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Annual Report Annual Report 2007-2008 KEYKEY Hospital with Hospital with Emergency Department Emergency Department Lake Haven Hospital Hospital Toukley Health Care Centre Health Care Centre Wyong Community Health Community Health Mangrove Nursing Home Nursing Home Mountain Wiseman’s Long Jetty Ferry Gosford Erina Kincumber Woy Woy Brooklyn Galston Northern Berowra Sydney Central Hornsby Mona Vale Ku-ring-gai Wahroonga Coast Neringah Turramarra Pennant Hills French’s Forest Health Eastwood Brookvale Macquarie Chatswood Queenscliff Royal North Ryde Shore Hospital Manly Seaforth Mosman Sydney Harbour Greenwich Royal Graythwaite Rehabilitation Nursing Home Centre Sydney Northern Sydney Central Coast Health Executive Office Holden Street, Gosford Locked Bag 2915 Central Coast Business Centre NSW 2252 Tel: +61 2 4320 2333 Fax: +61 2 4320 2477 Office hours: 8.30am – 5.00pm, Monday to Friday www.nscchealth.nsw.gov.au introduction Letter to the Minister Northern Sydney Central Coast Health • 2007/2008 Annual Report I introduction continued About Northern Sydney Health care to residents of these communities is provided by: • Central Coast Health Service (CCH) including Central Coast Health Gosford Hospital, Wyong Hospital, Woy Woy Hospital and Long Jetty Healthcare Centre The Charter • Hornsby Ku-ring-gai Health Service (HKHS) including The Charter of Northern Sydney Central Coast Health Hornsby Ku-ring-gai Hospital (NSCCH) is to improve the health of the community by • Northern Beaches Health Service (NBHS) including providing and facilitating efficient and responsive health Manly Hospital and Mona Vale Hospital services. These services focus on the needs and the desired • North Shore Ryde Health Service (NSRHS) including health outcomes of the population while taking account of Royal North Shore Hospital and Ryde Hospital available resources. The needs of the population are best met • Macquarie Hospital through an appropriate balance between health promotion, public health, community health services, acute hospital • Northern Sydney Home Nursing Service services, long term care, research and education. • Northern Sydney Central Coast Mental Health Service (incorporating Macquarie Hospital) Overview • Northern Sydney Central Coast Dental Services. NSCCH funds, organises and delivers public health Affiliated organisations are Royal Rehabilitation Centre, services from Sydney Harbour to the northern reaches Sydney and Hope HealthCare North (Neringah and of the Central Coast of New South Wales. Greenwich Hospitals, Graythwaite Nursing Home and Tom O’Neill Day Centre). “Healthy People – Now and in the Future” is our vision. We work to improve the health and well-being of our patients and communities through health care partnerships, education and research. The values that direct our work are: • Integrity • Teamwork • Best practice • Accountability • Social justice Our region is an interesting mix of dense urban areas and regional, rural and semi-rural areas including the Central Coast and much of the Hawkesbury River; Sydney’s Northern Beaches, Hornsby Ku-ring-gai, Ryde and Sydney’s North Shore. NSCCH provides health services north from Sydney Harbour across the Hawkesbury River to the southern shore of Lake Macquarie and west to Wiseman’s Ferry. NSCCH is defined geographically by 13 local government areas; Gosford, Hornsby, Hunters Hill, Ku-ring-gai, Lane Cove, Manly, Mosman, North Sydney, Pittwater, Ryde, Warringah, Willoughby and Wyong. II Northern Sydney Central Coast Health • 2007/2008 Annual Report introduction continued Highlights and Achievements Achievements Highlights • A Clinical Services Strategic Plan was delivered, led by • The $99M Kolling Research and Education Building was a clinical strategy group comprising 21 senior NSCCH completed, part of the overall $736M Royal North Shore clinicians and providing a direction for acute and Hospital and Community Health Services redevelopment – ambulatory care services towards the next 10 years. the largest health capital works project in NSW. • Phase 1 of the electronic medical record system (eMR) • Royal North Shore Hospital opened the state’s first rolled out across the Area. MAU (Medical Assessment Unit). • A Professional Practice Unit was established for the • The CADE clinic within the Department of Psychological Area Health Service, allowing transparent and objective Research at Royal North Shore Hospital acquired Australia’s investigation of more complex complaints and grievances first clinical research MRI scanner, to be used in the by staff and patients. investigation of depression, brain injury, chronic fatigue • A Nursing Taskforce was established to ensure an and pain management. operational voice for nurses in executive decision- • Hornsby Hospital’s MHICU (Mental Health Intensive making, resulting in Directors of Nursing resuming Care Unit) was completed. broader operational responsibilities. • A $3.8M redevelopment of Mona Vale Hospital’s • A plan for the early detection of renal disease was Emergency Department was completed. implemented, including a referral pathway into the NSCCH Renal Network, support services and Health • A short stay area was opened at Wyong Hospital’s for Life Programs. Paediatric Ambulatory Care Unit (PACU), reducing admission rates to Children’s Ward at Gosford Hospital. • NSCCH Falls Prevention and Management Policy was implemented across all public hospitals in the Area. • Gosford Hospital’s Medical Assessment Unit was commissioned. • NSCCH was the first Area Health Service to complete the move to State standard pay cycle and State standard • Four-bed Psychiatric Emergency Care Centre (PECC) pay day. opened within Wyong Hospital’s Emergency Department. • The Area’s payroll production and superannuation were • Macquarie Hospital progressed a master planning exercise successfully transitioned to Health Support Services. with a view to moving Macquarie to a state-of-the-art mental health facility. • A wireless network was implemented in Royal North Shore Hospital’s ICU, allowing the deployment of computers on • The purpose-built Transitional Aged Care Facility was wheels at patients’ bedsides. commissioned at Woy Woy. • Mona Vale Hospital appointed metropolitan Sydney’s first • In conjunction with Area Mental Health Services, hospitalist in aged care to provide continuity of care and a major refurbishment of Long Jetty’s Terilbah T-BASIS streamline the admission process for elderly patients. Unit (Transitional Behavioural Assessment and Intervention Service) was completed. • NSCCH went totally smoke free. • A major refurbishment of Ryde Hospital’s Maternity Unit • The Q4: Live Outside the Box project challenging was completed. children to reduce “extra food” and screen time and increase physical activity, undertaken first on the Central • Royal North Shore Hospital’s Transit Lounge was Coast, was adopted by NSW Health’s statewide Live Life completed, designed to assist the flow of patients Well @ School project. through the hospital. • The Stroke Care Pathway was established at Gosford Hospital, enabling stroke patients to receive rapid treatment on arrival at hospital. Northern Sydney Central Coast Health • 2007/2008 Annual Report III introduction continued Chief Executive's Year in Review The most significant achievement of the 2007/08 financial Highlights of the year included completion of the year occurred in April 2008, with the delivery of Northern $99 million Kolling Research and Education Building, Sydney Central Coast Health's Clinical Services Strategic Plan, part one of the $950 million Royal North Shore Hospital which also heralded the means of peak clinician engagement and Community Health Service redevelopment ... the largest through the Clinical Network structure. health capital works project in NSW. The aim of the Plan was to shape the future of acute The year also saw the state's first Medical Assessment Unit clinical services in Northern Sydney and the Central Coast commissioned at Royal North Shore Hospital, followed by for the next 10 years. It will enable us to deliver better quality further MAUs at Gosford and Wyong hospitals. care for patients closer to where they live; to use existing Hornsby Hospital's Mental Health Intensive Care Unit resources more efficiently; and to direct future funding (MHICU) was completed, as was a $3.8 million redevelopment and resources where they are most needed. of Mona Vale Hospital's Emergency Department. Hornsby also We took the Plan "on the road", conducting information introduced a Dual X-ray Absorptiometry service- considered sessions at each of our facilities in the weeks following its one of the most accurate measurements of bone mineral density release and we're now implementing the recommendations. -to its Rehabilitation and Aged Care Service. The DEXA, as its I'm confident that the implementation phase will be known, can accurately diagnose and help prevent osteoporosis successfully led by our Clinical Network Directors. in one, quick, simple low radiation procedure. Other achievements during the 12 months included A short stay area which opened within Wyong Hospital's establishment of Gosford Hospital's Stroke Care Pathway Paediatric Ambulatory Care Unit saw a reduction in admission which enables stroke patients to receive rapid treatment rates to Gosford Hospital's Children's Ward and a four-bed on arrival at the hospital. Psychiatric Emergency Care Unit (PECC) opened within Wyong Hospital's Emergency Department. The 24n service - a partne-rship between Gosford Hospital and the NSW Ambulance
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