Hoiby - Accreditation Surveyor Healthcare & Aged Care Sectors - Mount Martha, VIC, Australia

Marguerite Hoiby

Mount Martha, VIC, Australia


Accreditation Surveyor Healthcare & Aged Care Sectors


As a consultant conduct a range of accreditation surveys for ACHS, audits for ISO9001, RTAC & NSQHS and aged care facilities.

Work History

Quality & Risk Manager (part time)

Linace Private Hospital

From February 2012

Director of Nursing

Peninsula Endoscopy Centre

Day to day operational management of gastroenterology day hospital.

Healthcare Consultant


Offer advice, assistance on all management and accreditation matters to clinics, aged care facilities, day and acute hospitals.

Lead auditor - ISO9001:2008; RTAC & NSQHS.
Aged Care Assessor for ACSAA.
Surveyor for ACHS.

Director of Nursing

Sir John Monash Private Hospital

Day to day operational clinical and non clinical management of a multi disciplinary dau surgery hospital.
Maintenance of accreditation status.
Responsible for all business development initiatives; increased the number of operating sessions by 75%; achieved 90% utilisation of operating sessions.

Hospital Coordinator

Rosebud Community Hospital

Responsible for day to day management of 70 bed community hospital.
Project managed the construction and commissioning of a satellite dialysis centre.


The Bays Community Hospital

Clinical manager of CSSD; Day Surgery; Consulting Suites; Infection Control (Aged Care sites and Acute Care Hospital) and Operating Suite (p/time.

Coordinated the relocation of day procedure unit within the hospital.

Coordinated the introduction of vascular and ENTsurgical specialties.

Case Manager - Day Surgery

Waverley Private Hospital

Designed and introduced a model of care for day surgery patients from preadmission to post discharge.

Designed and introduced a generic outcomes care plan for day surgery that reduced the length of stay with no adverse outcomes for patients and met best practice guidelines

Perioperative Educator (p/time)

Freemason Hospital

Joint position with La Trobe University, Clinical Educator of Operating Suite (Clarendon St) and Day Procedure Centre (Victoria Parade).


La Trobe University

Established and lecturerd in Graduate Diploma in Advanced Nursing at La Trobe University (Melbourne & Wodonga campuses)

Write and editor of same course by distance education mode.

Wrote curriculum for Graduate Diploma Perianaesthesia Nursing

Clinical Educator - Perioperative

Austin Hospital

Coordianted all education activites for the department; responsible for clinical education of under and post graduate nursing students in the department.

Qualifications & Certifications

Deakin University, Melbourne

University of Melbourne

Austin Hospital

Certificate Spinal Injuries & Rehabilitation Nursing

Nth Infirmary Hospital, Cork - Diploma General Nursing

St. Aloysius Secondary School, Cork

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