Omeo District Hospital Annual Report 2006 - 2007

115th Annual Report for the year ended 30 th June 2007 incorporating the Consolidated Financial Statements

“Quality, Care and Commitment”

CONTENTS

Report of Operations About Omeo District Health...... 3 Our Mission / Aim / Objectives...... 3 Our Services...... 4 Governance Overview...... 5 Board Chair & CEO’s Report...... 9 Clinical Services Report...... 13 Community Services Report...... 15 Support Services Report...... 19 Organisational Chart ...... 21 Workforce Data ...... 22 Building & Maintenance Compliance ...... 26 Freedom of Information Requests ...... 26 National Competition Policy...... 26 Application and Operation of Whistleblowers Policy ...... 26 Victorian Industry Participation Policy Disclosure...... 26 Service Activity...... 26 Financial Results...... 27

Financial Statements and Explanatory Notes Accountable Officer’s, Chief Finance & Accounting Officer’s and Member of Responsible Body’s Declaration Auditor General’s Report Statement of Financial Performance Statement of Financial Position Statement of Cashflows Notes to and forming part of Financial Statements

Our History Our Objective

When gold was discovered in Omeo in 1851, Mission the isolated communities of Omeo, Swifts To promote and enhance the health and Creek, Ensay and Benambra changed wellbeing of the people of Omeo and district. dramatically with the influx of visitors. The need to build a hospital was identified in Aim November 1891 with incorporation of the To provide the most effective and efficient Omeo District Hospital (ODH). Care to the physical, emotional and social care possible sick and injured commenced in August 1894 through the delivery of services that are until the devastating 1939 bushfires that accountable to individual and communities destroyed the original building. A new 19 needs. bed hospital was built in 1940 on a new site and continues to be utilised to provide acute Objectives and residential care. To ensure the Health Service is accessible to all and continues to develop within a Best Services delivered by ODH have been Practice model in response to the regularly reviewed to meet the changing community’s identified need. needs of the community. In 1990, the acute service was reduced to twelve beds and then To provide a coordinated continuum of further reviews in September 1993 resulted in health care to the communities of Omeo and major funding changes to see the organisation district, encompassing aged and residential provide four registered acute beds and care, community care and appropriate acute outpatients department and ten nursing services. home places. In July 1997, the construction of a purpose built four-bed hostel was To maximise the health and wellbeing for all completed. community members.

In February 2004, construction commenced To provide a well-maintained, safe and on the full redevelopment of the existing pleasant environment for patients, residents, hospital buildings and service areas. The staff and visitors. major works were completed and the official opening of the new facility held on 9th December 2005.

With the ever changing face of health care, the Board of Management has continued to review the services that the organisation provides and explore innovative ways of meeting the community’s needs.

Omeo District Health is established under the Health Services Act 1988. The responsible Minister during the reporting period is the Hon Bronwyn Pike MP. Effective 3rd August 2007 the Minister for Health is the Hon Daniel Andrews MP.

Our Services

Omeo District Health provides broad-based health and support services to Omeo, Benambra, Swifts Creek, Ensay, Dinner Plain and surrounding districts.

Acute Care Ancillary Services 4 Acute beds for general medical care Radiology Emergency Stabilisation Renal Dialysis Unit Sub-Acute Care Rehabilitation Residential Aged Care 10 High Level Care Beds Allied Health & Community Services 4 Low Level Care Beds Information and Referral Respite Care Counselling / Social Work Diversional Therapy Domestic Violence Support Aged Care Assessment Financial Counselling Emergency Housing District Nursing Services Health Promotion and Education Home Visiting Youth Program Palliative Care Physiotherapy Post-Acute Care Program Dietetics Respite Care Speech Therapy Equipment Hire Foot Care Occupational Therapy Home and Community Care Community Care Coordination Planned Activity Group Community Education & Development Home Care Diabetes Education Personal Care Communities for Children Meals on Wheels Home Maintenance Supporting Portfolios Home Respite Infection Control Quality Dental Services Pathology Public Dental Care Occupational Health & Safety Private Dental Service Administration Maintenance & Gardens Medical Services Environmental & Food Services Omeo Medical Centre Ear Nose & Throat Specialist Consulting Visiting Services Audiometry Consulting Maternal & Child Health

Use of the Facilities Optometry Services Podiatry Services Rural Ambulance Victoria Omeo Playgroup Senior Citizens Meetings Swifts Creek Community Centre Community Group Meetings

Governance Overview

Board of Management

President Vice President Mr Rodney O’Connell Ms Anne Faithfull Self Employed Company Director Retired Administration Manager Board member since 1990 Board member since 2002 Member of the Finance & Facilities Member of the Finance & Audit Sub-Committees Sub-Committees Appointment Expires 31/10/2007 Appointment Expires 31/10/2008 Board Meetings attended – 10/11 Board Meetings attended – 10/11

Mr Phillip Jones Ms Ronda Manhire Office Coordinator Primary School Teacher Board member since 2002 Board member since 1997 Member of the Finance & Audit Sub-Committees Member of the Facilities Sub-Committee Appointment Expires 31/10/2008 Appointment Expires 31/10/2008 Board Meetings attended – 10/11 Board Meetings attended – 9/11

Mr Russell Pendergast Mrs Diana Foster Self Employed Farmer Retired School Teacher Board member since 1987 Board member since 1991 Member of the Facilities Sub-Committee Member of the Quality & Medical Appointment Expires 31/10/2007 Appointment Sub-Committees Board Meetings attended – 7/11 Appointment Expires 31/10/2007 Board Meetings attended – 9/11 Ms Louise Armit Solicitor Mr Evan Newcomen Board member since 1995 Self Employed Farmer Member of the Facilities & Quality Board member since 2002 Sub-Committees Member of the Facilities Sub-Committee Appointment Expires 31/10/2007 Appointment Expires 31/10/2008 Board Meetings attended – 8/11 Board Meetings attended – 7/11

Ms Susie Grinter Ms Jeannette Molloy Self Employed Company Director Self Employed Business Consultant Board member since 2007 Board Member since 2003 Member of the Finance Member of the Finance, Quality & Medical & Audit Sub-Committees Appointment Sub-Committees Appointment Expires 31/10/2009 Appointment Expires 31/10/2009 Board Meetings attended – 5/7 Board Meetings attended – 3/11 (Approved Absence) Mr Robert Vardy Self Employed Company Director Mr Ronald Grinter Board Member since 1997 Self Employed Company Director Appointment Expired 31/10/2006 Board Member since 1991 Resignation Effective 31/10/2006 Appointment Expired 31/10/2006 Board Meetings attended – 3/4 Resignation Effective 31/10/2006 Board Meetings attended – 4/4

Role of the Board of Management

The Board of a public hospital is responsible Effective Management for its governance. It is accountable to both The Board is responsible for the appointment Government and the community that it of the Chief Executive Officer and Director of serves for ensuring the provision of agreed Nursing who, in turn, are responsible for the services within the resources with which they effective management and operation of Omeo are provided. The Board must therefore be District Health. Mr Darren Fitzpatrick responsive to its staff and the total undertook the role of Acting Chief Executive community and have a capacity to address a Officer / Director of Nursing during the wide range of policy and management issues. recruitment of a replacement Chief Executive To fulfil its role, the Board should have Officer and Director of Nursing following the members with a range of appropriate resignation of Mr Peter Abraham effective on expertise and experience. The Board adheres 28th April 2006. Mr Trevor Adem to a Code of Conduct that outlines the role of commenced as Chief Executive Officer on 4th governance and conduct for members. September 2007 and Ms Jo-Anne Cavill commenced as Director of Nursing on 18th The functions of the Board of Management as June 2007. The Board of Management would determined by the Health Services Act 1988 like to thank Mr Darren Fitzpatrick for are: undertaking the combined management roles To oversee and manage the hospital; for so long, and for his patience during the and recruitment processes. To ensure the services provided by the Hospital comply with the Funding Service Agreements requirements of the Act and the aims The Board endorses plans, strategies and of the organisation. monitors the performance of ODH through appropriate budgetary processes. Board of Governance is achieved by ensuring the Management members are appointed by the health needs of our community are met Governor-in-Council, upon the through: recommendations of the Minister for Health, Hon. Bronwyn Pike, MP. Strategic Planning The Board ensures the visionary direction of In accordance with the By-Laws of Omeo the hospital is focused and is able to be District Health, there are twelve community implemented and aligned to the mission positions on the Board of Management. statement of the hospital. Members of the Board of Management act in a voluntary capacity and have not received Local Policy fees in the 2006 / 2007 financial year. To reflect the current standards of service delivered through timely and appropriate Pecuniary Interest policy setting. It is an obligation for Board Members to declare a pecuniary interest when Board discussions include matters in which they have a direct, or indirect, financial or other interest. There were no occasions during the year when Board Members declared a pecuniary interest in connection with Board deliberations.

Finance & Audit Sub-Committees

President Senior Vice President Mr Rodney O’Connell Ms Anne Faithfull Self Employed Company Director Retired Administration Manager Finance Sub-Committee member Finance & Audit Sub-Committee member since election of Office Bearers since election of Office Bearers on 23rd November 2004 on 25th November 2003 Meetings attended this financial year:- Meetings attended this financial year:- Finance – 10/11 Finance - 9/11 Audit - 5/7

Treasurer Mr Phillip Jones Ms Jeannette Molloy Office Coordinator Self Employed Business Consultant Finance & Audit Sub-Committee member Finance & Audit Sub-Committee member since election of Office Bearers since election of Office Bearers on 25th November 2003 on 25th November 2003 Meetings attended this financial year:- Meetings attended this financial year:- Finance – 9/11 Audit - 5/7 Finance - 4/11 (Approved Absence) Audit - 3/4 (Resigned 28th November 2006) Ms Susie Grinter Self Employed Company Director Finance & Audit Sub-Committee member since election of Office Bearers on 28th November 2006 Meetings attended this financial year:- Finance - 4/6 Audit - 1/3

Role of the Finance Sub-Committee The Finance Sub-Committee meetings are held on a monthly basis prior to the Board of Management meetings to allow for tabling of recommendations for the Board to adopt and approve. Items discussed on a regular basis include:- Refurbishment of Property Payroll and Salary Packaging Property Valuation Investment Revenue Cost of being in a remote area Annual Internal & External Audit Cash Advance Funding Financial & Structural Review GST & FBT CEO Transitional Grant Motor Vehicles Internet Banking & Token Access Financial Improvement Plan Budgets

Items discussed on a monthly basis include:- Statement of Financial Performance Corporate Credit Card Statement of Financial Position Reconciliations Creditors Payments Cashflow Statements Cash Management Account Analysis Individual Cost Centre Reports High Yield Investment Account Analysis

Role of the Audit Sub-Committee The Audit Sub-Committee meetings are held on a bi-monthly basis prior to the Board of Management meetings to allow for tabling of recommendations for the Board to adopt and approve. Items discussed on a regular basis include:- Financial Risk Management Tender for Supply of Goods and Compliance Framework Services Internal Auditing Corporate Policies & Procedures

Medical Appointment Sub-Committees

Mrs Diana Foster Ms Jeannette Molloy Retired School Teacher Self Employed Business Consultant Medical Appointment Sub-Committee Medical Appointment Sub-Committee member since election at Board Meeting members since election at Board Meeting on 23rd May 2006 on 23rd May 2006 Meetings attended this financial year – 1/1 Meetings attended this financial year – 1/1

Role of the Medical Appointment Sub-Committee The Medical Appointment Sub-Committee meetings are held on an as-need basis, when the Director of Medical Services, Dr Rick Lowen, arranges to be on-site at ODH. The purpose of these meetings is to ascertain the credentialing of the General Practitioners and recommend their appointment to the Board of Management. Items discussed include:- Terms of Reference of Sub-Committee Consideration and recommendations for appointment of, and granting of privileges to, Medical Officers – General Practitioners following their credentialing process.

From left: Evan Newcomen, Ronda Manhire, Susie Grinter (new member), Phillip Jones, Jenny Molloy, Ron Grinter (retiring member), Diana Foster, Robert Vardy (retiring member), Anne Faithfull, Louise Armit, Rod O’Connell, Russell Pendergast.

Board Chair & Chief Executive Officer’s Report

We take great pleasure in presenting to you The innovative practice model at the Omeo this, the 115th Annual Report of Omeo District Medical Centre continues to serve both the Health. community and the clinicians well. The community retain a choice of General Omeo District Health continues to evolve as a Practitioner and support for the facility and modern organisation and this year has once the practitioners retain a work life balance, again experienced significant change and providing increased stability for the service. ongoing improvement. We thank our General practitioners for their ongoing support of Omeo District Health and The building, officially opened during the last look forward to a continued strong financial year, has functioned well in the relationship. delivery of services and continues to be well received by visitors and proudly cared for by Omeo District Health bid farewell to Dr. staff. Martin Gelin who announced his retirement in May 2007 after almost five years serving The organisation is consistently reviewing our community. Omeo District Health has the services available along with the methods been pleased to secure the services of a new of service delivery and we are always Dentist to continue this high standard service, conscious of the importance the organisation and we welcome Dr. Jeremy Sternson to our has for the region. Strategies for the team. organisation reflect the known needs of the region and consider the need to plan for a Omeo District Health has succeeded in sustainable future for the Health Service. maintaining the full suite of current services during the year and has added the services of Strategic directions for the organisation a rural outreach worker and a project worker continue to be to: to enhance options for the community.

• Enhance the services available to the Whilst all services have remained in place, community there are new staff in a number of the • Deliver quality, accessible and positions and we welcome these people to coordinated care our organisation. We also thank every • Improve the organisations infrastructure member of staff for their contribution to the • Engage and educate the community in the successful outcomes achieved during the work of the organisation and on year. improving their own health and wellbeing Delivering Quality, Accessible and • Ensure the best use of available resources. Coordinated Care Omeo District Health continues to provide To expand upon these: services that are responsive to community needs. Resident, patient and client satisfaction and needs surveying have been Enhance the Services Available to the conducted at both scheduled intervals and Community through opportunistic surveying throughout Omeo District Health continues to offer a the year. Omeo District Health has continued broad suite of services to support the to meet its quality accreditation requirements communities of the region. through programs of the Australian Council on Health Care Standards and the Aged Care Standards Accreditation Council.

Omeo District Health has worked hard to Engaging and Educating the Community in develop improved practices in relation to the Work of the Organisation and on quality. All staff have contributed to improving their own Health & Wellbeing sustainable improvements that ensure a The Health Matters Newsletter, distributed to proactive and coordinated approach to all households within the catchment continuous improvement and risk continues to be a valuable resource for the management. The work has culminated in a community in understanding the level of quality framework under which these services available in the community and activities are guided. Omeo District Health providing appropriate health information. wishes to acknowledge the commitment of Omeo District Health is proud of its the members of the quality committee in relationship with our catchment community guiding these improvements, and all staff in providers, such as Ensay Community Health supporting and contributing to them. Centre and Swifts Creek Bush Nursing Centre and maintains its regional, state and Omeo District Health continues to implement commonwealth representation as an and review a significant number of policies independent provider concerned with issues and practices that improve the coordination facing our region. of services both internally within Omeo District Health and externally between other Omeo District Health has recently worked to agencies. This has resulted in clients of our improve both the look and functionality of service receiving safe, appropriate and timely our website and look forward to this resource referral and treatment options. being increasingly utilised by both staff and the community. Electronic media are Omeo District Health continues to collaborate becoming more important as a means of with other Health Care providers in the communication and as a recruitment tool. region to enable services to be delivered to Omeo District Health seeks to maximise the our communities. value of our website for all users.

Improving the Organisation’s Infrastructure With health care moving steadily towards Omeo District Health is continually seeking models of community care and prevention of funds to maintain and improve infrastructure. chronic conditions, Health Promotion plays a All beds in the facility are now electrically major role in the activities of the service. operated; we have a digital x-ray system to Omeo District Health maintains membership allow fast and easy transfer of images for on a number of committees including the East review and we have upgraded items such as Gippsland Primary Care Partnership, that our emergency trolley and lifting machines. manage funding regionally to address these These and other acquisitions contribute to Health Promotion and chronic Disease safe and modern care practices for both staff Management issues. and consumers.

The development and implementation of a thorough preventative maintenance program, along with caring staff in both domestic support services and maintenance has contributed to maintaining the ‘new’ feel of the facility. People take great pride in the building and there is a strong intention to maintain the building in pristine condition.

Ensuring the Best Use of Available Omeo District Health wishes to highlight the Resources significant contributions made once again by Omeo District Health makes the best use of its the SHINE (Supporting Health in New available resources by continuing to evolve as Events) fundraising and support group of an organisation. All staff are encouraged to Omeo District Health, which throughout the pursue both professional and personal goals year has made significant contributions to most effectively support the functions of towards the purchase of equipment and the organisation. Our small but talented team furniture items for the service. consistently demonstrate a high standard of care whilst backed by high quality support Omeo District Health wishes to express services to ensure our residents and thanks to our dedicated Volunteers who community experience a service they trust provide support to many of the services and respect. provided, including the Planned Activity Group, Residential Care Activities, Volunteer We acknowledge the continued high Drivers program and Health Promotion standards of Mr Peter Fiddian and Ms Jenny activities. Hanrahan in providing administration and finance management services to Omeo Omeo District Health would like to take this District Health. opportunity to thank and recognise those from whom we have received donations or We also wish to acknowledge the work of the bequests. Generosity such as yours greatly Omeo District Health Finance & Audit assists the sustainability of the Health Service Committees in ensuring governance with and we recognise and appreciate the financial and auditing responsibilities. importance of these gestures.

Omeo District Health is fortunate to have a This year, Omeo District Health was dedicated and committed employee group. fortunate to be named as a beneficiary in the The people that serve the organisation estate of James Noel Braid. Omeo District provide an exceptional level of care and Health would like to take this opportunity to support to residents, clients, carers, ask that Mr. Braid’s family accept our sincere community members and to their co- thanks on his behalf and in his memory. workers. We sincerely thank all members of staff for their contributions as individuals to a We continue to enjoy a close working larger team. relationship with Rural Ambulance Victoria and welcome a continued commitment to the The Omeo District Health Board would like Paramedic Community Support Coordinator to acknowledge the work of Mr Darren model in Omeo. Fitzpatrick as both Clinical Care Manager, and more recently, as Chief Executive Officer Finally, we wish to extend our gratitude to / Director of Nursing (Acting). the members of the Omeo District Health Board of Management. All members give We would like to welcome Mrs. Jo-Anne their valuable time as community Cavill as the Director of Nursing since June representatives who have an interest in 2007. We would also like to acknowledge the improving the range and quality of health work of Ms Marijs Last as Community Care services provided to the community. We Manager and Ms Jenny Molloy as Project acknowledge the work of Mr Rodney Manager since February 2007. O’Connell, Board Chair for his commitment and dedication to the role, and to all Board We would also like to thank Dr Rick Lowen members who strive to ensure the ongoing in his continued role as Director of Medical future and success of Omeo District Health. Services.

In Conclusion In 2006-2007, Omeo District Health has again conquered many new and exciting challenges.

Omeo District Health has continued to provide the most effective and efficient physical, emotional and social care possible through the delivery of services that are accountable to individual and communities needs. The efforts of the Board, staff and Rodney O’Connell community to continue to support the work President, Board of Management of the Health Service particularly through drought, fire and flood is simply remarkable. Darren Fitzpatrick We look forward to the 2007-2008 year and A/g Chief Executive Officer (to 1 September 2006) the challenges that will confront Omeo District Health in the provision integrated Trevor Adem Health Services for our region. Chief Executive Officer (from 4 September 2006)

From left – Darren Fitzpatrick (former acting CEO and DON), Trevor Adem (Chief Executive Officer), and Rod O’Connell (Board President).

Clinical Services

Omeo District Health provides a broad range areas of service provision. The process for of excellent clinical services to promote and acute care accreditation (ACHS) in April 2007 enhance the health and wellbeing of the also confirmed this position, with people of Omeo and district. Despite many accreditation granted for a further two years challenges encountered during 2006-7, this (maximum time frame). standard has been maintained through the hard work and commitment to excellence The Omeo and district community can be demonstrated on a daily basis by our staff assured of our commitment to continuous and our Board of Management. improvement in service and care provision. The Quality Management program has been The community has been confronted with the revised to better reflect accreditation worst drought in many years, the effects of requirements, encourage quality which were compounded by local bushfires improvement activities and create a strong over summer. Eventual welcome rains then reporting system to capture improvements. developed into floods, creating more A culture of risk minimisation is evident problems for local farmers and residents. throughout the organisation. An example was a recent ‘Worksafe’ visit assessing These natural disasters and the dangers they patient handling in hospitals, with the present impact on the provision of health conclusion that Omeo District Health was service in many ways. The level of stress fully compliant and did not require further experienced within the community escalates scrutiny under this project. and leads to physical and mental health problems. The isolating effects of road Staff education remains a high priority, and closures add to a sense of ‘entrapment’ and this has been further facilitated by limit the availability of resources. During the subscription to the Aged Care Channel. bushfires the evacuation of some high level Recording of regularly screened programs of nursing home residents was a necessary both clinical and organisation wide precaution given the proximity of the threat, significance enables staff to consistently and in some instances people requiring access further education at suitable times. transfer to another facility had no other Mandatory in-house training sessions for fire option than to travel over Mt Hotham via safety / evacuation, Basic Life Support, road (air transport was not possible). It is a Manual Handling and Infection Control are credit to management and staff that all the regularly attended. Active participation in challenges associated with these natural off-site education also continues, including disasters were dealt with in such a way as to but not limited to OH&S refresher course, achieve favourable outcomes. Advanced Life Support training, Emergency Department Triage Assessment and In September 2006 Omeo District Health was continence and wound management. presented with an excellent opportunity to further improve service provision. The Aged Of particular interest is Omeo District Care Accreditation process highlighted a Health’s participation in a Rural number of areas to be addressed, requiring Collaborative Practice Model pilot program input from all staff members. Audits, policy conducted by the Department of Human and procedure, service provision and system Services. The aim is to introduce a new reviews were conducted on an organisation collaborative practice model of care into a wide basis with a concerted team approach. selection of rural health services to deliver As a consequence, a positive response from sustainable and safe emergency and primary the Accreditation agency confirmed care relevant to the local context. That is, compliance and improved practice across all Omeo District Health has a valuable

opportunity to contribute to the development residents every month to play cards and of a system that works for us. scrabble, and provide enjoyable opportunities for socialisation. A non-denominational Two Division One nurses will be undertaking church service is also conducted once a a 12 month course based on the Queensland month to assist in meeting the spiritual needs Primary Clinical Care Manual to assist in of the residents. responses to presentations to our hospital, especially when a doctor is not physically Resident / patient care and safety, and staff available. This will include the dispensing of safety has also been enhanced through the medications when necessary. All nursing upgrade of facilities and equipment. These staff will benefit from ongoing education as improvements include: the program unfolds, and from the • Installation of telephones in all acute knowledge gained by course participants. A rooms. committee to oversee the project has been • Installation of duress alarm system. formed to drive new practice initiatives, such • Installation of state-of-the-art digital X- as developing standing orders for certain ray equipment. medications, and provide support for the • New emergency trolley. course participants. • A second standing hoist / transfer machine. Feedback from participants and the • Purchase of three electric beds – now all committee about the effectiveness / relevance beds in acute and aged care are of the pilot program will be valuable in electronically adjusted. directing the formulation of the practice • A lifting machine that doubles as a model and accompanying policy walking assistance device. development on a state wide level. • Traction unit for physiotherapy department. Enhancing nursing home / hostel resident • Another intravenous infusion pump. lifestyle and encouraging individual interests • Installation of a secondary front door bell is an important aspect of care provision at to alert staff working away from vicinity Omeo District Health. Our Diversional of front door. Therapist, Penny Carruthers, makes a • Purchase of ‘care chair’ to enhance care of significant contribution through planned debilitated residents. activities and informal relationship building.

Penny is assisted by a willing team of The support, encouragement and volunteers offering art, exercise, cooking and commitment of all our Staff, Board of reading / discussion sessions. Outings are Management, Volunteers and the organised on a fortnightly basis and have Community is sincerely appreciated. All are included trips to Benambra, the snow, the to be commended for the achievements at local calf sales, Cobungra Station and the Omeo District Health over the year 2006-7, as local Omeo Show. we look forward to another successful year

ahead. Community involvement with Omeo District

Health has been fostered in many ways. Darren Fitzpatrick Local school children visit the residents every A/g Director of Nursing (to 15 June 2007) Friday afternoon as part of their Rotary

Award requirements, and local and visiting Jo-Anne Cavill musicians regularly share their talents. The Director of Nursing (from 18 June 2007) annual fete held in December 2006 featured craft goods made by the residents and volunteers, and involved the local secondary college dancing group as well as the ‘High Country Singers’. Senior citizens visit the 14

Community Services

Community Services comprises of allied District Nursing health services funded through the District Nursing is a service that works with Commonwealth Regional Heath Service individuals to improve and restore quality of program and the Multi Purpose Centre life and maintain an optimal level of health program; and District Nursing, Planned and independence. Services include direct Activity Group and Home Care Services all clinical care, clinical assessment and the funded through the Home and Community provision of information and education. In Care program. Additional community addition to home based clinical services, the services include the administration of district nursing service participates in such Transitional Housing (the Emergency House) activities as the district health promotion and the volunteer program. planning forum.

Omeo District Health has embraced the Omeo District Health provides a five-day per ‘Social Model of Health’ as its approach to week service with a 1 EFT position that is health services across the board. This shared on a permanent part time basis approach recognises that ‘health’ is a complex between two nurses. Services are provided to interaction of the following determinants:- clients in the Omeo, Benambra and Cobungra • Income and social status. areas. Both client numbers and staffing have • Social support networks. been steady over the past year. • Education. • Employment. A client survey conducted in June 2007 • Social environment. indicated a high level of satisfaction in the • Physical environment. quality of the service. • Personal health practices and coping skills. Counselling A significant demand for counselling services • Healthy child development. has continued during the 2006/2007 period. • Biological and genetic endowment. Depression and anxiety related disorders • Health services. remain the most common reason for clients • Gender. seeking service. The local GPs are the major • Culture. referral source for this service. • Rurality. There has been a continuation of the ODH Community Health Services have arrangement with the local schools cluster to strong links with East Gippsland Primary provide specific counselling to primary and Care Partnership at a regional level, and at a secondary school students in the district. local level works in collaboration with such services as Swifts Creek Bush Nursing Centre, The Chronic Pain Self-management group Ensay Community Health Centre, Swifts commenced in 2006 has continued strongly, Creek Community Centre, Benambra being well supported by participants. This Neighbourhood House, Rural Ambulance group follows current best practice methods Victoria, TAFE Outreach, and local primary for managing chronic disease. and secondary schools. The service maintains strong links with other Participation in wider regional community agencies such as Bairnsdale Primary Mental health forums is assisted by the ready access Health Service, Gippsland Lakes Community to video conferencing facilities available at Health and East Gippsland Division of Omeo District Health. General Practice.

Emergency Housing Planned Activity Group ODH undertakes a coordination role for the This program provides a structured Omeo District Transitional House on behalf opportunity for older persons in the of Community Housing Limited. community to come together and share a meal and social interaction. The planned Staff also have the option of issuing short stay activity group program is aimed at the Home motel vouchers for crisis accommodation. & Community Care target group (frail aged The Transitional House has been well used persons and people living with disabilities in over the past year; two families and one the community). The program operates one individual have accessed the facility during day per week and is facilitated by two this time. workers. Each month three sessions are offered in Omeo, with the fourth week being Home Care delivered from the Albion Hotel at Swifts The Home Care program is aimed at assisting Creek. This arrangement allows access to the frail aged people and people with disabilities program to a wider district population. to remain living independently at home in a community environment. The input of volunteers is an invaluable contribution to planned activity group both in Services encompassed by the Home Care transportation of participants to the venue program include: - and assisting with activities and food • Housekeeping, preparation on the day. • Personal care, • Respite care, Occupational Therapy • Home maintenance, and The main aim for Occupational Therapy • Meals on Wheels. services in the community health team is to facilitate independent living in the Monitoring of clients health status and community, particularly for people with providing a case management role form an health problems or restrictions due to important part of the service provision. disability or frailty.

The service is provided by 10 part time home Interventions include: - care workers across the district and • Home safety and home modification administered by a 0.7 EFT coordinator role. assessments, • Specialist equipment provision, A client survey conducted in June 2007 • Increasing physical access to public indicated a high level of satisfaction in the facilities, quality of the service. • Advice on management of particular disorders, Omeo District Health have sponsored a • Support for carers, and training program that has enabled four Home • A broad health promotion focus such Care workers and two Planned Activity as health education and provision of Group workers to update qualifications to the gentle exercise programs. required level of Aged Care Certificate III.

Physiotherapy Speech Pathology Omeo District Health continued its Owing to recruitment difficulties, Speech collaborative arrangement with Orbost Pathology services have been limited in the Regional Health to share the services of a full 2006/2007 year. Bairnsdale Regional Health time Physiotherapist. Bairnsdale Regional were contracted to provide a series of Speech Health has assisted with the role in providing Pathology visits that allowed language and necessary professional supervision and literacy screening of kindergarten children support. across the district. In addition, the services of a private Speech Pathologist were engaged to The arrangement has allowed for consistency provide services mainly to school aged in the provision of clinical Physiotherapy children. The outlook for provision of Speech services. A regular outreach service was Pathology services is much improved for the provided in Swifts Creek. coming year, as a new collaborative arrangement between Omeo District Health, The Physiotherapy service has a focus on Orbost Regional Health and Gippsland Lakes providing clinical treatment for Community Health has enabled the musculoskeletal conditions, mobility issues employment of a 0.8 EFT Speech Pathologist and rehabilitation following orthopaedic to work across the three locations. This surgery. In addition, group programs such as arrangement will allow Omeo District Health gentle exercise and back care education have to offer Speech Pathology services two days been provided. per fortnight. In addition, the services of the privately contracted Speech Pathologist Diabetes Education supplement this arrangement with an extra This service continues to be provided one day one-day per month. per fortnight with outreach services and home visit services to all towns in the district. An innovative program was commenced with The service provides education, screening the Swifts Creek Primary School using a and monitoring for people with Type 1 and 2 Home Care worker to facilitate a twice- diabetes and also has a strong health weekly group under the direction of the prevention focus to highlight awareness of Speech Pathologist. This program has been pre-diabetes risk factors and positive health instrumental in providing students with lifestyle choices needed to help reduce the access to a regular therapy program. incidence of the disease. The diabetes educator has worked closely with the visiting Dietetics dietitian, the local General Practitioners, the Dietetics services are provided on a contract health promotion worker and community basis through Bairnsdale Regional Health nurses. Service, one to two days per month.

Chronic disease management is a high The service provides advice on general priority of the East Gippsland Primary Care nutrition and nutritional issues related to Partnership and the diabetes educator has illness and specific conditions. In addition, maintained strong links with this regional the Dietitian has provided health promotion organisation to ensure that local services are activities such as supermarket ‘nutrition’ consistent with current disease management tours, and educational presentations to practices. schools, ODH staff and community groups. The program has seen a steady increase in client numbers as the community becomes more aware of the benefits of consulting a Dietitian.

Youth Services Health Promotion Youth services continue to be provided two This role aims to ensure that the health days per week. The service looks to improve outcomes of the community are improved the environment for young people in the area through the provision of education and by focusing on training in work readiness, health promotion activities to schools, groups improving access to social activities locally and individuals. and regionally, increasing community connectedness and peer support, and Target areas for health promotion have been:- working together with other organisations • Increasing participation in physical such as the Secondary College to target activity, current issues such as alcohol and substance • Men’s health, abuse, domestic violence, depression and • Women’s health, eating disorders. • Mental health, • Prevention of chronic diseases such as In 2006 the service adopted a focus on the cancer, asthma, diabetes and heart early childhood years. As part of the regional disease, and “Communities for Children” project, ODH • Healthy lifestyle promotion. was asked to carry out a pilot program to identify unmet childcare needs in the district The health promotion worker works closely and investigate possible solutions. Following with local agencies such as the a process involving considerable community neighbourhood houses and regional agencies and industry consultation, a feasibility study such as East Gippsland Primary Care has been completed (due for release October Partnership to develop a strong partnership 2007) which outlines the case for a purpose approach, and to ensure targeted areas of built ‘Children’s Services Hub’ in the Omeo activity remain relevant. area. This facility would encompass childcare, kindergarten, playgroup and such Volunteers programs as after school care. Lobbying for Omeo District Health has a small but funding through local, state and dedicated pool of volunteers. They provide commonwealth government is the next support and assistance in the following process in the project. areas:- • Transport of clients to health services Podiatry/ Foot Care offered by Omeo District Health, Foot care services have continued to be • Assistance with Planned Activity provided on a one-day per month basis with Group, a qualified foot care technician. The service • Assistance to residential diversional alternates venues between Omeo and Swifts therapy program, Creek/Ensay. Services provided include • Assistance in the residents’ dining fingernail and toenail trimming and foot room, and massage. • Delivery of meals in the Meals On

Wheels program. The visiting services of a qualified Podiatrist became available in 2007. Two sessions of The contribution of volunteers in the podiatry consultations have so far been operation of both residential and community- offered, and this service will continue to be based programs is greatly appreciated. offered on a quarterly basis from Omeo. The priority areas for Podiatry service provision Marijs Last are clients with diabetic conditions and older Manager – Community Care clients who have difficulty accessing Podiatry services offered from Bairnsdale.

Support Services

Support Services encompasses the following services: Omeo Medical Centre retains its AGPAL • Community and Private Dental accreditation and is continuously seeking • Medical Centre / Visiting Specialists improvements to enhance the delivery of its • Catering service. • Domestic Services • Administration Visiting Medical Specialist • Finance / Human Resources Professor Andrew Sizeland provides Ear, • Maintenance / Facilities / Grounds Nose and Throat specialist services. The service continues to be complimented by an • Information Technology & Management Audiology service. This service is delivered

in conjunction with the Omeo Medical In 2006-2007, support services have Centre. demonstrated a strong, ongoing commitment to delivering consistently high Omeo District Health continues to utilise the standards. This commitment is highlighted services of Dr Rick Lowen as our Director of by results in food safety and cleaning audits, Medical Services. Dr Lowen supports the and by the development of a detailed process of credentialing and privileging of preventative maintenance program to all our General Practitioners and recently preserve our infrastructure. Support assisted with the same process for our services have made a significant Dentist. The Director of Medical Services contribution to the success experienced this also assists the organisation with protocols year in accreditation of the organisation. for medical care, liaison with other

Public & Private Dental Services providers and the pursuit of funding Omeo District Health Dental Clinic opportunities to support medical service continues to serve the needs of both local delivery. clients and many clients from further afield. With the retirement of Dr Martin Gelin, we Catering Services An external food audit was conducted in look forward to the experience of working April 2007 with results clearly demonstrating with Dr Jeremy Sternson. the continued delivery of a high level of

catering services and compliance with Demand for Dental services remain high regulatory guidelines. Recommendations due to the difficulties accessing both Public from this audit have been adopted for service and Private services elsewhere. improvement.

Omeo Medical Centre Omeo Medical Centre under the auspices of Domestic / Cleaning Services An external cleaning audit was conducted in Omeo District Health continues to have April 2007 demonstrating a continued high success with the unique rotational roster standard. The team continues to maintain the model utilised. A number of General facility in a similar condition to when it was Practitioners share the role to ensure Omeo first occupied. retains a consistent service. The model provides both choice for community Administration (Reception /Support) members and a work/life balance for the The Administration team has continued to General Practitioners. With the resignation of deliver high quality and effective support Dr Richard Alexander in January, the number services to Omeo District Health. of clinicians is currently four and Omeo Maintaining compliance with the various District Health is actively seeking a suitable reporting requirements, maintaining practitioner to return the number to five. 19

adequate financial systems and providing a handling chemicals to improving safety for face for the organisation always provide off site workers. challenges that are met with grace and good working relationships Information Technology & Management The provision of IT support services remains Finance / Human Resources contracted with Sage Technology. Omeo Omeo District Health continues to maintain District Health remains an active member of regulatory financial compliance and meet all the Gippsland Health Alliance, an IT alliance reporting requirements. Review of financial that provides our network infrastructure and policy and procedure documentation, in line support. The future for Omeo District Health with results of auditing processes, has been includes a broad implementation of new undertaken to meet with Financial software suites as part of a statewide rollout Compliance Framework requirements. Ms by the government. This rollout will Jenny Hanrahan and Mr Peter Fiddian challenge the resources of Omeo District combine with support from managers to Health but will ultimately provide software provide this function. and reporting benefits and align Omeo District Health with all other public Health Human resources, supported by external Services. bodies, such as the Victorian Hospitals Industrial Association and Bairnsdale Planned replacement of ageing IT equipment Regional Health Service has continued to be continues across the organisation and all staff provided in a high, efficient and timely have ready access to computer terminals. manner to staff and clients. Omeo District The use of videoconferencing equipment has Health maintains clear policy on performance become more widely accepted practice and behaviour for all staff and contractors. through the Gippsland Health Alliance network for attendance at meetings. This has Maintenance / Facilities / Grounds been of major benefit to Omeo District Health The maintenance service has continued to in reducing the amount of travel time and evolve in line with the improved facility. A traveling costs and also enabling increased comprehensive preventative maintenance representation of our service at various program has been developed for both general events. and essential services. This was supported by the purchase of specific software for the Trevor Adem purpose. The scope of responsibility for Chief Executive Officer maintenance has been maintained by the appointment of Mr Chris Summerton to work alongside Mr Stephen Disney. Provision of home maintenance under the Home and Community Care service has continued to expand.

Occupational Health and Safety The Occupational Health & Safety Committee conducts regular meetings to review incidents and identified risks from across the organisation. These reviews result in Catherine Spencer (Cook) and Marie Goudie changes, upgrades or education as (Food Services Assistant) appropriate. Omeo District Health strives to provide a safe work environment for all staff either on or off site and the committee has implemented a number of practices to protect workers. These range from education on 20

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Workforce Data - Our People

Chief Executive Officer Director of Nursing Mr T Adem (from 4 September 2006) Mrs J Cavill (from 18 June 2007) B. (Physio.), MBA, AFACHSE RN1, BN

Community Services Manager/ A/g CEO / DON (to 3 September 2006) Occupational Therapist A/g DON (from 4 September 2006 to 17 June 2007) Ms M Last Nurse Unit Manager B. App Sc (OT) Mr D Fitzpatrick (from 16 July 2007) RN1

Director of Medical Services Finance Dr R Lowen Mr P Fiddian (MB.BS, D.Obs RCOG, FRACGP, AACHSE) (FCA)

General Practitioners Dr I Seymour Dr L Prokopowicz (MB.BS, Hons) (MB.BS)

Dr G McCallum Dr G McIntosh (MB.BS, FACRRM) (MB.BS)

Dr R Alexander Dental Practitioner (MB.BS, D.Obs RCOG, FRACGP, Dip Palliative Care) Dr M Gelin (to 1 June 2007) (to 16 March 2007) (S.G.Z.Frieb.D., BDS.Sto.S.)

Ear Nose & Throat Specialist Audiometry Consultant Professor A Sizeland Ms H Nicholson (MB.BS, PhD, FRACS) (BA (Hons), Dip. Aud)

Clinical Services Nurse Unit Manager Casual Registered Nurses (Div 1) Ms T Sedgman (to 16 July 2007) Ms J Cavill (to 28 December 2006) Ms A Connley (to 19 March 2007) Associate Charge Nurses Ms M Connley Ms J Cavill (from 28 December 2006 to 17 June 2007) Ms S Cordery (from 17 July 2006) Ms T Crowe Ms L Disney Ms L Gilmore Ms C Overy (from 15 March 2007) Ms A Dmytrenko Ms W Seymour Ms H Kewish Ms Y Symons Ms C Onslow Ms S Vardy Ms K Sheehan

Night Duty Nurses (Div 1) Medical Centre Practice Nurses (Div 1) Ms P Leon Ms Z Pendergast Ms Z Pendergast Ms W Seymour (Casual)

Registered Nurses (Div 2) Night Duty Nurse (Div 2) Ms J Cini (to 14 January 2007) Ms J Connley Ms M Connally Ms C Faithfull Casual Registered Nurses (Div 2) Ms A Higgins Ms B Flannagan Ms J Jenkins Ms H Moss (from 23 August 2006) Ms A Kissane Ms J Anderson (from 16 March 2007) Ms K Mackey Ms T McArthur (to 26 July 2006) Diversional Therapist Ms L McGregor (from 11 May 2007) Ms P Carruthers Ms A Thorburn Ms H Whelan

Support Services Administrative Assistants Finance/HR Assistant Ms S Anderson (until 28 March 2007) Ms J Hanrahan Ms A Bingham (from 13 March 2007) Ms J Hunt (to 15 August 2006) Dental Services Ms J Wood Ms S Anderson Ms C Dmytrenko (to 18 September 2006) Omeo Medical Centre Ms S Lawlor Ms T AhSam Ms J Smith Ms W Seymour (Casual) Maintenance Domestic Services Mr S Disney Ms D Hocking Ms J Smith (Casual) Ms B Reid Mr C Summerton (from 26 March 2007) Ms L Roberts Mr G Williams

Food Services Casual Food/Domestic Services Ms M Goudie (from 7 August 2006) Ms P Connley Ms B Keating Ms M Goudie (to 7 August 2006) Ms R Lucas Ms B Love (from 13 November 2006) Ms K Page Ms L McMillan (from 13 November 2006) Ms C Spencer Ms L Mitchell (from 26 March 2007) Ms M Thumerer Ms H Richards (to 18 September 2006) Ms M Worcester

Judy Wood (Admin) and Jenny Hanrahan Merilyn Pendergast and Roseann Sadler (Finance) (Planned Activity Group)

Community Services Manager – Community Services Occupational Therapist Ms M Last Ms M Last

District Nursing Service Youth Employment Coordinator Ms S Arnold Mr B Smith (to 25 May 2007) Ms M Budge Physiotherapist Rural Outreach Worker Mr K Guditi Mr K Dmytrenko (from 14 January 2007) Social Worker / Counsellor Planned Activity Group Ms C Smith (to 8 June 2007) Ms M Pendergast Ms R Sadler Health Promotions Ms L Mooney Dietetics Ms K Fuhrmeister Diabetes Educator Nicole Creaser Ms A Walker

Home & Community Care Foot Care Ms M Bohacik Mrs D Watts Ms N Boucher Ms Y Cullen Speech Pathology Ms J Kennedy Cherie Kelly Ms B Love (from 13 November 2006) Christine McIntosh Ms L Miller Ms J Tuck Maternal & Child Health Ms R Walker Caroline Paton Ms K Weaver

From left: Christine Onslow (RN1), Sue Vardy (RN1), Darren Fitzpatrick (NUM), Jean Jenkins (RN2), Anne Kissane (RN2), Heather Kewish (RN1), Alison Thorburn (RN2), Lorraine Gilmore (RN1), Jo-Anne Cavill (DON).

Recognition of Service Equal Employment Opportunity (EEO) Omeo District Health recognises staff as its Omeo District Health is subject to the greatest asset and acknowledges the requirements of the Equal Opportunity Act dedication and commitment of all staff to 1995 and applies appropriate merit and residents, patients and the community and equity principles in its management of staff. values their loyalty to the health service. The Health Service expects all staff to take responsibility for fair, non-discriminatory The Board of Management acknowledges behaviour. members of staff with length of service awards in recognition of the valuable Employee Relations contribution they have made to the health Our valued staff continue to provide excellent service over a number of years. The health support to the organisation. Each individual service staff who will receive length of is to be congratulated on his or her work ethic service awards as at 30 June 2007 are listed and commitment to the team. below:

Merilyn Pendergast (10 Years) Kathrin Mackey (10 Years) Lorraine Gilmore (20 Years)

Equivalent Full Time Staff Total Number of Staff Male Female 2006 - 2005 – 2004 - 2003 - Employed (at 30th June 2007) 2006 - 2007 2006 - 2007 2007 2006 2005 2004 Total % Total % Total Nursing / Bed Based 1 3.33 29 96.67 15.30 15.21 13.07 13.49 Services Administration 1 20 4 80 3.30 2.50 4.20 4.80 Dental Clinic 1 25 3 75 0.91 0.29 0.19 0.77 Medical Centre 4 66.67 2 16.67 1.46 2.25 - - Specialist Services 1 50 1 50 0.01 0.01 - - Community Health 3 37.5 5 62.5 3.98 3.59 4.29 1.30 Services HACC Services - - 9 100 2.63 2.06 2.24 - District Nursing - - 2 100 1.15 1.00 1.20 1.00 Planned & Aged Care - - 3 100 0.89 0.75 1.04 0.83 Activities Domestic Services - - 5 100 1.95 1.70 1.90 1.40 Catering Services - - 8 100 4.19 3.49 3.72 4.22 Maintenance & Grounds 3 75 1 25 2.52 1.53 2.45 1.95

Occupational Health & Safety Victorian Industry Participation Policy Omeo District Health observes and abides by Disclosure the Occupational Health and Safety Act 2004 Omeo District Health follows the Victorian and seeks to secure the health, safety and Industry Participation Policy principles welfare of employees and other persons at relating to procurement and tendering work, to eliminate, at the source, risks to the processes. health, safety or welfare of employees and other persons at work and to provide for the Implementation and Compliance with involvement of employees, and organisations National Competition Policy representing those persons, in the In accordance with the national competition formulation and implementation of health, principles agreed by the Federal and State safety and welfare standards. Governments in April 1995, Omeo District Health has implemented policies and Building & Maintenance Compliance procedures to ensure compliance with the In the year ended 30 June 2007, all buildings National Competition Policy. These of Omeo District Health were fully compliant programs and policies include tendering for with the Building Act 1993. No further major the provision of goods and services, and a building works were undertaken during the number of services are already outsourced on reporting period. a competitive basis including fuel provision, vehicle and engine maintenance, and Freedom of Information Requests transport services. Omeo District Health is subject to the Freedom of Information Act (Victoria) 1982. All health Application & Operation of Whistleblowers service records are accessible to the Policy limitations imposed by the Act. The public Omeo District Health is subject to the may seek access to such records by making a Whistleblowers Protection Act 2001. In the year written request to the Chief Executive Officer. ended 30 June 2007, there were no protected In the year ended 30 June 2007, three (3) disclosures to the Ombudsman requiring applications for access to documents under operation of the Omeo District Health the Freedom of Information Act were Whistleblowers Policy. received. Service Activity

Mental Other Admitted Patients Acute Sub-Acute Health (Aged Care) Total Separations Same Day 291 0 0 0 291 Multi Day 57 0 0 10 67 Total Separations 348 0 0 10 358

Total WEIS 100.12

Total Bed Days 809 0 0 4,638 5,447

Non-Admitted Patients Mental Acute Sub-Acute Health Other Total Emergency Department 427 0 0 0 427 Presentations Outpatient Services 234 0 0 0 234 (Occasions of Service) Total Occasions of Service 661 0 0 0 661

Financial Results

Summary Chart

2006/2007 2005/2006 2004/2005 2004/2005 2003/2004 Financial $,000 $,000 $,000 $,000 $,000 Total Expenses 3,758 3,814 3,058 3,058 2,753 Total Revenue 3,749 3,559 5,738 5,738 4,375 Operating Surplus / (Deficit) (9) (255) 2,680 2,680 1,638

Retained Surplus 3,873 3,980 4,243 4,243 1,544

Total Assets 8,846 8,870 7,545 7,545 4,976 Total Liabilities 787 803 843 843 973 Net Assets 8,058 8,067 6,702 6,702 4,002 Total Equity 8,058 8,067 6,702 6,702 4,002

Summary of Significant Changes in Events Subsequent to Balance Day, which Financial Position during Financial Year may have significant effect on Operations in The service incurred a deficit of $8,839 after Subsequent Years depreciation charges ($309,351) and after the No events that may have a significant effect receipt of bequest funds totalling $152,469. on the operations of Omeo District Health have occurred since the end of the reporting Operational and Budgetary Objectives of period and the date of this report. Omeo District Health The budgetary objectives for Omeo District Consultancies costing in excess of $100,000 Health were to move its operational results (ex GST) towards achieving a break-even position Nil. before depreciation and capital items. Consultancies costing less than $100,000 (ex Summary of Major Changes or Factors GST) Affecting Achievement of Operational There was one consultancy undertaken in Objectives June 2007 at a cost of $2,200. The service performed better than the budgeted outcome for the reporting period. This was achieved through increased fees being generated, together with increased grant income, and improved management of costs.

Revenue Indictors Average Collection Days 2007 2006 2005 Private (Acute) 29 47 30 TAC (Acute, Physio & Outpatients) 44 62 65 VWA (Acute, Physio & Outpatients) 27 60 62 Other Compensable (HACC) 23 30 30 Other Compensable 29 32 33 (Physio, Medical Centre & Outpatients) Psychiatric 0 0 0 Residential Aged Care 25 30 30

Debtors Outstanding Under 30 – 60 60 – 90 Days Total at Total at at 30 June 2007 30 Days Days 30/06/07 30/06/06 Private (Acute) 10,890 0 774 11,664 529 TAC 283 0 878 1,161 1,517 (Acute, Physio & Outpatients) VWA 1,331 0 313 1,644 579 (Acute, Physio & Outpatients) Other Compensable 13,091 1,144 1,323 15,558 9,164 (HACC) Other Compensable 11,919 0 4,575 16,494 6,278 (Physio, Medical Centre, Outpatients & Sundry Other) Psychiatric 0 0 0 0 0 Residential Aged Care 3,145 -658 1,357 3,844 -254 TOTAL 40,659 486 9,220 50,365 17,813

Abbreviations: ‘TAC’ - Transport Accident Commission ‘VWA’ - Victorian Workcover Authority

Donations A number of donations have been received during the year for which we are very grateful. Omeo District Health is very fortunate to have the support of many volunteers providing practical help, advice and companionship to many of our Residents and community clients.

Volunteers are a welcome addition to our programs, bringing with them a variety of skills and expertise, lots of fresh ideas, and a caring smile. New volunteers are always extremely welcome.

Companies, Groups, etc. $ Individuals $ Omeo District Race Club 1,000.00 R. Sadri 50.00 A. Truscott 100.00 R. Manhire 50.00 W. Henshaw 40.00 R. Howden 20.00 Z. Pendergast 50.00 K. Prinsen 50.00

Other Donations • A pair of crutches – from C Shrubsole, Frankston.