NBMLHD Year in Review 2012-2013
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2012 2013 A YEAR IN REVIEW Our Hospitals contents 1 Introduction Nepean Hospital 35-36 Message from the Chair 02 Nepean Clinical School 36 Chief Executive’s Year in Review 03 Aboriginal Health 37 Cancer Care 38 Our Local Health District Drug and Alcohol 39 Organisational Structure 04 Mental Health 40 2012/13 Highlights 05 Multicultural Health 41 Directorates 06 Oral Health 42 Allied Health 06 Population Health 43 Clinical Governance 07 Health Promotion 43 Finance, Business and Information 08 HIV and Related Programs 43-44 Media and Communications 09 Public Health Unit 44 Medical Workforce 10 Primary Care and Community Health 45 Nursing and Midwifery 12 Sexual Health 46 Operations 13 Our People Planning, Strategy and Epidemiology 14 Staff 47 Workforce, People and Culture 15 Equal Employment Opportunity 47-48 Our Board 16-21 Work Health and Safety 48 Board Sub-Committees 22-23 Volunteers, Auxiliaries and Support Groups 49-50 Vision and Values 24-25 Quality and Safety 51-52 Our Community eQATE 51 Population 26 Safety Office Service 51 Geography and Boundaries 27 Infection Control 52 A Year of Activity 28 Quality Awards 52 Consumer Consultation 29 Our Educational Development 53 Our Partners 29 Essentials of Care 53 Nepean-Blue Mountains Medicare Local 30 Reward and Recognition Program 54 Our Health Services Research 55-58 Blue Mountains and Springwood Hospitals 31-32 Our Information Hawkesbury District Health Service 32 Financial Statements 59-62 Lithgow Hospital and Government Information (Public Access) Act 63 Portland Tabulam Health Centre 33-34 Privacy Management 67-68 Notre Dame Rural Clinical School 33 Nepean Blue Mountains Local Health District 2012-2013 Year in Review 2 INTRODUCTION INTRODUCTION 3 Chief Executive’s an increase in demand and District has made marked Message from the Chair Year In Review improvements in KPIs in both access to General Practice emergency performance and Since the inception of the Local Health District model care after hours, chronic It is with pleasure that I present the 2012/13 Nepean elective surgery, as well as in 2011, Nepean Blue Mountains Local Health District disease management, the Blue Mountains Local Health District Year in Review achieving hand hygiene rates (NBMLHD) has come ahead in leaps and bounds. establishment of a ‘HealthOne’, which highlights just some of the initiatives that have above the national benchmark. The 2011/12 year saw a number of redevelopment eHealth and health promotion been introduced to improve services to our community, These achievements are milestones achieved as well as the implementation initiatives. Key strategic collaborative programs with the Medicare Local and evidence of our commitment of staff-led initiatives aimed at improving the patient positions were also established consumer groups, new capital works developments and to enhancing the patient experience; and, while we continue to work on these to enable staff to work across innovative and staff-led projects aimed at providing experience. areas, the 2012/13 financial year has seen a renewed both settings to address key world-best care. Building on the establishment of our shared Consumer focus on fostering and improving community issues of communication Recognising our staff as our greatest assets, we have Engagement strategy with our Medicare Local partners engagement to help us in our aim to deliver world-class and integration, improve also introduced a ‘Reward and Recognition’ Program to we now have reports for each of our four Local healthcare. comprehensive data access formally acknowledge staff who exemplify the District’s Government Areas which identify our consumers’ to ensure a complete understanding of the health Nepean Blue Mountains Local Health District, in Values. There has been an outstanding response to priorities. This will allow us to plan and work together to landscape and workforce planning strategies across the partnership with the Nepean-Blue Mountains Medicare this Program with 20% of staff having been nominated address these priority needs. District. By working together with the Medicare Local, across the Customer Service, Teamwork, Improved Local, conducted eight consumer forums in 2012/13. The Local Health District has also made a number of our Local Health District is able to deliver higher quality Performance, Innovation, Leadership and Management, During the consumer engagement forums, which groundbreaking research and program advances with health services and address local health needs. and Community Spirit (Volunteers) categories. covered topical issues such as transport and parking, significant implications: the Nepean Hospital Neonatal The Local Health District Board has also experienced the availability of health services, aged care, carer Our second annual Quality Awards recognised the Intensive Care Unit pioneered a world-class treatment a number of exciting changes over the 2012/13 year, support and mental health services, members of the achievements of our staff in the Patients as Partners, using probiotics for the prevention of a common yet including the addition of new Board members Colin community were able to provide feedback and voice Integrated Health Care, Local Solutions, Healthy deadly bowel condition in premature babies with a Lenton appointed in March 2013 and Jill McCarthy their thoughts or concerns about health service delivery Living, Building Partnerships, Collaborative Team 100% success rate; the Nepean Cancer Care Centre appointed in August 2013 . For more information about across the District. A Consumer Advisory Committee, and Achievement in Reducing Healthcare Associated founded an Australia-first combination radiotherapy the members of the NBMLHD Board, or the various whose members will represent each of the four Local Infections categories. This year we introduced the Chief treatment for lung and spinal cancer patients with functions and purposes of the sub-committees that Government Areas of Lithgow, the Hawkesbury, the Blue Executive’s Medical Research Award for Innovation and successful results; and the work of Nepean Hospital’s govern the NBMLHD Board, see page 22. Mountains and Nepean, will report directly to the Boards Chairman’s Award for Safety and Quality categories. Heart Failure Service was recognised with an of both organisations in 2013/14 to address feedback Finally, I would like to extend a huge thank you to our The judges had the difficult task of identifying winners ‘exemplary’ classification by The Health Roundtable. from the 2012/13 forums. staff and volunteers across the District for your consistent from a number of outstanding nominees. Three of As a result, Nepean Hospital has moved into the top Further to this, the Local Health District and the dedication to improving health outcomes for our these winners went on to become finalists in the NSW four hospitals in NSW for length of stay on The Health Medicare Local hosted a joint Board annual planning patients. Thank you for your selflessness, energy and Health Awards with the Nepean Hospital Psychiatric Roundtable. generosity. Emergency Care Centre team claiming the Minister for meeting to determine and agree on areas of joint I am incredibly proud of what our Local Health District Mental Health Award for Excellence in the Provision of priority and measurements of improvement. Identified Associate Professor Patrick Cregan has achieved over the past year and I look forward to an Mental Health Services. shared priorities included aged care, mental health, Chair, NBMLHD Board exciting year ahead. The Nepean Centre for Oral Health significantly Kay Hyman reduced waiting times for adults and children despite Chief Executive, NBMLHD Nepean Blue Mountains Local Health District 2012-2013 Year in Review Together, achieving better health 4 OUR LOCAL HEALTH DISTRICT OUR LOCAL HEALTH DISTRICT 5 Organisational Structure 2012/13 Highlights Nepean Blue Mountains Local Health District had some • The Nepean Centre for Robotic Surgery significant achievements and successes over the course opened at Nepean Hospital, which includes of the last year. the State’s first public surgical robot. This NBMLHD BOARD state-of-the-art machine allows surgeons to Key achievements for 2012/13: provide treatment for prostate cancer and perform other complex surgeries through • Nepean Blue Mountains Local Health keyhole incisions and with pinpoint accuracy. CHIEF EXECUTIVE District hospitals showed significant overall DIRECTOR PLANNING, NBMLHD DIRECTOR MEDIA AND STRATEGY AND COMMUNICATIONS improvements in meeting targets for the • The Nepean Hospital Psychiatric Emergency EPIDEMIOLOGY • Media percentage of patients leaving Emergency Care Centre Team received the NSW Health • Planning • Community Departments within four hours (NEAT - Innovation Award for their patient-focussed • Epidemiology. Communications • Events National Emergency Access Target). Nepean project, ‘PECC Inspirations’. • Graphic Design Blue Mountains Local Health District has been • Photography • Nepean Cancer Care Centre pioneered supported by the Ministry’s Whole of Hospital • Video Production. an Australia-first radiotherapy treatment project to achieve this improved result. (stereotactic body radiotherapy combined DIRECTOR ALLIED DIRECTOR NURSING DIRECTOR CLINICAL DIRECTOR WORKFORCE DIRECTOR FINANCE DIRECTOR DIRECTOR • Wait times for elective surgery revealed an with volumetric modulated arc therapy) HEALTH AND MIDWIFERY GOVERNANCE PEOPLE AND CULTURE BUSINESS AND OPERATIONS MEDICAL WORKFORCE INFORMATION overall and steady