8th Annual Report 2004 - 2005
Highlights Our Rural Health Service
Timboon and District Healthcare Service is an integrated • Four Year Accreditation awarded by The Australian health service. Council on Healthcare Standards to March 2009 • We deliver acute care, accident and emergency • Powercor/Corangamite Shire Business Awards services, residential aged care, community aged care, – BHP Billiton Best Professional Service Business allied health, community health, adult day care, Award respite care for carers, maternity services, district nursing, palliative care, health promotion and youth • 100% Patient Satisfaction - Patient Satisfaction services throughout the Timboon and Cobden Monitor districts. • New General Practitioner Medical Clinic • We work closely with regional and specialised health services to extend the scope of services available. • Strong Community Support • We are committed to continuously improving our • New Community Programs Service in terms of the scope and quality of health . Falls Prevention – Body Balance service provision. . Childhood Education 0-4 age group . Early Years Reading Program - Bookworms
Timboon & District Healthcare Service - Our Service Area Our History
Timboon and District Healthcare Service covers the The Timboon and District Healthcare Service follows southern section of the Corangamite Shire and adjoining upon the tradition of health care commenced by Timboon areas of Moyne Shire, an area of some 2000 square and District Hospital in 1955 and its subsequent growth
Although the redevelopment of Timboon Timboonkilometres and District with Healthcare a population Service is ofTimboon 8,000. and District Healthcare Service over the years, including the introduction of community Allied Health and District Healthcare Service in 2000 a legal entity incorporated in 1998 as a multi services the southern section of the health services in 1977. Across rural Victoria there is a general provided excellent facilities, some areas purpose service under the Victorian Health Corangamite Shire and adjoining areas of shortage of allied health professionals, and were not addressed due to the limited ServicesFeatures Act 1988, of working the in catchment partnership areMoyne its Shire, rural an areaenvironment of some 2000 square during this year public audiology and resources available at the time. with Commonwealth and State kilometres. podiatry services have been affected whilst Government– with Departmentsa high dependence to provide upon the dairy industry - and Timboon and District Healthcare Service was formed new staff have been sought. Architects, Silver Thomas Hanley and health, aged and primary care services to Features of the catchment are its rural Building Contractor, England Building meeta growingthe needs of a tourismrural community industry. alongenvironment the -Great with a high Ocean dependence Road, in 1998 as a multi purpose service under the Victorian However, other allied health services have Company were engaged to carry out these upon the dairying industry, several small continued as usual, and our regular private additional renovations and extensions. A purposecentred built facilityupon designed Port to Campbell provide serviceand thetowns touristand a growing icon tourism of the Health Services Act 1988, and works in partnership with podiatrist has continued to provide a a rangeTwelve of acute, Apostles. aged care, allied health, industry along the Great Ocean Road, Australian and State government departments to provide valuable service. Day Stay Procedure Room community and primary care services was centred upon Port Campbell and the tourist The day-stay room has been expanded, officially opened on 14 February 2002. icon of the Twelve Apostles. health, aged and primary care services to meet the Health Promotion providing sufficient space for individual The community health nurses at Timboon cubicles, thus improving patient privacy. The Timboon and District Healthcare Population in Catchment: 8,000 needs of our rural community. and Cobden continue to provide a wide This room has multi uses, being both a Service follows upon the tradition of health range of programs to promote health both day-stay surgical recovery room and an care commenced by Timboon and District within the community and through school observation and medical treatment room Hospital in 1955 and its subsequent growth focused programs. In youth programs they for day medical patients. over the years, including the A major redevelopment project to provide facilities for are complemented by the role of our youth commencement of community health worker. Renal Dialysis services in 1977. Timboon and District a range of acute, aged care, allied health, community Renal dialysis was commenced last year, Healthcare Service maintains a tradition of The monthly HEY magazine distributed utilising the east wing lounge room. To being a focus within the community, VICTORIA and primary care services was officially opened on 14 through the Cobden Times provides a better cater for this service, the lounge providing services, education, information February 2002 and plans continue for expansion of regular update of activities and health room has been divided to provide a and advice. promotion advice. specialised renal dialysis area as well as tea and coffee facilities for patients and visitors Our role and key objective is to provide a facilities for community services. We are continually looking at ways to and access to the courtyard. quality health service, and to strive to further offer services at a local level. achieve our vision of catering for the needs The community health nurses are to be Operating Theatre of all within our community. Facilities include 14 flexible beds and 4 day-stay chairs, commended for their enthusiasm in the Some re-arrangement of facilities and a delivery of health promotion programs, small extension has provided more radiology, operating theatre, emergency, community with new programs being added each year. adequate change room facilities for medical and nursing staff, storage of sterile stock, a health clinics and meeting rooms. Details of our community services are small examination room and improved outlined further in the report. changing facilities for x-ray patients. Dental/Physiotherapy Waiting Area Cobden Timboon and District Healthcare Service is an inaugural Minor changes to the community wing have South Ecklin member of the South West Alliance of Rural Health, provided a small waiting area for the dental Naringal and physiotherapy clinics and two which was formed in 1998 to implement information consulting rooms to meet the needs of visiting allied health, counselling, and nurse Scotts Creek technology, a process which is ongoing. consultants. Nullawarre Simpson Timboon Curdie Vale The Service is also an inaugural member of the South West Primary Care Partnership, which has the aims of Peterborough Port Campbell fostering service co-ordination of primary health and the further development of health promotion activities within Princetown the sub-region.
Our role and key objective is to provide a quality health service, and to strive to achieve our vision of catering for the needs of all within our community.
Inpatients Treated Births
2001 2001
2002 2002
2003 2003
2004 2004
2005 2005
700 800 900 1000 1100 60 65 70 75 80
- Timboon & District Healthcare Service The Year in Review PATIENT SATISFACTION MONITOR The 2004-2005 financial year has been another year of In the latest Patient Satisfaction Monitor survey patients achievement in pursuit of our mission of providing the reported 100% satisfaction with the care they received, highest standards of care for the health and well being of and in fact 92% were very satisfied. In the overall care our rural community. index score Timboon and District Healthcare Service recorded an Overall Care Index of 85, being at the The spirit of commitment and care of all associated top of our multi purpose service category for the third with the Timboon and District Healthcare Service – the consecutive year. Board, our staff, volunteers, auxiliaries, support groups and the community at large was indeed highlighted and More details regarding the Patient Satisfaction Monitor recognised this year through results are outlined in the Quality of Care Report included within this Annual Report. • the excellent report of the Surveyors of The Australian Council on Healthcare Standards in their POWERCOR/CORANGAMITE SHIRE granting of four year accreditation BUSINESS AWARDS • the excellent results of the external Patient Satisfaction Monitor and An additional highlight during the year was to be awarded • the Corangamite Shire Business Award of BHP the BHP Billiton Best Professional Service Business for Billiton Best Professional Service award. 2004.
ACCREDITATION
The award of accreditation by The Australian Council on Healthcare Standards is a sign to the community and staff that an organisation is
• seeking to improve its performance and striving for best practice • focused on customers’ needs and expectations • focused on the outcomes that it achieves and • focused on quality and safety.
The standards to be met by an organisation to achieve Elaine Collins - CEO, Anne McMeel - Director of Nursing and Amanda Nash full accreditation have in the past year become more - Community Services Manager receive ACHS Accreditation certificate. rigorous as The Australian Council on Healthcare Standards has itself reviewed its role as it also strives for FACILITIES continuous improvement. Medical Clinic Many factors have contributed to the award of full The Board of Management strongly believes that the accreditation arising from the organisation wide survey in new medical clinic will serve the Timboon community November 2004. All staff are to be congratulated upon well for many years to come and assist in retention and this excellent result. recruitment of medical practitioners to the area.
Amongst the many issues upon which an organisation The general practitioners had outgrown the former is judged is community participation and involvement in building. The new clinic also provides facilities for visiting the activities of the organisation and community views on specialists and most importantly improved conditions for the quality of care. The Surveyors judged us well in this patients. regard and we thank community members who work with us and to those patients who have participated in the The relocation of the clinic to Hospital Road will improve independent comprehensive Patient Satisfaction Monitor patient access to the clinic with more adequate car interviews and reported very favourably on the care and parking. Also, the relocation of the clinic should free up service they have received. additional car parking spaces for visitors to the hospital.
“The Surveyors commend the organisation on its ongoing commitment as a team, to ensure patient service delivery is what the consumer expects, evidenced by their responses to satisfaction surveys of support and praise to a health system meeting its needs”. ( ACHS Surveyors’ Report November 2004)
Timboon & District Healthcare Service - Equipment GOVERNANCE We were fortunate to receive a $40,000 grant from the Department of Human Services for the purchase To assist the Board in its strategic planning and of an instrument washer and ultrasonic cleaner for governance role, Board members have participated the operating theatre, which will bring our sterilisation in a Population Health workshop conducted by the procedures in line with new Australian standards. Australian Institute for Primary Care and education workshops conducted state wide for rural health services Also, the Department of Human Services provided a by the Nous Group, consultants commissioned by the grant of $10,000 for a shower chair/trolley and standing Department of Human Services. transfer machine for disabled patients, which will assist nursing staff whilst providing appropriate and dignified RISK MANAGEMENT patient care. Over the past few years we have received considerable financial support from the Department of In the coming year, emphasis will be placed upon Human Services, as have other facilities, in the provision the update of the organisation’s business continuity of lifting aids and electric beds to implement the no lift plan, which will incorporate a review of many of the policy as part of a state wide drive to reduce nurse back issues identified as potential risks to the organisation’s injuries. operations within our risk management strategy.
Community fund raising through the annual appeal, In addition to the annual external audit by the Auditor general donations, Timboon Cruisers and the Timboon General’s office, which focuses upon financial and District Healthcare Service Auxiliary has provided for management, a regular internal audit program based the purchase of: upon identified organisational risks common to health services within the South West Alliance of Rural Health • Acute care - Blood analyser (SWARH) will be undertaken on a SWARH and individual • Acute care - Intravenous fluid warming unit health service basis by external consultants. This is the • Midwifery – phototherapy unit, baby bassinettes first year of operation of a formal internal audit program • Aged care – Bed monitor system for falls prevention and its ongoing operation is now a requirement under the Financial Management Act. In addition the Service has purchased several major items of equipment for the kitchen, plant room and to meet OHS height regulations. FUTURE DIRECTIONS The over-riding goal of the Board of Management is to ensure the on-going viability of Timboon and District Healthcare Service.
Nurse Maureen Turner, Dr. Warwick Rouse and Dr. Jeannie Brown attend in-service education on new Bi-pap machine.
- Timboon & District Healthcare Service A number of projects are underway or planned to Community Services respond to the demands of acute, aged and community The completion of the new medical clinic will lead to service provision at the local level. our next project of planning for the refurbishment of the former medical clinic and community health building. Corangamite Managed Clinical Network Maintaining birthing services at the local level is a key It is proposed that the refurbished building will provide focus of the Board of the Management, staff and the facilities to further develop and integrate our community Department of Human Services. services.
A new project, known as the Corangamite Managed Our goal is to provide purpose built facilities for: Clinical Network, which involves our organisation, Terang & Mortlake Health Service and Camperdown campus of • adult day activity programs and incorporate a specific South West Healthcare together with the Department of men’s shed program Human Services, is to be undertaken over the next two • maternal and child health nurse years. • women’s health clinic • gymnasium/exercise room Its aims are to foster more formal relationships between • child care. the agencies to support the retention of birthing services. A key issue for all agencies is the retention and recruitment of midwives and medical staff with the appropriate skills and assurance that policies, procedures and continuing education are at the highest standards.
Also in the coming year, midwives will undertake an increased role in pre-natal care under a shared care arrangement with the general practitioners to enhance continuity of care during pregnancy and following birth. This project is also supported by the Department of Human Services and is in line with changing midwifery practices.
To bring these projects to fruition a large degree of dedication to the tasks will be required from general practitioners and midwifery staff from all the agencies involved.
Clinical Applications of Information Technology Clinical applications arising from the advancement of information technology continue to grow and clinical staff will commence the introduction of electronic medical records in the coming year, which will increase efficiency in the recording of medical information and maintenance of medical records. Pathology results are now available the staff and electronically, providing speedier access to laboratory “ results from Warrnambool. doctors were so It is recognised, however, that these change processes will take time to implement and staff training will be helpful and required in the application of these new systems.
We are strongly supported in information technology courteous to me through our membership of the South West Alliance of Rural Health (SWARH) in the advancement of the applications of information technology. and looked after all my concerns for my health
Timboon & District” Healthcare Service - APPRECIATION Patient Services Our achievements throughout this year could not have been obtained without the dedicated support of our staff, ACUTE CARE visiting medical officers and health professionals and volunteers providing the services required in an efficient The number of inpatients treated this year has decreased and friendly manner. somewhat from previous years, with a total of 884 inpatients treated compared to 959 last year and in some The caring nature and quality of service of the staff years over1000 inpatients have been treated within our has been recognised in a number of ways as shown in 10 beds. the results of the patient satisfaction surveys, general comments from patients and clients and through the A highlight, when examining patient services, is the results of the accreditation survey. number of births this year totalled 77, an increase over last year’s total of 69 births. Providing midwifery The dedication of staff is also shown through their services is an important part of the organisation’s role, willingness to undertake further education and training representing 10% of acute care and is supported by and to respond positively to the changing needs of the a variety of other programs to support the new born, health environment. parents and the needs of young children.
There are many organisations, groups and individuals Despite the number of patients treated being lower than who play an important role in the operation of the Service usual, bed utilisation remained similar to past years. to whom we acknowledge their assistance and support: This arose from the fact that during the year we treated a number of patients whose medical conditions required • Department of Human Services – Regional and longer than average length of stay. Also our role is Central office to provide palliative care and rehabilitation services as • Brophy Youth and Family Services required. • Corangamite Shire • Lyndoch, Warrnambool The importance of our Service is that care is available • Rural Ambulance Victoria locally when required, which takes away the strain of • South West Healthcare – Warrnambool relatives travelling long distances to visit ill relatives. • South West Alliance of Rural Health (SWARH) • Community drivers • Meals on Wheels volunteers EMERGENCY SERVICES • Red Cross – Timboon Lions volunteer drivers The number of emergency attendances has continued • Timboon Cruisers to grow, particularly over the summer months, with the • Timboon and District Healthcare Service Auxiliary number of attendances totalling 1751 compared to 1673 • Donors, including local service and sporting clubs. last year, a 4.6% increase. This demand places a heavy burden on our medical staff in providing after hours and We thank the community for their generous financial on-call services. support and services provided. We look forward to continuing the partnership for many years to come. RESIDENTIAL AND RESPITE SERVICES
Four beds are available within our Service for residential and respite services. During the year there were 976 bed days of care provided for 22 individual clients. Two of the beds are allocated for residents requiring high Richard McVilly care. Short term respite clients may require either low or President high care. The majority of respite clients return to their homes following a period of care, providing a rest period for carers or enabling them to take a holiday. Periods of respite care vary according to individual needs, with some clients taking a number of short stays throughout Elaine Collins the year. Chief Executive Officer To assist in coordinating respite care in the sub-region bookings are coordinated through the Department of Health and Ageing regional respite program operated by Barwon Health Respite Centre at Warrnambool.
- Timboon & District Healthcare Service Performance
PATIENTS TREATED 2004/05 2003/04
Separations Same day 258 300 Multi day 626 659 Total Separations 884 959 Emergency 442 384 Elective 314 443 Other inc Maternity 128 132 Total Separations 884 959 Public Separations 721 775 Total WIES 562.67 572.93 Separations per available bed 88 96 Total Bed Days 2987 2968
Length of stay (days) 3.37 3.01 Length of stay excluding same day patients (days) 4.36 4.07
Surgical and diagnostic procedures 199 179 Renal dialysis attendances 18 159
Births 77 69 Child birth classes - group sessions 21 20 Domiciliary midwifery visits 85 83 Number of cases referred to other hospitals: 53 52
AGED CARE 2004/05 2003/04
Separations 22 28 Total Bed Days 976 1084
NON ADMITTED PATIENTS 2004/05 2003/04
Emergency department – presentations 1751 1673 Radiography – occasions of service 775 730
Timboon & District Healthcare Service - Community Services HOME AND COMMUNITY CARE A wide range of community and outpatient services is provided by our small band of community services staff. Our five year Agreement with the Corangamite Shire to assist us in the provision of home care, personal care, ALLIED HEALTH respite and home maintenance has been renegotiated for a further five years. The allied health clinics of radiology, physiotherapy, speech therapy and podiatry are well attended on a Through our Assessment and Care Manager these weekly basis. Occupational therapy advice is available home care services, adult day centre programs and allied through home visits and the occupational therapist works health services are well coordinated with acute discharge in close association with the district nurses to provide planning to ensure that those patients requiring additional advice on home modifications and equipment to assist services upon discharge are well looked after. the frail aged in their home. The role of our district nurses in continuing nursing care The diabetic educator and continence nurse continue in the home is acknowledged. These staff provide a vital to provide their valuable advice and education to clients link between hospital, general practitioner and client both at Timboon and Cobden. through their regular visits.
Visiting psychologist and counsellor Ms Kathy Calkin, ALLIED HEALTH 2004/05 2003/04 who has been working in association with the Timboon Clinic under the auspice of the Otway Division of General Occasions of Service Practice, is now providing additional hours through our Service. Audiology 10 42 Continence nurse Private providers add to the range of services available (Timboon, Cobden) 55 76 on site including podiatry, audiology, chiropractic and Diabetic educator dental services. Mr. Chris Hoffman commenced regular (Timboon, Cobden) 155 141 remedial massage clinics this year. Nutritionist 88 72 Occupational therapy 72 113 Recruitment and retention of allied health professionals Physiotherapy 731 785 remain an issue throughout rural Victoria and we are extremely fortunate to be able to work in close Podiatry 278 281 association with South West Healthcare, Lyndoch and Speech pathology 257 365 private health professionals to bring these services to Information & support services 1027 990 Timboon. Well Women’s clinics (Timboon, Cobden, Terang) 128 122 SERVICE COORDINATION
A key community service focus of the Department of HOME CARE 2004/05 2003/04 Human Services has been the development of policies and processes to improve service coordination between Hours of Service health agencies and health professionals. The vehicle District nursing 2216 2056 for this change has been the formation of Primary Care Personal care 881 429 Partnerships, of which Timboon and District Healthcare Home care 5489 5185 Service is a member of the Management Committee of Home respite 906 763 the South West Primary Care Partnership (PCP). Home maintenance 1890 1,667 Strict guidelines with respect to patient privacy have been Adult day activity centres developed and together with the application of e-referral, . Timboon 4,215 3,645 duplication of patient information has been reduced and . Cobden 5,825 5,220 referral processes for clients enhanced. Well-established Client transport 1,700 1,064 referral processes are in place with the Corangamite Delivered meals (number) 10,302 8,911 Shire and Wannon Post Acute Care for home care services following discharge from hospital.
In the coming year we plan to enhance service coordination through further development of e-referral between the medical and allied health staff.
- Timboon & District Healthcare Service Health Promotion KEY PRIORITY HEALTH ISSUES Our community health nurses at Timboon and Cobden Health promotion to be effective within the wider undertake many activities in health promotion and community needs a coordinated approach and staff are education - health screenings, immunisation, women’s engaged in promoting and delivering programs in key health clinics and education sessions to promote a identified health risk areas. healthy lifestyle and raise awareness of health risk factors. Falls Prevention A body balance program for older adults has been added to our other exercise programs of tai chi for arthritis, PROGRAMS FOR YOUNG CHILDREN (0-4 strength training and gentle rehabilitation exercises. years) For our home and community care clients, staff assess Building upon our educational and support services the home environment of clients for risk of falls, providing provided by our midwives two new programs have been advice or assistance with aids. The risk of falls and introduced this year emphasising the needs of young ways to reduce and assess the risk have been promoted children. to senior community groups, as falls within the home is a major cause of hospitalisation for older members of the Little tackers community at large. This is a six week program of evening sessions for parents with guest speakers providing information and Childhood Obesity advice on a range of topics related to the 0-4 age group. Funding has been obtained by the Service to assist three These sessions have been well attended. local schools promote healthy eating choices. Known as the Seesaw project, it has been funded by the Literacy Department of Health and Ageing. A program known as Bookworms has been launched to encourage reading to young children. In addition This is in addition to regular programs offered by the to parents being presented with a gift of books upon community health nurses at the schools based upon the birth of their child, they will be encouraged to join healthy eating and exercise. a monthly reading group to enjoy a supportive network designed to provide information on appropriate age Promotion of healthy eating in the schools will continue related books, enjoyment in reading, foster literacy to be a high priority, utilising various programs being and socialisation. This new program has received developed state-wide. considerable support and encouragement throughout the community, recognising the importance of developing the reading skills of pre-school children.
Launch of “Bookworms” reading program - Guest speaker Claire Jennings, Caroline Simmons - Community Health Nurse, John Vogels, MP and Louise Parlour.
Timboon & District Healthcare Service - 10,000 Steps The 10,000 steps a day program has been promoted HEY “Health Education for You” Bulletin across the region to further encourage physical exercise Our Bulletin highlights health issues, programs and through the development of walking groups and walking healthy eating on a monthly basis. tracks. Pedometers have been sold to encourage This is distributed widely throughout the district and to recording of daily activity. households via the local newspaper.
PROMOTING HEALTH AND WELL BEING Key health issues are also featured on a regular basis on our Health Promotion Notice Board in the main street. Health Nights Successful men’s and women’s health nights have been YOUTH SERVICES held during the year. The Service works in collaboration with Brophy Youth The men’s night focussed upon prostrate cancer and its and Family Services to provide a youth service for the treatment, with an excellent presentation from a visiting district. Much of the work is focused upon the needs urologist and comedian Rod Quantrock lightening up the of youth at Timboon P-12 School and Simpson Primary evening. School. The Youth Worker provides a counselling service and undertakes various activities promoting health The women’s health night focussed upon encouraging and wellbeing and providing drug and alcohol education women to take care of themselves, reduce stress and programs and encouraging youth activities. This year therefore be better placed to care for their families. has seen a marked increase in counselling services.
Health Promotion
Programs Sessions Attendances
Exercise classes Body balance 10 80 Gentle rehabilitation exercises 49 270 Strength training 87 439 Tai chi 77 646
Health education – Timboon & Cobden Sessions Attendances
Continence education 1 4 Falls Risk assessment 3 35 Healthy heart night 1 68 Health promotion – Australia Day 1 74 Health promotion – Rotary club 1 20 Label reading workshop 1 5 Men’s health night 1 50 Positive Parenting 3 9 Puberty Clues (Mother/daughter group) 1 34 Sun, Heat overexposure 1 15 Save your sight day 1 50 Women’s night 1 124
10 - Timboon & District Healthcare Service School based health education – Timboon, Cobden Sessions Attendances
Asthma education 4 167 Core of Life – teenage pregnancy issues 9 180 Farm safety 26 1103 Head lice education & checks 6 517 Health and wellbeing 30 701 Healthy eating (parents) 1 40 Healthy eating (Seesaw project) 2 75 Human development 14 231 Safe partying 2 70 Sexual and reproductive health 1 20 Sunsmart – Sid Seagull 5 257 Tooth fairy 2 41
A number of educational programs are also conducted at Nullawarre and Simpson Primary Schools
Screenings – Timboon, Cobden Sessions Attendances
Heartsmart 10 132 Sunsmart 10 171
Youth Services
Education and Youth activities Sessions Attendances
Body image 1 46 CAT/HAT (Adventure therapy) debriefing 6 23 Corangamite youth activities 5 43 FrEEza event review 1 12 Friends program 23 135 Getting along activities 1 21 HAY Team 2 6 How to be a good friend 9 23 Looking after yourself 1 40 Mock interviews 1 6 VCE Drama group 3 10 Wellbeing program 9 372
Counselling 2004/05 2003/04
Counselling – occasions of service 601 305
Timboon & District Healthcare Service - 11 Organisational Structure Organisational Structure Health Promotion Healthy lifestyle and health education is Women's Health Night promoted to the community through Board of Board Sub-Committees workshops, seminars, group activities, A women's health night has become a Management health screenings, displays, school education regular event in the district, with the third Finance programs, walking groups and various annual night being held at Port Campbell. Medical Appointments exercise programs. Again, over 100 women attended. The Credentials emphasis this year was upon maintaining a Quality Improvement The community health nurses within the balance between work, family and lifestyle Visiting region have developed a strong network to to maintain one's mental health, with Medical Officers share ideas and develop new approaches to speakers highlighting mental health services facing the challenges of health promotion available. and education. Advantage is taken of educational and training courses promoted Advanced Care Planning Staff Committees through Primary Care Partnerships - South West to further develop skills and develop Reporting to Quality Director of Nursing new programs. Staff at Timboon and Cobden have been Improvement Committee trained in a program known as Advanced Clinical Services Accident and Emergency A range of programs are offered to meet Care Planning, designed to highlight the Nursing Services Clinical Services the needs of various groups - better health need for members of the community to Occupational Health & Safety Chief Operating Theatre for older adults, chronic disease consider "end of life" choices and Executive Pharmacist management, heart and sunspot screenings nominating a medical power of attorney Officer Infection Control for the general community and teenage long before chronic illness or disability may Quality Improvement issues of body image, teenage pregnancies arise. The program is being promoted by Residential and Respite Services and sexual health. Heart health and school South West Palliative Care and was Hotel Services age obesity are current health issues for presented to the community at our annual Occupational Health & Safety ongoing programs. meeting last year. At Timboon tai chi, strength training and Farm Safety program chair based exercise programs are held regularly. At Cobden similar exercise programs are offered with an emphasis This regular six week course for primary Community Services Manager upon stretch, tone, relax and strengthen. school children is well received throughout The community health nurse at Cobden - schools in the district. Allied Health Professionals Mrs. Lyn Russell - has also developed strong Allied Health Assistant support for a regular weigh-in group, Youth Service Community Clinical Nurse Educators placing an emphasis upon appropriate diet. Community Health Nurse – Cobden Community Health Nurse – Timboon Some key achievements throughout the year The youth worker plays an important role Health Promotion and Education have included: in health promotion and education as well Youth Worker as providing support services for youth and District Nursing HEY Bulletin their families, through providing an Home & Community Care Coordinator important counselling service and general Aged Care Coordinator advice as required. Adult Day Centres A regular monthly bulletin known as HEY (Health Education for You) is distributed The youth service has developed a close throughout the community through the working relationship with Timboon P-12 local newspaper. This bulletin promotes school and Simpson Primary School as well health issues and advises of regular and as working in association with the Cobden special activities taking place. District Health Services youth worker to Corporate Services co-ordinate community programs across Well Women's Health Service the district. Finance Human Resources Regular clinics are conducted at Timboon The youth worker has worked closely with Reception and Administration and Cobden and four times a year at Terang the community health nurses in the schools Health Information Manager complementing their roles in advocacy of Maintenance and Mortlake providing advice on women's health issues, offering pap smear tests and healthy lifestyle, drug and alcohol education promoting the importance of regular and encouraging youth activities. checks. Victorian cytology statistics show that within the district there is a lower Our youth service is provided in association proportion of women regularly undertaking with Brophy Youth and Family Services, 12 - Timboon & District Healthcare Service two yearly pap smear check ups - which are Warrnambool in order to provide our youth offered by general practitioners or through worker with peer support and access to a these clinics. broader range of resources. 18 16 quality of care report 2004 - 2005 TIMBOON & DISTRICT HEALTHCARE SERVICE
Timboon & District Healthcare Service - 13 A Quality Service PATIENT SATISFACTION MONITOR Welcome to the third Timboon and District Measures with 100% results Healthcare Service Quality of Care Report. - Way nurses explained treatment This report provides an opportunity for us to report on - Staff attitudes before admission the quality and safety initiatives undertaken over the past - Being treated with respect year to ensure that Timboon and District Healthcare - Quality of food overall Service continues to improve our service and lead - Help with pain the way in meeting the health needs of a small rural - Helpfulness of staff community. - Cleanliness of room, toilets and showers - Amount of written information Quality revolves around a central commitment to provide - Clarity of written information continually improving client outcomes. We are very pleased to report that 100% of patients Providing a quality service may be measured in a number reported that they were satisfied with the care they of ways – received and for the past three years results have been the highest in our peer group of multi purpose services. • Structural process that are in place for ongoing monitoring and reporting Nine out of ten patients (91%) felt helped a great deal or • Benchmarking care against established best practice quite a bit by their hospital stay. procedures • Benchmarking performance with peer organisations This comprehensive survey covers all aspects of our • Providing services appropriate to the needs of a rural acute and hotel services. In addition we conduct our community and meeting individual patient/client own surveys relating to our home nursing and home care needs. services to ensure we are meeting the needs of elderly clients at home.
CLINICAL GOVERNANCE The patient satisfaction monitor is a very comprehensive survey undertaken via telephone interview requiring Clinical governance is a component of the Board of responses to 32 questions relating to various aspects of Management’s overall governance responsibilities. It care and treatment, information provided, environmental is undertaken through a well-established framework surrounds and attitudes and responses of staff. of processes and partnerships between the Board of Management, staff, government agencies, accrediting Comments and criticisms are welcomed and taken into bodies, other health agencies and patient/client account by staff as part of our continuous improvement feedback through surveys and comments to measure, process. monitor and manage quality and safety.
LISTENING AND RESPONDING TO COMMUNITY NEEDS
Patient satisfaction results benchmarked against Peer Health Services 100
80
60
40
20
0
Availability of staff Way staffyou involved (patient)decision in about care Quality of food Given writtenabout howmanageinfo to at recovery home Informeddo whatif hador to neededa problem help Timboon Healthcare Service Peer Group Average
14 - Timboon & District Healthcare Service A Continuum of Care Our Midwifery service highlights an example of service coordination and teamwork between medical, nursing, allied health staff, inpatient and community care and our inter-relationships with services provided by other health agencies all combining to provide continuum of care.
A journey of a woman’s pregnancy with Timboon and District Healthcare Service
Booking-in process with interview by Post Discharge Services outcomes against other health facilities a midwife involving . GP review in six weeks (100 births or less), and against the . orientation to birthing suite . Well Women’s Clinic: state average . antenatal screening tool Pap test . Review of antenatal booking in and . birth plan Contraception information breast-feeding service . discharge planning Women’s health issues . Ongoing midwife and general . promotion of baby friendly (breast . 24 hour phone contact with hospital practitioner education in accordance feeding) philosophy midwife with recognised college requirements . promotion of child birth education . Lactation and feeding advice . pregnancy and birthing information* . Maternal and Child Health Nurse Future Services to improve midwifery New Parents Group services * Striving for continuous quality . Community support groups . Introduction of midwifery shared care improvement this information has been . Immunisation ante natal care with general practitioner combined this year into a more easily . Twins support group . Breast feeding support service readable booklet format. . Targeted on-going education programs 0-4 Age Group for midwives and general practitioners Child birth education classes . Little Tackers Education sessions on best practice initiatives . Physiotherapy class – back care . Bookworms – Reading to children . Participation in Corangamite Managed . Midwife classes group Clinical Network . Meet other expectant parents . Competency programs . Time for questions HEY – Health Education for You . Birth and child care information . Monthly newsletter distributed PROMOTING WOMEN’S HEALTH . One on one classes for special needs throughout the community highlighting THROUGH SCREENING health issues, healthy eating recipes 24 hour phone contact with a and ongoing services at Timboon and The following graph highlights the growth midwife District Healthcare Service in pap test screening throughout the district arising from regular promotion and Birthing process Quality Activities raised awareness through advertising of . Clinical risk management assessment: . Participation in Baby Friendly (breast the importance of two yearly check ups Low risk feeding) accreditation program – with your local general practitioner or Medium risk (discussion with O&G including interviews with mothers on well women’s nurse practitioner clinic. Specialist) birth and follow up experience Pap Screen Victoria have supported the Caesarean section – Theatre staff . Benchmarking of maternity services promotion over this period. High risk – referral to regional centre . One on one care provided by midwifery team Comparison of Total Number of Women Screened by Postcode 1999 - 2004 . GP assessment
Following Birth of Baby 1000 . Parent bonding and rooming in encouraged 800 . Breast feeding initiated within the first hour 600 . Partners encouraged to stay . Commencement of discharge planning 400
Discharge Planning 200 . Referrals if relevant to: . Maternal and Child Health Nurse (Shire 0 employee on site) . Post Acute Care . Home and Community Care
. Domiciliary midwifery visit 3266 -Cobden/Simpson 3267 -Scotts Creek 3268 -Timboon 3269 -Port Campbell 3270 -Peterborough . Information on New Parents Group education sessions . Information on access to immunisation, 1999 Total 2004 Total community support groups
Timboon & District Healthcare Service - 15 Safety and Quality Indicators
“The surveyors were impressed and commend the staff on the team effort and commitment to ensure that organisation provides a service which is outcome focused, utilising the various clinical and health care research programs they are involved in to ensure the hospital provides both a safe and needed service.” The Australian Council on Healthcare Standards – Survey Report, November 2004
INFECTION CONTROL Cleaning Standards Cleanliness of our facilities also plays an important role in All staff are highly aware of the need to prevent infection infection control. and follow recommended standard infection control Adherence to cleaning standards in our wards and policies and procedures. operating theatre is monitored internally on a regular basis and on an annual basis through an external audit Strategies for the maintenance of infection control conducted by the regional infection control nurse. are outlined in our annual infection control plan and monitored internally and in association with the The graph below reflects external audit results over the Department of Human Service regional infection control past three years. program. Department of Human Services Cleaning Standards Regular monitoring of compliance with infection control require a minimum result of 80% compliance to standards is a key to our low infection rate. standards.
Hand washing is recognised as one of the most effective infection control mechanisms in health services. GraphCleaning - Audit Results 2003 - 2005 VICNISS Surveillance Commencing at our hospital last year as a pilot study for DHS Target 80% small hospitals, and now continuing this year the state Timboon Health wide Victorian Nosocomial Infection Surveillance System Overall Score (VICNISS) is collecting and comparing data on infections that are contracted whilst a patient is in hospital. V. High Risk Areas (operating theatre, sterilising) For small hospitals the program covers monitoring of multi resistant organisms, bloodstream infections, health High & Moderate care workers and measles vaccinations. Risk Areas
Benchmarking Compliance with Sterilising 0 20 40 60 80 100 Standards A recent regional study of operating theatre sterilisation 2003 2004 2005 procedures reflected high compliance with Australian Standard 4187.
Sterilising Standards Compliance MEDICATION ADMINISTRATION
Medical and nursing staff take particular care to prevent
100% medication errors through adherence to well established protocols. These protocols, which include medication- 95% checking procedures by two staff, are the safeguards
90% that have been instituted to prevent errors occurring. Any medication error is to reported via the incident 85% reporting system and is thoroughly investigated as to the cause of the error and, if required, procedures reviewed. 80% One medication error was reported during 2004/05. 75% Timboon 2 3 4 5 6 7 8
16 - Timboon & District Healthcare Service Examples of procedures, which are in place to prevent • Purchase of new bed-side device designed to alert medication errors, include: nursing staff of at risk patients who are attempting to get out of bed. • Medication charts and records designed to clearly identify medication instructions and drug allergies Falls Prevention Programs • Regular review of patient medications by medical staff Within the community falls are one of the main causes of injury for people over the age of seventy and reaching • Ongoing education of staff on medication usage and out to community members is a high priority of our falls on appropriate recording of medication administration. prevention programs.
In the community setting to assist our clients in A variety of exercise programs are offered to older their personal administration of their medications, all adults in the district, all with similar aims and objectives, prescriptions are now issued in blister packs, which specifically for keeping strong and active, preventing falls assist the pharmacist, other family members and district and maintaining social connectedness. nurses to monitor medication administration. • General Exercise – chair based class including Medication Administration for Division 2 Nurses strength training, mobility and coordination activities. Recent changes to Victorian legislation applicable • Tai Chi - Gentle yet dynamic exercise supported by to nurse medication administration has provided for Arthritis Victoria - Beginners and advances classes. appropriately trained registered nurses - division 2 to • Body Balance – incorporates sessional topics for administer medication. Four of our division 2 nurses discussion and assessment by the physiotherapist. have successfully completed this l90 hour TAFE • Power Pals – strength training for the fittest of our certificate course. clients who work at their own pace. Exercises are supplemented with other activities, for example, “NO FALLS” aerobic/flexibility focus.
Falls prevention is a major hospital priority throughout the state and staff are utilising procedures developed to lessen the possibility of falls.
There are many contributory reasons as to why falls occur in hospitals. Acute medical treatment, weakened medical condition due to illness or unfamiliarity with surrounds may leave a patient more susceptible to falls. Patient falls are monitored and reviewed and despite our efforts to reduce falls this year the number of patient falls or slips was 23 compared to 18 last year. This represents 2.2% of all individual patients and residents and 0.54% of patient/resident days. However, any fall is recognised as a danger and staff are endeavouring to lessen their incidence.
Strategies implemented to reduce risk of falling have included:
• Use of a risk screening tool on admission, which takes into account a patient or resident’s physical disabilities, the possible impact of medications and the hospital environment.
• Patients are encouraged to seek assistance before getting out of bed.
• Use of specialised equipment such as walking frames and wheelie walkers is encouraged.
• Staff education to increase awareness of falls risk and actions to minimise risk.
Timboon & District Healthcare Service - 17 Falls assessment has been conducted at senior citizens Measures introduced for the care management of people and adult planned activity groups and the Service is at risk include: participating in a regional falls prevention program providing education and promoting activities to prevent • Appropriate documentation of skin conditions within falls within the community. the patient’s care plan upon admission • Following of care procedures such as the use of aids PRESSURE ULCER POINT PREVALENCE to prevent or minimise pressure wounds Pressure ulcers are internationally recognised as a • A clinical team approach seeking additional advice patient safety problem and this year Timboon and District such as continence management or nutrition Healthcare Service participated in the Victorian Quality Council second stage Pressure Ulcer Point Prevalence • Monitoring of any pressure wound occurrence Survey (PUPPS 2). The prevalence state-wide of • Use of pressure reducing foam mattresses, which patients in acute facilities with ulcers was 20.8%. have been funded by the Department of Human Our Service at survey had 2 patients with ulcers, an Services as part of a state-wide program to reduce 18.2% incidence – with one patient having an ulcer on pressure wound occurrence. admission. Both pressure ulcers were rated stage 2 on a severity scale of 1 –4. FOOD SAFETY STANDARDS Prevention of the development of pressure wound sores for patients at risk is a focus of our nursing care. Food Safety is governed by the Food Safety Act, which requires adherence to a food safety plan. The food safety plan covers the safe handling, preparation, cooking, food storage, reheating of food and the personal hygiene of staff and cleanliness of equipment and working surfaces. Food temperatures are regularly monitored throughout the daily routine.
An annual audit of procedures is conducted by a Food Safety Auditor registered with the Department of Human Services and spot checks are undertaken from time to time by the Shire’s Environmental Food Officer. As well as our main kitchen, food preparation, cooking and handling procedures are monitored at our two adult day activity centres. The Food Safety Auditor has reported high compliance with standards.
In addition to compliance with standards our quality of care requires that meals are appetising, nutritious and meet patients’ dietary requirements.
Monica Easterbrook prepares lunch.
PRESSURE ULCER POINT PREVALENCE
Pressure ulcer prevalence by health service 60
50
40 Your Health Service 30
20
10
0
18 - Timboon & District Healthcare Service CREDENTIALING OF MEDICAL STAFF Limited Adverse Occurrence Screening (LAOS) Timboon and District Healthcare Service participates Credentialing refers to the formal process whereby in the Otway Division of General Practice ‘Limited the Service makes sure that all medical staff are Adverse Occurrence Screening’ project, which has qualified to treat patients. This involves the checking of been developed as an educational tool for medical staff qualifications, registration, speciality training, experience, and awareness of potential at risk issues for hospitals. referees and commitment to continuing medical This clinical risk management program is part of the education. Department of Human Services strategy for improving patient safety in Victorian hospitals. The Medical Appointments Advisory Committee, a sub-committee of the Board of Management, makes The project involves a study of a selection of medical recommendations to the Board as to the clinical records from our hospital and the other nine privileges or clinical services that may be provided by the participating hospitals within our region by a panel of medical practitioner. This recommendation also takes doctors. Educational issues arising from a record into account the facilities and nursing staff resources may then be discussed confidentially by doctors at a available to support the clinical service. Advice may quality improvement meeting, and further reviewed at be sought from regional health services and medical each individual hospital to ensure appropriate strategies colleges. are in place. A patient’s personal information is not collated, reproduced, published or used for any purpose, The Board of Management alone is authorised to appoint maintaining commitment to privacy by all the hospitals and allocate privileges to general practitioners and involved. specialists. Examples of issues identified across the region through An Australian Standard on credentialing was issued this collegiate approach have included: in July 2004 by the Australian Council for Safety and Quality in Health Care and our procedures are being . General practitioner management of patients with reviewed to ensure compliance with ‘best practice’. unstable angina . Registrar training and supervision CLINICAL RISK MANAGEMENT . Dealing with a poorly compliant patient . Training for patient decision making in palliative care Clinical policies and procedures are developed and . Reviews of hospital major trauma protocols reviewed through a Clinical Review Committee – a joint staff meeting of medical and nursing staff, supported as This process aims to provide a snap shot of issues of required by other health professionals. concern to general practitioners in our rural hospitals and provide a forum to learn from one another and implement ways to best address these issues and prevent issues of concern re-occurring.
Timboon & District Healthcare Service - 19 CONTINUING EDUCATION PROMOTING QUALITY
Maintaining quality services requires ongoing commitment by our staff to continuing education to: . meet the challenges of change . continue to expand horizons . add to skills and program knowledge and . ensure our practices are in line with best practice.
A wide variety of courses undertaken this year include:
Health Promotion Acute Care . Adolescent sexuality and sexual health . Advanced life support . Arthritis – Self management leaders update . Diabetes management . Asthma management update . Emergency department management . Heart Smart training . Foetal monitoring . Motivational interviewing - Lung Health Promotion . High dependency nursing Centre . Medication management . Re-credentialing - sexual and reproductive health . Midwifery updates . Re-accreditation – immunisation . NETS resuscitation . Exercise program for older adults . Wound management . Tai Chi for back pain and arthritis
Youth Services Hotel Services . Cognitive behavioural therapy . Food Hygiene for Food Handlers . Mind matters training . Promoting mental health and well-being District Nursing . Reducing homophobia in schools . Falls Prevention for clients . Suicide awareness . Documentation in acute/aged care . Wound Management Aged and Disability Services . Acquired brain injury . Advanced care planning . Ageing and sensory loss - . Assisting clients with choice and decision making . Consumer involvement . Cross cultural training . Mental health . Planned activity group training . Service coordination . Volunteers – First aid training (CPR)
John & Naomi Vogels with Amy and Zoe.
20 - Timboon & District Healthcare Service Governance Responsible Ministers - Australian Government Responsible Minister - State Government The Hon. Tony Abbot, MP Minister for Health and The Hon. Bronwyn Pike MP, Minister for Health Ageing The Hon. Julie Bishop, MP, Minister for Ageing
Board of Management
Richard I. McVilly PhC, MPS Margaret McKenzie TSTC President Member of tourist industry and economic Pharmacist development groups Committees: Finance/Audit, Medical Appointments First appointed: 12.03.1998 Advisory Current term of appointment: First appointed: 12.03.1998 01.11.2002 - 30.10.2005 Current term of appointment: 01.11.2003 - 30.10.2006 Catherine Marr DPT Former Corangamite Shire councillor, Michael N. Broomhall BEd, GradDipEd, DPT local business manager Vice-President/Treasurer Committees: Cobden Community Services Advisory Primary teacher librarian, Timboon P-12 School First appointed: 01.11.2001 Committees: Finance/Audit, Medical Appointments Current term of appointment: Advisory 01.11.2004 - 30.10.2007 First appointed: 12.03.1998 Current term of appointment: Kerry Nelson GradDip Aged Services Mgmt 01.11.2003 - 30.10.2006 Health services administrator Committees: Medical Appointments Advisory Geoffrey Gale First appointed: 01.11.2000 Junior Vice-President Current term of appointment: Dairy farmer 01.11.2002 - 30.10.2005 Committees: Finance/Audit First appointed: 01.11.2000 Monica Ryan BVetSc Current term of appointment: Veterinarian 01.112002 - 30.10.2005 Committees: Finance/Audit Current term of appointment: Josh McKenzie BE(Chem), BSc 01.11.2003 – 30.10.2006 Chemical Engineer Committees: Finance/Audit Current term of appointment: 01.11.2004 – 30.10.2007
R. McVilly M. Broomhall G. Gale J. McKenzie M. McKenzie C. Marr K. Nelson M. Ryan
Timboon & District Healthcare Service - 21 GOVERNANCE • Address the management and identification of risks and hazards by implementing a comprehensive clinical Timboon and District Healthcare Service was and non-clinical risk management system incorporated in March 1998 under the Health Services • Ensure staff and facilities are assessed, reviewed and Act 1988 as a multi purpose service and is governed credentialed. by a nine member Board of Management, appointed by the Governor-in-Council upon the recommendation of The Board of Management delegates the operational the Minister for Health. Board members are appointed activities of Timboon and District Healthcare Service for periods up to three years and serve in a voluntary to the Chief Executive Officer, Director of Nursing, capacity. For 2004/05 one Board of Management Community Services Manager and staff in accordance position remained vacant. with the Instrument of Delegation and the Health Services Act 1988. The activities of the Service are directed by a tripartite Agreement incorporating a Service Plan, Board of Management Membership which is negotiated between the Australian and This year Mr. Josh McKenzie joined the Board of State governments and the Service on a three yearly Management, following his appointment by the Govenor- basis. The Timboon and District Healthcare Service in-Council commencing from 1 November 2004 for a is accountable through the Board of Management to three year term. both the State Minister for Health and the Australian Government Minister for Health and Ageing and the As indicated last year Mr. Bruce Collie did not seek re- Minister for Ageing. appointment at the completion of his term of office on 31 October 2004 and medical staff under new rules have The Board of Management is responsible for the become ineligible for appointment and thus Dr. Warwick governance and strategic direction of the service and is Rouse stepped down. committed to ensuring that the services meet local needs Board of Management and Staff extend sincere in accordance with the vision, mission and objectives of appreciation to these former Board members. the organisation. Ms. Kerry Nelson has indicated that she will not seek In addressing its governance role the Board of re-appointment at the completion of her term of office Management strives to: on 31 October 2005. We thank Ms. Nelson for her commitment to the organisation over the past five years. • Meet community expectations by achieving quality health service delivery • Ensure there are corporate and clinical standards for accountability and leadership within the Service
District nurses Natasha Sutherland and Corry Kerr.
22 - Timboon & District Healthcare Service Staff Profile Timboon and District Healthcare Service embraces these principles of impartiality, integrity, accountability and Our staffing levels remain stable, with a slight increase responsive service as they underpin how we manage our over last year with a total full time equivalent staff of work, our people and our behaviour. 35.55 compared with 34.68 last year. Human resources policies and procedures were reviewed With the overall shortage of health professional staff and revised during the year, and educational sessions within rural Victoria, recruitment is difficult as our held on the prevention of harassment in the workplace. neighbouring regional centres also have difficulty in recruitment of health professionals. We have been fortunate to retain and recruit staff from within our OCCUPATIONAL HEALTH AND SAFETY catchment area. The Occupational Health and Safety Committee is In the acute sector there has been some staff changes charged with the responsibility of initiating safe practices amongst division 2 nurses with long standing staff and monitoring safety throughout the organisation for members Lyn Savage and Donna Morrison resigning patients, staff and visitors. and Corry Kerr and Enid O’Connor moving to community services. An emphasis has been placed upon staff education to reinforce and develop safe practices and ensure Our community services section has been enhanced compliance with occupational health policies. The with the recruitment of Allied Health/Community Health following outlines key education and activities Assistant Tracey Heeps, and we welcome Mary Wigan to undertaken to monitor and improve safety throughout the our administrative staff. year.
Continuing Education MERIT AND EMPLOYMENT PRINCIPLES . Staff Orientation Public sector organisations are governed by the Public All new staff are instructed in safety policies and Authorities (Equal Opportunity Act) 1990 that requires procedures as part of their orientation to the the establishment of employment processes and a code organisation and issued with safety information. of conduct that ensure . Annual Safety Training Update . employment decisions are based on merit All staff are required to attend an annual update on . employees are treated fairly and reasonably emergency responses, infection control, manual . equal employment opportunity is provided and handling and occupational health and safety policies. . employees have an avenue of redress against unfair and unreasonable treatment.
Employees 2005 2004
Nurses 34 33 Full time equivalent 21.51 20.88 Hotel & Allied 14 13 Full time equivalent 9.15 9.46 Administrative and Clerical 5 4 Full time equivalent 3.96 3.31 Ancillary Support 2 2 Full time equivalent 0.93 1.03 Total Number of staff 55 52 Total Full time equivalent 35.55 34.68
Staff at 30 June 2005
SERVICE AWARD 25 Years - Monica Easterbrook
Timboon & District Healthcare Service - 23 . No Lift Policy – Review of Compliance and Safety Audits Competencies Fire Safety audits and regular monitoring of fire alarm For nursing staff the organisational wide No Lift systems policy is reinforced through regular testing of Audits of equipment and environment within departments staff competencies and compliance in various lifting Audit of dangerous goods storage techniques and knowledge of use of equipment to assist in lifting of patients. Safety equipment purchases Installation of safety height equipment for maintenance . Specific skills training for - work on roof. Patient lifting/showering equipment. District Nurses Safety in the Home including introduction of home Maintenance program risk assessment forms Plant and equipment are maintained through a Personal Assault Response Training preventative maintenance program in accordance with No Lift in the Home building standards and specific external contracts for medical equipment. Acute Nurses Dealing with difficult clients Policy and Procedure Reviews Safety and emergency policies were reviewed and Maintenance revised and new policies introduced for monitoring Working at heights and use of safety equipment contractor safety and risk assessment in the client’s Electrical appliance testing update home. Chainsaws – basic use and maintenance WorkCover Occupational Health and Safety Committee The Occupational Health and Safety Committee monitors Implications of new Occupational Health and Safety workplace incident reports for all incidents relating to Act patients, staff and visitors. One lost time injury claim occurred during 2004/05. Occupational Health and Safety Officer OHS Risk Management systems Falls Prevention within aged care facilities Prevention and Management of Violence in the Workplace
Tai Chi group farewell instructor Leslie Dickson.
24 - Timboon & District Healthcare Service Our Community Once again volunteers and the community at large have been magnificent in their support of the Service. This support is expressed through a number of ways - donations, fund raising, volunteer assistance for community transport, meals on wheels and day activity groups and gifts in kind.
ANNUAL APPEAL AND GENERAL DONATIONS
A total of $80,302 has been raised through the ongoing support of the community through a range of activities:
• Annual Appeal - $23,155 • Ritchies Supermarket community benefit card - $21,858 • Timboon Cruisers - $12,000 Timboon Crusiers Elaine and Noel Finnigan, Kelvin and Marilyn Serong and Chris • Timboon and District Healthcare Service Auxiliary Hibburt present $12,000 cheque to President Richard McVilly. - $4,600 • The Schomberg Inn, Peterborough - $5470 VOLUNTEERS • Cancer Council of Victoria – Timboon Unit - $2988 • Timboon Lions - $1500 Timboon and District Healthcare Service gratefully • Team Shearing Committee - $1179 acknowledges the support of a large group of men and • Dr. W. Rouse & Ms. L Parlour - $1000 for women who regularly give of their time to assist our Bookworms project community aged care programs. Meals on Wheels and • Sporting and Service clubs and general donations community transport would not be possible without these - $6552. volunteers, and our adult day activity program staff rely heavily upon volunteers to assist them in running their All donations are used to upgrade our facilities and programs and to transport clients. medical equipment. Timboon Lions Timboon Cruisers – Murray to Moyne Cycle Relay Further assistance with transport for clients to attend The Timboon Cruisers, now in their sixteenth year of medical and related appointments in Warrnambool, operation, have raised this year the magnificent sum of Geelong and even Melbourne is provided by the Timboon $12,000, through community support for the riders and Lions through their support as drivers of the Red Cross their support crew participating in the annual Woody’s patient transport vehicle at Timboon. This is a most Murray to Moyne Cycle Relay and through various valuable service. Also the Timboon Lions regularly functions throughout the year. The Murray to Moyne donate to our Service, this year donating $1500 from Cycle Relay has become a major fund raising event with their fundraising activities for community projects. hospital teams from throughout Victoria participating in this major charity event. Once again, we thank Ambulance Service all members of the Cruisers for their hard work and It should be noted that our local ambulance officers magnificent result. are volunteers and together with the paramedics from Terang, Camperdown and Warrnambool play a vital role Timboon and District Healthcare Service Auxiliary in providing health care in our region. A small band of dedicated ladies continues to support the Service through the Auxiliary – now the only Auxiliary remaining from the many that were formed throughout the district fifty or so years ago to raise funds for the then new hospital.
This year the sum of $4,600 has been raised, a wonderful effort from a very small group.
Timboon & District Healthcare Service - 25 Life Governors VALE
An award of Life Governorship is made by the Board of We acknowledge three Life Governors who passed Management to recognise valuable voluntary service to away during the year. Each in their own way contributed the organisation over a considerable period of time. significantly to the development of the Timboon Hospital in its early years. Mrs. H. Bullen Ms. J. Burkhalter M. Munro Miller (1926-2004) Mrs. M. Coe Mrs. P. Couch Mr. Miller joined the Hospital Board of Management Mrs. J. Duro in 1956, only a few months after the commencement Mrs. D. Fairweather of the Hospital and served on the Mr. A. Felmingham Board for 37 years, including a term Mrs. E. Finch as President from 1970 – 1972. Miss B. Fraser During his long association with Mrs. L. Giblett the hospital Mr. Miller regularly Mrs. E. Hardwick participated in the annual 3YB Mrs. H. Herrin doorknock appeal and assisted the Mrs. J. Hortin Cooriemugle Hospital Auxiliary in their Dr. D. Jackson many fundraising events. Awarded Mr. L. Joiner Life Governorship in 1973. Mrs. N. Joiner Mr. K. Jepson Mr. H. Kruse, Snr. Margaret Currell (1929-2004) Mrs. G. Kruse Mrs. Margaret Currell was a Mrs. P Lawson founding member of the Mrs. Y. Lawson Cooriemungle Hospital Auxiliary, Miss R. McMeel which was formed in 1959, following Mrs. L. Meek on from the Cooriemugle Social Club Mrs. D. Merrett which began in 1957. Mrs. Currell Mrs. H. Morris worked tirelessly throughout her life Mrs. B. Newey fundraising for the hospital. Awarded Mrs. B. O’Brien Life Governorship in 1968. Mrs. E. Padbury Mrs. S. Phillips Mrs. K. Robbins Eunice Stevens RN, RM (1927-2005) Mrs. E. Rundle Mrs. Stevens joined the hospital staff in its first year of Mrs. V. Sharp operation in 1956 and as one of a Mrs. M. Sissons small number of midwives delivered Mrs. G.E. Symons many of our local residents. For Mrs. D. Taylor many years Mrs. Stevens worked as Mrs. J. Toller-Bond Night Sister in charge. Apart from a Mrs. F. Thompson short break between 1978-80, Mrs. Mr. D. Trigg Stevens worked at the hospital over a Mr. J.A.Vogels MP period of 34 years, retiring in 1990. Awarded Life Governorship in 1991. 2003-04 Appointment
Mrs. Del Taylor At the 2004 annual meeting Mrs. Del Taylor was awarded a Life Governorship in recognition of many years of volunteer service, through fund raising and volunteer support for meals on wheels and the adult day activity centre.
26 - Timboon & District Healthcare Service Our Donors
Ackerley Mr & Mrs K N Currell Mrs N I Harrison Mr J C Morey Mr & Mrs R G Spokes Mr & Mrs C L Allan Ms F Haugh Mr & Mrs N W Morgan Mr & Mrs D Spokes Mr & Mrs M G Alsop D E Daff Mrs L E Haugh Ms L Morton Mr & Mrs C D Spokes Mr & Mrs T S Anderson Mr M J Dalziel Mrs D Hay Miss J Mounsey Mr & Mrs D J Stansfield Mr R G Andrew Mr N J Dance Mrs M Heath Mrs J Mulready Mrs C P Stapley Mr & Mrs P R Angel Mrs G Davies Miss R Hibburt Mr & Mrs D W Mungean Mrs C Steen Mrs P & the late Mr G Angel Mr & Mrs J De Crespigney the late Mrs N Hibburt-Millard Mr & Mrs C D Murrell Mrs D Stephens Ms L Askew Mr & Mrs J de Jong Mr & Mrs P C Hoffmann Mr & Mrs A Stephenson Mr J H Askew Mr L de Jong Mr & Mrs P H Holland Mr & Mrs K r Neal Mr & Mrs D Stevens Mr & Mrs S F Australian Legion of Ex Service Dendle Mr & Mrs D J Holland Mr & Mrs R G Neal Mr & Mrs G A Stinchcombe Mr & Mrs R E Men & Women Dendle Mr & Mrs L W Hortin Mr & Mrs M D Neal Mrs J Street Mr A G Ayres Mr & Mrs P Deppeler Mr & Mrs G Hose Mr & Mrs J Neal Mrs T Symons Mr & Mrs G E Deroon Mr A J Hose Mr M Nelson Mr T Bacon Mr & Mrs K F Dickmann Mrs T Hose Ms B Nesseler Mr & Mrs K Tarasuik Mr & Mrs S Baglin Mr & Mrs I M Dillon Mr & Mrs M J Hosking Mr & Mrs P A Newey Mr & Mrs C W Taylor Mr & Mrs C R Bailey Ms D Dingwall Mr & Mrs B Hovenden Mrs A Newey Mr P C Team Shearing Committee Baker Mr & Mrs G D’Onofrio Ms D Howe Mr & Mrs O L Newton Mr & Mrs D L Thompson Mr & Mrs A Mc Baker Mr & Mrs P J Drake Mr & Mrs L E Howitt Mr & Mrs W G Norman Mr F Thompson Mr R Barlow Mrs P Drake Mr & Mrs R F Hughes Mr F Thow Mr & Mrs S Barnett Mr & Mrs D W Drayton Mr & Mrs A W Hunt Mr & Mrs M G O’Connor Mr & Mrs T Timboon & District Healthcare Barr Mr & Mrs I E Drayton Mr & Mrs G F Hunt Mr P O’Keeffe Mr M A Service Auxiliary Bassett Miss M Drayton Mrs L O’Keeffe Mr P W Timboon Bowling Club Inc Baxter Mr H F Drew Mr & Mrs Irvine Mr J R Oldfield Mr & Mrs J M Timboon Cruisers Beamon Mr D Duncombe Mrs D I Irwin Mr & Mrs O’Shea Mr & Mrs R M Timboon Pharmacy Beechy Mr W Dunkley Mrs S F Ovens Mr & Mrs J Tollerbond Mr & Mrs H Beekman Mr V Duro Mr & Mrs C A Janssen Mr B Ovens Mr & Mrs P J Townsend Mr & Mrs G N Begely Mr & Mrs J M Duro Mrs M Jeffs Mr & Mrs B D Townsend Mrs M M Bekker Mr & Mrs G Jenkins Mr & Mrs K Page Mr & Mrs N Townsend Mr & Mrs R G Bell Mr B Easterbrook Mr G Jepson Mr & Mrs K Parfett Mr & Mrs R Treble Mrs K E Bell Ms C L Easterbrook Mrs I Jepson Miss L Parlour Ms L Tregea Mr & Mrs E W Belll Ms K Edge Mr R A Jepson Miss T Parlour Mr & Mrs M Tregea Mr & Mrs J A Bell Mrs C & the late Mr I Edney Mr & Mrs B P Joiner Mr & Mrs L H Patullock Mr & Mrs C J Tregea Mr & Mrs K V Bell Mrs ( & the late Mr J Edney Mr & Mrs P Joiner Mr & Mrs M A Patullock Mr & Mrs L G Trigg Mr & Mrs D J Bentley Mr & Mrs M S Elder Mr A Jones Mrs B Pender Mr & Mrs A Trigg Mr & Mrs J A Bentley Mrs V D Evans Mr & Mrs J Jones Mr D Pender Mr & Mrs B W Trotter Mr & Mrs C Bettens Mr & Mrs D Philip Mrs D W Trotter Mr & Mrs S G Bettess Mrs R Fagan Mrs M Kampschoer Mr W E Pitman Mr & Mrs G J BHP Billiton Petroleum Pty Ltd Farrar Mr L Katsaros Mrs A Plozza Mrs C Uebergang Mr & Mrs G O Blain Mr & Mrs S J Felmingham Mr & Mrs A A Keegan Mrs F Plozza Mrs J M Uebergang Mr M Blain Mr R G Ferguson Mr & Mrs G D Kermond Mr & Mrs C Plozza Mr M Umbers Mr W R Blain Mrs S M Ferrari Mr & Mrs G N Kerr Mr & Mrs A G Plozza Mr & Mrs S F Blake Mrs J Ferrari Mrs H Kerr Mr & Mrs S Popes Consolidated Buslines Vale Ms R Boehm Mrs B O Finch Mr & Mrs A W Kettle Mr R P/L Van De Wouw Mr & Mrs M J. Bognar Mr & Mrs J J Finch Mr & Mrs P L Kors Mr & Mrs G Pouw Mr & Mrs C E Van Den Broek Mr l Boulch D Finch Mr & Mrs T Kruse Mr & Mrs H Pouw Mr & Mrs J A Van Nieuwkerk Mr & Mrs J Bourke Mr P Finlayson Mr & Mrs W A Kruse Mr & Mrs H J Powell Mr & Mrs R W Van Nieuwkerk Mrs M Bowker Family Fitzgerald Ms M Kupke Mrs J F Price Mrs M A Van Rijthoven Mr & Mrs P Boxshall Mr & Mrs N R Ford Mr R J Price Mr & Mrs R Van Someren Mr & Mrs D P Broomhall Mr M Forster Mr & Mrs C Lawson Mrs Y M Vandeligt Mr & Mrs M Brown & Brownstein Pty Ltd Foster Mr & Mrs D Leighton Mr J Quota Club Cobden Vogels Mr A Bruce Mrs C Fowler Mr J D Leske Mr & Mrs G Vogels Mr & Mrs A W Bryant Mrs N R Fowler Mrs M Liddle Mrs E Radford Mr G Vogels Mr & Mrs F Bufton Mr & Mrs R B Francome Mrs Y E Lindquist Mrs F J Ralph Mrs J Vogels Mr & Mrs J G Bullen Mr & Mrs J Fraser Miss B A Lindsay Mr & Mrs A W Ralph Mr & Mrs P Vogels Mr A J Burke Mr & Mrs R D Freeman Mr & Mrs J W Lions Club of Timboon Rands Mrs M Vogels Mr J J Burkhalter Miss J Fulford Mrs C Lloyd Mr K Rankin Mr A M Burkhalter Mrs R Fulton Mr & Mrs A R Lucas Ms S Rantall Mr & Mrs N Walker Mr & Mrs B Burleigh Mr G R Ludeman Mrs M Reardon Mr & Mrs P J Walker Mr & Mrs M J Burns Mr & Mrs C Gaesser Mr M Ludeman Mrs M Rees Mr P Walker Ms S Gagel Mrs C Ludeman Mr T G Renyard Mr & Mrs J C Wallace Mr B R Cairns Mr G Gale Mr & Mrs D Lyne Mr J Rhode Mr A Wallace Mr & Mrs D L Cambell Mr R Gale Mr & Mrs G Rhode Mr & Mrs R Wallace Ms L Campbell Mrs L Gale Mr & Mrs M Marr Mr & Mrs D Riches Mr & Mrs B Wallace Mr & Mrs O R Cancer Council Victoria - Gale Mr & Mrs P Maskell Mr & Mrs S Riches Mr & Mrs G B Wallace Mr & Mrs R J Timboon Unit Gardner Mr & Mrs C Maslin Mr & Mrs R J Riches Mrs H J Walsh Mr & Mrs T A Carroll Mr & Mrs I Garrow Mrs B Maslin Mr S Ritchies Stores Pty Ltd Ward Mr & Mrs B E Cashmore Mr & Mrs D B Gass Mr & Mrs M L Matthews Mr & Mrs G Roberts Mr & Mrs A H Ware Mr & Mrs J G. Cashmore Mr & Mrs I J Gass Mrs S Matthews Mr & Mrs M K Roberts Mr & Mrs C G Warrnambool Garden Club Christian Mr L C Gay Mr & Mrs E A McCallum Mr & Mrs A S Rodgers Mr & Mrs K V Warrnambool Home Clarke Mr & Mrs P Gay Mr & Mrs W F McConnell Mr T J Rohan Mr J Improvements Clarke Mr & Mrs R R Giblett Mr & Mrs B McDonald Mr & Mrs M A Rooke Mr & Mrs G J & Plumbing P/L Clements Mr & Mrs L S Gillespie Mrs T McInerney Mr & Mrs J Rouse Dr W & Parlour Ms L Watson Mr & Mrs D T Clough Mr Gillespie Mr & Mrs H M McIntosh Mr J Rowe Mr & Mrs N Watson Mr & Mrs S J Clover Mr & Mrs G E Gilson Mrs A McKenzie Mr & Mrs C Rudolph Miss A P Watson Mr T H Clover Mr M Gleeson Mr & Mrs P J McKenzie Mrs D L Rudolph Mr G W Weel Mr & Mrs N J Cobbledick Mr C Glerum Mr & Mrs A C McKenzie Mrs F Rundle Mr G J Welton Mr & Mrs D N Coe Mrs M Graesser Ms M McKenzie Mrs H Rundle Mrs R Welton Mr & Mrs T G Collins Ms E Green Mr & Mrs W McKenzie Mr & Mrs P D Russell Mr & Mrs A D Wetmore Mr & Mrs D S Collins Mr J Greig Mr & Mrs K G McKenzie Mr & Mrs T Wiggins Mr & Mrs G T Convey Mr & Mrs K J Gristede Mr & Mrs P R McKinnon Mr N F Salmon Mr I Williams Mr R Cooknell Mrs S Groot Zevert Miss S McLaren Mr & Mrs W Scholte Mr J H Willox Mr R Copsie J Gunn Mr & Mrs L J McLennan Mrs W Schomberg Inn Hotel Motel Wills Mrs G V Couch Mr & Mrs D H Guy Mr & Mrs W McLeod Mr J I Schroder Mr M Wilson Mr & Mrs J C. Couch Mr & Mrs L H McMeel Ms A M Schrolees Mr M Wilson Ms L Couch Mr & Mrs N O Haberfield Mr J McMeel Miss R Schulz Mr H Winkler Mr & Mrs R W Couch Mr & Mrs P L Haig Mr P McMeel Mr & Mrs E M Scott Mrs M Wisbey Mr & Mrs J Couch Mr & Mrs W Hair Mr & Mrs B N McVilly Mr & Mrs B R Scott Mrs N Withall Mr M Couch Mr & Mrs W J Hall Mr A J McVilly Mr & Mrs P Scotts Creek Indoor Bias Wood Mr & Mrs W A Couch Ms M Halliburton KBR Pty Ltd – Merrett Mr & Mrs R D Bowling Club Wood Mr W A Couch Ms R Kellogg Brown & Root Pty Ltd Methven Mr & Mrs R C Senior Citizens Woolstencroft Mr & Mrs G S Cowley Mr & Mrs D D Hallyburton Mr & Mrs N Millar Mrs B Serong Mr & Mrs K Worrall Mrs E C Cranston Mr M Hamilton Ms M Millard Ms H Simpson CWA Worrall Mrs N Croft Mr L Hand Mr & Mrs B Miller Ms S Simpson Lions Club Wouters Mr & Mrs F C Crole Mr & Mrs W Hanson Mrs D E Mitchell Mr & Mrs R M Simpson Mr & Mrs E Crozier-Durham Mr & Mrs C R Hargreaves Mr & Mrs P Moore J B Sinclair Mr & Mrs B H Younis Mr & Mrs P J Cunnington Mr & Mrs R W Harkness Mr & Mrs J Moore Mrs A W Slater Mr & Mrs R W Cunnington Mr & Mrs S Harris Mr I Moore Mrs C O Smethurst Mr & Mrs B R Currell Mr & Mrs D A Harris Mr P P Moorfield Mr & Mrs C D Smith Mr & Mrs K G
Timboon & District Healthcare Service - 27 Reporting Compliance Legislative Compliance in our In accordance with the Directions of the Minister for Finance part 9.1.3 (iv) under the Financial Management Activities Act 1994 the following information has been prepared The activities of the Timboon and District Healthcare and is available upon request, where applicable: Service are performed under the direction of a range (a) declarations of pecuniary interest; of Parliamentary Acts, Regulations and standards set (b) details of publications produced; by government and other regulatory bodies to ensure (c) details of changes in fees, charges and rates charged that our activities guarantee a high standard of care and by the entity; safety for patients, staff and visitors and that business (d) details of any major external reviews; activities are conducted with integrity. (e) details of overseas visits; (f) details of major promotional, public relations and The following statements provide annual information marketing activities undertaken by the entity to develop required under specific legislation and regulations. community awareness of the entity and the services it provides; Building Act 1993 (g) details of assessments and measures undertaken Timboon and District Healthcare Service complies with to improve the occupational health and safety of the guidelines for publicly owned buildings issued by the employees; Minister for Finance in 1994. (h) general statement on industrial relations within the Conformity: entity and details of time lost through industrial accidents Occupancy permits issued: 4 June 2001 and 24 and disputes; February 2004 (i) list of major committees sponsored by the entity, the Maintenance: purposes of each committee and the extent to which the No notices were issued for rectification of sub-standard purposes have been achieved. buildings. Requests are to be made to the Chief Executive Officer. Building Inspections Standards Assessment The Service has undertaken fire audits by a registered Victorian Industry Participation Policy Act 2003 Fire Services Engineer on a three yearly basis and all There are no disclosures in relation to contracts buildings comply with the Building Code of Australia, fire commenced or completed under this Act for 2004/05. safety regulations and maintenance. Whistleblowers Protection Act 2001 Competitive Neutrality Policy The purpose of this Act is to provide an environment The Service has implemented competitive neutral pricing to encourage reporting of any improper conduct by the principles for all contracts for services provided to the Service or its employees. private sector, to ensure a level playing field. Timboon and District Healthcare Service has policies and procedures in place to enable compliance with the Consultancies Act and which provide a safe environment in which The Service did not utilise the services of any consultants disclosures can be made, people are protected from during this financial year. reprisal and the investigation process is clear and provides a fair outcome. Freedom of Information The privacy of all individuals involved in a disclosure is The Victorian Freedom of Information Act 1982 provides assured of protection at all times. the right for members of the public to obtain information held by the Healthcare Service and consumers are The Service is committed to the principles of the Act and entitled to access their medical record. Four requests at no time will improper conduct by the Service or any of were processed this financial year. its employees be condoned. Applications are to be directed to the nominated Freedom of Information Officer, Ms. E. M. Collins. A A copy of the policy is available upon request. Web sites fee and charges for associated costs may apply in of interest for complaint procedures regarding this Act accordance with the Act. are: http://www.ombudsman.vic.gov.au and http://www. health.vic.gov.au/hsc Publications . Annual Report Disclosures . Quality of Care Report Since the introduction of the Act in 2002 there have . Newsletter been no disclosures received and no notification of . HEY ‘Health Education for You’ monthly newsletter disclosures to the Ombudsman or any other external . Brochures and booklets on services agency.
These publications are available upon request at Disclosures in writing will be received by Ms E.M. reception. Collins, Chief Executive Officer or the Ombudsman, Level 22, 459 Collins Street, Melbourne Victoria 3000 Telephone 1800 806 314.
28 - Timboon & District Healthcare Service Division 2 Registered Nurses Staff List Kathy Brown Mary Duynhoven Julie Harkin ADMINISTRATION Sandra Mugavin Maureen Reicha Chief Executive Officer Vickie Stevens Elaine Collins BA, MHA, GradDipAcctg, CHE Michele Webber Helen Wiggins Administration and Finance Fiona Younis Kristie Coverdale BComm Barbara Fraser Relieving Staff Sheryl O’Connor (on leave) Julie Giblett Mary Wigan Linda McKenzie, RN Catherine Matthews, RN PATIENT & RESIDENTIAL SERVICES Jodie Skillbeck Sue Stevens Director of Nursing Anne McMeel BN, RN, RM HOTEL SERVICES Night Supervisors Hotel Services Supervisor Tricia Klemm RN, RM (OH&S Coordinator) Monica Easterbrook Mary Guy RN, RM Chef Margaret Tesselaar RN, RM Lorraine Wilson Supervisors Food & Domestic Assistants Heather Power RN, RM (Infection Control Coordintor) Mary Belshaw Pam Robb RN, RM (Baby Friendly Coordinator) Jan Burkhalter Maureen Turner RN, RM Paula Gay Lesley Henriksen Division 1 Registered Nurses Valerie O’Brien Kate Higgins RN Wendy Wagstaff June Crawley RN, RM Relieving Staff Lyn Marr RN Jacqui Dean Ingrid Rial, RN Nanette Howard Michelle Selten RN Linda Pender
New staff members Mary Wigan and Tracey Heeps.
54 - Timboon & District Healthcare Service Staff contracted from South West Healthcare: Maintenance Officer Biomedical Engineer Alan Rhode Continence Nurse Dietitian COMMUNITY SERVICES Health Information Administrator Occupational Therapist Community Services Manager Physiotherapist Amanda Nash RN, RM Speech Pathologist
Community Health Nurses Visiting service from Lyndoch, Warrnambool: Cobden Podiatrist Lyn Russell GradDipNursg (Community Health), RN, RM Timboon VISITING MEDICAL OFFICERS Amanda Nash RN RM Caroline Simmons RN General Practitioners Dr. Jean Brown MBBS, DipRACOG, FRACGP Allied Health/Community Health Assistant Dr. Michael D. Brownstein MBBS, DipRACOG, FRACGP Tracey Heeps BEd (PhysEd) Dr. Warwick Rouse MBBS, FRACGP, DRANZCOG, GradDipRuralGP District Nurses Julia Gale BN, RN (on leave) Obstetricians & Gynaecologists Corry Kerr Dr. C. Beaton MB ChB (Edin), FRANZCOG, FRCOG Natasha Sutherland RN Dr. K.F. Braniff MBBS, FRANZCOG Mary Sturzaker RN Dr. E. M Uren MBBS, FRANZCOG Relieving Staff Lynda Avery, RN BAppSci Physician Sherryl Mueller, RN Dr. C. Charnley, MBBS, FRACP Sandra Mason Leanne Unwin Surgeon Mr. B. Mooney MB ChB, BAO (Hons), BSc (Anat.) Diabetes Educator (Hons), MCh, FRCSI, FACRRM, FRACS Terree Parsons RN, RM VISITING PRIVATE SERVICES Adult Day Activities Centre Coordinators Audiologist Enid O’Connor Mr. Tim Rayner BSc, DipAud(Melb), MAudSA (CCP) New staff members Mary Wigan and Tracey Heeps. Sandra Mugavin Adult Day Activities Assistants Dental Surgeons Monica Norman Dr. M. Trotter BDS (Bristol) Colleen Rankin (Reliever) Dr. N.J.Trotter BDS (Birmingham) Dr. V. Lissett BDS (Edinburgh) MSc Assessment Officer/Care Manager Bill O’Keefe Chiropractor Mr.Ross McIlveen BAppSc(Chiropractic) Youth Services Megan Beasy BSocialWork Podiatrist Ms.Rebecca Simpson BAppSc(Pod) CLINICAL AND ALLIED HEALTH STAFF Radiographer Audiologist Mr.Graham Osborne AssocDipAppSci, MIR Mr. Tim Rayner, BSc, DipAud(Melb), MAudSA, (CCP) Remedial Massage Therapist Pharmacist Mr. Chris Hoffman, DipRemedial Massage Ms. Danielle D’Onofrio BSc(Hons), B.Pharm, MPS
Psychologist Ms. Kathy Culkin MPsych(Counselling), GradDipAppPsych, BA
Timboon & District Healthcare Service - 55 OUR SERVICES
Acute Care Health Promotion and Education Emergency Department Childbirth Classes General Medicine Community & School Health Education and General Surgery Promotion Obstetrics and Gynaecology No Falls Exercise and Body Balance Classes Palliative Care Health screenings Strength Training Diagnostic Services Tai Chi Pathology Women’s Health Radiology Home and Community Care (Aged and Wannon Post Acute Care Disability Support) Assessment and Care Management Home Nursing Community Transport District Nursing Delivered Meals Maternity Outreach Home Care Palliative Care Home Maintenance Home (District) Nursing Residential Aged Care Personal Care High Care (2 beds) Respite Care Respite Care (2 beds) Step-down Rehabilitation Support Groups Adult Day Activity Groups Allied Health Arthritis Self Help Group Audiology Grief, Loss and Suicide Support Chiropractic Visually Impaired Group Continence Dental Clinic Youth Service Diabetes Education Counselling Dietetics Health Promotion and Education Occupational Therapy Physiotherapy Podiatry Psychology/Counselling Remedial Massage Speech Pathology
Adult Day Activity Group - Cobden.
56 - Timboon & District Healthcare Service