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Annual Report Annual Report 2018-19 This was a pivotal year for Austin Health as we started laying the foundations to achieve our strategic objectives and our vision of shaping the future through exceptional care, discovery and learning. Front cover: Dr Natasha van Zyl uses nerve transplant surgery to help restore movement in the hands and elbows of patients with quadriplegia. Contents At a glance 4 About us 6 Chair and CEO's year in review 8 Providing exceptional person-centred care 10 Supporting our people to be their best 18 A leader in research and teaching 24 Our community making a difference 30 Our digital and physical infrastructure 34 Reducing our impact 36 Governance and Board 38 Corporate information 40 Statement of priorities 44 Financial summary 54 Disclosure index 55 Financials 56 About this report This report outlines the operational and financial performance for the period 1 July 2018 to 30 June 2019. There were four relevant ministers for the reporting period: The Hon. Jill Hennessey, Minister for Health/Minister for Ambulance Services (1 July to 29 November 2018); The Hon. Martin Foley, Minister for Housing, Disability and Ageing (1 July to 29 November 2018)/Minister for Mental Health (1 July 2018 to 30 June 2019); the Hon. Jenny Mikakos, Minister for Health/Minister for Ambulance Services (29 November 2018 to 30 June 2019); and the Hon. Luke Donnellan, Minister for Disability, Ageing and Carers (1 July 2018 to 30 June 2019). Austin Health is a metropolitan health service established under the section 181 of the Health Services Act 1988 (Vic). ABN: 96 237 388 063 ISSN: 2208-5211 This report is available online at austin.org.au 3 HeadingAt a glance 114,379Inpatients 990+ Inpatient beds 8,939 450 Employees Volunteers Emergency presentations 89,675 159 Total transplants Telehealth 585 consultations 92 67 Liver transplants Kidney transplants 4 Austin Health 1,300 Research project/clinical trials underway $ 14m 2,028 in research Research papers grants published Elective surgeries and procedures 21,593 $ 8.1m 7 Emergency Philanthropic State-wide 7,309 surgeries revenue services Annual Report 2018–19 5 About us Austin Health is one of Australia’s major Our locations health services based in Melbourne’s north-east. Our hospitals include Austin Austin Hospital Hospital (which incorporates the Olivia Austin Hospital features an expansive Emergency Department and specialised wards, with: Newton-John Cancer Wellness & Research Centre), Heidelberg Repatriation Hospital, — more than 560 acute beds and Royal Talbot Rehabilitation Centre. We — 22-bed Intensive Care Unit also provide services in the community — 42-cubicle adult Emergency Department containing a specialist six-bed children’s unit and at home through our Hospital in the — specialised 26-bed Spinal Unit servicing Home and Health Independence programs, Victoria and Tasmania mental health service, and our Health and — 82-bed mental health precinct. Community Rehabilitation Centre. The hospital houses many of our unique teaching, training and research facilities and is home to the following state- Internationally recognised as a leader in clinical teaching wide services: and training, we offer professional education, together with some of Australia’s finest institutions. We have affiliations — Austin Toxicology Service with 16 universities and four TAFEs, and we’re the largest — Victorian Liver Transplant Unit training provider for specialist physicians and surgeons in Victoria. — Victorian Poisons Information Centre — Victorian Respiratory Support Service. We're renowned for our specialist work in cancer, infectious diseases, obesity, liver transplant, spinal cord injury, Heidelberg Repatriation Hospital intensive care medicine, neurology, endocrinology, mental health, and rehabilitation. The Heidelberg Repatriation Hospital provides a range of services to the community including surgery, mental We’re also renowned as a centre of excellence in hospital-based health, aged care, the Northern Centre Against Sexual research. We have a significant focus on research through Assault, and various outpatient services. Austin LifeSciences which brings together more than 800 researchers and several leading research institutes including: The surgery centre performs more than 10,000 procedures a year and operates eight theatres. It's our main site for — Austin Medical Research Foundation elective surgery. — Florey Institute of Neurosciences and Mental Health The mental health precinct houses the state-wide Psychological — Institute for Breathing and Sleep Trauma Recovery Service, Community Recovery Program and — Olivia Newton-John Cancer Research Institute Transition Support Unit, which provides support for people — Parent-Infant Research Institute recovering from mental illness to improve their independent living skills. — Spinal Research Institute. The Health and Rehabilitation Centre is a state-of-the-art State-wide services development which includes the Kokoda Gym, hydrotherapy pool and consulting rooms. It provides a hub that makes it easy We provide the following specialist services to for our local community to access a range of rehabilitation residents across Victoria: services, programs and clinics at the one location. — Acquired Brain Injury Unit Olivia Newton-John Cancer Wellness — Austin Toxicology Service & Research Centre (ONJ Centre) — Child Mental Health Inpatient Unit The ONJ Centre is a comprehensive cancer centre that gives — Victorian Liver Transplant Unit patients access to world-leading treatment and care, — Victorian Poisons Information Centre complemented by wellness programs to support patients — Victorian Respiratory Support Service in body, mind and spirit. — Victorian Spinal Cord Service. Wellness and supportive care programs help people address the challenges of cancer beyond their medical treatment. Programs focus on emotional wellbeing, staying active and eating well. 6 Austin Health The centre is at the frontier of cancer medicine with more than 210 ongoing clinical trials, including new Our values therapies such as immunotherapy, targeted therapy and personalised medicine diagnostics. The Olivia Newton-John Cancer Research Institute is integrated within the Centre. Researchers and clinicians work together to discover and develop better therapies to improve health outcomes. Research laboratories are located metres from where patients are cared for and receive treatment. This enables the rapid translation of scientific discovery into clinical trial of new and better Together we We bring cancer treatments. achieve our best Royal Talbot Rehabilitation Centre Royal Talbot Rehabilitation Centre is dedicated to providing the best rehabilitation services in Australia. The site is renowned for its intensive rehabilitation programs, complemented by non-medical therapeutic services including art, music and garden therapy. The centre provides services for brain injury, amputation, neurology, spinal cord injury, orthopaedics and prosthetics. Our actions We shape show we care the future The site also provides mental health services, including a 33-bed ward in the Brain Disorders Program, a behaviour consultancy service for people with acquired brain injuries, and the Community Brain Disorders Assessment and Treatment Service. Our strategic priorities The centre is home to the following state-wide services: — Victorian Spinal Cord Service Partnerships Transformation — Acquired Brain Injury Unit. Our purpose Reliable, safe, Community Digital person-centred care integration and transformation Helping people live healthy, collaboration Partner with consumers Transform Austin productive and fulfilled lives to create a distinct Collaborate with local Health’s digital approach to care that is partners to improve environment. reliable, safe and puts the lives of people in Our vision patients at the centre. our community. Shaping the future through exceptional care, discovery Growth and learning National leader Innovation in Talented, capable, in research and specialist care engaged people teaching Grow our delivery of Take our team to the Advance the research specialised care in next level with the and learning precinct regional and state- right support and in Melbourne’s wide services. culture. north-east. Annual Report 2018–19 7 Chair and CEO's year in review Reflecting on the past 12 months, we are so proud of what we’ve been able to achieve collectively across our health service through the incredible efforts of our staff. This was a pivotal year for Austin Health as we started laying the foundations to achieve our strategic objectives and our vision of shaping the future through exceptional care, discovery and learning. Delivering quality patient care Despite increasing demand for our services, our team of health practitioners and support staff has continued to deliver outstanding care for our patients. We performed a record number of liver transplants this year (92, compared to 85 last year), and we’ve seen growth in the number of attendances to our Emergency Department as well as the volume of emergency surgery performed (up 2.4 per cent and 12.9 per cent, respectively). We also saw an 11.9 percentage increase in ambulance arrivals this year. This has placed significant pressure on our health service and impacted our ability to meet some of our access performance targets. We also saw an improvement in the percentage of Emergency Department patients that were A new strategic direction seen within the clinically recommended time. We’re pleased This year we’re proud
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