6CCJ6A G:EDGI '%%-$'%%. Caring – Support, compassion and People – Respect and support. tolerance. In doing so we will: To do this we will: s STRIVE TO PROVIDE AN ENVIRONMENT THAT AS- s BE WELCOMING CARING SUPPORTIVE SHARE sists our staff to: KNOWLEDGE FREELY AND SUPPORT LEARNING IN > achieve their personal goals and objec- every setting; tives; s RELATE TO OUR COMMUNITY WITH TOLERANCE > live ethically within their personal value and compassion; system; and s ASSIST OUR COMMUNITY MEMBERS TO UNDER- > enthusiastically support CGHS to achieve stand their rights and responsibilities and our strategic and service delivery goals Our Vision: have access to genuine complaints resolu- and objectives. A safe and healthy community where eve- tion processes; s DEVELOP A WORKPLACE WHERE PEOPLE ARE enabled to: ryone feels they are valued, supported and s SUPPORT OUR COMMUNITY TO IDENTIFY THE have the opportunity to participate. Social NEED FOR AND MAKE DECISIONS RELATING TO > BE EFlCIENT AND EFFECTIVE issues have been addressed through the the development, delivery and evaluation > put forward ideas and participate in joint efforts of community and supporting of services; DECISION MAKING agencies. s WORK WITHIN AN INTERSECTORAL AND COLLABO- > be creative and innovative; and RATIVE FRAMEWORK TO MAXIMISE BENElTS FOR > develop their learning and career in a Our Mission: our community; manner consistent with their strengths and interests. Our mission is to provide health and commu- s APPRECIATE THE POSITIVE IMPACT ON ORGANISA- nity services that will best meet the current tional and community capacity that comes s &OSTER VERY HIGH LEVELS OF STAFF CAPABILITY and future needs of our community. from diversity. and satisfaction. Our Values: In achieving our goals and objectives we will develop an organisational culture that supports: Social Justice - equity of outcome. To do this we will: s FOCUS ON ACHIEVING EQUALITY OF OUTCOME FOR individuals and groups; DargoDargo s UNDERSTAND THE IMPACT OF POVERTY AND DIS- advantage on behavior and health status; Licola s SUPPORT AFlRMATIVE ACTION FOR THE DISAD- vantaged and marginalised amongst us; s ENSURE OUR FEES POLICY TAKES INTO ACCOUNT A client’s ability to pay; s SUPPORT HARM MINIMISATION AND TARGETED community support programs; and s BE COMPASSIONATE TOLERANT AND EMBRACE BriagBriagolongolong diversity. To Sydney Honesty, transparency and integrity. HeyfieldHeyfield StratfordStratford To do this we will: Maffra s SET AND MODEL STANDARDS OF BEHAVIOUR Loch SportSport consistent with the Victorian public sector code of conduct; s EMBRACE OPEN DISCLOSURE AND PROVIDE Rosedale Sale meaningful and clear information to our To Melbourne LongfLongfordord Golden Beach STAKEHOLDERS AND Gormandale s SUPPORT ETHICAL LEADERSHIP DEVELOPMENT AT all levels of the organisation. SeaspraySeaspray Quality – Excellence with the client at the centre. To do this we will: s EMBED A QUALITY CULTURE OF CONTINUOUS improvement across the organisation such YarramYarram that our clients’ experience with CGHS is PortPort AlberAlbertt characterised by the following: To Melbourne > seamless: coordinated, integrated and timely provision of person centred care; Melbourne > CAPABLE INDIVIDUALS AND TEAMS WORKING within structures and processes that sup- PORT QUALITY OUTCOMES AND CONTINUOUS improvement; > FACILITIES AND EQUIPMENT THAT ENABLE THE PROVISION OF EFlCIENT EFFECTIVE AND sustainable service delivery; and > A WORKFORCE THAT PLACES A VERY HIGH value on excellent customer service and client/patient advocacy. Contents Our History 2
Board Chair’s Report 3
Chief Executive Officer’s Report 4
Board of Management 5
Executive Staff 6
Overview of Services 8
Our Structure 10
Service Performance at a Glance 11
Annual Report on Activities
Acute Services 12
Community Services 13
Corporate Services 15
Quality of Care Report 17
Auxiliaries, Volunteers and Fundraisers 20
Senior Personnel 23
Visiting Medical Officers 24
Statutory Information 26
Report of Operations 28
Disclosure Index 31
Financial Statements
Our front cover demonstrates that wellness involves all stages of life and all types of activities. Wellness is not just about treating illness and injury but also promoting health and wellbeing.
8ZcigVa<^eehaVcY=ZVai]HZgk^XZ6CCJ6AG:EDGI'%%-$'%%. ' Central Gippsland Health Service is responsible Our History for the majority of acute and residential aged care The Gippsland Base Hospital, forerunner to the as well as a wide range of community services current Central Gippsland Health Service, was throughout Wellington Shire, excluding Yarram established more than 140 years ago. and district. In the intervening years, various other service Central Gippsland Health Service has 74 acute entities were established in the surrounding beds, three labour beds, six neonatal cots and districts of what is now the Wellington Shire. 173 high and low care residential aged care beds. The Health Service provides management and These included home and community services, corporate services to two not-for-profit private community health centres and maternal and child facilities, Stretton Park Hostel Inc and Heyfield health centres established by municipalities based Hospital Inc. These facilities have acute and aged in and around Maffra, Sale and Rosedale in the care services as well as 19 independent living 1970s. units. Through a series of amalgamations, the Gippsland More than 860 staff members occupying almost Base Hospital, Maffra and District Hospital, the 600 full time equivalent positions are employed JHF McDonald Nursing Home and Evelyn Wilson by Central Gippsland Health Service, which is also Nursing Home became the Central Gippsland supported by some 600 volunteers and has total Health Service in 1999. As well, the Heyfield revenues of more than $60 million. Hospital, Stretton Park and Laurina Lodge The organisation serves the immediate population Hostel have become associated by management in Central Gippsland, while acute specialist agreement with the Central Gippsland Health services reach a wider community in East Service. Gippsland and parts of South Gippsland.
The Gippsland Base Hospital as it was in the 1940s (above) and the modern facility that serves the region today, below.
( in quickly and has led the Health Service in the development of a new Strategic Plan that is to be released at the conclusion of the Annual General Meeting. The Board expresses its thanks to Frank and all staff and other stakeholders in our Health Service for the production of the Plan. It is noteworthy that for the first time an acknowledgement is contained in the Strategic Plan of developing a wellness culture as well as continuing to provide a high level of care. The adoption as a core value of social justice objectives is also worthy of note. Other The redevelopment of the Emergency Department and new Dialysis Unit, commenced during the previous year, were completed on time and on budget. The budget of $1.6 million for the redevelopment was funded by the Health Service from its own resources. A new Dental Clinic is now to be constructed in the vicinity of the Community Rehabilitation Centre. That Unit will be finished this year and will Report by Chair, give a home to the dentists we have recruited to reduce the waiting list for this vital service. The Board of Management construction of the Clinic is fully funded by Dental Victoria. Board Personnel Notwithstanding the capital development, the Three new Board Members commenced service on 2008/2009 financial year has seen a solid financial 1 July 2008, namely Graeme Horne, Angela Todd result as outlined in the Financial Statements and Helene Booth. Unfortunately, Graeme Horne contained in this Report. was unable to continue his commitment and resigned during the course of the year. Conclusion The remaining two new Board Members together On behalf of the Board of Management I would with the continuing members, Glenn Stagg, like to thank all staff for their contribution to the Catherine Greaves, John Lawrence and Kevin on-going operation of the Health Service at its Young fulfilled their responsibilities to a high various campuses. I also wish to acknowledge standard throughout the year. the assistance that we receive from across the community through its various auxiliaries, New Chief Executive Officer support groups and volunteers. Finally, I wish to acknowledge the contributions of the During the last year we also had the opportunity Commonwealth Government’s Department of to appoint a new Chief Executive Officer to Health and Ageing and the State Government’s replace Peter Craighead, whose resignation was Department of Human Services. Both Departments noted in last year’s Annual Report. continue to remain supportive of your Health Service. After an exhaustive process and consideration of a field of high quality candidates, Dr Frank Evans John Sullivan was appointed to the position. Frank has settled Board Chair
8ZcigVa<^eehaVcY=ZVai]HZgk^XZ6CCJ6AG:EDGI'%%-$'%%. ) achievements in recent years working to put Central Gippsland Health Service on a very firm footing. We were fortunate to appoint a new Director of Nursing, Bronwyn Beadle, who has settled in well and is helping us to achieve our goals. Our new strategic plan has been developed collaboratively by the Board and staff, with widespread stakeholder input. It is a milestone for the organisation as it describes our desire to promote wellness through a comprehensive population health planning approach. I am excited to be commencing a comprehensive needs assessment that will underpin our population health planning. This significant body of work will provide a detailed service delivery blueprint for all of our service providers. The needs assessment will build on sub regional population health planning undertaken in recent years and enable us to fulfil our responsibilities to our funders and, most importantly, our community. Chief Executive I would like to acknowledge our very capable Board of Management and all our staff who Officer’s Report have worked so very hard, and at times under very difficult circumstances, to get Central It is a privilege to be appointed to the position Gippsland Health Service back onto solid ground. of Chief Executive at a time when the Central I am looking forward to our journey together, Gippsland Health Service is well positioned to confident in our ability to make a difference. build on past successes and move forward with confidence to achieve our strategic objectives. My thanks go out to our Hospital and Health Centre Auxiliaries, our Consumer and Carer Three of the five person executive management Consultative Committee and our fantastic team left Central Gippsland Health Service during volunteers. Your very generous contributions the financial year to take up similar roles at our make such an important difference for people. larger neighbour, Latrobe Regional Hospital. I am confident their success in winning their Frank Evans “promotions” was in no small way due to their Chief Executive Officer
* Governance Central Gippsland Health Service is a Body Corporate listed in the Victorian Health Services Act 1988 and operates under the provisions of this Act. The Minister responsible for the administration of the Victorian Health Services Act during the reporting period was the Minister for Health, The Hon. Daniel Andrews, M.P. The registered office of Central Gippsland Health Service is 155 Guthridge Parade, Sale, 3850. Telephone (03) 5143 8660. Board of Management The Board members are:
John Sullivan Catherine Greaves Glenn Stagg John Lawrence (President) A local (Vice President) A local accountant, John is Executive lawyer, John is also A manager at Glenn is a former Director of Kilmany a past chairman of Wellington Shire Board President and Uniting Care, with the Board of the Council, Catherine is has also served as the a background in Gippsland Base also a Board Member Vice President. business management Hospital. He took of Kilmany Uniting and health policy. on the President’s Care. role again following the annual reporting meeting in December 2007.
Kevin Young Helene Booth Dr Angela Todd Kevin is a Chartered Helene brings a strong Angela joined the Accountant with finance background Board during this year. extensive Public as a partner in She is a Chiropractor Sector accounting Booth Cartledge with the Todd experience. He is a Accountants in Sale. Chiropractic Wellness former Wellington She joined the board Group. Shire Councillor and is this year. a member of several Audit Committees.
8ZcigVa<^eehaVcY=ZVai]HZgk^XZ6CCJ6AG:EDGI'%%-$'%%. + Executive staff, from left, are Director of Community Services Mandy Pusmucans, Chief Executive Officer Frank Evans, Director of Nursing Bronwyn Beadle and Director Corporate Services Michael Clamp. Bronwyn Beadle (From February 2009) RN, Grad Executive Staff Dip Nursing (Critical Care), Grad Dip Mental Chief Executive Officer Health, Grad Dip Business Management, Masters Public Health/Health Administration (will be Peter Craighead, SRN, SCM. B. Nursing, Grad Dip completed November 2009) Bus (Health) Until October 2008 Dr Frank Evans, DHSM, MHSM, BHSc (Nursing) Director Community Services Dip. Mgmt., R.N. Div 1., Cert. Midwife, Cert Mandy Pusmucans, RN Div 1, Grad Dip Bus, IV Training and Assessment, AFCHSE. From Mgmt, Grad Dip Rural Health November 2008 Director Corporate Services Director Medical Services Michael Clamp, B. Business, ACA Dr Brian Cole, MBBS, FRACGP, FRACMA (until November 2008) Solicitors Dr Alan Sandford (Acting, part time), MBBS; B Milstein and Associates Med Sc. (Hons); Dip RACOG; MHA; FRACMA Bill Kee and Associates Director of Nursing Lucy Hunter Amanda Cameron, RN, PN. B. Health Sci (Nursing) Grad Dip Nursing (Critical Care) Until January 2009 Banker National Australia Bank Limited
, Workforce data Labour Category Female % Male % TOTAL FTE Administration & Clerical 84 10.71% 10 1.28% 94 73.33 Ancilliary Support Services 38 4.85% 9 1.15% 47 34.11 Hospital Medical Officers 10 1.28% 10 1.28% 20 16.53 Hotel & Allied Services 164 20.92% 47 5.99% 211 126.67 Medical Officers 2 0.26% 12 1.53% 14 13.83 Medical Support Services 46 5.87% 15 1.91% 61 51.36 Nursing Services 319 40.69% 18 2.17% 337 214.34 Total 663 84.57% 121 15.43% 784 530.29 Labour Category Female % Male % TOTAL FTE Central Gippsland Health Service 663 76.38% 121 13.94% 784 530.29 Heyfield 52 5.99% 5 0.58% 57 37.38 Stretton Park 26 3.00% 1 0.12% 27 19.91 Total number of staff employed 741 85.37% 127 14.63% 868 587.58 by the Whole Network Total figure includes all staff with regular hours at the Health Service. It excludes Casual, Nurse Bank or Locum Staff. Central Gippsland Health Service accepts its legislated requirements to develop both a safe environment and an organisation and culture that embraces and operationalises the principles of merit, equity and diversity.
A number of staff were recognised during the year for their long service to the Health Service. Pictured with their 25 year service awards are, from left, Betty Hewlett, Janine Jones, Sue Baillie, Robyn Thompson, Joan Kemp and Karen Luxford. Others who had earned the award but were not able to attend the presentation ceremony included Stephanie Watts, Jeanette Simmons and Karen Fitt.
8ZcigVa<^eehaVcY=ZVai]HZgk^XZ6CCJ6AG:EDGI'%%-$'%%. - Overview of Services Acute Care
Clinical Visiting Specialist Services Support Services Outpatient Services Cardiology Genetics Nursing Administration Continence Advisor Critical Care Ophthalmology Bed Allocation Podiatry Day Procedure Paediatric Surgery Discharge Planning Cystic Fibrosis Dialysis Ear, Nose and Throat Infection Control Audiology Emergency Dermatology Stomal Therapy Specialist Medicine Lithotripsy Wound Management Specialist Surgery Gastroenterology Professional Development General Practice Urology Food Services Hospital in the Home Orthopaedic Surgery Pharmacy Obstetrics and Gynaecology Renal Medicine Environmental Paediatrics Fertility Breast Care Oncology Operating Theatres Pre Admission
Residential and Aged Care Services
Nursing Home Care Respite Care Hostel Care Independent Living Units Maffra - McDonald Wing Heyfield - Laurina Lodge Maffra - Stretton Park Maffra - Stretton Park Sale - Wilson Lodge Maffra - Stretton Park Hostel Heyfield - Laurina Lodge Nursing Home Heyfield - Laurina Lodge
Community Services
Allied Health to both Community Health Home Support and Home Nursing the Acute and and Partnerships Service Co-ordination Community Settings Physiotherapy Counselling Home Care District Nursing Occupational Therapy Community Health Nursing Personal Care Palliative Care Podiatry and Foot Care Respiratory Educator Respite Care Hospital in the Home Dietetics Diabetes Educator Delivered Meals Grief and Loss Support Speech Therapy Maternal and Child Health Property Maintenance Hospital Admission Social Work – Acute Volunteer Program (CAVA) Planned Activity Groups Risk Program Koori Liaison Special Projects Intake Continence Service Child Services Community Oral Health Service Co-ordination School Services (Including School Program) Community Transport Discharge Planning Post Acute Care
Partner/Member Community Support Co-located Visiting Groups Services Wellington Primary Childbirth Education Community Mental Health Care Partnership Classes Family Court Counselling Wellington Working Parkinson’s Support Group Family Mediation Together for Families Carers’ Support Groups Gippsland Multicultural Let’s Get Connected New Mothers’ Group Services Transport Project Primary Mental Health Committee East Gippsland Division Gippsland Region General Practice Palliative Care Consortium SCOPE Gippsland Oral Health Consortium Various other collaborative projects
. Overview of Services Corporate Services
Finance Human Resources Engineering Medical Records Financial and Recruitment Equipment Maintenance Freedom of Information Management Reporting Equal Employment Telecommunications / Privacy Accounts Payable Opportunity Asset Management Health Records Account Receivable Induction and Orientation Building Maintenance Reception Industrial Relations & Development Admissions Occupational Health New Capital Works & Safety Payroll Risk Management Environmental Services Information Technology Salary Packaging Staff Records Porters Information Technology WorkSafe/Return to Work Security Applications Information Technology Infrastructure
Supply Services Linen Services Supply Fleet Management Accommodation Management
Food Services and Catering
Executive
Strategic Planning Major Projects Medical Imaging Public Relations Medical Library Fundraising Government Relations Organisational Policy Development Quality Management
Professional Development was rebranded during this year as Learning Services, which has served to support the emphasis on training within Central Gippsland Health Service. Some of the staff working in the training area are pictured with Denise McInnes, the General Manager - Workforce, Capability and Learning (fifth from left.) From left are Hospital Coordinator Neville Nicholas, Clinical Support Nurse Margie Lee, Nurse Educator Under Graduate Coordinator Janelle Stewart, Post Graduate Nurse Educator Anne Traill, Ms McInnes, Under Graduate Nurse Educator Melissa Steele, Nurse Educator Graduate Nurse Coordinator Sue King and Nurse Educator Midwifery and Paediatric Kate Bergamasco.
8ZcigVa<^eehaVcY=ZVai]HZgk^XZ6CCJ6AG:EDGI'%%-$'%%. / Structural Framework
Board of Management
Quality & Risk Committee Chief Credentialing Committee Consumer Consultative Executive Audit Committee Committee
Learning Services Medical Nursing, Midwifery Library Community Corporate Services & Aged Care Services Services Medical Imaging
Medical Services Operations/Access Allied Health Human Resources Medical Staff Hospital Co-ordinators Dietetics Recruitment Visiting Medical Discharge Planning Health & Safety Officers Koori Hospital Liaison Work Cover Medical Student Acute Inpatient Units Occupational Therapy Liaison (Monash) Medical Unit Physiotherapy Surgical Unit Podiatry Switchboard & Women’s & Children’s Unit Speech Therapy Admissions Pathology Maffra Campus Social Work & Outpatients Heyfield Hospital Medico - Legal Finance/Payroll Pharmacy Home Nursing - including Clinical Governance Palliative Care District Nursing Information Emergency Department Hospital in the Home Technology
Critical Care & Ambulatory Services Home Support & Service Facilities Management Critical Care Unit Co-ordination Cardiology Home Care Oncology Personal Care Supply Dialysis Respite Care Delivered Meals Property Maintenance Food Services Surgical Suite Services Planned Activity Groups Operating Theatre Intake Central Sterilising Supply Dept Environmental Services Service Co-ordination Day Procedure Unit Community Transport Pre Admission Linen Service Community Health & Partnerships Clinical Nurse Consultants Counselling Infection Control Medical Records Community Health Nursing Privacy legislation Wound Management Respiratory Educator Diabetes Educator Residential Aged Care Services Volunteer Program (CAVA) Wilson Lodge Special Projects Stretton Park Maternal & Child Health Maffra Campus Community Dental Program Heyfield Campus
Facilitating Partner For: Quality Wellington Primary Care Partnership Gippsland Regional Palliative Care Consortium
'& Service performance at a glance Inpatients treated Total Inpatient Days
2000/2001 2001/2002 2002/2003 2003/2004 2004/2005 2005/2006 2006/2007 2007/2008 2008/2009 2000/2001 2001/2002 2002/2003 2003/2004 2004/2005 2005/2006 2006/2007 2007/2008 2008/2009 Average Length of Stay WIES Targets / Actual
Target Actual
2000/2001 2001/2002 2002/2003 2003/2004 2004/2005 2005/2006 2006/2007 2007/2008 2008/2009
2000/2001 2001/2002 2002/2003 2003/2004 2004/2005 2005/2006 2006/2007 2007/2008 2008/2009
Percentage Public and Private Admissions Public Private
2000/2001 2001/2002 2002/2003 2003/2004 2004/2005 2005/2006 2006/2007 2007/2008 2008/2009
2000/2001 2001/2002 2002/2003 2003/2004 2004/2005 2005/2006 2006/2007 2007/2008 2008/2009
8ZcigVa<^eehaVcY=ZVai]HZgk^XZ6CCJ6AG:EDGI'%%-$'%%. '' Acute (Hospital) Services Central Gippsland Health Service Acute, Aged Care and Midwifery services offer a dynamic and integrated service delivery approach to care. The service supports care across the campuses of Sale, Maffra, Heyfield and Stretton Park. This financial year has seen the completion of some major capital works, including completion of the Emergency Department redevelopment and new Dialysis Unit at the Sale campus, along with Health Minister Daniel Andrews (second from right) with Dr Peter the completion of four Independent Living Units Stevens (left), Heyfield Hospital Board President Keith Borthwick at Stretton Park. and Heyfield Hospital Health Services Manager Anne Woollard are pictured inspecting facilities at Heyfield Hospital. Minister for Health, Daniel Andrews, announced the funding at Heyfield, when he also inspected a suite of new medical equipment as part of an infrastructure upgrade program for Bush Nursing Centres and Small Rural Health Services. The funding enabled the hospital to upgrade the defibrillator, crash cart, vital signs monitor and the emergency trolley and replace the vaccine/drug fridge and syringe driver. The Central Gippsland Health Service has also instigated innovative methods of recruitment during this year. Registered Nurses Nicky Smyth and Rosalie Walker attend to patient An enthusiastic cohort of six international nurses Susan Marsh of Maffra in the new Emergency Department, above, from India has joined the Health Service following while below, one of the new units at Stretton Place in Maffra. a successful recruitment strategy. The nurses have immigrated to Australia to take advantage of the career opportunities here, while assisting the Health Service to ensure it is able to meet its immediate nursing staff needs. All of the nurses are Registered Division One with significant nursing experience and all have completed their Australian upgrade
These works have provided a significant improvement in the physical environment for patients and staff and marked the beginning of further works targeted at enhancing the comfort and ambience within the Central Gippsland Health Service health care setting. Along with capital works and refurbishments, Department of Human Service funding and generous community donations have enabled purchase of a broad range of equipment to support staff in ensuring optimal patient care.
This range of equipment has included a suite The group of international nurses from India has settled in well at of isolettes for the neonatal unit, vital signs Central Gippsland Health Service. monitoring equipment, resuscitation equipment, requirements. At the same time the organisation beds for maternity and aged care, palliative care has demonstrated its commitment to providing equipment and specialised furniture for oncology training for local people interested in a career in and aged care. health, with a group of 13 celebrating completion The Heyfield Hospital benefited further from a of their graduate year at Central Gippsland Health grant of $79,000 from the State Government. Service.
'( Achieving their qualification as Division One Registered Nurses was marked by a formal Division of Community presentation and dinner, the first time in nearly 20 years that the Health Service has held such an Services event. The Division of Community Services operates from a range of sites across the Shire of Wellington, The nurses underwent their undergraduate studies including Sale, Maffra, Heyfield, Rosedale, Loch at either Monash University Gippsland Campus or Sport, Stratford and Briagolong. Approximately RMIT and then completed their graduate year at 250 staff and volunteers work in a vast range of Central Gippsland Health Service. programs that support clients to remain in the home, through various home, centre-based and community venues. Over the year, a range of positive outcomes have been achieved, some of which are highlighted as follows. Consumer and Carer Committee: The Central Gippsland Health Service Consumer and Carer Consultative Committee kindly agreed to participate in the organisation’s Strategic Planning process, and is set to take on a major role in the pending community needs assessment. Additionally, it has endorsed the trial of a Consumer Advocate for the organisation which Members of the group who attended the graduation ceremony will further increase the links between the included: Front row, from left, Janette Ingram, Kathleen Baker, Helen community and the Health Service to support Dawson, Kylie Barnes, Melissa Wangman. Middle row, from left, Jade Beechey, Tracey Anne Thompson, Amy Norden. Back row, from quality outcomes. left, Program Coordinator Sue King, Yolanda Collins. Consumer and Carer Chronic Disease The aged care facilities at Sale, Heyfield and Network: New project funding received this Maffra all achieved full accreditation through the year will see the establishment of an additional year. community Network with participation being sought from Consumers with Chronic Disease Heyfield Hospital, Laurina Lodge and Stretton and/or their Carers. As well as supporting the Park in Maffra were audited on 10 and 11 June, participants, it is planned that the Network will and 16 and 17 June respectively by Aged Care work closely with the organisation to enhance its Standards and Accreditation Agency and have understanding of what it means to live with or since been awarded full three year accreditation. around chronic disease, and therefore improve service provision to these people. The Wilson Lodge Nursing Home in Sale also earned the top level of quality accreditation for Care Coordination Project: This organisation the second time in a row, following a two day wide project will involve supporting sustainable audit in late September 2008. organisation-wide systems change in relation to client care so that the client is well supported at Upgrade works for the McDonald Wing at Maffra all times and therefore in a position to achieve were announced in June 2009. their best health outcome. Close to half a million dollars will be spent Respite services: The need for respite services upgrading facilities including a general has been enhanced through the successful refurbishment of residents’ rooms and providing application for additional funds from the National en-suite, bathroom and toilet access, converting Respite for Carers Program for the Wellington a four-bed room to two, two-bed rooms, possible Supported Couples Retreat program. This very installation of a lifting device and improved air successful program provides supported overnight conditioning systems and other energy efficiency retreats for carers with their loved ones. improvements, plus an upgrade of some staff facilities and training rooms. The upgrade works was supported by funding of $233,000 from the Department of Human Services with at least a matching amount from the Central Gippsland Health Service, which has been provided by the Clyne Estate. Pictured from left are Maureen and John Cunningham and Margaret and Jack Postlethwaite, enjoying themselves on a recent outing through the Supported Couples Retreat Program.
8ZcigVa<^eehaVcY=ZVai]HZgk^XZ6CCJ6AG:EDGI'%%-$'%%. ') Home Maintenance: Our ability to deliver workforce to help address ongoing recruitment this service on time and as required has been issues. greatly enhanced with the appointment of a Maternal and Child Health: This service has maintenance officer. The service is now able to provided local families with 441 initial home visits. offer clients (where suitable) a joint visit with the 1,040 enhanced service home consultations, and Occupational Therapist and the completion of more than 3,400 Key Ages and Stages visits. Key home modifications. Ages and Stages visits are those to children at one Oral Health: The community dental service has week, two weeks, four weeks, eight weeks, four undergone significant change in the past year. A months, eight months, 12 months, 18 months, new Dental Facility is currently under construction, two years, and three and a half years. off site. It is anticipated that the Dental Service, During the year, the service has improved client both community and school dental (currently still phone contact by utilising the Division’s reception at Guthridge Primary School) will relocate into the point as the routine point of contact. new facility in December 2009. The service is moving towards implementation The staff have worked hard to improve client of the revised State-wide Key Ages and Stages service delivery, with good results. The waiting consultations, which will have some differences time for general treatment decreased from 45.7 for clients. In addition to this, an enhanced months in July 2008 to 29.8 months in June 2009. client information management system will be Representation on the Gippsland Oral Health implemented. Regional Working Party culminated in the establishment of the Gippsland Oral Health Consortium, comprising representatives from community dental services from across Gippsland. The launch event hosted by Central Gippsland Health Service saw more than 60 community dental clinical and administrative staff come together for the first time in some years, to network with each other and access training. Continence Service enhanced: This service has expanded from a visiting one day per week service to a five day per fortnight local service with the view to increasing to a full time service over the next year. Additionally 18 nursing staff from across the Health Service have participated in a short course on Continence Management Strategies. This supports a comprehensive service to the community. A midwife with the Central Gippsland Health Service was recognised for her excellent service by being nominated for the Johnson’s Baby Allied Health Services: The Allied Health Service Midwife of the Year award. Alison Heffernan was nominated for the has identified key changes that will enhance award which is run to “recognise the attention and expertise that the service. One significant strategy is to further midwives give to new mothers and babies in all aspects of normal explore the potential for Allied Health Assistants pregnancy care.” Mrs Heffernan is pictured with baby Layla Bartlett, from Lindenow, at the Central Gippsland Health Service nursery. to complement therapy delivery. The organisation During the financial year, 526 babies were born at Central Gippsland has been successful in gaining additional funding Health Service. through the Department of Human Services, which will see five Allied Health Assistant Breast feeding support service: This well traineeships established across the Allied Health established service has supported many local services. This initiative is aimed at supporting women to successfully breast feed their children. the local community through increased service Through the year approximately 450 phone capacity and also building a sustainable local consultations and more than 100 face to face consultations have been provided. A new outdoor therapy area for children was constructed at the Community Rehabilitation Centre. In addition to this, the service has led the A staff member from ImaginationPlay, the company development of an organisation wide breast constructing the outdoor therapy area, is pictured feeding policy which will be progressively installing the soft fall surface. implemented. Central Gippsland Health Service is committed to creating a health care environment that promotes and protects the health and wellbeing of all mothers and babies through the implementation of ‘The Ten Steps To Successful Breastfeeding’ from the Baby Friendly Health Initiative as jointly launched by the World Health Organisation and UNICEF in 1991.
'* Corporate Services This year has been one of significant change. Major efforts have been made to modernise the Central Gippsland Health Service corporate systems and enable more efficient procedures. Key changes delivered have included: s )MPLEMENTATION OF A NEW &INANCE AND 3UPPLY system enabling the introduction of online ordering and electronic authorisation of orders and payments; s )NTRODUCTION OF AN UPGRADED 2ISK -ANAGEMENT One of the volunteer drivers, Ron Duck, sets off for another day System enabling improved incident reporting, assisting the Health Service. risk management assessment, simplified management of compliments and complaints Volunteer efforts: These incredibly dedicated and better quality reporting: people have continued to support the community through their time and extraordinary effort. For s %NHANCEMENT OF THE BUDGET PROCESS TO OUTLINE example, volunteer drivers have transported more a clear 12 month financial plan for the Health than 240 clients to medical appointments both Service. The process has specifically been locally and in Melbourne. Of particular note this developed to ensure that critical infrastructure year, is the increased support provided through is updated and planned for replacement. the Emergency Relief program where additional In addition, all minor equipment needs are funds have been provided to support those identified and a comprehensive maintenance experiencing additional hardship from drought schedule has been developed. or bushfire related impact. Thank you to all those volunteers. s -ODERNISATION OF THE )4 INFRASTRUCTURE HAS continued to occur. This has included the Central Gippsland Health Service continues to be introduction of wireless technology and the involved in regional and statewide initiatives too development of VoIP telephony. numerous to mention but including: The Engineering Department oversaw the s 4HE 7ELLINGTON 0RIMARY #ARE 0ARTNERSHIP redevelopment of the Emergency and Renal Dialysis area. s 'IPPSLAND 2EGION 0ALLIATIVE #ARE #ONSORTIUM s 'IPPSLAND /RAL (EALTH #ONSORTIUM s $(3 2EGIONAL (EALTH 0ROMOTION 4ASK 'ROUP s $(3 2EGIONAL 3ERVICE #OORDINATION#HRONIC Disease Management Task Group, and s 'IPPSLAND (!## "EST 0RACTICE .ETWORK The Teenage Holiday program run by Central Gippsland Health Service received a boost from the Sale Old Time Dance Club, with the donation of funds to purchase a full size portable basket ball ring. Pictured are members of the Sale Old Time Dance Club and participants of the program. Back row from left are: Victoria Wishart, Meryl Fyfe, Elva Dooland-Jones, Maureen Brown, Joyce Love, Anne Leckie (Program Coordinator), Wanda Sulter and Joshua Jennings. Front row from left are: Liam Dowton, James Stockwell, Alisha Patten and Skye Nielson-Vold.
Staff prepare the new Dialysis Unit, with Wendy Yarram, Charge Nurse of the Dialysis Unit, in the foreground. Infrastructure projects that have begun and will be completed in the forthcoming year include improved signage around campuses, and implementation of a new Nursecall and improved Television systems.
8ZcigVa<^eehaVcY=ZVai]HZgk^XZ6CCJ6AG:EDGI'%%-$'%%. '+ In other areas: s %NVIRONMENTAL 3ERVICES PERFORMED WELL IN ALL internal and external audits. These audits are benchmarked against other Health Services. A key focus is improving energy efficiency performance and identifying Environmental improvements; s &OOD 3ERVICES PRODUCED MORE THAT meals during the year. These included Hospital Meals, Aged Care Meals, Cafeteria, Meals on Wheels and Functions. External audits addressing food safety continue to show a positive trend in performance. The service benefited with the installation of a new Bratt Pan early in the new financial year. In the last 12 months, a new dishwasher has been installed and all food trolleys are now motorised across Central Gippsland Health Service.
New signage at the Heyfield Hospital, part of a major signage upgrade across the Health Service during the year. The Engineering group has also been involved in co-ordinating the planning and delivery of a new Dental facility, Paediatric therapy and Adult therapy area. In addition, the Health Service will work in partnership with Monash University to expand the education facilities, which will enable an increased number of medical students to complete components of their undergraduate course at s -EDICAL 2ECORDS CONTINUE TO PROVIDE A VITAL ROLE Central Gippsland Health Service. in the Health Service. They continue to: Work on upgrading the Maffra Campus has been s 0ROCESS AND CODE MORE THAN DISCHARGES planned. s 0REPARE AND lLE MORE THAN EMERGENCY attendees; s 2ESPOND TO &REEDOM OF )NFORMATION REQUESTS s 3UPPORT ONGOING QUALITY REVIEW PROGRAMS SUCH as the infection control audit, surgical unit audits and clinical documentation audits; s 0ARTICIPATE IN A NUMBER OF DOCUMENTATION reviews and form development initiatives; and s #OORDINATE THE IMPLEMENTATION OF A NEW Patient Management System. The Sale Linen Service continues to supply linen to health services, aged care providers and hospitality clients in the Gippsland region. The service has continued to achieve its goal of controlling labour and operating costs and revenues increased marginally during 2008/09. The strategic direction for the Linen Service is to explore new markets with a view to achieving The Maffra Campus had funds allocated to undergo a major sustainable growth while continuing to deliver a refurbishment, including upgrade of the McDonald Wing. quality service.
', Quality of Care Report
Central Gippsland Health Service is committed to survey held in August 2007. continuous quality improvement and is pleased The Aged Care Facilities – Laurina Lodge to present the Quality of Care Report for 2008 – (Heyfield Nursing Home), Wilson Lodge (Sale 2009. This report provides information about the Nursing Home), Stretton Park (Maffra Hostel) and quality of care we provide to the community. McDonald Wing (Maffra Nursing Home) all hold The Quality and Risk Framework, adopted in current Accreditation Status. November 2005 continues to have functional stability. This framework represents a clear and direct reporting guideline from Quality and Service Committees. The Quality and Risk Working Party, meeting weekly, identifies and monitors issues related to patient/client safety and quality of service. The Quality and Risk Committee meets bi-monthly and reports directly to the Board of Management. Quality Teams operate within the framework and report directly to the Quality and Risk Committee. These teams are Leadership and Management, Information Management, Human Resource Management, Safe Practice and Environment, Staff and residents are pictured at Wilson Lodge in Sale, one of the Drugs and Therapeutics and Morbidity and aged care facilities to achieve accreditation during this year. Mortality. Victorian Patient Satisfaction Current Accreditation Status Monitoring System The Acute and Community Services of Central Gippsland Health Service are currently accredited Central Gippsland Health Service participates in with the Australian Council on Healthcare the Victorian Patient Satisfaction Monitor run by Standards. A full, organisation-wide survey was the Department of Human Services. This allows held on 28 – 30 August, 2007. Central Gippsland organisations to compare their performance with Health Service gained full accreditation, which is similar size/type hospitals across Victoria. valid for four years. The following graph shows our performance in A self assessment report was sent to Australian key satisfaction indicator areas for the period Council on Healthcare Standards in August, September 2008 to February 2009: 2008 providing detail on continuous quality Central Gippsland Health Service had: improvement under the three main functions of the framework. A site visit, which is called a s PARTICIPANTS SAMPLE SIZE Periodic Review, is due in October, 2009. s PROSPECTIVE PARTICIPANTS SENT A The Periodic Review determines ongoing questionnaire) Accreditation Status, reviewing Mandatory s RESPONSE RATE Standards as well as reviewing the progress with recommendations made at the organisation wide s RESPONSE RATE FOR SAME CATEGORY HOSPITALS Benchmark data comparing Central Gippsland Health Service with Category B and Statewide hospital benchmarks All Hospitals Category B Hospitals Central Gippsland Health Service
Discharge and Follow-up
Physical Environment
Complaints Management
Treatment and Related Information
General Patient Information
Access and Admission
Overall Care
6065 7075 80 85 90
8ZcigVa<^eehaVcY=ZVai]HZgk^XZ6CCJ6AG:EDGI'%%-$'%%. '- Limited Adverse Event from ensuring correct systems for food handling, environmental safety, water supplies and air Screening conditioning systems, correct operating theatre The Limited Adverse Occurrence Screening process and sterilising procedures. There is also close has been in place at Central Gippsland Health monitoring of wound infections. Service since April 2005. The Infection Control Coordinators are nurses Occurrences screened are: with specialised training who provide leadership on behalf of the Infection Control Committee. s -EDICAL %MERGENCY 4EAM CALLS This Committee reports directly to the Quality and Risk Working Party. s #ODE "LUE Central Gippsland Health Service has participated s 5NPLANNED RETURN TO 4HEATRE WITHIN DAYS in the Hand Hygiene Project, funded by s $EATHS Department of Human Services. s 5NPLANNED 4RANSFERS TO #RITICAL #ARE 5NIT Medication Management s %MERGENCY #AESAREAN 3ECTIONS Delivering medication safely depends on providing s 4RANSFERS IN FROM A HOSPITAL WITHIN THE the right medication to the right patient in the Gippsland Region right dose at the right time. Central Gippsland Health Service has an active program of s 4RANSFERS TO 3ALE #AMPUS AND 4ERTIARY FACILITIES monitoring any incidents that occur in relation to from Maffra Hospital drug administration. s 5NPLANNED REPRESENTATION TO %MERGENCY All Division 1 Nurses complete an annual Department within 48 hours medication administration education program as s &REQUENT REPRESENTATIONS TO %MERGENCY part of their ongoing professional development Department (4 or> per month) and credentialing program. Between July 2008 and June 2009, there were Below are the reported medication errors for the 519 LAOS reports screened. Of these, 18 (3.46%) previous three financial years: were presented to the Quality and Risk Working ACHS Medical Incidents with adverse Group. outcome July - December 2008 Some examples of changes to practice as a result include:
s 'UIDELINE FOR ANAESTHETICS IN MEDICAL IMAGING All Hospitals s #ARE OF $ECEASED 0ROCEDURE s )MPROVED PROCESS AND DOCUMENTATION OF transfer to Nursing Home from Acute Facility CGHS s 0ROCESS FOR THE 5SE OF (EMACUE s 2EVISION OF REPORTING OF CRITICAL RESULTS PROCESS from Gippsland Pathology 0% .01%.02% .03% .04% .05% .06% s 2EVIEW OF RESUSCITATION EQUIPMENT This graph demonstrates % occurrence against occupied bed days for the selected period Incident Reporting Prevention of Pressure Ulcers Central Gippsland Health Service promotes a robust incident reporting system. Pressure Ulcers result from damage to the skin when patients are unable to move freely in bed. Regular monitoring and management of incidents There are four levels of severity and recognising takes place within the Quality Department. the subtle changes in the skin before it breaks Significant reported incidents are tabled at the down has a major influence on reducing the weekly meeting of the Quality and Risk Working Party, with specified reporting to the Quality and occurrence of pressure ulcers. Risk Committee. Central Gippsland Health Services continues to We are able to conduct trend analysis on incidents participate in the state wide Pressure Ulcer Point reported under certain categories. Prevalence Study (PUPPS). Central Gippsland Health Service also has Infection Control commenced submitting Pressure Area Clinical The Infection Control Program is responsible for Indicators to the Australian Council on Health monitoring all aspects of infection risk, ranging Care Standards.
'. Result of this benchmarking show that Central Gippsland Health Service compares favourably Consumer, Carer with other organisations. and Community ACHS Pressure Area Indicators July - December 2008 Participation Improving Care for Aboriginal and Torres Strait Islanders All Hospitals Central Gippsland Health Service is funded to provide a Koori Liaison position. This position reports monthly statistics to CGHS Department of Human Services. The Koori Liaison Officer is a member of the Gippsland Koori Hospital Liaison Network. A Koori Cultural Plan was developed for 2008- 0% .02% .04% .06% .08% 2009. This graph demonstrates % occurrence against occupied bed days for the selected period Continuity of Care Central Gippsland Health Service can demonstrate Falls Monitoring that we respond to the needs of consumers, their Central Gippsland Health Service continues to families, carers and the community through such identify those patients who are at increased risk of forums as: falls in the hospital setting as well as in their home s #ONSUMER AND #ARER #ONSULTATIVE #OMMITTEE environment. s 2OSEDALE AND ,OCH 3PORT (EALTH #ENTRE !DVISORY Falls risk assessment tools and falls minimisation Committees plans are developed in acute and aged care. Completion of assessments and implementation s "OARD OF -ANAGEMENT of plans continue to be audited. s -EALS ON 7HEELS 2EFERENCE 'ROUPS The Falls Committee meets regularly. The Falls s ,EVEL -EMBER OF 7ELLINGTON 0RIMARY #ARE Prevention Committee continues to monitor data Partnership related to falls, in particular incidents reported. s 'IPPSLAND 2EGIONAL 0ALLIATIVE #ARE #ONSORTIUM Result of benchmarking through submission of Falls Clinical Indicators to the Australian Council s 7ELLINGTON 7ORKING 4OGETHER on Health Care Standards is presented below. s (OSPITAL !DMISSION 2ISK 0ROGRAM (!20 ACHS Indicators Falls s )MPROVING THE #ARE OF /LDER 0EOPLE )#/0 July - December 2008 Audit Committee Central Gippsland Health Service’s Audit Committee is an independent advisory Committee All Hospitals to the Board of Management. The primary objective of the Audit Committee is to assist the Board of Management in the effective conduct of its responsibilities for financial reporting, CGHS management of corporate risk and maintaining a reliable system of internal controls. Specifically the Committee assists in the following: s %NHANCES THE CREDIBILITY AND OBJECTIVITY OF 0% .1%.2% .3% .4% .5% internal and external financial reporting; This graph demonstrates % occurrence against occupied bed days for the selected period s %NSURES THE EFFECTIVE MANAGEMENT OF lNANCIAL and other corporate risks and the protection of Health Service assets; s %NSURES COMPLIANCE WITH LAWS AND REGULATIONS and oversees the effectiveness of the internal audit function; s %NSURES AN EFFECTIVE MEANS OF COMMUNICATION between the external auditor, internal auditor, management and the Board.
8ZcigVa<^eehaVcY=ZVai]HZgk^XZ6CCJ6AG:EDGI'%%-$'%%. '/ During 2008/09, Vickie Mavros has continued in her role as Chairperson of the Audit Committee. Support groups Vickie brings a number of years experience in Loch Sport Community Health leading Audit Committees for Central Gippsland Health Service. Centre Auxiliary Peter Fiddian continued in his role as Independent This past 12 months has seen a deterioration of Member. Peter’s vast experience in the Health interest in members of our community wishing Sector and in leading and contributing to Audit to remain as volunteers in the Health Centre Committees has been invaluable. The Board Auxiliary. In fact we are down to approximately was represented by Kevin Young and Catherine five regular members, three who have been Greaves who have considerable accounting, involved for many years and two new members. auditing, risk management and business Unfortunately, Loch Sport is certainly not the knowledge. only town within Victoria suffering from a lack During the course of 2008/09, LSH Accounting of volunteerism. With an ageing population and was responsible for delivery of the Internal Audit most purchasers only being holiday or week- function. A three year Internal Audit Plan has end owners, trying to involve those living here been developed and range of reviews have been permanently to join us is “difficult”. completed. The following reviews were completed Throughout the past year we have placed the during 2008/09: Auxiliary into recess for varying periods of time, s #OMPLIANCE WITH &INANCIAL -ANAGEMENT hoping that when we recommence fundraising Framework; activities there will be more interest. Certainly, when we run raffles the response from residents s &RINGE "ENElTS 4AX REVIEW has been good. Many articles have been donated s )NFORMATION 4ECHNOLOGY REVIEW for us to raffle, but with no one willing to sit out and sell tickets… there is a problem! s 2EVIEW OF THE IMPLEMENTATION OF THE /RACLE Finance and Supply system; and We ran a very successful Garage Sale in June, (with the help of non-members and friends), and s 0ROCUREMENT AND 0AYABLES REVIEW raised just under $600. The Committee has overseen and reviewed the I have been asked by quite of few of our ex- financial statements. As part of this process they members to mention in this report that the have reviewed the external audit strategy and met support given in previous years by CGHS in Sale, on several occasions with the External Auditor. and for that matter at Loch Sport has not been The Committee also oversees the Health Service’s as evident in the past twelve to eighteen months, Corporate Risk Management Procedures. A risk and this has not helped our present position. It register is updated and presented at all Audit has been the major cause of resignations during Committee meetings. The risk management the past few years. register has been presented to the Central Later this month decisions will have to be made Gippsland Health Service Board of Management. as to how and if we go forward, but with three resignations to present at this meeting, matters are not looking good. Hopefully, there will be a 2010 Annual Report from Loch Sport Auxiliary to include in your Annual Report. Members of the Loch Sport Health Centre Auxiliary Maffra Hospital Ladies Auxiliary It is my pleasure to present this report for the year 2008-2009. We have a membership of 15 who faithfully continue to work to support our local hospital. We raise funds to provide items for the hospital,
The first scholarship awarded by the Heyfield and District Community® Bank Branch for a nurse at the Heyfield Hospital was presented to Cassie Marshall. The $10,000.00 scholarship will help her complete her Registered Nurse Division One studies. She is pictured, centre, with Chair of the Board of Heyfield and District Community Financial Services, Alan Broadbent, and Bank Manager Clare Adams.
(& both to enhance the comfort of the residents and I would like to thank all personnel at CGHS for to assist the nursing staff. their continued assistance and mornings teas on meeting days, and the Gippsland Centre The Annual Oaks Day Luncheon continues to Management for their continued assistance be the highlight of our fundraising and is well allowing us to locate at the centre for our events. supported by members of the community. I would also like to thank the Sale Greyhound We are grateful to members of the community Racing Club for their fundraising night and Alpine who support us through the IGA Community Country for their sausage sizzles. Benefits Scheme which this year raised $3,308.00. Norm Murray Some of the items purchased this year are a heavy Secretary, in the absence of Elva Doolan-Jones duty lifting machine at a cost of $5,585.00, a (President) large outdoor umbrella and wheel chair scales which cost $3,478.00. We also cover the cost of transport for monthly outings for the residents of McDonald Wing. Thanks are due to all members who so willingly support our fundraising functions and take their turn delivering Meals on Wheels. Many thanks to our treasurer, Pat McKenzie for so capably keeping track of our finances and to President Lennie Stammers for leading the Auxiliary. Pat Cameron Secretary.
The Friends of Central Gippsland Health Service, formerly the Gippsland Base Hospital Auxiliary, continued their tremendous support this year, including a $20,000 donation towards equipment for the new Emergency Department. Members of the auxiliary are pictured with some of the equipment that they helped to purchase Central Gippsland Health Service Social Club The Social Club has grown significantly and achieved quite a lot over the past 12 months. It is great to see Member attendance has flourished as well as our other sponsored events. The RAAF was another supporter of the Health Service, Sale Cup Day and the Melbourne Matinees have donating funds to the Women’s and Children’s Unit. been well supported and enjoyed by all. Friends of Central Gippsland Valentines 2008 65 attended Health Service, Sale Campus Easter 2008 91 attended (formerly Gippsland Base Hospital Auxiliary) Jeans for Jeans 2008 72 attended
Looking back over the past year, our volunteer Footy Finals 2008 86 attended group has performed very strongly despite difficult Christmas 2008 143 attended conditions out in the community. Valentines 2009 95 attended I would like to express our sincere thanks to the local retail shop owners for their recent support Easter 2009 105 attended and the promise of future participation in Christmas in July 2009 86 attended fundraising events. A sense of camaraderie amongst members at We have, with the help of our volunteers, happy hours has never been more evident. produced good results at all raffles and gift On occasion it’s difficult to dull the level of wrapping. conversation noise to conduct the raffle. My thanks to those special people who give their The Committee’s contributions and involvement all to our Hospital, and to the public for their over the past 12 months has played a key role in continued support. increasing member attendance. I would like to
8ZcigVa<^eehaVcY=ZVai]HZgk^XZ6CCJ6AG:EDGI'%%-$'%%. (' personally thank all who have generously donated Because of issues which may arise due to the their time to make our Social Club better: Jon, Privacy Act, we have chosen not to list personal Peter, Kate, Sharon, Emma, Jan, Kylie, Kristen, names in this report. Dale, Karen, Michelle, Di F, Sue, Di C and Midge. Total contributions received 2008/2009: Without your involvement and support there is no social club, “thank-you”. I extend an offer to all Bequests: $131,647.67 (Clyne Estate) Social Club Members to come and join our team General Donations: $14,387.03 on the Committee. We are always appreciative of new ideas and thoughts. Ward Specific Donations: $79,430.78 Our recent membership increase from $1 to $2 Restricted Purpose Donations: $74,659.20 per fortnight, I believe is a positive step forward for the club. Although losing some of our Total $300,124.68 membership base, the increased revenue places A special vote of thanks goes to Central Gippsland the club in a stronger financial position for the Health Service Fundraising Committee, chaired future. This will allow the club to increase the by local businessman Peter Donovan. The group frequency and quality of events, with bigger and continues to work at staging events and activities better prizes for all to enjoy. to raise funds for future developments that David Askew benefit the Health Service and therefore the local Social Club President community. DONATIONS Central Gippsland Health Service gratefully acknowledges the support of individuals, families and organisations who gave donations of cash or equipment during the past year.
The contribution of the late Rex Anthonisen with the The local women’s basketball competition, as well as Heartbeat Wellington Branch has been remembered having a lot fun playing each week, raised significant with a vital piece of equipment. A new resuscitation funds for the Women’s and Children’s Unit to purchase trolley, valued at $4,000, has been donated in his a new waterproof Doppler, used to monitor a child’s memory by the Wellington Heartbeat Branch and will heart rate during labour. Pictured from left are current be used to assist people suffering heart problems. Mr president of the Sale Women’s Basketball Association Anthonisen’s wife, Elaine, who is also a committee Carole Goodison, former president Dhelia Maher, member of Wellington Heartbeat Branch, was on hand Assistant Nursing Unit Manager and basketball player to see the new equipment installed in the Medical Unit Kim Costin and Women’s and Children’s Unit Nursing at the Health Service. She is pictured with President of Unit Manager Shirley Greatorex. Heartbeat Wellington Branch Fred Answer.
(( Executive staff as at Clinical support services Infection Control Officers 30 June 2009 Cathy Mowat Chief Executive Officer Wound/Stomal Therapy Dr Frank Evans Anne Payne Director Medical Services Dr Alan Sandford (acting part time) Maffra campus Director of Nursing Health Service Manager Bronwyn Beadle Sonya Hanratty Director Community Services Nurse Unit Manager Mandy Pusmucans Robyn Cotterill Director Corporate Services Michael Clamp Heyfield Hospital SENIOR STAFF (including Laurina Lodge) Health Service Manager Acute Services Anne Woollard Nurse Unit Manager Director Critical Care and Emergency Services Jo Ollier Dr Howard Connor Deputy Director of Emergency Services Residential Aged Care Dr Brian Cole Head of Anaesthetics WILSON LODGE NURSING HOME Dr Gary Rooke Nurse Unit Manager Sue Ingrouille Head of Aged Care Dr Krishna Mandaleson STRETTON PARK HOSTEL AND Director Pharmacy INDEPENDENT LIVING UNITS Annabel McNally Care Manager Deputy Director of Nursing Sonya Hanratty Jenny Dennett (acting) Hospital Coordinators Wendy Harwood, Neville Nicholas, Pam Griffiths, Community Services Therese Smyth, Judy Niziolek Home Nursing Manager Mary Hartwig General Manager Workforce Capability and Learning Allied Health Manager Denise McInnes Maureen Wilson Community Health and Partnerships Manager Surgical services Ruth Churchill Home Support and Service Co-ordination Nurse Unit Manager Surgical Manager Gary McMillan Belinda Greening Nurse Unit Manager, Perioperative Services Sally Relph Corporate Services Financial Manager Obstetric/Paediatric Daryl Cooper Health Information Manager unit Heather Rowell Nurse Unit Manager, Obstetrics and Information Technology Manager Paediatrics Jon Millar Shirley Greatorex Librarian Helen Ried Medical services Quality Improvement Manager Sally Stiberc Nurse Unit Manager, Critical Care, Dialysis, Cardiology, Oncology Jenny Dennett Business units Nurse Unit Manager, Medical Medical Imaging Practice Manager Sue Roberts Michael Coleman Nurse Unit Manager, Emergency Sale Central Linen Service Supervisor Louise Vuillermin Sue Jenner
8ZcigVa<^eehaVcY=ZVai]HZgk^XZ6CCJ6AG:EDGI'%%-$'%%. () SENIOR MEDICAL & Dr CJ Jarman, MBBS, FRACGP DENTAL STAFF 08/09 Dr B Johnston, MBBS Dr D Langford, MBBS, DRACOG, DRANZCOG Anaesthetist Consultant Dr CA Martin, MBBS, FRACGP, DRACOG Dr G Rooke, MB (Hons), FANZCA Dr RH Melville, MBBS, DRACOG Anaesthetists GP Dr A Miller, MBBS, MRCP, FAMAC Dr N Atherstone, MB, ChB, DRACOG, DCH, Dr DA Monash, BMSc, MBBS FRACGP Dr IC Nicolson, MBBS Dr N Fuessel, MBBS, Dip Anaes (London) Dr C O’Kane, MBBS, DRANZCOG Dr D Langford, MBBS, DRACOG, DRANZCOG Dr R Nandha, MBChB, DGMRcP, DRCOG, DA, Dr M Langford, MBBS MRCGP, FRACGP Dr C O’Kane, MBBS, DRACOG Dr AC Richards, BMSc, MBBS Dr A Wong, MBBS, DRACOG, FRACGP, FACRRM Dr H Stanley, MBBS Dr P Stevens, MBBS, FACRRM Dermatologists Dr F Sundermann, MBBS Dr C Baker, MBBS, FACD Dr LA Waters, MBBS, DRACOG Dr D Gin, MBBS, FACD Dr AJ Watt, MBBS, DA Dr J Horton, BSc, MBBS, MRCP, FACD Dr SJ Williams, MBBS Dr A Mar, MBBS, FACD Dr AJ Wright, MBBS Dr R L Nixon, BSc (Hons), MBBS, FACD, FRACP (FOM) General Practitioners Consultant Dr D Orchard, MBBS, FACD Dr A Hughes, MA, MBBS, DRCOG, MRCGP Director Medical Services Dr D Mudunna, MBBS Dr B Cole, MBBS, FRACGP, FRACMA IVF/Gynaecology Echo Cardiologist Dr JM Talbot, MBBS, FRACOG, FRANZOG Dr J Gutman, MBBS, FCSANZ, FRACP Dr G Weston, MB,MS, PhD, MPH, FRANZCOG Emergency Department Senior Nephrologist Medical Officer Prof D Power, MBBS, MRCP, MD, FRACP, PhD, FRCP Dr JM van der Westhuizen, MB, ChB, RCPSC Prof R Langham, MBBS, PhD, FRACP General Practitioners Nuclear Medicine Physician Dr Y Ahmad, MBBS Dr Y Jenkin, MBBS, FRACP Dr S Anderson, MBBS, FRACGP, DSCM Dr M T Baker, MBBS, FRACGP, DRACOG Obstetricians & Gynaecologists Dr F Begum, MBBS, BSc (Hons), DRACOG Dr R Guirguis, MB.BCH (Hon), MRCOG, CCST, MRANCOG, FRANCOG Dr JM Bergin, MBBS Dr RJ McKimm, MBBS, MRCOG, FRACOG, Dr A Burk, MBBS, BMSc, DRACOG, FRACGP, FRANZCOG FACRRM Dr Anu Sarkar, MBBS, DRCP, MRCOG Dr. J Bvirakare, MB, ChB, MPH Dr P Dandy, MBBS Obstetricians & Gynaecologists Dr LJ Derrick, MBBS (Locum) Dr RJ Hides, MBBS, DRANZCOG Dr Usam Elsabary, MB CHB, MRANZCOG Dr G Ivanof, MBBS
(* Obstetricians GP Physicians Dr D Langford, MBBS, DRACOG, DRANZCOG Dr H Connor, MBBS, FRACP Dr C O’Kane, MBBS, DRANZCOG Dr V Das; MBBS, MRCP Dr AJ Wright, MBBS, FACRRM Dr K Mandaleson, MBBS, MRCP, FRCP Ophthalmologist Dr RW Ziffer, MBBS, MRACP, FRACP Mr KP Gullifer, MBBS, FRACO, FRACS Physician (Locum) Oral Maxillofacial Surgery Dr Su Hii, MBBS, FRACP Dr S R Hookey, BDSc, MDSc, FRACDS Radiologists Orthopaedic Surgeons Dr R Bain, MBBS, FRANZCB Dr R Brownlee, MBBS, FRACR Mr P Rehfisch, MBBS, FRACS Dr T Kulatunge, MBBS, FRANZCR Mr P Smith; MB, ChB, MScSM, FCO, MMO Dr G Savarkudele, MBBS, DMRD, DNB Otorhinolaryngologists (ENT) Dr K Stribley, MBBS, FRACR Mr M Campbell, MBBS, FRACS Dr A Zammit, MD (Malta), DMRD, FRCR Mr PJ Guiney, MBBS, D, FRACS Surgeons General Paediatricians Mr A Aitken, BSc (Hons), PHd, MBBS, EMST, Dr A Erasmus; MB CCh, DCH, FCP USMLE, FRACS Dr M Painter, MB ChB, DCH, FCP, MM, RCPSC Mr I McN Miller, MBBS, MRCS, LRCP, DCH, FRCS, FRACS Paediatric Cardiologist Mr A Sarkar, MBBS, MS, FRCS Dr L Fong; DDU, FRACP, MBBS Surgeon Upper GI Paediatric Rehabilitation Mr S Banting, MBBS, FRACS Physician A/Prof H Rawicki, MBBS FACRM, FAFRM(RACP) Surgeon Vascular Mr N Roberts, MBBS, FRACS Paediatricians Locums Dr S Beggs, MBBS, FRACP Urologist Dr R Diplock, MB.MS, FRACP Assoc Prof M Frydenberg, MBBS, FRACS Dr M Marks, MBBS, FRACP, MD, MPH Mr P McCahy, MBBS, FRCS Dr S O’Dea, MBBS, FRACP Dentists Dr G Roberts, MBBS, FRACP, MPH Dr JJ Gibson, BD Sc, LDS Paediatric Surgeons Dr R Malouf, BD Sc, LDS Mr C Kimber, MBBS, FRACS Dr B Pedrotti; BD Sc Mr N McMullin, MBBS, FRACS Dr T Ranten; BD Sc Dr I J Ronchi, B Sc, BD Sc Pathologists Dr O Husodo, B DSc Dr B Morrison, MB Bch, BAO, BDS , FRACPA Dr J Roberts, B DSc, MD Sc, FRACDS Dr NR Sonenberg, MBBS, FRCPA Dr PJ Van der Hoeven, MD, FRCPC, FRACPA Dentists CGHS Dr D Duraisamy, BDS, NZDREX Dr J Raj, BDS, ADC Dr R Zamanihazarjaribi, BDS, ADC
8ZcigVa<^eehaVcY=ZVai]HZgk^XZ6CCJ6AG:EDGI'%%-$'%%. (+ Statutory Information Competitive Neutrality Central Gippsland Health Service supports the Statutory Compliance Victorian Government’s policy statements as Central Gippsland Health Service is a public outlined in Competitive Neutrality; a statement hospital listed in Schedule 1 to the Health Services of Victorian Government policy. Competitive Act 1988 (the Act). Central Gippsland Health Neutrality is seen as a complementary mechanism Service is an incorporated body under and is to the ongoing quest to increase operating efficiencies by way of benchmarking and regulated by the Act. The Victorian Minister for embracing better work practices. Health during 2008/2009 was The Hon. Daniel Andrews. Building Act 1993 Compliance Reporting Requirements Central Gippsland Health Service complies with the Standards for Publicly Owned Buildings (the The information requirements listed in the guideline). Central Gippsland Health Service Financial Management Act 1994 (the Act) the controls 9 properties of which involve 6 residential Standing directions of the Minister for Finance care and 3 non-residential care. under the Act (Section 4 Financial Management Reporting) and Financial Reporting Directions has All new work and redevelopment of existing been prepared and are available to the relevant properties is carried out to confirm to current Minister, Members of Parliament and the public building regulations (1994) and the provisions on request. of the Building Act 1993. The local authority or a building surveyor issues either a Certificate of Objectives, functions, powers Final Inspection or an Occupancy Permit for all and duties of Central Gippsland Health Service Non residentialResidential Loch Sport CHC 1 The principal objective of Central Gippsland Health Service is to provide public hospital services Community Care 1 in accordance with the Australian Health Care Agreement (Medicare) principles. In addition to Community Rehabilitation Centre 1 these, Central Gippsland Health Service has set Heyfield Hospital 1 other objectives which encompass the shared vision, core values and strategic directions of the Laurina Lodge 1 organisation. Maffra Hospital 1 Consultancies engaged during Stretton Park 1 2008/2009 Sale Acute 1 A number of consultants were contracted to Wilson Lodge 1 work for Central Gippsland Health Service in 2008/2009. As required by the Victorian Industry new works or upgrades to existing facilities. Participation Policy Act 2003, a summary of the extent of contractual costs for consultants is As at June 30, 2009, fire risk audits had been outlined. completed for all Central Gippsland Health Service occupied residential care facilities. During 2008/2009 there was one contract commenced or completed under the Victorian Central Gippsland Health Service installs and Industry Participation Policy Act 2003. maintains fire safety equipment in accordance with building regulations and regularly conducts audits. The upgrading of fire prevention 2008/2009 2007/2008 equipment in buildings is also undertaken as part of any general upgrade of properties where Number of consultants used to a necessary and is identified in maintenance 00 value greater than $100,000 inspections. Total cost of consultants used to a Central Gippsland Health Service requires building 00 value greater than $100,000 practitioners engaged on building works to be registered and to maintain registration throughout Number of consultants used to a 16the course of the building works. value less than $100,000 Total cost of consultants used to a $7,200 $81,805 value less than $100,000
(, Freedom of Information privacy complaints procedure that can be accessed by both staff and consumers that both monitors A total of 59 requests under the Freedom of and enforces privacy issues. Information Act were processed during the 2008/2009 financial year. There is an Information Standards Committee which oversees privacy matters. Requests for documents in the possession of Central Gippsland Health Service are directed Whistleblowers to the Freedom of Information Manager, and all requests are processed in accordance with the The Whistleblowers Protection Act (Vic) came Freedom of Information Act 1982. into effect on 1 January 2002. Central Gippsland Health Service has developed both a Policy and A fee is levied for this service based on the time Procedure to encourage and facilitate the making involved in retrieving and copying the requested of disclosures, where these are supported by documents. reasonable grounds, related to alleged improper Central Gippsland Health Service nominated or corrupt conduct in the management or conduct officers under the Freedom of Information Act are: of the organisation. Any staff person or member of the public who Principal Officer has reasonable grounds to believe that improper Dr Frank Evans, Chief Executive Officer or corrupt conduct has occurred, is occurring or is about to occur in the management or conduct of Freedom of Information the organisation is encouraged to disclose this to Manager senior staff. The number and nature of disclosures shall be reported in this and subsequent annual Ms Heather Rowell, (Health Information reports. Administrator) s One disclosure was made to Central Gippsland Privacy Health Service during the year. Central Gippsland Health Service has embraced s No disclosures were referred by Central the privacy legislation and is committed to Gippsland Health Service Services to the ensuring that consumer and staff rights to Ombudsman for determination or investigation. privacy are upheld at all times. The Privacy s One disclosure was referred to Central Standing Committee has been formed with Gippsland Health Service Services by the representation from across all divisions. The Ombudsman, or taken over by the Ombudsman. role of the committee has been to ensure that the organisation has the proper processes and s No requests were made under Section 74 to the policies in place to enable the organisation to be Ombudsman to investigate. compliant with privacy legislation, and to provide s No matters were declined for investigation. information to staff and consumers regarding privacy rights and responsibilities. s Six recommendations were made by the Ombudsman under the Act that relate to All Central Gippsland Health Service consumers Central Gippsland Health Service services. have the right to have personal information stored in a secure location and to be assured that only The Whistleblower Co-ordinator is Michael Clamp, that information that is necessary to ensure high Director Corporate Services. quality health care is to be collected. Central Gippsland Health Service has implemented a
8ZcigVa<^eehaVcY=ZVai]HZgk^XZ6CCJ6AG:EDGI'%%-$'%%. (- CENTRAL GIPPSLAND HEALTH SERVICE REPORT OF OPERATIONS Responsible Bodies Declaration In accordance with the Financial Management Act 1994, I am pleased to present the Report of Operations for Central Gippsland Health Service for the year ending 30 June 2009.
John Sullivan Board Member Sale, Victoria 11 September 2009
SUMMARY OF FINANCIAL RESULTS 2008/09 2007/08 2006/07 2005/06 2004/05 2003/04 Total Expenses 65,605 60,482 56,818 54,320 54,245 54,209 Total Revenue 65,161 59,286 57,732 55,752 52,503 53,820 Operating Surplus/(Defi cit) (444) (1,196) 914 1,432 (1,742) (389) Accumulated Surplus (Defi cit) (5,745) (5,301) (4,105) (5,019) (6,175) (4,433) Total Assets 77,797 63,660 64,487 62,998 51,684 53,977 Total Liabilities 13,252 12,579 12,682 12,107 13,058 15,609 Net Assets 64,545 51,081 51,805 50,891 38,626 38,368 Total Equity 64,545 51,081 51,805 50,891 38,626 38,368
Summary of Operational and Budgetary Objectives The service recorded a net surplus from continuing operations before capital & specifi c items of $1.07 million (2007/08 $0.8 million surplus). After taking into account capital & specifi c items the net result was a loss of $0.4 million (2007/08 $1.2 million loss) The Health Service exceeded its budgetary objectives for 2008/09 Summary of factors that have affected the Operations for the Year The results of the service during the reporting period have been affected by the following factors: s #OMPLETION OF MAJOR CAPITAL PROJECTS WITHIN BUDGET AND TIMEFRAMES s $EVELOPMENT OF ROBUST BUDGET AND MANAGEMENT REPORTING PROCESS s 3TRONG MANAGEMENT OF EXPENDITURE INCLUDING EMPLOYEE RESOURCES s #OMPLETION OF l XED ASSET REVIEW AND STOCKTAKE s )MPLENTATION OF NEW &INANCE AND 3UPPLY SYSTEM Events Subsequent to Balance Date At the date of this report, management is not aware of any events that have occurred subsequent to balance date that may have a material impact on the results of the next reporting period.
(. Revenue Indicators Average Collection Days
2008/09 2007/08
Private Inpatients 54 82
TAC Inpatients - -
Victorian Workcover Inpatients 43 41
Other Compensable Inpatients 46 48
Nursing Home 8 7
Community Services 26 45
Patient Debtors Outstanding as at 30 June 2009
Under 30 Days 30-60 Days 61-90 Days Over 90 Days Total 30/06/09 Total 30/06/08 $’000 $’000 $’000 $’000 $’000 $’000
Private Inpatients 44 7 4 - 55 149
TAC Inpatients ------
Victorian Workcover Inpatients - 6 - - 6 -
Other Compensable Inpatients ---- -13
Nursing Home 22 7 4 1 34 22
Community Services 30 10 11 1 52 56
Total 96 30 19 2 147 240
Attestation on Compliance with Australian/New Zealand Risk Management Standard I, Frank Evans certify that the Central Gippsland Health Service has risk management processes in place consistent with the Australian/New Zealand Risk Management Standard and an internal control system is in place that enables the executives to understand, manage and satisfactorily control risk exposures. The audit committee verifi es this assurance and that the risk profi le of the Central Gippsland Health Service has been critically reviewed within the last 12 months.
Frank Evans Chief Executive Offi cer
Sale, Victoria 14 September 2009
8ZcigVa<^eehaVcY=ZVai]HZgk^XZ6CCJ6AG:EDGI'%%-$'%%. (/ CENTRAL GIPPSLAND HEALTH SERVICE REPORT OF OPERATIONS KEY PERFORMANCE INDICATORS Service Level Central Gippsland Health Service provides services throughout the Wellington Shire. The population of the total area is approximately 40,000
Activity Data Admitted Patient Acute Sub Acute Total Separations Same Day 6,064 - 6,064 Multi Day 5,661 281 5,942 Total Separations 11,725 281 12,006 Emergency 3,509 38 3,547 Elective 7,352 56 7,408 Other (inc maternity, newborn & statistical) 1,204 187 1,391 Total Separations 12,065 281 12,346 Public Separations 10,551 240 10,791 Total WIES 6,431 - - Total Bed Days 29,366 2,593 31,959 Non Admitted Patient Acute Emergency Medicine Attendances 15,107 Outpatient Services - Occ. of Service 76,855 Total Occasions of Service 91,962
)& Disclosure Index The Annual Report of the Central Gippsland Health Service 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 – FRD Guidance Charter and purpose FRD 22B Manner of establishment and the relevant Ministers 5 FRD 22B Objectives, functions, powers and duties 26 FRD 22B Nature and range of services provided 8 Management and structure FRD 22B Organisational structure 10 Financial and other information SD 4.2(j) Accountable officer, signed off report of operations 29 SD 4.5.5 Risk Management Compliance 29 FRD 22B Operational and budgetary objectives and performance against Objectives 28 FRD 22B Statement of merit and equity 7 FRD 22B Workforce Data Disclosures 7 FRD 22B Occupational health and safety 7 FRD 22B Summary of the financial results for the year 28 FRD 22B Significant changes in financial position during the year 28 FRD 22B Major changes or factors affecting performance 28 FRD 22B Subsequent events 28 FRD 22B Application and operation of Freedom of Information Act 1982 27 FRD 22B Compliance with building and maintenance provisions of Building Act 1993 26 FRD 25 Victorian Industry Participation Policy disclosures 27 FRD 22B Statement on National Competition Policy 26 FRD 22B Application and operation of the Whistleblowers Protection Act 2001 27 FRD 22B Details of consultancies over $100,000 26 FRD 22B Details of consultancies under $100,000 26 FRD 22B Statement of availability of other information 27 FRD 10 Disclosure index 31 FRD 11 Disclosure of ex-gratia payments Financial Report 44 FRD 21A Responsible person and executive officer disclosures Financial Report 44 26 Legislation Requirement Page Reference Financial Statements – FRD Guidance Financial statements required under Part 7 of the FMA SD 4.2(b) Operating Statement Financial Report 5 SD 4.2(b) Balance Sheet Financial Report 6 SD 4.2(b) Statement of Changes in Equity Financial Report 7 SD 4.2(b) Cash Flow Statement Financial Report 8 SD 4.2(c) Accountable officer’s declaration Financial Report 2 SD 4.2(c) Compliance with Australian accounting standards and other authoritative pronouncements Financial Report 10 SD 4.2(c) Compliance with Ministerial Directions Financial Report 44 SD 4.2(d) Rounding of amounts Financial Report 10 Legislation Freedom of Information Act 1982 27 Whistleblowers Protection Act 2001 27 Victorian Industry Protection Act 2003 26 Building Act 1993 26 Financial Management Act 1994 Financial Report 10 Audit Act 1994 Financial Report 3
8ZcigVa<^eehaVcY=ZVai]HZgk^XZ6CCJ6AG:EDGI'%%-$'%%. )' Notes
)( All correspondence to: Executive Office Central Gippsland Health Service 155 Guthridge Parade Sale, Victoria 3850 Telephone: 03 5143 8660 Fax: 03 5143 8633 Email: [email protected]
3HOULD YOU REQUIRE THE SEPARATE &INANCIAL 3TATEMENTS and they are missing from this publication, please contact Central Gippsland Health Service on telephone 03 5143 8600 or email [email protected] All Correspondence Sale Maffra Heyfield Chief Executive Officer Central Gippsland Health Service Acute Care Services 48 Kent Street 14 Licola Road 155 Guthridge Parade 155 Guthridge Parade PO Box 313, Heyfield VIC 3858 Sale Victoria 3850 Sale VIC 3850 Maffra, VIC 3860 Telephone 03 5139 7979 Telephone 03 5143 8600 Telephone 03 5147 0100 Facsimile 03 5139 7922 Telephone 03 5143 8660 Facsimile 03 5143 8633 Facsimile 03 5147 0152 Facsimile 03 5143 8633 Email [email protected] Community Services Telephone 03 5143 8800 Facsimile 03 5143 8889 Wilson Lodge Nursing Home Telephone 03 5143 8540 Facsimile 03 5143 8542