Albury Wodonga Health
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Albury Wodonga Health ANNUAL REPORT 2014 HEALTH ALBURY WODONGA OUR PURPOSE Our purpose is to deliver quality healthcare services in unique models of partnership to improve our regions health. OUR VISION Albury Wodonga Health – the best of health OUR VALUES ETHICAL Both in our clinical endeavour and our business practices we will be just in all our dealings. TEAMWORK Esprit de corp, harmony, partnership and unity are valued. RESPECT Appreciation of the worth of others and regard for their contribution is inherent. TRUST Confidence that all are doing their best, honestly and positively. ACCOUNTABILITY Understanding that all bear a personal responsibility to our community. COMPASSION Consideration, empathy and humanity are given freely to our patients and staff alike. EQUITY Fairness, integrity and justice are apparent in our actions. PATIENT AND Our purpose is to serve our patients and clients in order to achieve the CLIENT FOCUSED Vision and Purpose of Albury Wodonga Health. 2 ALBURY WODONGA HEALTH 2014 ANNUAL REPORT CONTENTS 02 Vision, purpose and values 04 About Us 05 Chairman and CEO Report 07 Board of Directors 08 Executive Directors Reports 13 Workforce Data Disclosure 14 Organisational Chart 15 Albury Wodonga Regional Cancer Centre Progress 16 Key Financial and Service Performance Reporting 22 Environmental Performance 23 Statutory Compliance and Mandatory Reporting 25 Additional Information 25 Attestations/Declarations 26 Disclosure Index 28 Financial Statements ALBURY WODONGA HEALTH 2014 ANNUAL REPORT 33 ABOUT US With more than 2,000 staff, serving a population of 250,000 The Albury Wodonga cities are growing at almost 2% per across an area that is a quarter the size of Victoria, Albury annum, reflected in the continuing growth of category 1 Wodonga Health (AWH) is a fast developing regional health – 3 attendances in the Emergency Departments of 1.5% service, operating within the responsibility of the Victorian in 2013/14 Department of Health. The emergency attendances and obstetric deliveries are AWH offers the sophistication of health services found in a the second highest in regional Australia. city environment combined with the unique charm of North East Victoria and Southern New South Wales. There has been over $15M spent in the current five (5) year period across the health service but particularly at AWH, a 240 bed health service, treated almost 31,272 the Albury Wodonga Regional Cancer Centre, the PET/ inpatients, triaged 55,736 emergency attendees and CT scanner in Albury and a range of new developments in welcomed 1631 new born babies in the 2013/14 financial Wodonga including: year. • The Renal Dialysis Unit These services were provided utilising 20 rehabilitation • Day Procedure / Endoscopy Unit beds, 20 acute mental health beds, 6 intensive care • Parents and Babies Unit beds, 8 operating rooms and 189 general beds together • Expanded Emergency Unit with a range of community based residential facilities • Prevention and Recovery Care (PARC) Unit and community health centres that deliver care from 12 • Rehabilitation Unit different sites from Wangaratta and Beechworth to Albury Wodonga and Corryong. THE COMMUNITY WE SERVE The map below graphically represents the communities AWH serves. The catchment area population is estimated at 250,000 people. JERILDERIE • • URANA HENTY FINLEY • • • BERRIGAN • NSW CULCAIRN • HOLBROOK TOCUMWAL COROWA HOWLONG • JINDERA • • WALWA • ALBURY RUTHERGLEN • CORRYONG • CHILTERN• WODONGA • • TALLANGATTA WANGARATTA • • • YACKANDANDAH BEECHWORTH VIC MYRTLEFORD • BENALLA • BRIGHT • MT BEAUTY • • MANSFIELD *Includes patients status who are or whose planned procedure is a non ESIS procedure. 4 ALBURY WODONGA HEALTH 2014 ANNUAL REPORT CHAIRMAN & CEO REPORT It is a privilege to present the fifth Annual Report– which In 2013/14 we were successful in sourcing new funds for because it is also the transition to the new leadership, elective surgery conducted in conjunction with the private also serves as the report on the first five years of Albury sector. This resulted in 414 orthopaedics, general surgery, Wodonga Health. ENT and Urology cases being performed and 630 cataract cases being performed in the private sector to offset the We cannot encompass all that has been achieved but the delayed opening of beds at the Wodonga Hospital due to overall response we receive from the staff, the Medical the capital works being undertaken. Community, the Community at large and Government is that there has been a very successful transition from two As we headed into 2014 – there was good news, we had small hospitals, both with challenges for the future, to a commissioned every bed, opened four new short stay beds dynamic single health service that is now well positioned to in the Albury Emergency Department and commissioned the go from strength to strength. new Day Procedure/Endoscopy Unit at Wodonga. Whilst acknowledging there will always be more to do than The result of this is seen by the size of the waitlist at 30 is done and that we must be more effective on all fronts, June 2014 – the lowest it has been for years, at 3512, and we are all entitled to take a moment of pride before pushing of particular note only 2 category 1 elective surgery patients onto the next level of performance or that new initiative. (those needing acute care and admission) remained out of time at 30 June. Some of the hallmarks of five years have been: Our budgeted result remains disappointingly in deficit. This • A single organisation structure at all levels, despite two has been significantly affected by the lack of revenue due to separate industrial agreements the capital works. The deficit of $1.63M is consistent with • A shared clinical environment across medical, nursing not meeting our activity targets across the organisation as and allied health services a whole. • An elective surgery program that is now seeing waiting lists falling The quantity and quality of capital works has been • A strong relationship with the Private Hospital sector of outstanding in 2013/14 and is a result of good planning and Albury Wodonga strong government support. The projects for 2013/14 have • A major capital works program at Wodonga Hospital in included: accord with our Service Plan and Master Development Plan - $10M over the period • Wodonga Emergency Department Refurbishment - • The transfer and now construction of the new “Parents $1.3M and Babies Unit” - $1M • Endoscopy/Day Procedure Unit including new • The consolidation of all Public Sector Mental Health endoscopes - $2.7M Services in North East Victoria and Southern New South • Short Stay Unit – Albury Emergency Department - Wales within AWH care $0.1M • The PET/CT Scanner for the investigation of Cancer - • Paediatric Day Treatment and Family and Play area $5M - $0.5M • The start of construction of the Albury Wodonga • Prevention and Recovery Care (PARC) Facility, Wodonga Regional Cancer Centre - $70M - $3.6M • The commencement of the development of Albury • Rehabilitation Inpatient Unit, Wodonga – $1.944M Wodonga Cardiac Centre - $5M • Parents and Babies Unit (transfer of service from Mercy) purpose built facility $.960M* And more recently the recruitment of new specialists in • Margaret Boyd Centre, Adult Community Mental Health Anaesthesia, General and Specialty Internal Medicine, team Wangaratta – $.476M* Emergency Medicine and Orthopaedics. It is expected *Denotes in progress that there will be additional surgical recruitment in the near future. The People Matter Survey, conducted early in 2013, was reported to the health service in September 2013. This The overwhelming influence upon AWH in 2013/14 has highlighted the pressure the health service had been under been the capital works program of the Wodonga Hospital earlier in 2013, with bed closures, operating room reductions, which, because of the delay in the recommissioning of staff reductions and a range of precipitate changes. the Emergency Department, has had a lasting impact on our ability to reach our inpatient and elective surgery Major organisational change brings with it challenges, targets across the whole organisation. With limited bed and in our special regional environment the effects were space capacity and with a service profile weighted towards underestimated. emergency admissions and obstetrics (when compared with like organisations), elective surgery is vulnerable. ALBURY WODONGA HEALTH 2014 ANNUAL REPORT 55 CHAIRMAN & CEO REPORT (CONT.) This survey highlighted the need to consult and involve staff A very positive and exciting development is the $5M funding on the major issues. Additionally the survey indicated a from the Commonwealth to develop a Cardiac Centre at the work environment, in some quarters, that was not congenial Albury Hospital. This centre will open in early 2016 making a and left a number of staff feeling harassed and unprotected. real difference to over 1000 patients who travel to Melbourne for investigation and treatment for cardiac conditions. The Board and Senior Executive are determined and deeply committed that this will be typical of AWH in the future An important issue that still awaits a solution is the and we are working to ensure a culture and workplace development of a major Emergency Department at the Albury environment that reflects our espoused values. Hospital of a contemporary standard. Almost 60,000 people attend our emergency services each year – the second To support this direction, the Human Resource Department highest in Regional Australia. has been strengthened and we welcome Desirée Harker’s appointment as Executive Director of Human Resources, to The Albury Emergency Department was fit for purpose in lead these changes. 1990 however with its current workload and inadequate accommodation, a solution needs to be found. The North East & Border Mental Health Services continues to develop following the merger of 2012. On 1 July 2014 the Finally, we must acknowledge the contribution of Ulf Albury Based Community and Mental Health Services and Ericson, the inaugural Chair of Albury Wodonga Health for Drug and Alcohol Services of Murrumbidgee Local Health his contribution and leadership over the first five years of our District (MLHD) also transferred to AWH.