CARING FOR OUR COMMUNITY

Southern NSW Local Health District 2017-18 Year in Review 1SNSWLHD 4 About Us 5

Demography 5

2017-18 at a Glance 6

Our Health 6

Map 7

A Word from the Chair & Chief Executive 8

2Our Healthcare Facilities 10 Goulburn Base Hospital & Health Service 11

South East Regional Hospital 13

Eurobodalla Health Service 15

Queanbeyan Hospital & Health Service 17

Cooma Hospital & Health Service 18

Yass District Hospital 19

Crookwell District Hospital 20

MultiPurpose Services 21

Bombala MPS 21

Braidwood MPS 21

Delegate MPS 22

Pambula Health Service 22

FRONT COVER: Nurses Trudie Turner (left) and Leah Croker discuss dialysis treatment with renal patient John Lang, of Crookwell. CONTENTS 3Specialty Services 23 6Information Technology Services 35 Mental Health, Drug & Alcohol 24

Community Health 25

Aboriginal Health 26

Population Health 27

7Our People 37 Our Staff 38

Our Board & Executive Leadership Team 40

4Building the Future 28 Goulburn Hospital and Health Service Redevelopment 29

Cooma Hospital Redevelopment 29

Yass Hospital Redevelopment 30

Braidwood MPS 30 8Our Partners, Our Supporters 47 Pambula Health Service 30

Eurobodalla Clinical Services Plan 30

9Appendices 50 Appendix A: Our Organisation 51 5Patient Safety & Innovation 31 Appendix B: Our Partners 56 Patient Safety 32 Appendix C: Location Directory 57

Innovation 33 Appendix D: Abbreviations and Glossary 58 SNSWLHD Our Healthcare Facilities Specialty Services Building the Future Patient Safety & Innovation

1

SNSWLHD

4 Midwife and nurse Emma Mann with mum Nicola Hall and baby Phoebe, of Queanbeyan. Information Technology Services Our People Our Partners, Our Supporters Appendices

Dr Simon Janes (left), nurses Peter Biro and Belinda Mooy attend to patient Ben Freebairn, of Karabar, Queanbeyan.

Demography VISION ABOUT US Helping SNSWLHD’s population of 207,000 is people lead Southern NSW Local Health District home to the four Aboriginal nations of healthy lives. (SNSWLHD) delivers public healthcare the Gundungurra, Ngunnawal, Ngarigo, to the regional communities that and Yuin peoples. populate 44,534 square kilometres MISSION of the State’s vast picturesque south Our average age of 44 years is older Delivering east and tablelands. than that for NSW at 38 years with healthcare coastal areas having a high proportion that matters. We serve one of Australia’s most of older people while the peri-urban geographically diverse natural fringe around the ACT is rapidly growing, environments comprising seven local including families with young children. VALUES government areas (LGAs) spanning Our CORE tablelands to the ACT, the Snowy Of the 7000-strong Aboriginal values are: Mountains, and the breathtaking far community, 45 per cent live on the - Collaboration south coast to the Victorian border. south coast. - Openness - Respect; and One of 15 local health districts (LHDs) More than 26,240 residents were born - Empowerment. in the NSW health system, SNSWLHD overseas, 11,000 speaking a language encompasses the Upper Lachlan, other than English at home with the Goulburn Mulwaree, Yass Valley, highest proportion living in Queanbeyan. Queanbeyan-Palerang, Eurobodalla, Bega Valley and Snowy Monaro LGAs. Our total population is predicted to increase to 231,000 by 2026 with a Our LHD is characterised by strong 37 per cent rise in those aged 65 years tourism and agriculture industries and and older. a large renewable energy sector.

We employ nearly 3000 individuals across more than 20 sites making it one of the region’s largest employers with the majority of staff local to the communities they serve.

5 SNSWLHD Our Healthcare Facilities Specialty Services Building the Future Patient Safety & Innovation

2017-18 AT A GLANCE

111,678 ED presentations

50,386 Admissions

Our Health Dr Fiona Kilpatrick There have been improvements in the health and John Downs, of our residents with potentially preventable of Merimbula. hospitalisations due to chronic diseases 13,491 decreasing, and rates of smoking down. Surgeries Overweight and obesity remain a challenge, with 74 per cent of males and 52 per cent of females reporting a high body mass in 2017. Diabetes affects 12 per cent of adults.

As the population ages, the number of people diagnosed with cancer has increased.

Prostate and breast cancers are the most 1491 common, while lung cancer causes more deaths. Births In our older population there is an increasing rate of fall-related injury hospitalisations.

Source: NSW Health Mental illness hospitalisations are increasing with Information Exchange and younger residents aged 15-24 having high rates EDWARD NAP DataMart. of admissions for self-harm.

Goulburn Mulwaree, Eurobodalla, and Bega 74% Valley LGAs have greater levels of socioeconomic MALES disadvantage, and higher levels of poor health, disability and health risk factors such as smoking.

To help address these issues, SNSWLHD 52% partners with government and non-government FEMALES agencies including COORDINARE South Eastern reporting high NSW Primary Health Network, Katungul Aboriginal Corporation, local schools and body mass councils, and ACT Health.

6 Information Technology Services Our People Our Partners, Our Supporters Appendices

Sydney Kanangra-Boyd National Park

Upper Lachlan Shire

1 Crookwell Wollongong

2 Goulburn M31 Goulburn 3 Yass Mulwaree Nowra Council A25 A1

Yass Valley Council

B52 Brindabella National Park Canberra 4 Queanbeyan

AUSTRALIAN Queanbeyan– 5 Braidwood CAPTIAL Palerang TERRITORY Clyde Mountain Regional Council Upper Lachlan Shire 1. Crookwell District Hospital

Batemans Bay 6 Goulburn Mulwaree Council NEW 2. Goulburn Base Hospital SOUTH 2. Bourke Street Health Service WALES Moruya 7 B23 2. Kenmore Hospital Chisholm Ross Centre Eurobodalla 2. B72 Shire Yass Valley Council Narooma 8 3. Yass District Hospital Kosciuszko 9 Cooma National Park 10 Jindabyne Queanbeyan–Palerang Regional Council A1 4. Queanbeyan Hospital & Health Service 5. Braidwood MultiPurpose Service

Snowy Monaro Brown Mountain Regional Council Eurobodalla Shire 13 Bega 6. Batemans Bay Hospital B23 7. Moruya Hospital Bega Valley 8. Narooma Community Health Shire

11 Bombala 14 Pambula Snowy Monaro Regional Council 9. Cooma Hospital & Health Service 12 Delegate 15 Eden 10. Jindabyne HealthOne 11. Bombala MultiPurpose Service 12. Delegate MultiPurpose Service VICTORIA

Bega Valley Shire 13. South East Regional Hospital N 0 15 30 60km 14. Pambula Health Service 15. Eden Community Health Centre

7 SNSWLHD Our Healthcare Facilities Specialty Services Building the Future Patient Safety & Innovation

A WORD FROM THE CHAIR

The SNSWLHD Year in Review provides Several category winners progressed an opportunity to reflect on our results to the NSW Health Awards finals to 6% while looking to the future. compete for State honours. INCREASE Health is important to all Australians, The annual People Matter Employee IN SATISFACTION and is of particular interest to those Survey saw several important within our local health district who improvements, with the overall IN EMPLOYEE are acutely aware of the challenges response rate from the workforce up ENGAGEMENT involved in providing safe, quality care 9 per cent to 71 per cent in 2018. AND WORKPLACE throughout a diverse section of NSW. CULTURE As always, our success relies on many people who make a difference in a “ wide variety of roles and settings. It The hard work and % is the hard work and dedication of 71 our staff that allows us to provide the dedication of our people RESPONSE range and quality of health services to RATE those in need from our larger regional is key to providing the PEOPLE MATTER referral and district hospitals to the multipurpose facilities and community range and quality of EMPLOYEE health centres. SURVEY health services to In recognising that people are our greatest asset, we renewed our focus in our community. 2018 on the SNSWLHD Quality Awards. $120 DR ALLAN HAWKE AC, CHAIR MILLION This allowed us to highlight the outstanding, innovative work of our REDEVELOPMENT staff, while sharing in their success. OF GOULBURN Other pleasing results included a HOSPITAL AND The awards attracted 58 submissions 6 per cent increase in satisfaction in HEALTH SERVICE from across the local health district, employee engagement and workplace the highest number in recent years, culture indicating staff are feeling more demonstrating the quality and valued and positive about sharing breadth of work taking place. lessons learnt, and believe they are treated respectfully. The projects highlighted the dedication and creative thinking of staff, working We will be looking to build on these as individuals or as teams, often in their results, improving communication with own time, to make a difference in the senior managers, performance and quality of care we provide. development, organisational renewal, and leadership in the year ahead.

Providing safe, quality healthcare to the people of south-east NSW involves improving our facilities.

The past 12 months has seen planning, and in some cases, construction phases start at several sites as part of our capital works redevelopment program.

8 Information Technology Services Our People Our Partners, Our Supporters Appendices

CHIEF & EXECUTIVE

They include the $120 million redevelopment of Goulburn Hospital and Health Service, $18.6 million upgrade of Cooma Hospital, $8 million overhaul of Yass Hospital, $1.6 million refurbishment of Pambula Health Service, and a redeveloped Braidwood MultiPurpose Service.

Meanwhile Snowy Mountains residents celebrated the opening of the $2.5 million Jindabyne HealthOne facility in July 2017, which saw the collocation of local private and public health services.

The NSW Government provided $500,000 to review Eurobodalla Health Service’s clinical services plan to determine the future healthcare needs of our local community. There was extensive consultation with residents, clinicians and healthcare staff. The overwhelming interest was tantamount to the care locals have for their health services.

We look forward to another successful 12 months ahead with our staff and the community as we continue to provide the highest quality patient-centred healthcare throughout our local health district.

DR ALLAN HAWKE AC, CHAIR

ANDREW NEWTON, CHIEF EXECUTIVE

9 SNSWLHD Our Healthcare Facilities Specialty Services Building the Future Patient Safety & Innovation

2

OUR HEALTHCARE FACILITIES

10 Patient Naomi Cross, of Berridale, and ED clinical nurse specialist Dylan Bradbury at Cooma Hospital. Information Technology Services Our People Our Partners, Our Supporters Appendices

palliative care, cardiac and pulmonary GOULBURN rehabilitation, pathology, oncology and clinical education. DELIVERING BASE Mental health services are delivered on the hospital site in the Chisholm HEALTHCARE HOSPITAL Ross Centre, and at the Kenmore TO MORE THAN psychiatric hospital located on the & HEALTH outskirts of Goulburn. 37,000 SERVICE The Goulburn Base Hospital site is PEOPLE undergoing a $120 million redevelopment which will include a four storey clinical Goulburn Base Hospital & Health services building. The past year saw Service (GHS) is a regional referral hub enabling works commence with the delivering healthcare to more than relocation of the Community Mental 37,000 people in the local community Health service from Lady Grose House and neighbouring areas. which will be demolished to make way for the new construction. GHS encompasses Goulburn Base 1. Nurses Jocelyn McClean (left) Hospital, Bourke Street Health Service, Additional clinical resources have been and Kerry Ennis with mum and Goulburn Community Health. recruited to enable more patients to be Kimberley Rosevear and daughter treated closer to home. Luna, of Goulburn. 2. Manager The hospital and health services provide medical imaging Northern Cluster a range of services including 24-hour Surgical services have been expanded Jens Loberg, and CT senior radiographer Northern Cluster emergency, intensive care, maternity, to include urology, and additional Adrian Firman with patient Thelma paediatrics, renal dialysis, radiology, orthopaedic surgeons enable patients Evans, of Crookwell. 3. Midwife cardiac stress testing, community requiring major joint replacement to Jane Turnnidge with Goulburn mum health, allied health, mental health, undergo surgery locally. Megan Burgess and her new bub.

11 SNSWLHD Our Healthcare Facilities Specialty Services Building the Future Patient Safety & Innovation

Enhanced linkages from Goulburn Base Linkages with major NSW hospitals 10,830 Hospital to the neighbouring smaller are being developed to secure JMOs Separations* facilities of Crookwell and Yass district in general medicine and orthopaedic hospitals, and Braidwood MultiPurpose surgery. A formal network with Service have improved access for local Liverpool Hospital will support the communities especially to allied health enhancement of intensive care. 35,235 and community nursing and inpatient Total bed days and outpatient services. Kerry Hort, program lead, Goulburn Redevelopment Project, was named The redesign of Goulburn Base a 2018 Local Woman of the Year for Hospital buildings has seen a review of her services to health. The awards 101,762 service models that will result in long- are part of the NSW Women of the Hospital term improvements. Year Awards. non-admitted patient services There have been steady improvements Staff enjoy a positive work environment (occasions of in performance especially around through consultation and opportunity. service) access to elective surgery, with waiting They are encouraged to act in times reducing, and increased numbers senior roles and participate in the of procedures being performed, while development of the new hospital. maintaining a low rate of complications. 18,737 Residential accommodation for staff ED presentations We have a strong relationship with has been upgraded. Canberra Hospital, from where the majority of our current junior medical The generosity of the local 270 officers (JMOs) are sourced on rotation. community and organisations assists with providing patient Births in hospital comforts and equipment.

Our key supporters include the BDCU 3675 Alliance Bank Goulburn Hospital Ambulance Foundation, the Rotary Club of presentations Goulburn Mulwaree, the Lions Club of Goulburn City, and the Goulburn Soldiers Club.

3580 The foundation received a NSW Surgeries Premiers Award for its outstanding fundraising efforts which have secured more than $350,000 over Source: the past eight years. HIE and EDWARD NAP DataMart.

*The process by which an episode of care for an admitted patient ceases, including ED only separations. The redesign of buildings at Goulburn Base Hospital will see long-term improvements to our services

Physiotherapist Stefan Hese assists patient Herbert Wise, of Goulburn.

12 Information Technology Services Our People Our Partners, Our Supporters Appendices

Smoke from the Yankees Gap Road bushfire at Bemboka fills the air over the Bega Valley at South East Regional Hospital.

John Blankenstein visits what’s left of his parents-in-law’s home after the Tathra bushfires.

© Karleen Minney - Fairfax Syndication.

SOUTH EAST REGIONAL HOSPITAL

South East Regional Hospital (SERH) is The hospital played a pivotal role a purpose-built facility situated on the during the Tathra bushfires which outskirts of Bega, in the picturesque destroyed 1000 hectares claiming DELIVERING Bega Valley. 69 homes, 30 caravans and cabins, and severally damaging 39 houses. HEALTHCARE The $187 million hospital, now in its TO MORE THAN second year of operation, is growing Tathra residents were evacuated 17km according to the needs of its regional west to Bega as the fires raged for two 49,000 population. days on March 18 and 19. RESIDENTS It provides a range of healthcare to the A control centre was set up at SERH. 49,000 residents who call the Bega Staff provided practical and emotional Valley Shire home. support to fire victims.

69 The hospital comprises 48 acute care Tathra is home to 20 per cent of health HOMES beds, 6 intensive care beds, 10 sub-acute staff, three of whom lost their homes in DESTROYED IN beds, a 4-bed maternity unit, a 4-bed the blaze. paediatric unit, 3 operating theatres and TATHRA a busy emergency department (ED). During the year SERH: BUSHFIRES • Opened a 10-bed sub-acute and Chemotherapy and renal dialysis are rehabilitation unit (SARU), and six on- housed on the site, as is radiology, site units to accommodate carers community nursing, dental, hospital in • Introduced nurse practitioners (NPs) the home, and allied health services. into palliative care and the ED. NPs Outpatient clinics are supported by are accredited to initiate diagnostic clinical specialists. investigations, prescribe medications and make referrals A total of 3.6 per cent of Bega residents • Implemented a medical reform self-identify as being Aboriginal or strategy, replacing locums with Torres Straight Islander. salaried staff

13 SNSWLHD Our Healthcare Facilities Specialty Services Building the Future Patient Safety & Innovation

1. Renal nurse unit manager Chloe Bennet (left) and student nurse Daniel Roche attend to Bob Wallace from Bega. 2. Food services assistant Catherine D’Arnay runs through the menu with patient Peta Long, of Springvale.

• Engaged South East Arts in a patients were attended to more quickly, 11,720 structured program designed to in the right place and at the right time Separations* improve health and wellbeing as well throughout their hospital journey, freeing as enhancing healthcare experiences up capacity to treat more people. for patients and their support 29,625 networks through live music and the The support of volunteers and hanging of artworks; and fundraisers has a significant impact on Total bed days • Introduced free Wi-Fi. staff and patient morale and resources.

SERH is committed to making a SERH has 84 volunteers with 40 105,252 difference to patients and consumers. inductees during the past financial Hospital It improved patient engagement in their year. Led by a dynamic coordinator non-admitted care to reduce variation in treatment for they are allocated across almost all patient services those with chronic lung disease. areas of the hospital carrying out (occasions of service) duties from pastoral care to providing Anaesthetic and ICU staff provided social stimulation, tai chi classes and simulation training to their colleagues supporting exercise programs. for medical emergencies, and speech 17,836 pathologists received additional Community Carers Accommodation ED presentations education in swallowing assessments South East successfully raised funds and children’s behaviour through and secured grants to provide on-site Commonwealth grants. accommodation for carers of patients. 239 Births in hospital In the pursuit of excellence, safety The Bega Hospital and Tathra and quality initiatives included the Ladies auxiliaries raised more than implementation of more frequent patient $100,000 for equipment including observations so any deterioration can ED trolleys, special pressure relieving 3898 be identified as early as possible and mattresses, and chairs to suit heavier Ambulance quickly acted on; the introduction of patients or visitors. presentations ward-based education in the treatment of complex acute cases, reducing the The Canberra Newborn Intensive Care number of patients being flown out Foundation donated $10,000 towards for care; purchasing special beds and the education of midwives. 3511 mattresses that lower to the floor and Surgeries are slightly concave to minimise roll-outs The Commonwealth Bank Employees and prevent falls; and a better process associations from four local towns Source: HIE and EDWARD of reviewing incidents to implement donated $40,000 to benefit the care of NAP DataMart. preventative action. children and adults with cancer. *The process by which an episode of care for an admitted Pricewaterhouse Coopers (PwC) was The Bega Valley Motorcycle Expo patient ceases, including ED commissioned to work with nurse painted the children’s ward balcony and only separations. unit managers to improve systems so provided toys for play areas.

14 Information Technology Services Our People Our Partners, Our Supporters Appendices

EUROBODALLA HEALTH SERVICE

The Eurobodalla Shire has the largest Eurobodalla Community Health Aboriginal population in SNSWLHD. provides a range of allied health and community nursing services. Meaning land of many waters, LARGEST Eurobodalla also has the highest Mental health clients can be seen proportion of older residents. across a range of settings including ABORIGINAL community health centres, in hospital, POPULATION Eurobodalla Health Service provides or in their homes. a regional network to the needs of its AND THE HIGHEST community that includes Batemans Bay Eurobodalla Health Service performs PROPORTION OF and Moruya hospitals, and community well in the proportion of patients OLDER RESIDENTS health centres at Batemans Bay, leaving the emergency department Moruya and Narooma. within four hours. At Moruya Hospital 79 per cent of patients spent less than Moruya Hospital offers emergency four hours in ED, compared to the NSW services, inpatient acute medical and average of 74 per cent. At Batemans general surgery, inpatient rehabilitation Bay Hospital 89 per cent spent less and palliative care, maternity, hospital than four hours, despite a 3 per cent in the home, and renal care. increase in presentations.

Batemans Bay Hospital is a 31-bed And both hospitals achieved 100 per Dr Phil Hartstein (left), and medical facility with emergency, inpatient acute cent for patients receiving surgery services director Dr Belinda Doherty medical, inpatient day-only surgery, within the clinically recommended review a patient’s scan with clinical hospital in the home and palliative care. time frames. nurse educator Suzanne Eddie.

15 SNSWLHD Our Healthcare Facilities Specialty Services Building the Future Patient Safety & Innovation

During the past year, Eurobodalla decision-making and strengthening links 12,339 Health Service completed a clinical to health and community networks. Separations* service plan for its future ensuring a service that is culturally appropriate A major aim was to address access to and inclusive, integrated across all appropriate healthcare and community disciplines, underpinned by population services in and outside the region which 31,087 needs, and has a range of emergency, compounds patient distress and sense of Total bed days inpatient and ambulatory models with isolation. Through the integration of allied no duplication. and community health services there is now a proactive approach to patients. 127,652 Following significant refurbishment, in-hospital CT and ultrasound became The Dry July-funded Cancer Care Art Hospital available at Moruya Hospital 24/7. Therapy Program encourages patients non-admitted to explore what they would like to patient services To be more responsive to community work on as a therapy session evolves. (occasions of service) needs, Eurobodalla successfully recruited Clients look creatively at the emotional dental officers, physiotherapists, an toll cancer has had on their lives. One emergency department director and an patient reported that despite 3.5 years of 28,400 emergency medicine specialist. cancer treatments she hadn’t accessed ED presentations any external emotional support and The number of nurses increased in the program helped her sort out the response to demand including a nurse “important things in life”. practitioner in palliative care. 279 The Silent 12 initiative improves the Births in hospital Eurobodalla Cancer Care Service quality of life for patients at risk of received Dry July funding to design and re-admission as well as their healthcare implement an innovative group model experience and addresses medical and 4414 to improve patient empowerment, psychosocial needs. Ambulance self-management and linkages to presentations health and community services. Emergency department staff have Called Connections, it is the first immediate access to patient-specific care professionally-led psychoeducational plans and the ability to implement timely group empowering patients to take a planned care. For those admitted to the 3226 more active role in their healthcare and program there were reductions in: Surgeries • ED presentations from 223 to 50 (77 per cent) Source: HIE and EDWARD • Admissions from 154 to 32 NAP DataMart. (79 per cent); and *The process by which • Total days in hospital reduced from an episode of care for an We are planning for the 234 to 22 (a 90 per cent decrease). admitted patient ceases, including ED only separations. needs of our population, Volunteers provide excellent support for patients throughout the Eurobodalla ensuring services are Health Service.

culturally appropriate Moruya and Batemans Bay hospitals’ auxiliaries raise significant funds to improve patient comfort and care.

Palliative care volunteers support Eurobodalla residents during their end-of-life-phase. And pastoral carers volunteer many hours in the hospitals.

The Eurobodalla Community Consultation Committee provides an important link between the community and the health service ensuring the needs of the consumer are met.

Physiotherapist Rachel O’Loughlin with Jim Morgan at Moruya District Hospital sub-acute rehabilitation unit.

16 Information Technology Services Our People Our Partners, Our Supporters Appendices

DELIVERING HEALTHCARE TO MORE THAN 59,000 RESIDENTS

7846 Separations* QUEANBEYAN In 2017-18 the auxiliary purchased HOSPITAL more than $120,000 in new equipment including a BipAP machine, a non-invasive 14,702 & HEALTH form of therapy for sleep apnoea patients. Total bed days SERVICE A range of community health services are provided from the hospital and the 87,885 community health center at Karabar. Queanbeyan Hospital & Health Service Hospital is located just a few kilometers from Community nursing manager Dot non-admitted the ACT border and serves more than Nicholson was part of the successful patient services 59,000 residents in the Queanbeyan- team in the SNSWLHD 2018 Quality (occasions of service) Palerang region. Awards winning the Partnering with Patients category for the Video Observed Queanbeyan Hospital’s emergency Treatment Supervision (VDOTS) initiative. 21,240 department is the busiest in the LHD ED presentations treating more than 21,000 patients An innovative and patient-centred during 2017-18, an 11 per cent increase. approach, it reduces the impact on tuberculosis sufferers who require daily The maternity unit was voted the third medication supervision. 553 best in NSW, and was one of two units Births in hospital in the State to achieve Baby Friendly VDOTS enables the patient and clinician Hospital Initiative accreditation from to link by video to observe the patient the Australian College of Midwives for take their medication. 2386 a fourth consecutive three-year-term. 1. Dental assistant Emily Pech (left) and dentist Surgical services operated on more Ambulance Kamini Tiwari attend to Lisa Wilkin from patients, treating 2295 people. presentations Queanbeyan. 2. Nurse Melissa Collins and Dr Imants Rubenis. The Queanbeyan Hospital Auxiliary is a permanent presence, running the Source: HIE and EDWARD NAP DataMart. 2420 cafeteria, and a pop-up market to *The process by which an episode of care for an Surgeries raise money. admitted patient ceases, including ED only separations.

17 SNSWLHD Our Healthcare Facilities Specialty Services Building the Future Patient Safety & Innovation

4165 Separations*

8947 Total bed days

46,496 Hospital non-admitted patient services (occasions of service)

10,866 ED presentations

150 Births in hospital

1615 Ambulance COOMA presentations HOSPITAL 754 & HEALTH Surgeries SERVICE Source: HIE and EDWARD NAP Located in the largest town in DataMart. Australia’s pristine alpine region, Cooma Hospital & Health Service provides for the Snowy Monaro region with nearly 21,000 residents.

Between June and October Cooma’s population increases to 32,000-plus as seasonal workers and visitors flock to The refurbished operating suite opened POPULATION the snowfields. in April 2018. During the works, an on- INCREASES TO site mobile theatre ensured surgical Situated just 118kms south of services continued. Canberra, Cooma Hospital & Health 32,000 Service provides a range of services Supported by a team of dedicated, DURING THE including minor surgery, maternity, highly skilled local general practitioners, renal and oncology enabling who provide a range of medical services SKI SEASON residents to receive much-needed to the hospital, staff continue to strive healthcare closer to home. to achieve excellence in the provision of rural health care. 1. Senior radiologist Pat Redmond It is one of the major employers in prepares Cerena Collins for her scan. the district. The emergency department’s nurse 2. Sonographer Gavin Fuller and unit manager Joann Caldwell was radiography student Linda Vay. Cooma Hospital had 10,866 a key player in the 2018 SNSWLHD 3. Dr Peta Lidster, ED nurses Mark presentations to its emergency Quality Awards Collaborative Team of Davies and Jenna Chiffley-Gray. department during the year. A total The Year which achieved emergency *The process by which an episode of of 1615 arrived by ambulance. Of all treatment performance targets through care for an admitted patient ceases, ED presentations 87.4 per cent were a collaborative and peer support including ED only separations. treated within four hours of arrival. approach to improving care.

18 Information Technology Services Our People Our Partners, Our Supporters Appendices

Nurse practitioner Wendy Waters with mum Cassandra Goethals and her daughter Sophia from Yass.

Family and child health nurse Seren Pearsall with little Emily Steward, of Yass.

YASS DISTRICT HOSPITAL

Yass District Hospital is undergoing an $8 million redevelopment, enhancing healthcare services available to the nearly 17,000 people living in the town and surrounding rural areas. Falls prevention strategies included The hospital provides emergency risk assessments, interventions, 1803 care and medical imaging. Outpatient and education. Total bed days services include child and family health, immunisation, nursing, palliative care, The Stepping On program was sexual health and sexual assault, mental introduced to prevent falls, 17,167 health, drug & alcohol and general encourage active living and maintain Hospital counselling, physiotherapy, occupational independence for older people. non-admitted therapy, speech pathology, diabetes Participants learned about strength patient services education, dietetics, women’s health, and balance exercises, safe footwear, (occasions of service) Aboriginal liaison, and dental health. medication management, vision, nutrition, moving safely in the The hospital continually bettered or met community and reducing hazards NSW Health’s best practice guidelines in the home. 6099 in identifying deteriorating patients ED presentations and initiating medical assessment and Yass was the SNSWLHD pilot for treatment early resulting in less rapid Healthy Kids Bus Stop initiative. response calls; and quickly detecting 718 sepsis and administering antibiotics. The comprehensive health screening Ambulance program for children three to five presentations The Sister Alison Bush AO Mobile years aims to identify developmental Simulation Centre delivered onsite issues and provide a pathway to care education enhancing the emergency for children to support their transition Source: HIE and and communication skills of staff. to school. EDWARD NAP DataMart.

19 SNSWLHD Our Healthcare Facilities Specialty Services Building the Future Patient Safety & Innovation

Yass and Goulburn allied health and nursing clinicians conducted 313 assessments on 70 children with 99 follow-up referrals.

The Yass Child and Adolescent Mental Health Service recognised a gap in service provision for low to moderate mental health issues.

Working with Yass High School, a series of workshops aimed to improve prevention and early intervention, and positive mental health and wellbeing.

Yass District Hospital is supported by its Community Consultation Committee whose members provide a direct link to the people it serves holding health information sessions throughout the year such as CROOKWELL stroke awareness. Crookwell District Hospital has Regular community consultation DISTRICT five committed volunteers who on the redevelopment provided generously give of their time, valuable feedback even down HOSPITAL assisting and supporting nursing to the colour scheme which staff by providing companionship will be based on the region’s to vulnerable at-risk inpatients. Indigenous history. Nestled in the picturesque town of its namesake, Crookwell District Four volunteers provide pastoral The Yass Hospital Auxiliary Hospital is an 18-bed acute care care to inpatients and staff in times purchased a bilirubin monitor to facility 43km north of Goulburn of need. test for jaundice in newborns to Base Hospital. eliminate unnecessary transfers The Crookwell District Hospital to Canberra for phototherapy if Its emergency department has Auxiliary raised more than $12,000 it is not required. telehealth links to Canberra and during the past financial year, of Sydney tertiary hospitals. which $10,000 was invested in equipment to support and improve A rotating roster of local general patient care, including new beds practitioners ensures 24/7 and an emergency trolley for ED coverage. and a simulation doll for training nursing staff. Serving the Upper Lachlan Shire with a rural population The community consultation Our volunteers of 7586, Crookwell provides committee developed a unique pathology and radiology services, personal resource for the generously provide physiotherapy, community and community raising $6000. child and family health nursing. Booklets were designed to record companionship to Outreach services from Goulburn an individual’s or family’s personal include occupational and speech financial, legal and other key vulnerable inpatients therapies, social work, dietetics information in the event of their and midwifery. death so their next of kin or family friend can finalise their affairs. There were 5247 presentations to Crookwell’s ED. Public fund raising efforts focussed on patient care equipment such

1. Wellness Centre manager Heather The Wellness Centre programs as a spirometer for the chronic McDonald (left) and nurse Deborah Webb focussed on reducing preventable obstructive airways disease with client Julie Cleland, of Crookwell. 2. hospital admissions from chronic rehabilitation program conducted Keith Moreing and Ollie Murphy, of Bombala. diseases and falls. by physiotherapy services.

20 Information Technology Services Our People Our Partners, Our Supporters Appendices

MULTIPURPOSE SERVICES

A MultiPurpose Service (MPS) is a model of care designed for regional and remote communities to provide coordinated delivery of health and aged care. There are 64 MPSs in rural NSW.

SNSWLHD’s three MPS facilities provide urgent, acute, and residential aged care, and community health.

We aim to ensure each client receives the best possible service according to their needs through our practice of open communication between the patient or resident, their families and MPS staff.

SNSWLHD is part of the State’s Living Well MPS Collaborative which focuses on improving aged care residents’ life experience, and supporting staff to deliver a more home-like environment, enhancing the lifestyle, independence and wellbeing of each resident. Braidwood MPS The MPS is working with Staff are continually educated to community health and local ensure they remain competent Braidwood MPS is a 32-bed facility GPs to improve community and current with clinical skills in providing an integration of hospital recognition of the antecedents emergency care and dementia. and community health and aged of falls, and the importance care services. of prevention.

Bombala MPS Slated for redevelopment, the A review of the residents’ dining building program includes new experiences has helped inform the Bombala, located in southern NSW, inpatient rooms and facilities and a planning and meal delivery model 57km from the Victorian border has dedicated emergency department. which will maintain a cooked-fresh a population of 1500, the majority food service in the new facility. of whom are older. Braidwood MPS caters for the diversity of the needs of its local Night staff have been introduced Situated an hour’s drive south-west catchment which has a growing to Narbethong House, a low-level from Cooma, the MPS provides older population. aged care hostel. emergency and acute inpatient care, community health and Staff are flexible and respond The National Framework for residential care. The local GP is to individual situations, and the Documenting Care in Residential collocated on site. changes of the Commonwealth Aged Care services assists staff Aged Care Services Reforms. with evidence-based processes The MPS maxim is residents do not and professional care practice. live in our workplace, we work in The Leading Better Value Care their home. program helps reduce serious Pain in Residential Aged Care harm from falls in hospitals and to Facilities: Management Strategies, Staff utilise tele and video improve the safety of older persons. developed by the Australian Pain health medical advice to provide A falls risk assessment and delirium Society, are being implemented to emergency care when no doctor screening in the emergency improve the quality of life of long- is available locally. department is being implemented. term residents.

21 SNSWLHD Our Healthcare Facilities Specialty Services Building the Future Patient Safety & Innovation

Valuable partnerships have been forged with volunteer pastoral carers and the local chapter of the Australian Men’s Shed Association. 3 Braidwood MPS is grateful for the support of 40 volunteers who assist activity officers in providing stimulating programs, games, day trips or one-on-one assistance for our aged care residents, enhancing and enriching their lives and keeping them connected to their local community.

Several volunteers transport community members to specialist medical, optical, and dental appointments locally and to neighbouring towns.

Delegate MPS PAMBULA Delegate is a small farming and forestry town 7kms north of the Victorian border with an ageing HEALTH population of less than 500 residents. The MPS provides mainly SERVICE residential care and community health services. Pambula Health Service incorporates a 14-bed facility It has a triage service for in the heart of Pambula, on the emergency care and is supported beautiful sapphire coast in the by telehealth to Canberra and Bega Valley Shire. Cooma for medical advice and referrals. The emergency Complementing the services assessment service catchment delivered by South East Regional includes parts of Victoria. Hospital, it provides rehabilitation, and palliative care. A partnership was developed Generous locals volunteer their with the Pambula Men’s Shed time to transport residents to A feature of Pambula Health onsite. The Australian Men’s appointments. Service is an urgent care clinic, Shed Association, funded by the a progressive nurse-led service Federal Department of Health, for walk-in patients with non-life aims to improve health and threatening conditions. wellbeing reducing the number of men who are at risk from An onsite community health centre preventable health issues that delivers cardiac and respiratory may emanate from isolation. rehabilitation, and outreach nursing to local residents in their homes. The Pambula Hospital Auxiliary Other community health services raised more than $16,000. include allied health disciplines such as social work, physiotherapy, Staff promote a respectful work and occupational therapy. culture. A peer-led program THE PAMBULA acknowledges those who go above HOSPITAL During 2017-18 the urgent care and beyond the call of duty. AUXILIARY RAISED clinic was refurbished, permanent MORE THAN health and security assistants were secured, and Pambula 1. It’s all smiles for patient Pam Stephens, Health Service received the of Berrambool, and nurse Anita Pease. $16,000 honour of Bega Valley Nursing 2. Clinical nurse educator Danny Ferrara Team of the Year. and nurse unit manager Mitzi Hyland.

22 Information Technology Services Our People Our Partners, Our Supporters Appendices

3

SPECIALTY SERVICES

Physiotherapist Jacquie Tong puts Margret Thompson, of Goulburn through her paces. 23 SNSWLHD Our Healthcare Facilities Specialty Services Building the Future Patient Safety & Innovation

MENTAL HEALTH, DRUG & ALCOHOL

SNSWLHD provides specialist A nurse-led activities program for mental healthcare in inpatient and patients was initiated at Chisholm Ross community settings. Centre in Goulburn. 90% Inpatient services include acute adult, Our acute units saw the introduction of OF CONSUMERS specialist mental health services for computers on wheels, increasing ease older people (SMHSOP), non-acute and accessibility to patient medical UNDERGOING rehabilitation, short-stay acute, and records and reducing paper forms. DRUG AND forensic rehabilitation. ALCOHOL SNSWLHD recorded the lowest average Child and adolescent mental health length of stay in NSW. TREATMENT services (CAMHS) are delivered LIVE WITH through our community mental health Psychogeriatric services were reviewed centres. Those who require inpatient to increase access for people out of area. MENTAL care are transferred to nearby CAMHS ILLNESS inpatient units. A structured process for regular meetings between consumers and health Our demographic profile is different service staff to better engage consumers from metropolitan areas, and the in their care, known as consumer care communities within our LHD vary from rounding, was introduced. 75% each other. OF PEOPLE Work on a Suicide Prevention Action ACCESSING Community mental health teams Plan in collaboration with COORDINARE MENTAL HEALTH are situated in Batemans Bay, commenced. Bega, Cooma, Goulburn, Moruya, SERVICES HAVE Queanbeyan and Yass. Inpatient units The relationship between mental MISUSED are in Goulburn and Bega. illness and drug and alcohol misuse is complex and often linked with almost DRUGS AND Consumer advocates are employed to 75 per cent of people accessing mental ALCOHOL bring their lived experience of mental health services having misused drugs illness to our organisation and support and alcohol. our consumers at a systemic and personal level. It is estimated 90 per cent of consumers undergoing drug and alcohol treatment Located at Goulburn, Queanbeyan, live with mental illness. Cooma and Bega, our advocates assist consumers, helping to ensure their Our drug and alcohol service provides views and wishes are heard by staff. counselling, treatment, withdrawal management and opioid replacement Consumer advocates assist with therapies for those with problematic monthly consumer groups to substance use. discuss service development, implementation and evaluation. SNSWLHD, in partnership with Consumers are encouraged to attend COORDINARE and the Agency for in person or via videoconference. Clinical Innovation, is redesigning services to enable appropriate access We are working towards improving throughout the LHD. client engagement for drug and alcohol service planning and evaluation. We aim to increase access to treatment, compliance with pharmacotherapy A mobile device policy was introduced for drug dependence, intervention to encourage clients to maintain with high risk groups; decrease the relationships while they are inpatients. risk of overdoses; and strengthen our collaborative partnerships. The Regional Mental Health Plan was developed in collaboration with our During the past year we assigned primary health network COORDINARE three drug and alcohol clinical leads and Illawarra Shoalhaven LHD. to improve access to our services.

24 Information Technology Services Our People Our Partners, Our Supporters Appendices

COMMUNITY The Maternal and Early Childhood HEALTH Sustained Home Visiting program We provided 600,000 nursing and supports at- allied health service consultations risk families to in our community health clinics and establish the people’s homes during 2017-18. foundations of a positive life The launch in April of our trajectory for Community Health Central Intake their children. Service, which ensures residents are referred to the most appropriate service, was successful with staff responding to more than 6000 contacts in the first eight weeks. We are developing ways of sharing South East Regional Hospital In partnership with the South information electronically, as well as physiotherapists, with the University Eastern NSW Primary Health improving care coordination for those of Canberra, run a student-led Network, COORDINARE, we are with complex healthcare needs. neuro-rehabilitation clinic providing educating health professionals on 700 consultations each year to community-based services. To improve our support for families, those with neurological conditions, SNSWLHD is participating in the as well as valuable learnings to Four GPs were employed to work international pilot program Maternal 20 physiotherapy students. with hospital and general practice and Early Childhood Sustained staff to improve the way we Home Visiting where child and The physio team has incorporated support people. family health nurses see families with volunteers into the falls and newborns on 25 or more occasions. balance program as session leaders In some cases the home visits for maintenance exercise groups. start before the baby is born, and The initiative has boosted falls continue until each family has all the prevention in the community. supports in place to promote the health and development of mums, Our oral health team worked We are improving families and their children. with the Bega Valley Shire, the NSW Ministry of Health and the care coordination for Our aged care teams introduced Australian Dental Association to programs to focus on patient extend water fluoridation in the those with complex preferences and goals during our Bega Valley Shire. care delivery. Patient reported healthcare needs outcome and experience measures The past year saw electronic identify what is important to oral health records replace the individuals and families. paper-based system.

INDIVIDUAL OCCASIONS CLIENTS SEEN OF SERVICE

Complex, Aged and Chronic Care 41,293 71,169

Child and Family Health 26,279 34,491

Integrated Violence Prevention Response 3829 5887 Service

Source: iPM; EMR Cerner. 25 SNSWLHD Our Healthcare Facilities Specialty Services Building the Future Patient Safety & Innovation

ABORIGINAL HEALTH

We work with individuals, families and community groups to improve the health and wellbeing of all Indigenous peoples, ensuring cultural values and In collaboration with Eurobodalla Shire beliefs are central to the way we work Council and SNSWLHD Aboriginal across the community. health, the Wangganga women’s arts ABORIGINAL as therapy group held two highly Aboriginal Health Services provide successful exhibitions. CHILD support in all healthcare settings IMMUNISATION throughout SNSWLHD. Improving the health of Aboriginal INCREASED TO people at risk of or living with chronic Gadhu Family Health Service delivers disease is an ongoing focus. antenatal, postnatal, child and family, 95% and allied health for women carrying Weekly Aunty Jean’s programs support an Aboriginal baby, children aged 0-5, Aboriginal people in education on health and their families. conditions, healthy food preparation, and to participate in gentle exercise We refer to our environment as sessions. The program culminates in an Kooriganic, meaning connected and annual mini Olympics with counterparts in touch with our families’ health and from Illawarra Shoalhaven and culture. Families are transitioned Murrumbidgee local health districts. seamlessly between services without having to re-tell their stories. Men’s and women’s health days increased community awareness of the Aboriginal child immunisation increased interface between healthy living and to 95 per cent across SNSWLHD. cultural practices.

26 Information Technology Services Our People Our Partners, Our Supporters Appendices

POPULATION HEALTH

Population Health makes a difference to the entire community.

SNSWLHD encourages and assists healthy lifestyle changes at a personal level, and creates an environment that supports healthier living.

Dedicated programs range from early childhood to older people.

Public health interventions prevent and manage diseases through the We delivered surveillance of cases and initiatives to sustain healthy communities and 23,582 childhood environments. vaccines during To keep our residents healthy we engage with the community and a the year range of partners. Our partners help to localise statewide projects and deliver innovations.

Environmental Health Healthy Children’s Initiative & Disaster Preparedness

We worked with 137 primary schools, Bega Valley Shire Council was long day care centres, preschools supported to fluoridate its and family day care services. During drinking water. Vegetable Week and the Big Vegie Crunch 5221 students from 26 schools participated. Communicable Disease Surveillance Healthy Eating, Active Living The public health unit received 3295 infectious disease notifications with 1. (page 26) Aboriginal liaison Our team supported health the majority being influenza. Staff manager Joanne Donovan. professionals to refer 420 adults worked with the community and 2. Aboriginal health worker to the Get Healthy Information our health facilities to minimise the Taneka Longbottom from the and Coaching Service and the Get transmission of infectious diseases. Aboriginal Maternal and Infant Healthy in Pregnancy Service. Health Service (AMIHS), with nephew Tyrese Moreton. Collaborative Dental Services 3. Gadhu Family Health team Immunisation leader Shirlena Rutten with the Harp Surfboard prize. Town water supplies are fluoridated Community Health staff delivered to help protect against dental 4. Medal winners from Eden, 23,582 childhood vaccines. A total of decay. Gadhu Family Health, Queanbeyan, Yass and Goulburn. 1878 year 7 children were offered HPV and dental services worked 5. (page 27) Queanbeyan vaccine (an 80.3 per cent uptake), collaboratively to provide multicultural event: Natania Copp and 3030 children in years 11 (63.8 education and awareness of the and Bernadette Arnall. per cent) and 12 (70.9 per cent) were Lift the Lip program to our rural 6. Lift the Lip education offered the meningococcal vaccine at Aboriginal families on preventing and awareness. our 25 high schools. tooth decay. 7. Munch & Move Program.

27 SNSWLHD Our Healthcare Facilities Specialty Services Building the Future Patient Safety & Innovation

4

BUILDING THE FUTURE

28 Pambula nurse manager Kelly Jurd. Information Technology Services Our People Our Partners, Our Supporters Appendices

SNSWLHD is addressing the healthcare needs of our rural communities with more than $150 million of capital investment in infrastructure.

Planning for enhanced service delivery and improved patient experiences have been the focus for 2017-18.

Partnering with our local communities has been critical in the planning and design of facilities and new models of care. services building incorporating a new: • Main entry and hospital reception Consultation for each project has • Emergency department been extensive to ensure our residents • Medical imaging department continue to receive excellent care into • Intensive care unit the future. • Operating theatres, day surgery, and recovery areas There have been more than 2000 • Medical, surgical, paediatric, interactions with community, consumer rehabilitation and geriatric and industry representatives on the inpatient units with designated Goulburn Hospital and Health Service palliative care beds Redevelopment (GHHSR). • Maternity unit and birthing suite; and • Ambulatory paediatric and antenatal clinics. $150 Goulburn Hospital and Health MILLION Service Redevelopment The works will provide for more on-site car parking, and an extension to the INVESTMENT IN The $120 million GHHSR project community health building. INFRASTRUCTURE will deliver a fit-for-purpose facility enhancing the delivery of high-quality healthcare. Cooma Hospital Redevelopment Early works commenced in April 2018 with State significant development Funding for the redevelopment of planning approval sought. Cooma Hospital increased to $18.6 PHOTOS: million following the NSW Government’s Artist’s impression Scheduled for completion in late 2021, announcement in June of an additional of Goulburn Hospital GHHSR includes a four-storey clinical $8.6 million. and Health Service.

29 SNSWLHD Our Healthcare Facilities Specialty Services Building the Future Patient Safety & Innovation

In addition to the expanded emergency department and improvements to inpatient care facilities, the project will now deliver: • A new maternity unit 5 • New ambulatory care centre including consulting and treatment rooms • Expansion of the medical imaging department; and the • Relocation of an enhanced pathology department.

The scope allows for improved design and new models of care. Construction is expected to commence in early 2019.

Yass Hospital Pambula’s new-look Redevelopment assessment, treatment and care clinic. The $8 million project is being funded as part of the statewide $300 million MultiPurpose Service (MPS) program of works to The clinic prior to upgrade existing facilities in several refurbishment works. rural and remote communities.

It comprises: • A dedicated ambulance entry point • An additional emergency department treatment bay • An increase in inpatient beds from 10 to 12; and • Improved community health facilities. Pambula Health Service

Construction, set to start in Pambula Health Service is late 2018, will further integrate undergoing a $1.6 million upgrade community health, acute and with a new main entry and emergency services to provide reception area scheduled for flexible and improved healthcare. completion in July 2018. Eurobodalla Clinical Services Plan Stage 1B will see the refurbishment Braidwood MPS of the assessment, treatment A $500,000 commitment to and care clinic enhancing patient update the Eurobodalla Health The new MPS will enhance the privacy with two new treatment Service Plan was announced in sustainability, functionality and spaces and bathroom facilities, the October 2017 to address and safety of health and aged care addition of a clean store area for review the appropriateness of services in Braidwood. Additional medical supplies, an exercise room services in the region. benefits include: for inpatients and the community, • New inpatient rooms and consulting rooms for The health service spans three • Improved aged care facilities specialist, medical and other health campuses located in Batemans that promote the concept of practitioners. Works are due for Bay, Moruya and Narooma. ageing in place completion in late September 2018. • A dedicated ED; and Consultation with the community, • New staff accommodation. Stage 2, slated to start in clinicians and health staff September, will see the addition of throughout the development The main works tender is due to an accessible toilet, parents’ room, of the plan aims to ensure the be awarded in late 2018, pending and a kids’ corner adjacent to the region’s healthcare needs are met planning approvals. new waiting area. into the future.

30 Information Technology Services Our People Our Partners, Our Supporters Appendices

5

PATIENT SAFETY & INNOVATION

ED and theatre nurse Katie Maher, of Queanbeyan. 31 SNSWLHD Our Healthcare Facilities Specialty Services Building the Future Patient Safety & Innovation

Oral health therapist Annie Cummins (left), dental assistant Lisa Wilkin and Brooke Grieve, of Queanbeyan.

Independent assessors will visit each PATIENT of our healthcare sites to ensure they meet the National Safety and Quality SAFETY Health Service Standards.

People who use our services are Key Initiatives entitled to receive the best and safest standards of care possible. • SNSWLHD developed its first WE INTRODUCED Safety and Quality Account in A range of systems is in place late 2017. The document provides INDIGENOUS to maintain best practice and to information on the safety and continuously improve the way in quality of care we deliver. It PATIENT which clinicians provide care to measures performance in the EXPERIENCE patients and clients. past year, what was achieved, SURVEYS & PATIENT and areas for improvement. SNSWLHD has been preparing EXPERIENCE TRACKERS for national accreditation from • Understanding what matters to IN ORAL HEALTH CLINICS the Australian Commission on our community assists us to make Safety and Quality in Health Care. changes. In 2017-18 we introduced Indigenous patient experience surveys; used free Wi-Fi at South East Regional Hospital to collect feedback from patients, families and carers; introduced The past year has seen the patient experience trackers in introduction of eight new or Understanding oral health clinics; initiated direct improved models of care for: dialogue between executive, staff - Chronic obstructive pulmonary what matters to our and patients; and established disease (COPD) consumer participation groups - Chronic heart failure community assists us in the Mental Health, Drug & - Renal supportive care Alcohol Service. - Diabetes high-risk foot services to make improvements - Diabetes inpatient management • We implemented the Leading - Osteoarthritis chronic care Better Value Care program to - Osteoporotic re-fracture improve health outcomes and the prevention; and experience for patients. - Prevention of falls in hospital.

32 Information Technology Services Our People Our Partners, Our Supporters Appendices

INNOVATION

The annual SNSWLHD Quality Butch works tirelessly to support Women in Health – Awards recognise and celebrate consumers who are admitted to Aboriginal and Torres the remarkable commitment and inpatient psychiatric units. He Strait Islander ingenuity of our staff. provides individual and group support, including managing Skyan Fernando – Queanbeyan In many cases consumers and a meeting for consumers each Hospital and Health Service families inspire the projects and morning. Butch has overseen the are part of the innovations that development of a thriving activities An Aboriginal health worker and then become nominations for program and single-handedly educator, Skyan is involved in a quality awards. established a library for the units. wide range of services that deliver care to local Aboriginal families, All employees, volunteers and His commitment and dedication and supports staff in their work with partner agencies are encouraged is unsurpassed, and he openly Aboriginal people. to participate. shares his lived experiences to assist others. She developed several women’s A total of 53 entries were received health programs to promote and across 15 categories. The winners educate Aboriginal women on the of the five peak awards were: Collaborative Team supports available to them in health of the Year and the community.

Volunteer of the Year Once More Unto the Breach – She is actively involved as a Monaro Cluster representative or member of Tai Chi Leaders Program – many community initiatives Population Health The Monaro Cluster was formed in to improve services for the January 2017, bringing four hospitals Aboriginal population. Tai chi is employed to reduce and four very different emergency the risk of falls. More than 600 departments together as a team people in 22 towns participate who were required to meet a each week in the sessions led target of 86.7 per cent emergency by 37 volunteers. treatment performance (ETP). A weekly ETP breach meeting was introduced bringing emergency Staff Member doctors and nurse managers of the Year together with management to examine breach data as to why Gill van Mastrigt, Delegate patients were staying longer than MultiPurpose Service four hours in ED. A multidisciplinary team worked collaboratively to Gill has a strong work ethic, significantly improve the ETP and putting residents’ needs patient satisfaction. and safety first. Through his long-standing experience as a chef, he provides support and guidance to staff in food preparation and presentation and goes above and beyond Staff Member of for residents. His approach the Year Gill van to ensuring patient safety is Mastrigt, Delegate MultiPurpose commendable. Service.

Staff Excellence – Collaborative Leader Volunteer of the Year - Tai Chi of the Year Leaders Program. Keeping people Robert Butch Young, mental active and health consumer advocate, Mental preventing falls. Health, Drug & Alcohol Service

33 SNSWLHD Our Healthcare Facilities Specialty Services Building the Future Patient Safety & Innovation

1. Collaborative Team of the Year: Delegate MultiPurpose Service nurse manager Heather Scroop (left), Monaro Cluster Category Winners Golden Angels — Enhancing Dementia general manager Nicola and Delirium Acute Care, SNSWLHD Yates, Cooma acting health Partnering with Patients service manager Rhonda Stewart, Queanbeyan Four Minutes, Anywhere, Anytime: Excellence in the Provision of Mental emergency department Video Observed Treatment Health Services nurse unit manager Heather Supervision (VDOTS), Queanbeyan Managing Risk by Co-Design: Introducing Fairfax, Cooma emergency Hospital & Health Service Personal Electronic Device Access in department nurse unit Acute Mental Health Units, SNSWLHD manager Joann Caldwell and Delivering Integrated Health Care Mental Health, Drug & Alcohol Service SNSWLHD chief executive A Palliative Care Bereavement Andrew Newton. Model, SNSWLHD Agency for Clinical Innovation Award Four Minutes, Anywhere, Anytime: 2. Women in Health – Aboriginal and Torres Patient Safety First Video Observed Treatment Supervision Strait Islander: Aboriginal Mrs Dean’s Story, Population Health (VDOTS), Queanbeyan Hospital & health manager Jackie Health Service Jackson (left) with winning Keeping People Healthy Aboriginal health worker A Person-Centred Approach to Managing Risk by Co-Design: Introducing Skyan Fernando. Keeping People Healthy and at Personal Electronic Device Access in Home, Crookwell Hospital Acute Mental Health Units, SNSWLHD 3. Volunteer of the Year: Mental Health, Drug & Alcohol Service Cooma executive director People and Performance Supporting Our People Virginia Cater (left) with Supporting Our Managers, Chief Executive Award volunteers Hamidah Dahlan- SNSWLHD Mental Health, Never Stop Quitting: Empowering Cameron, Peter McLaren, Drug & Alcohol Service Mental Health Consumers to Quit, Dorothea Bilbow, Maureen South East Regional Hospital Ryan, and Judith Reid. Health Research & Innovation Developing a Standard Approach Board Chair Award 4. Staff Excellence – to Managing Central Venous Supporting Our Managers, SNSWLHD Collaborative Leader of the Access Devices, SNSWLHD Mental Health, Drug & Alcohol Service Year: Executive director SNSWLHD Nursing & Midwifery, and Clinical Governance executive director Julie Mooney with awarded SNSWLHD mental FOR MORE INFORMATION ON THE WINNING PROJECTS VISIT health consumer advocate snswlhd.health.nsw.gov.au/about-us/awards/snswlhd-quality-and-innovation-award Butch Young.

34 Information Technology Services Our People Our Partners, Our Supporters Appendices

6

INFORMATION TECHNOLOGY SERVICES

Patient food services’ Trina Kreti, of Queanbeyan. 35 SNSWLHD Our Healthcare Facilities Specialty Services Building the Future Patient Safety & Innovation

Nursing & Midwifery director at Moruya and Batemans Bay hospitals Leanne Ovington and nurse unit manager Jim Herford.

Student nurse Asheigh McPhee (left) takes guidance from nurse Kellie Betts.

Information technology is critical to the advancement and overall quality of healthcare delivery.

It increases patient safety, decreases medical errors and strengthens the interaction between patients and healthcare providers.

A shared service between Southern NSW and Murrumbidgee local health districts, the information technology unit • Optimising our electronic medical covers 90 individual sites across two record (eMR) which has been a major geographically challenging regions. initiative, providing training and development by clinicians, for clinicians Key initiatives in SNSWLHD included: at every site throughout the LHD

• A review of medical records that • Electronic medication management remain on paper. Paper-based records which is the single largest change in THE INFORMATION contribute to a hybrid record of terms of electronic medical records paper-based and electronic, which can and patient safety for SNSWLHD. TECHNOLOGY create delays in viewing past medical Scheduled for roll-out in late 2018, the UNIT COVERS treatments and outcomes as part of a system build, which has involved our clinical review clinicians, has been complex 90 • My Health Record/HealtheNet • Guest and patient WiFi which was INDIVIDUAL which now has information from implemented in our two largest pathology and medical imaging hospitals at Bega and Goulburn. SITES results automatically populating The service is free for general internet ACROSS TWO the portal. It will ultimately provide usage, with the ability to pay for GEOGRAPHICALLY further information for the patient increased bandwidth for movies and CHALLENGING at their fingertips as well as to their video; and supporting health network REGIONS • The redevelopment of the SNSWLHD • A new electronic information system website in consultation with internal across the LHD for oral health and and external stakeholders. The maternity services further digitising website is the digital front door to patient records and providing secure, our LHD, the services we provide, accessible patient information to and the opportunities that exist to clinicians when required engage with us.

36 Information Technology Services Our People Our Partners, Our Supporters Appendices

7

OUR PEOPLE

Nurse Tamara Beasley, of Bega. 37 SNSWLHD Our Healthcare Facilities Specialty Services Building the Future Patient Safety & Innovation

268 Allied Health 458 Corporate Services & Hospital Support 92 Hotel Services

24 We are one of the Maintenance & Trades largest employers in the south east and 101 tablelands Medical OUR STAFF

1168 Southern NSW Local Health Nursing District provides numerous employment opportunities for Staff turnover reduced from 19 per cent in members of the community and 2016-2017 to 7 per cent in 2017-2018 due those who relocate to benefit from to several strategies including those that 28 the diverse regional lifestyle. promote a sustainable work-life balance. Oral Health Practitioners & The LHD is one of the largest employers The SNSWLHD Work Health Safety Support Workers in the south east and tablelands. During & Wellbeing Framework 2018-22, 2017-18 the workforce comprised nearly finalised after extensive consultation, 3000 individuals totalling 2243 full time demonstrates our commitment to equivalents (FTEs) across more than maintaining a safe and healthy working 59 20 sites. environment for employees, patients Other Prof. & and visitors. Para Professionals & Our mission is to deliver healthcare that matters. More than 1740 staff were vaccinated Support Staff against influenza. Strategies to improve workplace culture include defining behaviour expectations The Innovate Reconciliation Action 45 in performance and development plans. Plan (RAP) was developed, providing Scientific & Technical a framework for our organisation to SNSWLHD’s CORE values are support national reconciliation. Clinical Support Staff collaboration, openness, respect and empowerment created by employees It includes practical actions that will for employees to inspire positive drive SNSWLHD’s contribution to TOTAL interactions in the workplace. reconciliation internally and in the communities in which we operate. CORE Chat, a program empowering 2243 staff to take responsibility for identifying There were 220,516 occasions of online practical solutions for workplace training; nine staff graduated from challenges, was rolled out. the Clinical Excellence Commission’s Contracted Full Time Equivalent (CEC) Foundational Clinical Leadership (FTE) as at June 30 2018. Staff are invested in their workplace. Program; 90 per cent of employees

Source: SMR Workforce by Several employees have up to 50 completed Respecting the Difference Treasury Code; StaffLink Human years of service, with the average training; and 2528 staff undertook the Resource Information System. being eight years. Acts of Kindness program.

38 Information Technology Services Our People Our Partners, Our Supporters Appendices

1. (page 38) Dr George Chimpanda (left), community health nurse Debra Bailey, and endorsed enrolled nurse Robyn Sproates from Yass District Hospital. 2. (page 39) Clinical nurse consultant Margaret Pickford (left), social worker Kellie McLaughlin and mental health consumer advocate Sandra Morgan. 3. ANU medical student Rachael McCormick and Hilary McArthur at South East Regional Hospital, Bega. 4. Food and Patient Support Services’ Debra Hodgson, Susan Stuart and Lorna Apps. 5. Nurses Igor Lutsker, Katrina White, Michele Cooke, and Tamara Francis in the Goulburn Base Hospital operating theatre. 6. Nurses Karen Elphick, and Maxine Schumacher at Batemans Bay District Hospital. 7. Student registered nurse Clancy Morrison at Pambula. 8. Administration supervisor Nicole Saunders at Batemans Bay District Hospital. 9. Resident Enid Stewart with health support services Lilyanne Ber at Delegate MultiPurpose Service. 10. Pathology technical officer Azuka Aroguma.11. Dr Vimbai Kapuya with nurses Leah Lloyd and Anna Witt at Yass District Hospital. 12. VMOs Dr Justin Sissing and Dr Johanna Kovats at Crookwell District Hospital.

39 SNSWLHD Our Healthcare Facilities Specialty Services Building the Future Patient Safety & Innovation

Dr Allan Hawke AC Mark Harrison OUR PhD, FAICD, FIPAA, FIML B Bus (Accounting), Certified Internal Auditor Professional Chair BOARD* Deputy Chair Allan was appointed chair of The members of the SNSWLHD SNSWLHD in August 2017. A board member since 2011, Mark Board are appointed by the NSW He has deep roots in the Harrison became deputy chair in Minister for Health for a term of region having been schooled 2013. Mark is a managing director up to five years. in Queanbeyan prior to gaining with Protiviti, a global management a Bachelor of Science and a consulting firm. He has more than There are four board committees PhD at the Australian National 25 years’ experience specialising that oversee specific areas of University, Canberra. He has in audit, financial, governance and the business including providing extensive experience as a senior risk advisory services spanning advice on the organisation’s public servant and diplomat. publicly listed companies to strategy, safety and quality Allan is the current chairman government agencies. His work of services, monitoring of the Canberra Raiders rugby in healthcare includes public performance and compliance, league football club, a non- and private providers, primary ensuring major risks are executive director of Lockheed care, hospital and Indigenous identified and managed, and Martin Australia, and a member health services, aged care, policy assisting the SNSWLHD Board of the board of governors of and funding agencies, and the in achieving its goals and the Committee for Economic pharmaceutical industry. Mark objectives. Development Australia (CEDA). chairs the Performance Committee, a committee of the board. They are: • Health Care Quality Committee • Performance Committee • Audit and Risk Committee • Medical and Dental Appointments Advisory Committee

Invitees The following invitees participate in agenda items relating to their areas of expertise: Andrew Newton, chief executive SNSWLHD, and Julie Mooney, executive director Nursing & Midwifery and Clinical Governance.

*As at June 30 2018

**Jenny Symons served as chair of the SNSWLHD Board from July - August 2017.

40 Information Technology Services Our People Our Partners, Our Supporters Appendices

Dr Brian Tugwell Elizabeth Hoskins Dr Kenneth Crofts MBBS, FRACGP, GradDip BA Bus Acctg Ec, CPA PhD (Accounting), GradDipApp Anaesthetics, GradDip Tropical Corporate Governance, GradCert Medicine and Hygiene Beth Hoskins joined the Public Sector Mgmt, GradDip Info Sys, SNSWLHD board in 2017. M Ec (Accounting), B Bus (Accounting), FCA, CIA, CRMA, PMllA, GAICD, AGIA, Brian has been a general She is a member of its ICSA, MCSE practitioner visiting medical Performance Committee officer in Cooma since 1997, and a board representative Ken is a highly skilled senior having completed his registrar on the Goulburn Community manager in governance, finance, training in the town. He previously Consultation Committee. audit and risk in the public and worked as a GP registrar in An associate director with Boyce for-purpose sectors. He has had northern NSW and as district Chartered Accountants, she has extensive involvement in board and medical officer in East Arnhem had a long-term involvement non-executive director positions. Land, NT. He is a registrar in the not-for-profit sector Ken has been a member of eight supervisor with GP Synergy through her honorary roles audit, risk or finance committees, and teaches medical students that focus on governance, chairing three. Specific industry from the Australian National strategy and implementing experience includes an Australian University during their placement financial control systems. They Prudential Regulation Authority in Cooma. Brian joined the include the Country Education (APRA) regulated credit union, SNSWLHD Board in 2015 and is Foundation of Australia, the community housing, and public a board representative on the Country Education Foundation sector boards and committees. Cooma Community Consultation of Goulburn & District, Country Ken is a member of the SNSWLHD Committee. Universities Centre, and Beyond Performance Committee, and Audit the Orphanage. and Risk Committee.

41 SNSWLHD Our Healthcare Facilities Specialty Services Building the Future Patient Safety & Innovation

Russell Fitzpatrick Diana Williams Geoff Kettle JP Russell Fitzpatrick is a councillor Diana brings a wealth of project on the Bega Valley Shire Council. management, governance and Geoff was appointed to the He is a manager at Bobbin financial skills to SNSWLHD. SNSWLHD Board in 2015 Transport Pty Ltd Pambula, She joined the board in 2015. and is its representative on chairman of Pambula Sporting Diana is a member of the Health the Goulburn Community Complex, Pambula Agricultural, Care Quality Committee, and Consultation Committee. Horticultural & Pastoral Society, is a board representative for A self-employed community and a board member of Pambula several of the LHD’s community and stakeholder engagement & District Community Bank® consultation committees. She consultant, he is proactive in Branch of Bendigo Bank. spent the past seven years the local community. Geoff is of her 37-year public sector a former mayor of Goulburn career in the senior executive Mulwaree Council, a member service of the Federal Attorney- of the Goulburn Chamber of General’s Department where Commerce, the International her roles included planning for Police Association, and the the management of natural and Australian Institute of Company manmade disasters. Directors. He is chair of the board of Endeavour Industries Goulburn.

42 Information Technology Services Our People Our Partners, Our Supporters Appendices

Geoffrey Frost Dr Pavan Bhandari Russell Schneider AM BEc BSc (Hons) MBBS (Hons) FRANZCP GAICD

Geoff joined the Board of Pavan is a psychiatrist and is Russell has extensive experience in SNSWLHD in 2013. He is a clinical director of the LHD’s health policy. He joined the board in member of the Health Care Mental Health, Drug & Alcohol 2011 and is its regular representative Quality Committee and a Service. A position he has held for the Joint Strategic Alliance Group board representative on the for more than 10 years. with the South Eastern NSW Primary Yass, Queanbeyan, Crookwell Pavan is the SNSWLHD’s Health Network, COORDINARE. and Braidwood Community Executive Medical Staff Council’s Previous appointments included Consultation committees. Geoff representative on both the independent non-executive director is in his third term as a Yass SNSWLHD board, and the Health of the Hospital Contributions Fund Valley councillor and is president Care Quality Committee which (HCF), member of its Audit and Risk of the Yass Valley Branch of he chairs. Having worked in the Management Committee, trustee of Can Assist. Until 2016 he was a LHD for more than 20 years, the HCF Health and Medical Research regional research leader with Pavan is passionate about the Foundation, and independent the Commonwealth Bureau of integrity of clinical safety and director of Manchester Unity. Infrastructure, Transport and quality systems and clinical risk Regional Economics. management. He joined the board in 2011.

43 SNSWLHD Our Healthcare Facilities Specialty Services Building the Future Patient Safety & Innovation

Andrew Newton1 Andrew Elliott OUR RGN, MHM, GDPA, BHlthSc (Nurs), BInfoTech, MMgmt, SAPBI DipAcc, GradCert (CritCare), EXECUTIVE GradCert (NursEd) Chief Information Officer Chief Executive Andrew leads all facets of LEADERSHIP information communications Andrew was appointed chief technology across two TEAM* executive in November 2017. geographically challenging He is responsible for delivering local health districts – Southern The members of the SNSWLHD safe and quality healthcare NSW, and Murrumbidgee, executive, individually and services to south-east NSW incorporating 90 sites. Prior as a committee, support the through strong leadership, to entering public healthcare chief executive to lead, direct, governances and partnerships. in 2016, Andrew’s work, coordinate and control the Andrew has significant predominately in the private operations and performance of experience in health service sector, included large scale the local health district. delivery across NSW, strategic rollouts of systems, applications and operational leadership, and new technology in a global Their role as strategic leaders and in capital development and arena, covering industrial is to formulate and execute implementation. manufacturing and education. business strategies to produce desired results critical to the organisation.

1. Janet Compton was chief executive from July - August 2017. Julie Mooney was acting chief executive from August - November 2017

2. Michelle Arrowsmith was the executive director Clinical Operations until June 2018

Graeme Sloane was the executive director Clinical Governance and Organisational Effectiveness to January 2018

*As at June 30 2018

44 Information Technology Services Our People Our Partners, Our Supporters Appendices

Colin Weeks Cherie Puckett2 David Hohnke BCompt, MAICD RGN, MN, BSc Nursing, Dip Nursing MBA, DipCRB Sc, Grad Cert Adv Practice, Dip BM Executive Director Finance and General Manager Media & Corporate Services Director Mental Health and Corporate Communications Drug & Alcohol Colin is responsible for the David leads the media and financial management and Acting Executive Director communications strategy and compliance of SNSWLHD, and Clinical Operations operations across the LHD. The corporate services. His strong position encompasses patient commercial and financial Cherie is accountable for the experience and community background includes senior operational performance of engagement. A senior manager financial roles across a range of mental health, drug & alcohol, and strategist, David has more industries over the past 26 years. cancer, palliative care, renal and than 20 years’ experience in The past 15 years have seen him breast screening services. Cherie high profile roles in the media, focus on the health sector in is a registered nurse with 30 corporate and public sectors executive financial management years of experience in private and including education, engineering positions in New Zealand and public health, community and and not for profits. A respected Australia. He holds a Bachelor aged care in management and leader, communicator and of Accounting Science and is education roles. Her leadership journalist, he brings resilience, a member of the Australian and clinical skills support her creativity and precision to the Institute of Company Directors. operational responsibilities. organisation.

45 SNSWLHD Our Healthcare Facilities Specialty Services Building the Future Patient Safety & Innovation

Julie Mooney Dr Dennis Pisk Virginia Cater RGN, RPN, Grad Dip (Health Policy MBBS, MHA, FRACMA RN, RM,RNDD, BHSc (Nursing), and Management), M Sc (Mental MHM, Dip HRM Health), M Sc (Forensic Mental Health) Executive Director Medical Services Director People & Performance Executive Director Nursing & Midwifery, and Clinical Dennis leads the medical Virginia provides leadership Governance workforce for the local health in strategic development, district and is responsible management and coordination of Julie is accountable for the for medical leadership and workforce strategies and services professional oversight of engagement. His vast experience to support the local health the nursing workforce and spans 40 years in medicine district’s objectives. She has a responsible for establishing, with the past 30 specialising in strong operational background directing and managing clinical medical administration in rural and is an experienced senior governance to promote and and metropolitan hospitals and manager who has held clinical support patient safety and local health districts in NSW, and management positions in the excellence. A registered nurse, interstate and overseas. public and private sectors and Julie’s work in healthcare for the in metropolitan and rural health past 38 years spans executive, services. Her major interest is in clinical and managerial roles strategic and operational clinical across a range of disciplines. recruitment and performance management.

46 Information Technology Services Our People Our Partners, Our Supporters Appendices

8

OUR PARTNERS, OUR SUPPORTERS

Volunteers Cherie Buchert (left) and Anna Hutchinson, of Moruya. 47 SNSWLHD Our Healthcare Facilities Specialty Services Building the Future Patient Safety & Innovation

SNSWLHD is committed to working in partnership with community members, consumers and key organisations in decisions about planning, delivering and evaluating healthcare leading to better quality, safety and patient outcomes. We are committed

Strong established relationships to working in with organisations such as the South Eastern NSW Primary partnership with all Health Network COORDINARE, the Australian National University, our stakeholders Canberra University, NSW Health agencies, ACT and Sydney tertiary referral hospitals, and the Katungul Aboriginal Community Corporation and Medical Service provide opportunities for new approaches to service delivery.

SNSWLHD is unique in that it does not have a tertiary level hospital and relies on the ACT for several specialties such as cancer, renal and critical care.

Western Sydney Local Health District provides highly specialised palliative care to our residents. The program provides professional development for our clinicians and local GPs.

We have partnered with St Vincent’s Hospital, Sydney for pain management services. The initiative delivers multidisciplinary pain management clinics to patients by telehealth technology.

The program links our clinicians and GPs with specialist staff Eurobodalla Health Service Patients, families, carers and who provide education, support partners with Katungul Aboriginal community members are integral and training enabling early Corporation to meet the medical to the way we shape and grow our intervention and best practice needs of the Aboriginal community local health services. treatment to reduce the burden including integrated team care for of pain for individuals. chronic disease, eye health, and We actively encourage communities otitis media. across the LHD to partner with us to Our close relationship with assist in delivering the best available COORDINARE has and will continue Our award-winning dementia care now and plan for the future. to realise many shared initiatives and delirium volunteers program, including HealthPathways. providing one-on-one practical Their contribution is essential, assistance and emotional support enabling us to provide services HealthPathways is an online health for affected inpatients, is the that are patient-centred and information portal for GPs. It is result of a multi-partnership with improvements that meet used in patient consultations to the Commonwealth Department community expectations. support better linkages between of Health, the Cognitive Decline the patient’s family doctor and Partnership Centre, the University They guide the local health district our services. More than 400 of Sydney, the Agency for Clinical in designing healthcare that is most HealthPathways have been Innovation, consumers, carers appropriate for the communities developed to assist local GPs. and volunteers. within our region.

48 Information Technology Services Our People Our Partners, Our Supporters Appendices

Taking a patient-centred approach to healthcare means we treat each person respectfully.

Involving patients, families, carers and community members in our governance, quality and safety processes and in the way we design care and services is central.

They inform our models of care The Crookwell CCC identified the than $500,000 during the past enabling healthcare that is need for a community mental year through events such as trivia accessible for all. health outreach worker for its youth nights, dancing competitions, and and raised the funds to support the sausage sizzles. service in the Upper Lachlan Shire. Community Consultation Local businesses, service organisations Committees and the community raised $1 million for Volunteers and Donors carers’ accommodation at South East Eleven community consultation Regional Hospital. The past financial committees (CCC) bring the SNSWLHD recognises the year saw the completion and handover community voice to the table to generosity of those who tirelessly of phase one of the project. continually improve service delivery. give of themselves providing patient comforts, and raising funds The home away from home was They advocate for patients, to make a difference. named Booraja House following families and carers as well as consultation with the Bega Local ensuring their community has Our volunteer workforce donated Aboriginal Land Council and Bega safe and timely access to public their time to support individual Valley Shire Council. healthcare services. sites in a wide range of areas including falls prevention, spiritual The name incorporates mind, body Membership of the CCCs is a mix care, and garden maintenance. and soul and the past present and of residents, staff representatives, future, representing three circles. site executive and board members. More than 60 volunteers, 12 hospital auxiliaries, community and service Following an application by Bega Lions CCCs are located in Bega, Bombala, organisations such as local Rotary Club to the Lions Clubs International Braidwood, Cooma, Crookwell, and Lions clubs, businesses, the Foundation, a grant of $130,000 Eurobodalla, Delegate, Jindabyne, Commonwealth Bank Employees towards phase two of the development Goulburn, Queanbeyan and Yass. Association, and the BDCU Alliance was announced in January. Bank Goulburn Hospital Fundraising Their involvement and influence is Committee Inc, and the New 1. Clinical nurse educator Danny Ferrara significant from service and facility Born Intensive Care Foundation and student nurse Allyse Ayling. redesign to holding health expos, contributed valuable time and 2. Doctors David Clark (centre) and Harry developing resources such as a money to their local health services, Irving instruct medical students Rachael booklet to record an individual’s or raising funds for patient comforts McCormick (left) and Hilary McArthur. family’s personal financial, legal and and equipment. 3. Dementia and delirium volunteer Ellen other key information in the event Seaman, of Goulburn. 4. Project manager of their death so their next of kin or More than 40,000 volunteer Chris Ball at Booraja House. family friend can finalise their affairs. hours was spent raising more 4. © Alasdair McDonald - Bega District News.

49 SNSWLHD Our Healthcare Facilities Specialty Services Building the Future Patient Safety & Innovation

8

APPENDICES

50 Health information clerks Tamara Hone (left) and Jan De Vries, Queanbeyan. Information Technology Services Our People Our Partners, Our Supporters Appendices

Acting Nurse Unit Manager Theatre Queanbeyan Health Service Chloe Barnes Director Nursing & Midwifery APPENDIX A Acting Health Service Manager Manager Patient Support Services Harry Williams OUR David White ORGANISATION* Director Emergency Department Nurse Unit Manager Medical Ward Dr Daniel Smith Helen Caddey SOUTHERN NEW Cancer Services Manager SOUTH WALES LOCAL After Hours Nurse Manager Nick Wilcox HEALTH DISTRICT Larissa Manning Nurse Unit Manager Emergency Nurse Unit Manager Sub-Acute Department Office of the Chief Executive Rehabilitation Unit Heather Fairfax Leanne Rayner Chief Executive Nurse Unit Manager Inpatient Unit and Andrew Newton Nurse Unit Manager Maternity Close Observation Unit & Paediatrics Kassandra Packwood Manager Internal Audit Liz Simpson Colin McDowell Nurse Unit Manager Maternity Nurse Unit Manager Surgical Ward Amanda Sibley Manager Accreditation & Risk Kerry Sebo Simone Blay Nurse Unit Manager Theatre Acting Nurse Unit Manager Intensive Della Trute Care Unit Clinical Operations Rebecca Moon Nurse Unit Manager Renal Barbara Harvie Acting Executive Director Clinical Operations Nurse Unit Manager Renal Cherie Puckett Tracy Sampson Cooma Hospital & Health Service Acting Health Service Manager Acting Nurse Manager Community Health Rhonda Stewart Northern Cluster Vanessa Chapman Acute Services Manager Cluster General Manager Acting Infection Control Officer Kirsti Dixon Denis Thomas Lauren Hogan Nurse Unit Manager Emergency Acting Director Medical Services Bourke Street Health Services Department Dr Simrat Sachdev Senior Nurse Manager Joann Caldwell John Gale Acting Chief Pharmacist Nurse Unit Manager Inpatient Unit Dang Nguyen Braidwood MultiPurpose Service Anja de Ruijter Senior Nurse Manager Manager Medical Imaging Patricia Hemler Nurse Unit Manager Renal Jens Loberg Lyn Nichols Crookwell Health Services Project Lead Goulburn Hospital and Senior Nurse Manager Nurse Unit Manager Community Nursing Health Service Redevelopment Mona Timo Health and Oncology Kerry Hort Kirsten Herbert Yass Health Services Goulburn Base Hospital Acting Health Service Manager Bombala MultiPurpose Service Acting Director Nursing & Midwifery Pauline Murtagh Senior Nurse Manager Cheryl Tozer Rhonda Stewart

Acting Deputy Director Nursing Monaro Cluster Nurse Manager & Midwifery Julie Mann Peter Leach Cluster General Manager Nicola Yates Delegate MultiPurpose Service Administration Services Manager Senior Nurse Manager Kate Rice Acting Director Medical Services Rhonda Stewart Dr Simrat Sachdev Nurse Unit Manager Emergency Department Nurse Manager Ainslie Tozer Heather Scroope

*As at June 30 2018 51 SNSWLHD Our Healthcare Facilities Specialty Services Building the Future Patient Safety & Innovation

Eurobodalla Cluster Medical Imaging Manager Acting Nurse Unit Manager Sub-Acute Phil Carter Rehabilitation Unit Cluster General Manager Michaela Tyrrell Lisa Kennedy Senior Speech Pathologist Miriam Staker/Sharon Newman Nurse Unit Manager Inpatient Mental Director Medical Services Health Unit Dr Belinda Doherty Chief Pharmacist Anita Bizzotto David Quinn Director Nursing & Midwifery After Hours Nurse Managers Leanne Ovington Coordinator Transitional Aged Care Program Sharon Martin Kerri Carmichael Roxanne Edwards-Mcguire Acting Deputy Director Nursing & Janelle Finnerty Midwifery/Nurse Manager Moruya Finance and Business Manager Linda MacGregor Andrea White/Chris Wood Ben Wright Vanessa Humphreys Stuart Humphries Nurse Manager Batemans Bay Lisa Wilson Bega Valley Cluster Manager Physiotherapy Christopher Cheung Nursing Unit Manager Batemans Bay Ward Cluster General Manager Rebekah O’Reilly Wendy Hubbard Manager Occupational Therapy Linda McCormack Nursing Unit Manager Moruya Surgical Ward Director Medical Services Jim Herford Dr Rodney Lambert Manager Speech Pathology Pauline Mendes Nursing Manager Perioperative Services South East Regional Hospital Marie Loudon Director Nursing & Midwifery Coordinator Transitional Aged Care Program Nicole Tate Robin Grenenger Nursing Unit Manager Perioperative Services Jean Head Director General Surgery Manager Medical Imaging Associate Professor Allen-John Collins Ralph Dixon Nursing Unit Manager Critical Care Sharon Howell Director Anaesthetics District Health Information Manager Dr Graeme Gibson (Southern) Nursing Unit Manager Acting Renal Robyn Lunt Linda Cox Director Obstetrics & Gynaecology Associate Professor Allen-John Collins Acting Manager Pharmacy Nursing Unit Manager Sub-Acute Dr Glen Davies Michiko Stuart Rehabilitation Jason Mook Acting Nurse Unit Manager Manager Pathology Emergency Department Melinda Irving Midwifery Unit Manager Kreya Eves Claudia Stevenson Nurse Manager Nurse Unit Manager Critical Care Catherine Boyle Director Emergency Department Maree Gurton Dr Kirsty Dunn Nurse Manager Perioperative Services Nurse Unit Manager Medical Ward Lucie Phelan Sessional VMO – Anaesthetics Tracey Kelley Dr Kirryn Lowe Support Services Manager Nurse Unit Manager Paediatrics Cara Steiner Nurse Manager Community Nursing Shannon Mead Ruth Snowball Pambula Health Service Nurse Unit Manager Surgical Nurse Manager Nursing Unit Manager Oncology Amy Bennett Kellie Jurd Tracy Blake Nurse Unit Manager Maternity Nurse Unit Manager Chief Physiotherapist Hannah Bird Mitzi Hyland Gretchen Buck Acting Nurse Unit Manager Renal Senior Occupational Therapist Chloe Bennett Ambulatory & Integrated Lisa Reade Care Cluster Nurse Unit Manager Hospital Senior Dietitian in the Home Cluster General Manager Anna Jolly Wendy Grealy Lou Fox

52 *As at June 30 2018 Information Technology Services Our People Our Partners, Our Supporters Appendices

Director Public Health MLHD and SNSWLHD Manager Allied Health, Cooma MHDA Manager, Policy & Clinical Redesign Tracey Oakman Fay Fox Melissa Keith

District Advisor Dietetics Manager Allied Health, Aboriginal Clinical Lead Lyn Lace Bega Valley Cluster Steve Young Duane Kelly District Advisor Occupational Therapy Nurse Unit Manager Chisolm Ross Claire Blewett Community Nurse Manager, Peta Kleinig Northern Cluster District Advisor Physiotherapy Gillian Eccleston Acting Nurse Manager Mental Health David Schmidt Inpatient Services, Kenmore Community Nurse Manager, Joanne Brown District Advisor Social Work Eurobodalla Cluster Sharon Mildwater Ruth Snowball Nurse Unit Manager Ron Hemmings Unit Emily Bunt District Advisor Speech Pathology Community Nurse Manager, Andrea Cuadra Bega Valley Cluster Eating Disorders Coordinator Maria Wilson Monique Perkins District Allied Health Educator Megan Kurtz Community Nurse Manager, Queanbeyan Team Manager Cooma Mental Health Dorothy Nicholson Drug & Alcohol Rural Allied Health Assistant Coordinator Kira Van Klink Jenni Devine Community Nurse Unit Manager, Cooma Julie Spring Clinical Lead Child & Adolescent Manager Aboriginal Health Mental Health, Eurobodalla Jackie Jackson Aboriginal Health Team Leader, Tablelands Jodie Quinnell Northern and Monaro Clusters Manager Aged and Chronic Care Richard Shipp Nurse Manager MHDA, Bega Anka Radmanovich Fiona Burns Aboriginal Health Team Leader, South Coast Coordinator HealthPathways Bega Valley and Eurobodalla Clusters Nurse Unit Manager Psychogeriatric Catherine Barkley Joanne Donovan Unit and Dementia Support Unit Anna Smith Manager Integrated Care Aboriginal Health Team Leader, Child and Karla Calleja Family Programs Gadhu Family Health Acting Triage and Emergency Care Shirlena Gallagher Support (TECS) Manager/Psychologist Manager Integrated Violence Abuse Chantel Ashkar and Neglect Gemma Evans Mental Health, Drug & Alcohol Business and Information Manager MHDA Stuart Horner Manager Population Health Director Mental Health, Drug & Alcohol Lorraine Dubois Cherie Puckett Nursing, Midwifery & Clinical Manager Oral Health MLHD and SNSWLHD Clinical Director Mental Health Governance Sue Winders Dr Pavan Bhandari Executive Director Nursing, Midwifery Chief Dental Officer MLHD and SNSWLHD Clinical Director Drug & Alcohol & Clinical Governance Neville Heer Dr Ken Curry Julie Mooney

Manager Women’s Health, Child Youth Manager Mental Health Inpatient Services Nursing & Midwifery and Family Tim Leggett Acting Nurse Manager Leadership Annie Flint & Development Acting Manager Community Mental Judy Ryall Acting Manager Allied Health, Health, Drug & Alcohol Services Northern Cluster Fiona Beston Nurse Manager Initiatives & Projects Jeremy Gilchrist Dot Hughes Mental Health, Drug & Alcohol Manager Allied Health, Governance Manager Manager Nursing Workforce & Policy Eurobodalla Cluster Gabrielle Mulcahy Kay Morris Kathryn Harris Strategic Coordinator Consumer Cancer Services Manager Manager Allied Health, Queanbeyan Participation Nick Wilcox Vivienne Barker Anne Francis

*As at June 30 2018 53 SNSWLHD Our Healthcare Facilities Specialty Services Building the Future Patient Safety & Innovation

Clinical Governance General Manager Assets SNSWLHD Redevelopment Deputy Director Clinical Governance Peter Lawrence Tony Robben Senior Management Manager Performance Analysis & Casemix Executive Director Nursing, General Manager Quality Systems Lisa Mill Midwifery & Clinical Governance Tracey Elkins Julie Mooney

Information Services Cooma Hospital Redevelopment Medical Services Monaro Cluster General Manager Chief Information Officer Nicola Yates Executive Director Medical Services Andrew Elliott Dr Dennis Pisk Goulburn Hospital and Health Application Support Team Leader Service Redevelopment Chair Medical & Dental Appointments Tanyia John Northern Cluster General Manager Advisory Committee Denis Thomas Dr David Dumbrell eMR Team Leader Rebecca Woods GHHSR Project Lead Director Pharmacy Kerry Hort Gabrielle Couch Radiology Information System-Picture Archiving and Communication System Yass Hospital Redevelopment Director Critical Care Laurence Walker Braidwood MultiPurpose Service Dr Trish Saccasan-Whelan Redevelopment Corporate Information Manager Northern Cluster General Manager Director Trauma Genevieve Doyle Denis Thomas Oran Rigby Integration Officer Acting Manager Medical Workforce Robert Schultz Individuals & Teams Celebrated Mellissa Ellis Operations Manager NSW Women of the Year Awards Ben Roberts 2018 Local Woman of the Year People & Performance Kerry Hort, program lead, Goulburn Risk Manager & Security Hospital and Health Service Director People and Performance Maria Lo Bartolo Redevelopment, for her services to Virginia Cater Goulburn and Crookwell health sectors eHealth Implementation Lead SNSWLHD General Manager Organisational Katie Jefferson Eurobodalla NAIDOC Employee of the Year Development and Safety Jodie Rose-Cotter, Aboriginal health Brigid Ryan ICT Project Manager worker, Building Strong Foundations Louise Tan General Manager Professional Workforce Eurobodalla NAIDOC Trainee of the year Violet Taylor Nakia Morton-Stewart, school-based trainee Media & Communications General Manager Workplace Relations National Institute for Dementia Research Wendy Atkins General Manager Media & Australian Dementia Forum Corporate Communications Cath Bateman, SNWSLHD dementia Manager Redesign & Innovation David Hohnke clinical nurse consultant, and Annaliese Judith Hallam Blair, Mental Health, Drug & Alcohol Media Manager psychologist for Best Poster Presentation Penny Sillis Finance & Corporate Services NSW Premier’s Award Manager, Ministerial Liaison BDCU Goulburn Hospital Foundation for Executive Director Finance & Estelle Blackburn outstanding fundraising efforts Corporate Services Colin Weeks Manager Community Engagement ACT Quality Award Renata Sheehan One Patient One Record General Manager Financial Operations The ACT and Southern NSW renal Anupam Malhotra Major Capital Works network. SNSWLHD team: Linda Communications Manager McCorriston, Cherie Puckett, Andrew General Manager Financial Management Rebecca Bergman Elliott, Gabrielle Couch, Robyn Lunt Glenn Cooper

General Manager Supply Chain & Transport Gary Wright

54 *As at June 30 2018 Information Technology Services Our People Our Partners, Our Supporters Appendices

SNSWLHD 2018 Health Research & Innovation Community Consultation Quality Award Winners Developing a Standard Approach to Committees Managing Central Venous Access Devices Volunteer of the Year SNSWLHD: Judy Ryall, Kristy Wilson, Bega Tai Chi Leaders Program Linda McCorriston, Melissa Mudie, and Chair, Ann Mawhinney SNSWLHD Population Health: Hamidah Sherri-Leigh Bayliss Jason Lewington Dahlan-Cameron, Peter McLaren, Sue Colin Dunn Hinson, Judith Reid, Maureen Ryan, Gayle Golden Angels - Enhancing Dementia and Jennifer Dessen Cross, Diane Johnston, Dorothea Bilbow, Delirium Acute Care Sharon Tapscott Jacqui Van Weel, Margaret Croker and SNSWLHD: Cath Bateman, Annaliese Blair, Ruth Doggett Katrina Anderson, Maria Zylinski, Peter Bombala Davis, Brigid Crosbie, Kirsten Herbert, Chair, Chris Philbrick Staff Member of the Year Chantelle Tiskins Anna Vincent Gill van Mastrigt, Geraldine Dyer Delegate MultiPurpose Service Excellence in the Provision of Mental Simone Hillyer Health Services Trudie Joseph Staff Excellence – Managing Risk by Co-Design: Introducing Tracey Romans Collaborative Leader of the Year Personal Electronic Device Access in Acute Robert Butch Young, mental health Mental Health Units Braidwood consumer advocate, Mental Health, SNSWLHD Mental Health, Drug & Alcohol Chair, Margaret Lyons Drug & Alcohol Service Service staff, volunteers, consumers: Anne Bente Hart Francis, Robert Butch Young, Tim Leggett, Charlotte McClure Collaborative Team of the Year Dr Pavan Bhandari, Peta Kleinig, Joanne Dave Nelson Once More Unto the Breach Brown, Anita Bizotto , Gabrielle Mulcahy Jennifer Sutherland Monaro Cluster: Nicola Yates, Harry Judit Kovacs Williams, Rhonda Stewart, Heather Fairfax, Agency for Clinical Innovation Award Keith Lyons Joann Caldwell, Heather Scroope, Four Minutes, Anywhere, Anytime: Video Frank Judge Dr Daniel Smith, Dr Deepak Puri Observed Treatment Supervision (VDOTS) Warren Barr Queanbeyan Hospital & Health Service: Women in Health – Aboriginal and Dot Nicholson, Denise Smillie, Catherine Cooma Torres Strait Islander McKenna, Queanbeyan community Chair, Sue Litchfield Queanbeyan Hospital and Health Service: nursing team Cathy Gray Skyan Fernando Chris Reeks Managing Risk by Co-Design: Introducing Lorraine McGregor Partnering with Patients Personal Electronic Device Access in Acute Kaye Anderson Four Minutes, Anywhere, Anytime: Video Mental Health Units Lee Evans Observed Treatment Supervision (VDOTS) SNSWLHD Mental Health, Drug & Alcohol Maria Linkenbagh Queanbeyan Hospital & Health Service: Service staff, volunteers, consumers: Anne Patricia Scheele Dot Nicholson, Denise Smillie, Catherine Francis, Robert Butch Young, Tim Leggett, McKenna, Queanbeyan community Dr Pavan Bhandari, Peta Kleinig, Joanne Crookwell nursing team Brown, Anita Bizotto , Gabrielle Mulcahy Chair, Jo Agostini Dianne Layden Delivering Integrated Health Care Chief Executive Award Jo Marshall A Palliative Care Bereavement Model Never Stop Quitting: Empowering Mental Joyce Edwards SNSWLHD: Jacky Clancy, Christine Ashley Health Consumers to Quit Pam Kensit South East Regional Hospital: Anita Bizzoto, Patient Safety First Dr Tanya Ahmed, Erin Evans, Clancy Tucker, Delegate Mrs Dean’s Story mental health inpatient unit staff Chair, Rhonda Linehan Population Health: Niccola Follett, Dr Deb Foskey Christine Ewin, Rebekah O’Reilly Board Chair Award Gail Smallman Supporting our Managers John Judge Keeping People Healthy SNSWLHD Mental Health, Drug & Alcohol Peter Jeffreys A Person Centred Approach to Keeping Service: Gabrielle Mulcahy, Danielle Charles Burton People Healthy and at Home Hansen, and Netty Swinburne Mepham Gloria Cotterill Crookwell Hospital: Heather Donald, Deborah Webb, Mona Timo Eurobodalla Chair, Brad Rossiter Supporting Our People Bianca Coffey Supporting Our Managers Christine Smith SNSWLHD Mental Health, Drug & Alcohol Leah Milston Service: Gabrielle Mulcahy, Danielle Linda Brown Hansen, Netty Swinburne Mepham Robyn Miller

*As at June 30 2018 55 SNSWLHD Our Healthcare Facilities Specialty Services Building the Future Patient Safety & Innovation

Goulburn • Alzheimer’s Australia • NSW Health Pathology Chair, Kay Rudd • Anglicare • NSW Ambulance Carol James • Arts Health Institute • NSW Department of Education Holly Catt • Aspire4Life • NSW Department of Family and Kerry Fitzsimmons • Australian Breastfeeding Association Community Services Lorraine Emerton • Australian College for Emergency • NSW Department of Premier & Cabinet Nerida Cullen Medicine • NSW Department of Primary Industries Tracy Hayes • Australian Dental Association • NSW Industrial Relations Commission • Australian Health Practitioner Regulation • NSW Juvenile Justice Jindabyne Agency • NSW Kids and Families Chair, Lisa Linton • Australian Medical Association • NSW Mental Health Commission Barbara Amos • Australian Men’s Shed Association • NSW Ministry of Health Helen Blackmore Lee • Australian National University • NSW Police Force John McLoughlin • Australian Salaried Medical Officers’ • NSW Nurses and Midwives’ Association Lauren Vinney Federation • NSW Volunteering Linda Beaver • Bega Valley Shire Council • Perisher Medical Centre Marty Timmins • BDCU Alliance Bank Goulburn Hospital • Queanbeyan-Palerang Regional Council Bruce Hodges Fundraising Inc • Royal Australian College of Surgeons Peter New • Bureau of Health Information • Royal Far West Children’s Health Scheme • Calvary Public Hospital, Bruce Campus • Schizophrenia Fellowship NSW Queanbeyan • Canberra Hospital • Snowy Monaro Regional Council Chair, Tom Mavec • Cancer Council Australia • Southcare Amanda Wells • Cancer Institute NSW • South East Arts Inc Andrew Heath • Capital Health Network • South Western Sydney Local Health Anne Pratt • Cassie’s Place District Tracey Carino • Charles Sturt University • Stroke Foundation Dr David Bailey • Clinical Excellence Commission • Stroke Recovery Association Gary Harb • Cognitive Decline Partnership Centre • St Vincent’s Hospital, Sydney Wayne Brown • Commonwealth Department of Health • TAFE NSW • Community Options Australia Ltd • The Australian Commission on Safety and Yass • COORDINARE, South Eastern NSW Quality in Healthcare Chair, Jill McGovern Primary Health Network • The Australian Council on Healthcare Noeleen Hazell • Dementia Australia Standards Geraldine Doyle • Directions • The Australian and New Zealand College Judith Williams • eHealth NSW of Anaesthetists Lachlan Butler • Eurobodalla Shire Council • The Royal Australian College of General Linda Langton • Everyman Practitioners Linda Brown • Goulburn Mulwaree Council • The Royal Australian and New Lyn Morgan • Grand Pacific Health Zealand College of Obstetricians and Vanessa Reid • Gunning Early Learning Centre Gynaecologists Peter Miller • Health Care Complaints Commission • The Royal Australian and New Zealand Ron Badger • Health Consumers NSW College of Psychiatrists Jean Frost • Health Infrastructure • The Royal Australasian College of Medical June Angel • Health Services Union Administrators • Health Education Training Institute • The Royal Australasian College of • HealthShare NSW Physicians • Housing NSW • The University of Sydney APPENDIX B • Hutchinson Builders • Thredbo Medical Centre • Illawarra Retirement Trust • Tresillian OUR PARTNERS* • Illawarra Shoalhaven Local Health • United Hospital Auxiliaries of NSW District • Uniting Care SNSWLHD is committed to working in • Jindabyne Medical Practice • University of Canberra partnership with key organisations, the • Joint Investigative Response Task Force • University of Wollongong • Justice Health and Forensic Mental community and consumers in decisions • Upper Lachlan Shire Council Health Network about planning, delivering and evaluating • Warrigal Care • Karralika healthcare leading to better quality, safety • Western Sydney Local Health District • Katungul Aboriginal Community and patient outcomes. • Yass Valley Council Corporation and Medical Service • KinCare We were proud to be associated with many • Monaro Committee for Cancer Research organisations during 2017-18 including: • Murrumbidgee Local Health District • ACT Health • Newborn and Paediatric Emergency • Agency for Clinical Innovation Transport Service • Albion Centre, South East Sydney LHD

*As at June 30 2018 56 Information Technology Services Our People Our Partners, Our Supporters Appendices

Braidwood MultiPurpose Service Goulburn Community Health Centre 73 Monkittee St, Braidwood NSW 2622 Cnr Goldsmith and Faithful Sts, APPENDIX C Ph: (02) 4842 2566 Fax: (02) 4842 2054 Goulburn NSW 2580 Ph: (02) 4827 3111 LOCATION Delegate MultiPurpose Service 15 Craigie St, Delegate NSW 2633 Jerrabomberra Community Health Centre DIRECTORY* Ph: (02) 6459 8000 Fax: (02) 6458 8156 25/31 Jerrabomberra Parkway, Jerrabomberra NSW Ph: (02) 6150 7531 Public Hospitals HealthOne Karabar Community Health Service Batemans Bay Hospital Jindabyne HealthOne 12 Southbar Rd, 7 Pacific St, Batemans Bay NSW 2536 5 Thredbo Terrace, Queanbeyan NSW 2620 Ph: (02) 4475 1500 Fax: (02) 4475 1678 Jindabyne NSW 2627 Ph: (02) 6124 3700 Ph: (02) 6457 2074 Fax: (02) 6457 1441 Cooma Hospital Moruya Community Health Centre Bent St, Cooma NSW 2630 10 River St, Moruya NSW 2537 Ph: (02) 6455 3222 Fax: (02) 6452 2117 Community Health, Mental Ph: (02) 4474 1561 Fax: (02) 4474 1566 Health, Drug & Alcohol Services Crookwell District Hospital Narooma Community Health Centre 19 Kialla Rd, Crookwell NSW 2583 Community Health Central Intake Cnr Graham and Field Sts, Ph: (02) 4837 5000 Fax: (02) 4832 2099 Ph: 1800 999 880 Narooma NSW 2546 Email: SNSWLHD-CommunityIntake Ph: (02) 4475 7200 Fax: (02) 4475 7225 Moruya Hospital @health.nsw.gov.au 2-10 River St, Moruya NSW 2537 Pambula Community Health Centre Ph: (02) 4474 2666 Fax: (02) 4474 1566 Southern NSW Drug & Alcohol Merimbola St, Pambula NSW 2549 Service Intake Ph: (02) 6495 8300 Goulburn Base Hospital Ph: 1800 809 423 130 Goldsmith St, Goulburn NSW 2580 Yass Community Health Centre Ph: (02) 4827 3111 Fax: (02) 4827 3988 Batemans Bay Community Health Centre 145 Meehan St, Yass NSW 2582 7 Pacific St, Batemans Bay NSW 2536 Ph: (02) 6220 2111 Pambula Health Service Ph: (02) 4475 1620 Merimbola St, Pambula NSW 2549 Goulburn Community Mental Ph: (02) 6495 8200 Fax: (02) 6495 8280 South East Regional Hospital Community Health Service Health Centre Springfield House, 130 Goldsmith St, Queanbeyan Hospital 4 Virginia Drive, Bega NSW 2550 Goulburn NSW 2580 Cnr Collett & Erin Sts, Ph: (02) 6492 9620 Ph: (02) 4827 3257 Queanbeyan NSW 2620 Ph: (02) 6150 7000 Fax: (02) 6150 7226 Bermagui Community Health Service Killard Centre Community Centre Building 103 Crawford St, South East Regional Hospital Bunga St, Bermagui NSW 2546 Queanbeyan NSW 2620 4 Virginia Dve, Bega NSW 2550 Ph: (02) 4475 7200 Ph: (02) 6299 1725 Ph: (02) 6491 9999 Fax: (02) 6491 9689 Bourke St Health Service Chisholm Ross Centre Yass District Hospital 234 Bourke St, Goulburn NSW 2580 Cnr Faithful & Clifford Sts, 145 Meehan St, Yass NSW 2582 Ph: (02) 4823 7800 Goulburn NSW 2580 Ph: (02) 6220 2000 Fax: (02) 6226 2944 Ph: (02) 4827 3003 Bungendore Community Health Centre Chisholm Ross Centre Majura St, Bungendore NSW 2621 South East Regional Hospital Mental Cnr Faithful & Clifford Sts, Ph: (02) 6150 7531 Health Service Goulburn NSW 2580 4 Virginia Drive, Bega NSW 2550 Ph: (02) 4827 3003 Cooma Community Health Centre Ph: (02) 6491 9400 Victoria St, Cooma NSW 2630 Kenmore Hospital Ph: (02) 6455 3307 Pambula Health Service 209 Taralga Rd, Goulburn NSW 2580 Merimbola St, Pambula NSW 2549 Ph: (02) 4827 3303 Gadhu Family Health Centre Ph: (02) 6495 8200 10 River St, Moruya NSW 2537 Ph: (02) 4474 1978 MultiPurpose Services Oral Health Services Eden Community Health Centre Bombala MultiPurpose Service Twofold Arcade Moruya Dental Clinic Wellington St, Bombala NSW 2632 146-150 Imlay St, Eden NSW 2551 Moruya District Hospital, River Rd Ph: (02) 6458 5777 Fax: (02) 6458 5767 Ph: (02) 6496 1436 Fax: (02) 6496 1452 Moruya NSW 2537 Ph: 1800 450 046

*As at June 30 2018 57 SNSWLHD Our Healthcare Facilities Specialty Services Building the Future Patient Safety & Innovation

Pambula Dental Clinic Queanbeyan Hospital Renal Unit CHOC Community health and Pambula Community Health, Queanbeyan Hospital Campus, outpatient care electronic Merimbola St, Pambula NSW 2549 Antill St, Queanbeyan NSW 2620 medical record Ph: 1800 450 046 Ph: (02) 6150 7320 Fax: (02) 6298 1045 COORDINARE Cooma Dental Clinic SNSWLHD Administration South Eastern NSW Primary Cooma Community Health Peppertree Lodge, Health Network Victoria St, Cooma NSW 2630 Queanbeyan Hospital Campus, Ph: 1800 450 046 Collett St, Queanbeyan NSW 2620 COPD Chronic obstructive Ph: (02) 6150 7999 Fax: (02) 6150 7373 pulmonary disease Queanbeyan Dental Clinic Queanbeyan Hospital, Collett St, CORE NSW Health’s four values Queanbeyan NSW 2620 of collaboration, openness, Ph: 1800 450 046 APPENDIX D respect, and empowerment

Yass Dental Clinic ABBREVIATIONS CT Computed tomography Yass District Hospital, Meehan St, Yass NSW 2582 AND GLOSSARY ED Emergency department Ph: 1800 450 046 ACT Australian Capital Territory eMR/EMR Electronic medical record Goulburn Dental Clinic Goulburn Community Health, AMIHS Aboriginal Maternal Infant ETP Emergency treatment Cnr Faithfull & Goldsmith Sts, Health Service performance Goulburn NSW 2580 Ph: 1800 450 046 ANU Australian National University FTE Full time equivalent

APRA Australian Prudential GHHSR Goulburn Hospital and Health BreastScreen NSW Services Regulation Authority Service Redevelopment

Queanbeyan Service Centre BDCU Alliance Bank GHS Goulburn Health Service. Riverside Plaza, Suite 106, A customer-owned bank GHS encompasses Goulburn Level 1, 131 Monaro St, based in regional NSW. Base Hospital, Bourke Street Queanbeyan NSW 2620 Headquartered in Bowral, Health Service, and Goulburn Ph: 13 20 50 it is part of the Alliance Bank Community Health Group with Bendigo and Bega Service Centre Adelaide Bank GP General practitioner South East Regional Hospital, 4 Virginia Drive, Bega NSW 2550 BFHI Baby Friendly Health HCF Hospital Contributions Fund Ph: 13 20 50 Initiative HETI Health Education Training Moruya BiPAP Bilevel positive airway Institute South East Radiology, pressure. Similar to a CPAP 11 Mirrabooka Ave, machine, it is a non-invasive HIE NSW Health Information Moruya NSW 2537 form of therapy for sleep Exchange Ph: 13 20 50 apnoea patients ICT Information and The mobile BreastScreen NSW van CAMHS Child and adolescent mental communication technology regularly visits Jindabyne, Cooma, health services Bombala, Goulburn, Crookwell and Yass ICU Intensive care unit CCC Community consultation committees iPM Software that provides Other Services a single patient index CEC Clinical Excellence that has the ability to link Aboriginal Maternal Infant Health Commission patient activity across Service (AMIHS) health service providers, Aboriginal Health Office CEDA Committee for Economic provide standardised data Ph: 1800 249 645; (02) 5943 2391 Development Australia definitions and reference values and standardised Southern Area Brain Injury Service Cerner A supplier of health activity reports Bourke St Health Service, information technology 234 Bourke St, Goulburn NSW 2580 solutions, services, devices Ph: (02) 4823 7911 Fax: (02) 4821 9165 and hardware

58 Information Technology Services Our People Our Partners, Our Supporters Appendices

JMOs Junior medical officers

LGA/s Local government area/s

LHD Local health district

MHDA Mental Health, Drug & Alcohol

MLHD Murrumbidgee Local Health District

MPS A MultiPurpose Service is a model of care specifically designed for regional and remote communities to provide coordinated delivery of health and aged care services

NP A nurse practitioner is a registered nurse who has satisfied the requirements of the Nursing and Midwifery Board of Australia (NMBA) to be endorsed in accordance with the Health Practitioner Regulation National Law Act. Endorsement allows them to initiate diagnostic investigations, prescribe medications and make referrals

NT Northern Territory

Otitis media A middle ear infection

PHN Primary health network

PwC Pricewaterhouse Coopers

RAP Reconciliation Action Plan

SARU Sub-acute and rehabilitation unit PHOTOGRAPHY SERH South East Regional Hospital David Hohnke, general manager, Media & Corporate SMHSOP Specialist mental health Communications, SNSWLHD. services for older people Board and Executive SMR Statewide Management portraits, Sean Davey. Reporting

SNSWLHD Southern NSW Local Health District Nurse Melanie Bradley.

VDOTS Video Observed Treatment BACK COVER: Supervision Perioperative nurse manager Lucie Phelan and anaesthetist VMO Visiting medical officer Dr Brendan Smith.

59 SOUTHERN NSW LOCAL HEALTH DISTRICT

PO Box 1845 Queanbeyan NSW 2620 +61 2 6150 7999 [email protected] www.snswlhd.health.nsw.gov.au

FACEBOOK @Southern NSW Local Health District

TWITTER @SNSWLHD

LINKEDIN Southern NSW Local Health District

YOUTUBE Southern NSW Local Health District