Albury Wodonga Health

ALBURY WODONGA HEALTH PO Box 326 Albury NSW 2640 ABN: 31 569 743 618

ALBURY HOSPITAL Borella Road Albury NSW 2640 Ph: 02 6058 4744 Fax: 02 6058 4528 ANNUAL REPORT 2014 WODONGA HOSPITAL Vermont Street HEALTH Wodonga VIC 3690 ALBURY Ph: 02 6051 7111

Fax: 02 6051 7477 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 Environmental Performance

17 Statutory Compliance and Mandatory Reporting

19 Additional Information

19 Attestations/Declarations

20 Disclosure Index

Key Financial and Service Performance Reporting Attached

Financial Statements Attached

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. The NEBMHS – endeavour. with over 400 staff is now the most significant mental health service in Regional Australia and has tremendous potential By the time this report is published the baton will have been for good when the critical mass is harnessed in the future. passed, with the retirement from the Board of Dr Peter Vine OAM, Graeme Welsh and Judy Charlton and the appointment We welcome the former Murrumbidgee Local Health and of Dr John Moran, Timothy Farrah together with myself as District staff – both Mental Health and Community Health Chair. services, and look forward to their contribution. With Stuart Spring’s retirement and Susan O’Neill’s In November 2013 AWH underwent a mid-term accreditation appointment as Chief Executive Officer, the Board and survey by the Australian Council on Health Care Standards. Executive now have the challenge to take AWH forward, as The result was affirming of the standards we seek to achieve. it strives to become one of Australia’s great Regional Health We have more work to do in preparation for the full survey Services. in late 2015.

The Community Advisory Committee continues to going from strength to strength and we welcome Sue Housego, Maria Berry, Karen Purtle, Cheryle O’Loan and Mohammed Alamgir to the Committee. Their role is vital in keeping us in tune with community needs and aspirations. Lou Lieberman Dr Stuart Spring The volunteers, now over 200 strong are a major source Chairman CEO of inspiration to us, they are obviously very committed and enjoy their voluntary role and we need them. Equally the volunteer Pastoral Care Workers are providing a niche service that is greatly valued.

AWH is continuing to develop as a major Regional Health Service, from a low base. We have gaps.

The Albury Wodonga Regional Cancer Centre (AWRCC) will provide a major stimulus but it is initially only bringing together what is disseminated throughout Albury Wodonga.

6 ALBURY WODONGA HEALTH 2014 ANNUAL REPORT BOARD OF DIRECTORS AS AT 30 JUNE 2014

MR ULF ERICSON MS JUDY CHARLTON – RESIGNED 31 MARCH 2014 Chairman Director

MS NICKI MELVILLE MR GRAEME WELSH Deputy Chair Director

PROF JULIA COYLE MR PHILLIP WILLIAMS Director Director

DR PETER VINE OAM MR MATTHEW BURKE OAM – COMMENCED 30 JULY 2013 Director Director

MS ALLISON JENVEY Director

BOARD COMMITTEES

AUDIT AND RISK COMMITTEE EXECUTIVE REMUNERATION COMMITTEE The Audit and Risk Committee meets quarterly and as The Executive Remuneration Committee meets as required requested by the AWH Board, any Committee Member, to review performance and determine remuneration of Internal Auditor and Auditor-General. The Committee liaises executive management. with the internal and external auditors, reviews and approves audit programs and evaluates the adequacy and effectiveness Members: Nicki Melville (Chair), Ulf Ericson, Prof Julia of the overall governance framework operating within AWH. Coyle, Allison Jenvey

Members: Allison Jenvey (Chair), Nicki Melville, Ulf Ericson, Prof Julia Coyle, Phillip Williams COMMUNITY ADVISORY COMMITTEE The Community Advisory Committee meets by monthly to bring the voices of the community and consumers FINANCE COMMITTEE into the decision-making processes of AWH. Members The Finance Committee meets monthly to review all financial provide information and advice on needs, demands and matters, management information and internal control service developments from a community perspective. systems and considers and makes recommendations to the Board. Members: Graeme Welsh (Chairman), Liz Hare, Martin Butcher, Robyn Raine, Bev Bennie, Leanne Jenvey, from Members: Nicki Melville (Chair), Ulf Ericson, Graeme 1 January 2014: Karen Purtle, Mohammed Alamgir, Maria Welsh, Allison Jenvey, Phillip Williams, Judy Charlton Berry, Cheryl O’Loan, Susan Housego (resigned 31 March 2014)

QUALITY COMMITTEE The Quality Committee meets bi-monthly to monitor outcomes and improved the quality and effectiveness of the health services provided by AWH.

Members: Prof Julia Coyle (Chair), Dr Peter Vine OAM, Phillip Williams, Judy Charlton (resigned 31 March 2014)

ALBURY WODONGA HEALTH 2014 ANNUAL REPORT 77 CLINICAL OPERATIONS DIRECTORATE

REPORT BY CATHERINE O’CONNELL Executive Director Of Clinical Operations

The Clinical Operations directorate co-ordinates and ACUTE SERVICES supports all services and staff directly associated with clinical care across acute, sub-acute, allied health and ambulatory • Further development of the combined bed management care departments throughout AWH. model that enables improvement in patient flow across both campuses. Another dynamic twelve months with many changes across • Review of cross campus transfers and clinical handover. all clinical departments as the organisation continues • Increased focus on National Safety and Quality Health to respond to the challenges of providing public health Services Standards in particular those that relate to services for Albury, Wodonga, Wangaratta, Beechworth minimising patient harm including clinical handover, and surrounding communities in north east Victoria and patient identification and consent, nutrition, falls and Southern NSW. medication safety. • Improved management for patients at discharge and The directorate re-structure to a fully integrated service in the introduction of systems to enable improved patient January 2014 has marked a point in the life of AWH that flow between inpatient and ambulatory services. indicates a maturing, responsive organisation. I take this opportunity to acknowledge and thank all staff who have WOMEN’S AND CHILDREN SERVICES participated in the planning and implementation of the • Expansion of midwifery care program change that now sees a structure capable of providing • Transfer of Parent and Baby Unit from Mercy Health effective leadership across AWH reflective of a large ‘go- Service ahead’ regional health service. SUB ACUTE SERVICES ACHIEVEMENTS THIS YEAR INCLUDE: • Planning to transfer rehabilitation services to Wodonga Clinical services have been strongly influenced by a number Hospital in 2015. of capital works projects on both campuses with a reduction • Transfer of Geriatric Evaluation Management (AGEM) in beds necessary over seven months to enable the service to Wodonga. refurbishment of the emergency department at Wodonga • Introduction of four specialist clinics: Continence, CDAMS, and the new endoscopy suite. Fall and Balance, and Pain Management. Each stream has achieved improvements in care provision through identified projects: PRIMARY CARE SERVICES SURGICAL SERVICES • Planning for transition of Albury Community Health Service from MLHD to AWH. HOLBROOK • Enhancement of surgical operating theatre allocation • Introduction of a Hospital in the Home (HITH) clinic at and utilisation. Wodonga. • Commencement of the new endoscopy/procedure unit at • Planning for a collaborative Palliative Care service. Wodonga and associated models of care. • The competitive bidding program for surgical services, NURSING SERVICES partnering with Albury Wodonga Private Hospital and Albury Day Centre. • Introduction of a Nurse Practitioner, Aged Care. • Introduction of outreach dental services and achievement • Introduction of Assistants in Nursing (AIN) to support of enhanced activity requirements. clinical care in all clinical departments. • Introduction of initiatives that focus on patient experience CRITICAL CARE & EMERGENCY and patient centred care. DEPARTMENTS • Integrated framework and designated nursing resources for wound care and skin integrity. • Implementation of a short stay bed unit at Albury. • TALLANGATTA • Commissioning of the newly re-furbished Wodonga Emergency Department. VIC

8 ALBURY WODONGA HEALTH 2014 ANNUAL REPORT ALLIED HEALTH SERVICES As we commence our sixth year of AWH the directorate looks forward to defining priorities for improvement and continuing • Koolin Balit – program and updated strategic plan for the work of providing high quality care for our catchment Aboriginal Health Services. communities. While there will certainly be ongoing efforts for • Expansion of clinical educators for allied health projects already underway additional improvement initiatives disciplines. will include: • Introduction of a post arthroplasty review (PAR) Clinic that enhances post-operative management for joint • Completion of the clinical operations business plan replacements. 2014-2016 • Introduction of cognitive impairment assessment process • Participation in the next iteration of the AWH strategic in the acute setting by occupational therapy and speech plan pathology. • Confirmation of the preferred bed configuration in line with the AWH service plan PROFESSIONAL DEVELOPMENT AND • Implement Code Grey response Albury Hospital RESEARCH • Strengthening MTthe BEAUTYutilisation of Advanced Care Directives • Strengthened focus on staff training and education • Implementation of an integrated framework for Palliative Care • through a collaborative agreement with key local tertiary BRIGHT institutions, universities and other training providers. • Key initiatives to progress effective processes for clinical • Further development of the simulated learning handover •and consent environment (SLE) program across all clinical disciplines • Strengthened processes for patient flows to ambulatory in partnership with la Trobe University. services • Introduction of the Productive Ward and Productive • Introduction of the Victorian PROMPT program - a training Leader program across identified clinical departments. program for the management of maternity and neonatal • Introduction of E-Learning program for clinical and emergencies. WALWA mandatory training. • Introduction of an additional Nurse Practitioner, aged care focussing on outreach to community CORRYONG and residential SUPPORT SERVICES facilities. • Enhancement of AIN positions across inpatient services• to • Introduction of an integrated security service. support the high risk older patient in the acute setting. • Complete upgrade of CCTV system • Introduction of a model of care for medical procedures. • Implementation of Code Grey at Wodonga to strengthen • Improved processes for fracture clinic, outpatient safety in the workplace in line with Improving Safety and orthopaedics and wound care. Security in Victorian Health Services framework. • Introduction of a fractured Neck of Femur (NOF) program • Participation in the E-Health project to further progress that includes shared care between orthopaedics and the introduction of electronic documentation/patient geriatrics. information systems across the organisation. • Planning for the transition of Albury Dental Services in • Introduction of a designated resource for fire safety and January 2015. emergency/disaster management. • Multiple initiatives to integrate Albury Community Health • Enhanced Bariatric patient transfer capability Services to AWH. • Consolidate transport booking process. • Redesign of Health Independence Programs (HIP) • Upgraded radiology equipment at Wodonga. • Planning for the introduction of cardiology services. • Further development of the Parent and Baby Unit • • Actively participate in the development and planning for the Regional Cancer Centre. • Clinical and support services workforce development. • Strengthening capacity for Risk identification and management. • Expanding paediatric tele-health services through Victorian Department of Health project aimed to improve access for Victorian regional and rural patients to sub specialist paediatric services • Implement Health Care Assistants for patient monitoring

ALBURY WODONGA HEALTH 2014 ANNUAL REPORT 99 FINANCE AND CORPORATE SUPPORT DIRECTORATE

REPORT BY MARTIN CLIFFORD Executive Director Finance & Corporate Support

Finance and Corporate Support provides a range of services • Corporate Records Management feasibility assessment underpinning AWH operations, including food services, completed environmental services, supply and logistics, biomedical • Deployment of new IV Pumps providing the latest engineering, finance, administration services and information technology and consistent equipment across the two communication and technology (ICT). Corporately, the main campuses directorate is responsible for financial governance and • Establishment of an organisation-wide Capital Expenditure reporting, fire safety, environmental management and Management committee ensuring transparent decision contract and procurement oversight. Services are currently making delivered through an amalgam of in-house, third party • Redesign and launch of a new AWH website provider and contract arrangements that differ across each • Implementation of Oracle Fixed Assets and Accounts campus. Receivable enhancing financial operations and governance • Upgraded the Wodonga Hospital paging system In the fifth year of AWH the Finance and Corporate Support directorate has continued to integrate and progressively The year ahead will present more challenges and opportunities consolidate those functions most critical to its operations. with further consolidation of Finance and Corporate Support While continuing to support the delivery of safe and service functions across AWH. A number of critical projects effective clinical services across all Campuses of AWH, the are already well underway including the establishment of a directorate has prioritised further enhancing its governance region-wide project team that will lead the implementation structures and projects critical to the further integration and single Patient Administration System (PAS) across the health consolidation of the corporate services supporting AWH service. The directorate will also continue to make significant Significant achievements include: progress in consolidating all its services across all sites.

• Completion of the feasibility study for service provision Key activities anticipated to be commenced or completed in options for corporate services ensuring in-house services 2014/15 are as follows: continue • Sustainability Vision and action plan approved by the • Progressive transition to new Health Purchasing Victoria Board (HPV) procurement policies for completion in June 2016 • Establishment of cross-campus administration • Implement a robust and comprehensive Financial management team Improvement Plan (FIP) to support the achievement of the • Completion of ICT Review and development of an approved 2014/15 budget Information Management strategic plan • Support integration of mental health, drug and alcohol • Implementation of new rostering system, Roster On, for and community health services transitioning from NSW staff employed through the Wodonga Hospital. from 1 July 2014 • A common menu management system, CBORD • Implement a comprehensive Waste Management Plan implemented across both main campuses across all AWH sites • Establishment of an organisation-wide Capital • Transition to a common PABX and Paging Systems for Expenditure Management Committee ensuring Albury and Wodonga main campuses transparent decision making • Preparation for the implementation of Activity Based • Completed the detailed dual campus financial review, Funding (ABF) as part of the National Health Reform including analysis of comparative performance with agenda selected regional Victorian Health Services • Implementation of a corporate records management • Appointment of key leadership roles including an system to improve processes and ensure relevant Environmental Services Manager, Revenue Manager, legislative and accreditation compliance Clinical Products Manager and Financial Reporting and • Development of clinical costing systems and approaches Analysis Manager across all sites

10 ALBURY WODONGA HEALTH 2014 ANNUAL REPORT MEDICAL SERVICES DIRECTORATE

REPORT BY DR GLENN DAVIES Executive Director Medical Services

The Medical Services Directorate encompasses the key • We have strengthened our risk management processes. areas of Medical Workforce, Quality and Clinical Governance, As part of a three yearly assessment cycle the Victorian Pharmacy Services and Health Information (including our Managed Insurance Authority assessed our risk digital medical record). management framework and as a consequence we commenced a series of risk management staff training The Medical Services Directorate underwent a change of workshops to again further improve the capability leadership during 2013/14 following the resignation of Dr of managers to recognise and manage risks. Alastair Mah, Executive Director of Medical Services in • Our Rural Allied Health Team and District Nursing Service May 2014 whereby Dr Glenn Davies was appointed to this were assessed under the Community and Common Care position. Standards in November 2013 and all expected outcomes were met. We also continue to be fully accredited under the Aged Care Accreditation Standards as applied to the ACHIEVEMENTS THIS YEAR INCLUDE: Blackwood Cottage Residential Aged Care Facility.

MEDICAL WORKFORCE PHARMACY SERVICE • Medical staffing was further strengthened throughout • Our consolidated Pharmacy service over the year the year. Almost all of our junior medical staff are now has integrated a number of activities across our two recruited directly by AWH. We have developed a acute campuses over the year. In particular we have comprehensive orientation and education program that introduced PBS dispensing on discharge at both sites, operated throughout the year and many of our junior which aims to streamline patient discharges with a staff are now looking at pursuing further training within smooth transition between hospital and home. There has our region. also been this year a significant emphasis on medication • We have further strengthened and expanded medical safety, particularly in relation to infusions and medication staffing after hours on our acute campuses including prescribing. the implementation of night ward cover and the 24 hour presence of on-site physician trainees. • We have established combined geriatric training positions HEALTH INFORMATION with Mercy Health to further strengthen aged care This year has marked the first full year of the AWH digital services in Albury Wodonga. medical record. The project has successfully created: • We have actively recruited senior medical staff for our Emergency Department to meet the increasing demands • a single medical record across AWH, improving access to for emergency services. clinical information to support patient care; • offsite availability so consulting specialists can access their patient’s hospital records electronically; QUALITY AND CLINICAL GOVERNANCE • the ability to provide electronic discharge summaries • AWH is accredited by the Australian Council on through the digital medical record to improve both the Health Service Standards. In November 2013 AWH was timeliness and accuracy of information provided to general assessed against these standards at its periodic review. practitioners. The assessors confirmed our accreditation status and confirmed that all recommendations from a previous organisation wide survey were met. We have now commenced planning for our next major organisation wide survey which is scheduled for November 2015.

ALBURY WODONGA HEALTH 2014 ANNUAL REPORT 1111 MENTAL HEALTH SERVICES DIRECTORATE

REPORT BY PETER COLLICOAT Executive Director Mental Health

The Mental Health directorate provides public mental health • The transfer of Albury based Mental Health and Drug services to the communities of North East of Victoria from and Alcohol services on the 1st July 2014 following an Mansfield in the south and Yarrawonga in the West to Corryong extensive piece of due diligence work involving a in the East, including the cities of Wangaratta, Benalla and collaborative partnership with Murrumbidgee Local Health Wodonga. From July 2014 Albury Mental Health, including District during 2013-14. community mental health and Inpatient Services at Nolan • Continuing work to ensure the integration of mental health House, along with Drug and Alcohol Services transferred to services in the Northeast of Victoria with maturing systems AWH extending our service boundaries into Southern NSW. to assist in improving clinical and corporate governance North East and Border Mental Health Services (NEBMHS) during 2013-14. operate from eleven different sites throughout North East • Successful preparation for the implementation of the new Victoria and four in NSW. Victorian Mental Health Act that come into effect on the 1st July 2014 OUR SERVICES INCLUDE • Substantial planning was undertaken to continue to align our services and reflect the clinical service planning that • Acute Inpatient care in Wangaratta and Albury for Adults had been undertaken in the prior year as well as further and Older People (Young people are admitted to Box Hill). developing models of care for our rehabilitation and • Adult Community Mental Health in three locations and recovery program. providing outreach to smaller communities. • The North East Child and Adolescent Mental Health • Integrated Primary Mental Health with the office in Service (NECAMHS) introduced a new way of providing Wangaratta but covering the whole of the region. services, the Choice and Partnership Approach (CAPA) in • Perinatal Mental Health and Infant Mental Health Services. July 2013. This substantially recast the way young people • Early Psychosis Services in Wodonga and Wangaratta. and families are being engaged and serviced in our region. • Hume Mental Health Specialist Visiting Service, Mental • CAPA is a clinical system that is being widely implemented Health Specialist Outreach Services and the Border across the UK, New Zealand and parts of Australia. The Private Psychiatry Service in Wodonga, Wangaratta and aim is to provide user-friendly services to young people Beechworth. and families that are designed around their needs, • Residential Rehabilitation and Recovery services in accessible, safe and effective. The system uses quality Wodonga and Beechworth. parameters combined with processes to facilitate • Child and Adolescent Mental Health with three office pathways through the service, attempting to avoid locations. unnecessary waits. In doing so, it attempts to place the • Autism Assessment and Kids Early Action Programs. needs of families at the centre of care. • Older Persons Mental Health in two sites. As well • NECAMHS has operated without waiting lists since mid- Cognitive Assessment and Behavioural Management January 2014 for the first time in many year. This change Services for Dementia are provided to part of the region. resulted in a 150% increase over the prior year in the • Residential Aged Care Specialist Service in Beechworth. number of clients seen after entry into the service. • In addition we have our Mental Health Practice • Kerferd Acute Inpatient Unit Wangaratta implemented Development and Service Development staff. two projects aimed at improving the experience of patients. • Opening in September 2014 is Jarrah Retreat Wodonga This was the Reducing Restrictive Interventions Project providing sub acute residential services. along with the commencement of the Safe Wards implementation, both being 12 month projects. Continuing ACHIEVEMENTS THIS YEAR reductions in the seclusion rates have occurred throughout • Our Recovery transformation programs won two the 2013-14 year with no episodes of restraint occurring. “Australia and New Zealand Mental Health Services • Funding for the improvement of the physical facility that national awards in 2013 for the work that has taken houses our adult community team in Wangaratta. This will place. Our website recovery.awh.org.au won an award be completed by the end of 2014. for innovative use of technology, while our transformative work with our clinical teams won an award in the category for assessment and treatment programs. This was positive recognition for the sustained work that many people have contributed.

12 ALBURY WODONGA HEALTH 2014 ANNUAL REPORT HUMAN RESOURCE DIRECTORATE

REPORT BY DESIRÉE HARKER Executive Director Human Resources

STRATEGIC FOCUS ON OUR PEOPLE INJURY MANAGEMENT PERFORMANCE AWH recognised the importance of strategic capital Throughout 2013/2014 the Health Safety and Injury management, particularly in an environment where the Management Department, together with the work unit integration of cross border health services has added managers and supervisors, continued to reinforce an early significantly to the complexity and demand for contemporary intervention and supportive approach to the management human resource services. We place a high value on the of employees who are injured during the course of their development and sustainability of our workforce and have employment. strengthened our focus on strategic people management at an Executive level. Injury prevention strategies and effective return to work programs have combined to continue to reduce both Desirée Harker joined the Executive Management Team in the number of claims and total claims costs across the March 2014 in the newly created role of Executive Director organisation. Human Resources. The role has responsibility for leading and implementing human capital strategies, objectives and Working within the constraints of the work environment practices that enable our workforce to deliver high quality and the individual circumstances of our injured workers, health care services to our community and enable our Managers and Human Resource Staff have achieved cost people to reach their full potential. effective and sustainable outcomes for the organisation and our employees. Wherever practicable, AWH applies the WORKFORCE PROFILE same supportive approach to non-work related injuries. At 30 June 2014 AWH’s Full Time Equivalent (FTE) staff was 1,367. The FTE is the total number of staff (total headcount) adjusted for casual and part‑time staff to show the full‑time equivalent. This compares to a FTE of 1,247 at 30 June 2013 and reflects the expansion of health services principally in the medical, nursing and allied health areas.

WORKFORCE DATA DISCLOSURE 2014

LABOUR CATEGORY JUNE JUNE CURRENT MONTH FTE YTD FTE 2013 2014 2013 2014 Nursing 657.95 706.8 617.57 674.2 Administration and Clerical 191.09 205.31 194.72 199.07 Medical Support 52.53 71.78 55.69 70.2 Hotel and Allied Services 161.04 157.74 159.45 159.44 Medical Officers 12.34 12.18 22.45 13.00 Hospital Medical Officers 79.78 81.72 76.22 73.3 Sessional Clinicians 5.01 6.57 3.59 5.69 Ancillary Staff (Allied Health) 114.23 119.94 112.52 112.99 Dental Officers 3.67 4.01 3.14 3.82 Other Dental Clinicians 3.00 1.42 1.80 1.38 TOTAL 1,280.64 1,367.47 1,247.15 1,313.09

All employees of AWH are correctly classified in the above workforce data and are required to comply with the AWH Code of Conduct under their respective employment agreements. AWH is committed to applying the Public Sector employment principles and upholds the key principles of merit and equity in all aspects of the employment relationship. To this end we have policies and practices in place to ensure all employment related decisions including recruitment, training and retention are based on merit.

ALBURY WODONGA HEALTH 2014 ANNUAL REPORT 1313 ALBURY WODONGA HEALTH Organisational Chart as at 30 June 2014

Chief Executive Officer Stuart Spring Executive Assistant Jacquie Carroll Media Communication

Executive Director of Executive Director Mental Medical Services Community Advisory Executive Director Executive Director Health Services Internal Auditor Committee Human Resources Clinical Operations Executive Director Dr Glenn Davies Peter Collicoat Financial & Corporate Ben Carr Felicity Fox Desiree Harker Catherine O’Connell Support Mental Health Martin Clifford Service Development Director of Executive Assistant Executive Assistant Infrastructure Transition Manager Program Manager Jenny Evans Diane Humm Deputy Director Mental Greg Pearl Executive Assistant Health Services Stuart Mcintosh Pain Program Manager Support Director of Clinical Esther Langenegger Services Stephanie Simmons Michael Nuck Training Matt Kleis Volunteer Fundraising Dr Heather Chaffey Psychiatric Group Coordinator Administrative Director of Finance Manager Workforce Private Clinic Manager Medical Manager Professional Services Manager Medical Unit Elaine Hill Imaging Development & Research Angela Morrison Jo Zamperoni Robyn Luty Liz Caunt Director of Pharmacy Natalie McIntosh Manager Debbie Stockton Leo Mason Manager Adult Community Mental Director of Logistics Data Analyst Acting Director Quality Health Service Darryl Hodgson & Clinical Governance Helen Rowland Stefan Anderson Director of Director of Allied Lynnette Ford Nursing/Maternity Health Ann Cassidy Karyn O’Loughlin Clinical Directors Manager of NECAMHS

Manager Awesome Project Manager Health Information Anaesthetics Terry Scanlan Support Services Project Management Dr Angus Mitchell Office Manager Sue Gugger Dr Stuart Heslop Health Information Manager Older Persons Jacinta Ducat Cancer Services (Wodonga) Mental Health Service Dr Craig Underhill Wendy Sutcliffe Sandra Davidson Manager Emergency IT Operations Manager Health Information Dr Michael Taylor Talpasai Goli (Albury) ICU Manager Rehab & Recovery Mental Health Dr Charles Lyn Robbie Service Mashonganyika Greg Calder Medicine Dr Franz Eversheim

O&G Manager Integrated Primary Mental Dr Simon Craig Health Service Acting Director Operational Director Operational Director Operational Director Operational Director Operational Director Orthopaedic Jennifer Ahrens Operational Critical Sub-acute/Continuing Surgical Services Acute Services Women’s & Children Primary Care Dr Elie Khoury Emergency Department Services DDON Care Dennis Baker Evelyn Silver Leanne Wegener Paediatrics DDON Albury Wodonga Lucie Shanahan Manager Adult Acute / Dr Mark Norden Triage Ian Aldrich Julie Wright Psychiatry Betty Payne Dr Alan England Rehabilitation Senior Psychiatric Dr Michael Njovu Nurse Surgery Maureen Cuskelly Dr Neil Bright Service Development & Quality Manager Pauline Brandon Mental Health Stuart Mcintosh Transition Manager Transition Service Development Nurse Triage

Service PROGRESS ON THE ALBURY WODONGA REGIONAL CANCER CENTRE Betty Payne Greg Calder Greg Private Clinic Health Service Michael Nuck Primary Mental Health Service Manager Adult Terry Scanlan Terry Health Services Quality Manager Jo Zamperoni Health Services Jennifer Ahrens Manager Rehab & Senior Psychiatric Pauline Brandon Peter Collicoat Stefan Anderson Sandra Davidson Psychiatric Group Manager Integrated Maureen Cuskelly Maureen Community Mental Mental Health Service Manager Adult Acute / Manager of NECAMHS Service Development & Manager Older Persons As is apparent to every Borella Road commuter, the Albury Wodogna Regional Cancer Centre is developing at a rapid pace. Recovery Mental Health Deputy Director Mental Executive Director Mental

From the turning of the sod in December 2013, Hansen Yunken, its workforce and contractors are transforming the landscape.

By July 2014 we see the West Wing comprising the Wellness Centre, the clinical consulting and research wing and a pod of 10 I C U O& G inpatient beds arising before us. The Wellness Centre will provide individual and group programs to help people and families Surgery Training Me dici ne Psychiatry Emergen cy rics Paediat Leo Mason Dr Charl es Orthopaedic Anaesthetics Diane Humm Rehabilitation Dr Neil Bright Dr Elie Khoury Cancer Servi ces Mashonganyik a Dr Simon Craig affected by cancer, including information sessions, support groups and complementary health programs. Dr Mark Norden Dr Alan England Dr Stuart Hesl op Clinical Directors Dr Michael Njovu Dr Michael Taylor Director of Clinical Dr Angus Mitchell Dr Craig Underhill Executive Assistant Dr Franz Eversheim Director of Pharmacy Dr Heather Chaffey Medical Services Dr Glenn Davies Executive Director of R obbie (Albury) Manag e r Manager Liz Caunt (Wodonga) Medical Unit Lyn Lynnette Ford Lynnette Health Information Health Information Wendy Sutcliffe Wendy Manager Workforce Health Info rmation & Clinical Governance Acting Director Quality Office Data Analyst Jacinta Ducat Project Manager Helen Rowland Angela Morrison Director of Finance Executive Assistant Project Management Stephanie Simmons Jacquie Carroll Executive Assistant Media Communication Support Martin Clifford Executive Director Financial & Corporate Financial Robyn Luty Sue Gugger Talpasai Goli Talpasai Administrative Support Services Darryl Hodgson Services Manager Manager Awesome Director of Logistic s IT Operations Manager Stuart Spring Primary Care Leanne Wegener Operational Director Chief Executive Officer Health Director of Allied Karyn O’Loughlin Care Jenny Evans Executive Assistant Manager Lucie Shanahan Services Operational Director Matt Kleis Sub-acute/Continuing Debbie Stockton Manager Support Manager Professional Organisational Chart as at 30 June 2014 as at 30 June Organisational Chart Development & Research ALBURY WODONGA HEALTH HEALTH WODONGA ALBURY The construction style of the prefabricated segments creates a weekly transformation.

On the East Side, the radiotherapy bunkers are obvious as are the fire stairs. Executive Director Clinical Operations Catherine O’Connell The vision of Albury Hospital from Borella Road is now forever changed. It is expected that the floor areas will be in place by Wodonga Julie Wright Imaging Services DDON December and once enclosed the hard yards of intricate fit out will commence, ready for occupation in late 2015. Pain Program Pain Women’s & Children Women’s Operational Director Manager Medical Program Manager Natalie McIntosh Esther Langenegger Desiree Harker Desiree Human Resources Executive Director Ian Aldrich DDON Albury Acting Director Operational Critical Emergency Department Emergency Committee Felicity Fox Director of Ann Cassidy Community Advisory Nursing/Maternity Evelyn Silver Acute Services Operational Director Ben Carr Internal Auditor Elaine Hill Coordinator Volunteer Fundraising Volunteer Dennis Baker Surgical Services Operational Director Director of Greg Pearl Greg Infrastructure ALBURY WODONGA HEALTH 2014 ANNUAL REPORT 1515 ENVIRONMENTAL PERFORMANCE As one of the largest regional health services of Victoria, AWH is committed to maintaining and improving the health AWH has adopted appropriate environmental management and wellbeing of the people, communities and environment planning processes to incorporate environmental of Southern New South Wales and North East Victoria. AWH sustainability in its planning, operations and policy. recognises that in order to do this, we must lead by example and take responsibility for our environmental footprint.

ELECTRICITY (KWH) 8400000 ELECTRICITY 8200000 8000000 Drop in consumption of 6.5% compared to previous year; due to new chiller sets and staff 7800000 behaviour programs. 7600000

7400000 2011-12 2012-13 2013-14 NATURAL GAS (GJ) 31000 30000 NATURAL GAS 29000 Drop in consumption of 1.8% compared to 28000 previous year due to changeover of boilers and improved heating exchanges. 27000

26000 2011-12 2012-13 2013-14 WATER (KL) 62000 60000 WATER 58000 56000 Rise in water consumption on previous year by 54000 3.6% due to capital works and more accurate recording. 52000 50000 48000 46000 2011-12 2012-13 2013-14 CLINICAL WASTE (KG) 54000 52000 50000 CLINICAL WASTE 48000 Drop in clinical waste generation of 14%, 46000 due to behaviour programs targeting 44000 segregation of waste by staff. 42000 40000 2011-12 2012-13 2013-14

1. Data referred to in the graphs are for the Albury and Wodonga Campus only 2. For more detailed breakdown please refer to the AWH Sustainability Report 2013-14

16 ALBURY WODONGA HEALTH 2014 ANNUAL REPORT STATUTORY COMPLIANCE AND MANDATORY REPORTING MANNER OF ESTABLISHMENT AND RELEVANT MINISTERS Albury Wodonga Health (AWH) is established under the Health Services Act 1988. The responsible Ministers for Health during the reporting period were the Honourable David Davis, MLC, Minister for Health and Ageing and the Honourable Mary Wooldridge MLA, Minister for Mental Health

OBJECTIVES, FUNCTIONS, POWERS AND DUTIES The Objectives, Functions, Powers and Duties of AWH are described in the By-Laws of the organisation.

DETAILS OF INDIVIDUAL CONSULTANCIES > $10,000 A number of consultants were contracted to work for AWH in 2013/14. As required by the Victorian Industry Participation Policy Act 2003. A summary of these consultancies is provided herewith:

EXPENDITURE CONSULTANT PURPOSE OF CONSULTING 2013/14 FUTURE $ $ BILLARD LEECE Completion of feasibility assessment 10,000.00 PARTNERSHIP for the to be constructed cardiac catheterisation laboratory BIRUU HEALTH PTY LTD Provision of assistance with strategic 55,625.91 planning and service planning for mental health services and the Albury Wodonga Regional Cancer Centre BYRON COLLINS Information Technology consulting 79,200.00 1,200 services including support to major IT projects, review of IT services and assistance with preparation of an IT strategic plan CLE CONSULTING Workforce consulting services including 59,784.71 AUSTRALIA PTY LTD support with culture change, leadership and workforce strategic planning COGENT BUSINESS Completion of corporate and non-clinical 38,620.57 SOLUTIONS PTY LTD support services feasibility assessment METIS ADVISORY Provision of advice regarding financial 46,826.03 negotiations in support of the agreement between partner organisations regarding the Albury Wodonga Regional Cancer Centre MICHAEL C RHOOK Financial and activity modelling and 13,500.00 benchmarking services MKM HEALTH PTY Completion of a business case for a new 84,413.65 LIMITED Patient Administration System submitted to the Department of Health for funding 387,970.87

DETAILS OF CONSULTANCIES < $10,000 In 2013-14 Albury Wodonga Health engaged six consultancies where the total fees payable to the consultants were less than $10,000 with a total expenditure of $25,611.65 (excl GST).

ALBURY WODONGA HEALTH 2014 ANNUAL REPORT 1717 PROTECTED DISCLOSURE ACT 2012 FREEDOM OF INFORMATION The Protected Disclosures Act 2012 (Victoria) is made APPLICATIONS 2013/14 operational through the AWH Protected Disclosure Policy Under the Freedom of Information Act 1982, and the and Procedure (October 2013). These outline AWH Health Records and Information Privacy Act 2002, AWH obligations under the Act and the processes by which any received the following requests: staff member of AWH may make a disclosure about improper conduct without fear of retribution or discrimination. There FOI Requests received 399 were no reports made to the Independent Broad-based Access granted 383 Anti-corruption Commission (IBAC) in 2013-2014. Requests Denied 0 Request not proceeded with 5 COMPLIANCE WITH BUILDING AND MAINTENANCE PROVISION OF BUILDING No documents 11 ACT 1993 AWH complies with the requirements of the Building and Maintenance of Building Act 1993. Routine inspections and CARERS RECOGNITION ACT 2012 ongoing maintenance programs were undertaken to ensure AWH meets its obligations under the Carers Recognition buildings on both campuses are maintained in a safe and Act 2012. Health professionals and contracted Visiting serviceable condition. Where required, AWH implemented Medical Officers understand their obligations and are recommendations arising from those inspections through a trained in the care relationship principles. AWH has program of rectification and maintenance works. procedures and processes through which carers receive support, education and assistance depending on their NATIONAL COMPETITION POLICY unique situation. Nominated carers are identified in the AWH supports and complies with the National Competition AWH admission process, including such services as Policy. In addition, the Victorian Government’s competitive acute, community health and palliative care. Where it is not neutrality pricing principles for all relevant business activities practicable for AWH to provide all facets of support and have been applied. assistance required, carers are referred to external care support agencies. AWH acknowledges that carers may VICTORIAN INDUSTRY PARTICIPATION be in the form of family members, case workers, medical POLICY ACT 2003 power of attorney, and / or substitute decision makers. There were no formal complaints in 2013-14 regarding AWH abides by the Victorian Industry Participation Policy failure to appropriately support and assist carers. Act 2003. In 2013/14 one contract commenced by AWH under this Act. HEALTH AND SAFETY The contract was: Workplace Health & Safety is in the forefront of the AWH • The Wodonga Hospital Inpatient Rehabilitation Ward armoury of staff wellbeing. Working safely is a condition of (AWH 09) to the value of $1.8. Used 80% local content employment with AWH. All new staff are inducted to the and retained 30 EFT. Skills transfer saw the retention of AWH WHS programme. Consultation and engagement one (1) existing apprentice. with all who work within, and with, AWH is fundamental to improving safety performance. AWH has an active team The contracts completed were: of Health & Safety Representatives who participate in the • The Wodonga Hospital Day Procedure Unit and reporting and monitoring of Workplace Health & Safety Emergency Department Upgrade to the value of $3m. issues for staff through their participation in the Workplace Used 95% local content and created for length of the Health & Safety Consultative Committee (WHSCC). project 38 additional EFT and ensured the retention of 18 EFT. Skills transfer saw the recruiting of 1 new The WHCCCs report through the Workplace Health & apprenticeship and the retention of 1 existing apprentice. Safety Systems Management Committee to the Executive Committee and the Board of Directors through the Audit & • The Supply Installation & Commissioning of a PET/CT Risk Committee. The performance of the health service is Scanner. This project was deemed not contestable by measured against an audit tool designed by the Department the ICN and as such there were no specific commitments of Health (VIC) and performance is improving annually. in relation to local content. EX-GRATIA PAYMENTS AWH will continue to comply with the regulations of the AWH made no ex-gratia payments in the 2013/2014 VIPP and implement the policy to works and contracts as financial year. it applies.

18 ALBURY WODONGA HEALTH 2014 ANNUAL REPORT ADDITIONAL INFORMATION

In compliance with the requirements of the Standing ATTESTATION ON DATA INTEGRITY Directions of the Minister for Finance, details in respect of the items listed below have been retained by Albury I, Dr Stuart Spring, certify that Albury Wodonga Health Wodonga Health and are available to the relevant Ministers, Service has put in place appropriate internal controls and processes to ensure that reported data reasonably Members of Parliament and the public on request (subject reflects actual performance. Albury Wodonga Health has to the freedom of information requirements, if applicable): critically reviewed these controls and processes during the year. a) A statement of pecuniary interest has been completed; b) Details of shares held by senior officers as nominee or held beneficially; Dr Stuart Spring c) Details of publications produced by the Department Chief Executive Officer, Albury Wodonga Health about the activities of the Health Service and where they can be obtained; ATTESTATION FOR COMPLIANCE WITH THE MINISTERIAL STANDING d) Details of changes in prices, fees, charges, rates and DIRECTION 4.5.5.1 - INSURANCE levies charged by the Health Service; I, Dr Stuart Spring certify that Albury Wodonga Health e) Details of any major external reviews carried out on the Service has complied with Ministerial Direction 4.5.5.1 Health Service; - Insurance. f) Details of major research and development activities undertaken by the Health Service that are not otherwise covered either in the Report of Operations or in a Dr Stuart Spring document that contains the financial statements and Chief Executive Officer, Albury Wodonga Health Report of Operations; __ August 2014 g) Details of overseas visits undertaken including a summary of the objectives and outcomes of each visit; ATTESTATION ON COMPLIANCE WITH AUSTRALIAN/NEW ZEALAND RISK h) Details of major promotional, public relations and MANAGEMENT STANDARD marketing activities undertaken by the Health Service to I, Dr Stuart Spring, certify that Albury Wodonga Health develop community awareness of the entity and its Service has risk management processes in place services; consistent with the AS/NZS ISO j31000:2009 and an internal control system is in place that enables the executives to understand, manage and satisfactorily i) Details of assessments and measures undertaken to control risk exposures. The Audit and Risk Committee improve the occupational health and safety of employees; verifies this assurance and that the risk profile of Albury Wodonga Health has been critically reviewed within the j) General statement on industrial relations within the last 12 months. Health Service and details of time lost through industrial accidents and disputes, which is not otherwise detailed in the Report of Operations; and k) A list of major committees sponsored by the Health Dr Stuart Spring Service, the purposes of each committee and the extent Chief Executive Officer, Albury Wodonga Health __ August 2014 to which the purposes have been achieved.

l) Details of all consultancies and contractors including RESPONSIBLE BODIES DECLARATION consultants/contractors engaged, services provided, In accordance with the Financial Management Act of and expenditure committed for each engagement. 1994, I am pleased to present the Report of Operations

for Albury Wodonga Health Service for the year ending 30 June 2014.

Hon Louis Lieberman Chairman, Albury Wodonga Health __ August 2014

ALBURY WODONGA HEALTH 2014 ANNUAL REPORT 1919 DISCLOSURE INDEX

The annual report of Albury Wodonga Health 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 CHARTER AND PURPOSE FRD 22E Manner of establishment and the relevant Ministers 4 FRD 22E Objectives, functions, powers and duties 4 FRD 22E Nature and range of services provided 4 MANAGEMENT AND STRUCTURE FRD 22E Organisational structure FINANCIAL AND OTHER INFORMATION FRD 10 Disclosure index 20 FRD 11A Disclosure of ex-gratia payments 18 FRD 12A Disclosure of major contracts 18 FRD 21B Responsible person and executive officer disclosures A2 FRD 22E Application and operation of Protected Disclosure Act 2012 18 FRD 22E Application and operation of Carers Recognition Act 2012 18 FRD 22E Application and operation of Freedom of Information Act 1982 18 FRD 22E Compliance with building and maintenance provisions of 18 Building Act 1993 FRD 22E Details of consultancies over $10,000 17 FRD 22E Details of consultancies under $10,000 17 FRD 22E Major changes or factors affecting performance A2 FRD 22E Occupational health and safety 20 FRD 22E Operational and budgetary objectives and performance against A1 objectives FRD 24C Reporting of office-based environmental impacts 16 FRD 22E Significant changes in financial position during the year A2 FRD 22E Statement of availability of other information 19 FRD 22E Statement on National Competition Policy 18 FRD 22E Subsequent events A2 FRD 22E Summary of the financial results for the year A1 FRD 22E Workforce Data Disclosures including a statement on the 13 application of employment and conduct principles FRD 25B Victorian Industry Participation Policy disclosures 18 FRD 29 Worforce Data disclosures 13 SD 4.2(g) Specific information requirements A2 SD 4.2(j) Sign-off requirements A1 SD 3.4.13 Attestation on Data Integrity A1 SD 4.5.5.1 Ministerial standing direction 4.5.5.1 compliance attestation A1 SD 4.5.5 Risk management compliance statement A1

20 ALBURY WODONGA HEALTH 2014 ANNUAL REPORT DISCLOSURE INDEX CONT’D

LEGISLATION REQUIREMENT PAGE REFERENCE FINANCIAL STATEMENTS Financial statements required under Part 7 of the FMA SD 4.2(a) Statement of changes in equity A2 SD 4.2(b) Comprehensive operating statement A2 SD 4.2(b) Balance Sheet A2 SD 4.2(b) Cash flow statement A2 OTHER REQUIREMENTS UNDER STANDING DIRECTIONS 4.2 SD 4.2(a) Compliance with Australian accounting standards and other A2 authoritative pronouncements SD 4.2(c) Accountable officer’s declaration A2 SD 4.2(c) Compliance with Ministerial Directions A2 SD 4.2(d) Rounding of amounts LEGISLATION Freedom of Information Act 1982 18 Protected Disclosure Act 2001 18 Victorian Industry Participation Policy Act 2003 18 Building Act 1993 18 Financial Management Act 1994 A2

A1 - Appendix 1, Key financial and service performance reporting A2 - Appendix 2, Financial Statements

ALBURY WODONGA HEALTH 2014 ANNUAL REPORT 2121 A special thank you to the staff, patients and visitors of Albury Wodonga for their contribution to the Annual Report. Thank you also to the Border Mail for the provision of some of the photographs contained within this report.

ALBURY WODONGA HEALTH PO Box 326 Albury NSW 2640 ABN: 31 569 743 618

ALBURY HOSPITAL Borella Road Albury NSW 2640 Ph: 02 6058 4744 Fax: 02 6058 4528

WODONGA HOSPITAL Vermont Street Wodonga VIC 3690 Ph: 02 6051 7111 Fax: 02 6051 7477