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patient reported outcomes
National Renal Care

Physical well-being for patients on long-term haemodialysis

66.7% 66.7% 66.7%
Percentage of patients who report that their physical well-being is within the range recommended for patients on long-term haemodialysis.
Current period: Oct 2018 - Sep 2019

Haemodialysis is a treatment that filters waste and water from your blood if your kidneys cannot do it for you. Patients are asked about how their condition and treatment impacts their physical activities such as self-care, walking, climbing stairs, and moderate or vigorous activities. This information is used in planning the best treatment plan for that individual person.

What does this mean for you?
Physical well-being

Technical information

This result shows you the extent to which a patient’s health impacts their physical activities such as self-care, walking, climbing stairs, and moderate or vigorous activities. It is reported as a percentage of the total physical component summary score. A higher score is better.

The measurement is based on the survey and reporting standards from the RAND 36-item Short Form Health Survey (SF-36).

The data source is the NRC’s specifically designed IT system, the Patient Care System, in which the SF-36 data is captured and scored.

The measurement is calculated by converting each question’s answer to a percentage of the total possible score. The physical composite score is the average of the percentages for each question included in that composite score.

You
patient reported outcomes
National Renal Care

Mental well-being for patients on long-term haemodialysis

87.2% 87.2% 87.2%
Percentage of patients who report that their mental well-being is within the range recommended for patients on long-term haemodialysis.
Current period: Oct 2018 - Sep 2019

Haemodialysis is a treatment that filters waste and water from your blood if your kidneys cannot do it for you. Patients are asked about how their condition and treatment impacts their mental well-being. It includes depression, behavioural and emotional control, anxiety and feelings of belonging. This information is used in planning the best treatment plan for that individual person.

What does this mean for you?
Mental well-being

Technical information

This result shows you the extent to which a patient’s health impacts their mental well-being and includes depression, behavioural and emotional control, anxiety, and feelings of belonging. It is reported as a percentage of the total mental component summary score. A higher score is better.

The measurement is based on the survey and reporting standards from the RAND 36-item Short Form Health Survey (SF-36).

The data source is the NRC’s specifically designed IT system, the Patient Care System, in which the SF-36 data is captured and scored.

The measurement is calculated by converting each question’s answer to a percentage of the total possible score. The mental composite score is the average of the percentages for each question included in that composite score.

You
patient reported outcomes
Akeso Clinics

Improvement in level of functioning

0.737 0.737 0.737
Improvement in level of functioning during an admission is measured using the Aw effect size. Results above 0.71 indicate a large improvement.
Current period: Oct 2018 - Sep 2019

Mental illness impacts your ability to function physically, mentally and socially in your day-to-day life. On admission, patients are asked about how their day-to-day life has been affected. This information is used by the patient and their healthcare team to better understand the impact of their illness and to plan their treatment. At the end of their stay, the survey is repeated to review their progress towards recovery.

What does this mean for you?
Improvement in level of functioning

Technical information

This result is an Aw effect size which measures the size of the difference between the admission and discharge scores for the level of functioning. A higher score is better. An Aw effect size greater than 0.71 is considered to be a large effect.

The measurement is based on survey results from the World Health Organisation Disability Assessment Scale 2.0 (WHODAS 2.0) for level of functioning. The statistical methods used align with the sixth edition of the Publication Manual of the American Psychological Association.

The data source is the Salesforce CRM platform which is used to capture survey responses and contains admission data transferred to it from the Akeso hospital billing system.

The measure is calculated using the Non-Parametric Common Language Estimator (Aw) for effect size and Cliff’s Confidence Interval Procedure.

You
patient reported outcomes
Akeso Clinics

Improvement in symptom severity

0.875 0.875 0.875
Improvement in symptom severity during an admission is measured using the Aw effect size. Results above 0.71 indicate a large improvement.
Current period: Oct 2018 - Sep 2019

Needing to be admitted is often a result of the severity of the symptoms caused by your mental illness. On admission, patients are asked about how often they have experienced the various symptoms of mental illness. This information is used by the patient and their healthcare team to understand the burden of their illness on them and to plan their treatment. At the end of their stay, the survey is repeated to review their progress towards recovery.

What does this mean for you?
Improvement in symptom severity

Technical information

This result is an Aw effect size which measures the size of the difference between the admission and discharge scores for symptom severity. A higher score is better. An Aw effect size greater than 0.71 is considered to be a large effect.

The measurement is based on survey results from the DSM-5 Self-Rated Level 1 Cross-Cutting Symptom Measure for symptom severity. The statistical methods used align with the sixth edition of the Publication Manual of the American Psychological Association.

The data source is the Salesforce CRM platform which is used to capture survey responses and contains admission data transferred to it from the Akeso hospital billing system.

The measure is calculated using the Non-Parametric Common Language Estimator (Aw) for effect size and Cliff’s Confidence Interval Procedure.

You
patient reported experience
Akeso Clinics

Akeso doctors

Current period: Oct 2018 - Sep 2019
Always treated with courtesy and respect
94.3% 94.3% 94.3%
Percentage of patients who rated their experience as ‘always’ in response to the question how often did your doctor treat you with courtesy and respect.
Always listen carefully
93.2% 93.2% 93.2%
Percentage of patients who rated their experience as ‘always’ in response to the question how often did your doctor listen carefully to you.
Always explain in a way you understand
92.6% 92.6% 92.6%
Percentage of patients who rated their experience as ‘always’ in response to the question how often did your doctor explain things in an understandable way.
How are doctors in the Akeso clinics performing?

Technical information

These results are the percentage of patients who responded to the question and rated their experience as ‘always’. A higher score is better. The response options are always, usually, sometimes and never.

The measurements are based on the survey and reporting standards of the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS).

The data source for Akeso clinics, a paper version of the HCAHPS aligned survey is made available to patients before they leave the hospital. Their responses are subsequently captured in an electronic form and the data from each clinic consolidated centrally.

The measurement is calculated as the number of patients who rated their experience for the question as ‘always’ divided by the number of patients that responded to the question, reported as a percentage.

You
patient reported experience
Akeso Clinics

Akeso nurses

Current period: Oct 2018 - Sep 2019
Always treated with courtesy and respect
84.4% 84.4% 84.4%
Percentage of patients who rated their experience as ‘always’ in response to the question how often did your nurse treat you with courtesy and respect
Always listen carefully
81.5% 81.5% 81.5%
Percentage of patients who rated their experience as ‘always’ in response to the question how often did your nurse listen carefully to you.
Always explain in a way you understand
83.5% 83.5% 83.5%
Percentage of patients who rated their experience as ‘always’ in response to the question how often did your nurse explain things in an understandable way.
How are nurses in the Akeso clinics performing?

Technical information

These results are the percentage of patients who responded to the question and rated their experience as ‘always’. A higher score is better. The response options are always, usually, sometimes and never.

The measurements are based on the survey and reporting standards of the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS).

The data source for Akeso clinics, a paper version of the HCAHPS aligned survey is made available to patients before they leave the hospital. Their responses are subsequently captured in an electronic form and the data from each clinic consolidated centrally.

The measurement is calculated as the number of patients who rated their experience for the question as ‘always’ divided by the number of patients that responded to the question, reported as a percentage.

You
patient reported experience
Netcare Hospitals

Netcare doctors

Current period: Oct 2018 - Sep 2019
Always treated with courtesy and respect
90.3% 90.3% 90.3%
Percentage of patients who rated their experience as ‘always’ in response to the question how often did your doctor treat you with courtesy and respect.
Always listen carefully
86.3% 86.3% 86.3%
Percentage of patients who rated their experience as ‘always’ in response to the question how often did your doctor listen carefully to you
Always explain in a way you understand
84.3% 84.3% 84.3%
Percentage of patients who rated their experience as ‘always’ in response to the question how often did your doctor explain things in an understandable way.
How are doctors in the Netcare Hospitals performing?

Technical information

These results are the percentage of patients who responded to the question and rated their experience as ‘always’. A higher score is better. The response options are always, usually, sometimes and never.

The measurements are based on the survey and reporting standards of the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS).

The data source for Netcare hospitals is the HCAHPS survey which is emailed to patients after they’ve left the hospital. The patients’ responses are delivered directly to a Netcare database and once entered, cannot be manipulated.

The measurement is calculated as the number of patients who rated their experience for the question as ‘always’ divided by the number of patients that responded to the question, reported as a percentage.

You
patient reported experience
Netcare Hospitals

Netcare nurses

Current period: Oct 2018 - Sep 2019
Always treated with courtesy and respect
78.0% 78.0% 78.0%
Percentage of patients who rated their experience as ‘always’ in response to the question how often did your nurse treat you with courtesy and respect.
Always listen carefully
69.2% 69.2% 69.2%
Percentage of patients who rated their experience as ‘always’ in response to the question how often did your nurse listen carefully to you.
Always explain in a way you understand
68.1% 68.1% 68.1%
Percentage of patients who rated their experience as ‘always’ in response to the question how often did your nurse explain things in an understandable way.
How are nurses in the Netcare Hospitals performing?

Technical information

These results are the percentage of patients who responded to the question and rated their experience as ‘always’. A higher score is better. The response options are always, usually, sometimes and never.

The measurements are based on the survey and reporting standards of the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS).

The data source for Netcare hospitals is the HCAHPS survey which is emailed to patients after they’ve left the hospital. The patients’ responses are delivered directly to a Netcare database and once entered, cannot be manipulated.

The measurement is calculated as the number of patients who rated their experience for the question as ‘always’ divided by the number of patients that responded to the question, reported as a percentage.

You
patient reported experience
Netcare Hospitals

Individual hospital performance

Current period: The previous 12 months, up to the most recent completed calendar month

Your feedback on interactions with our staff is valuable information that assists us to address areas which are important to you, and improve the quality of our care and services. It is important as your experience impacts your recovery from your illness. Patients who participate in making decisions regarding their treatment and whose personal values and desired results are considered, are more likely to understand and follow their treatment plans, and often have a better recovery.

You can use this search function to find information on the patient experience survey results for each Netcare hospital and Emergency Department.

Individual Netcare hospital performance

Technical information

These results are the average score for the set of questions included in each category. A higher score is better. The graph shows the distribution of the patients’ answers for the question responses in that category. The response options are always, usually, sometimes and never.

The measures are based on the survey and standards of the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS). These rates have been independently validated and watermarked.

The data source is the HCAHPS survey which is emailed to patients after they’ve left the hospital. These patients’ responses are delivered directly to a Netcare database and once entered, cannot be manipulated.

The measure is calculated as the average score of the questions for each category. It is reported as a percentage. The graph shows the distribution of the patients’ responses as a percentage of the questions answered

Best
Best results

Improved survival prospects for trauma patients

Priority 1 trauma patients who have severe physical injuries requiring immediate life-saving care, have a better prospect of surviving when treated in a trauma-specialised emergency department. Netcare operates the only three Accredited Level-1 Trauma Centres in Africa. They are accredited by the Trauma Society of South Africa. Using 5 years of data from Netcare’s emergency departments and advanced analytics, we have shown that priority 1 trauma patients admitted to Milpark and Union Hospitals have a 76% reduction in their mortality rate. St Anne’s Hospital was excluded as it was not accredited in the period under review.

Improved survival prospects for trauma patients

Technical information

This result shows you the percentage reduction in the mortality rate for P1 trauma patients admitted to the Milpark and Union Hospital, Level-1 Trauma Units accredited by the Trauma Society of South Africa. St Anne’s Hospital was excluded as it was not accredited in the period under review.

The measurement is based on the definitions and methodology published in international literature for developed countries. This research has not been done in the South African context.

The data source is the specifically designed IT system for our emergency departments, Medibank, which is used to record clinically relevant patient information, such as an injury severity scores. The mortality data applied to patients who died in the emergency department or in the hospital during the associated trauma-related admission.

The measurement was calculated using a stepwise forward multivariate linear regression on 5 years of emergency department data for P1 trauma patients to identify those factors relevant to the analysis. The presence of a Level-1 trauma unit at a hospital was found to have a statistically significant impact on the probability of survival, all other factors being equal.

Best
Best time

How quickly Netcare 911 responds

15.85 15.85 15.85
minutes
Response Time - from answering call to arriving to help.
Current period: Oct 2018 - Sep 2019

When you need an ambulance, the time it takes for us to come and help you is critical. Netcare 911 measures the response time, the time from when we answer your call to when we arrive to help you.

What is Netcare 911 doing to keep getting better?
How quickly Netcare 911 responds

Technical information

This result shows you the median time in minutes from when a call is answered to when the emergency medical services (EMS) arrives at the scene.

The measurement is based on the international and South African standard for measuring EMS effectiveness, the Response Time.

The data sources are the Netcare 911 telephony, dispatch and Electronic Patient Report Forms.

The measurement is calculated as the median of the response times for the period.

Best
Best time

How quickly antibiotics are administered for severe infections

86.0% 86.0% 86.0%
Percentage of patients who get their 1st dose of an antibiotic within one hour of prescription.
Current period: Oct 2018 - Sep 2019

For patients seriously ill with an infection, the time from when an antibiotic is prescribed by the doctor to when the first dose is given is critical for the best possible results.

What is Netcare doing to keep getting better?
How quickly antibiotics are administered

Technical information

This result shows the percentage of eligible patients who received the first dose of their first antibiotic within one hour of it being prescribed. It is calculated from a sample of patient charts that have been reviewed by a pharmacist. It is reported as a percentage. A higher score is better.

The measurement is based on a study conducted by Kumar et al (2006) and the surviving sepsis campaign guidelines. Kumar A, Roberts D, Wood KE, et al. Duration of hypotension before initiation of effective antimicrobial therapy is the critical determinant of survival in human septic shock. Crit Care Med. 2006;34:1589–96.

The data source is the Bluebird system, a 3rd party software in which the pharmacists review patient charts and capture compliance to this measure.

The measurement is calculated by counting the number of patients that received their first antibiotic within one hour of it being prescribed divided by the number of patients prescribed a first antibiotic.

Best
Best way

Screening newborn babies’ hearing

82.0% 82.0% 82.0%
of newborn babies in our hospitals were screened in September 2019.
Current period: Oct 2018 - Sep 2019

Late identification of infant and child hearing loss can severely impact their development. In June 2019 we introduced the first South African newborn hearing screening programme at our hospitals. From June to September 2019, 1 105 newborns were referred for further tests of their hearing. The screening is done 7 days a week, 365 days a year.

What is Netcare doing to keep getting better?
Screening newborn babies’ hearing

Technical information

This result shows you the percentage of newborn babies screened for hearing loss before being discharged from our hospitals and the number of those screened who were referred for further testing.

The measurement is based on international best practice for Universal Newborn Hearing Screening (UNHS), which uses the 1:3:6 formula – screening by one month, diagnosis by three months and early intervention started by six months of age.

The data source is a South African UNHS data logging and management app custom developed for Netcare, the Hi Hopes-Netcare UNHS App. This app supports the UNHS process and monitors the follow-up of any newborn referred for further care and ultimately diagnosed with a hearing loss.

The measurement is calculated by counting the number of newborn babies screened divided by the number of live births for the period. The result is reported as a percentage, A higher score is better.

Best
Best way

Feeding pre-term babies donor breast milk

Current period: Oct 2018 - Sep 2019

We are working on increasing the volume of milk that we collect every month so we can feed the very low birth weight babies for a longer period than is current practice. To do this all our hospitals have to actively recruit mothers to donate their excess breast milk.

What is Netcare doing to keep getting better?
Feeding pre-term babies donor breast milk

Technical information

This result shows you the number of mother’s donating their excess breast milk and the number of babies who have been fed with the donated breast milk. A higher score is better.

The measurement is aligned with draft regulations from the South African Department of Health and is in line with international protocols on the management of human milk banks.

The data source is NICUfeed, a system that tracks and traces breast milk donations from donor to recipient, recording all details relevant to matching age appropriate donor milk to the recipient babies.

The measurement is calculated by counting the number of mothers and babies.

Best
Best way

Calcium - bone and mineral disorder for patients on long-term haemodialysis

67.6% 67.6% 67.6%
Percentage of patients whose latest calcium blood results are within the range recommended for patients on long-term haemodialysis.
Current period: Oct 2018 - Sep 2019

Calcium is the most abundant mineral found in your body, most of it in your bones and teeth. For patients’ on long-term haemodialysis, their bone metabolism may become out of balance which can result in a bone disorder. The levels of calcium in their blood are monitored regularly and, as necessary, treatment is given to either increase or lower their calcium levels.

What is National Renal Care doing to keep getting better?
Effectiveness of haemodialysis for patients needing long-term care

Technical information

This result shows you the percentage of patients whose latest blood test results are within the range recommended by the Kidney Disease Outcome Quality Initiative (KDOQI) and the Dialysis Outcomes and Practice Patterns Study (DOPPS), an international disease registry.

The measurement is based on the definitions and methodology published by the Kidney Disease Outcome Quality Initiative (KDOQI) and the Dialysis Outcomes and Practice Patterns Study (DOPPS), an international disease registry.

The data sources are National Renal Care’s patient care system.

The measurement is calculated by counting the number of patients’ results that are within the recommended range divided by the number of tested patients for the period under review. It is reported as a percentage.

Best
Best way

Phosphates - bone and mineral disorder for patients on long-term haemodialysis

47.7% 47.7% 47.7%
Percentage of patients whose latest phosphate blood results are within the range recommended for patients on long-term haemodialysis.
Current period: Oct 2018 - Sep 2019

Phosphates is a mineral found in your bones. Along with calcium, phosphates is needed to build strong healthy bones and it also keeps other parts of your body healthy. Patients on long-term haemodialysis may develop a high level of phosphates which can damage their body. In addition to dialysis, they need to reduce the phosphates in their diet and take medication that limits the build-up of phosphates.

What is National Renal Care doing to keep getting better?
Effectiveness of haemodialysis for patients needing long-term care

Technical information

This result shows you the percentage of patients whose latest blood test results are within the range recommended by the Kidney Disease Outcome Quality Initiative (KDOQI) and the Dialysis Outcomes and Practice Patterns Study (DOPPS), an international disease registry.

The measurement is based on the definitions and methodology published by the Kidney Disease Outcome Quality Initiative (KDOQI) and the Dialysis Outcomes and Practice Patterns Study (DOPPS), an international disease registry.

The data sources are National Renal Care’s patient care system.

The measurement is calculated by counting the number of patients’ results that are within the recommended range divided by the number of tested patients for the period under review. It is reported as a percentage.

Best
Best way

Haemoglobin - anaemia for patients on long-term haemodialysis

52.6% 52.6% 52.6%
Percentage of patients whose latest haemoglobin blood results are within the range recommended for patients on long-term haemodialysis.
Current period: Oct 2018 - Sep 2019

Haemoglobin is a blood test used to diagnose anaemia, a condition where there are not enough red blood cells to carry oxygen in your body. For patients on long-term haemodialysis, anaemia is caused by not enough iron, which the body uses to make red blood cells, and/or the kidneys are not making enough of the hormone, erythropoietin, which signals the body to make more red blood cells. Treatment includes iron supplements, medication that stimulates your body to make more red blood cells and blood transfusions.

What is National Renal Care doing to keep getting better?
Effectiveness of haemodialysis for patients needing long-term care

Technical information

This result shows you the percentage of patients whose latest blood test results are within the range recommended by the Kidney Disease Outcome Quality Initiative (KDOQI) and the Dialysis Outcomes and Practice Patterns Study (DOPPS), an international disease registry. It is reported as a percentage. A higher score is better.

The measurement is based on the definitions and methodology published by the Kidney Disease Outcome Quality Initiative (KDOQI) and the Dialysis Outcomes and Practice Patterns Study (DOPPS), an international disease registry.

The data sources are National Renal Care’s patient care system.

The measurement is calculated by counting the number of patients’ results that are within the recommended range divided by the number of tested patients for the period under review.

Best
Best way

Albumin – nutritional insufficiency for patients on long-term haemodialysis

85.3% 85.3% 85.3%
Percentage of patients whose latest albumin blood results are within the range recommended for patients on long-term haemodialysis.
Current period: Oct 2018 - Sep 2019

Albumin is a protein made by the liver from the foods you eat. It provides your body with the protein needed for growth and tissue repair, keeps fluid from leaking out of your blood vessels into your surrounding tissues and helps you fight infections. Patients on long-term haemodialysis may have a low albumin level, leaving them more vulnerable to infections and reducing the effectiveness of their dialysis. A correct, personalised diet is important to maintaining an adequate albumin level.

What is National Renal Care doing to keep getting better?
Effectiveness of haemodialysis for patients needing long-term care

Technical information

This result shows you the percentage of patients whose latest blood test results are within the range recommended by the Kidney Disease Outcome Quality Initiative (KDOQI) and the Dialysis Outcomes and Practice Patterns Study (DOPPS), an international disease registry.

The measurement is based on the definitions and methodology published by the Kidney Disease Outcome Quality Initiative (KDOQI) and the Dialysis Outcomes and Practice Patterns Study (DOPPS), an international disease registry.

The data sources are National Renal Care’s patient care system.

The measurement is calculated by counting the number of patients’ results that are within the recommended range divided by the number of tested patients for the period under review. It is reported as a percentage.

Safest
Fall prevention

Falls that result in injury

1.06 1.06 1.06
Number of falls that result in an injury, no matter how minor, for every 1 000 patients admitted to Netcare hospitals.
Current period: Oct 2018 - Sep 2019

While we can all fall anywhere, the possibility of falling increases during your stay in hospital. There are many reasons for this and why you may feel unsteady or dizzy when getting out of bed or walking around by yourself. This includes being on pain medication, the unfamiliar surroundings, recovering from an operation or simply being in bed for a long time.

What is Netcare doing to protect you from falling? What can you do to reduce your risk of falling?
Falls that result in an injury

Technical information

This result shows you how often a patient, older than 18 years, falls and injures themselves, no matter how minor the injury, while in hospital. It is reported at a rate per 1 000 admissions. A lower score is better.

The measurement is based on the definitions and methodology published by the National Quality Forum (NQF) and the Agency for Healthcare Research and Quality (AHRQ).

The data sources: We manually report any issues in our specifically designed IT system, the Incident Management System (IMS), which we use to track how well we are doing. All staff are encouraged to use these systems to report any issues of concern to them. The IMS system is used for the data on falls and the hospital billing system, SAP, for the admission and age data.

The measurement is calculated by counting the number of falls that resulted in an injury, divided by the number of patients, 18 years and older, that were admitted to hospital, multiplied by 1 000 for the period under review.

Safest
Infection prevention

Any infection acquired in hospitals

0.96 0.96 0.96
Any infection acquired in hospital.
Current period: Oct 2018 - Sep 2019

Infections can develop while you are admitted in hospital. Every effort is made to protect you from infections, with special attention given to patients with diseases that affect their body's ability to fight an infection.

What is Netcare doing to protect you from infections? What can you do to reduce your risk of developing an infection?
Any infection acquired in hospital

Technical information

This result shows you how often a patient acquires an infection two or more days after being admitted to hospital. It is reported at a rate per 100 admissions. All infections are reported, whether or not they are a result of being in hospital. A lower score is better.

The measurement is based on the definitions published by the Centers for Disease Control and Prevention's (CDC) National Healthcare Safety Network (NHSN).

The data sources are the Bluebird system, a 3rd party software used to record pathology results and specialist infection control nurses’ notes, for the data on the infections and the hospital billing system, SAP, for the admission data.

The measurement is calculated by counting the number of infections that developed two days after admission divided by the number of patients that were admitted to hospital multiplied by 100 for the period under review.

Safest
Infection prevention

Urinary tract infections

1.16 1.16 1.16
Number of urinary tract infections for every 100 patients who have a catheter (tube) placed in their bladder.
Current period: Oct 2018 - Sep 2019

Urinary tract infections can develop in hospital when a catheter (tube) is inserted into your bladder to drain your urine into a bag. Germs can enter the bladder along the tube and cause an infection. Catheter bags should be emptied regularly and the catheter removed as soon as you no longer need it.

What is Netcare doing to protect you from infections? What can you do to reduce your risk of developing an infection?
Urinary tract infections

Technical information

This result shows you how often a patient acquires a urinary tract infection after a catheter (tube) has been inserted into their bladder to drain their urine while they are in hospital. It is reported at a rate per 100 catheters inserted. A lower score is better.

The measurement is based on the definition published by the Centers for Disease Control and Prevention's (CDC) National Healthcare Safety Network (NHSN).

The data source is the Bluebird system, a 3rd party software used to record pathology results and specialist infection control nurses’ notes, for the data on the catheters inserted into bladders and infections.

The measurement is calculated by counting the number of urinary tract infections that developed after a catheter was inserted into a bladder divided by the number of patients that had a catheter inserted while in hospital multiplied by 100 for the period under review.

Safest
Infection prevention

Infected operation wounds

0.11 0.11 0.11
Number of operation wound infections for every 100 patients who have a major operation.
Current period: Oct 2018 - Sep 2019

Infections in your operation wound can develop from two to three days after the operation. Infections occur more often on the parts of the body where there are many germs, such as the intestines. Patients that have a major operation and people with a low resistance to infection have a higher risk of getting an infection.

What is Netcare doing to protect you from infections? What can you do to reduce your risk of developing an infection?
Infected operation wounds

Technical information

This result shows you how often a patient develops a wound infection after a major operation. It is reported at a rate per 100 major operations. A lower score is better.

The measurement is based on the definition published by the Centers for Disease Control and Prevention's (CDC) National Healthcare Safety Network (NHSN).

The data source is the Bluebird system, a 3rd party software used to record pathology results and specialist infection control nurses’ notes, for the data on the number major operations and wound infections.

The measurement is calculated by counting the number of wound infections that were identified in hospital after a major operation divided by the number of patients that had a major operation multiplied by 100 for the period under review.

Safest
Bed sore prevention

Developing a severe bed sore

0.14 0.14 0.14
Number of patients that develop a large, deep bedsore for every 1 000 patients admitted to hospital.
Current period: Oct 2018 - Sep 2019

Bed sores are sores on the skin that can develop if you are confined to a bed or wheelchair nearly all the time. They usually develop over the bony parts of your body where there is little padding from fat, such as the heels or hips. Bed sores can develop even when an illness or an injury keeps you in a bed or wheelchair for a short period. Certain conditions make it difficult for bed sores to heal, such as diabetes, hardening of the arteries or poor nutrition.

What is Netcare doing to protect you from developing a bed sore? What can you do to reduce your risk of developing a bed sore?
Developing a severe bed sore

Technical information

This result shows you how often a patient, older than 18 years, develops a bed sore that is large and deep, reaching muscle and bone, while admitted in hospital for a medical or surgical condition. It is reported at a rate per 1 000 admissions of 3 days or longer. A lower score is better.

The measurement is based on the definitions and methodology published by the Agency for Healthcare Research and Quality (AHRQ).

The data sources: We manually report any issues, including bed sores, in our specifically designed IT system, the Incident Management System (IMS), which we use to track how well we are doing. All staff are encouraged to use these systems to report any issues of concern to them. We use the IMS system for the data on bed sores and the hospital billing system, SAP, for the admission and age data.

The measurement is calculated by counting the number of stage III and IV bed sores, divided by the number of patients, 18 years and older, that were admitted to hospital for a medical or surgical condition multiplied by 1 000 for the period under review. Obstetric admissions and admissions for less than 3 days are excluded.

We measure the best and safest care for you

When we measure quality of care, we are guided by our purpose of "Providing you with the best and safest care". Using scientifically sound criteria, we continually measure the quality of our care for you and share with you how we are performing over time.

Explore the data now
How do we ensure that standards are maintained?
How do we ensure that standards are maintained?

Our work includes sustaining a world-class Quality Management System, where we monitor compliance to processes recognised to result in the best and safest care.

How do we do this?

Through the British Standards Institute (BSI) independent ISO 9001: 2015 certification, which was awarded to the Group in 2018 and again in 2019 (Hospital Division, Medicross, Radiation Oncology, National Renal Care and Netcare 911).

Submitting annual returns to the Office of Health Standards Compliance (OHSC) as well as complying with the required submission of Early Warning System Indicators (EWSI).

Conducting internal quality reviews which check documentation, processes and outcomes against standards, score the results and identify areas needing focused improvement.