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2012-2013 Monashhealth

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2012-2013 Monashhealth Annual 2012-2013 ReportBetter health in our community MonashHealth + Hospitals MELBOURNE CBD Greater Dandenong Community Health Service Cardinia Casey Community Health Service Monash Monash Medical Centre Medical Centre Clayton Moorabbin Our care at a glance Springvale Kingston Cockatoo Centre Dandenong Hospital Dandenong Doveton Berwick Casey Hospital Pakenham Cranbourne Cranbourne Integrated Care Centre About Our us vision Monash Health is proud to provide Better health in our community integrated health care to one quarter of Melbourne’s population. We uniquely provide health care across Our the entire life-span – from newborns purpose and children, to adults, the elderly, their To plan and deliver quality, patient families and carers. centred health care and services, We improve the health of our community education and research that meets the through: needs of our community. • Prevention • Early intervention • Community based treatment and rehabilitation Our • Highly specialised surgical and medical values diagnosis, treatment and monitoring We remain firmly committed to our services iCare values of: • Hospital and community based mental Integrity health services Compassion • Comprehensive sub-acute and aged care iCar e Accountability programs Respect • Palliative care Excellence • Research • Education 2 Monash Health Annual Report 2012-2013 2012-2013 Our care at a glance 2.44 million episodes 986,000 occasions Total episodes of care Outpatient services more than 2.44 million episodes of more than 986,000 occasions of service care provided across our services to the provided by our outpatient clinics. community. 193,000 people 9,000 babies Hospital admissions Births more than 193,000 people admitted to more than 9,000 babies delivered. our hospitals. 180,000 people 29,000 children Emergency presentations Paediatric admissions more than 180,000 people came to more than 29,000 admissions of children our three Emergency Departments for under age 19 to our children’s wards and treatment. neonatal units. 46,000 arrivals 235,000 contacts Ambulance arrivals Mental health more than 46,000 ambulance arrivals more than 235,000 client contacts. handled by our Emergency Departments. 39,000 operations 185,000 hours Surgical operations Community health services more than 39,000 operations performed. more than 185,000 hours of direct primary care and home and community care services provided in our community. Monash Health Annual Report 2012-2013 3 Chair of the Board and Chief Executive Report of Contents 2 About Monash Health Operations 3 2012-2013 at a glance 5 Report of the Chair of the Board and Chief Executive and achievements against Strategic Goals 16 Our sites, services and staff 23 Governance 24 Our Board of Directors 28 Organisational structure 30 Statutory compliance 31 Disclosure index 32 Attestations 34 Key financial and service performance reporting 39 Summary of financial results 41 Financial summary 42 Financial statements and explanatory notes 43 Declaration 44 Independent Auditor’s Report Report of the Chair of the Board and Chief Executive In accordance with the Financial Management Act 1994, we are pleased to present the Report of Operations for Monash Health for the year ending 30 June 2012. The many achievements presented Our Means priority and the strong wide priority has continued to result in this report reflect the teamwork engagement and leadership of our in improvements in patient flow and and dedication of our wonderful staff. patient care. staff. In May 2013, we renamed our During the last year we have also 2012-2013 has been an exciting organisation Monash Health. invested considerable time in the year across the organisation This new name gives appropriate development of our new Strategic as together we have continued recognition of our role in the Plan for 2013-2018 including to deliver the highest quality delivery of high-quality health a comprehensive consultation healthcare for the people in services, research and clinical process with staff, patients and our Melbourne’s south-east and education. partners. beyond. The new name also builds on The result is four new key priorities We are delighted to report that several of our recognisable brands for Monash Health which will help Monash Health has exceeded including Monash Children’s, us provide exceptional care for our budget by $0.6million in 2012- MonashHeart, Monash Cancer patients; patients first, innovation, 2013 with an operating surplus of Centre, Monash Health Foundation partnerships and sustainability. $1.1million - the first time in seven and Monash Doctors. years. This is the final year of the 2010- During the past 12 months we 2013 Strategic Plan and we are This has allowed us to invest in have seen an increase in demand very proud to highlight some of our equipment, projects and capital for services in our Emergency many achievements against our works that will ensure we are a Departments and demand in other five Strategic Goals: sustainable organisation into the areas including outpatients and future. mental health has also increased. This significant achievement has We have also continued our focus been made possible through our on delivering outstanding patient organisation wide Living Within centred care. This organisation “A heartfelt thank you to each and every individual who has played a part in providing care for our community in 2012-2013. ” Monash Health Annual Report 2012-2013 5 Report of the Chair of the Board and Chief Executive • The Patient Centred Care staff At Casey Hospital our clinical Strategic Goal 1: training module, commissioned leadership team has also Safe and effective patient by the Patient Centred Care conducted in-depth planning to centred care Steering Committee, has been improve models of care for our • The Intensive Care Unit (ICU) at designed in response to a request emergency patients. Monash Medical Centre Clayton to create a shared understanding is conducting a world-first trial across Monash Health of how to These changes in our models of of innovative software that runs put the patient and their family care will ensure our patients have within a patient monitor to turn at the centre of our thinking. In access to even better emergency raw patient data into a course of addition to designing this two- care and we anticipate significant care. This will allow the users hour program, a series of one- improvement in our NEAT targets to have access to therapeutic day Train the Trainer programs over the coming year. guidance rather than just raw has been delivered to nominated data which will lead to improved employees from across the • Patient journey boards have patient outcomes. The software organisation. been installed on a number is the result of pioneering work of wards at Monash Medical by Associate Professor Geoffrey • MonashHeart performed the Centre Clayton and Dandenong Parkin and his ICU colleagues. world first-in-man new ‘Lotus’ Hospital. The boards are a visual The decision support device is heart valve procedure, which tool used to assist with improved a standalone touchscreen that allows cardiologists to insert a communication on the wards communicates with the bedside replacement aortic heart valve and serve to enhance patient monitor. without the need for open heart outcomes and flow. surgery. This new technology • Our Central Production is for elderly patients suffering The boards are consistent across Kitchen won the 2012 Aged from severe life-threatening all wards and sites to assist non- Care Hospitality Award for aortic stenosis, or a narrowing ward based and rotating staff. Catering Innovation of the of their aortic heart valve, where Many units are also holding their Year. The Awards recognise a replacement ‘Lotus valve’ was multidisciplinary team meetings the contributions of hospitality inserted on the end of a wire at the board enabling team staff and outstanding catering through a small puncture in the communication and plans to be units in aged care facilities. Our groin. The first five cases were documented in a central location submission was for the provision performed by MonashHeart and and updated daily. of the multicultural/vegan/gluten all patients have experienced free meals that are provided exceptional outcomes to date. • A new patient menu has been at Monash Health sites as well introduced at Monash Children’s as a number of other external • Our commitment to safe and Hospital which comprises six providers. effective patient centred care dishes free from the nine major has seen the introduction of a food allergens. These dishes are • Our clinical stroke team has number of initiatives across our available at each of our Monash developed an innovative model three Emergency Departments Children’s sites and provides of care for transient ischaemic (Monash Medical Centre Clayton, parents of children with food attack (TIA) patients which is Dandenong Hospital and Casey allergies the confidence that we a first in Australia. Traditional Hospital), wards and access can provide appropriate meals for care has meant a median stay teams. their child. of four days following admission, conducting investigations and These initiatives are providing • Under the direction of Professor commencing treatment before better care for our emergency Tim Buckenham, Consultant discharge. However the new department patients as well Vascular and Interventional outpatient model of care and has as leading to favourable Radiologist, our new Endovenous a median stay of only two days. achievements toward the National laser therapy clinic offers The new model maintains patient Emergency Access Targets minimally invasive treatment for safety while providing more timely (NEAT). The initiatives have been the longest waiting patients on access to care. implemented through our Four the varicose vein waiting list. Hours Will Be Ours priority. • Casey Hospital has continued to This clinic, the first of its kind introduce a range of initiatives to At Dandenong Hospital, in a Victorian public hospital, is improve hospital care for patients strategies to improve patient flow for patients with severe venous with delirium and dementia.
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