Sir John Monash Private Hospital has been registered with the Department
of Health in Victoria since 1992 and is fully accredited against AS/NZ ISO
9001-2016 since 2011and the National Safety & Quality Health Services
Standard .

Safety & Quality

Our Philosophy is:
As a private hospital, our success will be directly related to the level of satisfaction we achieve in supplying services to the medical fraternity, their patients, and the environment within which our staff work. We believe that if we achieve this through efficient management, the needs of a ‘for profit’ private hospital will also be satisfied. Every member of staff contributes significantly either directly or indirectly to the quality of care we provide to our patients. Our staff will only be able to attain the high standards to which we aspire if they are well organised, work towards defined standards, have a clear sense of purpose and direction for the organisation and are encouraged and allowed to make a significant contribution to the setting of those standards. Whilst the organisational structure is divisionally defined on a functional basis, optimum results will be achieved by a team approach to client focused services. Managers at various levels throughout the organisation will be given responsibility and authority to plan and control the performance of their respective areas. Our business is medical hospitality. The hospitality aspect should help to distinguish the performance of this hospital from its peers and competitors in both public and private hospitals. The commercial success of the organisation depends on both efficient and effective management focus. We understand that new surgeons and new patients will be attracted to the Hospital because of the friendly atmosphere, and professional manner, and the Hospital’s reputation for excellence.

Our organisation is committed to child safety. We want children to be safe, happy and empowered. We support and respect all children, as well as our staff and volunteers. We are committed to the safety, participation and empowerment of all children. We have zero tolerance of child abuse, and all allegations and safety concerns will be treated very seriously and consistently with our robust policies and procedures. We have legal and moral obligations to contact authorities when we are worried about a child’s safety, which we follow rigorously. Our organisation is committed to preventing child abuse and identifying risks early, and removing and reducing these risks. Our organisation has robust human resources and recruitment practices for all staff and volunteers. Our organisations is committed to regularly training and educating our staff and volunteers on child abuse risks. We support and respect all children, as well as our staff and volunteers. We are committed to the cultural safety of Aboriginal children, the cultural safety of children from a culturally and/or linguistically diverse backgrounds, and to providing a safe environment for children with a disability. We have specific policies, procedures and training in place that support our leadership team, staff and volunteers to achieve these commitments.

Sir John Monash Private Hospital has a formal Medical Advisory Committee with representatives from our medical team, Director of Nursing & the CEO. The committee reviews clinical outcomes and excellence, addresses clinical compliance & has a strict protocol for credentialing and checking scope of practice for all medical practitioners.

Sir John Monash Private Hospital has a comprehensive Infection Prevention & Control program. Regular audits are performed to ensure we comply with the Australian Guidelines for Prevention & Control of Infections in Healthcare, AS/NZ4187:2014 & National Safety & Quality Health Services Standard.

Sir John Monash Private Hospital is committed to the Hand Hygiene Australia program & conduct regular audits which align with the national average. If you wish to see the HHA National data please follow the following site

Sir John Monash Private Hospital is committed to providing a high level of care by ensuring our staff receive training in the following.

  • Basic Life Support
  • Medication Safety
  • Clinical Deterioration
  • Manual Handling
  • Comprehensive Care
  • Communication
  • Fire Safety Training

Sir John Monash Private Hospital welcomes consumers to give us feedback. Feedback forms are available in recovery and reception. If you wish to be involved in our safety & quality program by reviewing data or contribute to our publications please contact the Director of Nursing.