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 organisations – was judged by international occurs at Monash Health. largest university, and the Hudson Institute of Medical Research, to create the Monash Health experts as among the world’s best for applying At Monash Health, we have: Translational Precinct. medical research to improve patient care. • Nearly 900 research projects and 168 clinical This is a proud achievement that forms the basis trials underway. The $84 million Translation Research Facility building for the precinct, due to be completed of even greater improvements to patient care in • More than 200 higher degree research the future. students, most undertaking PhDs, together with later this year, will become a hub of our research partners. translational research excellence right here at We are pleased to present some of this year’s • 197 National Health and Medical Research our doorstep. other highlights. Council (NHMRC) Fellows including five It will bring together bench top scientists, Australia Fellows and 11 Practitioner Fellows clinical researchers and public health 48 Australian Research Council (ARC) Fellows academics. The precinct will foster our including an Australian Laureate. advancement of knowledge and innovation to

The precinct will foster our advancement of knowledge and innovation to translate innovative scientific discoveries into best clinical practice in a dynamic and collaborative environment.

8 Monash Health Annual Report 2014-15 REPORT OF THE CHAIR OF THE BOARD AND CHIEF EXECUTIVE

The nine-member team surveyed our sites and Strategic Goal 1 observed a culture of quality improvement and Institute for Healthcare Improvement patient-centred care and across all services Senior clinicians and leaders participated in the We put our patients first there are many examples of improvement, Chief Executive’s Executive Healthcare innovation and research-based practice. Improvement Academy, facilitated by the Institute for Healthcare Improvement (IHI) There is a strong patient-centred care focus and Safety culture based in Cambridge, United States. the progress made in partnering with At the heart of providing quality healthcare and consumers and the involvement of consumers With a strong focus on putting patients first, the putting our patients first is creating an across services is well advanced. leaders shared the behaviour they are environment of wellbeing built on a foundation demonstrating to lead change: Congratulations to all staff for this tremendous of safety. It is a fundamental principle that • Consistently being person-centred in words achievement. We will continue to implement underwrites our ability to deliver care. and actions. suggestions provided by the survey team to • Engaging staff by being a regular and We recognised that we needed to create an guide the organisation’s journey of continuous authentic presence at the front line. environment where safety was not merely an improvement into the future. action but the underlying philosophy that flows • Maintaining relentless focus on the vision and strategy for improvement. through the entire organisation. This is why we New home for Monash Health are building a safety culture at Monash Health. • Being transparent about aims, progress and Every day we are progressing towards this Community results. vision, from staff health and wellbeing initiatives • Encouraging thinking and collaboration across The consolidation of Monash Health Community through to improving mortality and sepsis rates boundaries. services to bring them together in the one and variations in practice that lead to adverse location has resulted in a significant The leaders have worked on improvement patient outcomes and experiences. improvement in the patient experience. initiatives to reduce the occurrence of sepsis, reduce preventable deaths and reduce the Occupational safety and wellbeing After 70 years of providing community-based unwarranted variation in our processes of care health care under various auspices in for programs including paediatrics, acute adult Another important initiative this year has been Dandenong, Monash Health Community is now inpatients, mental health and ‘long stay’ the We Stand Together campaign which has a one-stop-shop which sees on average 750 patients. extended our focus significantly on staff safety people pass through its doors daily. and wellbeing to match our commitment to patient safety which is well-embedded across The central and easily accessible location puts the organisation. clients’ needs first, allowing them to access interdisciplinary, integrated services in one This focus on safety was strengthened with the place, removing the need to travel to multiple establishment of a Head of Workplace Health locations for care. The building houses and Safety position on the Monash Health expanded dental and dialysis services enabling executive team. an increase in the number of patients, and an We also launched the My Safety portal which improvement in the comfort in which they can streamlines occupational health and safety risk be treated. Dental capacity has increased from reporting using a new online system. The more four to 10 chairs and dialysis capacity will timely and relevant the reporting, the better we initially increase from 232 to 268 patients each will improve strategies to eliminate safety year. hazards and make us the safest health Other services at 122 Thomas Street, workplace we can be. Dandenong include community-based allied health, nursing, medical, specialist clinics, Accreditation health promotion, counselling and chronic disease management. A full list of services can A considerable focus this year was assessment be viewed on page 25. against the National Safety and Quality in Health Service Standards and National Standards for We have made it easier for patients to contact Mental Health Services and Community Care us and access the services they need through Common Standards. the establishment of a central phone number servicing Monash Health Community. We were proud to receive pleasing accreditation results.

This was a testament to the quality of clinical and operational leadership across our health service.

The accreditation survey comprised an organisation-wide review against the National Safety and Quality Health Service Standards and the 10 National Standards for Mental Health Services and Community Care Common Standards.

Monash Health Annual Report 2014-15 9 The new hospital will bring state-of-the-art services to children

We have been given a unique opportunity to Work begins on the new plan a service from the ground up, incorporating Patients’ ideas fuel the design of the Monash Children’s Hospital the latest thinking on children’s health. The new new Monash Children’s Hospital hospital will be co-located with Monash Medical The new Monash Children’s Hospital is the Centre and our new Monash Health Translation In order to ensure that the new Monash biggest capital infrastructure project underway Precinct’s Translational Research Facility Children’s Hospital meets the needs of our to date for Monash Health. enabling research from the bedside to the future patients and families, the Capital Planning team has worked closely with the The Monash Children’s Hospital celebrated the bench and back, bringing the latest breakthroughs straight to our patients. consumer advisory committee to capture its turning of the sod, a historic event to officially input into the design of the hospital. commemorate the start of building works on The new hospital will bring state-of-the-art the new hospital site on 15 July 2014. services to children in Victoria’s south-east Young patients and families have had the including: 96 acute paediatric inpatient beds, 10 opportunity to have their say on the range of We are privileged to be building a world-class services and facilities to be made available, 230-bed hospital which will ensure more paediatric intensive care beds, 64 neonatal care beds, 20 same-day medical and surgical beds, ensuring the hospital is a world-class Victorian children and their families can benefit patient-centred facility. from world-class specialist paediatric services 12 same-day oncology beds and many more close to where they live. We are consulting services. Visit www.newchildrenshospital.org or hear our widely and involving young people and their In May 2015, we welcomed the Victorian staff and our young patients share their families in every level of decision-making. Government’s decision to allocate $3.8 million excitement about this very special project at to build a helipad on the roof of the new Monash www.monashhealth.org/ar2015videos Children’s Hospital, to provide access to both children’s and adult emergency services. 10 Monash Health Annual Report 2014-15 Patients and their famlies are involved in the design of the new Monash Children’s Hospital

Monash Health Annual Report 2014-15 11 REPORT OF THE CHAIR OF THE BOARD AND CHIEF EXECUTIVE

Consumer engagement Strategic Goal 2 MonashCare launched In order to ensure that our services are patient The MonashCare Doctors’ Mental Health and and family centred we engage with consumers We drive innovation Wellbeing Strategy was launched in October by on many levels in our projects and services the Chair of beyondblue the Hon Mr Jeff initiatives. Our Consumer Advisory Committee Kennett, AC. provides valuable guidance and consumer focus MonashHeart improves healthcare on the way we provide our services. The initiative resulted from the National Mental through clinical research Health Survey of Doctors and Medical Students Consumers are involved in planning and service MonashHeart participates in the development, conducted by beyondblue which found that the models for the new Monash Children’s Hospital refinement and adoption of interventional work experience of doctors and medical as well as developing new clinical service cardiology devices and treatment techniques, students can be stressful and demanding, and models across Monash Health. especially for structural heart disease and seeking help through such periods can be coronary artery disease. difficult. Influenza vaccination campaign MonashHeart translates research into practice The MonashCare Doctors’ Health and Wellbeing Influenza is the leading cause of through a strategy of early-adoption and Strategy is designed to raise awareness, reduce vaccine-preventable disease in Australia and forming partnerships with start-up developers workplace stress and create avenues to our health workforce has contact with a large and large multinationals, and is recognised as a encourage doctors to seek help early by portion of the community, so Monash Health site of early-stage research in humans that is creating a workplace that is encouraging and has extended its commitment to influenza able to promulgate results internationally. caring so that no Monash Doctor has to struggle immunisation compliance. An enhanced in silence. marketing campaign, clinical leadership, The translational clinical research provides an mandatory declination form and automated expansion of management options for patients Syringe Dispensing Machines compliance reports resulted in 10,122 people or who previously had no, or very limited, 73 per cent of staff being vaccinated or treatment opportunities. Within the Monash Health catchment areas of submitting a declination form, as at 30 June. Greater Dandenong, Casey and Cardinia, The MonashHeart culture of innovation, inquiry This is on target for achieving the 80 per cent injecting drug use continues to generate and clinical excellence is firmly based on sound target set for the 2015 campaign. significant morbidity and mortality; in part due research and direct participation in evidence to the sharing of contaminated injecting generation to provide the best and most equipment. Wellness and recovery centre opens appropriate care to our rapidly increasing Syringe Dispensing Machines are one innovative Patients presenting with serious eating population. and effective component of our service model disorders are some of the most vulnerable. To learn more about the world-leading work based on a harm reduction philosophy. It A refurbished four-bed Monash Health Wellness being carried out visit www.monashheart.org.au operates on the basis that people who inject and Recovery Centre was opened at Dandenong drugs can obtain sterile needles, syringes and Hospital in December to assist in their recovery. Reducing cannula use associated commodities at all hours (at little or no cost), with the aim of reducing transmission The facility which offers a supportive and Led by our dedicated team of clinicians, 2014-15 of HIV, viral hepatitis and bacterial blood and positive environment for patients with eating saw the introduction of a project to reduce the tissue infections 24 hours a day. disorders has purpose-built space for relaxation unnecessary cannula use in the Emergency and a dining room for meal support. Department which has resulted in a reduction of Out-of-hours availability of sterile syringes and the risk of infection associated with their needles is limited to four hours per night and overuse. eight hours over the weekend. A small number of pharmacies and a single mobile evening An integrated communications campaign outreach car provide the necessary targeting staff was implemented with excellent consumables for the entire Southern results. The innovation has led to a sustained Metropolitan region until 10pm. change of practise among staff in the Emergency Department. Consequently, a lower The catchment’s primary and secondary Needle proportion of adult patients are having a Syringe Program sites operate between 9am to cannula inserted and rate of cannula associated 5pm weekdays and provide no weekend Staphylococcus Aureus Bacteraemias has services. decreased.

12 Monash Health Annual Report 2014-15 We pioneer world-first surgery for our smallest patients

Image courtesy of the Herald Sun Experimental procedure saves twins

An experimental procedure performed by both babies at risk and a global search was the options, this carried the best chance of a Monash Childern’s Fetal Diagnostic Unit has undertaken to find a treatment. normal outcome for both babies.” saved identical twins Mila and Mika Lichtenstein. It was decided that the best bet was a The treatment meant that the pregnancy was transfusion of blood to Mila and exchanging able to continue for another month. Ms At 23 weeks gestation it was found that the Mika’s blood for saline. Lichtenstein was delighted to be able to bring girls were suffering from a rare condition, Twin the girls home to join her other children Anemia Polycythemia Sequence, in which one “It had been put up as a theoretical daughter Lily, 5, and son Lior, 3. baby is starved of blood while the other gets procedure, and it’s been done in a few centres too much. around the world only,” Dr Edwards said. “Our family is complete. I can’t imagine life without them,” she said. Dr Andrew Edwards of the Monash Children’s “The haemoglobin differences between the Fetal Diagnostic Unit said the condition put two babies was dramatic. After weighing up Monash Health Annual Report 2014-15 13 Monash Health Home Birth Program National and international studies have shown that home birth is a safe and appropriate birthing choice for some women. However, historically there has been no public home birth service in Victoria. This was considered by the Department of Health and Human Services as a deficiency in the provision of public maternity services.

Since it began five years ago, the Home Birth Program at Casey Hospital, providing care for 60 to 70 women per year is a success. We have also developed an innovative home-based emergency training program to support it.

The Monash Health Home Birth Program has been used as a template to develop state guidelines to inform expansion to other services, positively shaping the public birthing landscape in Victoria. Kidney Bus provides a holiday lifeline Women in Medicine

For Lisa Cooper, the prospect of being able to Health, The Big Red Kidney Bus, has allowed Monash Health launched an exciting and take a holiday with her young family seemed Mrs Cooper and her family to be able to innovative program this year designed by a beyond reach. enjoy and extended holiday. The bus group of senior women doctors to inspire, provides a fully equipped mobile dialysis encourage and support women in medicine to The mum of two children Macey, 9, and Ben, 7, service that travels to different parts of reach their potential. The Women in Medicine spends 40 hours a week attached to the Victoria. Program was launched by the Minister for dialysis machine, having had her home fitted Health and Ambulance Services the Hon Jill out with specialised equipment and plumbing. The family enjoyed a break at Phillip Island Hennessy, at the family holiday house. After the kidney and pancreas Mrs Cooper The program aims to build an inclusive and received in a double transplant 14 years ago "To sit on the beach with mum and dad and actively caring organisation and to provide began to fail, she was unwell for almost a year my brother and his kids was just wonderful. equal opportunity for all staff to feel supported. before beginning dialysis. We had kids on mattresses in the lounge It aims to build leadership capability by and sleeping in the hallway," she said. providing opportunities for training, coaching However, an initiative launched by Kidney and mentoring for our women doctors as well as Health Australia in partnership with Monash creating a culture of equal opportunity for progression in training and careers for all Monash Doctors. We help our patients live Learn more about the program at www.monashdoctors.org or meet some of our women leaders at www.monashhealth.org/ their lives to the fullest ar2015videos Strategic Goal 3 We partner strategically for outstanding outcomes

Commitment to research In 2014-15 there were 244 research projects approved by the Monash Health Human Research Ethics Committee. There were 884 research projects under way involving patients, either in clinical drug or device trials, or addressing key questions in clinical medicine, public health and the social sciences.

More than $15.9 million in National Health and Medical Research Council (NHMRC) funding was awarded to Monash Health and Monash Health Translation Precinct (MHTP) partners.

14 Monash Health Annual Report 2014-15 Leading the way in translational research

More than $6.5 million funding for commercially Strength in collaboration Monash Health Translation Precinct sponsored clinical trials by leading pharmaceutical companies and biotechnology and partnerships A fine example of working in partnership to companies for national and international clinical achieve exceptional outcomes is the Monash Health is committed to joining with our research. There were 87 clinical drug or device construction of the $84 million Translational research and education partners to deliver the trials under way. Research Facility (TRF) which continued this best outcomes for patients through world’s best year and is on schedule for completion in translational research and training. One example of our world-leading research is a October 2015. procedure developed in Belgium but being The School of Clinical Sciences at Monash further built upon at Monash Health which is The TRF is the major joint venture of the MHTP Health (SCS) is one of the schools that comprise offering hope for thousands of babies born with between Hudson Institute, Monash Health and the Monash University Faculty of Medicine, Congenital Diaphragmatic Hernia each year. Monash University. The building will embody the Nursing and Health Sciences. Headquartered at vision of the MHTP which is to bring scientists the Monash Medical Centre, the SCS is the and clinicians together to generate innovative Research recognition faculty’s largest site for clinical teaching scientific discoveries to revolutionise clinical placements. The vast majority of Monash Health Monash Health’s enviable edge has been care in a dynamic and collaborative clinicians and researchers also have academic acknowledged as world-leading at the highest environment. level. Monash Partners is one of only four teaching and research appointments in SCS. Australian health centres to be recognised as Monash Health has established the among the world’s best for translating medical Monash-Deakin Nursing Research Centre. research into improved practice for patients. Deakin University is nationally and The Monash Partners Academic Health Science internationally recognised as a centre of Centre – Monash Health, Monash University, excellence in nursing research in the areas of Alfred Health, Cabrini Health, Epworth quality, safety and risk management. Healthcare, Baker IDI, Burnet Institute and Hudson Institute – has been recognised as an international leader in linking clinical practice, research translation and education by the NHMRC.

To achieve this accolade we were judged to be on par with the world’s best research and translation centres by a panel of international experts. Monash Health Annual Report 2014-15 15 REPORT OF THE CHAIR OF THE BOARD AND CHIEF EXECUTIVE

Preventing stillbirth Strategic Goal 4 Leadership Monash Health and The Ritchie Centre have Monash Health recognises the importance of undertaken a research-driven project to reduce We lead sustainable leadership at all levels and is continuing to build the rate of late pregnancy stillbirth. Four capability for the future. More than 400 people integrated studies were undertaken to examine health care enrolled in the inter-professional management the causes of stillbirth, locally and at a state and leadership education delivered by our level. These identified opportunities for Monash Health committed Organisational Development, Culture and improvements in outcomes in three areas of Learning team. We also offered online, desk-top clinical care: provision of antenatal care; the to sustainability learning resources for our workforce to keep up- detection of fetal growth restriction; late to-date on all aspects of people management. pregnancy fetal surveillance. Changes were Monash Health has continued to embed successfully implemented across these sustainability into everyday business. Our Green Decade of care at Casey domains, some of which are an Australian-first, Champions committee oversees environmental which led to a significant decrease in the sustainability initiatives. Casey Hospital has been caring for the stillbirth rates at Monash Health. community for the past 10 years in one of Stainless steel recycling was introduced for Melbourne’s fastest growing corridors. Since Healthy Koori Teeth single use instruments such as scissors. These opening in September 2004, the hospital has were previously placed into our sharps waste continued to expand its services to meet Monash Health Dental Services is a 30-chair stream which is an environmentally intensive patients’ needs. The Casey team continues to dental clinic across seven sites. In partnership method of disposal. These instruments are now refine its services. For example, it introduced a with a community development worker in the sent to a recycling facility where they are melted streamlined Emergency Department care model Aboriginal health sector within the Monash down and turned into other products made resulting in greatly reduced waiting times for Health Population Health Team and Bunurong from stainless steel. This initiative has also seen patients and families. Aboriginal Co-op, The Monash Health Dental an improvement in the return of reusable Service implemented an outreach service model instruments to our sterilizing department as During the 10th anniversary year a new which involved dental professionals conducting sometimes the reusable items were disposed of Commonwealth-funded $22 million sub-acute oral examinations, providing education and by mistake. care facility was opened. The 30-bed centre preventative treatment using a portable dental boosts local access to rehabilitation services, In an example of our commitment to chair for Aboriginal children living within the mobility garden, dining room, rehabilitation and research-based innovation, our steam and catchment area. therapy space, consultation rooms, and microfibre cleaning programs were rolled out larger-sized bedrooms. Healthy Koori Teeth focused on an early into theatre complexes. Nursing, theatre intervention and disease prevention strategy technicians and general services staff are now In recognition of the growth in demand for targeting preschool and primary school aged using steam and microfibre to clean our services in the outer south-east, the State Aboriginal children. The model improved the theatres. This has significantly reduced the Government announced a $106.3 million access and knowledge of Aboriginal children amount of water used for cleaning and has expansion of Casey Hospital including new and parents as well as lowered the oral health eliminated the use of chemicals for cleaning in operating theatres, an intensive care unit and risk of children which consequently is expected our theatres. additional wards. to improve their oral health and general An electronic booking system for hospital cars wellbeing. Moorabbin Hospital expansion was developed to ensure we maximise the efficiency of our fleet and ensure fleet cars are In May 2015, we welcomed $16.2 million of Koori cadetship program available for our clinicians to complete Victorian Government funding to expand Monash Health is committed to increasing community visits. As a result of a centralised Moorabbin Hospital, to double outpatient Aboriginal representation in employment and booking system we have reduced the number of specialist consulting capacity, and expand partnering with the Aboriginal community to fleet required while increasing access to fleet for diagnositic imaging services with the addition improve the health of Aboriginal people. our clinicians to complete these important of a Magnetic Resonance Imager (MRI) and a community visits. Computerised Tomography (CT) machine. In support of this commitment, Monash Health developed an Aboriginal Nursing and Midwifery We introduced ‘keep cups’ to encourage staff to Cadetship Program, allowing undergraduate eliminate the use of disposable cups. The first Aboriginal students to benefit from workplace sale of these cups saw 160 being sold, which if experience while also completing their studies. used every day would reduce disposable cup usage by 58,400 cups per year, save eight trees The program supports cadets across nursing, worth of carbon, reduce 745kg of plastic from midwifery, physiotherapy and occupational landfill and reduce energy consumption by therapy and has been expanded to include 55.71kL. Keep cups are now sold at our retail Allied Health students. Three cadets have now outlets across a number of sites. transitioned into full-time ongoing employment within the Monash Health Aboriginal Graduate As a result of investigations foam cups will be Nurse program. removed entirely from our health service in 2015-16. The program has also strengthened relationships with the larger community, with midwifery cadets able to support Aboriginal women through the delivery of their babies in a culturally-sensitive and respectful environment.

16 Monash Health Annual Report 2014-15 Midwife Jane is working to Close the Gap in Aboriginal health Congratulations to all our staff recognised for their passion and dedication

18 Monash Health Annual Report 2014-15 Heart hospital announcement Australia Day 2015 awards for Board Chair inducted into The Andrews Government has committed $150 dedicated staff and supporters Victorian Women’s Honour Roll million to build the new Victorian Heart Hospital at Monash University Clayton. It will be The exceptional dedication and success of four Monash Health Board Chair Barbara Yeoh was Australia’s first specialist heart hospital and a members of Monash Health were formally recognised for her exemplary commitment to centre of excellence for treatment, research and recognised on the Australia Day 2015 Honours public service, health service governance, the education. List on Monday 26 January. arts and road safety with induction into the Monash Health is working closely with the Victorian Honour Roll of Women. The awards are an acknowledgement of the Department of Health and Human Services and wonderful work undertaken by these individuals The annual awards were announced by Premier partner agencies as planning for the new facility and Monash Health commends them for their Daniel Andrews in March, to highlight is progressed. dedication and excellence. achievements and contributions of remarkable Victorian women. Hospital in the Home It is also a reminder that exceptional work in healthcare extends beyond direct patients, Ms Yeoh’s leadership has inspired our Monash Health’s Hospital in the Home program through to local communities and beyond. organisation to commit to patient-focused care. provides great benefits for patients who are able Professor John Funder AO was awarded a to be cared for as inpatients in their own home. Companion of the Order of Australia for Recognising one of our own

The program’s dedicated team includes medical significant service to medicine; particularly to Undergraduate Clinical Nurse Educator Bella and nursing staff who visit patients to provide cardiovascular endocrinology, as a renowned Luu was awarded the prestigious Monash Health care and are also available by phone 24 hours a researcher, author and educator, to the Nurse of the Year Award recognising day. In addition, the program allows for development of academic health science outstanding skills and commitment - at the 2015 improved flexibility and the best use of centres, and to mental illness, obesity, and Nursing and Midwifery Scholarship dinner. resources to care for inpatients at our hospitals. Indigenous eye-health programs. The annual winners of 2013-14 Recognition and Professor Peter Fuller was awarded a Member of Reward Awards – a peer-nominated program the Order of Australia for significant service to Extraordinary people for our staff and volunteers - were announced in medicine as an endocrinologist, through October. A lifetime of achievement – Minister contribution to medical research and professional organisations. Dr Claire Cody, a Consultant Psychiatrist within our Early in Life Mental Health Service; for Health Volunteer Awards Carolyn Worth was awarded a Member of the Catherine Hough, a physiotherapist at Monash Order of Australia for significant service to the Medical Centre and Hayley Irving, Elsie Ferguson has devoted more than 30 community through roles with child protection physiotherapist at Dandenong Hospital were years to volunteer for Monash Health, Monash organisations. She has committed more than 20 acknowledged for their outstanding Medical Centre and its predecessor, the Queen years of her life to improving services for those contribution. Victoria Medical Centre. Prior to this, Elsie affected by sexual assault. She is the manager served on various Mount Waverley Primary and of the South Eastern Centre Against Sexual Dr Ophelia Wong was awarded the 2014 Secondary School\parent committees. Assault (SECASA) empowering survivors and Victorian Junior Doctor of the Year award by the Elsie is now in her fourth decade of service to developing a diverse range of programs to assist Postgraduate Medical Council of Victoria. her community. She has helped raise hundreds in their healing. Ophelia was an Intern with Monash Health in of thousands of dollars to purchase medical 2014, and is currently in her second Professor Peter Ebeling is Head of the equipment and supported the work and postgraduate year in Monash Health’s general Department of Medicine in the School of Clinical development of the best possible public health stream. service for the community. Sciences at Monash Health, Faculty of Medicine, Nursing and Health Sciences, the Director of the This is the second year in a row that a doctor Elsie was awarded the lifetime achievement Australian Institute of Musculoskeletal Science from Monash Health has received the Victorian award by the Victorian Minister of Health and (AIMSS) and is the Medical Director of Junior Doctor of the Year award. Ambulance Services, the Hon Jill Hennessy in Osteoporosis Australia. May 2015. Dr Megan Brown won the 2014 Bryan Hudson Medal, awarded for the best overall performance in the Royal Australasian College of Physicians written and clinical examinations in Adult Medicine. The award is for the top score out of all exam candidates in Australia.

Monash Health Annual Report 2014-15 19 REPORT OF THE CHAIR OF THE BOARD AND CHIEF EXECUTIVE

of Lady Marigold Southey AC in her role as Community support Founding Patron of the new Monash Children’s Hospital. Thank you to Dedicated team of volunteers The MonashHeart Strategic Advisory Board under Chair Peter Maloney is planning phil- Direct support from our community continues anthropic support for the proposed Victorian our supporters to grow with a dedicated group of 500 Heart Hospital. We appreciate their wonderful volunteers and auxiliary members donating work in supporting plans for this innovative Monash Children’s Hospital their time and talent to supporting care for project. patients. Founding Patron Star Wars fan Scott Loxley completed an epic The Moorabbin Hospital Ladies Auxiliary also 15,000km walk around Australia for more than Lady Marigold Southey AC celebrated 40 years of support. 400 days to raise awareness and $110,000 for The auxiliaries continue to contribute $45,000 the new Monash Children’s Hospital. Watch his Monash Children’s Hospital towards equipment and special projects, inspirational story at www.monashhealth.org/ maintaining a century-old tradition of ar2015videos. Foundation Chair grassroots fundraising. In-store fundraising in Woolworths Victorian Michael Stillwell The volunteer program expanded across stores raised more than $128,000 for an Aus- Monash Health, contributing more than tralian-first research trial into Magnetic Therapy 100,000 hours annually in areas as diverse as treatment to improve outcomes for adolescents MonashHeart Strategic our emergency departments, welcoming with major depression disorder. visitors, entertaining children, and operating Advisory Board Chair patient libraries. We partnered with Maxxia as The Children’s Cancer Foundation continues to corporate volunteers to assist our Foundation make a positive difference for patients and their Peter Maloney activities and strengthened our relationship with families with their generous support of vital staff Radio Lollipop to add an extra dimension to our positions in Monash Children’s Cancer Centre. children’s wards. These positions help staff provide holistic care Monash Health Bequest Ambassador for families and patients. We also established a partnership with the Clay- ton RSL to deliver a series of exhibitions honour- Twanny Farrugia A generous gift from Karl Stortz Endoscopy Aus- ing the contribution of former staff to the tralia will support Australasia’s first purpose- ANZAC tradition. built paediatric surgical simulation centre in the Major supporters new Monash Children’s Hospital. 13 CABS Monash Health Foundation The community also turned out to strongly 501st Legion Knightfall Squad support several Monash Children’s Hospital Abbvie Pty Ltd events, including the Friends of the Children Allergen Australia Pty Ltd The Monash Health Foundation partners with Foundation’s third annual Walk for Monash individuals, organisations, trusts, businesses, BankVic Children’s Hospital, Bellevue Philanthropy’s Berwick Opportunity Shop patients and our community to support Oaks Day Luncheon, Bailey’s Day Charity Golf exceptional care and outstanding outcomes for Day and Run Melbourne. our patients. The Foundation assisted with funding of more In December 2014 we launched our own iGive than 200 projects across all Monash Health’s workplace giving program, allowing our services and facilities during 2014-15. The pro- employees to make a regular donation through jects supported patients in Monash Health’s six their pay to Monash Health. We are proud the Vale Helen Owens public hospitals, from precious newborns to the Monash Health executive management team During 2014-15 we mourned the passing of elderly. The Foundation has helped purchase lead this initiative and thank the more than 100 esteemed Board member Helen Owens. We are state-of-the-art equipment, fund vital specialist members who have joined us already. Our staff deeply saddened by Helen’s passing after her roles and scholarships, new medical research are among some of our most generous donors. courageous fight against cancer for the past 20 and programs allowing us to do more for our years. patients and their families. None of the Monash Health Foundation’s work She was an outstanding Board member and would be possible without the support of our valued colleague who made a lasting Thanks to the generous support of our com- donors, partners, Board, Foundation munity, through our fundraising programs, we contribution to Monash Health and the committees, Ambassadors, staff and community we serve through her unswerving raised $4.3 million this year - an increase of 36 volunteers. We thank them sincerely for per cent on 2013-14. commitment to quality, safety and their commitment and generous support. patient-centred care. The Monash Children’s Hospital Foundation Helen’s passing was a great loss to our Board was formed to provide strategic philanthropic team whose dedication providing guidance and support for the Monash Children’s Hospital. support to Monash Health is unmatched. We acknowledge the generous support of the Foundation led by Chair Michael Stillwell. We are also delighted with the active support

20 Monash Health Annual Report 2014-15 REPORT OF THE CHAIR OF THE BOARD AND CHIEF EXECUTIVE

Candela Nuevo Fundraiser Estate William Frederick Fletcher Chain Reaction Bequests Estate William Macrow Christine Knapp Estate William Marshall Clayton Auxiliary E C Blackwood Charitable Trust Estate William Russell Hall Elizabeth Cremin Eliza Wallis Trust George Chapple Hodges Friends of the Children Foundation Estate Alfred & Jean Dickenson Kronheimer Charitable Fund GFP Group Pty Ltd Estate Amelia Batten Thomas Payne Fund 2000 Ivan Tatterson Estate Arthur Lyndhurst Blannin Thomas Payne Fund 8000 Jeff Wiener Estate CD Lloyd Jody Allatt - Bellevue Philanthropy Estate Charles, Keith & Mary Edwards Karl Storz Endoscopy Australia Pty Ltd Estate Charlotte Marshal Philanthropic grants Larry Arnost Estate Doris & Rupert Joseph Lions Club of Oakleigh Estate EC Blackwood Australian Communities Foundation Lions Club of Moorabbin Inc Estate Flora Louise Thompson Cancer Council Victoria Luke Moodie - Kick Push For Parker Estate G L Godfree Children’s Cancer Foundation McCulloch House Auxiliary Estate G W & V Morewood Collier Charitable Fund Monash Obstetrics Pty Ltd Estate Grace and Herbert Foulkes Department of Veterans’ Affairs Canberra Moorabbin Hospital Ladies Auxiliary Estate Gregory and Zig Dickson Department of of Veterans’ Affairs Victoria Olympus Australia Pty Ltd Estate Heather Sybil Smith Equity Trustees Ltd Professor Nicholas Freezer Estate Howard Berry Exxon ROMAC Estate James McConnell Kerr Felice Rosemary Lloyd Charitable Trust Rotary Club of Ballan Estate John Anderson Foundation for AIDS Research New York Rotary Club of Bentleigh Moorabbin Estate John Frederick Wright Gandel Philanthropy Rotary Club of Oakleigh Estate John Henry Symon Gourlay Charitable Trust Scott Loxley - Storming Australia Estate John Lambrick Kids with Cancer Foundation Australia Team Keating Estate JRG & Eva Mackenzie Lord Mayors Charitable Foundation Teleflex Medical Estate Lindsay James Baldy Monash University Southern Clinical School Tessier Family - Bailey’s Day Estate Margaret Lillian Merrifield Olympus Australia The Good Guys Foundation Estate Martha Miranda Livingstone Phillip and Vivien Brass Charitable Foundation The Monash Kids Support Group Estate Martin & Isobel Mcloughlin R E Ross Trust Toshiba (Australia) Pty Limited Estate Mary McGregor RACV Good Citizen Program Trevor & Susan Brunton Estate Mary Symon Scleroderma Victoria Inc. Woolworths Estate Muriel Bradley T&J Meyer Family Foundation Zouki Enterprise Pty Ltd Estate Olive Hilda Grass The Alfred & Jean Dickson Foundation Zouki Monash Estate Phyllis Nerelle Turner The Bruce McMullin Foundation Estate Rodney John Barr The Flora and Frank Leith Charitable Trust Estate Silas Clark The Jack Brockhoff Foundation Estate Taylor Alice Desterre Estate Werge Batters

Thank you

Our success depends on the strong governance joined us in delivering the very best health care Barbara Yeoh and commitment of our Board members, strong for our community. Chair, Board of Directors Executive Management and Senior Leadership We also acknowledge the strong support of the team, the skills, knowledge and dedication of Victorian Government, Department of Health our staff and expert clinicians, the guidance and Human Services and Federal Government provided so generously by the members of our through its funding of our operations and Community Advisory Committee and consumer initiatives. panels; and the generosity and loyalty of our Shelly Park volunteers and auxiliary members. We thank It has been an exciting and rewarding year for Chief Executive them for their contribution. Monash Health and we are immensely proud to lead such a strong and innovative health We extend our heartfelt thanks to every staff service. member and community member who has

Monash Health Annual Report 2014-15 21 Our sites, services and staff

We provide quality public healthcare in our community from more than 40 locations

22 Monash Health Annual Report 2014-15 across south eastern Melbourne OUR SITES, SERVICES AND STAFF Monash Health provides services to almost a quarter of metropolitan Melbourne’s population. We also play a significant role in providing regional and state-wide specialist services for Victoria. Our sites

We provide quality public health care in our Moorabbin Hospital is a 147-bed hospital Casey Hospital is a 273-bed hospital serving community from more than 40 care locations incorporating Monash Cancer Centre, one of one of the fastest growing areas in Melbourne’s across south-east Melbourne, including major Victoria’s leading cancer treatment centres south-east. Services include an emergency tertiary and secondary hospitals, aged operating in partnership with Peter Mac Cancer department, general medical, mental health, residential care centres and an extensive Centre. The hospital also offers elective rehabilitation, surgical and ambulatory care network of rehabilitation, community health surgery, short-stay care and dialysis. Home to services, maternity and a special care nursery. and mental health facilities. Victoria’s first Patient Simulation Centre, the The hospital is a provider of paediatric services hospital plays a major role in the education and for Monash Children’s and gives access to the training of undergraduate and postgraduate leading cardiac services of MonashHeart. Monash Medical Centre is a 640-bed medical students, nurses and allied health teaching and research hospital of international professionals. The hospital hosts the Southern standing providing a comprehensive range of Melbourne Integrated Cancer Services and is a Cranbourne Centre provides a range of specialist surgical, medical, allied health and centre for research, in particular a major same-day acute and sub-acute services mental health services to our community. contributor to cancer-related research. including surgery, renal dialysis, specialist This tertiary site is a designated national consulting services, regional ophthalmology provider of renal and pancreatic transplants, services and mental health services. It also and statewide provider of Thalassemia and Dandenong Hospital is a 573-bed acute provides the local community with access to children’s cancer services. It is also the base for hospital providing a wide range of health community health services and a community MonashHeart, a centre of excellence in cardiac services to the people living and working in rehabilitation centre. assessment, treatment and research, and Dandenong and surrounding areas. The Monash Children’s, the third largest provider of hospital provides a number of general and paediatric services in Australia. Uniquely specialist services. These services include Kingston Centre is a 183-bed sub-acute facility offering maternity and newborn services general medical and surgical, an intensive care specialising in high-quality rehabilitation, integrated on the one site, Monash Medical unit, MonashHeart cardiac care centre, functional restoration, transitional care, aged Centre provides one of Victoria’s largest rehabilitation and aged services, pathology, care and aged mental health. Its highly regarded women’s health services. It is also renowned radiology, maternity unit, special care nursery, rehabilitation program focuses on restoring for men’s health services and ambulatory children’s services, outpatients, day function after illness or injury with the full range models of care. chemotherapy, home haemodialysis, mental of allied health services provided to adults of all health services and allied health services. ages. The centre provides specialist services for McCulloch House, located on site, is a 16-bed Dandenong Hospital also provides specialist older people including Aged Care Assessment, facility providing palliative care for people services including orthopaedic, plastics, Cognitive Dementia and Memory Services. It within our catchment area with advanced vascular, facio-maxillary, gynaecology, also offers a Falls and Balance Clinic, Pain Clinic, progressive disease. respiratory and infectious diseases. Clinical Gait Analysis and Continence Service. It is at the forefront of research into movement and gait disorders, aged mental health and geriatric medicine.

Aged residential care is provided for 165 residents requiring high care at Allambee Nursing Home, Cheltenham; Chestnut Gardens Aged Care, Doveton; Yarraman Nursing Home, Noble Park. Mooraleigh Hostel, East Bentleigh and AG Eastwood Hostel, Cheltenham is home to 89 residents requiring low-level care.

Monash Health Annual Report 2014-15 23 We are proud to deliver the very best healthcare for our community

Mental health services are provided through Community rehabilitation services are empower and prepare clients to manage their hospital and community-based facilities. Our provided from centres at Kingston, Clayton, health and health care, A particular focus is comprehensive range of services for children, Doveton, Springvale, Dandenong, Cranbourne placed on ensuring access for those with or at youth and adults experiencing mental health and Pakenham and in clients’ homes through risk of poorest health and those most in need. issues includes the South East Alcohol and Drug the Rehabilitation In The Home services. Our staff are located across 11 major sites Service; a telephone psychiatric triage service; (Cranbourne Centre and Mundaring Drive, community and inpatient perinatal, child and Cockatoo, Doveton, Kingston, Berwick, Clayton, Pakenham, Parkdale, Springvale, and Thomas youth services; crisis assessment and treatment operates a 103-bed Hospital in the Home Street, Dandenong). teams and enhanced crisis assessment and virtual acute ward from patients’ homes or treatment teams (Monash Medical Centre, residential care facilities. In-home care is Services are provided at each site by Dandenong Hospital, Casey Hospital); provided by medical and nurse practitioners to multi-disciplinary teams of Allied Health consultation liaison psychiatry; mental health people who require acute care, but can safely workers including physiotherapists, podiatrists, Hospital in the Home (HITH), community care receive it from their home environment. occupational therapists; dieticians; counsellors; teams; mobile support and treatment services; speech pathologists; nurses; health promotion acute inpatient care; secure extended care practitioners, and exercise physiologists. We services; perinatal infant service including an are provided by several also run a wide variety of groups to support inpatient unit; eating disorders services; Community services services including Community Support Options, social inclusion and better health. prevention and recovery care services; Greater Dandenong Community Health and Self-management is central to our care - we aim community residential and rehabilitation Cardinia-Casey Community Health. Our services to empower and prepare clients to manage their services. place the client at the centre of all interactions. health and health care across all levels of the We take into account the client’s personal care continuum. Community Support Options is preferences, cultural beliefs and values, their a community care service offering a range of family and lifestyles situations. Our client is an services to assist people who are aged or have a integral member of the care team who is disability. Respite services are also provided to involved in all decision making. We aim to support carers.

24 Monash Health Annual Report 2014-15 OUR SITES, SERVICES AND STAFF Our services As at 30 June 2015

We uniquely provide our community with integrated primary, secondary and tertiary health care in one organisation, offering more than 250 different programs and services. Presenting our services and accountable leaders:

CHIEF OPERATING OFFICER WOMEN’S AND CHILDREN’S PROGRAM • Growth and Development • Haematology Mr Siva Sivarajah General Manager and Program Director of • Hearing Services Nursing • Imaging Ms Kym Forrest • Infectious Diseases MONASH SECTOR • Intensive Care Program Medical Director • Monash Children’s at Home (formerly General Manager Professor Nick Freezer Carelink) • Monash Newborn Ms Anne Doherty Director of Obstetrics and Gynaecology • Neurology Services Senior Clinical Directors • Neurosurgery Professor Euan Wallace AM Associate Professor Richard King AM • Orthopaedics Mr Alan Saunder • Plastics • Quality Director of Nursing/Operations Director Monash Women’s: • Rehabilitation Monash Medical Centre • Birth Centre Team • Renal and Continence Ms Shannon Wight • Contraceptive Counselling • Delivery Suite • Renal Transplantation • Respiratory Medicine Director of Nursing/Operations Director • Endometriosis Service • Rheumatology Moorabbin Hospital • Fetal Diagnostic • Melbourne Children’s Sleep Centre Ms Sharon Wood • General Obstetrics • Gynaecology • Surgery • Gynaecology Endoscopy • Urology SOUTH EAST SECTOR • Gynaecology Oncology • Lactation Consultant General Manager • Maternal Fetal Medicine ALLIED HEALTH Mrs Jane Poxon • Menopause Service • Menstrual Management Senior Clinical Director Chief Allied Health Officer • Midwifery Care Unit Associate Professor Bill Shearer Ms Kate MacRae • Midwives in Partnership Director of Nursing/Operations Director • Multiple Pregnancy Service Casey Hospital • Obstetric Metabolic Service • Aboriginal Health Ms Trish Dito • Pelvic Floor Disorders • Acquired Brain Injury: Slow to Recover • Perinatal Services Program Director of Nursing/Operations Director • Reproductive Medicine • Allied Health Dandenong Hospital • Victorian Fetal Therapy Unit • Allied Health Clinical Research Unit Ms Fiona Sutherland • Dietetic Services

• Exercise Physiology Monash Children’s: Director of Nursing/Operations Director • Interpreter Services • Adolescent Medicine Kingston Centre • Music Therapy • Children’s Cancer Centre Associate Professor Jakqui Barnfield • Occupational Therapy • Cardiology • Orthotics • Child and Adolescent Psychiatry General Manager • Physiotherapy • Developmental Disabilities Monash Health Community • Podiatry • Dental Mrs Deborah Stuart • Psychology • Diabetes • Social Work • Eating Disorders • South Eastern Centre Against Sexual Assault • Emergency • Speech Pathology HEALTH INFORMATION SERVICES • Endocrinology AND OUTPATIENTS • ENT • Forensic Medicine Service General Manager • Gastroenterology Ms Claire Pierce • General Paediatrics • Genetic Services

Monash Health Annual Report 2014-15 25 OUR SITES, SERVICES AND STAFF

EMERGENCY MEDICINE PROGRAM • Movement Disorders Community Support CRITICAL CARE PROGRAM Program Program Director • Optometry Program Director Dr Neil Goldie • Oral Health (Dental) Professor Yahya Shehabi • Outpatient Services Specialist Clinics (April 2015 - June 2015) Program Director of Nursing • Pain Clinic Associate Professor Bill Shearer Ms Jennine Harbrow • Planned Activity Groups (July 2014 – April 2015) • Post-Acute Care

• Post Sub-Acute Care Director of Nursing • Monash Medical Centre Clayton Emergency • Primary Care Ms Fiona Sutherland (May 2015 – June 2015) Department • Refugee Health Ms Dana Kiley (Acting October 2014 – May 2015) • Dandenong Hospital Emergency Department • Respite Service Ms Karlene Willcocks (July 2014 - October 2014) • Casey Hospital Emergency Department • South East Advocacy and Support (SEAS( • Paediatric Emergency Medicine • Anaesthesia • Self Management Programs • Emergency Medicine • Sexual & Reproductive Health Program • Intensive Care • Young Adults Transition Service MONASH HEALTH COMMUNITY • Operating Theatres • Youth Health • Pharmacy Services Program Director Professor Don Campbell GENERAL MEDICINE PROGRAM Operations Director SPECIALITY MEDICINE PROGRAM Mrs Deborah Stuart Clinical Program Director Program Director Professor Don Campbell • Aboriginal Health Services Associate Professor Andrew Block • ACCESS Program Nursing Director (May–June 2015) • Aids to support people with a disability Ms Trish Ditto Professor Richard King AM • Allied Health (July 2014–May 2015) • Assisting Care and Housing for the Aged • General Medicine – ACHA • Acute Assessment Unit Program Director of Nursing • Birthing Support Children’s Early Intervention • Hospital In The Home Ms Shannon Wight • Chronic Disease Management • Aged Persons Mental Health • Clinical Gait Analysis Service • Aged Persons Residential Care • Cognitive Dementia and Memory Service SPECIALTY PROGRAM • Clinical Haematology • Community Access Service • Clinical Immunology • Community Aged Care Packages Linkages Program Director • Clinical Nutrition and Metabolism - CACP Professor Julian Smith • Cognitive Dementia and Memory Service • Community Health Services Cardinia, Casey & • Continence Clinic Greater Dandenong Director of Nursing • Dermatology • Community Nursing Ms Sharon Wood • Diabetes • Community Rehabilitation – Home and • Diabetes Education • Breast Services Centre-based care • Diagnostic Imaging • Cardiac CT • Continence Clinic • Endocrinology • Cardiac Care • Counselling and Casework • Falls and Balance Clinic • Cardiac Rhythm Management • Diabetes Education and Management • Gastroenterology • Cardiothoracic Surgery • Domestic Violence Support • Geriatric Medicine Outpatient Clinic • Echocardiography • General Practitioner Liaison • Haemodialysis • Interventional Cardiology • Falls and Balance Clinic • Infectious Diseases and Clinical Epidemiology • MonashHeart • Family Planning • Interventional Radiology • Neurology • Financial Counselling • Medical Assessment and Planning Unit • Neuropsychology • HACC - Aged and Disability Support • Medical Oncology • Neurosurgery • Health Information and Referral • Monash Ageing Research Centre (MONARC) • Ophthalmology • Health Promotion and Education • Movement Disorders Clinic • Paediatric Cardiology • Healthy Mothers Healthy Babies program • Nephrology • Stroke • Hospital In-The-Home • Oncology Day Care • Thoracic Surgery • Hospital In-reach – Residential Care Facilities • Pathology • Hospital Admissions Risk Program (HARP) • Peritoneal Dialysis • Housing • Radiology • In-reach • Renal and Pancreatic Transplantation • Intake Services • Supportive and Palliative Care • LIAISE – support for people with acquired • Respiratory and Sleep Medicine (Adult) brain injury • Rheumatology • Mobile Access Services team (MAST) • Sub-acute Inpatient Services • Men’s Health • Thalassaemia • Movement Disorders Clinic • Young Adults Transition Service

26 Monash Health Annual Report 2014-15 OUR SITES, SERVICES AND STAFF

SURGERY PROGRAM Operations Director Early in Life Mental • Culturally and Linguistically Diverse Health Service Community Programs. Program Medical Director Mr Lidor Arbel • Drink Drive Programs Mr Al Saunder • Forensic Intervention Unit • Youth inpatient unit • Koori Alcohol and Drug Programs Director of Nursing • Stepping Stones Transition (Step up/Step • Needle Exchange Program Ms Shirlee Graham down) Program • Pharmacotherapy Outpatient Clinic (July 2014 - April 2015) • Perinatal and Infant Unit • Regional Dual Diagnosis Program • Audiology • Integrated Perinatal and Infant Mental Health • Withdrawal Programs - outpatient/home • Colorectal Surgery and Stoma Therapy Team (outpatient team) based • Endocrine Surgery • Intensive Mobile Youth Outreach Service • Adult counselling services • Ear, Nose and Throat Surgery • Adolescent Recovery Centre - Day Program • Upper Gastrointestinal and Hepatobiliary • Stepping Stones Adolescent Inpatient Unit • General Surgery including Educational Service - Lyndale • Oral and Maxillofacial Surgery/Dental Secondary School • Plastic and Reconstructive Surgery • Youth Drug and Alcohol Program, including • Ophthalmology Unit supported accommodation and Outreach • Orthopaedic Surgery Youth Psychiatric Assessment and Recovery • Urology Care Service • Vascular and Transplant Surgery • Early Psychosis - Recovery and Prevention of Psychosis Service (RAPPS) • Transcranial Magnetic Stimulation MENTAL HEALTH PROGRAM Operations Director Community Access Program Medical Director and Partnerships (CAPS) Professor David Clarke Mr George Osman

• Mental Health Education, Training and • Crisis Assessment and Treatment Teams Research (CATT) x 3 • Centre for Developmental Psychiatry and • • Enhanced Crisis Assessment and Treatment Psychology, Monash University Teams (ECATT) x 3 • Centre for Psychological and Behavioural • Psychiatric Triage Service Medicine, Monash University • Clozapine Clinic • Southern Synergy; The Monash Health Adult • Continuing Care Teams (CCT) - Middle South, Psychiatry Research, Training and Clayton, Dandenong, Casey Evaluation, Monash University • Mobile Support and Treatment Teams (MST) • Tele-psychiatry Middle South, Dandenong, • Monash Health Butterfly Eating Disorder Day • Psychiatric Assessment and Recovery Care Program Service – Springvale and Clayton • Eating disorder service • Community Teams - Dandenong, Casey, • Agile Clinics Frankston • Specialist Team - incorporating Hospital Director Nursing and Director Adult Bed Consultation Liaison, Crisis Clinicians Based Services (Monash, Dandenong, Casey, Frankston) and Associate Professor Jakqui Barnfield Neuro Developmental Assessment Clinic (Endeavour) • Adult Acute Inpatient Units • Adult Hospital Consultation Liaison - Monash • Secure Extended Care Unit and Dandenong • Withdrawal Programs - residential based • Community Development - Mental Health • Community Care Units (CCUs) - Doveton and Promotion, General Practice Liaison East Bentleigh Clinicians, Mental Health Nurses in General • Precept - nursing training and education Practices team • Gender Dysphoria Service • Mental Health Consumer and Carer Relations • Primary Mental Health Teams - Middle South, • Administration of the Carer Brokerage Fund South East • Consumer Consultants • South Eastern Alcohol and Other Drugs • Director of Consumer Carer Relations Service • Family / Carer Consultants • Addiction Medicine Unit - hospital liaison, outpatients and shared care

Monash Health Annual Report 2014-15 27 OUR SITES, SERVICES AND STAFF Our staff

Our staff continue to provide quality health care to our community

As an equal opportunity employer, Monash empathy for each other and for our patients. Health is committed to a fair and We value honesty, openness, and taking non-discriminatory workplace that maximises responsibility for our performance. We aim for the talent, potential and contribution of all and recognise innovation, quality and employees. We act with fairness, dignity and professionalism.

Staff numbers

Labour category June EFT Average EFT 2014-2015* 2013-2014 2014-2015 2013-2014* Nursing 4,608 4,447 4,522 4,304 Administration and Clerical 1,530 1,472 1,505 1,437 Medical Support 1,093 1,040 1,081 1,023 Hotel and Allied Services 926 895 932 870 Medical Officers 178 165 174 168 Hospital Medical Officers 916 835 906 815 Sessional Clinicians 300 276 296 269 Ancillary Staff (Allied Health) 850 817 829 788 TOTAL 10,401 9,947 10,245 9,674

* Full-time equivalent staff at Monash Health and Jessie McPherson Private Hospital as at 30 June 2015. Source – Payroll Cube June 2015.

WorkCover Claims

2014- 2013- 2012- 2011- 2010- 2009- 2008- 2007- 2006- 2005- 2015 2014 2013 2012 2011 2010 2009 2008 2007 2006 Number of standard claims 176 130 166 166 151 152 165 174 171 184

Claims per $ million or 0.22 0.167 0.22 0.23 0.22 0.24 0.303 0.333 0.344 0.396 remuneration

Workplace health and safety

Monash Health is committed to providing a safe Monash Health has embarked on a proactive and healthy working environment for our approach to workplace health and safety employees, contractors, volunteers and the (WHS), focussing on positive indicators and public and we take all reasonable steps to developing a comprehensive short and long control hazards and minimise risk of injury. This term strategy for managing WHS. We are year we have introduced the mySafety website continuing our commitment to conducting where all incidents, near misses and hazards workplace safety audits and management are can be reported, investigated and mitigated. participating. All new initiatives are to ensure Monash Health becomes the leader and innovator in workplace health and safety.

28 Monash Health Annual Report 2014-15 We put our patients at the centre of everything we do Monash Health Annual Report 2014-15 29 Our experts lead the field in pioneering surgery

30 Monash Health Annual Report 2014-15 GOVERNANCE

Monash Health is a public health service; a body corporate established under Section 65P of the Health Services Act 1988 as amended in 2004, and listed in Schedule 5 of that Act. The Minister for Health and Ambulance Services, The Honourable Jill Hennessy MP, is the responsible Minister. Clinical governance Clinical governance refers to the systems which Leadership Patient-centred care guide activities and initiatives within Monash Health to ensure the vision, purpose and Leadership objectives and responsibilities are Patient-centred care at Monash Health is the strategic goals of the organisation are achieved. partnership with patients, families, carers and This should occur in a manner that is clearly defined in the position descriptions of each manager, service director and executive at other consumers to provide exceptional care patient-centred, transparent, and commands and achieve outstanding outcomes. accountability. Monash Health. Individually they are expected to lead innovative initiatives that aim to achieve This occurs at all levels of Monash Health and Specifically, effective clinical governance the strategic objectives of Monash Health. includes informed consent and shared decision ensures that leadership roles are defined making about care, consumer partnership in clearly and are consistent with strategic goals, Risk minimisation service planning, consumer partnership in and provides a framework encourages designing care and consumer partnership in innovation, transparency and trust. There are practical, robust and effective service measurement and evaluation. systems in place to identify, analyse and At Monash Health, clinical governance minimise risks at each operational level and The Monash Health Community Participation supports the iCare values: Integrity, site, and across the organisation. Plan, Community Advisory Committee, Primary Compassion, Accountability, Respect and Care and Population Health Advisory Excellence. Performance improvement Committee and various consumer feedback Clinical governance emphasises the networks ensure the interests of stakeholders importance of governing clinical safety and Performance of individuals, operational teams are incorporated into the organisational quality with the same rigor as applies to and the organisation as a whole are monitored strategic objectives. corporate governance. This framework by key performance indicators. The complements other organisational governance performance improvement strategy frameworks such as the Patient First implemented at Monash Health incorporates Transformation Framework, a centralised these key performance indicators, enabling initiative to transform systems in our effort to identification of performance leaders and their deliver outstanding care. innovative practices.

The Monash Health clinical governance framework is based on a number of key elements including: Proud of the quality and patient safety systems we have in place

Monash Health Annual Report 2014-15 31 Our Board of Directors

The Board of Directors of Monash Health is appointed by the governor-in-council on the recommendation of the Minister for Health in accordance with the Health Services Act 1988. Functions of the Board of Directors

The functions of the Board are: • To establish and maintain effective systems to • To develop arrangements with other agencies ensure that the health services meet the needs and health service providers to enable effective • To monitor the performance of Monash of the community served by Monash Health and efficient service delivery and continuity of Health. and that the views of users and providers of care. health services are taken into account. • To recommend the appointment of and • To establish the organisational structure, determine the employment terms (including • To ensure that Monash Health operates within including the management structure, of remuneration) of a Chief Executive. its budget and that its systems accurately Monash Health. reflect its financial position and viability. • To oversee the management of Monash • To establish and ensure the effectiveness of a Health and monitor the performance of the • To ensure effective and accountable systems Finance Committee, an Audit Committee and a Chief Executive. are in place to monitor and improve the quality Quality Committee and other Committees • To develop statements of priorities and and effectiveness of health services provided considered appropriate. by Monash Health. strategic plans for the operation of Monash • To facilitate health research and education Health and monitor their compliance. • To ensure that any problems identified with and any other functions conferred on the Board • To develop financial and business plans, strat- the quality and effectiveness of health services by or under the Act. egies and budgets to ensure accountable and are addressed in a timely manner and that efficient provision of health services by Monash Monash Health strives to continuously improve Health and its long term financial viability, as quality and foster innovation. well as to ensure they are adhered to.

Board committees

The following committees support the Audit Committee Finance Committee functions of the Board of Directors: The role of the Audit Committee is to advise the The role of the Finance Committee is to advise Quality Committee Board of Directors on audit matters and the Board of Directors on financial matters and matters relating to the financial, accounting to assist in the oversight of financial The purpose of the Quality Committee is to and legislative compliance and the operational performance. support the Board’s function of providing effectiveness and efficiency of Monash Health. strategic leadership in relation to the clinical The Finance Committee reviews and makes governance of quality and safety at Monash The Committee also advises the Board on the recommendations to the Board regarding Health. It serves to ensure, on behalf of the level of business risk or exposure to which financial strategy, financial policies, annual Board, that the following broad objectives are Monash Health might be subject and oversight operating and capital budgets, cash flow and fulfilled: of internal and external audit activities. business plans to ensure alignment with key strategic priorities and performance objectives. • Effective and accountable systems are in Remuneration Committee place to monitor and improve the quality and The Committee also has a key role in assisting The principal role of the Remuneration effectiveness of health services provided by the Board to monitor financial performance and Committee is to advise the Board of Directors Monash Health. financial risk. on matters relating to the organisation’s • Any problems identified with the quality or remuneration policies and practices. effectiveness of the health services provided In addition, the Remuneration Committee are addressed in a timely manner. provides oversight with respect to succession • Monash Health continuously strives to planning for the Chief Executive and senior improve the quality of the health services it executive positions. provides and to foster innovation.

32 Monash Health Annual Report 2014-15 Thank you to our Consumer Advisory Committee which helps enhance our services Board advisory committees

Community Advisory Committee • Monitoring of the Monash Health Community The PCPH Committee involves membership from Participation Plan 2013-2018 and associated Monash Health as well as representatives from The Community Advisory Committee assists annual workplans. our external strategic partners that also provide the Board to appropriately integrate consumer • Planning the topic for the 2015 Open Board services in the primary care or population health and community views at all levels of Monash Meeting. environment. The has been significant Health’s operations. engagement and collaborations between Monash The Committee implemented an annual Health and our partners on key strategic matters The Committee is chaired by a consumer and workplan in 2014, and through ongoing which result in robust discussions, more has the responsibility to advise on governance, consolidation of areas of focus within the comprehensive outcomes and ultimately better policy and strategy in relation to community Committee, this workplan has been further care for patients. participation and its impact on health service defined to include three priority areas; being outcomes. Cultural Diversity, Mental Health and • The PCPH has continued to support the strong Medication Safety. This provides the relationship between Monash Health and the The two key roles of the Community Advisory Committee with the opportunity to engage and Aboriginal Community and collectively we are Committee are to provide direction and consult with a broader group of consumer working to close the gap in Aboriginal Health leadership in relation to the integration of advisors from across Monash Health. outcomes. consumer, carer and community views into all levels of health service operations, planning • To date Monash Health and the Medicare Locals and policy development and to advocate to the Primary Care and Population Health have worked closely together to deliver on Board of Directors on behalf of the community, Advisory Committee collaborative projects related to Mental Health, consumers and carers. Refugee Health, In-reach to Residential Aged The Primary Care and Population Health (PCPH) Care services, stroke pathways, workforce Throughout the past 12 months the Committee Advisory Committee provides strategic advice development and discharge planning forums to has provided advice and recommendations to to the Board on matters specific to primary name just a few. the Board on a number of key strategic areas care and population health. Membership including: comprises primary care and academic partners • Going forward Monash Health will continue • Enhancing the Hospital in the Home program, in our region. these strong relationships with the newly formed including ongoing monitoring. Primary Health Care Networks and look forward • Monitoring quality and safety data and trends, The Committee has a particular focus on to continuing to work in partnership to provide particularly feedback, falls prevention and improving the health status of our community exceptional care to our community. medication safety activity. in areas such as the hospital – • Monitoring the Patient Centred Care Steering primary care interface, mental health Committee work plan activity. wellbeing, health promotion, health • Monitoring the Diversity portfolio and ongoing independence programs, research and update on activity and involvement in the Open education and the health of refugees, Board meeting September 2014. Aboriginal and Torres Straight Islanders and culturally and linguistically diverse communities. Monash Health Annual Report 2014-15 33 OUR BOARD OF DIRECTORS Members of the Board of Directors

Ms Barbara Yeoh Dr Errol Katz Mr Charles Gillies BSc (Hons), FAICD MBBS (Hons), LLB (Hons), MPP, GAICD BSc/BA, MBA, SF Fin, GAICD

• Chair of the Monash Health Board • Chair, Board Quality Committee • Chair Finance Committee • Chair, Remuneration Committee • Member, Remuneration Committee • Member, Kitaya Holdings Board Pty Ltd* • Finance Committee • Member, Audit Committee • Term of appointment: July 2011-current • Term of appointment: July 2009-current • Term of appointment: July 2010-current Mr Gillies is Ms Yeoh has more Dr Katz returns to co-founder of than 25 years’ Monash Health as a Jolimont Global experience as a Board member, Mining Systems which director in both the having been a specialises in public and private medical student at investing in mining sectors across a Monash Medical technology broad range Centre. He has companies. These of industries. She is worked as a doctor companies compete currently Chair of the at The Alfred, and his in fast-moving, highly Council of Board recent professional competitive global technology markets. As Chairs (Victorian experience has been an active investor himself his approach health services), Member of the AHPRA in business and finance, with roles at The has been to work closely with Agency Management Committee, Deputy Boston Consulting Group, Visy Industries management to develop a plan to create Chair of the Victoria State Emergency and in private equity. He is on the board of economic value. He has been Director and Service and Deputy Chair of the Civil Primary Health Care, and was previously a Chairman of a number of technology and Aviation Safety Authority Audit Committee. Board member of Dental Health Services investment companies and has worked Ms Yeoh is also a Principal Associate of Victoria. closely with CEOs and management Phillips KPA, specialist advisers to the teams, developing strategies and setting education sector. objectives and performance targets.

*Kitaya Holdings Pty Ltd operates Jessie McPherson Private Hospital.

Mr Ross McClymont Ms Linda Perry Ms Debbie Williams BCom, LLB B.Acc, ACA FAICD, MBA, ME, BCom, GradDip in Health Services Management • Chair, Audit Committee • Member, Community Advisory • Member, Board Quality Committee Committee • Member of the Finance Committee • Term of appointment: July 2011-current • Member, Audit Committee • Member of the Primary Care and • Term of appointment: July 2011–current Population Health Advisory Committee Mr McClymont is a • Term of appointment: July 2009 partner of global law Ms Perry has –current firm, Ashurst, and worked for more leads the firm’s than 20 years in Ms Williams is a restructuring and leadership roles health care strategy special situations within the consultant who practice in Melbourne. professional brings extensive He has more than 20 services industry in experience in health years’ experience in both audit and care management, his chosen field, and business corporate regularly advises development and governance, boards of both listed and unlisted marketing. She is a Chartered Accountant business strategy companies with respect to issues including and auditor with skills in finance, audit development, directors’ duties, corporate governance, and risk management and corporate mental health continuous disclosure obligations and governance. Ms Perry is an Audit management and financial management. solvency matters. Mr McClymont is a Committee Member for Community Chef Ms Williams is on the Boards of Lionsville, director of the Australian Restructuring and Regional Kitchen Pty Ltd and a the International Toy Library Association Insolvency and Turnaround Association and member of WNBL Melbourne Boomers and is Treasurer of Toy Libraries a member of the Insolvency and Board. Ms Perry was a partner with BDO Australia. Reconstruction Law Committee of the Law and William Buck and worked with Council of Australia. Deloitte for 14 years. Ms Perry currently works with Pitcher Partners.

34 Monash Health Annual Report 2014-15 OUR BOARD OF DIRECTORS

Dr Bridget Hsu-Hage Professor Greg Bamber Ms Helen Owens PhD, MSc, BA BSc (Hons), PhD, FAcSS, FAHRI, FAIM, BEc (Hons), MEc FASSA, FBAM, FCIPD, FCMI, FLERA, • Member, Primary Care and Population LFANZAM • Chair, Primary Care and Population Health Advisory Committee Health Advisory Committee • Member, Community Advisory Committee • Member, Remuneration Committee • Member, Board Quality Committee • Term of appointment: July 2013-current • Member, Primary Care and Population • Term of appointment: July Health Advisory Committee 2006-2014 Dr Hsu-Hage has a • Term of appointment: July 2012–current wealth of Ms Owens was a experience in Dr Bamber is health economist and health promotion, Professor and health policy disease prevention Discipline Leader: consultant. Previous and public health Human Resources positions held policy and has and Employment included full-time extensive Relations, Commissioner on the experience in Management Productivity community. Dr Department, Commission, Hsu-Hage is a founder and the former Monash University. part-time member of president of the Chinese Health Foundation He was formerly the Commonwealth of Australia, and was a major contributor to Director of Grants Commission, expert strategic the development of the rural health Research. He has served as a director on advisor to the Victorian Department of network in Northern Victoria. Dr Hsu-Hage boards of professional associations and in Premier and Cabinet on health reform had several successful research grants, the fields of education, health and sport. and casemix consultant to the Australian publications, international recognition for He advises governments, universities, Healthcare and Hospitals Association. her work in migrant health, diabetes in private and public sector enterprises and Other recent Board and committee pregnancy, nutrition and health promotion, other organisations (eg: International memberships have included Medivac P/L and served WHO-WPRO as a temporary Labour Organisation). His research is and the Victorian Cancer Agency. advisor on many occasions, as well as chair international and includes: hospitals, Academic positions at Monash and of an International Union of Nutritional airlines, manufacturing, the public sector Melbourne universities have included Sciences taskforce and a member of and telecommunications, as well as Associate Professor and Deputy Director International Union of Health Promotion high-performance work systems, dispute of the National Centre for Health Program and Education. Dr Hsu-Hage was a Board prevention and settlement, process Evaluation. Director of Goulburn Valley improvement, outsourcing and shared Health, Associate Professor in Health services. He is Visiting Professor at Helen Owens sadly passed away in Promotion at Melbourne University, and Newcastle University, UK and a guest December 2014, Senior Lecturer at Monash University. Dr faculty member at Harvard University, USA. Hsu-Hage is a member of the Bayside Healthy Ageing Reference Group.

Monash Health Annual Report 2014-15 35 Organisational chart BOARD OF DIRECTORS As at 30 June 2015 Chair, Barbara Yeoh Charles Gillies Errol Katz Ross McClymont Linda Perry Debbie Williams Greg Bamber Bridget Hsu-Hage

CHIEF EXECUTIVE

Shelly Park

CHIEF OPERATING CHIEF NURSING CHIEF MEDICAL HEAD OF OFFICER AND MIDWIFERY OFFICER PEOPLE AND OFFICER CULTURE

Siva Sivarajah Cheyne Chalmers Erwin Loh Bill Kernahan

• Medical Workforce • Monash Medical Centre • Nursing and Midwifery • Employment Policies • Medical Education • Moorabbin Hospital • Education and Strategy • People and Culture • Research Directorate • Dandenong Hospital • Infection Control • Business Partnerships • Simulation Centre • Casey Hospital • Support Services • Induction of new hires and • Library • Kingston and Aged Residential • Emergency Management onboarding • Academic Health Science Care • Monash Bureau • Industrial Relations • Cranbourne Centre Centre (AHSC) • Leadership development • Monash Health Translation • Monash Health Community • Organisational culture, Precinct (MHTP) • Outpatients and HIS Development and Learning • Southern Melbourne • Mental Health • Performance Management Integrated Cancer Services • Engineering • Recruitment (SMICS)/Melbourne • Capital and Infrastructure • Remuneration Comprehensive Cancer • Employee Wellbeing Consortium (MCCC)

Professional governance: Professional governance: • Jessie McPherson Private • Nursing and Midwifery • Medical Workforce Hospital • Psychology ADVISORY COMMITTEES BOARD COMMITTEES

Community Advisory Committee Audit Primary Care and Population Health Chair, Ross McClymont Finance Chair, Charles Gillies Quality Chair, Errol Katz Remuneration Chair, Barbara Yeoh

OFFICE OF THE CHIEF EXECUTIVE

Chief Information Officer: Philip Nesci Corporate Counsel: Katherine Lorenz Head of Public Affairs and Foundation: Andrew Williamson Head of Financial and Business Improvement and Procurement: John Sutherland Chief Allied Health Officer: Kate MacRae

CHIEF HEAD OF HEAD OF FINANCIAL STRATEGY, WORKPLACE OFFICER QUALITY AND SAFETY PERFEORMANCE (INTERIM)

Basil Ireland Amanda Ling Kim Flanagan • Finance • Strategy and Planning • Workplace Health and • Contracts coordination • Quality Safety • Revenue • Innovation • Injury Management and • Reporting and analysis • Business intelligence Rehabilitation • Payroll • Safety Behaviour and • KRONOS Culture • Shared Services • Safety Reporting and Compliance • Safety Governance We have embedded a culture of safety in everything we do

Statutory compliance

Compliance with the Fire Engineering Consultants and Registered Risk assessment Building surveyors were appointed through a Building Act 1993 comprehensive tendering process to carry out Victorian Managed Insurance Authority (VMIA) conducts detailed site risk assessments (SRS) at Our facilities are managed through site fire safety audits of all Monash Health overnight bed-based facilities in July 2012. There are 12 Monash Medical Centre, Moorabbin Hospital, inspections, risk assessments and independent Kingston Centre and Dandenong Hospital, audits, with comprehensive contracts in place facilities in this portfolio and the audits were completed in November 2012. Cranbourne Centre and Chestnut Gardens to maintain the Essential Safety Measures and nursing home. annual compliance reporting by independent Essential safety measures maintenance auditors. Risk treatment options generated from the SRS Contracts are in place to maintain all Essential are monitored through Monash Health risk Building standards and condition Safety Measures elements at Monash Health action plans until they are completed. assessments major sites and minor sites owned by Monash The condition of our buildings is assessed health. Audits were performed at these sites by through site inspections and condition audits by registered building surveyors to ensure architects and consultant engineers, on an as compliance with Essential Safety Measures needs basis. Fire audits and risk assessments Maintenance regulations. Action plans to rectify are undertaken by consultant fire engineers to defects identified during the audits are currently comply with the Department of Health and in place. In accordance with regulatory Human Services Fire Risk Management requirements, service and maintenance records Engineering Guidelines Series 7. are kept to enable completion of an annual Essential Safety Measures Report for all Recommendations from fire audits are actioned properties owned by Monash Health. This is through a series of projects developed in confirmation that all Essential Safety Measures conjunction with the Department of Health and are operational at the required level of Human Services to maintain a high degree of performance and of the integrity of the fire the fire safety. All bed-based facilities are safety of these facilities. Records and reports are audited at five yearly cycle. retained on the premises for inspection by relevant authorities.

38 Monash Health Annual Report 2014-15 STATUTORY COMPLIANCE

Freedom of Information Act 1982 Carers Recognition Act 2012 National Competition Policy Summary of requests received under the Act Monash Health recognises that involving Monash Health continued to comply with the from 1 July 2014 to 30 June 2015. consumers, carers and community members at Victorian Government’s Competitive Neutrality all levels of our operations, from the individual Policy. In addition, the Victorian Government’s Number of requests 1435 to the organisational level, is a prerequisite to Neutrality Pricing Principles for all relevant Access in full 1071 ensuring we are providing optimal, effective and business activities have been applied by Monash Access in part 134 quality treatment and care to our community. Health since 1 July 1988. Access denied in full 7 Other (no documents found) 12 To facilitate this Monash Health has Victorian Industry Participation Policy Other (not proceeded with) 91 implemented a Consumer, Carer and Application fee not paid 56 Community Participation Framework and Policy Monash Health complies with the intent of the Not yet finalised 120 which sets the over arching requirements and Victorian Industry Participation Policy Act 2003 mechanisms for consumer, carer and which requires, wherever possible, local industry Exemptions cited - total 174 community participation in planning, designing participation in supplies; taking into Clause: care, decision-making, quality and safety, consideration the principle of value for money 25 A(1) 0 quality improvement and support for and transparent tendering processes. 30(1) 4 consumers, carers and staff members. The Additional Information 32(1) 1 framework and policy are aligned with the 33(1) 117 principles in the Carers Recognition Act 2012 This annual report complies with the 33(2)(a) 3 (Vic) and The Victorian Charter supporting requirements of directions issued by the Minister 33(4) 1 people in care relationships. for Finance, including the Standard Disclosures 35(1)(a) 0 described in FRD 22C. Further, 35(1)(b) 21 At Monash Health, patient-centred care is an information listed in Appendix 1 of FRD 15B is 38 27 active partnership between patients, families, available on request to the relevant minister, carers and staff that ensures optimal outcomes members of Parliament or the public, subject to Fees and charges for the patient throughout their journey. any applicable Freedom of Information Act Application Fees collected $28,699.50 provisions. Application Fees waived $9,328.00 Patient-centred care embraces the following Copy charges collected $65,047.06 principles: Copy charges waived $6,977.70 • People are treated with respect and dignity. Information is communicated in a clear and Initial decision makers open way. Elena Obukhova, FOI Operations Manager; Maija • Patient, families and carers are involved in Dimits, Health Information Manager; Elaine decisions about their care to the level that the Elliot, Health Information Manager; Rachael patient desires. Gillies, Health Information Manager; Kim Minett, • Care is delivered in a safe and comfortable Senior Manager, Corporate FOI. environment. • Patients, family and carers are involved in Merit and Equity service design and delivery. Merit and equity principles are encompassed in Monash Health has developed a employment and diversity management Patient-Centred Care education program to activities throughout Monash Health. introduce the principles of patient centred care in the Monash Health context. The program is Protective Disclosures Act 2012 based on behaviours that are required to support the delivery of patient centred care and Monash Health has a procedure for protected support individuals and teams to understand disclosures and matters of this nature are what is expected in their roles. At 30 June 2014, referred to the Independent Broad-based 7,158 staff had completed the training. Anti-corruption Commission. Information is included in the ‘Contact us’ section of the Monash Health Internet site for external parties and internally our staff policies and procedures provide direction for staff.

Monash Health Annual Report 2014-15 39 We are with you during your whole journey of care

Disclosure index

The Annual Report of Monash Health is prepared in accordance with all relevant Victorian legislation. This index has been prepared to facilitate identification of the Department’s compliance with statutory disclosure requirements.

Legislation Page

MINISTERIAL DIRECTIONS

Report of Operations 3-54 Charter and purpose

FRD 22F Manner of establishment and the relevant Ministers 31

FRD 22F Objectives, functions, powers and duties 7

FRD 22F Nature and range of services provided 25

Management and structure

FRD 22B Organisational structure 36

Financial and other information

FRD 10 Disclosure index 40

FRD 11A Disclosure of ex-gratia payments 143

FRD 11A Disclosure of major contracts 52

FRD 21B Responsible person and executive officer disclosures 138

FRD 22F Application and operation of Freedom of Information Act 1982 39

40 Monash Health Annual Report 2014-15 DISCLOSURE INDEX

Legislation Page

FRD 22F Compliance with building and maintenance provisions of Building Act 1993 38

FRD 22F Details of consultancies over $100,000 52

FRD 22F Details of consultancies under $100,000 52

FRD 22F Major changes or factors affecting performance 53

FRD 22F Occupational health and safety 28

FRD 22F Operational and budgetary objectives and performance against objectives 44

FRD 22F Reporting of office-based environmental impacts 16

FRD 22F Significant changes in financial position during the year 53

FRD 22F Statement of availability of other information 39

FRD 22F Statement of National Competition Policy 39

FRD 22F Subsequent events 53

FRD 22F Summary of financial esultsr for the year 51

FRD 22F Workforce Data Disclosures including a statement on the application of employment 28 and conduct principles

FRD 25B Victorian Industry Participation Policy disclosures 39

FRD 29 Workforce Data disclosures 28

SD 4.2(j) Sign-off requirements 55

SD 3.4.13 Attestation on Data Integrity 42

SD 4.5.5.1 Ministerial Standing Direction 4.5.5.1 compliance attestation 43

SD 4.5.5 Risk management compliance attestation 43

Financial Statements Financial statements required under Part 7 of the FMA

SD 4.2(a) Statement of changes in equity 60

SD 4.2(b) Operating statement 58

SD 4.2(b) Balance sheet 59

SD 4.2(b) Cash flow statement 61

Other requirements under Standing Directions 4.2

SD 4.2(a) Compliance with Australian accounting standards and other authoritative pronouncements 62

SD 4.2(c) Accountable officer’s declaration 55

SD 4.2(c) Compliance with Ministerial Directions 43

Legislation

Freedom of Information Act 1982 39

Protected Disclosure Act 2001 39

Carers Recognition Act 2012 39

Victorian Industry Participation Policy Act 2003 39

Building Act 1993 38

Financial Management Act 1994 55

Monash Health Annual Report 2014-15 41 ATTESTATIONS Attestations

42 Monash Health Annual Report 2014-15 ATTESTATIONS

Monash Health Annual Report 2014-15 43 KEY FINANCIAL AND SERVICE REPORTING

Key financial and service reporting Achieved

STATEMENT OF PRIORITIES: PART A

PART A: STRATEGIC PRIORITIES FOR 2014-15

Priority Action Deliverable Outcome

Developing a system that is Develop an organisational policy for the Continue the implementation and Achieved. provision of safe, high quality end of review of the End of Life Care Policy responsive to people’s Goals of Care Summary form pilot needs. life care in acute and subacute settings, and End of Life Care Management with clear guidance about the role of, Adult Procedure by evaluating the in General Medicine Units at 3 and access to, specialist palliative care implementation of the Promoting sites complete. Evaluation reveals Improved Care of the Dying (PICD) a good completion rate of form pathway and development and within 24 hrs of patient implementation of the Goals of admission. Summary Form. Decision to commence roll out across the organisation in August. Scheduled review of End of Life Care policy on track. Rate of use of Promoting Improved Care of the Dying (PICD) in patients where death is anticipated due to terminal illness, now being monitored and reported. Research project ‘Caregivers experiences for patients receiving end of life care at Monash Medical Centre’ granted conditional ethics approval. Develop and implement an Achieved. organisational wide framework that supports the four key priority action A framework developed which areas outlined in the Department of supports the four key priority Health and Human Services Advance action areas. Care Planning Service Plan 2014-18. Implementation of the framework is ongoing. Work collaboratively with Ambulance Implement the new protocol Achieved. Victoria to achieve timely transfer of recording the management of Reported through monthly patients. handover time, as per the outcomes of the Ambulance Transfer Taskforce Executive Management Team final report. activity reports. Implement an organisation-wide policy Complete the roll out of Code Grey Not achieved. for responding to clinical and across Monash Health sites by June non-clinical violence and aggression by 2015. Code Grey implemented at patients, staff and visitors (including Monash Medical Centre, code grey) that aligns with department Dandenong Hospital, Casey guidance (2014). Hospital and Kingston Centre. Moorabbin Hospital training is almost complete with go live due occurring July 2015. Progress partnerships with other Continue to work with Bass Coast Achieved. services to improve outcomes for Regional Health and Orbost Regional regional and rural patients. Health to help deliver services to regional and rural patients, as per agreement with the Department of Health and Human Services. Optimise timely access to specialist Implement patient centred booking Not achieved. care through the implementation of the system to provide patients with Access Policy for Specialist Clinics in increased choice of outpatient A trial has occurred in Victorian Public Hospitals. appointment date and time. Physiotherapy and was successful. The intention is to roll out across all Outpatient Clinics. 44 Monash Health Annual Report 2014-15 Achieved

The right care at the right time

Priority Action Deliverable Outcome

Improve outcomes for people with Demonstrated improvement in the Achieved. heart disease by addressing the outcome of patients with Heart strategic directions of the Heart Health Failure through the implementation Strategy. of the MonashHeart Early Intervention Systolic Heart Failure Program. Improving every Victorian’s Use consumer feedback to improve Implement the 2014-15 Patient Achieved. person and family centred care, health Centred Care Steering Committee health status and The milestones that are ongoing experiences. service practice and patient work plan: experience. have been rolled over to the • Utilise the Patient Experience 2015-16 work plan. Questionnaire to identify organisational and point of care Consumer advisor membership of improvements. organisation wide strategic and operational committees as • Implement strategies to contribute represented by the Consumers on to achieving consumer, carer or Committee Framework is community participation on all currently at: organisation-wide planning and • 100% of the Standing Risk governance committees. Management Committees; • 91% of Program Quality and Safety Committees (See Note); and • both Clinical Review Panels. NOTE: Consumer advisors have been recruited to fill all committee membership requirements. Take up of positions pending completion of program reviews. Reduce unplanned readmissions Commence and complete Achieved. implementation of the Representation Rates to Emergency Data is available to all clinical Department for Mental Health staff. Patients Project Identify service users who are Implement 2014-15 milestones for Achieved. marginalised or vulnerable to poor the Refugee Service Plan including: health, and develop interventions that All objectives within the state improve their outcomes relative to • Enhancing health literacy, plan have been addressed in the other groups, for example, Aboriginal self-management and sustainability. Monash Health Refugee workplan, people, people affected by mental • Enhancing cultural competency and targets for 2014-15 have been illness, people at risk of elder abuse, and responsiveness organisationally achieved. people with disability, homeless and regionally. people, refugees and asylum seekers. • Improving service integration, care coordination and discharge planning at organisational and regional levels. Monash Health Annual Report 2014-15 45 We will never stop learning

Priority Action Deliverable Outcome

Build on current data collection by Achieved. working with the Department of Health and Human Services to The Monash Health Aboriginal enhance our understanding of Health Data Report continues to available data and the best use of be collated quarterly. this data to better understand Monash Health and Dandenong aboriginal health and the impact of and District Aborigines our interventions on clinical Co-operative Ltd continue to outcomes. share and review their data sources for collaborative service planning. Improve health literacy and support Implement the 2014-15 Patient Achieved. informed choice and shared Centred Care Steering Committee decision-making by responding to the work plan action around application The Patient Centred Care Steering health information needs of service of health literacy principles to all Committee 2013-15 has been users. forms of communication. closed off with key actions in the work plan completed. Health literacy is a key action on the Patient Centred Care Plan 2013-18 and actions related to health literacy in the new work plan will continue to be progressed under the direction of the Patient Centred Care Steering Committee and reviewed bi-monthly. Expanding service, Develop and implement a workforce Implement the new ‘onboarding’ Achieved. workforce and system immunisation plan that includes software for new starters, including capacity pre-employment screening and requirement for all clinical staff to immunisation assessment for existing submit evidence of immunisation staff that work in high risk areas in status. order to align with Australian infection control and immunisation guidelines. Build workforce capability and Evaluate the newly implemented Achieved. sustainability by supporting formal and inter professional induction informal clinical education and training program. About 120 staff per month attends for staff and health students, in the program. particular inter-professional learning. Increase employment of Aboriginal Implement the Aboriginal Achieved. people in mainstream health services in Employment Plan including the line with the strategic objectives of Trainee and Cadetship Framework. Koolin Balit: Victorian Government strategic directions for Aboriginal Health 2012– 2022 and Karreeta Yirramboi workforce participation targets. KEY FINANCIAL AND SERVICE REPORTING

Priority Action Deliverable Outcome

Increasing the system’s Identify and implement practice change Achieve the asset sustainability Achieved. financial sustainability and to enhance asset management. milestone set out in the Monash Health Cash Strategy 2014-18. Target was ($4.9M) as at 30 June productivity 2015. Expect to be zero at 30 June 2015 – we have beaten the target. Reduce health service administrative Implement the Health Purchasing Achieved. costs. Victoria Procurement Framework and Purchasing Policies. On schedule for completion by June 2016. Implementing continuous Develop a focus on ‘systems Complete a Strategic Service Plan, Achieved. identifying five-year planning improvements and thinking’ to drive improved The Strategic Service Plan was innovation integration and networking across priorities, and complete 2014-15 milestones. endorsed by the Board of health care settings. Directors in June 2015. Drive improved health outcomes Continue to work with the Achieved. through a strong focus on patient- Department on the establishment of centred care in the planning, delivery the Monash Children’s Hospital, The capital project is on track. and evaluation of services, and the including the development of new Patient centred care is development of new models for putting models of care. incorporated into development of patients first. model of care work. Increasing accountability Undertake an annual board assessment External evaluation incorporating Not achieved. and transparency. to identify and develop board 360° feedback of Board, Board Chair capability to ensure all board members and Directors performance. External consultant has been are well equipped to effectively appointed. discharge their responsibilities. Resultant actions determined for continuous improvement and board Interviews are scheduled for July. education and development Consultant will attend August activities 2015 Board meeting as an observer. Findings will be provided at the September Board meeting. Demonstrate a strategic focus and Complete implementation of 2014-15 Achieved. commitment to aged care by milestones for strategies in responding to community need as well response to reform of ambulatory The requirements for delivering as the Commonwealth Living Longer aged care services. against the aged care reform have Living Better reforms. been met and the consumer directed care framework has been implemented. Participate in the My Aged Care Demonstration Project well National Demonstration Project underway with Monash Health through the Kingston Centre Aged achieving a variety of important Care Assessment Service (ACAS). changes to the My Aged Care framework and leading implementation nationally. Ensure that gender sensitivity and Develop a plan to achieve gender Not achieved. women’s safety are key principles in the sensitivity and women’s safety delivery of mental health and alcohol principles in acute psychiatric Completed at Dandenong and drug services. inpatient services. Hospital. Capital Planning completed for P Block at Monash Medical Centre and funding has been received. P Block bedrooms swipe readers are currently being installed and completion is expected in July 2015. Improving utilisation of Trial, implement and evaluate Commence implementation of the Achieved. e-health and strategies that use e-health as an electronic medical record strategy: enabler of better patient care. Project Chief Medical Information communications • Commence implementation of an Officer, Chief Nursing Information technology. Electronic Medical Record Strategy Officer and Project Director for Monash Children’s Hospital. appointed. Clinical evaluation of the solution completed. Monash Children’s receiving the first phase of the Electronic Medical Record project. Ensure local ICT strategic plans are in Refresh the Monash Health Achieved. place. Information Technology Strategic Plan and commence The Board of Directors endorsed implementation. the refreshed Monash Health Information Technology Strategic Plan in June 2015. KEY FINANCIAL AND SERVICE REPORTING Exceeds

STATEMENT OF PRIORITIES: PART B or meets targets

PART B: PERFORMANCE PRIORITIES

Financial performance Target Actuals 2014-15

Operating result

Operating result ($m) $0.5 $0.3

WIES activity performance

% WIES (public and private) 100% 101.2%

Cash management/liquidity

Creditors days <60 40

Debtors days <60 45

Access performance Target Actuals 2014-15

Emergency care

Emergency - Casey Hospital Emergency presentations - 57,068

Ambulance transfers within 40 minutes 90% 90.4%

Cat 1 triage to treatment immediately 100% 100%

Triage categories 1-5 seen within clinically recommended time 80% 77.5%

Presentations with LOS <= 4 hours 81% 85.8%

Presentations with a length of stay > 24 hours 0 0

Emergency - Monash Medical Centre Emergency presentations - 82,570

Ambulance bypass 3% 2.1%

Ambulance transfers within 40 minutes 90% 80.9%

Cat 1 triage to treatment immediately 100% 100%

Triage categories 1-5 seen within clinically recommended time 80% 78.3%

Presentations with LOS <= 4 hours 81% 74.5%

Presentations with a length of stay > 24 hours 0 0

Emergency - Dandenong Hospital Emergency presentations - 66,973

Ambulance bypass 3% 0.6%

Ambulance transfers within 40 minutes 90% 96.3%

Cat 1 triage to treatment immediately 100% 100%

Triage categories 1-5 seen within clinically recommended time 80% 87.1%

Presentations with LOS <= 4 hours 75% 84.1%

Presentations with a length of stay > 24 hours 0 0

48 Monash Health Annual Report 2014-15 KEY FINANCIAL AND SERVICE REPORTING

PART B: PERFORMANCE PRIORITIES CONTINUED

Elective surgery - iPM Target Actuals 2014-15

NEST - % Category 2 patients treated with 90 days - July-December >80% 67.5%

NEST - % Category 2 patients treated with 90 days - January-June >88% 65.0%

NEST - % Category 3 patients treated within 365 days - July-December >95% 87.6% NEST - % Category 3 patients treated within 365 days - January-June >97% 90.8%

Number of patients on waiting list 6,919 6,807

Number of HIPs as a % of all scheduled time 8% 6.8% % of Category 1 admitted within 30 days 100% 100%

Service performance

Elective surgery - iPM Elective surgery admissions - quarter 1 6,715 6,769 Elective surgery admissions - quarter 2 6,672 6,636 Elective surgery admissions - quarter 3 6,575 6,866 Elective surgery admissions - quarter 4 6,825 7,244 Critical care

Number of days operating below agreed Monash Medical Centre ICU minimum operating capacity 0 0

Number of days operating below agreed Dandenong Hospital ICU minimum operating capacity 0 0

Number of days operating below agreed Neonatal ICU minimum operating capacity 0 14

Quality and safety

Victorian Healthcare Experience Survey Full compliance Achieved

Patient safety culture 80% 88%

Healthcare associated infection surveillance No outliers No outliers

ICU CLABSI No outliers Not achieved

SAB rate (per occupied bed days) <2 per 10,000 0.42

Health service accreditation Full compliance Achieved

Residential aged care accreditation Full compliance Achieved

Cleaning standards Full compliance Not achieved

% Hand hygiene - Quarter 1 70% 75.9%

% Hand hygiene - Quarter 2 75% 75.9%

% Hand hygiene - Quarter 3 77% 75.5%

% Hand hygiene - Quarter 4 80% 81.3%

Health care worker immunisation - influenza (flu season 2014) 75% 73%

Maternity

Percentage of women offered prearranged postnatal care 100% 98%

Mental health

% 28-day readmission rate - adult 14 12.1

% Post-discharge follow-up rate - adult 75 92.7

% Post-discharge follow-up rate - aged 75 84.1

% Post-discharge follow-up rate - CAMHS 75 92.7

Seclusion rate (Occupied bed days) - adult 15 10

Seclusion rate (Occupied bed days) - aged 15 5

Seclusion rate (Occupied bed days) - CAMHS 15 1

Monash Health Annual Report 2014-15 49 STATEMENT OF PRIORITIES: PART C

PART C: ACTIVITY AND FUNDING Exceeds Acute Admitted Actual

WIES Public 143,403 or meets WIES Private 15,349 targets Accrual 500

WIES (Public and Private) 159,252

WIES (Public and Private) % of Target 101.2%

WIES DVA 815

WIES TAC 651

WIES TOTAL 160,718

Acute non-admitted

Emergency services 109,642

Specialist clinics - weighted encounters 217,138

Subacute Admitted (iSNAC) - Weighted bed days

GEM Public 35,902

GEM Private 9,979

GEM DVA 917

Rehabilitation Public 41,720

Rehabilitation Private 8,698

Rehabilitation DVA 431

Palliative Care - Public 7,464

Palliative Care - Private 544

Palliative Care - DVA 117

Subacute Admitted (iSNAC) TOTAL 105,029

Nonacute Admitted

Transition Care - Occupied bed days 17,372

Transition Care - Home day 10,264

Subacute non-admitted

Health Independent Program contacts 176,589

Aged Care

Aged care assessment service (face-to-face assessments) 4,231

Residential Aged Care (occupied bed days) 50,761

HACC 142,861

Mental Health (Occupied bed days)

MH - Inpatient 17,958

MH - Ambulatory 110,492

MH - Residential 31,451

MH - Subacute 26,875

Primary Health

Community Health - Direct Care (hours) 69,939 SUMMARY OF FINANCIAL RESULTS

SUMMARY OF FINANCIAL RESULTS

Financial indicators 2015 2014 2013 2012 2011 $’000 $’000 $’000 $’000 $’000 Total Revenue 1,512,402 1,450,332 1,341,700 1,344,046 1,268,565

Total Expenses 1,528,277 1,428,992 1,344,438 1,318,318 1,267,748

Net Result for the Year (inc. (15,875) 21,340 (2,738) 25,728 817 Capital and Specific Items) Retained Surplus/ (67,073) (50,995) (72,469) (68,470) (94,362) (Accumulate Deficit) Total Assets 1,420,199 1,405,432 1,050,623 1,048,724 989,975

Total Liabilities 463.422 433,922 397,416 392,779 359,758

Net Assets 956,777 971,510 653,207 655,945 630,217

Total Equity 956,777 971,510 653,207 655,945 630,217

Average collection days 2015 2014 2013 2012 2011

Private 50 43 57 58 63

Transport Accident - - 111 98 166 Commission (TAC) Victorian Workcover 127 117 134 142 102 Authority (VWA) Nursing Home 28 26 29 31 29

Inpatient debtors ageing <30 days 31-60 days 61-90 days >90 days 2014-2015 2013-2014 2012-2013 2011-2012

TAC ------74 -

Private 2,157 775 196 556 3,684 3,652 5,415 4,172

VWA 116 117 24 339 597 160 455 242

Nursing Home 174 67 38 372 650 538 667 400

Total 2,447 958 258 1,268 4,930 4,350 6,611 4,814

Advertising

Expenditure on government advertising did not exceed $150,000.

Consultants 2015 2014 2013 2012 2011

Consultants’ cost 1,265,500 2,051,811 1,201,833 1,619,002 1,867,162

Total number of consultants 80 115 78 121 132

Monash Health Annual Report 2014-15 51 SUMMARY OF FINANCIAL RESULTS

Consultant Purpose of Consultancy Start date End date Total Approved Expenditure Project Fee 2014-15 $’000 $’000 Ernst & Young Internal audit 1/07/14 30/06/15 499 499

Price Waterhouse Coopers Productivity Project Consulting 1/07/14 30/06/15 126 126

Marsh Pty Ltd Worksafe review 1/07/14 30/06/15 62 62

Robe John and Associates Pty Ltd Fundraising consulting 1/07/14 30/06/15 58 58

Power Solutions Dtd Pty Ltd IT Consulting 1/07/14 30/06/15 57 57

Elmo Learning Services Pty Ltd Training/coaching 1/07/14 30/06/15 49 49

City Central Property Services Pty Ltd Cleaning Services Audit 1/07/14 30/06/15 47 47

Philip Chun ESM Pty Ltd Essential Safety Measures Audit 1/07/14 30/06/15 41 41

Linus Information Security Solutions IT consulting 1/07/14 30/06/15 41 41

Vative Pty Ltd Mental Health Medical Histories Audit 1/07/14 30/06/15 40 40

Pan Software Pty Ltd IT Consulting 1/07/14 30/06/15 28 28

Dorsavi Worksafe Consulting 1/07/14 30/06/15 23 23

BGI Benchmark Group International Pty Ltd GST review 1/07/14 30/06/15 23 23

DPAR Consulting Training/coaching 1/07/14 30/06/15 22 22

Gartner Australasia Pty Ltd IT consulting 1/07/14 30/06/15 20 20

Deloitte Tax FBT advice and lodgement 1/07/14 30/06/15 17 17

Mark Phillip Sugarman IT consulting 1/07/14 30/06/15 17 17

Cetec Pty Ltd Technical Risk Consulting 1/07/14 30/06/15 15 15

Isobar Communications Pty Ltd Marketing consulting 1/07/14 30/06/15 15 15

The Trustee for Method 9 Unit Trust IT Consulting 1/07/14 30/06/15 15 15

The Leadership Sphere Training/coaching 1/07/14 30/06/15 15 15

FGS Consultancy Services Pty Ltd Vic Heart Hospital Project Consulting 1/07/14 30/06/15 14 14

Verso Consulting Pty Ltd Aged Care Approvals Round Support 1/07/14 30/06/15 12 12

Red River Strategic Communication Training/coaching 1/07/14 30/06/15 11 11

52 Monash Health Annual Report 2014-15 FINANCIAL SUMMARY

FINANCIAL SUMMARY

Monash Health Annual Report 2014-15 53 Monash Health - One place, a world of healthcare

54 Monash Health Annual Report 2014-15 FINANCIAL STATEMENTS AND EXPLANATORY NOTES Financial statements and explanatory notes

Monash Health Annual Report 2014-15 55 FINANCIAL STATEMENTS AND EXPLANATORY NOTES

56 Monash Health Annual Report 2014-15 FINANCIAL STATEMENTS AND EXPLANATORY NOTES

Monash Health Annual Report 2014-15 57 FINANCIAL STATEMENTS AND EXPLANATORY NOTES



  

  

   

                             

   

                       

  

      

  

  



58 Monash Health Annual Report 2014-15 FINANCIAL STATEMENTS AND EXPLANATORY NOTES



  

                              

                      

                   

                 

                   

   



Monash Health Annual Report 2014-15 59 FINANCIAL STATEMENTS AND EXPLANATORY NOTES

   

                                                                            



60 Monash Health Annual Report 2014-15 FINANCIAL STATEMENTS AND EXPLANATORY NOTES



  

  

                                                

                   

                     



Monash Health Annual Report 2014-15 61 FINANCIAL STATEMENTS AND EXPLANATORY NOTES

              



                                            

             

             

   

              

                                            

62 Monash Health Annual Report 2014-15 FINANCIAL STATEMENTS AND EXPLANATORY NOTES

•                                  

•                

                                                                                              •   •   •                                                              

Monash Health Annual Report 2014-15 63 FINANCIAL STATEMENTS AND EXPLANATORY NOTES

                  •              • 

•                           





  

                           •              •                                                                     

64 Monash Health Annual Report 2014-15 FINANCIAL STATEMENTS AND EXPLANATORY NOTES

   

                           

  

                                   

                                                  



              

           

                                                                              

Monash Health Annual Report 2014-15 65 FINANCIAL STATEMENTS AND EXPLANATORY NOTES

           



•                       

•  o  o  o   •                      

• 

• 

•                        

                  

                                                      

           

66 Monash Health Annual Report 2014-15 FINANCIAL STATEMENTS AND EXPLANATORY NOTES

   

              



   

       

  

 

        

Monash Health Annual Report 2014-15 67 FINANCIAL STATEMENTS AND EXPLANATORY NOTES

   

 

                

   

  

•             •                          

   



68 Monash Health Annual Report 2014-15 FINANCIAL STATEMENTS AND EXPLANATORY NOTES



           

         

 

         

           

                                                                                              

  

    

 •  •  •  • 

Monash Health Annual Report 2014-15 69 FINANCIAL STATEMENTS AND EXPLANATORY NOTES

•  •       

                                     

                            

              

             

   

                                           

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70 Monash Health Annual Report 2014-15 FINANCIAL STATEMENTS AND EXPLANATORY NOTES

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                                                 

                                                                   

•  •                

Monash Health Annual Report 2014-15 71 FINANCIAL STATEMENTS AND EXPLANATORY NOTES

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

 •            •  •             •                                                                                                                                        

72 Monash Health Annual Report 2014-15 FINANCIAL STATEMENTS AND EXPLANATORY NOTES

                                                o            o           o                     o   o                                

Monash Health Annual Report 2014-15 73 FINANCIAL STATEMENTS AND EXPLANATORY NOTES

                           

                                                         

                         

                                                              

                           

74 Monash Health Annual Report 2014-15 FINANCIAL STATEMENTS AND EXPLANATORY NOTES

  

                             



•                       

•              

                       

           

                  

                  

• 

•                  

Monash Health Annual Report 2014-15 75 FINANCIAL STATEMENTS AND EXPLANATORY NOTES

  

                                                                                                        

  

 

              

                   

 

                      

                                  

76 Monash Health Annual Report 2014-15 FINANCIAL STATEMENTS AND EXPLANATORY NOTES

    

                                                         

                                     

                             

                                

            

            

                        

 

Monash Health Annual Report 2014-15 77 FINANCIAL STATEMENTS AND EXPLANATORY NOTES

                                                                          

  

                 

                

  

            •  •                                        

         

78 Monash Health Annual Report 2014-15 FINANCIAL STATEMENTS AND EXPLANATORY NOTES

 

                      

                                                            

  •  •                 •     

Monash Health Annual Report 2014-15 79 FINANCIAL STATEMENTS AND EXPLANATORY NOTES

  

                             

                          

              

                      

                                 

 •             •            •  

              



                    

80 Monash Health Annual Report 2014-15 FINANCIAL STATEMENTS AND EXPLANATORY NOTES



                         

                            

             

                                       

                                

 

•               

Monash Health Annual Report 2014-15 81 FINANCIAL STATEMENTS AND EXPLANATORY NOTES

•    



        

•              

•                

              

        



               

                          



     

     

 

82 Monash Health Annual Report 2014-15 FINANCIAL STATEMENTS AND EXPLANATORY NOTES

                                           

                                          

                                             

                                                           

                                                  

Monash Health Annual Report 2014-15 83 FINANCIAL STATEMENTS AND EXPLANATORY NOTES



  

 

               

              

                  

                                       

                                    

84 Monash Health Annual Report 2014-15 FINANCIAL STATEMENTS AND EXPLANATORY NOTES

                                                                                 

                                                                                                                               

Monash Health Annual Report 2014-15 85 FINANCIAL STATEMENTS AND EXPLANATORY NOTES

Standard/Interpretation Summary Applicable for Impact on public sector entity annual financial statements reporting periods beginning on AASB 1056 Superannuation AASB 1056 replaces AAS 25 Financial 1 July 2016 The assessment has indicated that Entities # Reporting by Superannuation Plans. there will be no impact on the entity, The standard was developed in light of as the Accounting Standard only changes in recent years, developments affects superannuation entities' own in the superannuation industry and reporting. Australia’s adoption of IFRS. Some of the key changes in AASB 1056 include:

• the level of integration between AASB 1056 and other AASB standards

• a revised definition of a superannuation entity

• revised and consistent content for the financial statements

• use of fair value rather than net market value for measuring assets and liabilities

• revised member liability recognition and measurement requirements

• revised disclosure principles AASB 2014-1 Amendments Amends various AASs to reflect the 1 Jan 2018 This amending standard will defer to Australian Accounting AASB's decision to defer the the application period of AASB 9 to Standards [Part E Financial mandatory application date of AASB 9 the 2018-19 reporting period in Instruments] to annual reporting periods beginning accordance with the transition on or after 1 January 2018 as a requirements. consequence of Chapter 6 Hedge Accounting, and to amend reduced disclosure requirements. AASB 2014-4 Amendments Amends AASB 116 Property, Plant and 1 Jan 2016 The assessment has indicated that to Australian Accounting Equipment and AASB 138 Intangible there is no expected impact as the Standards – Clarification of Assets to: revenue-based method is not used • Acceptable Methods of establish the principle for the for depreciation and amortisation. Depreciation and basis of depreciation and Amortisation amortisation as being the [AASB 116 & AASB 138] expected pattern of consumption of the future economic benefits of an asset; • prohibit the use of revenue-based methods to calculate the depreciation or amortisation of an asset, tangible or intangible, because revenue generally reflects the pattern of economic benefits that are generated from operating the business, rather than the consumption through

86 Monash Health Annual Report 2014-15 FINANCIAL STATEMENTS AND EXPLANATORY NOTES

                

Standard/Interpretation Summary Applicable for Impact on public sector entity annual financial statements reporting periods beginning on AASB 9 Financial The key changes include the simplified 1 Jan 2018 The assessment has identified that Instruments requirements for the classification and the financial impact of available for measurement of financial assets, a sale (AFS) assets will now be new hedging accounting model and a reported through other revised impairment loss model to comprehensive income (OCI) and no recognise impairment losses earlier, as longer recycled to the profit and loss. opposed to the current approach that recognises impairment only when While the preliminary assessment incurred. has not identified any material impact arising from AASB 9, it will continue to be monitored and assessed. AASB 14 Regulatory AASB 14 permits first-time adopters of 1 Jan 2016 The assessment has indicated that Deferral Accounts # Australian Accounting Standards who there is no expected impact , as conduct rate-regulated activities to those that conduct rate-regulated continue to account for amounts activities have already adopted related to rate regulation in Australian Accounting Standards. accordance with their previous GAAP.

AASB 15 Revenue from The core principle of AASB 15 requires 1 Jan 2017 The changes in revenue recognition Contracts with Customers an entity to recognise revenue when requirements in AASB 15 may result the entity satisfies a performance in changes to the timing and amount (Exposure obligation by transferring a promised of revenue recorded in the financial Draft 263 – good or service to a customer. statements. The Standard will also potential require additional disclosures on deferral to 1 service revenue and contract Jan 2018) modifications. A potential impact will be the upfront recognition of revenue from licenses that cover multiple reporting periods. Revenue that was deferred and amortised over a period may now need to be recognised immediately as a transitional adjustment against the opening returned earnings if there are no former performance obligations outstanding.

Monash Health Annual Report 2014-15 87 FINANCIAL STATEMENTS AND EXPLANATORY NOTES

Standard/Interpretation Summary Applicable for Impact on public sector entity annual financial statements reporting periods beginning on the use of the asset.

AASB 2014-9 Amendments Amends AASB 127 Separate Financial 1 Jan 2016 The assessment indicates that there to Australian Accounting Statements to allow entities to use the is no expected impact as the entity Standards – Equity Method equity method of accounting for will continue to account for the in Separate Financial investments in subsidiaries, joint investments in subsidiaries, joint Statements ventures and associates in their ventures and associates using the separate financial statements. [AASB 1, 127 & 128] cost method as mandated if separate financial statements are presented in accordance with FRD 113A. AASB 2014-10 AASB 2014-10 amends AASB 10 1 Jan 2016 The assessment has indicated that Amendments to Australian Consolidated Financial Statements and there is limited impact, as the Accounting Standards – AASB 128 Investments in Associates to revisions to AASB 10 and AASB 128 Sale or Contribution of ensure consistent treatment in dealing are guidance in nature. Assets between an Investor with the sale or contribution of assets and its Associate or Joint between an investor and its associate Venture [AASB 10 & AASB or joint venture. The amendments 128] require that: • a full gain or loss to be recognised by the investor when a transaction involves a business (whether it is housed in a subsidiary or not); and • a partial gain or loss to be recognised by the parent when a transaction involves assets that do not constitute a business, even if these assets are housed in a subsidiary. AASB 2015-6 Amendments The Amendments extend the scope of 1 Jan 2016 The amending standard will result in to Australian Accounting AASB 124 Related Party Disclosures to extended disclosures on the entity's Standards – Extending not-for-profit public sector entities. A key management personnel (KMP), Related Party Disclosures guidance has been included to assist and the related party transactions. to Not-for-Profit Public the application of the Standard by not- Sector Entities for-profit public sector entities. [AASB 10, AASB 124 & AASB 1049]     

88 Monash Health Annual Report 2014-15 FINANCIAL STATEMENTS AND EXPLANATORY NOTES

                                                                                                                                                                                                                                                      

Monash Health Annual Report 2014-15 89 FINANCIAL STATEMENTS AND EXPLANATORY NOTES                                                                                                                                                                                                                                                                                

90 Monash Health Annual Report 2014-15 FINANCIAL STATEMENTS AND EXPLANATORY NOTES                                                                                                                                                                                                                                                                                                    

Monash Health Annual Report 2014-15 91 FINANCIAL STATEMENTS AND EXPLANATORY NOTES

  



                                 

      

92 Monash Health Annual Report 2014-15 FINANCIAL STATEMENTS AND EXPLANATORY NOTES

  

 

                 

                  

Monash Health Annual Report 2014-15 93 FINANCIAL STATEMENTS AND EXPLANATORY NOTES

  



     



     

94 Monash Health Annual Report 2014-15 FINANCIAL STATEMENTS AND EXPLANATORY NOTES

  

 

        

      

Monash Health Annual Report 2014-15 95 FINANCIAL STATEMENTS AND EXPLANATORY NOTES                                                                                                                                                                                                                                                                                                   

96 Monash Health Annual Report 2014-15   

                                                                                               

                                                  

          FINANCIAL STATEMENTS AND EXPLANATORY NOTES

  

  

                                                         

                    

98 Monash Health Annual Report 2014-15 FINANCIAL STATEMENTS AND EXPLANATORY NOTES

  



     

      

Monash Health Annual Report 2014-15 99 FINANCIAL STATEMENTS AND EXPLANATORY NOTES

  



                                       

      

  

100 Monash Health Annual Report 2014-15 FINANCIAL STATEMENTS AND EXPLANATORY NOTES

  



     

        

 

Monash Health Annual Report 2014-15 101 FINANCIAL STATEMENTS AND EXPLANATORY NOTES

  



  

              

    

      

 

102 Monash Health Annual Report 2014-15 FINANCIAL STATEMENTS AND EXPLANATORY NOTES

  



                                                           

      

      

    

Monash Health Annual Report 2014-15 103 FINANCIAL STATEMENTS AND EXPLANATORY NOTES

  



                        

104 Monash Health Annual Report 2014-15 FINANCIAL STATEMENTS AND EXPLANATORY NOTES

  



                                                         

 

   

Monash Health Annual Report 2014-15 105 FINANCIAL STATEMENTS AND EXPLANATORY NOTES

  



            

106 Monash Health Annual Report 2014-15 FINANCIAL STATEMENTS AND EXPLANATORY NOTES

  



               

       



Monash Health Annual Report 2014-15 107 FINANCIAL STATEMENTS AND EXPLANATORY NOTES

  

 

   

     

        

           

  

      

     

                

  

 

108 Monash Health Annual Report 2014-15 FINANCIAL STATEMENTS AND EXPLANATORY NOTES

  





            

         

               

         

         

         

         

         

      

        

       

       

       

       

          

  

      Monash Health Annual Report 2014-15 109   





                                                                                                                                                                                                       

  

 FINANCIAL STATEMENTS AND EXPLANATORY NOTES

  





                             

                 

            

            

            

            

            

            

    





Monash Health Annual Report 2014-15 111 FINANCIAL STATEMENTS AND EXPLANATORY NOTES

  





                             

                  

            

            

            

          

          

            

    





112 Monash Health Annual Report 2014-15 FINANCIAL STATEMENTS AND EXPLANATORY NOTES

  





           

                                  

                        

                                   

                        

  

Monash Health Annual Report 2014-15 113 FINANCIAL STATEMENTS AND EXPLANATORY NOTES

  





                   

                     

          

 

                          

                                                     

114 Monash Health Annual Report 2014-15 FINANCIAL STATEMENTS AND EXPLANATORY NOTES

  



           

  

 

 

             

Monash Health Annual Report 2014-15 115 FINANCIAL STATEMENTS AND EXPLANATORY NOTES

  

                                

 

    

116 Monash Health Annual Report 2014-15 FINANCIAL STATEMENTS AND EXPLANATORY NOTES

  



  

   

 

 

  

                           

               

    

 

Monash Health Annual Report 2014-15 117 FINANCIAL STATEMENTS AND EXPLANATORY NOTES

  

      

           

  

          

  

  

    

  

 

  

  

118 Monash Health Annual Report 2014-15 FINANCIAL STATEMENTS AND EXPLANATORY NOTES

  





                               

               

        

  



Monash Health Annual Report 2014-15 119 FINANCIAL STATEMENTS AND EXPLANATORY NOTES   



     

                         

         

  



             

     

    

             

120 Monash Health Annual Report 2014-15 FINANCIAL STATEMENTS AND EXPLANATORY NOTES

  



                  

        

Monash Health Annual Report 2014-15 121 FINANCIAL STATEMENTS AND EXPLANATORY NOTES

  



      

              

                

             

   

     

            

  

 

122 Monash Health Annual Report 2014-15 FINANCIAL STATEMENTS AND EXPLANATORY NOTES

  

 

        

                 

                    

Monash Health Annual Report 2014-15 123   



      

  

 

 

          

                          

                     

         

                          

                     



 FINANCIAL STATEMENTS AND EXPLANATORY NOTES

  

 

                               

                          

   

  

Monash Health Annual Report 2014-15 125 FINANCIAL STATEMENTS AND EXPLANATORY NOTES

  

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                  



                                           

    

                     

    

(i) The total amounts disclosed here exclude statutory amounts (e.g. amounts owing from Victorian Government and GST input tax credit recoverable). 

           

                                         

      

                                

      



 

  

126 Monash Health Annual Report 2014-15 FINANCIAL STATEMENTS AND EXPLANATORY NOTES

  





   

  

 

                                                         

       

                                   

       

 

Monash Health Annual Report 2014-15 127 FINANCIAL STATEMENTS AND EXPLANATORY NOTES

  



   

         

                                                                                                                                         

 

128 Monash Health Annual Report 2014-15 FINANCIAL STATEMENTS AND EXPLANATORY NOTES

  

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         

                                                                                                                                  

Monash Health Annual Report 2014-15 129 FINANCIAL STATEMENTS AND EXPLANATORY NOTES

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



       

   

 



       

                                    

                           

 

130 Monash Health Annual Report 2014-15 FINANCIAL STATEMENTS AND EXPLANATORY NOTES

   

                 

       

                          

                 

  

  



Monash Health Annual Report 2014-15 131 FINANCIAL STATEMENTS AND EXPLANATORY NOTES

   



           

      

    

132 Monash Health Annual Report 2014-15 FINANCIAL STATEMENTS AND EXPLANATORY NOTES

   

                                                                              

Monash Health Annual Report 2014-15 133 FINANCIAL STATEMENTS AND EXPLANATORY NOTES

  

 

 

134 Monash Health Annual Report 2014-15 FINANCIAL STATEMENTS AND EXPLANATORY NOTES             2014                                                                     2015                                                  2014                                                                    2015                                                      2014                                                             2015                                                 2014                                                             2015                                          2014                                                                 2015                                             2014                                                                 2015                                                     2014                                                                  2015                                                                   

Monash Health Annual Report 2014-15 135 FINANCIAL STATEMENTS AND EXPLANATORY NOTES

  





 

                       

 

136 Monash Health Annual Report 2014-15   



            

                     

                                   



  

        

    FINANCIAL STATEMENTS AND EXPLANATORY NOTES

  



      

                                                                                                                         

138 Monash Health Annual Report 2014-15 FINANCIAL STATEMENTS AND EXPLANATORY NOTES

  





Monash Health Annual Report 2014-15 139 FINANCIAL STATEMENTS AND EXPLANATORY NOTES

  



       

140 Monash Health Annual Report 2014-15 FINANCIAL STATEMENTS AND EXPLANATORY NOTES

  



    

    

Monash Health Annual Report 2014-15 141 FINANCIAL STATEMENTS AND EXPLANATORY NOTES

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         

142 Monash Health Annual Report 2014-15 FINANCIAL STATEMENTS AND EXPLANATORY NOTES

  

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Monash Health Annual Report 2014-15 143 Monash Health Corporate Office

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MonashHealth 144 Monash Health Annual Report 2014-15