The Hollywood Clinic
Part of Ramsay Health Care

Coming to hospital for mental health care

To assess the improvement in a patient’s mental health, Ramsay Health Care uses the HoNOS (Health of the Nation Outcome Scales) which is an internationally recognised scale to measure progress of health and social functioning of people with a mental disorder. The HoNOS was specifically designed for use in general adult mental health services. On admission, and again prior to discharge, the patient's mental health is assessed. A decrease in the score on discharge indicates that there has been improvement in the patient's mental health since their admission.

To assess the improvement in a patient’s mental health, Ramsay Health Care uses the MHQ-14 (Mental Health Questionnaire), which is an internationally recognised scale. The MHQ–14 is a patient self–report measure consisting of items that address symptoms of fatigue, anxiety and depression and the impact of those symptoms on social and role functioning. On admission and again prior to discharge, the patient assesses their mental health status. An increase in the score on discharge indicates that the patient has noted an improvement in their mental health conditions since their admission.

These charts show the results for Ramsay Health Care hospitals for the most recent period January to March 2019 for both the HoNOS and MHQ-14.

HoNOS Score (A lower score on discharge is better)

MHQ-14 (A higher score on discharge is better)

Comprehensive care indicators

Falls

The risk of falling increases according to age; with data suggesting that one third of people over the age of 65 years have one or more falls a year. Falls can occur at all ages, though the frequency and severity of fall-related injuries increases significantly with age. These injuries can include minor skin abrasions, joint dislocation, fractures and head injuries. These injuries may result in hospitalisation or an increased length of stay in hospital.

The risk of falling can greatly increase when admitted to hospital due to a range of factors including: illness and unsteadiness, adapting to a new environment, the introduction of new medications and walking in unsafe footwear or slippers.

What Ramsay Health Care does to reduce your risk

In 2015, Ramsay Health Care increased the focus on falls prevention in hospitals by appointing a National Falls Prevention Advisory Group. This group has standardised the approach to falls prevention across all Ramsay hospitals by targeting a structured risk assessment, policy and guidelines, equipment for falls prevention and clinical staff education.
Our hospitals use a number of strategies to prevent falls and these include: targeted hourly rounding of patients identified as high risk of falling; ensuring that call bells and personal items are within patient reach; call bells are answered promptly, and patients are assisted to the toilet at regular intervals. In addition, Ramsay Health Care has purchased low beds, falls mats, and patient alarms to minimise the risk of patients falling whilst in our hospitals.

What you can do to reduce your risk

Falls can be a major cause of injury.  We want to protect you from a fall during your hospital stay and you can help by:

  • Becoming familiar with your surroundings
  • Get to know how the bed controls work and how to use the call bell – if you cannot reach it, ask your nurse to move it within your reach
  • If you need help, use the call bell to alert staff
  • Wear supportive, flat, non-slip shoes – do not walk around in socks or pressure stockings (TED stockings)
  • If you use glasses, hearing aids, a walking stick or walker, keep them in easy reach by the bedside, use the call bell to ask staff to assist you
  • Make sure your bed height is appropriate for you to get in and out of – if your bed is too high ask the nurse to adjust it for you
Falls indicators are reported as a percentage of all patient days during the period. Ramsay Health Care participates in the Australian Council on Healthcare Standards (ACHS) Clinical Indicator Program and use their definitions for these indicators. The indicators are calculated by dividing the number of inpatient falls that meet the indicator criteria by number of days for all patients who were admitted.

Patient Falls (Lower score is better)

Medications

Medicines are commonly used to treat a variety of conditions in the healthcare setting, and therefore, it is important to measure the risk of errors. Ramsay Health Care has a very low rate of medication errors due to its implementation of a range of medication safety strategies.

What Ramsay Health Care does to reduce your risk

Ramsay Health Care takes all medication errors very seriously. We encourage staff to report all medication errors as incidents, no matter how minor they may seem. All medication incidents are investigated and actioned and any serious medication incidents are investigated thoroughly and monitored by Ramsay’s National Clinical Governance Unit.
In addition, Ramsay Health Care has medication administration policies and processes in place which have been developed using best practice principles.
The Australian Commission on Safety and Quality in Health Care has introduced safety initiatives for medication administration and reconciliation and Ramsay Health Care has adopted these strategies. This includes the National Inpatient Medication Chart which standardises the documentation on how medicines are prescribed and ordered. Adoption by Ramsay Health Care of the User-Applied Labelling of Injectable Medicines recommendations has assisted in preventing medication errors related to the wrong route, dose or medication being administered.

What you can do to reduce your risk

We encourage you to be involved in the management of your medicines, if you have any concerns please discuss this with your doctor, pharmacist or nurse.

It is important during your stay with us that we know what medicines you are taking. Our doctors, pharmacists and nurses will ask you about the medications you take at home, including any complementary or alternative therapy medicines, for example vitamins, nutritional supplements, homeopathic medicines, Chinese or Ayurvedic medicines and Australian indigenous medicines. 

It is important you advise the staff of any allergies you have experienced or any reactions you have had to medicines taken in the past.

The serious medication error indicator is reported as a percentage of all patient days during the period. Ramsay Health Care participates in the Australian Council on Healthcare Standards (ACHS) Clinical Indicator Program and use their definitions for this indicator. It is calculated by dividing the number of patients who require medical intervention as a result of a medication safety incident by number of days for all patients who were admitted.

Serious medication errors (A lower rate is better)

Skin Care

Pressure injuries are wounds which form as a result of prolonged pressure to an area of skin. Pressure injuries are recognised worldwide as a common cause of harm to patients and could cause significant pain and discomfort which may result in a slower recovery for a patient.

What Ramsay Health Care does to reduce your risk

Ramsay hospitals are well equipped with the latest equipment to assist staff to prevent these injuries from occurring. Patients are risk-assessed on admission using an evidenced based tool. Staff follow a care plan which is targeted to minimise a patient’s risk of developing a pressure injury for those patients assessed as high risk. This includes inspecting the patient’s skin frequently, managing moisture, keeping the skin dry, optimising nutrition and hydration, moving the patient frequently, or using special pressure relieving mattresses when needed.

What you can do to reduce your risk

Pressure injuries also called bed sores or pressure ulcers can happen very quickly if you are unwell or not able to move easily. Any form of pressure or rubbing can cause skin damage, particularly if your skin is moist or if you suffer from poor circulation or poor sensation.
You can assist by telling your nurse if you have:

  • Any skin pain or burning feeling
  • Keep active – when in bed change positions, turn from side to side to relieve the pressure on you bottom and heels, move as much as possible
  • Eat a variety of foods each day and drink plenty of fluids
  • Avoid wrinkled, damp clothes and bedding – alert the staff
  • Sliding down the bed can put pressure on heels, bottom and elbows. To avoid this ask the staff to raise the foot of the bed or sit out of bed to eat, if allowed
  • Avoid smoking as this reduces blood flow to the skin

The pressure injury indicator is reported as a percentage of all patient days during the period. Ramsay Health Care participates in the Australian Council on Healthcare Standards (ACHS) Clinical Indicator Program and use their definitions for this indicator. It is calculated by dividing the number of patients who develop a pressure injury that meets the indicator criteria by number of days for all patients who were admitted.

Patients developing pressure injuries in hospital (A lower rate is better)