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Monash Health Report 2014 15 MonashHealth Delivering exceptional care, outstanding outcomes Annual Report 2014-15 Amanda, Sarah, Jade and Elizabeth are four of our 15,000 staff delivering 3.1 million episodes of care to the community Contents 04 05 06 23 About Monash Health 2014-15 at a glance Report of the Chair of the Board Our sites, services and staff and Chief Executive and achievements against strategic goals 31 32 36 38 Clinical governance Our Board of Directors Organisational chart Statutory compliance 2 Monash Health Annual Report 2014-15 Meet one of our 9,489 babies delivered in 2014-15 40 42 44 51 Disclosure index Attestations Key financial and service reporting Summary of financial results 53 55 56 Financial summary Financial statements and Independent Auditor’s Report explanatory notes and declaration Monash Health Annual Report 2014-15 3 About us Our vision Our values Monash Health is proud to provide integrated Exceptional care, outstanding outcomes. We remain firmly committed to our iCare health care to one quarter of Melbourne’s values: population. • Integrity • Compassion We uniquely provide health care across the • Accountability entire life-span from newborns and children, • Respect to adults, the elderly, their families and Our purpose • Excellence carers. We improve the health of our community To deliver quality, patient-centred health through: care and services that meet the needs of our • Prevention diverse community. • Early intervention • Community-based treatment and rehabilitation • Highly specialised surgical and medical diagnosis, treatment and monitoring services • Hospital and community-based mental health services • Comprehensive sub-acute and aged care programs • Palliative care • Research • Education Our iCare award winners epitomise commitment to our values + HOSPITALS MONASH HEALTH COMMUNITY 4 Monash Health Annual Report 2014-15 Thanks to Dr Gabriel Blecher and his ED colleagues we saw more than 206,602 emergency presentations Our care at a glance HOSPITALS MONASH HEALTH COMMUNITY 3.1 million 45,759 257,180 Total episodes of care Surgical operations Mental health More than 3.1 million episodes of More than 45,759 operations More than 257,180 client contacts. care provided across the performed. community. 238,851 1,186,825 9,489 Hospital admissions Outpatient services Babies More than 238,851 people More than 1,186,825 occasions of There were 9,489 babies delivered. admitted to our hospitals. service provided by our outpatient services. 206,602 51,476 36,453 Emergency presentations Ambulance arrivals Paediatric admissions More than 206,602 people came More than 51,476 ambulance More than 36,453 admissions of to our three emergency arrivals handled by our emergency children under age 19 to our departments for treatment. departments. children’s wards and neonatal units. Report of the Chair of the Board and Chief Executive Proudly committed to delivering excellent outcomes for our community 6 Monash Health Annual Report 2014-15 REPORT OF THE CHAIR OF THE BOARD AND CHIEF EXECUTIVE In accordance with the Financial Management Act 1994, we are pleased to present the Report of Operations for Monash Health for the year ending 30 June 2015. Monash Health has once again experienced a Our clinicians treated 36,453 paediatric It is the third consecutive year we have finished record year of service delivery in 2014-15, caring admissions and continue to deliver more babies in a positive financial situation, which positions for more Victorians than ever before. than any other public health service, delivering us well as we change and grow to meet future 9,489 babies. demands on our services, staff and resources. We are proud of our successes over the past 12 months which are the result of the efforts of our Monash Health integrates primary, secondary Our Board of Directors oversaw our five-year committed team of people who have worked and tertiary health services with world- cash strategy, for which we are on target for the tirelessly to deliver world-class health care for renowned research and teaching facilities. second year. This enables us to invest in capital our community. equipment and provide funding for other Through our strong pursuit of continuous initiatives like our Electronic Medical Record We are one of Victoria’s largest employers with improvement, our performance in (EMR) initiative, which will transform how we more than 15,000 staff who care for 1.34 million patient-centred quality and safety, community provide clinical care for our patients. Victorians living across nine local government access and financial outcomes have improved areas within a culturally-diverse 2,312km2 markedly in recent years. The EMR project, which has the vision of ‘one catchment area in Melbourne’s south-east. patient, one record, one place’, is being led by Highlights include: clinicians in partnership with our consumer However, Monash Health is more than just • We have achieved an operational surplus and advisors. Learn more about the project at www. Victoria’s largest health service - we are a leader are reinvesting in our business at the rate of $13 monashhealth.org/ar2015videos in exceptional care and outstanding outcomes. million each year - on target to reach $28 million annually in 2020. Monash Health’s leadership and excellence in What is most important is the impact that our • The number of patients seen within four hours achievement was recognised at the 2014 care has on our patients, their families and the has increased from 58 per cent in 2012 to 85.8 Victorian Healthcare Awards. We received more communities we serve. The commitment of our per cent in 2015, despite an eight year-on-year finalist nominations and awards than any other staff to our iCare values of integrity, growth in presentations. health service - a wonderful recognition of the compassion, accountability, respect and • We have reduced our waiting lists from 9,404 work of our dedicated professional staff, the excellence drives our patient-centred care focus people in June 2013 to 6,807 people in June strength of our consumer participation in the ensuring patients receive the right care, in the 2015. design and delivery of services and the right place when they need it. • Our inpatient falls with harm have reduced exceptional care we provide to patients. This from seven per month in 2013 to three per recognition included Gold Awards for our Agile We are pleased to report that this year we month in 2015. Psychological Medicine Team, the Dandenong provided 3.1 million episodes of care - a • Our metrics for patient experience, Young Adult Diabetes Service and Telemedicine significant increase on the previous year’s 2.6 community engagement and staff engagement enabling chemotherapy in the home. We are million care episodes - and we thank our are now trending positively. proud of this success which demonstrates our dedicated staff for their efforts. • We have a world-leading in-hospital cardiac strong commitment to supporting and There were 206,602 presentations in our three arrest mortality rate. encouraging innovation in care delivery. emergency departments and we conducted We have met our service delivery targets within During 2014 we entered a partnership with the more than 1.2 million outpatient cases. Our our operating budget of $1.45 billion. We are Institute of Healthcare Improvement (IHI), a hospitals admitted 238,851 inpatients and proud to report that Monash Health received a world leader in health care improvement and 45,759 operations were carried out by our $77,000 operating budget surplus - a pleasing innovation, to assist with our patient-centred world-leading surgeons. result given the significant growth in demand for care focus. Many senior clinicians and leaders services across our organisation and our have participated in extensive workshops to reinvestment in our health service. Our vision of exceptional care, outstanding outcomes is underpinned by our iCare values – integrity, compassion, accountability, respect and excellence. Monash Health Annual Report 2014-15 7 Translating scientific discoveries into best clinical practice accelerate improvements to the patient • Seven medical and biomedical researchers translate innovative scientific discoveries into experience and patient safety, and more are members of the Australian Academy of best clinical practice in a dynamic and training is planned. Science. collaborative environment. • Five 2014 Highly Cited researchers. The IHI program creates a vision and builds the • Seven NHMRC Centres of Research Our commitment to research and translating will for improvement, developing capabilities Excellence. that to real improvements for patients was and delivering results. Participants have been • Two ARC Centres of Excellence (in the medical strengthened in early 2015 when Monash energised and inspired in joining the IHI journey. research field). Partners was recognised as an Advanced Health •· Two ARC Cooperative Research Centres (in and Research Centre – one of only four in Significant organisational-wide projects include Australia. a focus on reducing sepsis, consistency in care, the medical research field). and improving access to our services. As an academic tertiary public health service, Monash Partners – our research collaboration with Monash University, Alfred Health, the Our clinical performance is not by chance – Monash Health has formed strategic partnerships with Monash University, Australia’s Hudson Institute and other health and research it is an outcome of the research excellence that
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