SJH Annual Report 2015
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ST. JAMES’S HOSPITAL ANNUAL REPORT 2015 St. James’s Hospital’s Vision, Purpose and Values Vision To be a leading healthcare organisation, nationally and internationally, improving health outcomes through collaboration and innovation. Purpose To provide the best care to every patient through our personal and shared commitment to excellence in clinical practice, education, research and innovation, while fostering our partnership with Trinity College Dublin. Values Patients matter most to us We provide care that is safe, effective and accessible so that our patients achieve the best possible outcomes and experiences of care. Respecting people Being kind and honest, promoting diversity, collaboration, personal and professional development. Innovating and sharing knowledge We learn, teach, research and innovate to improve health and well-being. Using resources wisely Delivering value, working efficiently and protecting the environment. Patients | Respect | Knowledge | Resources 4 CONTENTS INTRODUCTION 9 Corporate Structure Governance and Executive Hospital Board Executive Management Group Consultant Medical Staff 15 Legal and Banking EXECUTIVE REPORT 19 Introduction from the Chairman 21 Report from the Chief Executive 22 Performance Highlights CORPORATE DIRECTORATE REPORTS 27 Finance Department Payroll, Management/Financial Accounting Procurement, Accounts Payable/Receivable 33 Human Resources HR Business Partners, Medical Workforce Unit, Employee Relations, Superannuation, Centre for Learning & Development, Workforce Information, Occupational Health 39 Nursing Services Nursing Administration, Breast Care Practice, End-of-Life-Care, Nursing Practice Development Unit 43 Internal Audit 45 Informatics Directorate Information Management Systems, Medical Chart Coding (HIPE), Clinical Photography, Medical Physics & Bioengineering (MPBe) 49 Facilities Management Catering, Housekeeping, Laundry, Security, Portering, Tele-communications, Environmental, Chaplaincy, Fire Safety Services, Organisational Health and Safety, Medical Records Management, Technical Services 5 6 CLINICAL DIRECTORATE REPORTS CLINICAL SUPPORT SERVICES 65 HOPe Directorate 113 SCOPe Haematology, Bone Marrow, Transplantation Speech and Language Therapy, Medical Social Work, Programme, Cancer, Clinical Trials Consortium, National Clinical Nutrition, Occupational Therapy, Physiotherapy, Centre for Hereditary Coagulation, Disorders, Palliative Pharmacy Department, Clinical Pharmacy Service, Care, Liaison Psychiatry Dispensary and Distribution Services, Aseptic/ Compounding Services, National Medicines Information 71 MedEl Directorate Centre (NMIC), Centre for Advances The Mercer’s Institute for Ageing Unit, Stroke Service, 119 Pharmacy Bone Health and Osteoporosis, Unit, Falls and Blackout Unit, Local Asset Mapping Project, The Irish Longitudinal Pharmacy Department, Clinical Pharmacy Service, Study, on Ageing, Dementia Services Information and Dispensery and Distribution Service, Occupational Development Centre Therapy, Phsiotherapy 77 Medicine and Emergency Directorate – 123 National Medicines Information Centre (MED) (NMIC) Acute Floor (Accident & Emergency), Nurse Education, 125 Regional Oncology Programme Office Clinical Placement, Advanced Nurse Practitioner Clinical Activity, Education Activity, Professional Development 131 Education and Research Activity and Representation, Emergency Department Activity, Cardiology, Dermatology, Endocrinology/ William Stokes Postgraduate Centre Diabetic Day Centre (DDC), Genito-Urinary Medicine Regional Oncology Programme Office and Infectious Diseases (GUIDe) Clinic, Heptology Centre, Respiratory Medicine, Rheumatology, Neurology, 133 Clinical Research Facility Neurophysiology, Ophthalmology, Gastroenterology and Endoscopy Unit, Clinical Immunology, Nephrology and Dialysis. 137 Research & Development Hub 87 Surgery, Anaesthesia and Critical Care 143 General Support Services Directorate SACC Bone Marrow for Leukaemia Trust (BMLT) St. James’s Hospital Foundation Ear Nose and Throat Unit, Gynaecology, Ophthalmology, Breast Care Services, Acute Medical Colorectal Service, Renal Services, National Adult Burns Unit, National Maxillofacial Surgery Unit, Plastic and Reconstructive Surgery, Orthopaedic Surgery, Orthodontic and Cleft Unit, Department of Vascular and Endovascular, Surgery Psychiatry, Theatre, Day Surgery, Intensive Care PROGRAMME DIVISION REPORTS Unit, High Dependency Unit, Hospital Sterile Services, Anaesthetic Services, Pain Medicine 155 Quality and Safety Improvement 93 LabMed Directorate Directorate (QSID) Haematology, Biochemistry, Immunology, Transfusion Medicine, Histopathology, Cytopathology, Microbiology, Phlebotomy, Coagulation Laboratory and National Centre for Hereditary Coagulation Diseases, Cryobiology Laboratory, the Irish Mycobacteria Reference Laboratory, National MRSA Reference Laboratory PUBLICATIONS 107 DiagIm Directorate 161 Publications Diagnostic Imaging (X-ray), PaRIS/EPR, Radiology 7 CORPORATE STRUCTURE ST. JAMES’S HOSPITAL ORGANISATION STRUCTURE 2015 Hospital Board Medical Board CEO CORPORATE PROGRAMMES Clinical Finance COO/DCEO Directorates HR Medical Quality Safety Director Improvement Capital Informatics Nursing Developments Facilities Management 9 CORPORATE Board Members 2015 STRUCTURE Mr. P Donnelly (Chairman) Prof. C. Normand (Acting Chairman, until June 2015) Mr. B Murray Prof. V. Timonen Dr. E. O’Higgins Dr. K. Harkin Mr. M. Keane Mr. M. Gleeson Dr. A.M. O’Dwyer Mr. M. Collins Dr. P. Smyth Mr. P. Dingle Cllr.R. Moynihan EMG Membership – 2015 Mr. Brian Fitzgerald CEO – January Prof. Patrick Plunkett – Interim CEO – February to June, Mr. Lorcan Birthistle, CEO July Ms. Ann Dalton, Deputy CEO/COO Mr. Paul Gallagher, Director of Nursing Mr. Simon Moores, Director of Finance Mr. Vincent Callan, Director of Facilities Mr. Niall McElwee, Director of Capital Project Prof. Neil O’Hare, Director of Informatics Mr. Ken Hardy, Director of HR Dr. Una Geary, Director of Quality, Safety & Improvement Dr. Finbarr O’Connell, Clinical Director, MED Dr. Jeanne Moriarty, Clinical Director, SACC Dr. Conal Cunningham, Clinical Director, MedEl Dr. Niall Sheehy, Clinical Director, DiagIm Dr. Brian O’Connell, Clinical Director, LabMed Dr. Eibhlin Conneally, Clinical Director HOPE 11 Consultant Medical Staff Dr Mark Abrahams Anaesthetics/Intensive Care Medicine Dr Finbar MacCarthy Gastroenterology & General Medicine Dr Michael Carey Anaesthetics/Intensive Care Medicine Prof Nasir Mahmud Gastroenterology & General Medicine Dr Daniel Collins Anaesthetics/Intensive Care Medicine Dr Susan McKiernan Gastroenterology & General Medicine Dr Elizabeth Connolly Anaesthetics/Intensive Care Medicine Prof Suzanne Norris Gastroenterology & General Medicine Dr Noreen Dowd Anaesthetics/Intensive Care Medicine Prof Dermot O’Toole Gastroenterology & General Medicine Dr Carl Fagan Anaesthetics/Intensive Care Medicine Dr Dhafir Alazawi General Surgery Dr Niall Fanning Anaesthetics/Intensive Care Medicine Dr Terence Boyle General Surgery Dr Joseph Fitzgerald Anaesthetics/Intensive Care Medicine Dr Elizabeth Connolly General Surgery Dr Mark Halligan Anaesthetics/Intensive Care Medicine Dr John Larkin General Surgery Dr Niall Hughes Anaesthetics/Intensive Care Medicine Dr Paul McCormick General Surgery Dr Christoph Kemps Anaesthetics/Intensive Care Medicine Dr Brian Mehigan General Surgery Dr Fionnuala Lyons Anaesthetics/Intensive Care Medicine Dr Narayanasamy Ravi General Surgery Dr Ignacio Martin-Loeches Anaesthetics/Intensive Care Medicine Prof John Reynolds General Surgery Dr Deirdre McCoy Anaesthetics/Intensive Care Medicine Dr Nadim Akasheh General/Acute Medicine Dr Connail McCrory Anaesthetics/Intensive Care Medicine Dr Declan Byrne General/Acute Medicine Dr Jeanne Moriarty Anaesthetics/Intensive Care Medicine Dr Rachael Kidney General/Acute Medicine Dr Nikolay Nikolov Anaesthetics/Intensive Care Medicine Dr Jennifer Kieran General/Acute Medicine Dr Enda O’Connor Anaesthetics/Intensive Care Medicine Dr Deirdre O’Riordan General/Acute Medicine Dr Catherine O’Malley Anaesthetics/Intensive Care Medicine Dr Fiona Lyons Genito-Urinary Medicine Dr Ellen O’Sullivan Anaesthetics/Intensive Care Medicine Prof Fiona Mulcahy Genito-Urinary Medicine Dr Jenny Porter Anaesthetics/Intensive Care Medicine Dr Mary B Anglim Gynaecology Dr Thomas Ryan Anaesthetics/Intensive Care Medicine Dr Thomas D’Arcy Gynaecology Dr Patrick Scanlon Anaesthetics/Intensive Care Medicine Dr Noreen Gleeson Gynaecology Dr Thomas Schnittger Anaesthetics/Intensive Care Medicine Dr Waseem Kamran Gynaecology Dr Peter Vaughan Anaesthetics/Intensive Care Medicine Dr Hugh O’Connor Gynaecology Dr Carmel Wall Anaesthetics/Intensive Care Medicine Dr Larry Bacon Haematology Dr Peter Crean Cardiology Prof Paul Browne Haematology Dr Caroline Daly Cardiology Dr Eibhlin Conneally Haematology Dr Jerome-Brendan Foley Cardiology Dr Catherine Flynn Haematology Dr Andrew Maree Cardiology Dr Patrick Hayden Haematology Dr Ross Murphy Cardiology Dr Niamh O’Connell Haematology Dr Sarah Early Cardiothoracic Surgery Dr James O’Donnell Haematology Dr Ronan Ryan Cardiothoracic Surgery Dr Kevin Ryan Haematology Dr Michael Tolan Cardiothoracic Surgery Dr Emma Tuohy Haematology Dr Vincent Young Cardiothoracic Surgery Dr Elizabeth Vandenberge Haematology Dr Vivion Crowley Chemical Pathology Dr Barry White Haematology Prof Louise Barnes Dermatology Dr Colette Adida Histopathology Dr Rupert Barry Dermatology Dr Barbara Dunne Histopathology Dr Patrick Ormond Dermatology Dr Stephen Finn Histopathology