Quality, Safety and Patient Experience

The Department of Health and Human Services works with Victorian health services to achieve healthcare that is highly reliable, delivered in partnership with consumers and is based on the best information and evidence, in order to deliver safe, efficient and effective healthcare to the community.

The department achieves this through policy development, planning, resource allocation and monitoring of performance, working towards the systematic improvement of safety and quality in Victorian healthcare.

Surgical site infection surveillance status

Surgical Site Infection Surveillance is a composite indicator specific to the following procedures/processes:

  • Coronary artery bypass grafts
  • Hip arthroplasty
  • Knee arthroplasty
  • Caesarean section (for Royal Women’s and Mercy Health only)
  • ICU central line associated bacteraemia.

For each procedure/process where a health service is found to have a statistically significant higher infection rate than the state aggregate, they are deemed an outlier.  Performance is monitored and assessed quarterly and reported in the Monitor as either Achieved or Not Achieved.


  • Reporting of this measure is lagged by one quarter.
  • A statewide value is not applicable for this measure.
Jan - Mar 2018 Apr- Jun 2018 Jul - Sep 2018 Oct - Dec 2018 Jan - Mar 2019
Surgical site infection surveillance status Achieved Achieved Not Achieved Not Achieved Achieved


Quality, Safety and Patient Experience performance data is available for the following Latrobe Regional Hospital hospitals:
Latrobe Regional Hospital View Hospital Reports