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2016-17 THS Annual Report TASMANIAN HEALTH SERVICE ANNUAL REPORT 2016-17 ABOUT THIS REPORT The Tasmanian Health Service is required under section 53 of the Tasmanian Health Organisations Act 2011 to produce an annual report in respect of its operation, financial reports and other particulars as required under section 53 of the Act. This report is the second annual report for the Tasmanian Health Service since the amalgamation of the three Tasmanian Health Organisations on 1 July 2015. Published by the Tasmanian Health Service This publication is copyright. No part may be reproduced by any process except in accordance Level 1, Northern Integrated Care Service, 41 with the provisions of the Copyright At 1968. Frankland Street, Launceston, Tasmania 7250 Published on www.ths.tas.gov.au ©Crown in the Right of the State of Tasmania - Tasmanian Health Service 2017 September 2017 ISSN 2206-9917 ISSN 2206-9925 (Electronic version) TASMANIAN HEALTH SERVICE | ANNUAL REPORT 2016-17 INTRODUCTION LETTER OF COMPLIANCE Hon Michael Ferguson MP Minister for Health Minister for Information Technology and Innovation Leader of Government Business in the House of Assembly GPO Box 123 Hobart Tasmania 7001 Hon Peter Gutwein MP Treasurer Level 9, Executive Building, 15 Murray Street Hobart Tasmania 7000 Dear Ministers In accordance with the requirements of section 53 of the Tasmanian Health Service Organisations Act 2011 and section 27 of the Financial Management and Audit Act 1990, I am pleased to present the Annual Report 2016-17 and the financial statements for the Tasmanian Health Service. Yours sincerely John Ramsay Chair Tasmanian Health Service Governing Council 30 September 2017 TASMANIAN HEALTH SERVICE | ANNUAL REPORT 2016-17 3 FACTS AND FIGURES Population: approximately 519 100 Total THS Spending: 1.5 billion Number of Paid Employees: 10 787 Emergency Department Attendances: 157 066 Raw Hospital Separations: 150 470 Emergency Surgery: 10 847 Elective Surgery Procedures: 19 180 Outpatient Clinic Attendances: 380 548 Patient Meals Served: 1 639 679 Births in Tasmanian Public Hospitals: 4 460 Scanned New Medical Record Pages Each Week: 157 498 Breast Screen Tasmania: 31 491 eligible women screened Alcohol and Drug Services Supported Clients: 2 591 Supported Pharmacotherapy Program Clients: 650 TASMANIAN HEALTH SERVICE | ANNUAL REPORT 2016-17 Mental4 Health Services Occasions of Service: 133 673 Oral Health Services Occasions of Service: Children 62 248 Adults 63 111 INTRODUCTION TABLE OF CONTENTS INTRODUCTION 2 OUR PERFORMANCE 69 Letter of Compliance 3 Performance against Service Agreement 69 519 100 GOVERNANCE 7 SUPPLEMENTARY INFORMATION 75 Governing Council 7 Climate Change 75 1.5 billion Report from the Chair 8 Capital Works and Asset Management 76 Population: approximately 10 787 Governing Council Members 9 Consultancies, Contracts and Tenders 79 157 066 Governing Council Attendance Records 15 Total THS Spending: Right to Information 86 Subcommittee Reports 17 Ministerial Directions and Performance Escalation 92 Number of Paid Employees: OPERATIONS 23 150 470 Education, Research and Clinical Trials 93 Emergency Department Attendances: CEO Report 23 Publications 116 Organisational Structure 25 Glossar y 132 10 847 Executive Management Team 25 Raw Hospital Separations: 19 180 Legislation 137 THS - Service Profile 30 Superannuation Declaration 138 Emergency Surgery: 380 548 Our Services 32 Pricing Policies 138 RHH Redevelopment 39 Public Interest Disclosure 139 Elective Surgery Procedures: Our Community and Volunteers 41 1 639 6794 460 FINANCIAL STATEMENTS 141 Outpatient Clinic Attendances: 157 498 OUR PEOPLE 47 Statement of Certification 142 Human Resources Statistics 48 Patient Meals Served: Human Resource Policies and Programs 52 Statement of Comprehensive Income 143 Statement of Financial Position 144 eligible women screened Work Health, Safety and Wellbeing 52 Births in Tasmanian Public Hospitals: 2 591 Awards and Agreements 54 Statement of Cash Flows 145 31 491 Patient Safety 55 Statement of Changes in Equity 146 Scanned New Medical Record Pages Each Week:650 Accreditation 63 Notes to and forming part of the Breast Screen Tasmania: Financial Statements 147 133 673 Independent Auditor’s Report 192 Alcohol and Drug Services Supported Clients: Supported Pharmacotherapy Program Clients: Mental Health Services Occasions of Service: TASMANIAN HEALTH SERVICE | ANNUAL REPORT 2016-17 5 ONE STATE, ONE HEALTH SYSTEM, BETTER OUTCOMES As a key component of the Tasmanian • The MCH now provides same day and Government’s One State, One Health System, Better overnight elective surgery admissions within Outcomes reform program, the Tasmanian Health the 23-hour Day Surgery Centre model. Service (THS) was established in 2015 to improve A number of major infrastructure projects patient outcomes by delivering better health are also underway including the $689 million services to Tasmanians. redevelopment of the Royal Hobart Hospital, Building upon the successful recruitment of its jointly funded by the Australian and Tasmanian executive management team last year, the THS Governments. has undertaken significant staff engagement on The THS is also taking action to address demand the structures, processes and governance required in Emergency Departments and to improve to effectively facilitate statewide clinical service whole-of-hospital patient flow. Stage I of the delivery and improvement, and strengthen local Patients First initiative, announced in April 2016, leadership at the facility level. included 18 specific actions aimed at improving In the first instance the clinical stream structures patient flow issues across the Launceston General will guide the management of clinical services at Hospital (LGH) and the Royal Hobart Hospital each of our hospital facilities. The streams are: (RHH). • Acute Medical The areas of focus include timely movement of • Critical Care, Clinical Support and patients to the right place at the right time, staff Investigations training and recruitment, developing a statewide • Cancer, Chronic Disease and Sub-Acute Care clinical handover framework, better supporting long stay patients, use of rural facilities, and more • Mental Health Services efficient discharge. • Surgical and Perioperative Services In recognition of continuing demand pressures • Women’s and Children’s Services. in Emergency Departments statewide, Stage 2 of the Patients First initiative, announced in These streams will provide the foundation for the February 2017, includes a number of recurrent necessary clinical leadership to support the delivery bed openings across the State to further improve of health care services to all Tasmanians. whole-of-hospital patient flow. In addition to mapping clinical services against the Next year, the THS will continue to focus on Tasmanian Role Delineation Framework and Clinical consolidating activities necessary to create a Services Profile, achievements this year also include: climate for better coordination and integration • The transfer of birthing and inpatient of THS services across the state and build upon maternity services from the Mersey this year’s activities with the aim of assisting the Community Hospital (MCH) to the North Government’s vision for Tasmania to have the West Private Hospital (NWPH) in November healthiest population in Australia by 2025. 2016 to improve sustainability, safety and quality. • The establishment of an integrated trauma care service in Tasmania, led by a statewide Trauma Service Director and Trauma Nurse. 6 TASMANIAN HEALTH SERVICE | ANNUAL REPORT 2016-17 GOVERNANCE GOVERNANCE GOVERNING COUNCIL The Governing Council is convened and operates in accordance with Divisions 1 and 2 and Schedule 3 of the Tasmanian Health Service Act 2011. In addition to the Governing Council, the Audit and Risk Subcommittee is convened and operates in accordance with Division 3 and Schedule 5 of the Tasmanian Health Organisation Act 2011. Governing Council members – Professor Judi Walker, Dr Judith Watson, Dr Emil Djakic, John Ramsay (Chair), Martin Wallace, Professor Denise Fassett, Mark Scanlon, Barbara Hingston, Associate Professor Dr Deborah Wilson, Dr David Alcorn (CEO) TASMANIAN HEALTH SERVICE | ANNUAL REPORT 2016-17 7 REPORT FROM THE CHAIR The creation of a single Over the course of the year, the Governing Council statewide health system is a has, thanks to the hard work of many, overseen ongoing key reform of the Tasmanian improvements in safety and quality reporting and Government. Putting such a accountability, risk assessment and management, and structure in place has been financial and budgetary systems reform. There has also central to the work of the been positive engagement with Primary Health Tasmania Tasmanian Health Service on common service delivery matters. The THS has a (THS) during the year. This has developing relationship with consumers and consumer put significant pressure on our organisations that is essential to having significant patient/ people, particularly as the work has been over and above client input and engagement in the affairs of the THS. their primary day-to-day role of meeting the health care While there is still more to be done, foundation systems needs and expectations of the Tasmanian community. work to support the accountability and sustainability of a single statewide health service is well underway. I am pleased to advise that THS staff at all levels have embraced this challenging organisational task. The dedication The redevelopment of the Royal Hobart Hospital has placed shown has
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