Our clinical quality results

St Vincent’s Lismore is committed to ensuring it is providing high quality and safe care to our patients and has built a strong culture of continuous quality improvement. In order to achieve this St Vincent’s Lismore recognises the need to regularly gather and monitor patient experience and clinical and quality outcome data in order to:

  • Identify and understand our own performance;
  • Be open and honest about the quality and performance of the services we provide;
  • Proactively use the data and outcome measures to evaluate and improve our service;
  • Incorporate our patients and community in the evaluation of our services and use their input to improve our service delivery;
  • Provide our patients and community with information in order for them to make an informed decision about their hospital of choice.

St Vincent’s Lismore’s clinical governance system ensures a wide range of clinical quality areas are monitored at all levels of clinical and corporate levels to ensure performance is to standard (as a minimum), to identify new service opportunities and ensure continuous quality improvement is a standard part of clinical quality and patient safety.

In addition to St Vincent’s Lismore internal clinical governance systems we provide and report on clinical quality data to several external healthcare regulatory bodies including the Private Health Regulatory Team, the Australian Council on Healthcare Standards (ACHS) and Palliative Care Outcomes Collaboration (PCOC). The provision of data to external bodies provides St Vincent’s Lismore the opportunity to benchmark outcomes and performance against other facilities (both private and public) and further enhance our ability to identify continuous improvement opportunities.


View our results:



Hand hygiene is the single most important factor in reducing hospital acquired infections and has been nominated as a priority area by the Australian Commission on Safety and Quality in Health Care (ACSQHC). Hand Hygiene Australia (HHA) has established a consistent best practice application for hand hygiene, referred to as the ‘five moments for hand hygiene’ as well as education and auditing within both public and private hospitals throughout Australia.

Hand Hygiene Compliance

St Vincent’s Lismore participates in Hand Hygiene Compliance auditing through Hand Hygiene Australia (HHA). This auditing program is based on trained hand hygiene auditors regularly undertaking observational audits of staff compliance with the application of the ‘five moments of hand hygiene’.

The above graph shows St Vincent’s Lismore’s percentage of compliance of observed correct moments of hand washing. The Hand Hygiene Australia benchmark is currently 80%, therefore anything higher than this is acceptable – the higher percentage the better.

These results are submitted to Hand Hygiene Australia for inclusion in a national database and are publicised on the MyHospitals website.

For further information visit the Hand Hygiene Australia website

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St Vincent’s Lismore is committed to minimising the risk of healthcare associated infections that can occur as a result of healthcare interventions and micro-organisms such as bacteria and viruses. These infections can occur when being treated in a hospital, a nursing home, another healthcare provider or at home.

Staphylococcus Aureus Bacteraemia (SAB)

In addition to Hand Hygiene data, St Vincent’s Lismore provides data on the number of cases of SAB (per 10,000 bed days of patient care) for reporting through Hand Hygiene Australia (HHA).


The above graph shows St Vincent’s Lismore’s occurrence of healthcare associated Staphylococcus aureus bacteraemia (SAB). The current national benchmark is currently two (2) cases per 10,000 days of patient care. A lower rate is better.

These results are submitted for publication on the MyHospitals website.

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