale coloured bars represent patients' abilities on discharge. This is compared to the outcomes at other Australian hospitals, shown in the grey bars.

This graph shows that rehabilitation patients with a joint replacement at Dorset Rehabilitation Centre achieve outcomes similar to patients in other Australian hospitals.

The graph below shows the improvement in patients after rehabilitation for a neurological condition such as Parkinson's Disease or Multiple Sclerosis. The dark coloured bars represent patients' abilities on admission to Dorset Rehabilitation Centre. The pale coloured bars represent patients' abilities on discharge. This is compared to the outcomes at other Australian hospitals, shown in the grey bars.

This graph shows that rehabilitation patients with neurological conditions at Dorset Rehabilitation Centre achieve outcomes similar to patients in other Australian hospitals.

What are we doing to improve rehabilitation outcomes?

Dorset Rehabilitation Centre employs a variety of strategies to improve patients' rehabilitation outcomes. These include:

  • a multi-disciplinary team approach, including expert nursing and allied health professionals
  • individual and group therapy, often including practice of tasks of daily living
  • use of Functional Electrical Stimulation (FES) to improve strength and function in stroke patients
  • depression screening for all stroke patients to support full participation in rehabilitation
  • swallowing and/or speech/language therapy with a Speech Pathologist

    Dorset Rehabilitation Centre follows strict infection control procedures, and staff take every precaution to prevent infections. Specialised infection control staff collect and analyse data on infections in order to identify and implement best practices to reduce infection rates.

    Patients with weakened immune systems, with wounds and with invasive devices such as drips are at greater risk of infection than the general public.

    One of the infections that we closely monitor at Dorset Rehabilitation Centre is Staphylococcus Aureus Bacteraemia, also known as SAB or 'Golden Staph.' SAB can cause skin infections, blood poisoning, pneumonia and other infections.

    The graph below shows the number of Staphylococcus Aureus infections. The coloured bars represent Dorset Rehabilitation Centre's rate. This is compared to the Australian government target shown in the grey bar. The national benchmark for SAB is no more than 2 cases per 10,000 days of patient care.

    This graph shows that there have been no SAB infections at Dorset Rehabilitation Centre in recent years.

    To find out how we generated this data, see: Infection Rate Formulas

    What are we doing to prevent infection?

    Dorset Rehabilitation Centre employs a variety of strategies to prevent infections. These include:

    • auditing how often and how well staff wash their hands using soap and water or hand sanitiser
    • using gloves and specialised sterile equipment
    • assigning a dedicated Infection Control Nurse responsible for educating staff and implementing infection control strategies
    • using specialised disinfectants when cleaning facilities
    • following national guidelines for high level disinfection and sterilisation processes
    • placing hand sanitiser dispensers in public areas throughout our hospital so that they are readily accessible to staff, patients and visitors

    What can you do to help?

    At Dorset Rehabilitation Centre, patients and visitors are part of the health care team. There are a number of things you can do to reduce the risk of infection for yourself and others:

    • Wash your hands carefully with soap and water or use hand sanitiser upon entering and leaving the hospital. This is the most important way in which you can prevent the spread of infection.
    • Cover your mouth and nose with a tissue when you cough or sneeze. Clean your hands afterwards – every time!
    • If you don't have a tissue available, cough or sneeze into your elbow, not into your hand.
    • As a patient, report any infection you have had, especially if you are still on antibiotics.
    • Make sure you take the full course of antibiotics you have been given, even if you are feeling better
    • If you have a dressing for a wound, keep the skin around the dressing clean and dry. Let the healthcare worker looking after you know promptly if it becomes loose or wet
    • Tell your healthcare worker if the area around any drips, tubes or drains inserted into your body becomes red, swollen or painful.
    • Let the healthcare worker looking after you know if your room or equipment hasn't been cleaned properly
    • Stop smoking before any surgery, as smoking increases the risk of infection.

    Visitors

    • Don't visit if you have an illness such as a cough, cold or gastroenteritis ('gastro').
    • Wash your hands carefully with soap and water or use hand sanitiser when entering and leaving a patient’s room.

    For more information about how you can help:

    Hand Hygiene is another name for hand washing or cleaning. Good hand hygiene is an important part of infection control. Germs can survive on unwashed hands for over an hour, and we can unknowingly transmit bacteria and viruses to others.

    All Healthscope staff arr required to frequently wash their hands with soap and water or with waterless hand sanitiser. Both are equally effective. We follow the World Health Organization's guidelines for hand hygiene which specify the following times when staff must wash their hands:

    • before touching a patient
    • after touching a patient
    • before a procedure
    • after a procedure
    • after touching a patient's belongings or surroundings

    At Dorset Rehabilitation Centre, we use auditors who are accredited by Hand Hygiene Australia to record whether or not hand hygiene has been performed correctly.

    The graph below shows the levels of hand hygiene compliance. The coloured bars represent Dorset Rehabilitation Centre's rate. This is compared to the Australian national benchmark of 80%, shown in the grey bar.

    This graph shows that in recent years, hand hygiene compliance at Dorset Rehabilitation Centre has been above the national benchmark.

    When audits are performed, each professional group is checked – including doctors, nurses, cleaners and other hospital staff.

    The first graph below on the left shows which groups were audited. The graph on the right shows the hand hygiene compliance rate for different staff groups within Dorset Rehabilitation Centre. The graph shows that compliance rates for doctors are lower than for other groups.

    The graph below shows that doctor hand hygiene rates have improved since we introduced public reporting on this website in 2013.

    What are we doing to improve hand hygiene compliance?

    Dorset Rehabilitation Centre employs a variety of strategies to improve and hygiene compliance. These include:

    • ongoing education programs for staff about infections and hand hygiene
    • a designated Infection Control Nurse responsible for educating staff and implementing infection control strategies
    • placement of hand sanitiser dispensers in convenient areas throughout the hospital, including hallways and patient rooms
    • use of specially designed washbasins where water can be turned on and off without touching the tap

    What can you do to help?

    At Dorset Rehabilitation Centre, patients and visitors are part of the health care team. Good hand hygiene is the most important way in which you can prevent the spread of infection in hospital. There are a number of things you can do:

    • Wash your hands carefully with soap and water or use hand sanitiser upon entering and leaving the hospital.
    • Wash your hands carefully with soap and water or use hand sanitiser when entering and leaving a patient’s room.
    • Observe hospital signage about hand hygiene.
    • If you are unable to find a hand sanitiser station, please ask staff for assistance.

    For more information about how you can help:


    Falls are a leading cause of hospital-acquired injury and frequently prolong or complicate hospital stays. Patients may experience a fall because they are weakened by a medical condition or after an accident or surgery.

    The graph below shows the percentage of patients who have had a fall. The coloured bars represent Dorset Rehabilitation Centre's rate. This is compared to the rate of falls at other Australian private hospitals, shown in the grey bar.

    This graph shows that the average rate of falls at Dorset Rehabilitation Centre is slightly higher than that at other Australian private hospitals. Patients who are undergoing rehabilitation are encouraged to be up on their feet as part of their therapy. For this reason they may be more likely to have falls than patients in medical/surgical hospitals.

    For a discussion on the data, see: Limitations of data

    What are we doing to prevent patient falls?

    Dorset Rehabilitation Centre employs a variety of strategies to reduce the risk of patients having a fall. These include:

    • risk assessments to identify patients at risk of falling
    • ongoing staff education on falls prevention
    • patient education on prevention of falls in hospital and at home
    • use of safety equipment such as lifting hoists, walking aids and chair or bed sensors that alert staff when a patient who is at risk of falling gets up unassisted
    • setting up a Falls Prevention Working Party
    • conducting an annual Falls Prevention Week which involves staff and patient education
    • detailed analysis of each fall o assess if there were any preventable factors

    What can you do to help?

    At Dorset Rehabilitation Centre, patients and visitors are part of the health care team. You may like to print a brochure containing handy hints about preventing falls. You can also watch a helpful video.

    Brochure: Don't Fall For It
    Video: Speak Up Reduce Your Risk of Falling

    Pressure injuries - commonly known as bed sores - are areas of skin damage caused by prolonged pressure. they can range in severity from an area of reddened skin to ulcers with underlying tissue damage.

    Pressure injuries can sometimes occur when a patient remains in one position for a long period. Certain people are at increased risk of developing pressure injuries, such as the elderly, people who are bedbound or have poor mobility, and people with chronic conditions such as diabetes.

    The graph below shows the number patients who have developed a pressure injury during their admission to hospital. The coloured bars represent Dorset Rehabilitation Centre's rate. This is compared to the rate of pressure injuries in other Australian hospitals, shown in the grey bar.

    This graph shows that patients at Dorset Rehabilitation Centre are less likely to develop pressure injuries than patients in other Australian hospitals.

    What are we doing to prevent pressure injuries?

    Dorset Rehabilitation Centre employs a variety of strategies to minimise the risk of patients developing pressure injuries. These include:

    • risk assessments to identify patients who are susceptible to pressure injuries
    • ongoing education for nursing staff in pressure injury identification, prevention and management
    • patient education on prevention of pressure injuries in hospital and at home
    • use of pressure-relieving devices such as special mattresses, cushions, wedges, sheepskins, water-filled supports, contoured or textured foam supports, heel elevators and supports filled with gel or beads
    • regularly changing patients' position and encouraging walking or movement if possible
    • referral to a wound management consultant if a pressure injury is identified
    • review of each pressure injury to assess if there were any preventable factors

    Following discharge from hospital, patients may sometimes require an unplanned readmission. There are many reasons why a patient may need to return to hospital, such as a surgical wound infection that occurred after their initial hospital stay.

    Good discharge planning can help reduce the rate of unplanned readmissions. This includes making follow-up arrangements, providing patients with clear care instructions and helping them recognise symptoms that require immediate medical attention.

    The graph below shows the percentage of patients who have required an unplanned readmission to Dorset Rehabilitation Centre within 28 days of their first admission. The coloured bars represent Dorset Rehabilitation Centre's rate. This is compared to the rate of unplanned readmissions in other Australian hospitals, shown in the grey bar.

    This graph shows that patients admitted to Dorset Rehabilitation Centre are less likely to have an unplanned readmission compared to patients in other Australian hospitals.

    What are we doing to prevent unplanned readmissions?

    Dorset Rehabilitation Centre employs a variety of strategies to minimise unplanned readmissions. These include:

    • discharge processes which ensure that patients understand their medications and any post-operative instructions
    • arranging appropriate follow-up care and ongoing appointments, e.g. with the General Practitioner and Physiotherapist
    • review of each unplanned readmission to assess if there were any preventable factors

    Dorset Rehabilitation Centre supports transparent public reporting of healthcare quality data and actively participates in initiatives of the following organisations.

    Australian Commission on Safety and Quality in Healthcare (ACSQHC) – The Australian Commission on Safety and Quality in Healthcare (the Commission) was established in 2006 by the Australian, State and Territory Governments to lead and coordinate national improvement in safety and quality. Healthscope has representation on the Private Hospital Sector Advisory Committee and several key working groups.

    Australian Institute of Health and Welfare - The Australian Institute of Health and Welfare (AIHW) is a major national agency set up by the Australian Government under the Australian Institute of Health and Welfare Act to provide reliable, regular and relevant information and statistics on Australia's health and welfare.

    MyHospitals Website – This website lists all public and private hospitals in Australia, along with information about waiting times for elective surgery and emergency department access. Healthscope has representation on the MyHospitals Development Advisory Committee.

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