Cabrini’s hospitals, facilities and services all hold the necessary accreditation with the relevant authorities. Accreditation is one way we assure the community that Cabrini meets the high standards set for service providers and the level of care and service that consumers can expect from our services.


Safety and Quality Accreditation - National Safety and Quality Health Service Standards

All Australian health services are required to be assessed under a national safety and quality accreditation program overseen by the Australian Commission on Safety and Quality in Health Care.

In June 2018, Cabrini was successfully accredited to the National Safety and Quality Health Service Standards (NSQHS Standards). The eight  NSQHS Standards provide a national statement about the level of care consumers can expect from health service organisations. The primary aim of the standards is to protect the public from harm and improve the quality of health care provided.

The accreditation process involves a three yearly review of our performance by an independent team of healthcare professionals. The team rates the performance of the organisation against set criteria and actions in areas of governance and clinical risk. Our clinical sites at Malvern, Brighton, Prahran (Palliative care), Elsternwick – Glenhuntly Rd (Rehabilitation) and the Lisa Thurin Women’s Health Centre (Elsternwick – Hopetoun St) are assessed against the NSQHS Standards.

The safety and quality performance of Cabrini Residential Aged Care at Ashwood is measured against the Aged Care Quality Standards.

Our next organisational quality accreditation survey against the NSQHS Standards will occur in early 2022 where Cabrini will be measured against each of the actions listed in the second edition of the NSQHS Standards.

Cabrini is assessed by the Australian Council of Health Care Standards (ACHS) To find out more about these standards please visit:

For more information about the NSQHS Standards or quality and risk management in health services please visit Australian Commission for Safety and Quality in Health Care:


Clinical Care Standards

In addition to the safety and quality standards, the Commission have developed a range of clinical care standards related to specific high risk conditions, procedures and potential adverse outcomes. Cabrini integrates these Clinical Care Standards into our policies and procedures.

Unwarranted variation is variation that is not explained by a patient’s choice or clinical circumstances. The Clinical Care Standards program is a priority of the Australian Commission on Safety and Quality in Health Care. The program identifies and defines the care people should expect to be offered or receive.