╨╧рб▒с>■  .0■   -                                                                                                                                                                                                                                                                                                                                                                                                                                                ье┴5@ Ё┐0╔bjbj╧2╧2 .нXнX╔       И2222222FJJJJ V F(ьnnnnnIIIзйййййй$Rfв═2IIIII═22nn█тqqqI 2n2nзqIзqqЛ22Лnb Ё▒ ▒УА╟JS Лз°0(Л ]  ЛFF2222 2ЛIIqIIIII══FFJg FFJSt AndrewТs Hospital Periodic Review Summary St AndrewТs Hospital is led by an outstanding leadership group which is progressive and focused on quality and safety. There is evidence of an excellent staff culture which supports the quality of care and camaraderie in the organisation. This culture is worth preserving and the hospital may consider the introduction of a УvaluesФ program (similar to some denomination hospitals) to ensure that new staff maintain organisational values and standards into the future. Give the above, it is not surprising that the mandatory criterion in the Leadership and Management Standard were well addressed. A feature of the management systems is the use of data to manage risk, quality and safety. Work on this outstanding project is already revealing potential to make a real difference to the quality of care for patients and for risk management. There has been an effort to improve patient understanding of rights and responsibilities since the Press Ganey Survey in 2005. Better results were achieved in a 2006 patient satisfaction survey. In terms of informed consent, the hospital may be interested in viewing the УQueensland Health, Patient Information SheetsФ website. It is suggested that the HospitalТs complaints processes be reviewed against the Australian Council for Safety and Quality in Healthcare УComplaints Management Handbook for Healthcare ServicesФ and УBetter Practice Guidelines on the Complaints Management for Healthcare ServicesФ. The requirements of the three mandatory Continuum of Care criteria have been met. It is evident that assessment and discharge processes are appropriate and that care is planned and delivered with input from the patient. It is suggested that development of a guide for the care of the very heavy patient be considered. A suggestion about follow up of Уat riskФ patients was made. The Human Resources Management mandatory criterion is well met and there are well established processes in place to ensure that staff are appropriately registered, licensed and/or credentialed. Likewise, the mandatory criterion in Information Management is met. The Safe Practice and Environment criteria are addressed well with some notable outcomes and achievements. During the survey it was not possible to confirm the radiation safety protection for the hospital staff and patients from the co-located radiology services. It is suggested that radiation protection be confirmed as a risk management exercise. ,.╚╔ъ╪╬┴hеUЕhеUЕOJQJ^JhеUЕOJQJ^J#hеUЕ5Б>*CJ OJQJ\Б^JaJ )hеUЕhеUЕ5Б>*CJ OJQJ\Б^JaJ -./  | } с т `a#$hi╔¤¤¤їїїїїїїїїїїїї$a$gdеUЕ╔■,1Рh░В. ░╞A!░"░#Ра$Ра%░░─░─ Р─Ь@@ё @ NormalCJ_HaJmH sH tH DA@Є бD Default Paragraph FontRiє │R  Table NormalЎ4╓ l4╓aЎ (kЇ ┴(No List╔     -./|}ст`a#$hi╦ Ш0ААШ0ААpШ0ААШ0ААШ0ААpШ0ААШ0ААpШ0ААШ0ААpШ0ААШ0ААШ0ААШ0ААШ0ААpШ0ААШ0АА╔ ╔ ╔ Ё8Ё@ё   АААўЁТЁЁ0Ё( Ё ЁЁB ЁS Ё┐╦  ?Ё╦ ╦ ╦ ╦   Jo McRoeхеUЕ @rsdqЯднss╔ @@  Unknown            GРЗz А Times New Roman5РАSymbol3&Р Зz А Arial5&Р ЗzaА Tahoma"ёМЁ╨h╨К┤F█К┤F uTuT!Ёа┤┤ББr4┼ ┼ 3ГЁ H)Ё ?ф                     еUЕ  ,St Andrew s Hospital Periodic Review SummaryJo McRoeJo McRoe■ рЕЯЄ∙OhлС+'│┘0ЬРШ╨▄Ё№ 0< X d p|ДМФф-St AndrewТs Hospital Periodic Review Summaryd 1t A Jo McRoeТs o Mo M Normal.dot  Jo McRoet 1 MMicrosoft Word 10.0@dЙ@|T&ТА╟@~╕пУА╟uT■ ╒═╒Ь.УЧ+,∙о0, hpФЬдм ┤╝─╠ ╘ фSt. Andrew's Hospital Inc.┼ A -St AndrewТs Hospital Periodic Review Summary Title ■   ■   ■    !"#$■   &'()*+,■   ¤   /■   ■   ■                                                                                                                                                                                                                                                                                                                           Root Entry         └FЁУ▒УА╟1АData              1Table    WordDocument    .SummaryInformation(            DocumentSummaryInformation8        %CompObj            j            ■                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           ■       └FMicrosoft Word Document MSWordDocWord.Document.8Ї9▓q