Annual Report 2012
Mission Statement
OUR Mission To achieve excellence in the provision of health and aged care services to the Nagambie community and all others to whom we deliver services.
OUR Vision Our vision is to be, and to be recognised as, a leader in the provision of rural health and aged care services and which comply with the requirements of iso 9001:2008 and the aged care standards.
OUR Philosophy As the central point for delivery and/or co-ordination of health and aged care in our community, nagambie healthcare operates within a framework of regulatory compliance, sound financial management, co-operative partnerships and a safe working and living environment. Our staff are valued and respected as the key deliverers of quality health care outcomes. Their personal and professional development is enhanced through the provision of education and training opportunities
OUR Values Our foundational values are Respect Stewardship Co-operation Flexibility
RELEASED BY THE BOARD OF MANAGEMENT MAY 2005 REVIEWED BY THE BOARD APRIL 2009 REVIEWED BY BOARD JANUARY 2012
Annual Report 2012 1 Board 2011/2012
COMMITTEE
CHAIRMAN James Tehan Finance and Nominations
DEPUTY CHAIR Sam Verrocchi Building & Maintenance Jacqueline Anton (Appointed June 2012) Quality & Risk Peter Darbyshire Quality & Risk Kim Douglass (Resigned March 2012) Margaret Moss Building & Maintenance and Nominations BOARD MEMBERS John Palmer Finance and Nominations Bruce Parris Building & Maintenance Doug Proud Building & Maintenance and Bequests Graeme Ratten Finance and Quality & Risk Howard Palmer (non Board Member) BEQUESTS COMMITTEE Max Perry (non Board Member)
Back Row: Doug Proud, Bruce Parris, John Palmer, Graeme Ratten, Peter Darbyshire Front Row: Kim Douglass, James Tehan, Sam Verrocchi, Margaret Moss Inset: Jacqueline Anton
2 Nagambie HealthCare Annual Report 2012 Executive Team
Chief Executive Officer / Director of Nursing Amanda Fieldhouse
Claire Sampson Nurse Unit Managers Katrina McMaster Administration Deb Ure
Finance Tanya Williams
Hotel Services Carolyn Fox
Maintenance Steve D’Andrea
Auditors Davidsons
From Left to Right: Deb Ure, Carolyn Fox, Katrina McMaster, Amanda Fieldhouse, Tanya Williams, Claire Sampson, Inset: Steve D’Andrea
Nagambie HealthCare Annual Report 2012 3 Notice of Annual General Meeting
You are invited to attend the Annual General Meeting of Members which will be held in the Conference Room of the Nagambie HealthCare, Community Health Centre at 7:00pm on Wednesday 24th October 2012
Agenda 1. Present
2. Apologies
3. Confirmation of Minutes Confirmation of Minutes of the previous Annual General Meeting held on 27th October 2011.
4. Business arising from minutes
5. Guest Speaker – Kerryn Healy, CEO, GV Health
6. Reports - President’s Report - Chief Executive Officer’s Report - Chair of Finance Committee 7. Election of Committees Ordinary Board Members Bequests and Donations
8. Election of Auditor for the financial year 2012/2013
9. Other Business Of which the Secretary has received notice in writing of not less than 7 days.
10. Close of Annual General Meeting
4 Nagambie HealthCare Annual Report 2012 CEO & Board Presidents Report 2012
Directly or indirectly, everything we do at Nagambie HealthCare continues to be focussed on our main goal: this is to ensure we provide the highest quality compassionate health care to our aged care residents, patients and home-care clients. To achieve this our passion is to innovate and make a meaningful, positive difference to people, their families, carers and local communities and to assist them to live with dignity, respect and where possible, with independence. Once again, this has been a busy and productive year for Nagambie HealthCare where for the fifth successive year we have achieved a financial surplus. The new financial year commenced with a new strategic planning process helped by a well-credentialed external facilitator. This gave the Board and Executive an opportunity to review our progress and consider the actions we need to take during the next five years to ensure a sustainable future. One of the key outcomes has been to develop further and strengthen our strategic partnerships with other healthcare providers. This recognises that we are currently a small organisation without critical mass. Therefore appropriate partnerships are required to deliver improved reach in services and to share resources in infrastructure, Information Communication Technology, teaching and marketing. In this respect we were very pleased to develop a joint proposal with Goulburn Valley (GV Health) for the Department of Health and the Minister’s Office in March which allows Nagambie HealthCare to care for more ‘sub-acute’ patients. There is now the opportunity for these patients who currently receive excellent care at GV Health during their ‘acute’ episodes, to transfer back to their local health facility for rehabilitation services. This will also be a great move forward in our relationship with GV Health and we look forward to a successful outcome. It is also highly beneficial that Nagambie HealthCare’s acute hospital beds, which have been significantly under- utilised during the last six years, will now be able to be modified for rehabilitation services under this new plan. We also applied for three new high care beds under the Aged Care Approvals Round (ACAR) and were successful in gaining the required government funding. The three new resident rooms were re-modelled and built over ten weeks and were opened last May. We would like to thank Sam Verrocchi for his skills and time in overseeing this important project. These rooms have set the standard for our ongoing renovations of resident rooms and the residents who moved into these rooms are very happy with them. At the same time we upgraded the high care sitting and dining room making it a much more comfortable area for our residents. Changes in government policy result in there now being a greater focus on home based care, especially for the elderly. We have made an exciting move forward in this area with our success in gaining five Community Aged Care Packages (CACPs) in a consortium with Violet Town Bush Nursing Centre, Euroa Health and the Strathbogie Shire. Seven more packages have since been transferred from Shepparton to the Consortium. Being a member of the Strathbogie Health and Community Services Consortium gives us many more opportunities to determine gaps in health service provision across the Shire and apply for funding streams to close those gaps. High quality healthcare outcomes depend on the quality and commitment of our staff. We are proud of our performance orientated culture and educational opportunities that have been developed to ensure continued high standards. These include two Patient Care Assistants gaining their Diploma of Nursing and our Nurse Unit Manager, Claire Sampson, undertaking the Clinical Leadership in Quality and Safety (CLiQS) program, auspiced by the Victoria Quality Council. Nurse Unit Manager, Katrina McMaster, is currently undertaking a Diploma in Community Services coordination. We run a robust education program throughout the year including a ‘cluster’ day program for all staff incorporating mandatory training which includes guest
Nagambie HealthCare Annual Report 2012 5 CEO & Board Presidents Report 2012 Continued
speakers who provide specialist tuition relevant to our work. Development opportunities have also been extended through to Board members who attended a comprehensive governance training program. Our successful overseas staff recruitment program for Registered Nurses continues and we are soon to welcome a Registered Nurse who did her initial training in India prior to completing further qualifications in Ballarat. Our highly experienced Enrolled Nurse Team Leaders continue to play an important role in our clinical leadership team. Changes have been made to our visiting medical practitioners and we would like to welcome Dr Vikas Deshwal and Dr Gary Berryman to Nagambie HealthCare. Dr Berryman is employed by Goulburn Valley Health with whom we now have an agreement for the provision of medical services to our residents and patients. Nagambie HealthCare continues to provide new healthcare services to the community of Nagambie and surrounding catchment areas. These now include medical, 24 hour nursing, care planning, podiatry, optometry, complementary therapies and physiotherapy services. During the past year we have been pleased to be successful in a funding application with Active Ageing Network to purchase gym equipment. Our physiotherapist, Brent Davies, is now running a ‘Small Weights Program for the over 50s’ which complements his pilates program. Success in new funding applications continued with an infrastructure grant of $120,000 for replacement of flooring in the hostel, three new hot water systems, a new boiler and a fully addressable fire system. We would like to thank the Department of Health for this generous support. An enormous achievement was to gain both Aged Care Accreditation in March and ISO 9001:2008 accreditation (for our hospital sub-acute beds) in August. This means that we remain fully accredited until 2015 in both our aged care facility and in our hospital. We would like to thank each and every staff member for their commitment to making this possible. With regret, we farewell a long standing member of the Board, Dr Graeme Ratten and his wife Bev, a member of the Nagambie HealthCare Ladies Auxiliary and a singer with the Nagambie Larks. Graeme has been a highly regarded and active contributor to the Board between 2000 and 2012 and was President from 2002 to 2007. During his tenure as President he led the re-opening of Nagambie Hospital - a major achievement. Graeme and Bev have moved away from Nagambie and take with them our gratitude for their significant contribution to Nagambie HealthCare. Graeme has been awarded a Life Governorship. We also said farewell with thanks to Ms Kim Douglass from the Board and welcomed a new Board member, Ms Jacquie Anton. Jacquie comes to us with a long standing background in healthcare and business and we look forward to her contribution. We would like to extend our thanks to the members of the Ladies Auxiliary who continue with their sterling fund raising efforts, the outcome of which adds significantly to the improved comfort of our patients and residents. Finally, we would like to acknowledge and thank the local community in Nagambie and surrounding catchment area for its continuing support. Clearly, without this support we cannot continue to achieve our aim to provide a superior, more personalised, non-institutionalised patient/resident/home-care experience that does not compromise clinical governance (i.e. quality, safety and risk management.) With community support Nagambie Healthcare will continue to differentiate its brand and attract both highly professional clinical staff and the people who require our health care services. James Tehan Amanda Fieldhouse President Chief Executive Officer 6 Nagambie HealthCare Annual Report 2012 Organisational Structure Continued Gardener Gardener Manager Manager Maintenance Maintenance Assistant Assistant Maintenance Maintenance Finance Finance Manager Manager Podiatrist Podiatrist Pathologist Speech Dietitian Medication Review Medical Officers Medical Officers Health— Allied Physiotherapist Contractors Contractors Manager Manager Administration Administration Volunteers Volunteers Activities Activities Lifestyle & & Lifestyle Co-Ordinators Co-Ordinators BOARD CEO/DON COMMUNITY Cleaners Cleaners ORGANISATIONAL STRUCTURE STRUCTURE ORGANISATIONAL Hotel Hotel Hands Hands Kitchen Kitchen Services Manager Manager Cooks Cooks PCAs PCAs External OH&S—Quality Control Infection Internal Rep OH&S Control Infection Quality ACFI RN1s RN1s Nurse Nurse Unit Manager Unit Manager Team Leaders Leaders Team ENs ENs
Nagambie HealthCare Annual Report 2012 7 Financial Results at a Glance
8 Nagambie HealthCare Annual Report 2012 Ladies Auxilary
Presidents Report 2012
With the passing of 2011 the Auxiliary of Nagambie HealthCare completed 82 years of service to the community of the hospital and more recently the Aged Care Hostel.
Meeting numbers have not been great, an average attendance being 11 and apologies 9 for the year, but a much greater number of people have been ever ready to contribute with time and whatever may have been needed when our special fundraising events were on.
At the last AGM the CEO gave the Auxiliary a ‘Wish List’ to consider. From this we were able to purchase a number of items to help the residents’ comfort - 8 digital TVs ($500 each); an updated stereo system in highcare ($250); a frypan used for cooking sessions ($100); repairs to the hostel curtains which added greatly to the general appear- ance ($990).
We again had a luncheon/card day, this year at the Senior Citizens Hall. This proved both socially and financially successful - our profit was $1,200. In October the Sporting Clubs Hospital Charity Day and BBQ returned a profit of $1,430. The Christmas Drinks function held at ‘Wood Nook’ was once again a great success - the profit being $4,142.27.
The Nagambie Lions Club once again proved to be generous supporters of the Hospital Auxiliary with a donation of $1,000. The Catholic Guild gave $100, as did the exercise group.
We continue to provide a weekly trolley service at the hospital which is much appreciated by residents.
Our Treasurer Bev is retiring from office so our thanks are due to her for a job well done. And you may care to pon- der on what percentage of 82 years Nola has been Secretary of the Auxiliary! Nola has everything at her fingertips and we are all very much in her debt - many thanks Nola.
My thanks also to all of you for your contributions. There is always someone who will fall in when needed - thank you one and all.
Helen Kennedy President
“The Ladies Auxiliary farewelled Bev Ratten, long time member and Treasurer for many years.” Nagambie HealthCare Annual Report 2012 9 Ladies Auxilary
Financial Statement 2012
10 Nagambie HealthCare Annual Report 2012 Ladies Auxilary
Financial Summary 2012
Nagambie HealthCare Annual Report 2012 11 Ladies Auxilary
Compilation Report
12 Nagambie HealthCare Annual Report 2012 Donations 2011 / 2012
We wish to thank the following for their generous donations
Trish Anderson Patricia Hodder Australia Post Ladies Auxiliary Fred Bloetz R G & L J McMaster I A & E M Brook Chipo Muvirimi Bev Carney Nagambie Hardware Bob & June Doherty Angus Ralston Jenni Edwards Tahbilk Pty Ltd Vicky Fitzgibbon Barb Watts Debbie George William Angliss Victoria Mary Greenshields Tanya Williams Bill and Joni Hodder
Nagambie HealthCare Annual Report 2012 13 Activities and Lifestyle
The Activities and Lifestyle program run at Nagambie HealthCare by Belinda, Clare and Christine and wonderfully supported by our volunteers, Moz, Sandra, Lynn, Sue, Edna and Leny, is very important for the quality of life of our residents and we always have a fun and vibrant program.
The highlights of the Activities program during 2011/12 included:
• Meeting Keith Potger – one of the founding members of the Seekers – at Broadford Seniors Week. Our residents enjoyed his concert and, like all good fans, queued for autographs afterwards!
• Touching the Melbourne Cup at Mitchelton Winery where we also met Sub Zero who won the Melbourne Cup in 1992. Amanda Elliott and Rob Skelton were our hosts and arrived in a helicopter which thrilled everyone. Amanda and Rob then brought ‘The Cup’ to Nagambie HealthCare for those unable to go out to the winery. The excitement was palpable – where’s a ‘bookie’ when you need one?
• Melbourne Cup Day, Christmas and New Years Eve all brought great celebrations and ‘dress up’ parties.
• Grace Kelly – Style Icon – Exhibition was a sell out at Nagambie HealthCare and the bus was full. Our residents regaled the staff and each other with stories of Grace’s beautiful gowns - and their own!
• Fundraising for Cancer Research – our residents held a morning tea on Daffodil Day (ably assisted by the hotel services team!) for their friends and family and raised over $400 towards cancer research.
• Queen’s Jubilee High Tea – fifty years on the throne and memories of the Coronation came thick and fast.
• The ‘100+ Club’. Like the Queen & Grace Kelly, we have our own icons – those residents who have reached 100 and more. We had one 100th birthday and two 103rd birthdays! The parties and celebrations were suitably ‘golden’
14 Nagambie HealthCare Annual Report 2012 Staff Service 2012
Jennifer Andrea Carolyn Fox Marisa Haysom 15 + Jeanette Verhardt Leonie Zanussi
10 + Linda Burls
Bernadette Barlow Amanda Fieldhouse Kristyn Green Joanne Joyce Christine Karacsay 5 + Mark Kramer Katrina McMaster Brenda Newman Tammy Pedersen
Whilst recognising the special achievement of these long serving staff members the Board would like to thank all members of staff for their commitment, hard work and dedication throughout the year.
Nagambie HealthCare Annual Report 2012 15 Staff 2011 / 2012
Permanent and Casuals
Chief Executive Officer Amanda Fieldhouse
Nurse Unit Managers Claire Sampson Katrina McMaster
Administration & Finance Debra Ure Deni Stewart Tanya Williams Clare Winter-Irving
Registered Nurses Division 1 Peter Bradley Likando Likando Anita Smith Lucy Carpenter Pamela Maura Haley Toulmin Marie Casanova Chipo Muvirimi Karen Turmine Joanne Connell Sarah Sikorski Nicky Yang Ottilia Kudzurunga Registered Nurses Division 2 Bernadette Barlow Mark Kramer Sam Shabo Jacqueline Berry Frances Manat Christine Spencer Susan Goette Annette McLaren Nicole Stafford Julie Hoskin Sofia Monaco Patricia Stuart Joanne Joyce Tammy Pedersen Barbara Watts Christine Karacsay Emily Pell Personal Care Workers Veronika Bastow Gloria Higgins Emily O’Shea Rebecca Boyle Melissa Holland Carol Scandolera Jacqueline Bray Irene Keogh Tanya Sullivan Linda Burls Brenda Newman Gwen Van Egmond Peggy Heidemann Activities and Lifestyle Valinda Bell Clara Lynch Susan McCarthy
Hotel Services Jennifer Andrea Kristyn Green Joanne Pepi Sheryl Bravery Michelle Hannon Deborah Smee Jodie Carter Marisa Haysom Lynne Stasiak Antonia D’Andrea Kerryn Henry Jaiden Ure Jagsir Dusanjh Michelle Ivill Jeanette Verhardt Carolyn Fox Diane Jenner Sally Verhardt Connie Grace Sandra Knight Leonie Zanussi
Maintenance Stefano D’Andrea John Fuhrmann Graeme Green Lawrence Desmond Volunteers Maureen Fowler Lynette Sinden Leny Lancaster Sandra Slater Edna James Doreen Murphy Susanne Gray
16 Nagambie HealthCare Minutes of the Annual General Meeting held on Thursday 27 October 2011 at 7:30pm
1. PRESENT As per attendance register
2. APOLOGIES As per attendance register
3. WELCOME President James Tehan welcomed all those present including Guest Speaker, The Hon Dr Sharman Stone MP, Board Members and members of the community.
4. PREVIOUS MINUTES Minutes of the Annual General Meeting held on the 25th November 2010 were accepted as true and correct.
Moved: Margaret Moss seconded: Max Perry
5. MATTERS ARISING FROM PREVIOUS MINUTES
6. GUEST SPEAKER The Hon Dr Sharman Stone MP, Federal Member for Murray Dr Stone gave an informative talk about the challenges facing communities, especially rural and regional, in caring for the ageing population. There were no questions from the floor. President James Tehan thanked Dr Stone for her presentation and for giving her time tonight, particularly as she had already had a busy day and driven 2 hours to attend.
7. REPORTS:
7.1 PRESIDENT’S REPORT
Mr James Tehan presented his 2010/11 Presidents Report, highlighting the following –
• Satisfactory overall profit result • Board Members participating in Strategic Planning Sessions • Community Health Centre providing a wide range of primary health care services for the Nagambie community • Thanks to the Ladies Auxiliary for another successful fundraising year • Thanks to Amanda Fieldhouse and staff • Thanks to GPs for support of our residents • Special thank you to Sam Verrocchi for the many hours he has contributed towards the building/ renovation work which will see an increase in living space in the high care dining and living room area
Motion: To accept the President’s Report Moved: James Tehan seconded: Peter Darbyshire
Nagambie HealthCare Annual Report 2012 17 7.2 CHIEF EXECUTIVE OFFICER’S REPORT
Ms Amanda Fieldhouse, Chief Executive Officer, presented her report for 2010/11 and highlighted the challenges and opportunities facing small rural health facilities such as Nagambie HealthCare and the importance of working towards long term sustainability. Motion: To accept the Chief Executive Officer’s Report Moved: Amanda Fieldhouse seconded: Graeme Ratten
7.3 FINANCE REPORT John Palmer, Chair of the Finance Sub Committee, presented the Audited Statements and Reports prepared by Davidsons for 2010/11. Motion: To accept the Financial Statements Moved: John Palmer seconded: Sam Verrocchi 8. ELECTION OF COMMITTEES: 8.1 BOARD MEMBERS There were three members of the Board, Mr Sam Verrocchi, Mr John Palmer and Mr Doug Proud, who had completed three year terms. Mr Sam Verrocchi, Mr John Palmer and Mr Doug Proud nominated for re-election. No other nominations were received therefore the nominees were elected. Motion: To elect Mr Sam Verrocchi, Mr John Palmer and Mr Doug Proud to the Board of Nagambie HealthCare for another three year term. Moved: Margaret Moss seconded: Helen Kennedy 8.2 BEQUESTS AND DONATIONS COMMITTEE Motion: That the existing members, Howard Palmer, Max Perry and Doug Proud be reappointed to the Bequests Sub-Committee for a period of 12 months. Moved: Graeme Ratten seconded: Peter Darbyshire 9. ELECTION OF AUDITOR Motion: That on the recommendation of the committee ‘Davidsons’ be re-appoined to carry out the 2011/12 Audit. Moved: John Palmer seconded: Margaret Moss
10. OTHER BUSINESS
ANNUAL GENERAL MEETING – CLOSED AT 8.20 PM
18 Nagambie HealthCare Annual Report 2012 AmandaFieldhouse,CEO Sue Verge Ottilia Kudzurunga
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Annual Report 2012