PENINSULA HEALTH Annual Report2005

For a spoken version ring 9784 7821 CONTENTS

1 Looking Forward Peninsula Health’s: Peninsula Health overview and outline of Strategic Plan 2 2004/05 at a Glance Mission Achievements against Strategic Plan In Partnership, Building a Healthy Community. 4 A Year of Achievement A summary of activity from Chairman Barry Nicholls Vision and Chief Executive Dr Sherene Devanesen • To be recognised as a leader in promoting and 6 Peninsula Health Profile providing quality, innovative, coordinated and History, demographics, special needs and partnerships personalised health services 8 Key Performance Indicators • To be recognised as an employer of choice. 10 Board of Directors We believe that our Vision will be achieved by: 12 Executive Staff • Promoting health, treating illness and providing long term care 13 Organisational Structure • Working in partnership to coordinate The management structure that underpins the service • Managing and meeting consumer expectations 14 Review of Operations – Clinical Services • Providing teaching, training and education 14 Frankston • Managing resources efficiently and effectively. 18 Rosebud Hospital 20 Rehabilitation, Aged Care and Services and Allied Health Objective of Report 24 Peninsula Psychiatric Service 26 This Report is produced to bring Peninsula Health’s communities, partners and Government up to date with 28 Quality and Customer Services its performance for the financial year 1 July 2004 – 29 Patient Safety and Medical Governance 30 June 2005. 30 Pharmacy Peninsula Health’s vision is to provide coordinated health 31 Research care and this leads to an integration of programs and 32 Medical and Nursing Education patient services across a number of sites. As a result 34 Review of Operations – Non-clinical Services progress and achievements of some programs may 34 Human Resources appear in several areas of this report. 36 Engineering and Facilities Management The Annual Report should also be read in conjunction 36 Support Services with the Quality of Care Report, which details Peninsula 38 Finance Health’s progress and achievements in many clinical areas. 38 Information Management It is prepared in accordance with Government guidelines, the directions of the Minister for Finance and in line with 40 Community Participation Australasian Reporting Awards Incorporated Guidelines. 41 Volunteers It will be presented to the public at Peninsula Health’s Annual General Meeting on Friday 25 November 2005. 42 Senior Staff Senior Staff review

Front cover shows (Left to right): 45 Map and Contacts Left: First time parents Daryl and Jackie Cooper with How to reach the service you want baby Brianna, born at and transferred 46 Services to Rosebud Hospital to be closer to home; Centre: Joyce Dodson, one of over 300 patients seen List of Peninsula Health’s services by the Response, Assessment and Discharge (RAD) team at the Rosebud Emergency Department since this service 48 Index was introduced in January 2005, is pictured with RAD Glossary (inside back cover) team member Georgia McIntyre; Right: Sara Frederiksen, Peninsula Health’s new Aboriginal Liaison Officer who will focus on health promotion and access for the Indigenous community. LOOKING FORWARD

Peninsula Health – Overview Year in brief Peninsula Health provides a comprehensive range of health services to over 310,000 people living in the City of Kingston, Financial ($000s) 2005 2004 Variance the City of Frankston and the Shire Total revenue 251,580 231,205 8.8% communities. Total expenditure 249,728 229,527 8.8% Surplus 1,752 1,678 4.4% Peninsula Health operates from 10 sites. There are two (before depreciation, public , an inpatient palliative care unit, hospital and capital and abnormal items) community-based psychiatric services, inpatient and day Total assets 190,980 190,132 0.4% Total liabilities 51,634 46,586 10.8% service rehabilitation facilities, nursing homes, hostels, aged Equity 139,346 143,546 (3.0%) care units and community health programs. Many services are also delivered in peoples’ homes. Staff Number of staff employed 4,028 3,798 6.1% The health service is active in both clinical education and Equivalent full time (EFT) 2,480 2,305 7.6% medical research and is the largest employer on the Peninsula with 4,028 staff. Services are enhanced by the contributions Performance indicators of 832 volunteers. Acute (Frankston and Rosebud Hospitals) Peninsula Health - Looking Forward Inpatients treated (separations) 58,027 56,474 3.1% Emergency presentations 65,245 62,518 4.4% Peninsula Health’s overall objective is a healthy community and goals to achieve this are set out in the Strategic Plan for Psychiatric Services 2005-2008. Occupied bed days 10,601 10,154 4.4% Community contacts 88,648 71,202 24.5% The community, stakeholders and staff have all helped build the Plan’s goals and strategies which are designed to meet Rehabilitation, Aged and today’s needs and prepare for the future. Palliative Care Services (RAPCS) The Strategic Plan is renewed every three years based on Outpatient Services - 44,188 43,834 0.8% progress to meet the changing needs of the community and occasions of service the new or expanded services that have been developed. Community Health It is designed to tell you how Peninsula Health intends to Outpatient Services - 85,119 72,321 17.6% achieve the Government’s priorities for health, within the occasions of service resources available, over the next three years.

The strategies and goals respond to increased demand for health services, the needs of an ageing population and the increased complexity of community needs.

There is an emphasis on working with Peninsula Health’s partners to strengthen the relationships and improve coordination and access of care for individuals. Peninsula Health aims not just to keep pace with change, but also to help lead it in the community.

The next two pages summarise what has been achieved and define the new challenges which must be met in the coming year.

Peninsula Health Annual Report 1

2004-2005 AT A GLANCE Peninsula Health's Strategic Plan has six objectives. Achievements against them are listed below.

Meeting DemandBuilding Partnerships Enhancing Quality

Goals Goals Goals

• Provide a quality of care to older • Foster development of mutually • Build on our strong culture of people that is in keeping with beneficial partnerships to build a quality and innovation. evidence based practice. healthier community. • Establish and maintain a strong • Provide high quality, complementary and dynamic research function services from Rosebud Hospital that Achievements for clinical, strategic and social assists Peninsula Health in meeting research. growing demand. • Developed partnership between • Work in partnership with other RAD team and Metropolitan Achievements health providers to enhance the Ambulance Service, see pg 16. health and well being of the • Contributed to the development • Achieved Australian Council on community. of the Southern Metropolitan Healthcare Standards (ACHS) • Provide a flexible range of Integrated Cancer Service, Accreditation at Periodic Review responses to the increasing level see pg 17. in May 2005; see pg 28. and complexity of demand. • Developed Volunteer Handbook, • Participated in Patient Flow • Continue and enhance service Volunteer Agreement and Task Collaborative, Operating Theatre, and capital planning across acute, Descriptions to assist in effective Efficiency Project, see page 15, mental health, community health recruitment, see pg 41. and the National Medication Safety and aged care and rehabilitation. • Aboriginal Liaison Officer Collaborative, see pg 30. commenced June 2005, see pg 40. • Implemented Interdisciplinary Care Achievements • Peninsula Complex Care Program Program in Rehabilitation, Aged and established, see pg 27. Palliative Care Services (RAPCS), • $20 million allocated to begin work • Senior executive appointed to see pg 21. on the new Mornington Centre manage consumer participation • RAPCS research group established, Promoting Health Independence in all of Peninsula Health’s Services, see pg 21. site in 2005/06 State budget, see pg 40. • Program for Nursing and Allied see pg 20. Health Research Presentations • New services at Rosebud Hospital – established in Research Week. General Medical Unit, Response, • Ranked third highest and surpassed Assessment and Discharge (RAD) the target for benchmarked health team, Emergency Department services in latest external cleaning Service development, see pg 18. audit, see pg 37. • Community Health collaborated with • Implemented several strategies the Service to hold two to help consumers to become successful health forums for men, more familiar with their rights and see pg 26. responsibilities, see pg 28. • New electronic information system • Lotus Lodge Hostel was accredited implemented to monitor the for the maximum three years progress of a patient in the by Aged Care Standards and Frankston and Rosebud Emergency Accreditation Agency Ltd (ACSA) Departments, see pg 16. in November 2004, see pg 22. • Research Development Grants awarded for the first time, see pg 31.

2 Peninsula Health Annual Report Caring for and Managing Our Managing Risk Supporting Our Resources Workforce

Goals Goals Goals

• Promote the attractiveness of • Maintain financial viability by living • Identify, analyse, treat, evaluate and Peninsula Health as an employer of within our means. monitor key risks at all levels. choice, avoiding staff shortages in • Plan, manage and enhance physical key areas. infrastructure. Achievements • Provide timely, accurate information Achievements to improve efficiency and • Falls Risk Assessment Tool (FRAT) patient/client outcomes. developed by Falls Prevention • Workforce planning initiatives Service recognised internationally, developed for Allied Health, Achievements see pg 21. Pharmacy and Nursing, see pg 35. • Clinical Portfolio roles established • Job vacancies now advertised • Small financial surplus last two across RAPCS wards to reduce with SEEK.com resulting in an years invested back in Services clinical risk and optimise patient 82 per cent increase in the number and Programs, see pg 39. outcomes, see pg 21. of applications received and a • $3.4 million redevelopment of the • Medication Safety Collaborative 10 per cent reduction in cost per Frankston Radiology Department project completed, see pg 30. advertisement, see pg 35. has commenced, see pg 14. • Hand Hygiene Collaborative • 28 trainees undertook YES • New Finance and Supply implemented, see pg 28. traineeship placements at Peninsula Management Information System • Outstanding rating for legal Health, see pg 35. (FMIS), implemented July 2005, compliance in ACHS survey, • Medical Officer Bank established, see pg 39. see pg 28. see pg 30. • Electronic discharge summaries further developed, see pg 30.

Peninsula Health Annual Report 3 CHAIRMAN AND CHIEF EXECUTIVE’S

During the year under review, Peninsula Health provided recording a rating of “Extensive Achievement” in seven care and service to people in its community on more areas and a rating of “Outstanding Achievement” for the than 300,000 occasions. organisation-wide legal compliance program.

Efficient and effective models of care delivered a record Peninsula Health’s residential care facilities number of services during the financial year 2004/05. have also maintained accreditation with the Aged Care Standards and Accreditation Peninsula Health’s achievements are reported in the Annual Agency (ACSA). Report package, which includes full financial statements, the 2005 Quality of Care Report and the 2005 Research Report. Education In an effort to provide this information to a greater number of people, the Annual Report and the Quality of Care Report Ties with learning and teaching are available on CD so that the information is available to institutions remain strong. the sight impaired and others who will find an audio version As a teaching hospital of Monash easier to access. University,and through affiliation with other educational Challenges institutions, Peninsula Health participates strongly in The increasing demand for Emergency Services continued undergraduate and post-graduate with a 3.6 per cent increase in demand at Frankston Hospital training in the health professions. and a 6.3 per cent increase at Rosebud Hospital. A significant Ongoing professional proportion of those who present to the Emergency development and research Departments require inpatient care. activities are also encouraged.

Owing to this high demand for inpatient beds and the need Workforce for more operating theatre capacity, planned admissions for elective may be delayed. Strategies to minimise Workforce shortages continue these delays are documented in this report. to exist in some disciplines. The nursing recruitment program has Extending care again attracted a number of nurses from overseas and Peninsula Health Efforts to build a healthier community extend into homes is now more frequently the first across Frankston and the Mornington Peninsula. Peninsula choice for local nursing graduates. Health delivers a wide range of domiciliary and community services. The development of new models of care has Community Participation led to an increase in the services being provided in community settings. Peninsula Health is committed to enhancing community participation in Accreditation the planning and delivery of services. This is achieved by including Feedback received from service users and the assessments consumers in the decision making made by external evaluators are used to measure process and by receiving and acting achievements and to identify areas for improvement. During upon feedback provided by the the year, a team of surveyors from the Australian Council on community. Healthcare Standards (ACHS) visited Peninsula Health and formally assessed the organisation against 19 mandatory There are three Community Advisory criteria. Peninsula Health maintained its accreditation status, Committees and Peninsula Health is

4 Peninsula Health Annual Report REPORT

indebted to the membersof these committees for their partnership that has helped to improve the provision of support of the health service. services. There are currently 832 volunteers, all of whom are valuable members of the team at Peninsula Health. In The health service works closely with community groups 2004/05, a program to strengthen ties with the dedicated and other service providers to improve the integration and groups of Volunteers and Auxiliaries was introduced at delivery of services. The Primary Care and Population every site. Health Advisory Committee, which consists of external health care providers together with The Board Peninsula Health staff, give valuable advice to Peninsula Health. The Board of Directors comprises nine people with varied skills, experiences and backgrounds. They have made a A series of public health education forums significant contribution to the ongoing development of was conducted in collaboration with Peninsula Health. In this regard, it is important to recognise other service providers and were the service and contributions of Dr Virginia Mansour and well attended. Mr Jim Young both of whom resigned from the Board during the year. Two new Board Directors, Associate Professor Ruth Peninsula Health appreciates Salom and Mr Ian Allen OAM, were appointed from 1 July the close ties with Local 2005. The ongoing Board Directors are Diana Ward (Deputy Government in Frankston and Chairman), Jim Kerrigan, Diana Macmillan, Liza Newby, on the Mornington Peninsula Michael Tiernan and Dianne Wickham. Each has made a and the support of the local valuable contribution in the past year. Members of Parliament. Throughout the year, staff and management at every site developed programs, systems and processes that provided The level of service available comprehensive and expanded services within allocated on the Peninsula would not be resources. Extraordinary efforts at every level made it possible without the backing possible to finish the financial year with an operating surplus of the Department of Human of $1.75 million. These funds will be directed towards the Services (DHS) and other purchase of equipment for Peninsula Health. relevant government departments and bodies. The Board and Senior Management Team acknowledge the Peninsula Health acknowledges, dedication and professionalism of the staff whose efforts in particular, the strong support it resulted in an unprecedented number of quality services receives from the Department of being delivered to the community in 2004/05. Human Services.

Over the years, service clubs, school councils, businesses and other organisations have provided ongoing support to the health service. Staff at every level are grateful to the thousands Barry Nicholls Dr Sherene Devanesen of individuals who have donated Chairman Chief Executive generously to Peninsula Health.

For more than 60 years, volunteers have been contributing to Peninsula Health in a very significant manner, enriching a

Peninsula Health Annual Report 5 PENINSULA HEALTH PROFILE

What is Peninsula Health? Growth

Peninsula Health is one of 13 public metropolitan health Between 2001 and 2012, the Peninsula Health catchment services in . area population is expected to grow by 7.2 per cent, from 292,190 to 313,343. The highest growth rate is predicted The health service comprises: Frankston and Rosebud for older people, with an expected 25 per cent increase in Hospitals; Aged Care, Rehabilitation, Palliative Care and the number of people over 70 compared with an increase Residential services in Edithvale, Seaford, Frankston South, of 12 per cent, on average, for . Mount Eliza and Rosebud; Psychiatric services in Frankston and Rosebud; and a Community Health Service based What are the Special Needs of this Community? in Frankston. The distance to tertiary health centres in Melbourne Some services such as the Mount Eliza Personal Assistance coupled with the lack of adequate public transport Call Service (MEPACS) assist clients from adjacent areas and arrangements make it necessary for Peninsula Health other sections of Victoria. to provide a comprehensive range of services for the communities in Frankston and the Mornington Peninsula. Who Does Peninsula Health Serve?

Population

The 310,000 people served by Peninsula Health live in a 900 sq km area that includes the City of Frankston, the Mornington Peninsula Shire and the southern part of the City of Kingston.

This population has a higher than average proportion of people over 65, statistically the group requiring the most health services.

Peninsula Health also provides emergency and other services for the more than 100,000 summer visitors to the Peninsula.

At the last census, there were 1,200 indigenous people living in the service area and Peninsula Health provides some services specifically for the Koori community.

About 10 per cent of patients come from a non-English speaking background. Peninsula Health staff have access to interpreters to assist in communicating with these patients if required. The most frequently used languages other than English are Croatian, Greek and Italian.

In 2004/05 important patient information was translated into these languages and added to the website.

6 Peninsula Health Annual Report The five most prevalent medical conditions affecting residents How does Peninsula Health address these of the region are cardiovascular disease, cancer, chronic high risk factors? respiratory conditions, endocrine disorders including diabetes and mental disorders including dementia. A comprehensive approach is taken to all risk factors. Some recent strategies include: Tobacco continues to be the biggest disease risk factor for • Appointment of two additional Interventional Specialist both men and women, with physical inactivity, high blood Cardiologists. This doubled the number of days available pressure and obesity next on the list. In addition, alcohol, to perform angioplasty procedures from two days to four poor diet, high cholesterol, illicit drugs, unsafe sex and work days a week, (see page 15) injuries make up the top ten risk factors. • The Southern Metropolitan Integrated Cancer Service (SMICS) has been established to support improvements The rate of death and disability in the service area is slightly in the integration and coordination of cancer services lower than the average for Victoria. Women in the service provided by three major health services, (see page 17) area population can expect to live to almost 82 – men to • Provision of cardiac (heart) and pulmonary (lung) nearly 76 years of age. Sadly, Aboriginal life expectancy is rehabilitation programs both in hospital and in outpatient between eight and 18 years lower than the Victorian average. settings • Extensive drug and alcohol related programs. These include the operation of a Needle Syringe Exchange Program (see page 26), a methadone clinic and counselling services to assist people with addictions and to protect the community.

Who are Peninsula Health’s Partners?

“In Partnership, Building a Healthy Community”, our mission for Peninsula Health, requires close and productive partnerships with a wide range of individuals and organisations. These relationships assist the health service to plan, monitor, develop and improve its services. Partners in meeting the needs of the community include: • Health care consumers, patients, clients, residents, their families and carers • Health care providers including Peninsula Health staff, General Practitioners, Specialists and other public and private health organisations and agencies • Learning, teaching and research organisations • Government and Government agencies at Local, State and Federal levels, particularly the Department of Human Services • The Community including individuals, businesses and community organisations • Supporters including volunteers, donors, corporate sponsors and philanthropic organisations.

Left: Josephine Bonnici gets help from our Complex Care Service for her Chronic Heart Failure. A regular, supervised exercise program is part of her health regime, and she especially enjoys it when her husband, Frank, joins in.

Peninsula Health Annual Report 7

KEY PERFORMANCE INDICATORS within %) ed ted Hospital Inpatients Treated Emergency Patients Admitted to a Ward within 12 hours eat 50000 45,820 47,063 93% 43,537 40,817 92% 38,735 91% 40000 hours ( 91% 90% 90% ts Tr 90%

30000 ts admit 89% 12

ien 88% 20000 87% 86% 10,491 10,964 ien 86%

Pat 9,146 10000 5,591 7,499 85% 84% 0 Pat 83% 2000/01 2001/02 2002/03 2003/04 2004/05 2001/02 2002/03 2003/04 2004/05 Frankston Rosebud

The total number of inpatients treated for the year increased by 90 per cent of emergency patients admitted to a ward waited less than 2.7 per cent at Frankston Hospital and 4.5 per cent at Rosebud Hospital. 12 hours; compared to 91 per cent in the previous year. This is better than the State average. es

Emergency Department Presentations Hospital Bypass Episodes ons

46,794 pisod 200 186 50000 44,814 45,154 40,538 40000 153

s E 150 136 ntati 30000 100 93 17,364 18,451 20000 15,379 12,244

Prese 50 10000 Bypas

0 0 2001/02 2002/03 2003/04 2004/05 2001/02 2002/03 2003/04 2004/05 Frankston Rosebud

Presentations List to Hospital Emergency Departments grew by 3.6 per cent Frankston Hospital had 153 episodes of bypass in 2004/05. This increase at Frankston Hospital and 6.2 per cent at Rosebud Hospital in 2004/05. of 17 was wholly due to industrial action during 2004/05. ing ait Elective Surgery Patients on Waiting List as at 30 June Elective Surgery Waiting Times (in days) by Category

4000 3,553 300 273 3500 251 2,9482,964 250 217 3000 2,748 200

ts on W 2500 200 2000 150 Days

ien 1500 100 1000 500 50

Pat 87 0 0 2001/02 2002/03 2003/04 2004/05 Category 1Category 2Category 3 03-04 04-05

There was a slight increase in the number of patients waiting for Average waiting times for elective surgery decreased for Category 1 and elective surgery as at 30 June. 2 patients. However, average waiting times for Category 2 patients still exceeded the 90 day target set by DHS. Average waiting times increased marginally for Category 3 (non-urgent) patients.

8 Peninsula Health Annual Report Operating Surplus/Deficit (prior to depreciation Expenditure and Capital Income) $300,000 $2,000 $1,678 $1,752 $247,918 $250,000 $229,527 $1,500 $215,246 $189,636 $1,000 $679 $200,000 $500 2003 $150,000 $0 al Expenditure ($'000) $100,000 -$500 2002 2004 2005 -$1,000 $50,000 Tot

Surplus/Deficit ('000) -$1,500 -$1,419 $0 -$2,000 2002 2003 2004 2005

A small and improved operating surplus was again achieved in 2004/05 Expenditure continued to rise to $250m. Wage increases and increased assisting with the funding of capital equipment and programs. services were the major factors which contributed to the increase.

Assets/Liabilities Equivalent Full Time Employees 2,480.11 250,000 2500 2,279.61 2,305.62

200,000 190,132 190,980 2000 154,366 153,248 150,000 1500 al ($'000) 100,000 1000 al EFT employees

Tot 46,586 51,634 50,000 38,884 42,763 500 Tot 0,000 0 2002 2003 2004 2005 2003 2004 2005

Assets Liabilities

The value of assets remained steady at $191m in 2004/05 following a Staff numbers (measured by full time equivalents) have grown steadily significant increase in 2003/04. Liabilities, mainly staff entitlements, as services have increased. continued to rise and were $52m in 2004/05.

Sources of Revenue 2005

2% 4% 2% Government Contributions 5% Indirect Contributions 1% by DHS Patient and Resident Fees Donations & Bequests Recoupment from Private Practice Use of Facilities 86% Other Capital Purpose Income Revenue from Non-Operating Activities

Government contributions remain the major source of revenue, but other sources such as patient fees and donations remain important.

Peninsula Health Annual Report 9 BOARD OF DIRECTORS

Front row left to right Ms Diana Macmillan Member Law Institute of Former CEO three major Mr Barry Nicholls (Chair) DipPE (Melb) Victoria; teaching hospitals, most MEc BEc (Hons 1) TPTC Frankston Resident; WorkCover Committee; recently the Royal Victorian Former Senior Victorian Company Director; Accident Compensation Eye and Ear Hospital. public servant, including Member, Menzies Inc Committee. Meetings attended: 10 of 11. roles within DHS. Scholarship Selection Meetings attended: 10 of 11. Director, Port of Melbourne Committee. Ms Dianne Wickham Corporation; Fellow, Australian Meetings attended: 10 of 11. Ms Diana Ward BBus CA MIACD Institute of Company (Deputy Chair) Partner, Morey Wickham Directors; Fellow, Institute Back row left to right BA (Sociology & Chartered Accountants of Public Administration Ms Liza Newby Anthropology) Dip Arts and Advisers; (Vic); Past President, LL.B (Hons), MA FAIM (Professional Writing & Director, Job Futures Ltd. Economic Society of Australia Consultant with Resolution Editing). Meetings attended: 11 of 11. (Vic); President, Rotary Club Resource Network; Licensed Estate Agent. of Sorrento Inc. Member Victorian Mental Company Director; Mr Ian Allen OAM Meetings attended: 10 of 11. Health Review Board; Member, Peninsula (from 1 July 2005) Former Victorian Health Hospice Service. BEc, Master of Administration. Associate Professor Services Commissioner. Meetings attended: 9 of 11. Fellow of the Australian Ruth Salom Meetings attended: 10 of 11. Institute of Management; (from 1 July 2005) Mr James Kerrigan OAM Trustee of The Pratt MB BS, MD, BMedSci Mr Michael Tiernan JP BHA (UNSW) FACHSE Foundation and Visy Cares (Hons), FRCPA, MIAC, MBA LL.B Former co-ordinating Member; Peter MacCallum Senior Pathologist, Royal Consultant in Legal Surveyor and Preceptor Cancer Centre Community Women’s Hospital; Associate Management and OHS, for Australian Council on Advisory Committee. Professor of Pathology, Rehabilitation and Risk Healthcare Standards; Consumer of public and Monash and Melbourne Management; ACHSE State President private health services. Universities; Former Faculty and Councillor; Australian board member, Monash Hospitals Association; University; Former board member, Royal College of Pathologists Australasia; Former member, Medical Services Advisory Committee.

10 Peninsula Health Annual Report

Board Governance Board Committees during 2004/05

The nine-member Board of Directors is appointed by the Finance & Resources MSA/Board Executive Governor in Council upon the recommendation of the Committee • Barry Nicholls (Chair) Minister of Health. Directors are usually appointed for a • Dianne Wickham (Chair) • Diana Ward term of three years with members eligible to apply for • Jim Kerrigan Meetings held: 3 reappointment. The Minister for Health (the Hon Bronwyn • Barry Nicholls Pike) holds the Board accountable for the efficient operation • Diana Ward Research & Ethics of the health service. Meetings held: 11 Committee • Liza Newby (Chair) Role of the Board Audit Committee • Jim Young • Dianne Wickham (Chair) (part year) The Board of Directors is responsible for the governance and • Jim Kerrigan Meetings held: 10 strategic direction of the health service and is committed to • Barry Nicholls ensuring that the services provided by Peninsula Health • Diana Ward Community Advisory comply with the requirements of the Health Services Act Meetings held: 5 Committee 1988 and the mission, vision and goals of the service. • Diana Macmillan (Chair) Quality & Clinical • Michael Tiernan The Directors contribute to the governance of Peninsula Governance Committee (part year) Health collectively as a Board through attendance at Board • Jim Kerrigan (Chair) Meetings held: 6 meetings. Individual contribution occurs through participation • Barry Nicholls in or chairmanship of, the various committees of the Board. • Liza Newby Primary Care & Directors also give their time to attend significant Peninsula • Michael Tiernan Population Health Health functions and events relating to Peninsula Health. • Virginia Mansour Committee (part year) • Diana Ward (Chair) The Board meets monthly, with 11 meetings held in the Meetings held: 6 • Diana Macmillan financial year 1 July 2004 to 30 June 2005. There was no • Virginia Mansour meeting in January 2005. Planning & Future (part year) Development Committee Meetings held: 4 At these meetings, respective members of the Peninsula • Michael Tiernan (Chair) Health Executive formally report to the Board on their • Diana Ward Remuneration areas of responsibility. • Barry Nicholls Committee • Jim Young • Barry Nicholls (Chair) Retiring Board Directors (part year) • Diana Ward Meetings held: 5 • Dianne Wickham Peninsula Health Board and Staff extend sincere • Jim Young appreciation to retiring Board Directors, Jim Young and (part year) Dr Virginia Mansour, for their respective and valuable Meetings held: 2 contributions.

Peninsula Health Annual Report 11 EXECUTIVE STAFF PROFILE

PICTURED LEFT TO RIGHT Mr Simon Brewin Elizabeth began her career Vicky has worked with the Executive Director in New South Wales and health sector as a lawyer Dr Sherene Devanesen Psychiatry, Community has worked in senior for 15 years. She came to Chief Executive Health and Infrastructure professional and operational Peninsula Health from an MB BS Dip Obst RACOG B Bus (C&HM) Grad Dip roles in health care in Australian private hospital FRACMA FCHSE FAIM HSM, Grad Cert HE, MBL, Victoria for 20 years. She group and has worked as a FHKCCM FCHSE, CHE is a Fellow of the College barrister. She also worked Appointed: October 2000. Appointed: May 2003. of Nursing Australia and is on the Bristol Royal Infirmary Sherene has 11 years Over 23 years Simon has currently a member on the Inquiry in the United experience in clinical work held a variety of senior Victorian Taskforce on Kingdom. followed by 24 years in executive and management Nurses Preparation for health service management. posts at The Alfred and Mental Health Work. NEW APPOINTMENTS She is a member of the Bayside Health and Mercy (as at September 2005) DHS Board of Health Hospital for Women, Mr Michael Dawson-Smith Information Systems; a Frankston Hospital and the Executive Director Human Mr Chris England Member of the Victorian Peninsula Health Care Resources Executive Director Human Quality Council, Network. He is a Fellow of BA (Politics), Grad Dip Resources and Rosebud a Member of Monash the Australian College of Labour/Mgmt Relations, Acute Health Services University Faculty of Health Service Executives. CMAHRI AHA(UK) CMAHRI Business and Economics Appointed: January 2001 – Appointed: August 2005. Peninsula Advisory Board; Mr Siva Sivarajah resigned June 2005. Chris’ career in health and an ACHS Surveyor. Executive Director Mike has held senior HR administration includes Rehabilitation, Aged and roles with BP Australia, leading the human resources Dr Peter Bradford Palliative Care Services and National Australia Bank and functions at the Austin Executive Director Allied Health Services . Hospital, , Frankston Hospital and BCom ASA ACMA The Royal Melbourne Medical Services; and Appointed: August 2002 – Mr David Anderson Hospital, the Peninsula Deputy Chief Executive resigned August 2005. Executive Director Finance Health Care Network and MB BS MPH FRACMA Siva joined Peninsula BCom MCom (Finance) the Bayside Health Service. FCHSE Health in November 2000 Appointed: October 2002. Appointed: January 2001. as the Executive Director David has experience in Mr Brendon Gardner Peter has worked in senior of Finance and Information senior management roles Acting Executive Director health care management Management. He has also in several government Rehabilitation, Aged and roles for 23 years in Victoria managed Surgical Services, departments. Prior to Palliative Care and Allied and the Northern Territory. Corporate Services, joining Peninsula Health Health Services He is a Fellow and Honorary Engineering, RAPCS, he was Manager, Financial BAppSci(MRA) MHA(UNSW) Treasurer of the Royal Allied Health Services Analysis and Funding, in Appointed: August 2005. Australasian College of and Rosebud Hospital. the Department of Human Brendon joined Peninsula Medical Administrators and Services. David is a member Health Care Network in a Fellow of the Australian Ms Elizabeth Wilson of the Australian Health 1997. He has held several College of Health Services Executive Director Nursing Services Financial positions including Project Executives. Peter is also Services and Community Management Association. Manager for the Portsea a Member of the Council Participation Safe Haven and as the of the Chisholm Institute RN CTCert CCCert Ms Vicky Hammond Director of Information of TAFE and an ACHS DipHNUM BaAppSci(N Corporate Counsel Management for Surveyor. Admin) MHA FRCNA LLB (Hons) LLM (Hons) Peninsula Health. Appointed: January 2005. Appointed: October 2002.

12 Peninsula Health Annual Report

ORGANISATIONAL STRUCTURE

AS AT SEPTEMBER 2005 PROFESSIONAL ISSUES BOARD Medical Dr Peter Bradford Chief Executive Deputy Chief Executive Dr Sherene Devanesen Dr Peter Bradford Nursing Ms Elizabeth Wilson

Allied Health (Acting) Mr Brendon Gardner (from 13/8/05)

Legal Corporate Counsel Ms Vicky Hammond

Executive Executive Executive Executive Acting Executive Director Director Director Director Human Executive Director RAPCS Psychiatry, Nursing Corporate Frankston Acute Resources & Director & Allied Health Community Services & Counsel and Medical Rosebud Acute Finance Health & Community Services Mr Brendon Health Services Ms Vicky Gardner Infrastructure Participation Mr David Hammond Dr Peter Mr Chris England Anderson Mr Simon Ms Elizabeth Bradford (from 13/8/05) (from 29/08/05) Brewin Wilson

• Frankston • Rehabilitation, • Human • Psychiatry • Nursing • Finance/ • Legal Hospital Acute Aged and Resources Services/Sites Services/ Payroll Services • / Palliative Care • Training/ • Community Recruitment • Supply/ • Legal Critical Care Services/Sites Education Health • Nursing Printing Compliance • Surgery/ • Residential • OHS/Disaster Services/Sites Education • Information • Freedom of Operating Care Management • Infrastructure • Community Management Information Services • Allied Health • Chaplaincy • Support Participation • Information • Contracts • Emergency/ • Social Work • Library Services • Koori Liaison Technology • Insurance HITH/ and • Rosebud • Engineering • Services for Outpatients Integrating Hospital • Cleaning Groups with • Women’s/ Care • Environmental special needs Children’s/ Services • Marketing/ Adolescents • Planning/ Public • Quality and Capital Works Relations Customer Services • Investigative Services • Pharmacy • Patient Safety • Medical Governance • HMO Coordination/ Support • Medical Education • Patient Transport • Research and Innovation

Peninsula Health Annual Report 13 FRANKSTON HOSPITAL

Frankston Hospital is the major provider of acute secondary Radiology Department Expands and tertiary hospital services on the Mornington Peninsula. With 321 beds, it provides general and specialty emergency Radiology Services are provided by Peninsula Health in services, medical and surgical services, mental health, partnership with MIA Australia. maternity, and paediatric services. Radiology’s year in 2004/05 has been highlighted by service In its role as a major teaching centre, the hospital has development and facilities planning at Frankston. A $3.4 affiliations with and million redevelopment has commenced. Once completed, and links with other universities in post graduate studies. it will improve clinician and patient access to advanced medical imaging technology in addition to expanding and Achievements modernising the work environment.

• Work has commenced on a $3.4 million upgrade and The enhanced facilities will include: renovation of the Frankston Hospital Medical Imaging • An additional X-ray room (completed) Department. • An additional ultrasound room and equipment • Appointed an Elective Surgery Access Coordinator • Siting of the newly purchased DSA/Digital Fluoroscopy (ESAC) in January 2005 to assist patients waiting for equipment into a purposely designed interventional suite elective surgery. • Improved reporting and staff facilities • In December 2004, Peninsula Health became the first • Siting of a new Multi-slice (16 slice) CT adjacent to the public hospital in Victoria to establish its own Medical Emergency Department (completed) Officer Bank (MOB). • Improved patient facilities • A new electronic information system has been • Improved workflow in facilities better designed to meet implemented to monitor the progress of a patient in expanding demand. the Frankston and Rosebud Emergency Departments. • In 2004/05, two additional Interventional Specialist The department has undertaken reviews of its CT, Cardiologists were appointed. Ultrasound and MRI services to ensure patients receive the • The Family Birthing option of care, which enables families most appropriate test to make their diagnosis in the most to have a more active role in the birth of their new baby, accurate and timely manner. was implemented at Frankston Hospital in August 2004. • Peninsula Health, with the support of the Department of Surgery Human Services, invested $837,000 in specialised equipment for the Intensive Care Unit. In 2004/05 the Surgery and Operating Service performed • Frankston Hospital Redevelopment, Stage Two, is in the 10,650 operative procedures at the Frankston and Rosebud master planning phase. It will include an upgrade in campuses. The Surgery and Operating Service has three Operating Theatre facilities with the inclusion of a Day General Surgery Units (Upper Gastrointestinal Surgery, Theatre in the new complex. As part of the development, Colorectal Surgery, and Breast, Endocrine Surgery and it is also expected the Intensive Care Unit will be Surgical ). Other units include ENT, Plastic and enhanced. Faciomaxillary Surgery, Paediatric Surgery, Orthopaedic Surgery, Thoracic Surgery, Urological and Vascular Surgery Units.

Associate Professor Colin Russell is the overall Director of Surgery and Professor Jonathan Serpell is the Professor and Director of General Surgery. Professor Serpell was appointed to this post in April 2005.

14 Peninsula Health Annual Report

“A $3.4 million redevelopment in Radiology will improve clinician and patient access to advance medical imaging technology.“

Associate Professor Colin Russell was recently appointed Peninsula Health offers advanced training for the Royal as Honorary Associate Professor in Monash University Australasian College of Surgeons across a wide range of Department of Epidemiology and Preventive Medicine specialties enabling the health service to keep up-to-date in addition to his appointment to the Monash Department with trends in treatment and as a teaching hospital, pass of Surgery. on this knowledge to Medical Undergraduates from Monash University. Elective Surgery Increased emergency demand for surgery has meant that Medicine some elective waiting times have increased during the year. To assist patients waiting for elective surgery Peninsula This year Peninsula Health’s Medicine and Critical Care Health appointed an Elective Surgery Access Coordinator Service treated 19,955 inpatients at Frankston. (ESAC) for the Elective Surgery Access Service (ESAS) in January 2005. The role of the ESAC is to help facilitate better outcomes for long waiting patients through case In 2004/05, two additional Interventional Specialist management and to promote the benefits of ESAS. Cardiologists were appointed. This doubles the number of days available to perform angioplasty procedures from two The ESAS service, developed by the Department of Human days to four days a week. Angioplasty is a procedure where Services, funds hospitals with extra theatre capacity, such as the arteries are unblocked from within the vessel using St Vincent’s, to take on patients from other health services. a balloon to expand the arteries and then insert a stent, The service was developed to reduce waiting times for a small wire mesh cylinder, to keep the vessels open. elective surgery. Numbers for this service have increased by 25 per cent from 256 in 2003/04 to 345 in 2004/05. This year, 206 orthopaedic patients waiting for joint replacement surgery at Frankston Hospital took up the The number of patients having pacemaker replacements offer to have their surgery earlier at another health service. has increased by from 36 in 2003/04 to 48 in 2004/05.

For more information on ESAS and the elective surgery Direct Cardio Reversion (DCR) sessions, which involve process, refer to pages 31-33 of the 2005 Quality of the application of electric current, under patient anaesthesia, Care Report. to ‘shock’ the heart into normal rhythm, are performed once a month. The number of patients has increased from Operating Theatre an average of 4.5 to 6 per session compared to last year. This year, with a DHS grant, an Operating Room Break- This has reduced the waiting time for DCR from 8-12 weeks through Project was undertaken. A Project Team collated to 0-4 weeks. and analysed data looking for practices or systems that could be made more efficient. Recommendations from the project EEG Service are being implemented and gains will be monitored. The Electroencephalogram (EEG) Service continues to grow. (An EEG is a test that scans a person’s brain activity For more information on Theatre performance, refer to to detect irregularities including neurological disorders such page 33 of the 2005 Quality of Care Report. as epilepsy).

Additional Surgeons The Service began in December 2003 with 12 referrals in Peninsula Health now offers a wide range of procedures the month, and quickly doubled its activity to 286 referrals using the laparoscopic (keyhole) approach including surgery over the next 12 months (24 per month). In 2005, tests for removal of kidney stones, for reflux disease (heartburn) have been performed on 27 clients per month. and some cancers of the bowel. The appointment of additional surgeons has also increased the range of services available.

Peninsula Health Annual Report 15

FRANKSTON HOSPITAL

Medical Officer Bank Aged Care Medical Assessments From January 2005, early morning Aged Care Medical In December 2004, Peninsula Health became the first public Assessments commenced in the Frankston Emergency hospital in Victoria to establish its own Medical Officer Bank Department. These are conducted by senior medical staff (MOB). MOB aims to maintain a high level of patient care by from Peninsula Health’s Aged Care Services. This has utilising experienced medical officers known to Peninsula resulted in an increase in direct admissions from the Health; and through keeping MOB casual staff informed on Emergency Department to Peninsula Health’s Rehabilitation issues relating to training and policy requirements. and Aged Care Services.

For more information on the Medical Officer Bank, refer to Response, Assessment and Discharge (RAD) Team page 60 of the 2005 Quality of Care Report. The RAD Team in the Emergency Department has continued to develop, increasing the number of patients seen to over Emergency Services 300 per month in the Emergency Department and a further 70-80 in the adjacent Observation Ward, avoiding admission Frankston Hospital’s Emergency Department is one of the to hospital in 20 per cent of cases seen. busiest in the state. In 2004/05 it saw 46,794 patients, an increase of 1,640 patients (3.6 per cent) compared with the The partnership between the RAD Team and the previous year. Approximately 30 per cent of these patients Metropolitan Ambulance Service (MAS) was further were admitted to hospital. developed in 2004 with the introduction of a new MAS referral system. Patients are triaged at the point of the call In 1996, Frankston Hospital was among the first in the to MAS and where appropriate, referred to RAD instead of state to establish a privately operated GP Clinic (Medicentre) dispatching an ambulance. A home visit is then undertaken. next to the Emergency Department. The Medicentre saw almost 11,000 patients during the last financial year. Many Training Accreditation of these patients would otherwise have presented to the In 2004/05, the Emergency Department was reviewed by Emergency Department. If these numbers were added to the Australasian College for Emergency Medicine. The emergency presentations, Frankston Hospital would have Department received two years accreditation for advanced the busiest emergency department in Victoria. specialist training in Emergency Medicine. In addition, accreditation was also given for the compulsory Paediatrics The Emergency Department at Frankston is designated as and Research component of the training program. a Metropolitan Trauma Service. A trainee in Emergency Medicine is now able to complete Key achievements of the Frankston Hospital Emergency their total training in Emergency Medicine, except for the Department this year include: six months of compulsory Emergency Department training in a tertiary referred centre of which there are only five in ED Tracker System the State. A new electronic information system has been implemented to monitor the progress of patients in the Frankston and Rosebud Emergency Departments. The system, which is updated every minute, enables staff in the Emergency Departments and elsewhere to monitor the progress of patients and identify the reasons for a delay in discharge or transfer to a ward.

16 Peninsula Health Annual Report Women’s, Children’s and Adolescent Health Oncology

The Family Birthing option of care, which enables families A multidisciplinary Breast Clinic is led by Professor to have a more active role in the birth of their new baby, Jonathan Serpell and Dr Vinod Ganju. During the year there was implemented at Frankston Hospital in August 2004. has been a multidisciplinary team management discussion for all breast cancer patients. The Family Birthing option involves: • Family participation in providing support for birth The Southern Metropolitan Integrated Cancer Service • Midwife care with specialist back up (SMICS) has been established to support improvements in • Specially tailored education and preparation for the the integration and coordination of cancer services provided whole family by the three health services which support the southern • Focus on natural, active and intervention free birth suburbs of Melbourne. The three major health services, • Going home within 24 hours of giving birth. Peninsula Health, Bayside Health and Southern Health, have joined forces to improve the coordination and delivery of From August 2004 to June 2005, 32 women had their cancer services to patients across the Mornington Peninsula babies using family birthing care. Another 22 women and the south eastern suburbs of Melbourne. originally chose Family Birthing but later decided on another birthing option or developed medical or obstetric Intensive Care complications that required a different method of care. In 2004/05, Peninsula Health’s Intensive Care Unit (ICU) Whilst only a small number of women have given birth treated 567 patients. using this option of care to date, evaluation of this model demonstrated that 80 per cent of clients were satisfied or Last year Peninsula Health, with support from DHS and very satisfied with this model of care. an $83,000 donation from Frankston Hospital’s Pink Ladies, invested $800,000 in cardiac monitors, defibrillators and A multidisciplinary team has revised all the Obstetric other lifesaving equipment for the Intensive Care Unit. In guidelines to ensure consistency with evidence based addition four specially designed intensive care beds and a practice, including the “Three Centres Guidelines for new dialysis unit were purchased. Antenatal Care” and the DHS “Future Directions for Victoria’s Maternity Services 2004”. This has resulted in The Medical Emergency Team (MET) at Frankston Hospital outcomes that compare favourably with the Australia-wide responded to 220 MET calls during 2004/05. The Team outcomes published by the Perinatal Society of Australia includes a doctor and nurse from the ICU who respond and New Zealand. immediately to any MET call. Nurses on the wards will call the MET if one of their patients begins to deteriorate to a For more information on the Women’s, Children’s and serious level where a cardiac arrest or other life threatening Adolescent Health Service, refer to pages 69-78 of the event is possible. MET clinicians quickly evaluate the 2005 Quality of Care Report. situation and begin the necessary steps to prevent further decline.

In 2004/05, six Intensive Care nurses from Peninsula Health graduated with a Post Graduate Diploma in Critical Care Nursing from Deakin and Monash Universities.

Peninsula Health Annual Report 17 “With the introduction of a new General Medical Unit in November 2004 Rosebud now treats more patients with complex medical conditions.” ROSEBUD HOSPITAL

The 68 bed Rosebud Hospital provides a broad range of Physiotherapy Service in Emergency acute diagnosis, treatment and care for both admitted patients and outpatients of the southern Mornington In February 2005 a Physiotherapy Service was introduced Peninsula. within the Rosebud Hospital Emergency Department, to address the high number of patients presenting with soft Achievements tissue injuries. Having an experienced musculoskeletal physiotherapist available to provide specialised treatment It has been a year of rapid growth for Rosebud Hospital. has reduced the demand on other medical and nursing staff New services were introduced and others were expanded who are then able to care for other emergency patients. and enhanced. The service is offered four days a week and has seen 300 • Total patient numbers grew by 5.8 per cent during 2004/05 patients from its commencement to end June 2005. to 31,133, compared to 29,411 during the previous year. • Inpatient activity grew by 4 per cent to 10,998 and RAD Team expands to Rosebud outpatient activity also grew by 10 per cent to 1,684. • Presentations to the Emergency Department continued In response to the significant increase in presentations to an upward trend and grew by 6.2 per cent from 17,364 the Emergency Department, the Response, Assessment in 2003/04 to 18,451 in 2004/05. and Discharge (RAD) Team expanded to Rosebud Hospital in January 2005, with a RAD team member now available The population of the southern end of the Mornington five days per week. Peninsula swells dramatically in holiday periods, with the peak summer period attracting in excess of 100,000 holiday- The multi-disciplinary team made up of physiotherapists, makers who also rely on the services of Rosebud Hospital. occupational therapists and social workers aims to prevent unnecessary admissions to hospital. Rosebud Emergency During the first six months of operation from January to The number of people presenting at Rosebud Emergency June 2005, RAD saw 323 patients in the Rosebud Hospital Department has grown by 156 per cent during the last five Emergency Department. Admission was avoided in 13 per years. More than 18,000 people were seen in 2004/05, cent of patients seen. about 11,000 more than in 2000/01 and patient numbers continue to grow. General Medical Unit & Aged Care Medicine Introduced Presentations to the Emergency Department grew by 6.2 per cent compared to 2003/04. A range of initiatives With the introduction of a new General Medical Unit in were introduced that have reduced the time people spend November 2004 Rosebud Hospital now treats more patients waiting and the number of hospital bypasses. with complex medical conditions.

The introduction of Emergency Physicians, Emergency During the first eight months of operation, Rosebud Hospital Registrars, expanding Senior Medical Staff and Hospital provided care to 500 more patients than the previous year. Medical Officer coverage to seven days per week, and a 24 hour ward clerk commenced in February 2005 to effectively Two specialist physicians, one general medicine and one service this growth. A dedicated Nurse Manager and Clinical aged care specialist, complete regular ward rounds and hold Nurse Educator were also introduced to expand nursing multi-disciplinary case meetings with allied health staff to expertise to cater for patients with increased complexity. facilitate efficient discharge planning. Radiology hours of operation were expanded in April 2005.

18 Peninsula Health Annual Report “The number of people presenting at Rosebud Emergency Department has grown by 156% during the last five years.“

Medical Observation Beds Over 440 mothers and babies stayed overnight at the Mother/Baby Unit during 2004/05 to learn the skills of A three bed Monitoring and Observation area within the successfully settling a wakeful baby. Southern Wing was developed in May 2005 and will be dedicated to low level cardiac and medically unstable A Mothers Supporting Mothers service commenced in patients who require closer observation. August 2004, offering mothers the opportunity to meet and talk with each other on a monthly basis. In partnership with Mother / Baby Services the Mornington Peninsula Shire Council, this program has been made available to all mothers in the community. Hillview Maternity Unit developed a proactive approach to clinical risk issues by reviewing services and developing Complex Care clinical guidelines that ensure mothers and babies receive the best possible care in a safe environment. The Complex Care Program which enhances the management of patients with chronic illnesses including Hillview Maternity Unit supported 262 women to give birth heart disease, diabetes and drug and alcohol issues, now during the 2004/05 year. has a permanent presence at Rosebud Hospital.

About 65 per cent of women birthing at Rosebud chose to This has reduced by 49 per cent the number of times have their antenatal care in the midwives clinic with midwife Rosebud clients of the Complex Care Program presented led care and minimal intervention. to the emergency department. This has led to a 60 per cent reduction in admissions to hospital by these clients and Over 2,100 clients used a range of support services reduced the total number of bed days of these clients by provided by Hillview Maternity Unit during 2004/05. These 70 per cent. included the Birthing and Midwives Clinic, a Young Women’s Group and Antenatal Clinic, Mother/Baby Unit, Infant For more information on the Complex Care Program, Feeding Service, Home Visiting Service and Sleep and refer to pages 61-68 of the 2005 Quality of Care Report. Early Parenting Clinic. Executive appointments

In November 2004, Executive Director Ms Elizabeth Wilson took up a new role of Executive Director Community Participation, in addition to her role as Executive Director of Nursing Services.

Mr Siva Sivarajah became the Executive Director of Rosebud Hospital in addition to his responsibility for the Rehabilitation, Aged and Palliative Care Services and Allied Health Services. Mr Eddie Dunn was appointed Operations Director Rosebud Hospital in January 2005.

In August 2005 Mr Sivarajah resigned from Peninsula Health and responsibility for Rosebud Acute Health Services will be undertaken by Mr Chris England, along with his responsibilities as Executive Director Human Resources.

Above: During the busy holiday season there are extra Dialysis and Chemotherapy sessions to cater for the large influx of holiday makers visiting the Peninsula.

Peninsula Health Annual Report 19 RAPCS AND ALLIED HEALTH

Peninsula Health’s Rehabilitation, Aged and Palliative Care • The average Rehabilitation LOS has reduced from Services (RAPCS) offer a range of inpatient, interim care 29.26 (2001/02) to 20 days (2004/05). and domiciliary aged care, rehabilitation and palliative care • The average improvement in Barthel scores increased services in Edithvale, Seaford, Frankston, Mount Eliza from 23.9 per cent (2003) to 30 per cent (2005). This was and Rosebud. against the benchmark of a DHS Victorian State Average of 21.2 per cent (March 2005). Services are offered across six sites, including two specialist psychogeriatric residential aged care units in Mornington Centre Promoting Health Independence Frankston and Seaford, inpatient, interim and domiciliary aged care at Mount Eliza, residential aged care services in The new Mornington Centre Promoting Health Rosebud, an inpatient Palliative Care Unit in Frankston and Independence (CPHI) development planning is now in community rehabilitation services at three sites in Chelsea, progress. The 2005/06 State Budget allocated $20 million Frankston (Golf Links Road) and Rosebud. for the construction of the first stage of the building which will house the centre’s first 60 geriatric evaluation and Peninsula Health provides Allied Health professional services management beds. Construction on Stage 1A is due to in the following disciplines - physiotherapy, occupational commence in October 2005. When completed, the total therapy, speech pathology, social work, neuropsychology, development will have: podiatry, prosthetics and orthotics, and dietetics. • Ninety geriatric evaluation and management beds • Sixty beds for aged persons’ mental health residential care In 2004/05 patients waiting for residential care facilities • Thirty residential aged care beds for clients with complex within Peninsula Health decreased by an average of 35 needs per cent across the health service, despite a 10 per cent • A community rehabilitation centre and hydrotherapy pool increase in referrals for this group of patients. Current • Community health services managed by Peninsula average length of stay for patients waiting for residential Community Health Service, working with Peninsula care within Peninsula Health is 11-12 days. This is well Health. below the State Average Length of Stay for comparable health services. Ageing Well Centre RAPCS is consolidating current, and developing more, health Achievements and well being programs for the elderly to promote health independence under a new service called the Ageing Well • The number of patients waiting for sub-acute beds in Centre. The Centre will offer alternative models of care that Frankston Hospital has reduced from an average of 38 support health independence for older people. It will act as per month (2002) to an average of five (2005). a resource for physical activity programs for the elderly and • The number of patients assessed within 24 hours in offer a range of in-reach and out-reach programs in the Frankston and Rosebud Hospitals for sub-acute services community. There will be a strong focus on community has increased from 75 per cent (2002) to 94 per cent education including regular forums for the elderly and their (2005). families to learn ways to optimise health independence. • The number of patients transferred to sub-acute within Strong partnerships with community groups and three days has increased from 60 per cent (2003) to organisations are a key component of the Centre. 75 per cent (2004) to 80 per cent (2005). • The average Geriatric Evaluation and Management (GEM) length of stay (LOS) has reduced from 43.04 days (2001/02) to 23.47 (2004/05).

20 Peninsula Health Annual Report

“Local and overseas health services have requested the Falls Risk Assessment Tool.“

Enhancing Research Interdisciplinary Care Program The Department of Aged Care Medicine is developing In 2004/05 an Interdisciplinary Care Program was research programs into healthy ageing and into clinical implemented in RAPCS. The program was introduced to practice in aged care medicine. The specific areas of work identify patient needs and potential adverse outcomes with that will be highlighted include safety and quality of patient the completion of a comprehensive risk screen and care in aged care medicine in the acute, sub acute and assessment to enhance the coordination of care throughout residential aged care sectors. Research will also be the health service. conducted to develop a program exploring interdisciplinary care, in particular how teams work together in providing care As part of the program a Key Liaison Person is appointed for patients and how risk is assessed by different health to every patient when admitted. The role of the Key Liaison professions in determining a patient’s ability to return home. Person has been expanded to include comprehensive risk screening within 24 hours of admission, admission and International Recognition of the FRAT discharge meetings for patients/families/carers with their A research based Falls Risk Assessment Tool (FRAT), Key Liaison Person and Senior Medical Officer and follow developed by the Falls Prevention Service, has for some up for all patients within seven days of discharge. Clinical time been used extensively by other hospitals and in Leaders at each site assist the Key Liaison Person with residential settings around Australia. Over 500 FRAT packs education, support and evaluation where needed. have been distributed nationally since 2000, and it has now received interest internationally. Of the 50 requests for falls Audits indicate high compliance rates (96 per cent) and prevention information received last year, five were from improved patient/carer involvement in discharge planning overseas. Health services in Singapore, Ireland, Lithuania, (81 per cent). the USA, and the UK are some of the first international health services to request the FRAT to use clinically or Portfolio Holders for further research. The clinical portfolio model of care has been introduced across all inpatient areas as a method of reducing clinical risk Peninsula Health’s FRAT and practices were internally and and optimising patient outcomes. The portfolios include skin externally reviewed in January 2004. The review resulted in integrity, falls, continence, diabetes, pain management and the inclusion of FRAT and guidelines within the Victorian behaviour management, ensuring that every inpatient area Quality Council and Australian Quality Council Best Practice has the resources and local expertise to facilitate improved Guidelines 2004. care based on evidence.

Falls Prevention Competencies have been developed and training delivered As a result of a strategic focus to reduce inpatient falls, to Clinical Portfolio Holders. an Inpatient Falls Program has been successfully piloted in RAPCS and is being implemented across inpatient areas of Clinical Portfolio Holders are supported by a Clinical Nurse Peninsula Health. Consultant Specialist and a Medical Specialist. Ward rounds have been trialed at Mount Eliza Centre and are being rolled As at June 2005 RAPCS had an 86.5 per cent completion out at other sites. rate of falls risk assessments within 24 hours of admission compared with 27 per cent prior to the commencement of an Inpatient Falls Program.

For further information on Peninsula Health’s Falls Prevention Service, refer to pages 48-50 of the 2005 Quality of Care Report.

Peninsula Health Annual Report 21 RAPCS AND ALLIED HEALTH

Interim Care in the Home Program Movement Disorders Program expands The Interim Care in the Home Program commenced in July The Movement Disorders Program for people with 2004 and has managed an average of 12 patients per month. Parkinson’s Disease proved so successful at the Rosebud At the end of the financial year the Program was supporting Rehabilitation Unit that it was expanded to the Golf Links 16 people in the community at any one time. Road site at Frankston during the 2004/05 year.

The program has been working closely with both residential Agestrong care facilities and community service providers to support The Agestrong program, which gives older people proper patients who have complex care needs with a range of guidance and easy access to regular exercise, has continued options upon discharge. Case Management of these patients to grow. Currently 20 groups operate from seven community has been very positive in ensuring that appropriate follow up based sites in Frankston and the Mornington Peninsula occurs post hospitalisation. region for 275 participants per week, compared with 35 in April 2003. Recently, Agestrong was introduced in to sub- Over 50 patients have moved from hospital care to acute inpatient settings, offering 30 places per week. permanent care utilising this program. For more information on Agestrong, refer to page 49 of the The Residential Outreach and Support Service (ROSS) 2005 Quality of Care Report. The Residential Outreach and Support Service was set up in November 2003 in response to the high number of patients New mobile X-Ray machine from residential care facilities presenting in Emergency During July 2004 a new mobile X-Ray machine was installed Departments and requiring inpatient admission. ROSS now at the Mount Eliza Centre. The purchase of the machine was sees 25-30 patients per month, preventing a presentation made possible through a $30,000 grant received from The to hospital in 40 per cent of those patients seen. Lord Mayor’s Fund.

Rehabilitation in the Home (RITH) Lotus Lodge Accreditation Rehabilitation In The Home (RITH) was reviewed in June In 2004/05 accreditation was maintained at all sites across 2004 and a number of key components of the program were RAPCS. Throughout the year, the Aged Care Standards and revised. A resource folder was developed for all wards on Accreditation Agency (ACSA) made multiple support visits how, and who, to refer to RITH. Education sessions were and all facilities continued to meet all 44 standards. held in all RAPCS inpatient wards and ACCESS. Each client has been assigned a Key Liaison Person. Subsequently, the A full accreditation survey was conducted at Lotus number of referrals increased from 162 (February 2003 to Lodge Hostel in November 2004. It was accredited for January 2004) to 305 (February 2004 to January 2005). the maximum three years by Aged Care Standards and Accreditation Agency Ltd (ACSA) from November 2004. RITH increased its capacity from six active client places in 2002/03 to 30 client places in 2004/05. Length of stay Interpreter Booking Service decreased from 36.5 days in February 2004 to 20.8 days Staff Awareness Training in Cultural and Linguistic Diversity in February 2005. Waiting list reduced from seven days has continued in 2004/05 leading to the highest level of to one day in the last nine months of 2004/05. interpreter use since the central interpreter booking service commenced five years ago.

22 Peninsula Health Annual Report Patient Satisfaction Allied Health Subacute inpatients are regularly surveyed to provide ongoing feedback on care and services. Most respondents Peninsula Health has established strong links with felt that communication was excellent. The majority of Monash University and will become a Monash University respondents rated meal quality, quantity and variety as Physiotherapy Clinical School in 2007. These links will satisfactory to excellent (85 per cent). Most respondents felt enhance recruitment and staff development. An Associate their overall care was excellent. The appearance, cleanliness Professor position will be part funded and linked to the and comfort of rooms were also highly commended. Some clinical school to enhance research at Peninsula Health. improvements suggested related to room noise and waiting times for therapy and treatments. The health service is currently investigating Allied Health opportunities for an academic role as part of the Palliative Care development of the Monash University Health Sciences Program at Peninsula Campus and other universities. Peninsula Health was accepted as a host site for a pilot Discussions have been held with Monash, Deakin and project - the Program of Experience in the Palliative Charles Sturt universities. Two senior clinicians have been Approach. The program commenced in January 2005 and accepted as tutors to Monash University and one has been is funded by DHS. The Inpatient Palliative Care Unit, The appointed as lecturer at LaTrobe University. Peninsula Health Acute Palliative Care Consultancy Service and the Peninsula Hospice Service were all accepted as A Diabetes Educator, dedicated to RAPCS, was appointed host sites. The three services have developed an integrated during the year. program. The second part of the program will target General Practitioners and other medical staff who may be interested. It is aimed at providing insight into the Palliative Approach to care of patients with life limiting illness.

The Southern Metropolitan Region Consortium was formed during the year, including all of the specialist Palliative Care providers in the Southern Metropolitan Region. It was established to develop and implement service development initiatives guided by the document “Strengthening Palliative Care - A Policy for Health and Community Care Providers”, which was launched by DHS in October 2004.

The consortium consists of participants from Bayside Health, Calvary Health Care, Southern Health, Peninsula Health, Peninsula Hospice Service, South East Palliative Care, RDNS and the Divisions of GPs. It has been given the task of planning for Palliative Care Service provision in the region for the period between 2005 and 2009. A draft plan has been developed in consultation with specialist services and local communities and will be implemented over a five year period.

Peninsula Health Annual Report 23 PSYCHIATRIC SERVICE

Peninsula Health Psychiatric Service provides a range of Dr Richard Newton was appointed Director of Clinical community focused mental health services within Frankston, Services (Authorised Psychiatrist) in April 2005. Dr Newton Chelsea and the Mornington Peninsula. had previously filled this position on a part time basis since the resignation of Dr John Reilly. Services are provided in two continuums of care, Adult and Aged, across four sites and include assessment, acute Triage treatment and care in community and inpatient settings, Triage was introduced to ensure there is a clear point of crisis intervention, case management and residential entry and access to mental health services. The introduction rehabilitation and care. All services are provided by of a service wide toll free number - 1300 792 977 supports multidisciplinary teams. this triage service. The first 15 minutes of each call is free of charge to the caller, and this number provides contact with There has been excellent recruitment of Specialist an appropriately experience mental health clinician who will Psychiatrists in the last 12 months, as part of a continuing assist in determining the need for assessment and effort to ensure the retention of senior medical staff who treatment. carry significant responsibilities for high quality assessment, diagnosis and treatment. Recruitment and retention of Dietetic Support Registrars is now enhanced and work is being done within In July 2004 dietetic support was increased by one session the wider hospital to assist in recruitment of HMOs per week, making five sessions in total. This assists in the experienced and interested in psychiatry. lifestyle and weight management of patients and more importantly recognises that some new medications are The enhancement of discharge planning has been a focus associated with weight gain. Not all mental health services area after readmission rates increased over the last year. employ this expertise. A review of case files suggests that ensuring follow up on discharge for clients in need of complex care will reduce Suicide prevention readmissions. Discharge planning is therefore being targeted Applied Suicide Intervention Skills Training (ASIST) was across the service as an area for clinical improvement. provided to 36 participants and has resulted in a 58 per cent increase in participants’ preparedness to apply suicide first Achievements aid to a person at risk.

• A service wide toll free number - 1300 792 977 - has Psychiatric Consultation Liaison Nurse been implemented. Following a successful pilot program a Consultation Liaison • There were 250 more separations in the Adult Acute Nurse for the Acute Service commenced full-time in Inpatient Unit than last year. December 2004. • Establishment of the Early Psychosis Service. • Commencement of the Shared Care arrangement with The Consultation Liaison Nurse provides psychiatric nursing GPs to prescribe Clozapine. consultation to nurses and other health care professionals • Financial Counselling Service in partnership with Good working in non-psychiatric, general hospital settings in order Shepherd established. to achieve integrated and holistic care to patients with • Establishment of the Consultation Liaison Nurse role. mental health problems. Each consultation is aimed at • Establishment of the Primary Mental Health Service. facilitating the staff to intervene effectively when a patient presents with a mental health problem. Direct psychiatric nursing care is provided to patients.

24 Peninsula Health Annual Report

“A combined activity involving patients and staff has been undertaken to enhance courtyard garden aesthetics.“

Peninsula Carer Council Adult Psychiatry Acute Inpatient Unit (2 West) Peninsula Health Psychiatric Service has continued to support the Peninsula Carer Council, which is a unique The Adult Acute Inpatient Unit performed exceptionally model of consultancy and advocacy for both consumers well during the past 12 months. The number of separations and carers. It consists of an incorporated body of carers during this time was 122 more than the previous year, representing their views on mental health on the Peninsula. an increase of 16.8 per cent. To achieve this, the average length of stay was 13.7 days compared to the state average ADULT SERVICES of 17 days.

The Early Psychosis Service was commenced in partnership Patients are only discharged when their needs have been with Southern Health. This new service provides timely and met and transfer to community based support can occur. expert assessment and intensive case management for young people, aged 16-25 years, experiencing psychosis. Feedback from the Community Visitors program has highlighted the need to ensure the environment is clean In collaboration with Anglicare, the Psychiatric Service has and well maintained but the standard of care provided has developed a peer support and psychoeducation program always been excellent. for children aged 8-13 years who have a parent with a mental illness. AGED SERVICES

Primary Mental Health Service (PMHS) Several improvements to the ward environment have been achieved, most notably the redevelopment of the Acute A Primary Mental Health Service was established to Management Area, making it much more user friendly by enhance the capacity of local General Practitioners to providing a low stimulus and more calming area. A combined respond to persons with high prevalence psychiatric activity involving patients and staff has been undertaken to disorders, predominantly anxiety and mood disorders, enhance courtyard garden aesthetics. but also including others such as eating disorders and personality disorders. Development of a reliable and skilled group of casual bank staff has greatly assisted in adequate coverage of the ward The PMHS has worked with over 115 General Practitioners during unplanned absence of regular staff. on the Peninsula assisting them by providing comprehensive psychiatric assessment and treatment plans for patients who An increase in admissions of around 25 per cent over the are difficult to treat. past 12 months has been managed well.

This service is running seven ongoing secondary consultation groups providing ideas about treating people with psychiatric disorders.

Peninsula Health Annual Report 25 COMMUNITY HEALTH

Community Health Services are provided centrally at the Frankston Men’s Shed Frankston Integrated Health Centre, situated on the Frankston Hospital site, and at other Peninsula locations. Construction began in July 2004 and the shed, in Dundas Health promotion, disease prevention and health education Street, officially opened in June 2005. programs for all ages are provided. The project involved Community Health and Psychiatry, and Achievements many community partners. There are over 35 community businesses and groups sponsoring the shed and its activities. • Total client numbers seen at Community Health Services was 9,698, with an increase in new clients seen from The workgroups run three days a week and include an 2,000 in 2003/04 to 2,257 in 2004/05. average of eight participants and four volunteers. • Patients treated for Dental services increased from 4,323 in 2003/04 to 4,958 in 2004/05 and for Optometry services Community Kitchens from 996 to 2,501. • Expansion of Peninsula Drug and Alcohol Program In September 2004 the first Community Kitchen in Australia (PenDAP) to Rosebud, see p 27. opened in Frankston.

SHARPS Since then a further eight Community Kitchens have commenced and one more is currently in development. SHARPS (Southern HIV/HEP Resource & Prevention Service) The kitchens provide an opportunity for people to increase needle return rate for 2004 was 94 per cent, the highest in their knowledge of preparing nutritious meals and healthy the state for a primary Needle Syringe Exchange Program, living habits. with the state average being only 50 per cent. During 2004/05, over 390,500 needles and syringes were distributed. From September to end of June 2005, 2,220 meals were produced from 103 different cooking sessions. There have As part of the 2004 National Overdose Awareness Week been 580 occasions of clients using the kitchens. in August, SHARPS initiated a procession and ceremony through Frankston attended by over 80 people, to raise Men Behaving Positively awareness in the community about overdose issues. Community Health collaborated with the Psychiatric Service A monthly Hepatitis C support group has been established to hold two successful health forums for men. The first to provide useful information to clients, including prevention forum attracted 400 people and the second nearly 600. and treatment. The school awareness project was delivered The forums were well supported by Frankston Rotary and to four secondary schools in 2004/05 with plans to reach other community organisations. ten schools next year. Diabetes Expo

Over 100 people attended the Diabetes Expo held in November 2004, where people with diabetes and their families were given a chance to improve their knowledge of diabetes management, treatment options, healthy lifestyle opportunities and services available to them.

26 Peninsula Health Annual Report PenDAP Progress Peninsula Complex Care Program

A grant of over $380,000 was received in July 2004 from The Peninsula Complex Care program was officially the Department of Health and Ageing. This allowed for the launched in November 2004. It was established to identify expansion of PenDAP services and a decrease in pressure and support patients who have chronic diseases and/or on PenDAP’s Frankston based services by establishing a complex needs who present regularly to the Emergency full time base in Rosebud and offering drug and alcohol Departments. counselling services in Mornington. Once identified the program works with the clients by The Rosebud offices, based at the Southern Peninsula providing care coordination, developing care plans and Community Support and Information Centre, commenced enhancing the capacity of clients to self manage their operation in November 2004. conditions in the community, thereby reducing their need to access inpatient care. The specialist services are provided In June 2005 a successful partnership was established with for the following chronic conditions: Mornington Peninsula Shire to produce two youth based • Diabetes films through the National Community Crime Prevention • Drug and Alcohol Program. • Chronic Respiratory • Chronic Heart Failure Boost for children’s services • Generic care coordination for clients presenting six or more times to Emergency within 12 months. In February 2005, $20,000 in funding was received to evaluate children’s services and further develop best practice The Program has been funded through the DHS Hospital models in services such as counselling, speech pathology, Admission Risk Program (HARP). These services are now physiotherapy and occupational therapy. This evaluation is being mainstreamed under the Victorian Chronic and being co-ordinated by DHS. Complex Care Program ensuring ongoing support for clients with chronic conditions and complex needs. The School Transition program targets children attending preschool who have mild developmental concerns. Demand For more information on the Complex Care Program refer for the Program increased from 71 in 2003, to 117 in 2004 to pages 61-68 of the 2005 Quality of Care Report. with demand for 2005 heading towards 200.

Volunteers

Volunteers increased by 50 per cent in 2004/05 and 70 volunteers now assist in many areas of Community Health such as strength training programs, help desk, hydrotherapy, Men’s Shed, Community Kitchens, Karingal Hub Walkers and Complex Care.

Peninsula Health Annual Report 27 QUALITY & CUSTOMER SERVICE

Australian Council on Healthcare Standards (ACHS) – • In 2004, the Peninsula Health Quality of Care Report Periodic Review May 24-27, 2005 received a commendation from the Minister for Health in the annual Quality of Care Reporting Awards. In May 2005, Peninsula Health was surveyed by an • All wards and departments now have an Operational, independent national body - The Australian Council on Quality and Risk Management Plan that links to the Healthcare Standards (ACHS). The Periodic Review organisation’s Strategic Plan and service cluster priorities. assessed the organisation against 19 mandatory criteria. • The second annual Patient Safety Week was held in May 2005. A public information forum was held at Monash The Surveyors awarded a Moderate Achievement (MA) University, Frankston on the topic ‘Take Charge of Your in 11 areas, an Extensive Achievement (EA) in seven areas Own Health’ outlining the Ten Tips for Safer Health and the top score of Outstanding Achievement (OA) for Care as issued by the Australian Council for Safety and the Legal Compliance program. The report is one of the Quality in Health Care. The forum was attended by best achievements received by any health service in a nearly 100 people. Periodic Review. Consumers’ Rights and Responsibilities The EA ratings were achieved by Discharge/Transfer, Quality Improvement, Recruitment, Occupational Health and Safety, Peninsula Health implemented an awareness campaign to Manual Handling, Security and Radiation Safety programs. help consumers become more familiar with their rights and responsibilities. The campaign included information leaflets For a summation of observations by the ACHS evaluators and posters in several languages and a video which is please refer to the 2005 Quality of Care Report. regularly shown in Emergency Departments and ward visiting areas. Quality A survey showed that the percentage of patients who said • The key performance indicators reported to the Board they understood their rights and responsibilities increased Quality and Clinical Governance Committee were from 19 per cent to 88 per cent after the awareness presented as ‘best practice’ by another health service at campaign. the 2004 International Society for Quality in Healthcare conference. Peninsula Health was acknowledged as the Prevention and Control source of the indicator set. • The Quality and Clinical Governance policy was reviewed Hand Hygiene Project and enhanced. Peninsula Health has joined with five other Victorian • Peninsula Health has participated in three collaboratives Hospitals in the Hand Hygiene Project. The project is this year, where health services work together to find promoting the latest in hand hygiene – the use of Alcoholic solutions to clinical quality improvement issues. Chlorhexidine Hand Rubs. Bottles of hand rub are positioned They were: Patient Flow Collaborative, Operating Theatre at the end of each bed in the wards. Efficiency Collaborative, and the National Medication Safety Collaborative that involved 100 health services The project aims to reduce the chance of staff spreading across Australia. infection and significantly decreases the time spent in hand • The health service has used the Six Sigma quality washing. Early results demonstrate a reduction in cross improvement methodology approach adopted by other infection in the wards involved in the project. industries in its work on operating efficiency, theatre and medication safety.

28 Peninsula Health Annual Report PATIENT SAFETY

Medical Governance and Patient Safety The Skin Integrity Program has comprised staff education, regular auditing of pressure risk assessment and pressure The Patient Safety Unit was established to build on the ulcer prevalence and improved wound management practice work done since 1999 by the Clinical Risk Management by staff. Peninsula Health’s poster was awarded the best Unit. The Unit encompasses Clinical Risk, Mortality Review, scientific poster at the Australian Wound Management medicolegal matters (in conjunction with Corporate Counsel) Association of Australia National Conference and our Skin and specific patient safety areas related to Transfusion Integrity Nurse gave a presentation at the 2nd World Union Safety, Falls at Frankston Hospital, and Skin Integrity. of Wound Health Societies Conference in Paris. With the assistance of DHS funding, Peninsula Health has purchased In November 2004, Dr Susan Sdrinis was appointed Director pressure reducing mattresses for use throughout the service. Medical Governance and Patient Safety. For more information on the work of the Patient Safety The Medical Governance function incorporates review of Unit, refer to pages 45-46 and 53-54 of the 2005 Quality Senior Medical Staff credentialing and appointment, of Care Report. including the introduction of new technology, in accordance with the new Australian Council for Quality and Safety in Health Care National Standard on Credentialing and Defining the Scope of Clinical Practice.

Achievements

In 2005, the Unit reviewed and revised Peninsula Health’s Incident Reporting Policy and Procedures to ensure that staff were encouraged to report incidents in a timely manner and to promote the concept of viewing incidents from a systems improvement perspective. These new processes meant that the response to patient safety issues was even faster.

Reported incidents involving patients totalled 3,708 in 2004/05 which was almost 700 more than the previous year. No adverse events were reported in 89 per cent of these incidents and 93 per cent involved either minor injury or no Above: Skin Integrity Nurse, Fiona Butler (left), gave injury at all. There were 407 incidents involving harm/injury a presentation at the 2nd World Union of World Health which is a decrease of 6 per cent from the previous year. Societies conference in Paris.

The Blood Matters Collaborative increased staff awareness of best practice in transfusion medicine and storage of blood and increased patient awareness of transfusion benefits and risks. As a result of this project, Peninsula Health developed a new Blood Products Administration Form and a Blood Products Ordering Form which was adopted by the private pathology provider for use elsewhere.

Peninsula Health Annual Report 29 PHARMACY

The Pharmacy Service provides a comprehensive range of Bee Alert clinical, supply and information services to all sites within Peninsula Health. The “Bee Alert” campaign in improving medication safety proved extremely successful. The campaign encouraged Four Pharmacy Departments are located at Frankston patients to alert staff to any and to ask about the Hospital, Mount Eliza Centre, Golf Links Road and Rosebud medications they were being given. Hospital. In addition, there are three satellite pharmacies at Frankston Hospital on the 4th and 5th floors and the The first audit following the campaign showed a 30 per cent Psychiatry Department. improvement in the number of prescriptions written with an error, from 10.5 per cent of prescriptions (in a sample Achievements group of 133 patients) to 7.4 per cent (in a sample of 135 patients). The most recent audit of 111 patients in April this • Success of “Bee Alert” Campaign in improving year showed a further improvement with only 5.4 per cent Medication Safety in relation to allergies. of prescriptions containing an allergy-related error. • Increase in electronic discharge prescriptions. • Involvement in National Medication Safety Collaborative. Be Aware • Consumer friendly labelling. • “Be Aware” campaign in relation to anticoagulation. The “Be Aware” campaign focussing on treatment of patients who are taking warfarin to reduce clotting, with a Electronic Discharge tendency to bleed, and was launched at the end of 2004. This quality improvement activity has continued and HMOs The number of electronic discharge prescriptions and interns received specific training in this program. An completed has increased 90 per cent in the last year. audit was completed recently which showed 100 per cent Approximately 95 per cent of discharge prescriptions compliance with protocol. (5,000 items per month) are now electronic where the system is in use; and close to 100 per cent of inpatient prescriptions in RAPCS (3,000 items per month) are electronic. Approximately 85 per cent of electronic discharge prescriptions are sent within 24 hours.

Medication Safety Breakthrough Collaborative

Peninsula Health’s involvement in the National Medication Safety Breakthrough Collaborative has led to the implementation of a number of initiatives. For example, Peninsula Health Pharmacy now adds user friendly terms such as PAIN/FEVER or BLOOD PRESSURE to prescription medication labels to assist patients and avoid confusion when managing several medications at home.

30 Peninsula Health Annual Report RESEARCH

A culture of research and innovation is firmly established at The Research Development Committee introduced the Peninsula Health. inaugural Research Week in November 2004. This event saw staff members from across all disciplines and campuses Peninsula Health is well positioned to engage in of Peninsula Health becoming involved in a Poster Display epidemiological research because of its unique geographical and Competition. The Registrar Research Prize was strongly situation, and also because of the increase in specialisation contested with ten Registrars competing for the award of units, and a fertile ground is also provided in opportunities which was eventually won by Surgical Registrar Dr Tilan in clinical research. Beneragama.

Research and its outcomes, play a vital role in the This year, the activities of Research Week will be expanded provision of optimum health care and enables Peninsula to include the Inaugural Peninsula Health Research Dinner Health to extend its community of care beyond the bounds and Jeremy Anderson Oration which will feature Professor of Victoria’s Mornington Peninsula. Through articles in Alan Trounson speaking on the Clinical Implications of Stem professional journals, presentations to national and Cell Research. international conferences and contributions to texts, Peninsula Health’s researchers are contributing to and A Research Development Fund, to be administered by the enhancing the existing body of knowledge in many areas Research Development Committee, has been established of medicine, nursing and allied health. to encourage ‘home-grown’ research at Peninsula Health by providing small seeding grants up to $5,000. Since its By working in close collaboration with Monash University, establishment, five Peninsula Health staff members have and other partner organisations from the education, health, shared in more than $20,000 of funding from the Research government and industry sectors, Peninsula Health is Development Committee’s Small Grants in Medical committed to guiding, encouraging and fostering research. Research program.

The Peninsula Health Research and Ethics Committee The Grant recipients were: Mr Eric Torey, Surgeon for meets monthly to consider proposed clinical trials, studies “Colorectal Cancer Database”; Dr Shirley Elkassaby, and projects and monitor progress. Advanced Trainee in for “Insulin Infusions in Diabetic Patients with Acute Myocardial Infarction”; The Research Development Committee was established Ms Naomi Kubina, Dietitian for “Initiating Chronic Disease last year to promote and encourage this culture of research. Management in a Hospital Diabetes Outpatient Setting”; It is headed by Professor Jonathan Serpell, who was Professor Joseph Ibrahim, Director of Aged Care Medicine appointed as the inaugural Professor Director of General for “A Survey of Staff Views on Patient Safety and the Surgery at Peninsula Health in April 2005. Professor Serpell Reporting of Adverse Events at the Mt Eliza Centre, Carinya is also Peninsula Health’s Director of Surgical Research Residential Aged Care Unit and Frankston Hospital”; and and Education. Ms Vicki Davies, Occupational Therapist for “Evaluating the use of a Falls Risk Assessment Tool by the Novice Clinician to Identify Modifiable Risk Factors in Community Dwelling Older People”.

Further information on research conducted at Peninsula Health is included in the Research Report for 2004/05.

Peninsula Health Annual Report 31

EDUCATION

Medical Nursing

Undergraduate education continues to be provided for Nursing Recruitment medical students through Peninsula Health’s affiliation with Monash University. The year saw 95 medical students At the end of 2004/05 Peninsula Health had 1,901 nurses receive instruction through medical rotations that included employed in its services. This is an increase of 300 nurses emergency medicine, psychological medicine, paediatrics, in the three year period since June 2002. Some of this obstetrics and gynaecology, surgery, medicine and intensive (19 per cent) growth was the result of increased demand in care. Peninsula Health trained seven third year students, new services, but the majority was due to successful local 57 fourth and fifth year students and 31 students in their and overseas recruitment strategies There was a pleasing sixth and final year of undergraduate study. increase of 7 per cent in the proportion of nurses employed in permanent full and part-time positions. Post graduate medical training is provided through Peninsula Health for its 170 interns, residents and registrars. Successful recruitment strategies included: increasing the number of 1st Year Graduate positions including the This year Peninsula Health recruited 24 interns, four more opportunity to specialise in Psychiatric Nursing; a conversion than in 2004. course for Division 2 nurses in conjunction with Monash University; introduction of Supervised Practice Programs Three additional HMO Mentors were appointed in 2004, for general nurses who are required to complete further making six in total. One of the HMO mentors, Dr Darsim education prior to gaining or re-gaining registration in Haji (pictured above), was recently promoted to Director Victoria and overseas recruitment of nurses who wish of Clinical Training incorporating the role of Supervisor of to permanently settle in Australia. Intern Training. Student Nurses Peninsula Health has joined with The Alfred Hospital to form a consortium from 2006 for basic (registrar) training During 2004/05 approximately 650 Division 1 and 2 student positions in Medicine. nurses from nine Universities and TAFEs undertook clinical experience at Peninsula Health. Three physicians attended a two day training workshop in Evidence Based Medicine (EBM) in November 2004. EBM Courses will now be conducted for Junior Medical Staff in 2005. Two physicians are involved in evidence based medicine teaching to medical students from Monash University.

32 Peninsula Health Annual Report Graduate Nurses State Recognition for our Staff

In 2004, 29 first year graduate nurses completed the general In September 2004, Elizabeth Wilson won a Victorian program and four the Psychiatric program. Of these, 25 Government Travelling Fellowship to study nursing work- were successful in gaining permanent positions at Peninsula force planning and changing education models in the UK. Health. In February 2005, 39 new graduates commenced the Graduate Year Program—33 in general acute and six in In November 2004, Core of Life Managers Deb Pattrick psychiatric services. and Tracy Smith were awarded the VHA Leadership and Innovations Award. Core rotations for the general area graduates are provided in medical and surgical wards at both Frankston and Rosebud In December 2004, Monique Cook, Jakqui Barnfield, Rosie Hospitals. Specialty rotations available include Child and Cantle-Smith and Russell Bakey were recognised at the Adolescent Health, Coronary Care, Emergency, Operating Department of Human Services State Nursing Excellence Theatre, Palliative Care, Rehabilitation and Aged Care and Commitment Awards (see picture below). Evaluation and Management. Nurse Graduates in the psychiatric areas have the opportunity to experience nursing in the range of services provided including inpatient and community based services.

Post Graduate Education

In 2004, 11 Deakin and Monash University students completed the post graduate certificates in their area of specialty in Critical Care (3), Peri-operative (3), Mental Health (4) and Emergency Nursing (1).

In February 2005, a further 16 students commenced postgraduate study in Critical Care (7), Emergency Nursing (1), Midwifery (4) and Perioperative nursing (4).

In-service and Continuing Education

Nurse Educators conducted a total of 428 staff development sessions throughout Peninsula Health recording 3,780 nursing staff attendances. Additional education is provided in the specialty areas as required.

Short courses and study days providing in-depth training on specialist topics were provided on 77 occasions and were Above: (Left to right) Rosie Cantle-Smith, Russell Bakey attended by 1,249 nurses. and Jakqui Barnfield.

Peninsula Health Annual Report 33 HUMAN RESOURCES

Achievements Currently 21 new up and coming managers from RAPCS and Support Services are participating in the Diploma of Frontline A customer survey was undertaken in April this year and Management in partnership with Chisholm Institute of TAFE. was sent to 128 Department Heads throughout Peninsula The course is being conducted onsite across a range of sites. Health. The survey sought feedback in relation to Human Resource’s level of customer service, timeliness of There are 15 staff currently completing their Certificate IV response, quality and accuracy of advice/service and in Workplace Training and Assessment in partnership with professionalism displayed. The response rate for the survey Chisholm Institute. Once they have completed their training was extremely good. Overall, respondents stated that there they will be qualified to prepare and deliver training programs has been a consistent and significant improvement in the in the workplace and assess staff. level of service provided by all units within Human Resources. The improvement is across the board in relation Occupational Health and Safety to the areas surveyed – quality, timeliness, pro-activity and professionalism. Peninsula Health’s Occupational Health and Safety and Workcover Unit was awarded an Extensive Achievement Another pleasing feature is that the recent ACHS Periodic (EA) rating in two areas during the ACHS Surveyors Periodic Review rated Human Resources extremely well and Review in May 2005. The EA ratings were achieved for the Peninsula Health has been highly commended on its wide range of activities undertaken to streamline or improve recruitment practices, manual handling and Occupational health and safety risks and the No Lift Program. Health and Safety performance. Workcover Orientation Workplace injury issues within Peninsula Health continue to All new employees, and now all new volunteers, attend a be managed in a proactive manner. There were 156 claims one-day Peninsula Health Orientation session. In 2004/05 lodged in the 2004/05 period with 44 per cent of claims 425 participants attended one of the 11 orientation sessions exceeding ten days off work or $506 in medical treatment. on offer. WorkCover premiums continue to reduce with an ongoing Training focus on the implementation of best practice strategies to minimise workplace injury/illness across all Peninsula Peninsula Health staff are able to access a large number Health sites. of in-service courses run by Human Resources trainers and specialists from within the health service. Over 1,100 places Future initiatives will assist in early return to work, early were filled in 100 sessions conducted during the year on identification of workplace hazards and in-house medical topics ranging from Time Management to Boundaries in the servicing for injured employees. Workplace. No Lift Policy Absence Management Program training has reached approximately 150 managers with people management The Manual Handling/No Lift policy has been refined and responsibilities. This program discusses ways of addressing expanded to all areas of the health service. Recent audits stress in the workplace and aims to reduce the rise in by WorkSafe at Frankston Hospital stated the program was uncertificated absence. the benchmark for Victorian Health Services.

34 Peninsula Health Annual Report

“80 per cent of past YES trainees now have ongoing employment or have progressed to further study, four with Peninsula Health.“

Recruitment 80 per cent of past YES trainees now have ongoing employment or have progressed to further study, four Peninsula Health vacancies are advertised on the with Peninsula Health. Peninsula Health website with a direct link to a commercial employment search engine. World-wide exposure has The traineeship placements increased awareness within resulted in an increase in the number of applications the local community that Peninsula Health is a career option received from 1,271 in 2003/04 to a total of 2,311 in for young people. 2004/05 (an 82 per cent increase). The YES traineeships provide young people (in particular, The new advertising format has resulted in a 10 per cent those who have previously had difficulty obtaining reduction in cost per advertisement. employment), the opportunity to receive a nationally recognised qualification. In order to improve recruitment and retention of staff in identified difficult to recruit areas, a number of workforce A Wur-cum barra: State Public Sector Indigenous planning initiatives were developed and implemented: Employment Program Policy was created in line with the • Review of Allied Health Plan in late 2004 (12 months State Government’s Public Sector Indigenous Employment after it was developed) Program strategy. The policy sets out strategies to increase • Pharmacy Workforce Plan the representation of indigenous people within all levels of • Nursing Workforce Plan the organisation. • Overseas nurse recruitment initiative (in 2005, 20 overseas nurses will commence in specialty areas). Library Services

Youth Employment Scheme (YES) Traineeships This year Library Services created its own page on the internal web site and a wide range of journals are now This year 28 trainees undertook YES traineeship placements available for staff on-line. Library staff conduct one-on-one at Peninsula Health in the areas of allied health, community and group training for clinical staff on how to conduct service and clerical administration. effective literature searches as well as a regular scheduled course on use of the Internet.

Above: On a recent visit, WorkSafe stated Peninsula Health’s No Lift program was the benchmark for Victorian Health Services.

Peninsula Health Annual Report 35 INFRASTRUCTURE

Engineering & Facilities Management Support Services

Project Management Food Services

Capital Planning Peninsula Health’s Food Services Department provides Capital planning for the new Mornington Centre Promoting meals for all sites across Peninsula Health. In 2004/05 Health Independence (CPHI) is in progress with construction the Department prepared over 900,000 meals for patients. due to commence late this year. Other capital planning is well advanced with major capital projects underway for Frankston The Victorian Patient Satisfaction Monitor, which Hospital’s Redevelopment Stage 2 and Frankston Hospital’s records patients’ satisfaction with Victorian hospitals and radiology redevelopment. then compares the data with like hospitals, rated meals at Frankston Hospital to be significantly higher than the Energy Audit average for all hospitals across Victoria. In 2004, a comprehensive energy audit was undertaken in conjunction with the Department of Human Services and Food Safety Audits Sustainable Energy Authority Victoria. Strategies to more All Peninsula Health sites are third party audited for food effectively manage overall energy consumption are being safety annually to ensure compliance with the Food Act developed. This will result in reduced energy usage as new is maintained. Full compliance has been achieved for the initiatives are implemented. These include new generators last five years and has resulted in re-registration to at Frankston Hospital to allow for energy efficient lighting to December 2005. be progressively installed. Results will be measured by the ongoing tracking of consumption and costs via an Energy The Frankston Hospital Pink Ladies’ Kiosk also underwent Database. a third party audit, and although not a requirement, this facility has met all standards and has been issued with a Signage Compliance Certificate – the first such volunteer facility to Throughout the year, Peninsula Health has improved achieve this in Victoria. signage at the Frankston Hospital (acute) site, Psychiatric Services at Frankston Hospital and Rosebud Residential All Food Services and Patient Services Assistants undertake Aged Care Services. annual refresher Food Safety Training.

Above: Stage 1A of the Mornington Centre Promoting Health Independence.

36 Peninsula Health Annual Report Cleaning Services Following a recommendation, an improved communication program about correct segregation of waste has been Cleaning audits are conducted internally throughout the introduced. health service every eight weeks. An annual external cleaning audit is also undertaken to validate internal audit Security Management Policy results. The audits assess Peninsula Health’s cleaning against the Victorian Hospital Cleaning Standards outcome The Security Risk Management Policy was revised to benchmark of 80 per cent which was recently increased reflect a broader approach to security including areas such to 85 per cent. Latest overall results were 91 per cent, as Security of Information and Pharmaceuticals Security. ranking Peninsula Health third highest of benchmarked health services. Measures undertaken throughout the year to increase Security Risk Management include: Two sites received outstanding results with both Chelsea • Installation of closed circuit television (CCTV) cameras at Community Rehabilitation Centre and Rosebud Hospital the main entrances and Emergency Departments at both Operating Theatre achieving a top score of 100 per cent. Frankston and Rosebud Hospitals. These cameras assist Rosebud Hospital had an impressive overall score of 96 in a timely response to potential aggressive incidents as per cent. well as security investigation. • Increased number of security guards at Frankston Linen and Waste Management and Rosebud Hospitals, following risk assessment. An overnight guard has been introduced at Rosebud Hospital Following an audit, linen stock levels have been reduced, and a senior guard has been appointed at Frankston minimising linen waste and costs. This was conducted Hospital to coordinate security across all sites as over three waves to ensure reduction in linen supply did necessary and improve communication between sites. not compromise patient comfort or standards. Security has been enhanced within the car parks at Waste Audit Frankston Hospital with improved lighting, layout of the Peninsula Health’s Waste Management System was car parking areas to remove blind spots and increased evaluated in November 2004 by an external waste communication to staff and visitors about vehicle security. audit conducted at the Frankston Hospital site. The audit indicated good overall compliance with waste segregation and identified opportunities to further improve waste minimisation.

Above: More than 900,000 meals for patients were prepared.

Peninsula Health Annual Report 37 FINANCE

Financial Performance 2004/05 Clinical effectiveness also contributed to the financial result with attention to maintaining the flow of patients through the Emergency Department, maintaining relationships with The full year financial result of an operating surplus of other health providers on the Peninsula, particularly nursing $1.75m was a pleasing result and meets the target agreed homes, and achieving lengths of stay which are comparable with the Minister for Health in the Statement of Priorities or better than peer hospitals. Reviews have also been for an operating surplus of $1.5m. undertaken to maintain high levels of efficiency in the operating theatre and associated areas. The financial result for the year improved the operating surplus achieved in 2004/05 of $1.67m. The achievement is due to the ability of management across the organisation to manage to expenditure budgets, maintain clinical Information Management efficiency, and achieve a growth in revenue from increasing existing activity targets as well as generating growth from Information Management encompasses Health Information new activities. Services, Computer Services, Management Information Services, Telecommunications and Clinical Informatics. Savings strategies which commenced in previous years The area provides staff from both clinical and administrative have been maintained with continued good workcover areas with information support. performance, linen utilisation, and food services costs. Improved purchasing practices allowed savings to be found Achievements in some prosthetics, particularly pacemakers, with no clinical impact, while a Peninsula Health Medical Officer Bank was • Achievement of Accreditation Status for the Information established as a means of replacing doctors for casual Management mandatory criteria incorporating: shifts with doctors of a higher quality than that obtained – Improved documentation audit practices across the through an outside agency. Sick leave across the year did health service not increase (4.7 per cent of productive hours) as some – Revised documentation policy strategies adopted as part of the sick leave strategy took – Establishment of an Alerts Policy effect, however attention to this area will continue. Costs for – Linkage of Community Health under the health service agency staff increased by 3 per cent (to an estimated $5.3m) wide patient numbering system over the year and remained higher than for comparable – Improved patient record notification practices. hospitals but is being addressed through improved • Increased management information available to managers recruitment, including further recruitment from overseas. via the On-Line 2 development including improved financial drill down capability, sick leave details, leave Across the health service, the variance of actual expenditure liability and associated staffing information. to budget was 2.6 per cent which compares favourably to • Establishment of a dedicated Information Technology the variation in the previous two years. The lower variation training facility. is seen as an improvement across the board relating to • Use of new technology to support clinical services budgeting and attention to expenditure management. including the development of electronic prescribing This indicator is partial, as additional expenditure may be for pharmaceuticals. covered by revenue above the budgeted level.

Higher levels of private patient revenue have continued in both the acute and sub acute areas, with the number of veterans treated also increasing in both areas. This enabled additional revenue to be earned. Revenue from participating in the PBS initiative also remained strong.

38 Peninsula Health Annual Report

“A new Financial Management Information System was implemented at the end of 2004-05 comprising a new integrated finance and supply system.“

Information Technology Health Information Services

New Information Technology Strategy Medical Record Audit

Peninsula Health updated its Information Technology A baseline medical record audit was undertaken in July Strategy and was an active participant in the Department of 2004 and results showed very good compliance. Following Human Services HealthSmart initiatives. Peninsula Health the results of this audit, it was determined that the existing plays a significant role in this statewide approach having documentation policy needed to be reviewed to ensure a chosen to be a lead agency for the Financial and Patient comprehensive policy across all Peninsula Health services and Client Management Systems Project. We are also along with a standardised documentation audit process. participating in the Picture Archive Communication System (PACS - Radiology) Project and have been able to assist with The policy was benchmarked against that of other health the Clinical Information Project based on experience with services and discussed with professional user groups this technology. (Medical, Nursing, Allied Health) within the health service.

A new Financial Management Information System was The updated policy was distributed throughout the health implemented at the end of 2004/05 comprising a new service in early 2005 with staff education being undertaken. integrated finance and supply system. Implementation was undertaken over a twelve month period but a changeover to An audit conducted at Frankston Hospital in March 2005 the new system was successfully achieved on 5 July 2005. showed dramatic improvement in areas such as nursing Peninsula Health was the second health service to designation (10 per cent to 100 per cent) and medical implement this system, which was sponsored under designation (35 per cent to 100 per cent). the Department of Human Services HealthSmart program.

Clinical System Support Printing

Leading edge developments have progressed during Volumes within the printing department increased by the year, including electronic discharge summaries, results over 15 per cent as it undertook large volume print runs reporting and electronic prescribing. Other technology has for Peninsula Health and assisted all areas with reports, also been developed to support clinical services. presentations and posters for accreditation. The Department’s design service was also expanded. One such development has staff in the Complex Care area being notified of patient attendances though a new mobile device. When a patient presents to one of the Emergency Departments, the patient’s details are run through a separate program to determine if the patient qualifies for services provided by this team. If this is the case the system automatically sends and e-mail to a pre-defined staff member’s e-mail box. The staff member can then retrieve this e-mail via the handheld device and know immediately that there is a patient in the Emergency Department awaiting further complex clinical assessment.

Another development is “EDTracker”. This software monitors how long a patient stays within the Emergency Department to assist staff to ensure that patients stay for as short a period as possible and, in particular, do not stay longer than 24 hours in the Department (see page 16).

Peninsula Health Annual Report 39 COMMUNITY PARTICIPATION

In 2004 Elizabeth Wilson, Executive Director of Nursing, Red Cross Volunteers in Emergency Departments had her role expanded to include Community Participation. This recognised that improvement in health service quality In collaboration with Red Cross, volunteers will be and individual care will result from increased introduced into the Emergency Department at Frankston consumer/community participation. Hospital. The purpose of the program is for the volunteers to offer emotional and practical support to patients, their Ms Wilson is working with staff from all services to families and carers whilst they are waiting to be seen. increase consumer involvement in planning and evaluating Following a six month review of this program, consideration care; in information gathering through surveys and focus will be given to introducing a similar program at Rosebud groups; in providing advice on development or patient Hospital. information; in sharing experiences from individual care episodes and in active involvement on committees. Groups With Special Needs

Kitchen Garden Project Another component of Ms Wilson’s new portfolio is to assess our care of consumers who have special needs One of the Peninsula Health Community Advisory including consumers who are deaf or hard of hearing, Committee members, Ms Shannon Anastasio, is working blind or vision impaired, physically or mentally disabled with Peninsula Health staff and the staff of Mount Eliza or impaired. Primary School and local businesses on a project for students in grades two and three. The aim of the project is Community Advisory Committees (CACs) to increase the awareness of the students of healthy eating habits. The Kitchen Garden Project, which was launched in The Community Advisory Committees have been May 2005, gives children the opportunity to plant and tend enhanced during the past year. Additional members have a vegetable garden on the school grounds. The project been appointed and now 25 people from the community includes information sessions provided by dieticians contribute ideas, feedback and new perspectives. The three for children and parents and the inclusion of relevant committees cover Peninsula Health’s geographical area with information into the curriculum for the students. members coming from 11 different suburbs in the service area. The committee members help to evaluate current projects and often suggest new projects.

Aboriginal Liaison Officer

Sara Frederiksen was appointed this year as Peninsula Health’s first full time Aboriginal Liaison Officer. She will focus on health promotion and access for the Indigenous community. She will also work with Peninsula Health staff to increase awareness of Aboriginal cultural traditions and explain how these can be accommodated in the health care setting.

Above: The aim of the Kitchen Garden project is to increase students’ awareness of healthy eating habits.

40 Peninsula Health Annual Report AUXILIARIES AND VOLUNTEERS

A review of all Volunteer processes and documentation Serving Community Health: relating to the appointment and orientation of volunteers Frankston Community Health Volunteers was undertaken throughout the year. As a result, a Volunteer Handbook, Volunteer Agreement and Task Descriptions have Serving Rehabilitation, Aged and Palliative Care been developed to assist in effective recruitment. Services / Psychiatric Services: Carinya Volunteers Peninsula Health is supported by 33 Auxiliary and Volunteer Chelsea Community Rehabilitation Service Volunteers groups with 832 members who give up their own time to Frankston Rehabilitation Service Volunteers raise money and provide support for patients and staff. Frankston Community Rehabilitation Service Volunteers Friends of Carinya Volunteers help to make patients more comfortable in many Jean Turner Nursing Home Volunteers ways, such as arranging flowers, tidying garden beds and Lotus Lodge Hostel Volunteers circulating books and magazines. Michael Court Hostel Volunteers Mt Eliza Centre Volunteers Each year Peninsula Health recognises Auxiliaries and Palliative Care Volunteers Volunteers at an Appreciation Event. This year volunteers Friends of Rosebud were treated to a performance by the Australian Ballet Rosebud Rehabilitation Service Volunteers School. Rosebud Community Rehabilitation Centre Rosebud Community Rehabilitation Unit Inpatient Volunteers For more information, refer to page 81 of the 2005 Rosewood House Volunteers Quality of Care Report. Fundraising Auxiliaries and Volunteer Groups Over $300,000 was raised throughout the year through Serving multiple sites: various fundraising activities and donations and will go Pastoral Care Visitors towards enhancing many programs and services at Operation Small Change – fundraising barrels Peninsula Health. There was a substantial increase of over $20,000 in donations to Palliative Care in 2004/05 Serving Frankston Hospital: compared to 2003/04. Carrum Auxiliary K.I.D.S. Auxiliary Frankston Hospital Men’s Auxiliary Patient Free Library Service Pink Ladies Auxiliary of Frankston Hospital Pink Ladies Music Group

Serving Rosebud Hospital: Blairgowrie Auxiliary Rosebud Auxiliary Rosebud Hospital Kiosk Auxiliary Rosebud Hospital Rehabilitation & Aged Care Opportunity Shop Rosebud Hospital Pink Lady Group Rosebud Hospital Garden Group Rye Auxiliary Sorrento/Portsea Auxiliary West Rosebud/Tootgarook Auxiliary Above: Pastoral care Visitors serve across a number of Peninsula Health’s sites.

Peninsula Health Annual Report 41 SENIOR STAFF

*As the Annual Report is used for HMO SUPPORT UNIT Haematology EMERGENCY & AMBULATORY Dr A Smith MB BS DipObst reference, recruitment and service Manager Dr J Catalano MBBS FRACP FRCPA SERVICES Dr S Ward MB BS DipRACOG CSCT promotion throughout the financial year, Mr P Naughton GradDipAppSc Dr P Turner MBBS FRACP FRCPA Operations Director & Principal Nurse Dr L Warfe MB BS DRANZCOG the information needs to be as up-to- GradDipSensor Systems Grad Cert Mgt Dr M Levin MBBS FRACP FRCPA Ms S Jones RN RM BNsg MNsg FRACGP date as possible. Therefore, the ACM Dip Maritime Studies (from 08/04) Dr E Maxwell MBBS FRACP FRCPA AdvCertMgt Cert Adv Emerg Director Intensive Care Unit structure listed below reflects senior Medical Education Officer Dr J Metz MD DSc(Med) FRCPath FACP Nurse Unit Manager Emergency Dr J Botha MB ChB MMed FCP(SA) staff membership at the time of Ms S Hawkins BA GradDipSocAdmin FRCPA Ms W Rossiter Dip Ap Sci HNUM Ba FRACP publication. HMO Mentors Microbiology App Sci Adv Nsg Grad Cert Criticial Medical Staff Intensive Care Unit Dr D Flanagan MB BS DipObst RACOG Dr S Broughton MBChB MRCP(UK) Care Emergency Nsg Asst Dip Bus St Deputy Director Intensive Care SENIOR STAFF 2004/2005 Dr B MacDonald MB ChB FChPM MSc FRCPath Nurse Manager Haemodialysis Dr I Carney BSc MB BS (Hons) FRACP Dr S Macfarlane MB BS (Hons) MPM Dr C Reed MBBS MRCPath FRCPA Ms H Hinrichsen RN BScN MPH TM FJFICM CHIEF EXECUTIVE FRANZCP Dr G Wood BSc(Hons) MBBS FRACP DipPsychNsg GradCertCritCare Specialist Intensivist Dr S Devanesen MB BS Dip Obst Dr J Downes-Brydon MBBS Dip RACOG FRCPA GradCertRenal Dr R Nagappan MMBS MD FRACP RACOG FRACMA FCHSE FAIM FHKCCM (from 12/04) Dr C Perera MBBS PhD Dp Bact MD Nurse Manager Chemotherapy FJFICM (to 01/05) Executive Assistant Dr M Nayagam MBBS (Hons) MRCP FRCPA Ms C Mellican RN Dr S Arora MD FRCP FRACP FJFICM Ms Sue Franssen (from 11/04) (UK) Paeds FRACGP (from 01/05) Biochemistry Nurse Manager Outpatients (from 09/05) Ms Karen Wilson (to 09/04) Dr A McNeil MBBS FRACP FRCPA PhD Ms B Connolly RN BN Medical Staff RESEARCH AND ETHICS COMMITTEE Nurse Manager Observation Ward Dr Ernie Butler MB BS FRACP EXECUTIVE DIRECTOR MEDICAL Executive Sponsor MEDICAL IMAGING SERVICES Ms A Lindsay RN CCCert BNsg MNsg Medical Staff Oncology & SERVICES and DEPUTY CHIEF Dr P Bradford MB BS MPH FRACMA Director Manager Special Projects Haematology EXECUTIVE FCHSE Dr C O'Donnell MBBS FRANZCR MMed Mr E Dunn RN BNsg Grad Cert HSM Dr J Catalano MB BS FRACP FRCPA Dr P Bradford MB BS MPH FRACMA Convenor Deputy Director (to 02/05) Dr V Ganju MB BS FRACP (Head of FCHSE Ms C Dodd Dr J Poynter MBBS FRACR Hospital in the Home Program Unit) Executive Assistant Radiologists Coordinator Dr N Potasz MB BS FRACP Ms C Dodd MEDICAL EDUCATION Dr S Edelstein MBBS FRANZCR Ms S Knight RN Dr J Thomson MB BS FRACP Director Clinical Training/Supervisor Dr M Martin MBBS FRACR NSQAC Hospital Palliative Consultancy Service Medical Staff Palliative Care MEDICAL STAFF AND COUNCIL Intern Training Dr P Menssink MBChB FRANZCR Mmed Ms R Rees RN BNsg GradCert CC Dr B McDonald MB ChB FChPM MSc Chairman, Medical Council Dr Darsim Haji MBChB FACEM Dr M Percy MBChB FRANZCR Periop GradDip Palliative Care M Nsg Medical Staff Respiratory Medicine Dr J Copland MB BS FFARACS FANZCA (from 03/05) Dr B Sher MBChB FCRAD FMGEMS Grad Cert Health Prof Edu Dr G Braun MB BS FRACP Deputy Chairman, Medical Council Clinical Dean FRCR Associate Professor D Langton MB Mr R Stunden MB ChB(Edin) DA FRCS Dr J Botha MB ChB MMed FCP(SA) Dr R Southwell MBBS FRACR MRACR MEDICINE AND CRITICAL CARE BS(Hons) MRACMA FCCP FRACP FRACS(Paed Surg) FRACP NSQAC Director of Medicine (Head of Unit) Hon Treasurer Dr J Stuckey MBBS FRACR FRACP Associate Professor D Langton MB Dr N Manolitsas MB BS(Hons) FRACP Dr J Copland MB BS FFARACS FANZCA PHARMACY MRACP NSQAC BS(Hons) MRACMA FCCP FRACP Executive Director Medical Services Director of Pharmacy Dr A Watson MBBS FRANZCR NMSpec Medical Staff Cardiology WOMEN'S, CHILDREN'S & Dr P Bradford MB BS MPH FRACMA Mr S Lam BPharm FSHPA Accredited Dr J Waugh MBChB FRANZCR Dr P Carrillo MB BCh FRACP (Director) ADOLESCENT HEALTH FCHSE Consultant Pharmacist Manager Radiology Dr B Pathik MB BS MD MHPEd FRACP Professor Director of Women's, Chairman, Division of Anaesthetics Manager, Frankston Pharmacy Mr A Thorbecke DipMed Radiog GDU DDU Childrens & Adolescent Health Dr J Campbell MB BS DipAnaes (UK) Mr B Leung BPharm MBA Nurse Manager Dr G Szto MBBS FRACP Professor R Burrows MD FRCS (C) FRCA Ms A Ackerley RN Dr G Toogood MB BS FRACP FRANZCOG Chairman, Division of Obstetrics QUALITY AND CUSTOMER SERVICES Medical Staff Obstetrics & FRANKSTON HOSPITAL Dr B Wood MB BS FRACP & Gynaecology Director Quality and Customer Services Dr R Lew MB BS FRACP Gynaecology Mr A Griffiths MB BS MRACOG Ms E Bennett BA (Hons) CPFA (UK) Chief Nursing Officer-Frankston Hospital Mr W Atchison MB BS FRANZCOG Ms S Jones (Acting) RN RM BNsg Cert Medical Staff Endocrinology FRANZCOG MBA Dr D Dutta MB BS PhD FRACP COGUS DDU FRCOG Chairman, Division of Orthopaedics Customer Relations Manager AdvCertMgt Cert Adv Emerg (from 05/05) Mr G Baker MB BS FRANZCOG FRCOG Ms D Jamieson RN BN MBus MRCNA Dr C Gilfillan MB BS PhD FRACP Mr P Brydon MB BS FRACS (Orth) Ms C Larsen BA(Community Dev) Dip (Head of Unit) FRCS (Edin) Chairman, Division of Paediatrics Edu MTD (to 05/05) Mr N Diamond MB BS FRANZCOG Clinical Services Managers/Bed Dr R Hoole MBBS FRACP Dr P Francis MB BS FRACP Quality & Clinical Pathways Project Medical Staff Infectious Diseases FRCOG Clinical Head Paediatrics Officer Co-ordinators Mr A Griffiths MB BS MRACOG Clinical Services Managers Dr S Broughton MB ChB MRCP(UK) Dr P Francis MB BS FRACP (from 05/04) Ms T Harlem BNsg (from 02/05) FRCPath FRANZCOG Chairman, Division of General Practice Manager Infection Prevention and Ms P Spears RN Mr R Guirguis MB BS FRCOG Ms C O'Neil Harding RN RM Grad Dip Medical Staff Dr J Siemienowicz MB BS DRACOG Control Unit Dr D Badov MB BS FRACP FRANZCOG FRACGP DipComp Ms B Lane RN Div 1 Grad Cert SIC Grad Bus (to 09/04) Mr K How MB BS FRANZCOG MRCOG Ms S Hayles RN RM Dr R Herrmann MB BS FRACP Chairman, Division of Surgery Cert Anae&RR Grad Dip Periop Dr M Merrett MB BS (Hons) FRACP Mr T Jobling FRCOG FRANZCOG CGO Mr R Stunden MB ChB(Edin) DA FRCS HIV&HEPCouns Cert IV Train & Assess Ms E McNamara RN (to 02/05) MD Ms A Aiello RN Dr Lee Min Yap MB BS FRACP FRACS(Paed Surg) (from 03/05) Medical Staff General Medicine/Renal Mr D Johnson MB BS FRANZCOG Chairman, Division of Medicine Ms J Kennon RN RM CertSteri & Ms J Constance RN BN Cert Ward FRCOG Mgmt (from 11/04) Dr P Fiddes MB BS FRACP (Head of Dr G Szto MB BS FRACP InfCont Cert AdultTeach & Learn REdSt Unit) Mr D Luiz MB Bch FCOG (SA) MRCOG Chairman, Division of Psychiatry (to 11/04) Ms J Teicher RN (from 03/05) FRANZCOG Bed Co-ordinators Dr P Nayagam MB BS(Hons) MRCP Dr R Newton FRANZCP MRCPsych MB (UK) FRACP Dr P Porter MB BS FRANZCOG ChB(Edin) MEDICAL GOVERNANCE AND PATIENT Ms M Eyers RN Dip Mgt Mr R Vasant MB BS FRANZCOG, Ms M Collins RN RM Grad Dip ICU BEdu Dr M O'Ryan MRCP(UK) FRACP Director of Medicine SAFETY Dr G Perry MB BS FRACP FRCOG (UK) Associate Professor D Langton MB Director Medical Governance and Clinical Head Paediatrics EMERGENCY MEDICINE Dr A Prendergast MB BS FFARACS BS(Hons) MRACMA FCCP FRACP Patient Safety FANZCA Dr P Francis MB BS FRACP Director of Women's, Children’s Dr S Sdrinis MBBS MPH MHSM Director of Emergency Medicine Medical Staff Paediatrics Frankston Associate Professor J Wassertheil CStJ Dr M Taverner MB BS FRCA FANZCA & Adolescent Health FRACMA FFANZCE DipPainMgt Dr S Blair MB BS FRACP MRCPCH Professor R Burrows MD FRCS (C) MB BS FACEM MRACMA MACLM Dr H Kelso MB BS FRACP Clinical Director Frankston Hospital Dr E Thevathasan MB BS(Hons) FRACP FRANZCOG PATIENT SAFETY Medical Staff General Practice Dr E Lowther MB ChB DCH FRACP Director, Aged Care Medicine Patient Safety Officer Emergency Department Dr A ONeill MB BS FRACP Dr L Goh MBBS FACEM Medicine Frankston Dr P Nayagam MB BS FRACP Ms J Pugh RN Crit Care Cert B Dr A Gunesekera MB BS DipObst Dr M Tuszynski MB BS FRACP MRCP(UK) AppSci(Nsg) MNursing Director of Emergency Medicine Operations Director & Principal Nurse Training DipRACOG (Head of Unit) WCAH and Medical Specialties Director, Radiology Skin Integrity Nurse Dr S Auteri MB BS BSci DipObst RCOG Dr C O'Donnell MBBS FRANZCR MMed Ms F Butler GradDipStomal Dr M Smith MB BS BMedSci(Hons) Ms B Williamson (Acting) RN BNsg FACEM FRACGP DipObst RACOG CCU RN (from 05/05) Director of Surgery Therapy/Wound Mgt Cont Nurse Dr Z Barr MB BS FRACGP Associate Professor C Russell MB ChB Adviser RMW RN Emergency Department Medical Staff - Ms D Jamieson RN BN MB MRCNA Frankston Dr G Cato MB BS (to 05/05) MS FRACS GradDipBus MRACMA Transfusion/Falls Risk Dr M Cocks MB BS BMedSci DRACOG Clinical Director Rosebud and Director Ms M Ryan RN Grad Cert Transfusion Dr V Amarasinghe MB BS FACEM Nurse Manager Intensive Care Unit Dr T Baker MB BS FACEM Dr M Cross MB BS FRACGP Mr I Kenny RN CCCert BHM Rosebud Emergency Practices Dr R Cuthbertson MB BS DipObst BSc Dr R Ward MB BS (Hons) MIFSM Dr K Bristow MB ChB FACEM Nurse Manager Women's Services Dr P Francis MB BS FRACP BMedSci FRACGP Ms D Attwood (Acting) RN RM (from Director of Emergency Medicine PATHOLOGY (Mayne Dorevitch) Dr B Fox MB BS DipRANCOG Associate Professor J Wassertheil CStJ Laboratory Manager Frankston Dr D Haji MB ChB FACEM 10/04) Dr B Chan MB BS FACEM Dr R Lewis BSc MB BS DCH DRCOG Ms K Davey BN RN RM IBCLC MB BS FACEM MRACMA MACLM Ms J Couper BSc (Hons) MBA FRACGP Clinical Director (Psychiatry) Director Frankston Dr M Jackson MB BS BMedSci CBEGradDipNP (to 10/04) DRACOG FRACGP Dr J Lowther MB BW DipObst RACOG Nurse Manager Maternity Inpatient Dr R Newton FRANZCP MRCPsych MB Dr J Pollard MBBS FRCPA MIAC PhC DipSportsMed ChB (Edin) Anatomical Pathology Hospital in the Home Medical Staff Services Dr M Jackson MB BS BMedSci Dr A Miceli MB BS DipRACOG BAppSci Ms K Brown RN RM GradDipCNP MN Director Medical Governance and Dr J Pollard MBBS FRCPA MIAC PhC Dr M Porter MB BS Patient Safety Dr C Magree MBBS FRCPA DRACOG FRACGP Nurse Manager Child & Adolescent Dr G Macauley MB BS Dr J Radcliffe MB BS DipRACOG Health Ward Dr S Sdrinis MBBS MPH MHSM Dr K Talia MBBS FRCPA LRCP(Lon) MRCS(Eng) FRACGP FRACMA General Pathology Ms H Hutchins RN Director Clinical Training/Supervisor Dr P Kostos MBBS FRCPA MIAC DipObst(NZ) Nurse Manager Special Care Nursery Intern Training Dr C Reeves MB BS Ms D Macfarlane RN RM IWC Dr Darsim Haji MB ChB FACEM Dr J Ross MB BS DipRACOG Neonatal Cert BAppSci(Nadmin) Dr J Siemienowicz MB BS DRACOG MRCNA FRACGP Dip Comp

42 Peninsula Health Annual Report Nurse Manager 5F South (Coronary ANAESTHETICS Program Manager Community Dental INFRASTRUCTURE SERVICES Chief Nursing Officer & Site Manager Care) Director of Anaesthesia Dr F Azouz BDsc(Alexandria) ADEC and Rosebud Community Rehabilitation Ms G Dixon RN CCCert Dr T Loughnan MB BS FANRACS Program Manager Peninsula Drug & ENGINEERING Centre & Rosebud Rehabilitation Unit Nurse Manager Cardiac Angiography & FFARACS FANZCA Alcohol Program (PenDAP) and Youth Director of Engineering and Contracts Ms K Murphy (Acting) RN RM BAppSc Associated Cardiology Business Units Deputy Director of Anaesthesia Services Mr G De Campo BBus Grad Dip Mgt MB (Adv Nsg) Dip App Sc(Comm Hlth) (from Ms B Williamson RN BNsg CCU RN Dr J Copland MB BS FFARACS FANZCA Mr S Ruth B Sc MA Grad Dip Add St Senior Engineer 03/05) Nurse Manager CCF HARP Project Medical Staff Anaesthetics Manager Primary Care Partnerships Mr E Nogueira DipMechEng Mrs R Digby (Acting) RN Div 1 BA Cert Ms P Lane RN PG Cert Crit Care MEd Dr C Bowden MB BS FANZCA Ms D Mumme B SW DipElectEng Diab Ed Grad Cert Gerontology (to 03/05) RMidwife (to 08/04) Dr P Brown MB BS BSc(Hons) DA(UK) Program Manager Primary Health and Facilities/Fire Officer Nurse Unit Manager Carinya Diabetes Educators FANZCA Community Care Mr S Hall Residential Aged Care Unit Ms S Cole RN CertDiabEduc Dr J Campbell MB BS DipAnaes(UK) Mr D Wright BSc(Hons) MAPS Ms C Graham RN Division 1 Ms D Distefano RN CertDiabEduc FRCA Program Manager SHARPS - HOTEL SERVICES Nurse Unit Manager Golf Links Road Ms C Avery RN RM BNsg MRCNA Dr T Crofts MB BS FANZCA HIV/HEP/AIDS Resource and Manager Support Services Rehabilitation Unit 1 (to 06/05) Dr T Ding MB BS FANZCA Prevention Service Ms L Winterburn Cert Hospitality Ms L Chapman BaNsg Dr T Edgley MB BS FANZCA Mr S Swift DipComDev Post Grad MIHHC Nurse Unit Manager Golf Links Road SURGERY Dr J Fleming PhD FANZCA FFPMANZCA Health Post Gad Dip Addictions Operations Manager Support Services Rehabilitation Unit 2 Director of Surgery DipMed(Pain Mgmt) Program Manager - Complex Care Mr A MacLean Cert Hospitality MIHHC Ms L Clark RN Division 1 (from 03/05) Associate Professor C Russell MB ChB Dr D Henry MB BS DA FFARACS Ms F Turner BAppScOT Ms K Murphy RN RM BAppSc (Adv MS FRACS GradDipBus MRACMA Dr H Kolawole BMedSci MB BS Project Officer - Complex Care EXECUTIVE DIRECTOR Nsg) Dip App Sc(Comm Hlth) (to 03/05) Professor Director General Surgery FANZCA MRACMA Ms N Romney RN REHABILITATION, AGED & PALLIATIVE Nurse Unit Manager Ward 1 Professor J Serpell MB BS(Melb) MD Dr S Leong MB BS FANZCA Systems Coordinator CARE and ALLIED HEALTH SERVICES Ms P Freeman RN BaNsg FRACS (from 04/05) Dr G McKenzie MB BS FFARACS Ms C Carr (to 10/04) Mr B Gardner (Acting) BAppSci(MRA) GradDipHlthAdmin MRCNA Medical Staff Ear Nose and Throat FANZCA Coordinator Volunteer Program MHA(UNSW) (from 08/05) Nurse Unit Manager Ward 4 Mr N Vallance MB BS FRACS (ENT) Dr G Marxsen MB BS FANZCA Ms G Callery BA DipED Mr S Sivarajah BCom ASA ACMA Ms W Hellier RN RM Grad Cert (Head of Unit) Dr H Platt MB BS FANZCA (to 08/05) Nsg(Psych)Grad Dip Mr W Hurst MB BS FRCS(Edin) Dr A Prendergast MB BS FFARACS PSYCHIATRIC SERVICES Executive Assistant Nsg(Gerontology)MNsg MRCNA FRCS(Eng) FRACS Dr N Roberts MB BS FANZCA Clinical Director (Psychiatry) Ms K Timms Nurse Unit Manager Ward 5 Mr J Redman MB BS FRACS LDS BDSc Dr E Rubinstein MB BS DA FFARCS Dr R Newton FRANZCP MRCPsych MB Medical Director (RAPCS) Ms Roz Gersdahl RN Div 1 (from 10/04) Mr D Diamantaris MB BS FRACS FFARACS FANZCA ChB(Edin) (Chairman) Dr P Nayagam MB BS FRACP Ms B McGee RN Div B Ed Grad Dip Medical Staff General Surgery I Dr A Vulcan MB BS FANZCA Director of Aged Psychiatry MRCP(UK) (to 10/04) Bus Mgt (to 10/04) Associate Professor C Russell MB ChB Dr A Webb MB BS FANZCA Dr S Macfarlane MB BS (Hons) MPM Operations Director Subacute Care, Nurse Unit Manager Jean Turner MS FRACS GradDipBus MRACMA FRANZCP Principal Nurse RAPCS & Site Manager Community Nursing Home (Head of Unit) SURGICAL AND INPATIENTS Operations Director Mt Eliza Ms M Cook RN BAppSc Nsg Mr P Evans MB BS FRACS Operations Director and Principal Nurse Mr D Reid RPN RN GradDipAdmin Ms J Child RN GradDip(Behavioural Sc) (from 06/03) Mr I Wheatley MB BS(Melb) FRACS Ms J Stephens (Acting) RN RM CCCert Chief Nursing Officer GradDipHlthAdmin Nurse Unit Manager Lotus Lodge BAppSc MComp FACS BNsg (from 06/05) Ms B Keeble-Devlin RN RPN BAppSci Operations Director Continuing Care Hostel Medical Staff General Surgery II Ms J Poxon RN PeriOp Cert (to 06/05) DipAppSciPsychNurse Med Ms L Jamieson BAppSci(SpPath) Ms K MacKenzie BNsg Mr S Skinner MB BS PhD FRACS Senior Manager Central Sterile Supply MANZCMHN FRCNA MSPAA MSPPPAV Grad Dip PGSS Nurse Unit Manager Michael Court Lecturer (Head of Unit) Department Medical Staff Psychiatry (Oxford) Hostel Mr P Gray MB BS(Melb) FRCS(Edin) Mr B Button RN PeriOp Cert STFR/Inf Dr Y Abdel-Malek MB BCh DPM Director Integrating Care Mr C Broadway RN Div1 FRCS(Eng) FRACS Control Mgmt Cert (Mayfield) FRANZCP Ms S Goonan BSW DipMgt AdvCertMgt Nurse Unit Manager Palliative Care Mr R McIntyre MB BS DPhil(Oxon) SRACA (Vic) Dr S Dahlenburg MB BS FRANZCP Director of Physiotherapy Unit FRACS Nurse Manager Operating Suite Dr C Etulain FRANZCP Ms N Toohey Bachelor of Physiotherapy Ms H Wearne RN RM BNsg M Nsg Mr E Torey MB BS(Hons) FRACS Ms S Maxwell RN PeriOp Grad Dip Dr S Macfarlane MB BS FRANZCP (Hons) MAPA MCSP (UK) (Pall Care) MRCNA Medical Staff General Surgery III Nurse Manager Day Surgery Unit Dr M Lee MB BS B Sc FRANZCP Director of Occupational Therapy Nurse Unit Manager Rosebud Professor J Serpell MB BS(Melb) MD Ms G Richards RN BNsg MRCNA Dr T Gidley MB BS DMP FRANZCP Ms K MacRae DipOT (Edin) FCHSE Rehabilitation Unit FRACS (Head of Unit and Director of Nurse Manager Short Stay Unit Dr F McGlade FRANZCP Dip Applied Director of Speech Pathology Ms B Watkins (Acting) RN Div 1 Surgical Education and Training) Ms J Emmanuel BNsg Dip Front Man Medicine MB BS MPM Ms H Halloran BAppSc (SpPath) Manager Chelsea Community Ms B Brown MB BS FRACS Nurse Manager Ward 5G South Dr R Kirkman BSc (Hons) MB BS MSPAA CPSP AFCHSE Rehabilitation Centre Mr M Cheung MBBS FRACS Ms H Lack RN RM Dip NurEd Ed Dr D O'Loughlin MB BS DipRACOG Director Dietetics and Mrs R Digby RN Div 1 BA Cert Diab Ed Mr G Draper MBBS FRACS Nurse Manager Ward 5 GNorth MPM FRANZCP Ms M Gelsheimer APD Grad Cert Gerontology (from 03/05) Medical Staff Ophthalmology Mr D Brinn RN BN (from 10/04) Dr P Patange MB BS DPM MD MIPS Director of Aged Care Medicine Ms J McIntyre RN BN Grad Dip Pall Mr H Baig MB BS FRCS(Edin) FRACS Ms C Post (Acting) RN (to 10/04) Dr F Robinson MB BS FRANZCP Dr P Nayagam MB BS FRACP Stud Post Basic Gerontology (to 02/05) FRACO Nurse Manager Ward 5F North Dr J Selman MRCPsych MB ChB MRCP(UK) (to 10/04) Manager Frankston Community Medical Staff Orthopaedic Surgery Ms N Marshall BNsg Grad Dip Critical FRANZCP Professor Director Aged Care Medicine Rehabilitation Centre Mr G Bourke MB BS FRACS (Orth) Care (from 03/05) Dr J Stone MB BS (Hons) MPM Professor J Ibrahim MBBS Grad Cert Mrs R Digby RN Div 1 BA Cert Diab Ed Mr N Broughton MB ChB(Hons) Ms E Weir (Acting) BNsg Grad Dip FRANZCP HE PhD MRACMA FAFPHM FRACP Grad Cert Gerontology (from 03/05) FRCS(Ed) FRCS(Eng) FRACS(to 02/04) Critical Care (from11/04 to 03/05) Adult Assessment & Treatment Director of Palliative Care Medicine Ms J McIntyre RN BN Grad Dip Pall Mr P Brydon MB BS FRACS (Orth) Ms J Constance RN BN Cert Ward Mgt Program Manager Dr B McDonald MBChB MRCGP(UK) Stud Post Basic Gerontology (to 02/05) (Chairman) (to 11/04) Mr R Bennett RPN BsocScPGradDip FChPM MSc Manager Rosebud Community Mr P Hamilton MB BS FRACS Nurse Manager Admission/Discharge App Sci Health Ed PGradDip Health Director of Rehabilitation Medicine Rehabilitation Centre Mr P McCombe MB BS FRACS Lounge Admin PG Cert Ergonomics Dr S Mudaliar AMC FAFRM(RAP) Mrs R Digby RN Div 1 BA Cert Diab Ed Mr J Rehfisch MB BS FRACS Ms S Maxwell (Acting) RN PeriOp Adult Case Management & Recovery MRACMA Grad Cert Gerontology Mr A Weber MB BS FRACS Grad Dip Program Manager Manager Access Service Mr R Wuttke MB BS FRACS Ms S Ritchie RN (Associate Nurse Mr K Joseph RPN MEDICAL STAFF - RAPCS Ms S Goonan BSW DipMgt AdvCertMgt Medical Staff Paediatric Surgery Manager) Aged Psychiatry and Assessment Professor Director Aged Care Medicine Manager Aged Care Assessment Mr R Stunden MB ChB(Edin) DA FRCS Nurse Manager Ward 4G South Service Coordinator Professor J Ibrahim MBBS Grad Cert Service FRACS(Paed Surg) Ms J Stephens RN RM CCCert BNsg Ms R Cantley-Smith RN RPN HE PhD MRACMA FAFPHM FRACP Ms K Graham RN Div 1 Grad Cert HR Medical Staff Plastic Surgery Nurse Manager Ward 4G North North Continuing Care Service Physicians in Geriatric Medicine (from 01/05) Ms P Terrill MB BS FRACS (Head of Ms G Walters RN Co-ordinator Dr S Gong MB BS FRACP MRCP(UK) Ms J McKee RN (to 01/05) Unit) DipHospNsg/WardAdmin FCNA Ms C Hoppner RN BNsg MNsg Geriatricians Senior Clinician Care Coordination Mr D Hunter-Smith MB BS(Hons) Stomal Therapy/Breast Service GradDipPsyNsg GradDipOccH Dr S Denton MB BS DGM DipPallMed Ms J Grant BSW FRACS Ms M Thomas RN RM STN AdvCertPharm Dr S Kumar MB BS FRACGP DGM Manager Cognitive, Dementia Mr T Robbins MB BS FRACS FRCS(Ed) South Continuing Care Service GradDipHlthAdmin DipPallMed and Memory Service FRCS Co-ordinator Dr S Sabanayagam MBBS FRCP FRACP EXECUTIVE DIRECTOR PSYCHIATRY Physicians in Rehabilitation Medicine Ms L Gray RN Grad Dip Community Mr D Ross MB BS FRACS (Plast) AND INFRASTRUCTURE Ms J Bakewell BAppSciOT Health/nursing (from 06/05) Ms M Rostek MB BS FRACS Primary Mental Health Service Dr S Mudaliar AMC FAFRM(RAP) Mr S Brewin B Bus (C&HM) Grad Dip MRACMA Ms K Graham RN Div 1 Grad Cert HR Medical Staff Thoracic Surgery HSM Grad Cert HE MBL FCHSE CHE Coordinator (from 01/05 to 06/05) Mr P Cole MB BS FRACS FRCS Ed Mr G Hubbard BSW DipEdClin Dr J Rubenis MB BS DGM Executive Assistant FAFRM(RACP) Ms J McKee RN (to 01/05) (Card/Thor) FACS FCCP STS Ms E de Lange Memb VAFT Manager Continence Service Medical Staff Urology Crisis Assessment and Treatment Dr Mary Lou Leach MB BS(Hons) FRACGP FAFRM Ms M Payne RN RM BN Mr C Cham MB BS MD FRCS FRACS COMMUNITY HEALTH SERVICES Service Coordinator CertNeurol&(Eng) (Head of Unit) General Manager Community Health Mr A Carlow RPN RN SITE & SERVICE MANAGERS CertRehab&Gerontology Ms K McKertich MB BS FRACS Services, Chief Operating Officer, Unit Manager Aged Acute Inpatient Chief Nursing Officer & Site Manager GradCertHlthContinence (Urology) Frankston Integrated Health Centre Unit Golf Links Rd GradDipAdvNsg(Mgt) Mr A Tan MB BS(Melb) FRACS Mr R Macindoe BA GDRec GDBus Mr R Bakey RPN RN Mrs R Digby RN Div 1 BA Cert Diab Ed Domiciliary Care Mr A Troy MB BS FRACS MAppSc AFCHSE CHE Unit Manager Adult Acute Inpatient Grad Cert Gerontology (from 03/05) Mr T Van den Blink DipAgSc(Holland) Medical Staff Vascular Surgery Program Manager Access, Support Unit Ms J McIntyre RN BN Grad Dip Pall BAppSci(OT) GradDipHlthAdmin Mr C Last MB BS(Hons) FRACS (Vasc) & Quality Mr P Woods RPN Stud Post Basic Gerontology (to 02/05) Falls Service Mr G Somjen MS FRACS FRCS(Ed) DDU Ms D Hubbard RN RM GradDipCH Unit Manager Community Care Unit Rosebud Residential Aged Care Ms K Bull BAppSc(OT) Dip Mgt Mr Wai-Leng Chue MBBS FRACS (Vasc) GradCertMgt (to 06/05) Mr A Merrett RPN Services (incorporating Jean Turner (Frontline) Audiologist Nursing Home and Lotus Lodge Hostel) Ms V Davies BAppSc(OT) (from 03/05) Mr N Mavroudis BSc(Hons) Ms E Franklin RN Div1 BAppSci (Adv GEM Community Packages DipAud(Melb) MAud SA (CC) Nsg Admin) MRCNA Mr D Holmes (Acting) BAppSc(Physio)

Peninsula Health Annual Report 43

SENIOR STAFF

Manager Health Information Services Nurse Manager Emergency Department Oncology Frankston Hospital Mrs J Jones RN BNsg GradDip Adv Ms M Bolch RMRA AssDipMRA Mr G Matthews BSc DipApSc (Nsg) BN Dr V Ganju MB BS FRACP Chief Nursing Officer & Principal Nurse ClinEd M Nsg (Adv Clin Ed) Grad Cert Infection Control Consultant MNU ICU Certificate (from 12/04) Orthopaedic Surgery Rosebud Womens Chidren & Adolescents Health Nsg Sc (Evidence-Based Practice) Ms K Bellis RNDip Prof Counselling Cert Mr W Faulkner RN BSc(Nsg) (to 10/04) Mr G Bourke MBBS FRACS (Orth) & Medical Specialities CertSter&Inf Ctrl MRCNA IV SIC Cert IV WTA Acc HIV Counsellor Nurse Manager Hillview Maternity (to 07/04) Ms D Jamieson RN BN MBus MRCNA Ms D Lace RN BNsg GradDipPeriop (from 06/05) Mrs L Whyte RN RM Mr P Hamilton MBBS(Hons) (to 05/05) Cert IV WT&A Ms L Gossen RN GHSA(Canada) Nurse Manager Operating Suite FRACS(Orth) Principal Nurse Emergency & Ms J Louw RN BCur BA Nsg(Ed) MIC(Canada) (to 06/05) Mrs S Lambert BSc(Nsg) Cert Peri Op Mr P McCombe MB BS FRACS Ambulatory Services DipCritCare Manager Improving Care & Ageing Dip Mgt (from 09/04) Mr J Rehfisch MB BS FRACS (to 11/04) and from 05/05 Acting Chief Nursing Ms N Parker RN GradDip CritCare Well (CPHI Project) Mrs S Netherwood RN RM AdvCertMgt Mr R Wuttke MB BS FRACS Officer MNsg BAppSci(Nsg) Grad Cert HP Grad Ms K Bull BAppSc(OT) Dip Mgt (to 08/04) Mr A Weber MB BS FRACS Ms S Jones RN RM BNsg MNsg Cert Health Professional Ed (Frontline) (from 12/04) Nurse Manager Southern Wing Paediatrics Rosebud AdvCertMgt Cert Adv Emerg Ms N Pratt RN BNsg Grad Cert Crit Care In-Patient Admissions Mrs S Netherwood RN RM AdvCertMgt Dr E Lowther MB ChB DCH FRACP Principal Nurse Womens Chidren & Ms J Pugh RN CritCareCert B AppSci Ms R Parfrey RN RM BNsg (from 08/04) Dr A O'Neill MBBS FRACP Adolescents Health & Medical (Nsg) M Nsg (to 01/05) PostGradDipHlthAdmin MRCNA M Nsg Nurse Manager Walker Wing Plastic Surgery Rosebud Specialities Mr P Taylor RN Dip HE (Nsg Mornington Development Project Ms L Goodwin RN BaNur(Post reg) Mr G Dowling BSc(Hons) MB BS Ms B Williamson (Acting) RN BNsg CCU Studies)ENB 923 High Dependency Ms J McKee RN (from 09/04) Grad Cert Diabetes Ed MRCNA FRACS (to11/04) RN (from 05/05) Nursing ENB A13 Cardio-Respiratory RAPCS Librarian Clinical Educator Mr D Hunter-Smith MBBS (Hons) Principal Nurse Surgical & Inpatients Intensive Care ISM (UK) B48 Mgmt Cert Ms M Steele BA DipLib ALIA Mr P Taylor RN Dip HE (Nursing FRACS Ms J Stephens (Acting) RN RM Crit Care (from 03/05) Clinical Neuropsychology Service Studies) ENB 923 High Dependency Plastic & Reconstructive Surgeon MRCNA (from 06/05) Ms S Shave RN RM Dip Aged Care Mgt Ms F Simpson (RAPCS) BBSc(Hons) Nursing ENB A13 Cardio-Respiratory Mr T Robbins MBBS FRACS FRCS Ms J Poxon RN PeriOp Certificate Cert IV WT&A Qlty Ass Aged Care Ass MA MAPS(Neuropsych) BCN Intensive Care ISM (UK) B48 FRCS (Ed) (to 06/05) MQSA (from 03/05) Mr L Delaney (Acute) BSc (Hons) Management Certificate (from 03/05) Facio-Maxillary Surgery Rosebud Hospital Ms J Ten-Hoeve RPN Grad Dip Psych MClinNPsych MAPS Acute/Community/Rosebud Senior Mr B McMillan MBBS BDSc MDS Chief Nursing Officer Nsg Manager Personal Assistance Call Infection Control Practitioner (Ad) FRACDS(Oms) Mr E Dunn BN Grad Cert HSM RN Ms G Van Summeren RN Crit Care Cert Service (PACS) Ms C Taplin RN BN Cert IC&S Grad Adv (from 02/05) B Ed Studies Ms B Lester RN B Ed Clin Nsg (Psych) (from 03/05) EXECUTIVE DIRECTOR Mr R Barker (Acting) RN RPN RN Tutor Ms S Webb RN Dip Mid Cert Ed Team Leader Peninsula Post Acute Ms P Clayton RN RM BAPP Sc HUMAN RESOURCES Dip Nursing & Management Studies (from 02/05) Care (PENPAC) (AdvNsg) CertIV Assess & Train Mr C England AHA(UK) CMAHRI (from (from 11/04 to 02/05) Ms A Gray BAppSc(OT) (maternity leave (to 01/05) 08/05) Ms E Wilson RN CTCert CCCert PUBLIC RELATIONS & MARKETING from 10/04 to 07/05) Mr P Murphy (Acting from 06/05 to DipHNUM BaAppSci(N Admin) MHA Director Public Relations & Marketing Jose Arrebola (Acting) Dip AppSc(Nsg) MEDICAL STAFF - ROSEBUD 07/05) FRCNA (to 11/04) Mr J Jukes BA Grad Dip Mktg Bachelor (Nsg) Grad Dip Clinical Director Mr M Dawson-Smith BA(Politics) Psychiatry Chief Nursing Officer Publications Co-ordinator Gerontology(Nsg) (from10/04 to 07/05) Dr R Ward MB BS (Hons) MIFSM GradDipLabour/MgtRelations AFAHRI Ms B Keeble-Devlin RN RPN Ms E Alexander BA Cert Ed RAPCS Pharmacy Manager General Medicine Rosebud (to 06/05) BAppSciDipAppSciPsychNurse Med Public Relations Officer Mr Alastair Walker BPharm FSHP MPS Dr P Fiddes MB BS FRACP (from 09/04) Executive Assistant MANZCMHN FRCNA Ms J Lovell BBus Com (from 05/05) Dr P Nayagam MB BS FRACP Ms S Bravo Rehabilitation, Aged & Palliative Care Ms L Mitchell Adv Cert (Professional Ms M VanNooten BScBPharm Grad Dip MRCP(UK) (from 09/04) Services Writing & Editing) Epid & Biostats (to 05/05) Dr M O'Ryan MRCP (UK) FRACP HUMAN RESOURCES Principal Nursing Officer RAPCS & Ms S Maclagan BBus Com BCommun Prosthetics / Orthotics Dr G Perry MB BS FRACP Employment Services Manager Chief Nursing Officer Jacksons Road Mr J Scheffer DipSc P&O MedRad Dr M Scott MBBS FRACP FACRM DGM Mr D Mason Ms J Child RN GradDip(Behavioural Sc) EXECUTIVE DIRECTOR CertSurgShoe Geriatric Medicine Rosebud Occupational Health and Safety GradDipHlthAdmin FINANCE Team Leader Rapid Assessment & Dr S Gong MB BS FRACP MRCP(UK) Manager Chief Nursing Officer Golf Links Road Mr D Anderson BCom MCom (Finance) Discharge (RAD) Dr J Rubenis MB BS FAFRM (RACP) Mr G Thomas Dip OHS Adv Cert Mgt Ms R Digby RN Div1 BA Cert Diab Ed FINANCE Ms B Morhun BSW DGM Industrial Relations Manager Grad Cert Gerontology (from 02/05) Director of Financial Services Manager Rehabilitation in the Home General Practice Rosebud Mr J Kelley (from 03/05) Ms J McIntyre RN BN GradDipPallStud Mr D O'Connor-Price BBus(Acc) CPA Jose Arrebola Dip AppSc(Nsg) Dr C Amarasinghe BSc MBCHB DipObst Mr P Murphy (to 03/05) PostBasic Gerontology (to 02/05) Senior Financial Accountant Bachelor (Nsg) GradDip Dr W Christophersen MB BS FRACGP Human Resources Officer Chief Nursing Officer Rosebud Mr A Lowe BBus(Acc) CPA Gerontology(Nsg) Dr M Coffey MB BS BSc(Hons) Ms L Andrew Assoc Dip Bus (maternity Residential Aged Care Services Management Accountant Team Leader Residential & Dr A Croker MB BS leave from 11/04) Ms E Franklin RN Div 1 BAppSci Ms T Susam BCom CPA Complex Care Dr R Duff MB BS Dip RACOG Ms C Hepburn (Acting) Assoc Dip OH&S (AdvNsg Nsg Admin) MRCNA Management Accountant Mr P Colosimo BSW Dr S Fifield MB BS DRACOG (from 11/04) Chief Nursing Officer Rosebud Mr A Burton BBus(Acc) Manager Rosewood House Dr D Flanagan MB BS DipObst RACOG Coordinator Pastoral Care & Community Rehabilitation Centre & Management Accountant Ms B Williams RN Dr M Gokhale MB BS FRACGP Chaplaincy Rosebud Rehabilitation Unit Mr S Irwin BBus(Acc) CPA MACS Victorian Aids & Equipment Program Dr J Hough MB BS Dip RACOG Mrs G Austin Div 1 Nsg CPE Basic & Ms J Olver RN DipNsgEd FRCNA Mr T Van den Blink DipAgSc(Holland) Dr L Janiszewski MB BS Advanced Grad Dip Human Chief Nursing Officer Rosebud PAYROLL SERVICES BAppSci (OT) GradDipHlthAdmin Dr O Kefaladelis MB BS Relationships (Ed.) Grief & Loss Rehabilitation Services Manager Remuneration and FBT Dr J Lipszyc MB BS Counsellor (NALAG) (from 12/04) Mrs K Murphy RN RM MHlthServ Mgt Mr P Beattie ROSEBUD HOSPITAL Dr J Lottkowitz MB BS(Hons) DipObst Mr M Dowling BA CPE CertPsych BAppSci (AdvNsg – Nsg Admin) Responsibility for Rosebud Hospital RACOG FRACGP GradDipSocSci (to 12/04) DipAppSci (Comm Hlth) DipBus (Comm INFORMATION MANAGEMENT transferred to Mr C England, Executive Dr I McIntosh MB BA FRACGP Human Resources Manager, Special Serv & Hlth Mgt) (from 03/05) Director - Information Management Director Human Resources from 08/05. Dr M McLean MB BS DRACOG FRACGP Projects, External Disaster Mgt Nurse Educators Mr B Gardner BAppSci(MRA) Mr S Sivarajah BCom ASA ACMA DipRGP Coordinator Ms S Barker RN Dip App Sci (Nsg) BN MHA(UNSW) from 11/04 to 08/05) Dr M Milanko BSc(Hons) MSc MB BS Ms R Johnston RNRM BNsg M Nsg Studies Cert IV WT&A MRCNA Manager, Information Technology Ms E Wilson RN CTCert CCCert Dr I Paterson MB ChB MRCGP FRACGP CertICU/CCU CertEENth BHA GDHSM (from 08/04) and Telecommunications DipHNUM BaAppSci(N Admin) MHA Dr S Pilbrow MB BS PhD FRACGP AFCHSE Ms J Barnfield RPN Grad Cert Mr E Aspinall MACS HND FRCNA (to 11/04) Dr J Roth MB BS(Hons) Dip Obst Library Services Manager Psychiatric Nursing Practice MHltSci Manager, Management Information Rosebud Hospital RACOG FRACGP Mr J Taylor BA GradDipInfServ ALIA (Nursing) MANZCMHN Services Operations Director, Site Manager & Dr S Smith MB ChB Librarian (Rehabilitation, Aged and Ms A Beaney RN B App Sci (Nsg) Grad Mr D Athan Sc(Chemistry) Chief Nursing Officer Dr N Stitt MB BS FRACGP Palliative Care Services) Cert Crit Care Cert Mgt Studies (to10/04) BEc(Accounting) GradDipBusAdmin Mr E Dunn BN Grad Cert HSM RN Dr G Williams MB BS FRACGP Ms M Steele BA DipLib ALIA Mrs T Bradley RN ICU Cert Grad Cert ASA (from 02/05) Dr DYoung MB ChB DipObst Nurse Ed Manager, Health Information Services Mr R Barker (Acting) RN RPN RN Tutor General Surgery Rosebud EXECUTIVE DIRECTOR NURSING Ms A Darch RN BAppSci (Nsg) Crit Care Ms E Pezzi (Acting) BAppSc(HIM) Dip Nursing & Management Studies Mr G Draper MBBS FRACS (from 11/04) SERVICES AND COMMUNITY Cert Grad Dip Nurse Ed Cert IV WT&A (from 03/05) (to 02/05) Mr M Cheng MBBS FRACS (to 12/04) PARTICIPATION Ms J Douglas RN Grad Cert Emerg Cert Ms M Herbert BAppSc(MRA) (to 03/05) Clinical Coordinator Associate Professor C Russell MB ChB Ms E Wilson RN CTCert CCCert IV WT&A Switchboard/ Main Reception Mr R Barker RN RPN RN Tutor Dip MS FRACS GradDipBus MRACMA DipHNUM BaAppSci(N Admin) MHA Ms S Dusting RN B Ed Studies Supervisor Nursing & Management Studies Mr E Torey MBBS(Hons) FRACS FRCNA PeriopCert Cert IV WT&A Ms D Becker Clinical Services Managers Mr I Wheatley MB BS FRACS Ms P Foley RN CritCareCert Cert IV Ms B Amer RN Vascular Surgery Rosebud NURSING SERVICES EXECUTIVE WT&A SUPPLY Ms M Evans RN Mr C Last MBBS (Hons) FRACS(Vasc) Manager Nursing Recruitment & Mrs C Gilmour RN RM BAppSc(Nsg) M Supply and Materials Manager Mrs J Holmes RN Dip Sc (Nursing) Mr G Somjen MS FRACS (Ed) FRACS Allocations Nsg GradCert Higher Ed GradDipAcup Ms C Webster AdvCertOpMgt AHSPO (to 12/04) DDU Ms Kelly Story RN BNsg Grad Cert ICU MRCNA AIPMM Ms S Hill RPN BNsg Mrs C Ridgway RN Dip Sc (Nursing) Mr Wai-Leng Chue MBBS FRACS(Vasc) (from 08/04) PRINTING BaHSci Nursing PGr Cert Crit Care ICU Obstetrics & Gynaecology Rosebud Ms Donna Sherringham RN BNsg CertPsychNsgPractice GradCert ComMentalHealth Cert IV WT&A Manager Mrs M Shannon RN Dip CC Mr A Griffiths MB BS MRACOG (to 08/04) Ms B Patton Mrs L Stoneham RN Dip Sc (Nursing) FRANZCOG Senior Nurse Manager, Education & MANZCMHN MANTS Mrs L Taylor BSc (Hons) (from 02/05) Mr K How MB BS FRANZCOG MRCOG Development Ms M Jameson RN BAppSci(Nsg) CORPORATE COUNSEL Operations Assistant Mr D Johnson MB BS FRANZCOG Mrs M Habner RN RM GradDipEd Cert IV WT&A MRCNA Ms V Hammond LLB (Hons) LLM (Hons) Mrs D Kitchin FRCOG BAppSci(AdvNsg)Ed MHA Cert IV Ms J Johnstone RN RM NICU Cert BNsg Executive Assistant Manager Patient Reception Unit Mr R Vasant FRANZCOG FRCOG (UK) WT&A MRCNA AFCHSE Grad Dip Adult Education IBCLC Ms E de Lange Mrs M White (from 06/05)

44 Peninsula Health Annual Report CONTACTS MELBOURNE

Carinya Residential Mount Eliza Personal Aged Care Unit Assistance Call Service 125 Golf Links Road (MEPACS) has approximately Frankston Vic 3199 13,000 clients in the eastern Tel: (03) 9783 7277 half of Victoria. Fax: (03) 9783 7515 Chelsea Community Rehabilitation Centre 8 Edithvale Road Edithvale Vic 3196 Tel: (03) 9772 6099 Fax: (03) 9772 3042Geelong Chelsea Community Care Unit Seaford 4 Spray Street Frankston Cranbourne Frankston Vic 3199 Tel: (03) 9781 4288 Mt Eliza Fax: (03) 9781 4393 Mornington Frankston Community Rehabilitation Centre 125 Golf Links Road Frankston Vic 3199 Hastings Tel: (03) 9783 7288 Fax: (03) 9770 5459 Rosebud Frankston Hospital Hastings Road PO Box 52 Frankston Vic 3199 Tel: (03) 9784 7777 Fax: (03) 9784 7639 Peninsula Community Frankston Mental Health Service Rehabilitation Unit 15-17 Davey Street 125 Golf Links Road Frankston Vic 3199 Frankston Vic 3199 Tel: (03) 9784 6999 Tel: (03) 9784 8666 Fax: (03) 9784 6900 Fax: (03) 9784 8662 Peninsula Drug & Alcohol Frankston Integrated Program Rosebud offices Inpatient Unit Health Centre c/o Southern Peninsula Tel: (03) 5981 2166 Hastings Road Support & Information Fax: (03) 5982 2110 Frankston Vic 3199 Centre S.H.A.R.P.S. Tel: (03) 9784 8100 Rosebud Hospital 878 Nepean Road 1527 Pt. Nepean Road 35-39 Ross Smith Avenue Community Rosebud Vic 3939 Rosebud Vic 3939 Frankston Vic 3199 Health Service Tel: (03) 5986 0709 Tel: (03) 5986 0666 Tel: (03) 9781 1622 Tel: (03) 9784 8100 Fax: (03) 5982 2601 Fax: (03) 5986 7589 Fax: (03) 9781 3669 Fax: (03) 9784 8149 Peninsula Health Rosebud Residential Tattersalls Peninsula Michael Court Psychiatric Service Aged Care Services Palliative Care Unit Residential Hastings Road 1497 Pt. Nepean Road 125 Golf Links Road Aged Care Unit PO Box 52 Frankston Rosebud Vic 3939 Frankston Vic 3199 32 Michael Court Vic 3199 Tel: (03) 9784 8600 Seaford Vic 3198 Tel: 1300 792 977 Jean Turner Community Fax: (03) 9784 8674 Fax: (03) 9784 7192 Nursing Home Tel: (03) 9785 3744 PENINSULA HEALTH Tel: (03) 9785 3739 Tel: (03) 5986 2222 Rosebud Community Fax: (03) 5982 2762 PO BOX 52, FRANKSTON Fax: (03) 9782 4434 Rehabilitation Service VICTORIA 3199 288 Eastbourne Road Lotus Lodge Hostel Mount Eliza Centre PH: (03) 9784 7777 Rosebud Vic 3939 Tel: (03) 5986 1011 FAX: (03) 9784 7134 Jacksons Road Fax: (03) 5982 2762 PO Box 192 Community For those outside the Mount Eliza Vic 3930 Rehabilitation Centre Rosewood House Melbourne Metropolitan Tel: (03) 9788 1200 Tel: (03) 5986 3344 Tel: (03) 5982 0147 Area PH: 1800 858 727 Fax: (03) 9787 9954 Fax: (03) 5981 2267 Fax: (03) 5982 0378 www.phcn.vic.gov.au

Peninsula Health Annual Report 45 SERVICES

ACUTE HEALTH • Neurology Short Stay Surgery • Mother/Baby Unit SERVICES • • Short Stay Unit • Core of Life Program • Stroke Unit • Day Surgery Unit • Mother/Baby Follow Up • Lithotripsy Support Group Cardiac Services Oncology Services • Post Natal Units • Coronary Care • Breast Cancer Support Surgical Support Services • Pregnancy Resourcing • Angiography Service • Admission/Discharge Agencies Monitoring • Cardiology • Chemotherapy Lounge Service • Chronic Heart Failure • Medical Oncology • Anaesthetic/Pain Services • Sleep Disorders Clinics Program • Surgical services • Central Sterile Supply • Young Women’s • Radiotherapy and • Stomal Therapy Pregnancy and Support Critical Care and Oncology Outpatients • Pre-admission Clinics Emergency Services • Wound Therapy Paediatric Services • Intensive Care Respiratory Services • Paediatric Unit • Emergency • Thoracic Medicine WOMEN’S, CHILDREN’S • Special Care Nursery • Observation Ward • Investigative services AND ADOLESCENT REHABILITATION AGED Home-based Services HEALTH Surgical services AND PALLIATIVE CARE • Hospital in the Home Surgical Specialties • Domiciliary and Midwifery • ENT Surgery Obstetrics and SERVICES • Gastrointestinal Surgery Gynaecology Services Medical Specialties • General Surgery • Antenatal Education Aged care services • • Orthopaedic Surgery • Birthing Unit • Access Service • Gastroenterology • Paediatric Surgery • Chemically Dependent • Aged Care Assessment • General Medicine • Plastic and Women’s Services Service • Aged Care Medicine Reconstructive Surgery • Domiciliary Post Natal • Geriatric Evaluation and • Endocrinology • Thoracic Surgery Services Management • Haematology • Urology • Family Birthing • Dental Services for • Renal Medicine and • Vascular Surgery • Feeding Services residential clients Haemodialysis • Grandparenting Groups • Hostel Facilities • Infectious Diseases • Lactation Services • Aged Residential Care for elderly people with some degree of dementia • Inpatient Evaluation and Management • Home Modification • Nursing Home Facilities • Personal Assistance Call Service • Residential Outreach Support Service • Respite and Carer Support

46 Peninsula Health Annual Report Rehabilitation Services INPATIENT AND • Early Childhood CORPORATE • Amputee Program RESIDENTIAL SERVICES Behaviour and SERVICES • Cognitive, Dementia and Development Memory Service • Family Planning • Community Rehabilitation • Adult Acute Inpatient Unit • Youth Health • Admission Services • Continence Clinics • Community Care Unit • Engineering Services • Domiciliary Care • Aged Acute Inpatient Unit INVESTIGATIVE AND • Financial Administration • Equipment Resource and • Health Information COMMUNITY HEALTH MEDICAL SUPPORT Services Information Service SERVICES • Falls Prevention SERVICES • Human Resources Service/Clinics • Printing • Information Technology • Agestrong Alcohol and Drug Services • Care Coordination Team • Planning and • Inpatient Rehabilitation • Peninsula Drug and • Endoscopy Development • Movement Disorders Alcohol Program • Electroencephalogram • Public Relations and Clinic (PenDAP) Service Marketing • Program of Aids for • Southern HIV/HEP • Electronic Prescribing and • Quality and Customer Disabled People Resource & Prevention Electronic Discharge Relations • Rehabilitation in the Home Service (SHARPS) • Infection Prevention and • Supply and Materials • Palliative Care • Methadone Clinic Control Consultancy • Integrating Health Unit • Support Services • Palliative Care Unit Dental services • Medical Imaging • Emergency Care • Outpatient Clinics EDUCATION AND PSYCHIATRIC SERVICES • Prosthodontics • Pathology RESEARCH COMMUNITY-BASED • Gerodontic Services • Pharmacy • Post AND OUTPATIENT • Restorative Services • Allied Health Education • School Dental Service • Response Assessment • Community Education SERVICES Discharge Unit • In-service Education Primary Health and • Transfusion Consultation • Management Training • Duty and triage service Community Care and Safety Program • Crisis Assessment and • Optometry Services • Medical Education Treatment Service • Adult Services Program Allied Health Services • Nursing Education • Consultation and Liaison • Cardiac Rehabilitation • Audiology • Seminars and Grand Service • Counselling Services • Chaplaincy Rounds • Continuing Care Service • Diabetes Education • Diabetes Education • Research and Ethics • Mobile Support and • Food Skills • Hydrotherapy Committees Treatment Service • Lifestyle Exercise Groups • Nutrition and Dietetics • Research Method Panel • Primary Mental Health • Health Promotion and • Occupational Therapy • Research Development Service Disease Prevention • Paediatric Occupational Committee • Family Services Education Therapy • Living Skills Program • Koori Access and Support • Physiotherapy • Ethnic Mental Health • Volunteer Coordination • Podiatry Consultancy • Prosthetics • Consumer Consultancy Child, Youth and Family • Speech Pathology • Carer Participation Services Program and Carer • Audiology, Podiatry, Consultancy Dietetics, Physiotherapy, • Psychiatry Orientation Family Counselling, Youth Rotation Program Counselling, Occupational • Dual Diagnosis Therapy, Speech Therapy Consultancy • School Focused Youth • Aged Psychiatric Services Assessment and Treatment

Peninsula Health Annual Report 47 INDEX

Subject Page No. Subject Page No. A Aboriginal Liaison Officer Inside front cover, 2, 40 Men’s Shed 26 Accreditation 2, 4, 16, 22, 28, 34, 38 Mission Statement Inside front cover Acute care 14-19 Mornington Centre Promoting Health Independence 2, 20, 36 Adult Psychiatric Acute Inpatient Unit 25 Mother / Baby Services 17, 19 Aged care 16, 18, 20-23 N No Lift Policy 34, 35 Allied Health 23 Nursing 3, 4, 17, 24, 29, 32, 33 Auxiliaries 5, 41 O Occupational Health and Safety 34 B Board Committees 11 Oncology 2, 7, 17 Board of Directors 5, 10, 11 Operating Theatre 15, 37 C Capital planning 14, 20, 36 Organisational structure 13 Cardiology 7, 15 P Palliative Care 23 Catchment area 1, 6, 45 Patient Safety 29 Cleaning audit and Standards 2, 37 Patient satisfaction 23 Community Advisory Committees 5, 40 Peninsula Drug and Alcohol Program (PenDAP) 27 Community Health 26-27 Periodic Review (ACHS) 2, 4, 22, 28, 34, 38 Community Participation 2, 5, 40 Pharmacy 30 Complex Care Program 2, 7, 19, 27 Physiotherapy 19 Consumer’s Rights and Responsibilities 2, 28 Primary Mental Health Service (PMHS) 25 E Education 4, 16, 32, 33 Profile 6, 7 Elective Surgery 4, 8, 15 Psychiatric Service 24-25 Electronic Discharge Summaries 30 Q Quality and Customer Services 28 Emergency Services 2, 4, 8, 16, 18, 22, 26 R Radiology Department 14 Engineering 36 RAPCS 20-23 Executive Staff 12 Recruitment 4, 32 F Facilities 1, 6, 45 Rehabilitation in the Home (RITH) 22 Falls Prevention Service 21 Research 2, 21, 31 Falls Risk Assessment Tool (FRAT) 21 Residential care 22 Financial Management 1, 3, 8, 39 Residential Outreach and Support Service (ROSS) 22 Food Services 36 Response, Assessment and Forums 2, 5, 26, 28 Discharge Team (RAD) Inside front cover, 16, 18 Frankston Hospital 14 – 17 Retiring Board Directors 11 H Health Information Services 39 Role of Board of Directors 11 Human Resources 34, 35 Rosebud Hospital 18-19 I Infection Control 28 S Security 37 Information Management 38 Senior staff listing 42-44 Information Technology 38 Services 46, 47 Intensive Care 17 Southern HIV/HEP Resource & Prevention Service (SHARPS) 26 Interdisciplinary Care Program 2, 21 Staff Training 16, 34 Interim Care in the Home Program 22 Strategic Plan 2-3 K Key performance indicators 8, 9 Support Services 36, 37 L Library services 35 Surgery 14, 15 Location map 45 V Vision Inside front cover M Medical Governance 29 Volunteers 2, 5, 40, 41 Medical Officer Bank (MOB) 3, 16, 39 W Waiting list 8 Medical Records Audit 39 Women’s, Children’s and Adolescent Health 17 Medication safety 29 WorkCover 34 Medicine 15, 16 Y Youth Employment Scheme (YES) traineeships 35

48 Peninsula Health Annual Report To receive an Annual Report or other Peninsula Health publication contact Public Relations on 9784 7821.

GLOSSARY

ACHS Australian Council on Healthcare Standards To Register a Complaint (Rankings include: MA – moderate achievement, EA – extensive achievement, OA – outstanding ring the Quality and Customer Relations Department achievement) on 9784 7298. ACSA Aged Care Standards and Accreditation Agency ASIST Applied Suicide Intervention Skills Training CCTV Closed Circuit Television For Information about Patients’ CCU Coronary Care Unit Rights and Responsibilities CN Charge Nurse contact the Quality and Customer Relations CPHI Mornington Centre Promoting Health Independence Department on 9784 7298. DCR Direct Cardio Reversion DHS Department of Human Services - administers the To Make a Tax Deductible Donation State Government’s health and welfare programs to Peninsula Health, or if you are considering a EBM Evidence Based Medicine ED Emergency Department contribution to health care services through a bequest, EEG Electroencephalogram please contact Public Relations on 9784 8232. EFT Equivalent Full Time – used in relation to number of staff employed ENT Ear, Nose and Throat To Join the Volunteers at one of our sites ESAC Elective Surgery Access Coordinator contact: ESAS Elective Surgery Access Service Frankston Hospital on 9784 7697 FMIS Finance and Supply Management Information Rosebud Hospital on 5986 0666 System FRAT Falls Risk Assessment Tool Frankston Community Health on 9784 8174 GEM Geriatric Evaluation & Management RAPCS (Rosebud sites and Carinya and GP General Practitioner Michael Court) on 9784 8684 HARP Hospital Admissions Risk Program RAPCS (Mt Eliza Centre and Golf Links Road) HMO Hospital Medical Officer ICU Intensive Care Unit on 9788 1494 K.I.D.S Auxiliary Knowledge Investigation Development Psychiatric Services on 9784 8236. and Study Auxiliary LOS Length Of Stay MAS Metropolitan Ambulance Service To Let Staff Know MEC Mount Eliza Centre you are pleased with the service you have received, MEPACS Mount Eliza Personal Assistance Call Service write to the ward/unit or to the Customer Relations MET Medical Emergency Team Manager c/o Peninsula Health, PO Box 52, Frankston MOB Medical Officer Bank PBS Pharmaceutical Benefits Scheme 3199 or ring the main switchboard on 9784 7777. PenDAP Peninsula Drug and Alcohol Program PMHS Primary Mental Health Service Doctors RACC Residential and Complex Care who wish to liaise directly with the Emergency RAD Response, Assessment and Discharge Team RAPCS Rehabilitation, Aged and Palliative Care Services Department can ring 9784 7196 to speak with RDNS Royal District Nursing Service Emergency staff 24 hours a day. RITH Rehabilitation in the Home RMO Residential Medical Officer Students ROSS Residential Outreach Support Service Separation/ Separation and discharge are often seeking information about student work experience, Discharge interchangeable. Once care is completed and should ring the Human Resources Department on the patient has left the hospital 9784 7749 for secondary students and 9784 7894 SHARPS Southern HIV/HEP Resource and Prevention for tertiary students. Service SMICS Southern Metropolitan Integrated Cancer Service TAFE Technical and Further Education (Institute) Disclosure WIES Weighted Inlier Equivalent Separation. Each as part of the Whistleblowers Protection Act 2001 patient is assigned a resource weight which is may be made by ringing the Executive Director of dependent on the primary reason for admission. The resource weight determines the amount of Human Resources on 9784 7389, the Chief Executive funding received for providing care. on 9784 8211 or the Ombudsman on 9613 6222. PENINSULA HEALTH PO BOX 52, FRANKSTON, VICTORIA 3199 PH: (03) 9784 7777 For those outside the Melbourne Metropolitan Area PH: 1800 858 727 www.phcn.vic.gov.au

Peninsula Health proudly supports organ donor and encourages To register, please call: organ donation.

Right now there are Australian Red Cross nearly 2,000 seriously Blood Service ill Australians waiting Victorian Organ for an organ donation. Donation Service - LifeGift 538 Swanston Street So the more people Carlton VIC 3053 there are who choose Ph: 1300 133 050 to become organ donors, www.organdonor.com.au the more chance these very ill people have Australians Donate to live. Suite 2 Level 3 20-22 Albert Road Please consider joining South Melbourne 3205 the ranks of Australians (03) 9696 0651 on the Organ Donor www.organdonation.org.au Register. If you decide you want your organs to Kidney Health Australia save lives, register your Victoria intentions and tell your Ph: 1800 682 531 family about your wishes. www.kidney.org.au Pledge the gift of life.