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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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undertaken in conjunction with our key partners and the community.

Financial Matters

INTRODUCTION HISTORICAL BACKGROUND

The 2012/2013 financial year has presented Alpine Health with a number of large financial issues.
Alpine Health is a designated Multi-Purpose Service (under the Tripartite Commonwealth-State Agreement) and has three main campuses located in the townships of Myrtleford, Bright and Mount Beauty.
Non-salary costs increased beyond those of the previous year with significant investments in

planning, Alpine Health’s compliance obligations,

accreditation and workforce development. While provision was made for significant increases in salary costs arising from the 2012 Enterprise Bargaining Agreements of the Victorian public health sector, the complexities of these
Alpine Health provides integrated acute health, community health, and community and aged residential services for the residents and visitors of the Alpine Shire.

agreements brought increases in salary costs beyond our initial expectations.
The Organisation was established in November 1996 through the amalgamation of three rural hospitals, nursing homes, hostel and accommodation units including Myrtleford District War Memorial Hospital, Bright District Hospital and Health Services and Tawonga District General Hospital, Barwidgee Lodge and Kiewa Valley House Nursing Homes, Hawthorn Village Hostel and the Myrtleford Extended Care Accommodation Centre.
At the same time, our revenue base declined with the near halving of private inpatient reimbursement rates by some of the larger private health insurers such as BUPA, Medibank Private and NIB Health Funds Ltd. The year also brought a great deal of uncertainty around reductions in Commonwealth grants for hospital services and it is now clear that payments from the
Alpine Health offers a full range of acute, aged

care and community support services to the townships and communities of the Alpine Shire.
Commonwealth for hospital services will be reduced by about 1.4% in the next year.

As a consequence of the difficult economic climate that we have faced this year, we experienced a relatively small operating deficit of $386,000.
The Multi-Purpose Model of Service provision was developed by the joint Commonwealth/State governments taskforce established in March 1991 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 purchase of floor coverings for acute and aged care, and medical and other equipment from the Department of Health. These grants enabled the replacement of carpet at Mount Beauty and Myrtleford and the acquisition or replacement of the following items of equipment:
From November 1996, State and Commonwealth funding streams for acute health, aged care and community health and support services for the former entities, were provided as a flexible funding pool through which, the varying health needs of the Alpine townships and communities are to be addressed.

Nurse Call systems for Bright, Mount Beauty and Myrtleford

••

Chairs, beds and trolleys Patient monitors, neo-puffs, syringe and infusion pumps

MESSAGE FROM THE CHAIR OF THE BOARD OF MANAGEMENT

On behalf of the Board of Management, I am pleased to present the Report of Operations for Alpine Health for the year ending 30 June 2013 in

accordance with the Financial Management Act 1994.

The Board is also pleased to report the completion of the refurbishment of the second level of the

O’Donnell House at Myrtleford and its formal

opening in April 2013. The new facility houses students once again and will accommodate

nursing students who are part of Alpine Health’s

Initial Registration for Overseas Trained Nurses (IRON) program in the first instance. This
This financial year has been one of further development for Alpine Health. Significant progress has been made on a large number of 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

health service organizations are now assessed for accreditation. These are: for the allocation of $133,487 for infrastructure at Myrtleford Hospital that has been used to extend the installation of room based patient lifting equipment.

Governance for Safety and Quality in Health Service Organizations

••

Partnering with Consumers Preventing and Controlling Healthcare Associated Infections Medication Safety Patient Identification and Procedure Matching Clinical Handover Blood and Blood Products Preventing ad Managing Pressure Injuries Recognizing and Responding to Clinical Deterioration in Acute Health Care Preventing Falls and Harm from Falls

Service Planning

The 2012/2013 year has been a busy one for the Board again and it is pleasing for me to report the

completion of Alpine Health’s sixth Service Plan

(2013-2018).

••

••••
The new Service Plan sets out Alpine Health’s

strategic directions and priorities for the next 5 years and it is based on the principle of keeping local services local. The rationale for this

philosophy is that people’s health is best served by

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 Improvement and Community Services Accreditation Inc (now the Victorian branch of Quality Innovation Performance) under the new national health care standards prescribed by the Australian Commission on Safety and Quality in Health Care.
The Plan builds on the history of the services that combined to form Alpine Health, our traditions of quality, flexible service provision and the successes of all of our previous service plans. Alpine Health

aims to ‘keep the local in local’.

At the core of what we do is to offer health services to people where they live and where they need them. As far as possible, this means locally. It also means an on-going commitment to improving, growing and changing services, developing a workforce with the necessary skills and knowledge, and investing in the right facilities, equipment and technological infrastructure to meet changing health care needs.
Alpine Health volunteered for assessment against two additional Australian Health Service Safety and Quality Accreditation (AHSSQA) Supplementary Standards for use in the NSQHS Enhanced Accreditation. These are:

••

Governance, Finance and Risk Planning, Operations and Partnerships

I am pleased to report that the outcome of the accreditation is that Alpine Health met or exceeded all 299 of the standards that required assessment. In doing so, Alpine Health received four commendations and two standards were met with mentions of merit. The commendations were for:
The new plan was approved by the Department of Health and the Department of Health and Ageing in June 2013 and the Board looks forward to implementing it over the next five years.

Accreditation

The approach to the development, implementation, evaluation and monitoring of systems which is inclusive of all staff Aspirational leadership within the organisation Attitude to staff development, for example, the training offered, skill development aimed at expanding staff scope of practice and achieving status as an Accredited Registered Training Organisation
In October 2011, Alpine Health was chosen by the Australian Commission on Safety and Quality in Health Care to participate in the draft guides for health services to assist with the implementation of the National Safety and Quality Health Service Standards (NSQHS). At the end of the pilot period encompassing 3 months, Alpine Health was selected for the evaluation workshop on the basis of forming a representative sample of sites across Australia, both geographically (rural, regional and metropolitan) and by service type (hospital, day procedure service and dental service).

••

The innovative approach to problem solving to ensure improved care for the community 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

  • future.
  • Alpine Health was one of the first Victorian Health

Services to submit for accreditation against all of the national standards and the result is testament to the extraordinary efforts that our staff members, visiting medical officers and allied health professionals, volunteers and community members.

Workforce Development

Alpine Health continued its strong focus on workforce development during the year.

Our application for recognition as a Registered Training Organisation was completed and assessed in late in 2012 and I am pleased to report that it was successful. This initiative has been called the Alpine Institute and the Institute was launched on 24 April 2013.

Service Development

The Board is very pleased to report that Alpine Health was successful in its application to Health Workforce Australia this year for a grant to run a 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 2013 with 14 Alpine Health staff members taking up the opportunity. This has created the real opportunity for Alpine Health staff members to study locally and we look forward to all Alpine Health staff members having post-secondary qualifications in the future. Planning for additional Level 2 and Level 4 certificate courses are being planned and we are hopeful of the opportunity of making these courses open to the community in 2014 following the successful audit of the current course in November 2013.
This success has enabled Alpine Health to develop a strong partnership with Mount Beauty Medical Centre and Swinburne University to introduce a new approach to working together for older

people’s health and wellbeing in the Mt Beauty community. This has been called the ‘Community Ward’.

This model helps to further develop the competency and efficiency of our workforce and the existing partnerships between people and services in the Mount Beauty locality so that we are better prepared to meet the needs of older people with complex needs in the community.
In addition, the Board is pleased to report the

extension of Alpine Health’s nurse training service

in 2013. This service will provide 105 overseas trained nurses and those returning to practice with updated training for professional registration and work in 2013. The expansion follows the successful negotiation of a Memorandum of Understanding with the Lonsdale Institute in Melbourne and the engagement of a number of Victorian rural health services to provide work based practical
The service model is based on feedback from our community consultation processes and we have been able to understand that older people with complex care needs want to remain independent in their own homes for as long as possible. We also know that proactive, well-coordinated care, delivered as close to home as possible, is a key to promoting personal independence, as well as being a more efficient and effective way providing services and working closely with community members. placements. Following the first staff exchange with Tayside NHS Trust (Scotland) in 2011, we welcomed Mr David McLaren from Perth, Scotland to Alpine Health this

year. David’s work with the Health Workforce

project and on developing a new service measurement framework based on what matters to our patients and clients will stand us in good stead for the future. We look forward to the return of Mr Trevor Marshall from Tayside in September 2013 and to strengthening this relationship with Tayside into the future.
The service model builds on these principles and it enables us to work with people in their environments by focusing closely on what matters to them in terms of their own health and wellbeing.

The project supporting the development of this model is scheduled for completion in January 2014, with a formal project report available later in the year. Alpine Health has engaged Swinburne University to provide an additional level of a more locally focused evaluation over the project life in order to support the transfer of the benefits of the

Future Challenges

Alpine Health faces many challenges over the next few years. The most significant of these are economic and we will see substantial changes to

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  • hospital funding with the advent of the
  • rural communities. We are very pleased to see the

Chief Executive Officer accept an invitation to join the Stakeholder Advisory Committee for the Independent Hospitals Pricing Authority and its Small Rural Hospitals Working Party and his appointment as a National Councillor for the Australian Healthcare and Hospitals Association this year, and see these as providing clear opportunities for contributing to the broader health policy agenda.
Independent Hospitals Pricing Authority and continuous reductions in Commonwealth contributions to hospital funding over the next three financial years. We also face similar challenges in aged care funding arising from the implementation of the Commonwealth

government’s “Living Longer Living Better”

strategy. In order to deal with these challenges and ensure that Alpine Health can manage increased costs and potential declines in revenue, we will be looking carefully at all areas of expenditure including salaries.

Acknowledgements and Thanks

Alpine Health thanks each of our local Members of Parliament for their interest in our affairs and for the support they provide. We have also greatly appreciated the consistent support from the officers of the Victorian Departments of Health and Human Services and of the Department of Health and Ageing.
We look forward to working closely with the Hume Medicare Local in 2013 now that it has responsibility for allocating funding from the Regional Primary Health Service funding pool. These funds are used to provide health promotion services to our younger and older community members and we will be working to secure these services for our community in the long term.
We are particularly grateful to all of our volunteers who assist us with so many aspects of the health services that we provide to our communities. The success of the many support groups, Op Shops, fundraising groups, Community and Health Advisory Groups and volunteers has been a highlight of the last year and we thank every person who has been involved.
A review of the master capital plan for Bright Hospital and Health Services was completed this year and a formal application has been made for funding the next stages of planning for this project. We are very grateful for the work of the Bright Hospital Redevelopment Committee, the Bright Community Health and Advisory Group and Mr Bill Sykes MP, Member for Benalla for helping get the project to this stage and we look forward to success in our last application.
Our appreciation is particularly extended to all carers and volunteers who gave freely of their time and energy during the year to support those in need. The efforts of all groups of volunteers who directly helped to improve services are sincerely appreciated and the Board extends its sincere thanks for these outstanding contributions. We look forward to supporting the development of new volunteer support services for breastfeeding mothers and those living with arthritis this year.
The relationship that the Board has established with the Alpine Shire continues to grow with the Alpine@Home service and we look forward to working with the Shire in 2013 on further integrated services such as child and maternal health and immunisation services.
The Board thanks the Bright and Myrtleford Hospital Opportunity Shops and their volunteers for their tireless dedication and support of their hospitals during the year. Their fundraising continues to provide improvements to our hospitals that may not otherwise be possible, all of which add significantly to the well-being of our patients and residents.
The establishment of strong partnerships with other health service agencies has become an

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  • Your Guide on Where to Access Fresh, Healthy Produce

    Your Guide on Where to Access Fresh, Healthy Produce

    Alpine Shire Your guide on where to access fresh, healthy produce MYRTLEFORD • BRIGHT • MOUNT BEAUTY To discover more fresh food producers in North East Victoria, visit the Mountains to Murray Local Produce Guide website: localproduceguide.com.au 2 Alpine Health Alpine Shire Fresh Food Guide Each time we purchase food locally, we interact as a community - strengthening our social connections, improving our health and supporting a sustainable local food system. Food consumption and food access practices are embedded in everyday life and social relationships. This Food Access Guide is developed in partnership with Beechworth Health Service as part of the 2020 Local Food for Local People project. It aims to support a vibrant regional food system, where local people have access to fresh and healthy local food, profits stay in our local communities and community connections are nurtured. Food consumption and food access practices are embedded in everyday life and social relationships. Alpine communities offer many different stores selling fresh groceries, and the wider area abounds with local farms and producers of fruit, vegetables, meat, eggs, cheese, nuts, honey, olives and olive oil. This guide also shares information about where to find local food relief as Covid-19 has both made it difficult for many people in our communities to make ends meet and disrupted social relationships. Food relief options include basic supplies, fresh produce, healthy ready-made meals & vouchers. We have aimed to include food retail outlets, markets, producers, community gardens & food shares as well as emergency food relief offerings in this guide. If we have missed you or a food or community offering that should be included, please let us know so we can update this booklet! Alpine Health 0439 380 490 [email protected] www.alpinehealth.org.au Fresh Food Guide: Alpine Shire 3 Retail Stores The following local retail stores sell fresh produce such as fruit, vegetables, meat, eggs, cheese, nuts and honey.
  • Cycle Guide Bright O3 5755 O1OO Mount Beauty O3 5754 35OO Myrtleford O3 5751 93OO

    BRIGHT • DINNER PLAIN • HARRIETVILLE MOUNT BEAUTY • MYRTLEFORD EMERGENCY Police, Ambulance, Fire OOO For information on Bright & Surrounds SES 132 5OO Go to visitbrightandsurrounds.com.au Or freecall 1800 111 885 to talk to a HEATH SERVICES Visitor Information Centre Officer Medical Centres Bright O3 575O 1OOO Mount Beauty O3 5754 34OO Myrtleford 03 5751 99OO Hospitals Cycle Guide Bright O3 5755 O1OO Mount Beauty O3 5754 35OO Myrtleford O3 5751 93OO INFORMATION VicRoads - Road Closures 131 17O VicEmergency Hotline 1800 226 226 Parks Victoria 131 963 VISITOR INFORMATION CENTRES Alpine (Bright) - Visitor Information Centre A 119 Gavan Street, Bright. T 18OO 111 885 W visitbrightandsurrounds.com.au Myrtleford - Visitor Information Centre A Post Office Complex, Great Alpine Road, Myrtleford. T O3 5755 O514 W visitbrightandsurrounds.com.au Mount Beauty - Visitor Information Centre A 31 Bogong High Plains Road, Mount Beauty. T 18OO 111 885 W visitbrightandsurrounds.com.au DAYS OF CODE RED FIRE DANGER Please note on days of forecast Code Red Fire Danger Rating, the Department of Environment, Land, Water and Planning (DELWP) and Parks Victoria will close parks and forests (including state forests and National Parks) in the relevant weather district for public safety. For bushfire information please call the VicEmergency A life lived outside Hotline on 1800 226 226. visitbrightandsurrounds.com.au GradinG SyStemS 2 _ mountain BikinG 4 mountain Biking 8 Bright mountain Biking 12 Mount Beauty Welcome mountain Biking 16 Dinner Plain a LIFe LIVED OUTSIDE mountain Biking 20 Falls Creek Welcome to Bright & Surrounds, the _ state’s premier cycling destination road rideS 22 for riders of all genres.
  • Program Bookings Preferred: (03) 5751 1296

    Frittole by Mannie by Frittole Sunday to provide assistance to our visitors. our to assistance provide to Sunday Tastes of Trentino of Tastes six Ambassadors who will be available Saturday & & Saturday available be will who Ambassadors six Ambassador Scheme. So keep an eye out for our our for out eye an keep So Scheme. Ambassador Living Chess Match Chess Living La Fiera is pleased to introduce The Young Young The introduce to pleased is Fiera La Rolling Bicycle Tour Bicycle Rolling Bocce Competition Bocce La Fiera Cup Soccer Challenge Soccer Cup Fiera La South' Italian Movie night - 'Welcome to the the to 'Welcome - night Movie Italian Laughter the Italian Way Italian the Laughter Open House at the Old School Museum School Old the at House Open Chestnuts Australia Masterclass Australia Chestnuts Patrizia Simone Masterclass Simone Patrizia Pizza Dough Throwing Dough Pizza fired pizza to complete your Italian Experience. Italian your complete to pizza fired Campari or Limoncello Spritz. Enjoy an authentic wood wood authentic an Enjoy Spritz. Limoncello or Campari NONNI IN CUCINA - CASALINGA (HOME BOCCE COMPETITION Forage Mushroom Wild Friday 20th May COOKED) Aperol, $8 - Spritz a with unwind and Come Road. Alpine 8.45am-4pm Myrtleford Savoy BoccePadua Club,di Anthony St for Mass 5pm-6pm 5pm-6pm 2.30pm-4pm Great Piazza, St.the Paul’sto Churchadjacent Hall,Pizzeria, Clyde St.Bastoni 252 Myrtle St. – Bendigo Bank Children Activity Hub Activity Children Bank Bendigo – BASTONI PIZZERIA - - PIZZERIA BASTONI ZO’CLOCK TZ PRI MAURICE MILANI - FAMILY GALA EVENING Presented by Patrizia SimoneS from Simone’s of Everyone is most welcome to play! Sign up at 6.30pm Club Savoy, 252 Great Alpine Rd.