At Delmont Private Hospital providing optimum quality care that preserves the safety and wellbeing of our patients is at the core of everything we do. In order to ensure that our customers receive the best possible care from Delmont we have implemented a number of quality and safety improvement mechanisms to aid us as we strive for excellence.

Our commitment to quality and safety includes both internal quality assurance mechanisms as well as participation in an external accreditation process.


Accreditation is the process that hospitals undertake to ensure they provide safe, high quality care, compliance to healthcare law and regulations as well as meeting industry standards.

In Australia, hospitals must meet the National Safety and Quality Health Service (NSQHS) Standards to gain accreditation. These standards were developed by the Australian Commission on Safety and Quality in Health Care (ACSQHC) in consultation with a wide range of stakeholders, including health professionals and patients.  

Delmont Private Hospital has been a fully accredited hospital for over 20 years, undergoing regular assessments to meet the NSQHS standards. The hospital is currently accredited until January 2021.

National Safety and Quality Health Service Standards Brochures:

Clinical Care

Delmont Private Hospital collects data on patient care, known as Clinical Indicators.  A Clinical Indicator is simply a measure of the clinical management and/or outcome of

Most hospital’s in Australia contribute to the clinical indicator data collection, the graphs below show Delmont’s results in comparison with other hospitals.

Infection Control

Hand Hygiene

Effective health care worker hand hygiene is a core strategy in the prevention of health care associated infections.  Delmont Private Hospital undertakes audits of hand hygiene techniques three times per year and follows Hand Hygiene Australia protocols.

Infection Control

To ensure the hospital is meeting National Standards for infection control practices, an external Infection Control Consultant directs the infection control program.

The overall assessment of the hospital’s infection control program result:

Mental Health Outcomes


At Delmont Private Hospital the clinical staff complete an assessment tool on each patient on admission and discharge called HoNOS (Health of the Nation Outcome Score) to determine if the hospital’s treatment is effective.

The graph below shows HoNos admission and discharge scores (2019).


Patients are also asked to rate their treatment, using the Mental Health Questionnaire (MHQ) on admission and discharge.

The graph below shows MHQ admission and discharge scores (2019)

Patient Experience

Patient feedback on our facility, care and service is very important to the hospital. All inpatients are asked to complete the Patient Experience of Care Survey on discharge—the Surevey is offered to day patients at times throughout the year.

The Patient Experience of Care Survey has been specifically designed to collect feedback on patient experiences in Australian mental health facilities. The graph below shows the hospital's results in comparison to all hospitals data.


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