www.alpinehealth.org.au
ALPINE HEALTH
Report of Operations
2012-2013
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STATUTORY REQUIREMENTS
Alpine Health 30 O’Donnell Avenue Myrtleford Vic 3737 Telephone: 03 5751 9300 Facsimile: 03 5751 9396 Website: www.alpinehealth.org.au
SOLICITORS DLA Piper 140 William Street Melbourne Vic 3001
Health Legal Level 1, 499 St Kilda Road Melbourne
AUDITORS Victorian Auditor-General’s Agent Richmond Sinnott & Delahunty Bendigo
BANKER National Australia Bank
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REPORT OF OPERATIONS
INTRODUCTION ...... 4 HISTORICAL BACKGROUND ...... 4 MESSAGE FROM THE CHAIR OF THE BOARD OF MANAGEMENT ...... 4 DISCLOSURE INDEX ...... 8 POLICY STATEMENT ...... 11 STATEMENTS OF COMPLIANCE ...... 11 OUR SERVICES ...... 12 BOARD OF MANAGEMENT ...... 14 MEETINGS ATTENDED BY BOARD OF MANAGEMENT ...... 14 EXECUTIVE STAFF ...... 15 VISITING MEDICAL OFFICERS: ...... 15 ORGANISATIONAL CHART ...... 16 AWARDS ...... 17 SCHOLARSHIPS ...... 17 VOLUNTEERS...... 20 COMMUNITY SUPPORT 2012-2013 ...... 21 FINANCIAL HIGHLIGHTS 2012-2013 ...... 23 SUMMARY OF FINANCIAL RESULTS FOR LAST FIVE YEARS ...... 24 BUDGET ANALYSIS FOR YEAR ENDED 30 JUNE 2013 ...... 24 ADDITIONAL INFORMATION (FRD 22C APPENDIX) ...... 28 PLEASE SUPPORT ALPINE HEALTH ...... 29 CONTACT LIST ...... 30
This report Covers the period 1 July 2012 to 30 June 2013 Is the seventeenth annual report for Alpine Health Is prepared for the Minister for Health, the Parliament of Victoria and the community Is a public document freely available on our website and from Alpine Health on request Is prepared in accordance with government and legislative requirements and FRD 30 guidelines Acknowledges the support of our community Is produced and printed on 100% recycled paper
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INTRODUCTION undertaken in conjunction with our key partners and the community. HISTORICAL BACKGROUND Financial Matters Alpine Health is a designated Multi-Purpose The 2012/2013 financial year has presented Alpine Service (under the Tripartite Commonwealth-State Health with a number of large financial issues. Agreement) and has three main campuses located in the townships of Myrtleford, Bright and Mount Non-salary costs increased beyond those of the Beauty. previous year with significant investments in planning, Alpine Health’s compliance obligations, Alpine Health provides integrated acute health, accreditation and workforce development. While community health, and community and aged provision was made for significant increases in residential services for the residents and visitors of salary costs arising from the 2012 Enterprise the Alpine Shire. Bargaining Agreements of the Victorian public health sector, the complexities of these The Organisation was established in November agreements brought increases in salary costs 1996 through the amalgamation of three rural beyond our initial expectations. hospitals, nursing homes, hostel and accommodation units including Myrtleford District At the same time, our revenue base declined with War Memorial Hospital, Bright District Hospital the near halving of private inpatient and Health Services and Tawonga District General reimbursement rates by some of the larger private Hospital, Barwidgee Lodge and Kiewa Valley House health insurers such as BUPA, Medibank Private Nursing Homes, Hawthorn Village Hostel and the and NIB Health Funds Ltd. The year also brought a Myrtleford Extended Care Accommodation Centre. great deal of uncertainty around reductions in Commonwealth grants for hospital services and it Alpine Health offers a full range of acute, aged is now clear that payments from the care and community support services to the Commonwealth for hospital services will be townships and communities of the Alpine Shire. reduced by about 1.4% in the next year.
The Multi-Purpose Model of Service provision was As a consequence of the difficult economic climate developed by the joint Commonwealth/State that we have faced this year, we experienced a governments taskforce established in March 1991 relatively small operating deficit of $386,000. to address the problems of service provision of rural and remote communities. On a more positive note, Alpine Health received capital grants of $172,100 this year for the From November 1996, State and Commonwealth purchase of floor coverings for acute and aged funding streams for acute health, aged care and care, and medical and other equipment from the community health and support services for the Department of Health. These grants enabled the former entities, were provided as a flexible replacement of carpet at Mount Beauty and funding pool through which, the varying health Myrtleford and the acquisition or replacement of needs of the Alpine townships and communities the following items of equipment: are to be addressed. • Nurse Call systems for Bright, Mount Beauty and Myrtleford MESSAGE FROM THE CHAIR OF THE BOARD • Chairs, beds and trolleys • Patient monitors, neo-puffs, syringe and OF MANAGEMENT infusion pumps
On behalf of the Board of Management, I am pleased to present the Report of Operations for The Board is also pleased to report the completion Alpine Health for the year ending 30 June 2013 in of the refurbishment of the second level of the accordance with the Financial Management Act O’Donnell House at Myrtleford and its formal 1994. opening in April 2013. The new facility houses students once again and will accommodate This financial year has been one of further nursing students who are part of Alpine Health’s development for Alpine Health. Significant Initial Registration for Overseas Trained Nurses progress has been made on a large number of (IRON) program in the first instance. This initiatives and many of these have been refurbishment was made possible with a grant of $72,145 from the Department of Health.
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We are also very grateful to the Beveridge Bequest There are ten national standards against which for the allocation of $133,487 for infrastructure at health service organizations are now assessed for Myrtleford Hospital that has been used to extend accreditation. These are: the installation of room based patient lifting • Governance for Safety and Quality in Health equipment. Service Organizations • Partnering with Consumers Service Planning • Preventing and Controlling Healthcare The 2012/2013 year has been a busy one for the Associated Infections Board again and it is pleasing for me to report the • Medication Safety completion of Alpine Health’s sixth Service Plan • Patient Identification and Procedure (2013-2018). Matching • Clinical Handover The new Service Plan sets out Alpine Health’s • Blood and Blood Products strategic directions and priorities for the next 5 • Preventing ad Managing Pressure Injuries years and it is based on the principle of keeping • Recognizing and Responding to Clinical local services local. The rationale for this Deterioration in Acute Health Care philosophy is that people’s health is best served by • Preventing Falls and Harm from Falls meeting their needs and providing services where they live and in their homes. In April 2013, Alpine Health submitted the organisation to accreditation by Quality The Plan builds on the history of the services that Improvement and Community Services combined to form Alpine Health, our traditions of Accreditation Inc (now the Victorian branch of quality, flexible service provision and the successes Quality Innovation Performance) under the new of all of our previous service plans. Alpine Health national health care standards prescribed by the aims to ‘keep the local in local’. Australian Commission on Safety and Quality in Health Care. At the core of what we do is to offer health services to people where they live and where they Alpine Health volunteered for assessment against need them. As far as possible, this means locally. two additional Australian Health Service Safety It also means an on-going commitment to and Quality Accreditation (AHSSQA) improving, growing and changing services, Supplementary Standards for use in the NSQHS developing a workforce with the necessary skills Enhanced Accreditation. These are: and knowledge, and investing in the right facilities, • Governance, Finance and Risk equipment and technological infrastructure to • Planning, Operations and Partnerships meet changing health care needs. I am pleased to report that the outcome of the The new plan was approved by the Department of accreditation is that Alpine Health met or Health and the Department of Health and Ageing exceeded all 299 of the standards that required in June 2013 and the Board looks forward to assessment. In doing so, Alpine Health received implementing it over the next five years. four commendations and two standards were met with mentions of merit. The commendations were Accreditation for: • The approach to the development, In October 2011, Alpine Health was chosen by the implementation, evaluation and monitoring Australian Commission on Safety and Quality in of systems which is inclusive of all staff Health Care to participate in the draft guides for • Aspirational leadership within the health services to assist with the implementation organisation of the National Safety and Quality Health Service • Attitude to staff development, for example, Standards (NSQHS). At the end of the pilot period the training offered, skill development aimed encompassing 3 months, Alpine Health was at expanding staff scope of practice and selected for the evaluation workshop on the basis achieving status as an Accredited Registered of forming a representative sample of sites across Training Organisation Australia, both geographically (rural, regional and • The innovative approach to problem solving metropolitan) and by service type (hospital, day to ensure improved care for the community procedure service and dental service). such as the Urgent Care Model, community
development and partnering with the community.
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model beyond the Mount Beauty locality into the Alpine Health was one of the first Victorian Health future. Services to submit for accreditation against all of the national standards and the result is testament Workforce Development to the extraordinary efforts that our staff Alpine Health continued its strong focus on members, visiting medical officers and allied workforce development during the year. health professionals, volunteers and community members. Our application for recognition as a Registered Training Organisation was completed and assessed Service Development in late in 2012 and I am pleased to report that it The Board is very pleased to report that Alpine was successful. This initiative has been called the Health was successful in its application to Health Alpine Institute and the Institute was launched on Workforce Australia this year for a grant to run a 24 April 2013. national demonstration project in service and workforce transformation for aged care this year. The Alpine Institute’s first Level 3 certificate course in Health Service Assistance was launched in April This success has enabled Alpine Health to develop 2013 with 14 Alpine Health staff members taking a strong partnership with Mount Beauty Medical up the opportunity. This has created the real Centre and Swinburne University to introduce a opportunity for Alpine Health staff members to new approach to working together for older study locally and we look forward to all Alpine people’s health and wellbeing in the Mt Beauty Health staff members having post-secondary community. This has been called the ‘Community qualifications in the future. Planning for additional Ward’. Level 2 and Level 4 certificate courses are being planned and we are hopeful of the opportunity of This model helps to further develop the making these courses open to the community in competency and efficiency of our workforce and 2014 following the successful audit of the current the existing partnerships between people and course in November 2013. services in the Mount Beauty locality so that we are better prepared to meet the needs of older In addition, the Board is pleased to report the people with complex needs in the community. extension of Alpine Health’s nurse training service in 2013. This service will provide 105 overseas The service model is based on feedback from our trained nurses and those returning to practice with community consultation processes and we have updated training for professional registration and been able to understand that older people with work in 2013. The expansion follows the successful complex care needs want to remain independent negotiation of a Memorandum of Understanding in their own homes for as long as possible. We also with the Lonsdale Institute in Melbourne and the know that proactive, well-coordinated care, engagement of a number of Victorian rural health delivered as close to home as possible, is a key to services to provide work based practical promoting personal independence, as well as placements. being a more efficient and effective way providing services and working closely with community Following the first staff exchange with Tayside NHS members. Trust (Scotland) in 2011, we welcomed Mr David McLaren from Perth, Scotland to Alpine Health this The service model builds on these principles and it year. David’s work with the Health Workforce enables us to work with people in their project and on developing a new service environments by focusing closely on what matters measurement framework based on what matters to them in terms of their own health and to our patients and clients will stand us in good wellbeing. stead for the future. We look forward to the return of Mr Trevor Marshall from Tayside in September The project supporting the development of this 2013 and to strengthening this relationship with model is scheduled for completion in January Tayside into the future. 2014, with a formal project report available later in the year. Alpine Health has engaged Swinburne Future Challenges University to provide an additional level of a more Alpine Health faces many challenges over the next locally focused evaluation over the project life in few years. The most significant of these are order to support the transfer of the benefits of the economic and we will see substantial changes to
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Alpine Health 2012-2103 hospital funding with the advent of the rural communities. We are very pleased to see the Independent Hospitals Pricing Authority and Chief Executive Officer accept an invitation to join continuous reductions in Commonwealth the Stakeholder Advisory Committee for the contributions to hospital funding over the next Independent Hospitals Pricing Authority and its three financial years. We also face similar Small Rural Hospitals Working Party and his challenges in aged care funding arising from the appointment as a National Councillor for the implementation of the Commonwealth Australian Healthcare and Hospitals Association government’s “Living Longer Living Better” this year, and see these as providing clear strategy. opportunities for contributing to the broader health policy agenda. In order to deal with these challenges and ensure that Alpine Health can manage increased costs and Acknowledgements and Thanks potential declines in revenue, we will be looking Alpine Health thanks each of our local Members of carefully at all areas of expenditure including Parliament for their interest in our affairs and for salaries. the support they provide. We have also greatly appreciated the consistent support from the We look forward to working closely with the Hume officers of the Victorian Departments of Health Medicare Local in 2013 now that it has and Human Services and of the Department of responsibility for allocating funding from the Health and Ageing. Regional Primary Health Service funding pool. These funds are used to provide health promotion We are particularly grateful to all of our volunteers services to our younger and older community who assist us with so many aspects of the health members and we will be working to secure these services that we provide to our communities. The services for our community in the long term. success of the many support groups, Op Shops, fundraising groups, Community and Health A review of the master capital plan for Bright Advisory Groups and volunteers has been a Hospital and Health Services was completed this highlight of the last year and we thank every year and a formal application has been made for person who has been involved. funding the next stages of planning for this project. We are very grateful for the work of the Bright Our appreciation is particularly extended to all Hospital Redevelopment Committee, the Bright carers and volunteers who gave freely of their time Community Health and Advisory Group and Mr Bill and energy during the year to support those in Sykes MP, Member for Benalla for helping get the need. The efforts of all groups of volunteers who project to this stage and we look forward to directly helped to improve services are sincerely success in our last application. appreciated and the Board extends its sincere thanks for these outstanding contributions. We The relationship that the Board has established look forward to supporting the development of with the Alpine Shire continues to grow with the new volunteer support services for breastfeeding Alpine@Home service and we look forward to mothers and those living with arthritis this year. working with the Shire in 2013 on further integrated services such as child and maternal The Board thanks the Bright and Myrtleford health and immunisation services. Hospital Opportunity Shops and their volunteers for their tireless dedication and support of their The establishment of strong partnerships with hospitals during the year. Their fundraising other health service agencies has become an continues to provide improvements to our important feature of Alpine Health’s future and we hospitals that may not otherwise be possible, all of look forward to expanding our relationships to which add significantly to the well-being of our secure the future of local service delivery and patients and residents. training. Great credit is due to our Community and Health With the support of the Board, Alpine Health Advisory Groups for their efforts to secure continued to take a leadership role in the national improving health services in all three of our towns. approach to the reform of the Australian health These Groups contribute a high awareness of care system. The Board will continue its community needs and feelings, and they each have monitoring and evaluating of the impacts of this a proactive style that gets things done. reform process on Alpine Health, and continue our advocacy of the MPS concept for regional and
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We also want to thank our visiting medical officers for their work in taking Alpine Health forward in a and our team of general practitioners and nurse period of significant uncertainty and change. practitioners, who provide the professional, At the same time, the Board was sad to see the flexible, and highly personal service in our retirement of its long standing member, Mrs surgeries, in our hospitals and when needed, in Zuvele Leschen after two terms on the Board and our homes, that is such a strong feature of our the resignation of new Board Member Mrs Lynne small and dispersed rural communities. Dwyer this year. We sincerely thank them for their service to Alpine Health. Particular thanks go to all our staff members for their dedication and commitment. Their efforts have again enabled Alpine Health to deliver the high quality services that our communities have come to expect. Kitty Knappstein I want to personally thank our Board Members for Chair, Board of Management their individual and team contributions to the 31 July 2013 governance of Alpine Health during the year, and
DISCLOSURE INDEX The annual report of Alpine 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 Requirement Page Reference
Ministerial Directions
Report of Operations
Charter and purpose FRD 22C Manner of establishment and the relevant Ministers RO 11 FRD 22C Objectives, functions, powers and duties RO 11 FRD 22C Nature and range of services provided RO 12
Management and structure FRD 22C Organisational structure RO 16
Financial and other information FRD 10 Disclosure index RO 8 FRD 11 Disclosure of ex-gratia payments RO 13 FRD 15B Executive officer disclosures FS 58 FRD 21B Responsible person and executive officer disclosures FS 58 FRD 22C Application and operation of Freedom of Information Act 1982 RO 11 FRD 22C Compliance with building and maintenance provisions of Building Act 1993 RO 11 FRD 22C Details of consultancies over $10,000 RO 13 FRD 22C Details of consultancies under $10,000 RO 13
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Legislation Requirement Page Reference FRD 22C Major changes or factors affecting performance RO 23 FRD 22C Occupational health and safety RO 11 FRD 22C Operational and budgetary objectives and performance against objectives RO 24 FRD 22C Significant changes in financial position during the year RO 24 FRD 22C Statement of availability of other information RO 27 FRD 22C Statement on National Competition Policy RO 11 FRD 22C Subsequent events FS 56 FRD 22C Summary of the financial results for the year RO 24 FRD 22C Workforce Data Disclosures including a statement on the application of RO 16 employment and conduct principles FRD 25A Victorian Industry Participation Policy disclosures RO 11 SD 4.2(j) Sign-off requirements FS 3, FS 9 SD 3.4.13 Attestation on data integrity RO 10 SD 4.5.5.1 Attestation on data insurance RO 10 SD 4.5.5 Attestation on Compliance with Australian/New Zealand Risk Management RO 10 Standard Financial Statements
Financial statements required under Part 7 of the FMA SD 4.2(a) Statement of changes in equity FS 6 SD 4.2(b) Comprehensive operating statement FS 4 SD 4.2(b) Balance sheet FS 5 SD 4.2(b) Cash flow statement FS 7
Other requirements under Standing Directions 4.2 SD 4.2(a) Compliance with Australian accounting standards and other authoritative FS 9 pronouncements SD 4.2(c) Accountable officer’s declaration FS 3 SD 4.2(c) Compliance with Ministerial Directions FS 9 SD 4.2(d) Rounding of amounts FS 12
Legislation Freedom of Information Act 1982 RO 11 Victorian Industry Participation Policy Act 2003 RO 11 Building Act 1993 RO 11 Financial Management Act 1994 FS 3, FS 9
Page Reference RO – Report of Operations FS – Financial Statements
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POLICY STATEMENT Alpine Health has plans in place to ensure compliance with the building and maintenance Mission: provisions of the Building Act 1993. The mission of Alpine Health is to improve the health and well-being of people in the Alpine Freedom of Information under the Freedom of Shire. Information Act 1982 Any requests under this Act are required to be in Vision: writing and addressed to the Chief Executive The vision of Alpine Health is to be recognized Officer who is the Freedom of Information Officer. leaders in the improvement of health and well- All requests must include the application fee. A being. total of 14 requests were received and processed during the 2012/2013 financial year. Objectives: The objectives of Alpine Health are to: Compliance with Occupational Health & Safety Improve the flexibility of programs Act 2004 Provide more cost effective aged care and Alpine Health complies with the Occupational health services Health & Safety Act 2004 through the Practice Enhance the matching and coordination of Innovation Committee which reports to the Board aged care and health services to community of Management and Quality Care Committee. needs. Victorian Industry Participation Policy Act 2003 Philosophy: Alpine Health complies with Victorian Industry In pursuing our role, all actions and decisions will Participation Policy (VIPP) when applicable. While be guided by the following principles: no 2012/13 projects reached the VIPP applicable Recognition of the rights, dignity and threshold, Alpine Health applies VIPP principles to independence of our clients procurement activities where possible. Provision of information to clients and communities as part of our annual planning Purchasing Policy and quality assurance cycles Alpine Health is compliant with the Health Management of services in a flexible and Purchasing Victoria (HPV) Purchasing Policy. responsive fashion based on identified client health needs. National Competition Policy and Competitive Fostering of linkages and co-operative Neutrality relationships with related service providers. Alpine Health complies with the applicable National Competition Policy framework areas and STATEMENTS OF COMPLIANCE is currently implementing the Victorian Minister for Health in the State of Victoria Government’s policy on Competitive Neutrality. Alpine Health is established under the Health Services Act 1988. Work Health and Safety Alpine Health maintains a strong, pro-active focus The responsible Ministers during the reporting on work health and safety (WH&S) and risk period are: management. Compliance with regulatory The Honourable David Davis, MLC, Minister for responsibilities is driven through the Health and Ageing organisational committee and workforce The Honourable Mary Wooldridge, MLA, Minister accountability structure. Scheduled regulatory for Mental Health compliance activities, workplace inspections and extensive audits (with actions and Pecuniary Interests recommendations monitored via an automated Members of the Board of Management are risk management system) form just part of the required to notify the Chairperson of any comprehensive work health and safety program. pecuniary interests which might give rise to a Some of the many performance measures conflict of interest. monitored are derived from various sources including incident reporting, WorkCover analysis, Building Act 1993 education and training, WH&S representatives’ activities and internal and Departmental reporting
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Alpine Health 2012-2103 and benchmarking. Alpine Health monitors these OUR SERVICES performance measures very closely, has a strong Acute Medical Inpatient Care WH&S compliance record and takes timely Alpine@Home remedial action where necessary. Alpine Leisure Groups (ALGs) Central Sterilising Unit Environmental Initiatives Community Aged Care Packages Alpine Health has implemented a number of Community Health Centre initiatives to reduce its environmental footprint Day Surgery (minor procedures – including and many more are planned. Some initiatives endoscopy) include: Dietetics District Nursing (including immediate after- 4 cylinder motor vehicle fleet policy. Fleet includes 3 electric-petrol hybrids hospital discharge care) Increased utilisation of electronic Emergency Care Services applications to move toward paperless Health Promotion administration; scaling back of numbers Home Referral Service (including Hospital in of printers and faxes; significant progress the Home and Post-Acute Care) made in aged care and community Independent Living Units Infection Control Establishment of website, intranet, web based/cloud applications and increased Medical Imaging scanning capacity to reduce amount of Nursing Education including: printed material Student Placement Increased usage of audio/video- Initial Registration of Overseas conferencing, digital X-Ray equipment Nurses/Return To Practice Program and projector units at all 3 main sites to Graduate Nurse Program reduce printing and car travel Clinical Support Nurse Program Comprehensive “reduce, reuse and Specialised ALS Program recycling“ programs expanded to include Blood Matters Project batteries, cartridge toner, fluorescent Transfusion Trainer tubes, e-waste and other items Nursing Care – low and high level Responsible waste management Pain Management Worm farm for green waste and large Palliative Care Services capacity rainwater tank at Hawthorn Palliative Care Volunteers Village, Bright Pathology Substantial reduction in chemicals usage Podiatry Water-saver shower heads installed and Post Acute Care other water usage reduction initiatives Psychology implemented across all sites Primary Care Team Energy efficient lighting installed Radiology Timers installed on certain equipment to Renal Dialysis reduce energy usage Residential Aged Care Services Progressive replacement of ageing Respite Care infrastructure and equipment with more Rural Adolescent Program energy efficient installations Rural Primary Health Program Environmental Management Action Plan Staff Education managed by Practice Innovation Team Midwifery Program (including ante-natal, Committee labour and post-natal care) Environmental sustainability education Participation in Departmental energy, environmental and waste reporting program for benchmarking and reduction targeting Submission for solar energy system and other energy saving installations
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Consultancies
Total Approved Expenditure Future Consultant Purpose of Consultancy Start End Project Fee 2012/13 Expenditure Date Date (exc GST) (exc GST) (exc GST) Mach2 Consulting Senior Management Team 1 Mar 30 Jun $ 13,373 $ 13,373 $ 0 training and consolidated draft 2013 2013 content for Service Plan 6 Diagnosis Pty Ltd Medical administration: 1 Jul 30 Jun $ 127,687 $ 46,950 $26,610 Credentialling and scope of 2011 2014 practice for all medical officers, registrars and interns Development, co-ordination and delivery of M2M intern training program The Regional Facilitation of annual business 1 Nov 31 Mar $ 110,928 $ 89,887 $ 0 Development planning, community training 2011 2013 Company Pty Ltd and consultation for Service Plan 6 Swinburne Workability study for older 30 Apr 10 Jan $ 161,000 $ 88,000 $ 30,000 University of health workforce planning & 2012 2014 Technology - Health Workforce Australia Business, Work & funded project relating to Ageing Centre for anticipatory care in a Research community setting. Curriculum and Registered Training 10 Feb 1 Nov $ 25,500 $ 13,500 $ 0 Training Services Pty Organisation (RTO) 2012 2012 Ltd accreditation audit preparation
Details of individual consultancies < $10,000 In 2012/13, Alpine Health engaged 12 consultants where the total fees payable to the consultants were less than $10,000, with a total expenditure of $27,160 (excluding GST).
Ex-gratia Payments There were no ex-gratia payments made by Alpine Health during the 2012/13 financial year.
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BOARD OF MANAGEMENT Alpine Health is governed by a Board of Mrs Lyn Dwyer Management, who are volunteers and are selected Diploma of Education from nominations within our community, and Bachelor of Education appointed by the Victorian Minister for Health. Masters of Leadership/Literacy They have a diverse range of skills, experience and Term of Appointment: 01.07.2012-30.06.2015 interests that contribute to Alpine Health, to (resigned 20 June 2013) ensure the efficient, effective and accountable governance of the organisation through strategic Mrs Zuvele Leschen leadership and a direction focussed on defined Bachelor of Arts outcomes. The Board of Management comes Diploma of Education together: Term of Appointment: 01.07.2009-30.06.2013 To govern and improve the well-being of the (Retired 30 June 2013) organisation, To protect and improve the health of the Mr Clive Walker community; and Diploma Civil Engineering To improve access to, and delivery of, health Term of Appointment: 01.07.2012 to 30.06.2014 services. MEETINGS ATTENDED BY BOARD OF The Board of Management for the past year have MANAGEMENT been: Board of Management meetings Chair - Ms Kitty Knappstein Board member % of meetings Chair attended Background in Commonwealth Government CHURCH Graham 73% (Commercial Policy, Statistics, Government & DWYER Lyn 80% Legal), IT (Microfilm) and Tourism and KING Brian 100% Hospitality. Has particular interest in Emergency KNAPPSTEIN Kitty 81% Services, Community Welfare and Aged Care. LESCHEN Zuvele 64% Term of Appointment: 01.11.2002-30.06.2015 RAMIA Red 91% WALKER Christine 100% Members WALKER Clive 64%
Mr Brian King Board of Management, Finance and Planning Deputy Chair Committee and Quality Care Committee meetings Chair - Quality Care Committee Board member % of meetings Bachelor of Arts Grad Dip in Education attended Term of Appointment: 01.07.10-30.06-2015 CHURCH Graham 64% Ms Christine Walker DWYER Lyn 96% Chair – Finance and Planning Committee KING Brian 87% Diploma HR Management KNAPPSTEIN Kitty 87% Diploma Business Management LESCHEN Zuvele 58% Cert IV Occupational Health & Safety RAMIA Red 65% Term of Appointment: 01.07.2011-30.06.2014 WALKER Christine 100% WALKER Clive 79% Mr Red Ramia Deputy Chair RISK MANAGEMENT AND AUDIT COMMITTEE Business Management Alpine Health’s Risk Management and Audit Term of Appointment: 01.11.2006-30.06.2014 Committee comprises: Mr John Kantor (Chair), Mr
Joe Caruso, Mrs Wendy Paglia, Mr Brian King and Mr Graham Church Dr Jeff Robinson. Completed NZCD (Architectural) Term of Appointment: 01.07.2012-30.06.2015
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EXECUTIVE STAFF Dr I G McCallum, MBBS, FRCOG, FCRRM
Chief Executive Officer Mr Lyndon Seys, BHA (UNSW), MA (Leeds), Dr C McCartan, MBBS FCHSM Dr A McEniery, MBBS, FRACGP, Dip Obs Dr S Marshman, MBBS Director of Medical Services Dr C O’Brien, BMBS, FRACGP, Grad DipRM, Dr Jeff Robinson, MB BS FRACGP FACRRM Dip DRANZCOG, FACRRM RACOG, Grad Dip Rural GP Dr R Pillay, MBBS Dr K Rajagopal, MBBS Finance and Corporate Services Manager Dr R Richardson, MBBS, FRACGP, DRACOG, Grad Mr Craig Thompson, B Com, MBA Dip Rural GP, FACRRM Dr J B Robinson, MBBS, DRANZCOG, FACRRM, Health Services Manager - Bright District Hospital FRACGP, Grad Dip Rural GP and Health Services Dr Y Ruan, MBBS Mrs Gill Graves, RN, Post Grad Certificate Dr S A Shute, MBBS, FRACGP, DRANZCOG B Med Sc Management, Dip Community Health Nursing Dr E Sikora, MBBS Dr L Smith, MBBS, DOCH, ICCA Accredited Health Services Manager - Mount Beauty District Anaesthesia Hospital Dr D Spiers, MBBS Ms Caron Oakley, RN, B HSN, Dip Bus, Grad Dip Dr A Stratton, BMed, DRANZCOG (Advanced) Peri-operative Nursing Master of Management Dr B Thavakamuran, MBBS (currently in progress) Dr K Thomson, MBBS Dr A M Zagorski, MBBS, DRANZCOG, FACRRM, Health Services Manager – Myrtleford District FRACGP War Memorial Hospital Dr L Zagorski, MBBS DRANZCOG Mr Mark Ashcroft, RN, RM, Accident & Emergency Certificate, Graduate Dip Nursing, Grad Diploma General Surgeons: Business Administration, Master of Management, Dr S Franzi, MD, FRACS MCom. Dr F J Miller, MBBS, PhD, FRACS
Obstetrician and Gynaecologist: Business Development Manager Mr Trevor Marshall, Master of Social Work- Dr L Fogarty Human Service Management (Latrobe) Dr C J Pearse, MBBS (Syd), FRANZCOG Physicians: Human Resources Manager Dr L E Bolitho, MBBS (Melb), FRACP, FACRRM Mr Nick Shaw, MB, B Ed Dr P G MacLeish, MBBS, FRACP
VISITING MEDICAL OFFICERS: Medical Administration Consultant: General Practitioners Dr J B Best, AO, MD, PhD, FAFPHM, FRACMA Dr L M Bennie, B Med, B Ed, FRACGP, DRANZCOG Dr D Blanks, MBBS Radiologists: Dr P Brown, MBBS, FACRRM, Member of DRS Northeast Health Wangaratta Medical Imaging Dr S K Cavini, MBBS Border Medical Imaging Dr S Datta, MBBS Dr P C Dawkins, MBBS, DRANZCOG, FACRRM Dr S N Delaney, B Med Sc (Honors 1), MBBS, FRACGP, DRANZCOG Dr D Devereux, MBBS, DCH (SA) Dr P Duff, MBBCh, BAO, MRCGP Dr R M Faizal, MBBS Dr M Forseth, MBBS Dr E M Garoni, MBBS, DRANZCOG, FACRRM, FRACGP Dr A Islam, MBBS Dr B Kabbabe, MBBS
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ORGANISATIONAL CHART
Organisational Chart
BOARD OF MANAGEMENT
Communications & Media Manager
Director of Medical Services Chief Executive Officer Administrative Assistant
Community and Service Development Officer
Business Finance & Health Services Human Resources Development Corporate Services
Business Finance & Health Services Health Services Health Services Human Resources Development Corporate Services Manager Bright Manager Myrtleford Manager Mt Beauty Manager Manager Manager
Health Services Health Services Health Services Alpine @ Home Finance Human Resources Alliance Acute Services Acute Services Acute Services - District Nursing Information Workforce Services Management Development Residential Aged Residential Aged Residential Aged - Packaged Care Care (low care) Care Care Services Compliance Payroll - Alpine Leisure Management Midwifery Services Early Intervention Peri-Operative Group Team Services - Palliative Care Residential Services Allied Health Support - health promotion Volunteers Administration Services - youth CSSD - Community Aged - rural adolescent Care Administration Client Services health Infection Control - dietician Information - chronic disease Allied Health Support Communication mgt (diabetes) Services Technology - Breast Care Nurse Client Services Fleet Management
Allied Health Support Services
Client Services
Essential Services Essential Services Essential Services
Catering Catering Catering
Environmental Environmental Environmental
Maintenance Maintenance Maintenance
JUNE JUNE Labour Category Current Month FTE YTD FTE 2012 2013 2012 2013 Administration & Clerical 33.1 31.5 30.4 33.5 Nursing 100.4 101.2 95.7 100.1 Hotel and Allied Services 66.1 69.8 66.0 70.9 Allied Health 6.4 8.9 7.2 8.7 Total 206.0 211.4 199.3 213.2 NB: Figures include back-filling of positions for staff on leave and casuals. Alpine Health’s employment and conduct principles are consistent with relevant legislation and guided by the Victorian Public Sector employees’ Code of Conduct.
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AWARDS SCHOLARSHIPS Staff Long Service Recipients 2012/2013 Otto R Schmalz Memorial Scholarship
The Board of Management is pleased to The Otto R Schmalz Memorial Scholarship is acknowledge the dedicated service of long an annual Education and Study Award for serving staff members during the year. They Alpine Health staff members. It was are:
Ten Years established in 2001 to commemorate the Ashcroft Mark great contribution of Mr Otto Schmalz to Blackford Lyn Alpine Health and his commitment to welfare Coates Sally and development of Alpine Health staff. De Henin Jacquie The following staff members have been Henderix Josie successful in their application for the Otto R Kruger Christine Schmalz Memorial Scholarship. These are: Langdon Trish MacDougall Suzanne 2001 - Kerrie Hay-Smith Wyatt Marcelle (Diploma of Counselling and Communication) 2002 - Leanne Boase Fifteen Years (Master of Nursing- Nurse Practitioner) Christie Gayle 2003 - Vicky Southgate Clarkson Sue (Graduate Certificate in Management) Hofbauer Helen 2004 - Jacinta Flood Martin Lesley (Bachelor of Social Work) Piera Jenny 2005 - Shane Kirk Short Sharon (Graduate Certificate in Aged Care Services Spicer Rosie Management) 2006 - Lisa Lukey Twenty Years (Graduate Certificate in Acute Nursing Masterton Christine Trauma-Critical Care Nursing) Pack Susan 2007 - Maureen Ryland Southgate Vicky (Graduate Certificate in Health Promotion) Vaccaro Roma 2008 - Heather Street (Graduate Diploma in Wound Care) Twenty-five Years 2009 - Faisal Sabih Bowden-Johnson Margot (Master in Diabetes Education) Brown Gwilma 2010 – Suzana Borlovan Burke Barbara (Bachelor of Nursing) Forrest Rose 2011 - Naomi Piazza McArdle Joan (Graduate Certificate in Health Services
Management) Thirty Years 2012 – Kerry Patford Earl Geoff (Master of Clinical Science Breast Cancer Rogers Jenny Nursing)
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A word from the 2012 Scholar to take up studies in health related disciplines at Thankyou so much to Alpine Health and the either undergraduate or postgraduate levels and Schmalz family for the very generous and return to practice in the Alpine Shire. most appreciated scholarship that has enabled me to complete my Masters of The following people have been successful in their application for the Mark Robinson Scholarship for Breast Cancer Nursing. Rural Health. They are:
Earlier in 2013 I completed the Lifestyle 2004 -Alison Gargan Medicine Course Unit, a very interesting (Bachelor of Physiotherapy) subject that focused on the modifiable 2005 - Warren Policha behaviors of physical inactivity, smoking, (Bachelor of Physiotherapy) alcohol consumption and poor dietary choices 2006 - Catherine Gargan and their impacts on an overburdened health (Bachelor of Medicine/Bachelor of Surgery) system. The challenges associated with 2007 - Rebecca Morrison promoting healthy lifestyle choices within the (Bachelor of Physiotherapy) community and health care settings were 2008 - Elizabeth Brown extensively explored, particularly in relation (Bachelor of Physiotherapy) 2009 - Alice Bellingham to optimizing health following cancer (Bachelor of Medicine) treatments. 2010 – Kelsey Graves (Bachelor of Health Science (Speech Pathology) The final subject, that has only been recently 2011 – Amy Burrowes commenced, is researching the use of (Master in Dietetics) exercise in reducing the risk of a cancer 2012 – Jessica Poyner diagnosis, and also for maintaining wellness (Bachelor of Psychological Science, Master of during cancer treatments. Occupational Therapy Practice)
I am so grateful for opportunity to further my A word from the 2012 Scholar studies through this scholarship and I look Last November when I received the Mark forward to sharing this knowledge with my Robinson Scholarship for Rural Health I had colleagues, my health care team and the almost finished my first year of a two year greater community. The juggles of work, life Masters of Occupational Therapy course. and study are a challenge at times, but I am Much of this first twelve months was theory relishing in acquiring knowledge which will based, but in the six months which have continue to improve my breast care nurse passed since receiving this award, I have had skills. some amazing practical experiences in the Occupational Therapy clinical setting. As a Kerry Patford result of this, my clinical skills and judgements have been challenged, and consequently Mark Robinson Scholarship for Rural Health enhanced. Ultimately, having the chance to test my knowledge and practice my skills in The Mark Robinson Scholarship for Rural Health is the ‘real world’, has confirmed that I am in an annual Education and Study Award. It has been the right course and that I have definitely established by the Alpine Health Board of chosen the right career path. Management in recognition of the contribution of The last eighteen months, and especially the Dr J Mark Robinson and his family to the last six months, have been both challenging development of health services in rural Australia and more specifically those in the Kiewa Valley. and stressful. However, I also got to experience the reward at my first eight week The Mark Robinson Scholarship for Rural Health is placement at a rehabilitation hospital. The an education and study award promoted by the hard work, the stress, and the challenges Board of Management to encourage local people which come from the theory side of my
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Alpine Health 2012-2103 course are all worth it, when you’re out on community which has given me so much placement and have that moment and realise, throughout my life. “I can do this, I know how to be an OT”. Additionally, it is heart-warming when the Receiving the Mark Robinson Scholarship has patients you are working with respond to been a blessing I never thought I would your approach to their care and have such receive, and has supported me through my positive encouragement for you. final year of studies. This scholarship has gone towards textbooks, personal development Having the opportunity to experience activities, uniforms and transport costs. It has different occupational therapy and health been a wonderful financial help and allowed settings has been a great advantage for my me to dedicate my time to placement, development. When I started my degree back university classes and the resulting in 2009 I knew I wanted to be an occupational assignments. therapist, and that my background in psychology would help me to see my patients I would like to take this opportunity to holistically. But other than that, I wasn’t sure personally thank Mark Robinson and the team which area of occupational therapy I wanted at Alpine Health who have supported me to pursue. With only six months of my course throughout this year, and who continue to to complete, I am now torn between support students like myself in furthering paediatrics and rehabilitation settings. I loved their academic development. I am very my time on placement in a rehabilitation excited to be finishing my degree in hospital earlier this year, and I’ve thoroughly November, entering the next stage of my life enjoyed my part time job in a local pharmacy as an Occupational Therapist, and seeing and interacting with the older generation. where my career takes me. However, I volunteer with children and adolescents in Riding Develops Abilities and also a homework club for a foundation called Mirabel, helping to support disadvantaged children who are not able to live with their parents, and have found both really rewarding. I have one final eight week placement to complete later in the year, hopefully in a paediatric setting, and I am sure it will help guide me into one area of occupational therapy over another. As part of my course, I am currently working on a project with a local council to review active ageing programs implemented throughout Victoria, and to provide recommendations to assist them in the future delivery of such programs. It has broadened my knowledge of community settings and also the importance of adequate health care through all stages of life. Living in the hustle and bustle of the city, you can often forget the importance of your community. The experience of working within this local community has reinforced for me that, one day, I would love the opportunity to return home, to the Alpine Shire, and give back to a
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VOLUNTEERS In the short time that we have been running the th th Alpine Health is supported by a group of shop (13 May to 30 June), it has realised a profit dedicated and enthusiastic volunteers who raise of over $5,000. funds for the organisation by donating their time so generously at the Hospital Opportunity Shops. Working together, the Op Shop will continue Jean Ellis’ legacy of helping people of Myrtleford and in We would like to thank all the volunteers for so doing, being able to donate the profit, less their ongoing support and dedication in both expenses to the Myrtleford Hospital. raising funds to purchase additional equipment and supporting patient care. Cynthia Geier Myrtleford Hospital Op Shop
Bright Hospital Opportunity Shop Inc Report Alpine Radio Report Over the past year our Volunteers who work at the Top Shop, Shop 26 and the Trash & Treasure, have Alpine Radio is a community radio station contributed many hours sorting through donated broadcasting into both the Kiewa Valley goods and then preparing for sale in the 3 areas. (frequency 96.5FM) and Ovens Valley (92.9FM) and is an approved Official Emergency Services Over the financial year 2012/2013, our Auxiliary as Broadcaster. We provide community services as made purchases for: follows to Alpine Health:
Alpine Health At 11.00am every Tuesday, Wendy Blake Bladder Scanner, Stirrups, Beds, ENT Microscope presents an hour of requests for Alpine and other items totalling $24, 211.00; Leisure Group (ALG) in Mount Beauty. The Hawthorn Village participants and the staff of ALG enjoy Wheel Chairs, fencing, beds, cleaning cart totalling listening out for their songs and having $25,500.00; their names read out over the air. Barwidgee Lodge Every Tuesday at 12 noon, Wendy presents Bariatric beds, mattresses and chairs totalling Caring & Sharing, a two hour program of $16,479.00. requests for the residents and staff of Kiewa Valley House in Mount Beauty. The All figures are approximate and include GST. requests are faxed to the station from Kiewa Valley House every Tuesday Without the local community donating goods and morning. The residents enjoy hearing their our Volunteers dedication, we would not be able requests and their names read out over the to make these purchases. Many thanks as always airwaves. to everyone involved. At 12 noon on Wednesdays, Peter Rogers presents an hour of requests for Alpine M Attard Leisure Group in Bright which is also keenly Honorary Secretary awaited by the participants in the leisure group.
Myrtleford Hospital Op Shop Report In addition, we broadcast regular community announcements for Alpine Health whenever there Since taking over the running of the Myrtleford th is an event to be promoted, as well as Hospital Op Shop on Monday 13 May 2013, me broadcasting announcements for groups that are together with Eileen Giles and Loris Pellizzoni and associated with Alpine Health, eg various support the support of hospital staff, Gillian Graves and groups such as the Dementia Support Group, Mary Newland, we have received nothing but several Cancer Support Groups, the Arthritis positive feedback about the shop. Support Group and others.
Everything is running smoothly and I cannot see any reason why it should not continue to do so in the foreseeable future.
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COMMUNITY SUPPORT 2012-2013 Donations for the Murray to Moyne Bike Ride Thanks to the individual donors, businesses and AGL community groups who have supported Alpine Anonymous Health by donating. Thanks also to individuals Barter Dean who have made gifts in memory of loved ones. Bendigo Bank Boland W & R DONATIONS FOR THE BRIGHT DISTRICT HOSPITAL Carriss Mary Anne AND HEALTH SERVICE WERE RECEIVED FROM: Carter Peter Grace Mick Anonymous Heffernan Jay Bartlett Nigel Hood Monika Bright Alpine Club Iaria Meredith Bright Autumn Festival Jensen Therkel Bright Bowls Club Komatsu Bright Bowls Club – Community Bowls Mawsons Bright Hospital Barrel McArdle B Bright Hospital Op Shop McDonalds Meat Bright Lions Club Inc McLennan Greg Bright P12 College Mt Beauty District Community Enterprises Bright Spring Festival Committee Mt Beauty Holiday Centre Ellis G Mt Beauty Medical Centre Felkel Maria Mt Beauty Pharmacy Freeman Brett Mt Beauty Rotary Club Hall Ben MyCause Latipsoh NE Country Wholesale Foods Laurence K O’Connor Rob Paul’s Collect a Cap Proceeds Passuello Annette
Rees Phillips & Tamara DONATIONS FOR THE MOUNT BEAUTY DISTRICT Rousu J & U HOSPITAL WERE RECEIVED FROM: Ryder Nicci AGL Energy Saunders Glen ALPS Settlers Tavern Anonymous Short Lynne Bantick Bev Sigmund Jacky Barton Leila Sweetwater Brewery Christie Greg Whiley James Christie Sarah Wynne Retra Kiewa Valley House Improvement Team Kiewa Valley Lions Club DONATIONS FOR THE MYRTLEFORD DISTRICT KIT Fundraising WAR MEMORIAL HOSPITAL WERE RECEIVED Latipsoh FROM: Mills Margaret Alcoholics Anonymous Mt Beauty Holiday Centre Anonymous Mt Beauty Pharmacy Cake Raffle Mt Beauty Rotary Club Latipsoh Mt Beauty Supermarket Myrtleford Community Pharmacy Oakley Caron Myrtleford Craft Group Proceeds of Raffles Paul’s Collect-a-cap Upper Kiewa Valley Lions Club Railway Hotel Sport and Social Club Various fundraising events Smithens Mr Mrs
Smithers Mr WAW Credit Union- for Breast Cancer Support Group Whorouly CWA Witherow Lyn
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Special thanks to everyone who supported, Bequest participated and contributed to the following From the Estate of: groups or events including contributions, in full KANDUS, Vera or part, towards the purchase of specific items across the three Alpine Health sites at Bright, Mt Beauty and Myrtleford.
Bright District Hospital and Health Services Donations for Head Shave Fundraiser Botting Jo Caldwell Jeannie Cox Lyn Hallett Lyn Kupferle Lisa Lennon Cathy Monk Lenny Neck Gael Neville Lisa Reid Jan Stott Jenny Svarc Jenny Taylor Helene Thomas Lorelei Winiata Lee-ann
In Memoriam Donations Thank you to those who have chosen to remember their loved one by making memorial donations. Your kindness is greatly appreciated.
Bright District Hospital and Health Services In Memory of: CRANE, Ruth FROST, Pauline HITCHENS, Katherine KING, Michael KULKULKA, Ruth
Mount Beauty District Hospital In Memory of: CHRISTIE, Eleanor
Myrtleford District War Memorial Hospital In Memory of: EVANS, Kaye MAROTTA, Angelina PASQUALOTTO, Domenica SGARIGLIA, Giuseppe
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FINANCIAL HIGHLIGHTS 2012-2013 rose by $1,895,000 (11.8%) to $17,955,000 mainly due to the finalisation of various EBAs and to a Alpine Health recorded an operating deficit of lesser extent, the inclusion of the first full year of $386,000 for the 2012/13 financial year in a payroll services to MBMC. Employee Expenses difficult economic and health environment. This remained by far the largest single expense result did not meet the breakeven budget target category at nearly 75% of total operating costs and and represented approximately 1.7% of operating were impacted in particular by the greater than revenue. Despite the challenging conditions, expected pay rises for certain classifications within Alpine Health continued to deliver high quality the Nursing and Midwifery awards. services, implemented additional revenue streams and explored partnerships for expanded service Business planning costs for the five-year service delivery, future growth and sustainability. plan (Service Plan 6), the three-year accreditation cycle, workforce projects, information and The Comprehensive Result was a $1,499,000 communications technology (ICT) and education surplus, but this is a less indicative measure of and training accreditation were the main factors in Alpine Health’s financial performance as it the $427,000 (14.2%) increase in Administration includes unfunded depreciation of $2,393,000 and expenditure. Other considerable expenditure building revaluation increases totalling increases occurred in Fees for Visiting Medical $3,477,000. At year end, buildings were required Officers ($66,000), Supplies and Consumables to be revalued due to the compounding effect of ($127,000), Repairs and Maintenance ($59,000), building value indices since the previous Utilities ($61,000) and Domestic Services and revaluation in 2009. Supplies ($82,000). Operating Revenues rose 7.1% to $22,585,000 Capital expenditure of $926,000 included mainly due to a near doubling of Commercial extensive patient lifting equipment installations at Activities to $1,278,000 and a 4.7% increase in Myrtleford funded by the Beveridge estate State and Federal Government grants to bequest. Targeted capital equipment grants from $18,232,000, including indirect contributions. The the Department of Health assisted in the increase in Commercial Activities resulted from establishment of the Alpine Institute learning additional student course fees received for the centre and student accommodation at Myrtleford, expanded Initial Registration of Overseas Nurses an upgrade of nurse call systems across all sites, (IRON) program, and recoveries for payroll the purchase of aged care equipment and fittings services provided to the Mount Beauty Medical and the replacement of ageing medical and Centre (MBMC). While there was an $819,000 infrastructure equipment. Additionally, patient increase in Government grants, this did not fully equipment, ICT infrastructure, work health and cover the extra payroll costs from the ratification safety works and equipment and the upgrade and of the Nursing and Midwives Enterprise Bargaining relocation of the Myrtleford Veterans’ Memorial Agreement (EBA). Acute inpatient activity and were all funded through a combination of revenue was higher than the previous financial community and Opportunity Shops donations, a year, but this was partly offset by declining aged Veterans’ Affairs grant and internal resources. care activity and income, resulting in a modest 2.7% rise in Patient and Resident Fee income. Included in the financial accounts is Alpine Health’s proportional share of the operations of Capital Purpose Income rose to $801,000 primarily the Hume Rural Health Alliance, a joint venture of due to the free of charge acquisition of Land and Hume region health services which primarily co- Buildings for Mount Beauty student ordinates ICT initiatives. accommodation, following the winding-up of the North-East Victorian Division of General Practice. The cash position of Alpine Health remains sound State Government capital grants totalling with Cash & Cash Equivalents of $1,169,000 and $300,000 were received for Myrtleford student Other Financial Assets of $4,145,000, of which accommodation, nurse call systems, minor $3,762,000 is Held in Trust in the form of infrastructure, aged care and medical equipment. Refundable Accommodation Bonds. However, in a The continued generosity of the community very challenging health funding environment, resulted in donations and bequests of $101,000. numerous strategies to strengthen Alpine Health’s operational and financial sustainability and Operating Expenses increased by $2,535,000 viability are being evaluated and implemented. (11.8%) to $24,031,000. A substantial proportion of this increase was for Employee Expenses which Lyndon Seys, Alpine Health Accountable Officer
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SUMMARY OF FINANCIAL RESULTS FOR LAST FIVE YEARS $’000
2012/13 2011/12 2010/11 2009/10 2008/09 Total Revenue 24,446 22,149 21,474 20,784 19,843 Total Expenses 26,424 23,894 23,339 22,581 20,830 Total Surplus / (Deficit) (1,978) (1,745) (1,865) (1,797) (987) Retained Surplus / (Accumulated Deficit) (8,996) (7,018) (5,273) (3,408) (1,611)
Total Assets 37,739 35,733 37,144 38,482 40,644 Total Liabilities 9,947 9,440 9,106 8,579 8,944 Net Assets 27,792 26,293 28,038 29,903 31,700
Total Equity 27,792 26,293 28,038 29,903 31,700
BUDGET ANALYSIS FOR YEAR ENDED 30 JUNE 2013 Actual Budget Variance Variance Item $’000 $’000 $’000 % Reasons for Variance Operating Revenue 22,585 22,165 420 1.9 Additional Government Grants (operating account) and IRON course fee income Total Revenue 24,446 23,660 786 3.3 Extra operating and capital Government Grants, IRON income and assets received free of charge Operating Expenses 24,031 23,221 810 3.5 Higher Nursing EBA payroll costs Total Expenses 26,424 25,711 713 2.8 Higher Nursing EBA payroll costs Operating Result (386) 4 (390) (9,750) Under-funding for full cost of Nurses’ EBA Net Result (1,978) (2,051) 73 3.6 Extra operating & capital Grants, IRON fees and free of charge assets offset by higher EBA costs Comprehensive Result 1,499 (2,051) 3,550 173.1 Revaluation not included in budget, as 2012/13 indexation factors unknown at start of year
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Priorities Part A. Strategic Priorities Priority Action Deliverable Outcome Tackling the Strengthen community Anticipatory service Anticipatory model Causes: development models of model (Alpine developed and Strengthen health service delivery Community Ward) implemented. Project promotion, Develop more anticipatory development and subject to national prevention and care models of service implementation with evaluation in 2014 primary delivery funding from Health intervention to Lead Health Promotion in Workforce Australia Developed framework improve the health the Alpine Shire (HWA) and applied to first two of the community Measurement services provided by framework for Alpine Health accountability and Implementation Plan in equity in healthcare place for developed service delivery Positive Ageing Strategy Positive Ageing Strategy development in partnership with the Alpine Shire Supporting the Provide a range of services Establishment of Ovens Valley Medical Vulnerable: that optimise options and medical transport Transport Service in Develop programs choices for people of the service place and services to Alpine Shire, including support members facilitating access to of the community services that Alpine Health who are vulnerable does not provide and or need additional lowering access barriers support in facing Develop flexible services New volunteer based Built and implemented life stage that meet the needs of the services for the Alpine aged care advocacy transitions elderly, people in life stage Shire communities service and started new transitions and those with Men’s Shed in Mt greater need in Alpine Shire Beauty Building Build strong and sustainable Implement DoH “Doing Achieved accreditation Partnerships: partnerships with our it with Us” strategy and commendation for Build or further Community resulting in a DoH/HACC cultural community engagement strengthen sense of their ownership of responsiveness partnerships to local health services framework create networks for Develop strong productive Progress Health Workforce flexible, efficient relationships with key implementation of Australia project and and effective care. stakeholders for planning “Sustaining General provision of business and delivery of services Practice Strategy” services in place with Mt Beauty Medical Centre Partnership with Lonsdale Institute Lonsdale Institute to partnership established support IRON program and IRON program expansion and expanded with the establishment of Alpine approval of ANMAC Institute Grow the relationship Second exchange with NHS Tayside Trust completed
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Priority Action Deliverable Outcome Protecting the Remain financially viable, Explore and implement Expansion of IRON Future: continue growth and operational efficiency program, cost reduction Enhance service expand the capital base and financial strategies and more capacity to respond Align services with sustainability options efficient and effective to the future needs contemporary government service delivery in place of the community policy and respond to the Implement HWA service HWA project future needs of the and workforce implemented with community transformation project ongoing evaluation Continue to build expertise Expand anticipatory New opportunities for in key areas and maintain a approaches to services primary care identified strong quality culture National accreditation achieved Developing our Support staff members and Establish the Alpine Successful RTO Workforce: volunteers to deliver Institute as an accreditation and Develop highly services accredited Registered inaugural Certificate 3 skilled, integrated Achieve optimal health for Training Organisation commenced in Health workforce with an staff members (RTO) Service Assistance emphasis on Support and develop Implement Stage 1 of Accreditation merit teamwork and volunteer workforce the e3Learning strategy rating for approach to multidisciplinary, workforce development multi-skilled Invest in training for New advocacy service professional volunteers available in Alpine Shire practice. Review OH&S approach; Safety improvement invest in patient lifting plan established with systems WorkSafe consultation Capital Develop land and buildings Master Plan for Bright Clarified direction for Development: to meet changing health redevelopment and services in Bright Co-location of needs building staging plan facilities can Develop co-located services Permanent ALG Secured permanent improve access to with other service providers accommodation in accommodation for and integration of to improve local service Bright in partnership Bright ALG services, improve delivery with Uniting Church the efficiency and Promote both physical and Student accommodation Refurbished O’Donnell sustainability of the virtual health precincts for and learning centre at House at Myrtleford for service and create a integrated service delivery Myrtleford student accommodation flexible service Invest in ICT to reduce costs Video-conferencing, LAN Completed ICT projects delivery of service provision and refresh and nurse call Improved services to environment. support service delivery and systems upgrades patients, residents and Investment in access clients information and Improve Alpine Health’s Investigate Environmental planning communications environmental footprint opportunities to manage and implementation in technology will impact of climate progress improve service co- change and water ordination and security outcomes.
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Part B. Performance Priorities Financial Performance Operating Result Target Actual Annual Operating Result ($m) $0.004m surplus $0.386m deficit
Cash Management Target Actual Creditors <60 days 19 days Debtors <60 days 35.6 days
Quality and Safety Quality and Safety Target Actual Health service accreditation Full compliance Full compliance Cleaning standards Full compliance Full compliance Submission of data to VICNISS* Full compliance Full compliance Hand Hygiene (rate) 70 78.2 SAB rate per occupied bed days 2/10,000 0 Victorian Patient Satisfaction Monitor (OCI) 73 Full compliance Consumer Participation Indicator 75 Full compliance People Matter Survey Full compliance Full compliance *Victorian Healthcare Associated Infection Surveillance
Flexible Aged Care Places Public Sector Residential Aged Care Services (PSRACS) Service Number Occupancy level % Flexible High Care 50 91.5 Flexible Low Care 40 73 Flexible Community Care 15 100 Respite care bed days 2,018 N/A
Acute Service Type of activity Activity levels Medical inpatients Bed days 7,412 Accident and emergency Presentations 4,483 Nursing home type patients Bed days 510 District nursing Occasions of service 9,565 Maternity Number of clients 39 Renal dialysis Number of clients 10
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ADDITIONAL INFORMATION (FRD 22C APPENDIX) The following information, where it relates to Alpine Health is relevant to the financial year 2012-13 is available upon request by relevant Ministers, members of Parliament and the public: (a) A statement of pecuniary interest has been completed. (b) Details of shares held by senior officers as nominee or held beneficially. (c) Details of publications produced by the Department about the activities of the Health Service and where they can be obtained. (d) Details of changes in prices, fees, charges, rates and levies charged by the Health Service. (e) Details of any major external reviews carried out on the Health Service. (f) Details of major research and development activities undertaken by the Health Service that are not otherwise covered either in the Report of Operations or in a document that contains the financial statements and Report of Operations. (g) Details of overseas visits undertaken including a summary of the objectives and outcomes of each visit. (h) Details of major promotional, public relations and marketing activities undertaken by the Health Service to develop community awareness of the entity and its services. (i) Details of assessments and measures undertaken to improve the occupational health and safety of employees. (j) General statement on industrial relations within the Health Service and details of time lost through industrial accidents and disputes, which is not otherwise detailed in the Report of Operations. (k) A list of major committees sponsored by the Health Service, the purposes of each committee and the extent to which the purposes have been achieved.
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PLEASE SUPPORT ALPINE HEALTH Notwithstanding the amount of Government subsidy received during the year, Alpine Health is still dependent upon the financial support of the public to enable us to continue and develop its services. Alpine Health has a continuing need for facilities and equipment of the highest modern standards, to serve the needs of the communities of the Alpine Shire and surrounding districts. The range of quality of services provided by Alpine Health is a tribute to the excellent support of the communities of the many years. To ensure this high standard of care can continue, we seek your financial support to purchase new and improved equipment, and to assist in the improvement of facilities.
YOU CAN ASSIST BY
A donation towards a special item Defraying the cost of much needed equipment Remembering Alpine Health in your will Assisting as a volunteer.
YOUR HELP IS MUCH NEEDED AND WILL BE APPRECIATED The Chief Executive Officer Alpine Health 30 O’Donnell Avenue Myrtleford Vic 3737 I am pleased to donate the enclosed sum of $…………………………...which should be used towards the purchase of
*………………………………………………………………………………………………………………..
*……………………………………………………………………………………………………………….. for the ………………………………………………………………………………….site of Alpine Health.
Name…………………………………………………………………………………………………………..
Address………………………………………………………………………………………………………...
………………………………………………………………………………………………………......
Phone …………………………………………………………………………………………………………. e-mail………………………………………………………………………………………………………......
Signature……………………………………………………………………………………………………….
(*insert equipment or area preferred or write “equipment for general use”).
Alpine Health also offers other payment methods such as EFT transfers, credit card facilities, direct debit, etc. For payments directly into Alpine Health’s account, the NAB bank account details are: BSB: 083-971 Account No: 68 334 2279 Credit card payments will require the cardholder name, credit card number and card expiry date. Please identify the payment as a donation and the donor’s name for receipting and identification purposes. Contact Alpine Health if you require assistance with making a donation or payment method. Please state if you wish to remain anonymous as donors will be recognised in the Annual Report.
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ALPINE HEALTH Multi Purpose Service
www.alpinehealth.org.au
CONTACT LIST
Myrtleford District War Memorial Hospital Tel: 03 5751 9300 30 O’Donnell Avenue Myrtleford Victoria 3737 Fax: 03 5751 9395 (reception)
Bright District Hospital and Health Service Tel: 03 5755 0100 32-36 Cobden Street Bright Victoria 3741 Fax: 03 5755 2110
Mount Beauty District Hospital Tel: 03 5754 3500 2-8 Hollonds Street Mount Beauty Victoria 3699 Fax: 03 5754 3555
Corporate office 30 O’Donnell Avenue Tel: 03 5751 9344 Myrtleford Victoria 3737 Fax: 03 5751 9396 (administration)
Aged Care Facilities
Barwidgee Lodge Nursing Home Tel: 03 5751 9335 30 O’Donnell Avenue, Myrtleford, Vic, 3737
Kiewa Valley House Tel: 03 5754 3521 2-8 Hollonds Street, Mount Beauty, Vic, 3699
Hawthorn Village Tel: 03 5755 0150 1 Rotary Drive, Bright, Vic, 3741
Alpine Leisure Groups (ALG’s)
Myrtleford ALG Tel: 03 5751 9326 30 O’Donnell Avenue Myrtleford Victoria 3737
Bright ALG Tel: 03 5755 5123 32-36 Cobden Street Bright Victoria 3741
Mount Beauty ALG Tel: 03 5754 3526 2 Lakeside Avenue Mount Beauty Victoria 3699
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