Preparation and Resources

Embed the ‘small’ things in your everyday work to ensure we continue delivering outstanding health care to our community.

Employee resources

Read, download and share the most up-to-date Accreditation resources for employees.

Patient information collateral

Share the latest Accreditation posters, flyers and translations with our consumers.

External links and resources

Accreditation information and reliable third-party sources.

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Find resources by using the category and format filters, or enter text into the search bar.

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31 August 2021Accreditation Bulletin #9

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Bulletin

In this edition of the Accreditation Bulletin, we look at our hybrid assessment model, speaking with assessors, brag lists, hand hygiene, ward and local area preparedness, key messages from the National Standards Committees and accreditation resources.

Accreditation Bulletinbulletinaccreditation-bulletin
25 August 2021Manager Briefing, 25 August 2021

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Video

This event included an Accreditation update from Rachel Vogelsang, Quality Manager, Standards, Audits, PROMPT (presentation begins at 02:45)

Accreditation Events, Manager Briefingvideoaccreditation-events manager-briefing
25 August 2021Accreditation Planning

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Presentation

Slide deck presented by Rachel Vogelsang, Quality Manager, 25 August Manager Briefing

Accreditation Events, Manager Briefingpresentationaccreditation-events manager-briefing
20 August 2021Accreditation Bulletin #8

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Bulletin

In this edition of the Accreditation Bulletin, we look at continual improvement, Point of Care audits, testing and tagging and targeted training reminders.

Accreditation Bulletinbulletinaccreditation-bulletin
30 July 2021Accreditation Bulletin #7

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Bulletin

In this edition of the Accreditation Bulletin, we look at the positives and learnings we can take from Jessie McPherson’s accreditation assessment.

Accreditation Bulletinbulletinaccreditation-bulletin
16 July 2021Accreditation Bulletin #6

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Bulletin

In this edition of the Accreditation Bulletin, we cover accreditation brag lists, your mandatory privacy training, mobility charts, clinical cleaning schedules, and Give Me Five or Annual Performance discussions.

Accreditation Bulletinbulletinaccreditation-bulletin
17 June 2021Accreditation Bulletin #5

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Bulletin

In this edition of the Accreditation Bulletin, we cover our rescheduled accreditation dates and key messages such as completing your mandatory and targeted training, booking in a Give Me Five discussion, Family Escalation of Care posters and more.

Accreditation Bulletinbulletinaccreditation-bulletin
27 May 2021Accreditation Bulletin #4

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Bulletin

In this edition of the Accreditation Bulletin, we cover the new Care Plan view in the EMR, cleaning and decluttering your areas, patient identification, handover at transitions of care, and more.

Accreditation Bulletinbulletinaccreditation-bulletin
25 May 2021Accreditation Planning

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Presentation

Slide deck presented by Kate MacDermid, Director, Quality & Safety at Tuesday, 25 May Employee Forum

Employee Forumpresentationemployee-forum accreditation-events
25 May 2021Employee Forum, 25 May 2021

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Video

This event included Andrew Stripp, Chief Executive; Kate MacDermid, Director, Quality & Safety, presenting on Accreditation Planning; Andrew Stripp presenting the STAR Award for Excellent Experiences; and David Ballantyne, Executive Director Capital and Infrastructure, presenting on Working Remotely.

Employee Forumvideoemployee-forum accreditation-events
20 May 2021Accreditation Bulletin #3

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Bulletin

In this edition of the Accreditation Bulletin (May 20), you’ll find statistics, guides, calls to action and answers to frequently asked questions around training. Updates include: targeted training BI dashboard guide, deteriorating patient training, medication safety & administration training for Nurses and Midwives, ‘Delirium: Suspect it, Spot it, Stop it’ training, and a mandatory and targeted training FAQ.

Accreditation Bulletinbulletinaccreditation-bulletin
19 May 2021Targeted Training

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Presentation

Slide deck presented by Kate MacDermid, Director, Quality & Safety at Wednesday, 19 May Manager Briefing

Manager Briefingpresentationmanager-briefing accreditation-events
19 May 2021Manager Briefing, 19 May 2021

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Video

This event included Karen Lowe, Executive Director, People & Culture; Denise Owen, Director, Digital Training and Adoption and Chair LGBTI Sub-committee, with an update on LGBTI joined by committee members: Basem Kerbage, Mark Hayes and Ely Everill; David Ballantyne, Executive Director, Capital & Infrastructure, presenting on Remote Working and joined by Kitty Chandler and Linda Neitz; and Kate MacDermid, Director, Quality & Safety, presenting on Targeted Training.

Manager Briefingvideomanager-briefing accreditation-events
13 May 2021Accreditation Bulletin #2

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Bulletin

In this edition of the Accreditation Bulletin (May 13), you’ll find updates, resources and guides on safety, compliance and cleaning. Updates include: cleaning your ward devices, hand hygiene, resuscitation trolleys, medication safety, changes to our medication administration procedure, and deteriorating patient training.

Accreditation Bulletinbulletinaccreditation-bulletin
11 May 2021Accreditation Planning

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Presentation

Slide deck presented by Kate MacDermid, Director Quality and Safety at Tuesday, 11 May Employee Forum

Employee Forumpresentationemployee-forum accreditation-events
11 May 2021Employee Forum, 11 May 2021

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Video

This event included Andrew Stripp, Chief Executive; Kate MacDermid, Director Quality and Safety, presenting on Accreditation Planning; Andrew Stripp speaking with Jenny Docherty, Nurse Manager Ward C Casey Hospital, on “Preparing for accreditation”; and Andrew Stripp presenting the STAR Award for Managing Wisely.

Employee Forumvideoemployee-forum accreditation-events
7 May 2021Accreditation Bulletin #1

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Bulletin, Document

In this edition of the Accreditation Bulletin (May 7), you’ll find updates, resources and guides to help you prepare and plan for accreditation. Updates and resources include: accreditation checklists, speaking with assessors guide and sample questions and answers, ‘EMR, documenting and comprehensive care’ Quick Reference Guides (QRGs), partnering with consumers and patient information resources.

Accreditation Bulletinbulletin documentaccreditation-bulletin
5 May 2021Manager Briefing, 5 May 2021

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Video

This event included Karen Lowe, Executive Director, People and Culture; Rachel Vogelsang, Quality Manager, Standards, Audits, PROMPT, presenting on Accreditation Planning; Sarah Lorenzten, Director, Continuous Improvement, Transformation Office, presenting on Continuous Improvement at Monash Health; and Luke Dinon, Senior Manager, People and Culture, presenting on Fit for Work.

Manager Briefingvideomanager-briefing accreditation-events
5 May 2021Accreditation Planning

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Presentation

Slide deck presented by Rachel Vogelsang, Quality Manager, Standards, Audits, PROMPT at Wednesday, 5 May Manager Briefing

Manager Briefingpresentationmanager-briefing accreditation-events
30 April 2021EMR and Comprehensive Care QRG – Administration

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Factsheet, QRG

This document assists administrative employees in connecting and demonstrating how the EMR facilitates comprehensive care

Accreditation Preparation, EMR and Comprehensive Carefactsheet qrgaccreditation-preparation emr-cc
30 April 2021EMR and Comprehensive Care QRG – Allied Health

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Factsheet, QRG

This document assists allied health employees in connecting and demonstrating how the EMR facilitates comprehensive care

Accreditation Preparation, EMR and Comprehensive Carefactsheet qrgaccreditation-preparation emr-cc
30 April 2021EMR and Comprehensive Care QRG – Pharmacy

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Factsheet, QRG

This document assists pharmacy employees in connecting and demonstrating how the EMR facilitates comprehensive care

Accreditation Preparation, EMR and Comprehensive Carefactsheet qrgaccreditation-preparation emr-cc
30 April 2021EMR and Comprehensive Care QRG – Nursing and Midwifery

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Factsheet, QRG

This document assists nursing and midwifery employees in connecting and demonstrating how the EMR facilitates comprehensive care

Accreditation Preparation, EMR and Comprehensive Carefactsheet qrgaccreditation-preparation emr-cc
30 April 2021EMR and Comprehensive Care QRG – Medical

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Factsheet, QRG

This document assists medical employees in connecting and demonstrating how the EMR facilitates comprehensive care

Accreditation Preparation, EMR and Comprehensive Carefactsheet qrgaccreditation-preparation emr-cc
20 April 2021Accreditation planning

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Presentation

Planning and preparation for accreditation presentation, including key messages and local area preparation. Presented by: Rachel Vogelsang, Quality Manager Standards, Audit, Prompt with an update on our preparation for Accreditation

Employee Forumpresentationemployee-forum accreditation-events
16 April 2021Staying safe to prevent pressure injuries

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Document, Poster

Consumer-reviewed, patient collateral for what families and carers can do to help prevent pressure injuries

Patient Information Collateraldocument posterpatient-information-collateral
16 April 2021Staying safe to prevent falls

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Document, Poster

Consumer-reviewed, patient information collateral for what family and carers can do to prevent falls

Patient Information Collateraldocument posterpatient-information-collateral
25 March 2021Manager Briefing, 24 March 2021

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Video

This event included Karen Lowe, Executive Director, People and Culture, with an update on Vulnerable Employees; Accreditation Planning: Evidence Lists with Rachel Vogelsang, Quality Manager Standards, Audit, Prompt; Respiratory Protection Program (RPP) with Christina Campbell; and an Executive Interview with Anjali Dhulia, Chief Medical Officer, Executive Director, Medical Services.

Manager Briefingvideomanager-briefing accreditation-events
24 March 2021Accreditation planning for managers: Evidence Lists

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Presentation

‘Accreditation planning for managers: Evidence Lists’ PowerPoint document presented by Rachel Vogelsang, Quality Manager Standards, Audit, PROMPT at Wednesday, 24 March Manager Briefing

Manager Briefingpresentationmanager-briefing accreditation-events
22 March 2021Speaking with Assessors Guide

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Document, Guide

A guide/factsheet covering the simple steps you can take if and when an assessor asks you a question, including examples of questions and responses.

Speaking with assessorsdocument guidespeaking-with-assessors
22 March 2021Sample Assessor Questions: Clinicians

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Document, Guide

A collection of sample questions clinicians could be asked during accreditation week

Speaking with assessorsdocument guidespeaking-with-assessors
22 March 2021Sample Assessor Questions: Doctors

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Document, Guide

A collection of sample questions doctors could be asked during accreditation week

Speaking with assessorsdocument guidespeaking-with-assessors
22 March 2021Sample Assessor Questions: Food Service Employees

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Document, Guide

A collection of sample questions food service employees could be asked during accreditation week

Speaking with assessorsdocument guidespeaking-with-assessors
22 March 2021Sample Assessor Questions: Environmental Services Assistants

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Document, Guide

A collection of sample questions environmental services assistants could be asked during accreditation week

Speaking with assessorsdocument guidespeaking-with-assessors
17 March 2021Employee Forum, 16 March 2021

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Video

This event included Chief Operations Officer, Martin Keogh, with an update on the COVID-19 vaccination program, and Rachel Vogelsang, Quality Manager Standards, Audit, Prompt with an update on our preparation for Accreditation.

Employee Forumvideoemployee-forum accreditation-events
16 March 2021Planning and Preparation for Accreditation

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Presentation

Planning and preparation for accreditation, including key messages, local area preparation and where Monash Health is at with our preparation for Accreditation

Employee Forumpresentationemployee-forum accreditation-events
10 March 2021Accreditation planning for managers

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Presentation

‘Accreditation planning for managers’ with Rachel Vogelsang, Quality Manager Standards, Audit, PROMPT

Manager Briefingpresentationmanager-briefing accreditation-events
10 March 2021Manager Briefing, 10 March 2021

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Video

This event included Karen Lowe, Executive Director, People and Culture; ‘Accreditation planning’ with Rachel Vogelsang, Quality Manager Standards, Audit, PROMPT, and ‘How to have a great Give Me 5 discussion’ with Linda Neitz, Manager, Organisational Development and Learning.

Accreditation Events, Manager Briefingvideoaccreditation-events manager-briefing
9 March 2021Mental Health Consumer and Family/Carer Resources

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Document, Guide

A list of resources to be displayed and available throughout the Mental Health Service

Consumer Advisordocument guideconsumer-advisor patient-information-collateral
9 March 2021Monash Health Consumer Advisor Brochure

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Brochure

Consumer Advisor Brochure for Monash Health

Consumer Advisor, Patient Information Collateralbrochureconsumer-advisor patient-information-collateral
9 March 2021Monash Children’s Hospital – Consumer Advisor Brochure

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Brochure

Consumer Advisor Brochure for Monash Children’s Hospital

Consumer Advisor, Patient Information Collateralbrochureconsumer-advisor patient-information-collateral
9 March 2021Accreditation Coaching Tool (for DCOs and Managers)

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Document, Factsheet, Guide

When undertaking leadership rounds, DCOs and Managers can use this document/guide to help prepare their areas for a visit from an assessor.

Accreditation Preparationdocument factsheet guideaccreditation-preparation
2 March 2021Continuous Improvement Poster

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Poster

Continuous improvement process wheel

poster
2 March 2021National Standards Key Messages Poster

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Factsheet, Poster

Key messages poster outlining the key messages of the NSQHS Standards

National Standardsfactsheet posternational-standards
2 March 2021Accreditation Checklists: Managers

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Checklist

Accreditation checklists for managers

Checklistschecklistchecklists
2 March 2021Accreditation Checklists: Doctors

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Checklist

Accreditation checklists for Doctors

Checklistschecklistchecklists
2 March 2021Accreditation Checklists: Clinical Employees

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Checklist

Accreditation checklists for clinical employees

Checklistschecklistchecklists
2 March 2021Accreditation Checklist: Non-clinical Employees

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Checklist

Accreditation checklist for non-clinical employees

Checklistschecklistchecklists
2 March 2021Top Tips for Doctors

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Factsheet

Accreditation top tips for Doctors

Factsheetsfactsheetfactsheets
11 January 20218. Recognising and Responding to Acute Deterioration

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Factsheet

This standard aims to ensure that acute deterioration in a patient’s physical, mental or cognitive condition is recognised promptly and appropriate action is taken.

National Standardsfactsheetnational-standards
11 January 20217. Blood Management

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Factsheet

This standard aims to improve outcomes for patients by using strategies that optimise and conserve their own blood, as well as ensuring that any blood and blood products that patients receive are safe and appropriate.

National Standardsfactsheetnational-standards
11 January 20216. Communicating for Safety

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Factsheet

This standard aims to ensure that there is effective communication between patients, carers and families, multidisciplinary teams and clinicians, and across the health service organisation, to support continuous, coordinated and safe care for patients.

National Standardsfactsheetnational-standards
11 January 20215. Comprehensive Care

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Factsheet

This standard aims to ensure that patients receive comprehensive health care that meets their individual needs, and considers the impact of their health issues on their life and wellbeing. It also aims to ensure that risks of harm for patients during health care are prevented and managed through targeted strategies.

National Standardsfactsheetnational-standards
11 January 20214. Medication Safety

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Factsheet

This standard aims to ensure that clinicians safely prescribe, dispense and administer appropriate medicines, and monitor medicine use. It also aims to ensure that consumers are informed about medicines, and understand their own medicine needs and risks.

National Standardsfactsheetnational-standards
11 January 20213. Preventing and Controlling Healthcare Associated Infection

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Factsheet

This standard aims to improve infection prevention and control measures to help prevent infections and the spread of antimicrobial resistance through the appropriate prescribing and use of antimicrobials.

National Standardsfactsheetnational-standards
11 January 20212. Partnering with Consumers

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Factsheet

This standard aims to ensure that consumers are partners in the design, delivery and evaluation of healthcare systems and services; and that patients are given the opportunity to be partners in their own care.

National Standardsfactsheetnational-standards
11 January 20211. Clinical Governance

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Factsheet

This standard aims to ensure that there are systems in place within health service organisations to maintain and improve the reliability, safety and quality of health care.

National Standardsfactsheetnational-standards
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