GROWING WITH OUR COMMUNITY
Southern NSW Local Health District 2018-19 Year in Review CONTENTS
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ABOUT SNSWLHD HEALTHCARE SPECIALTY FACILITIES SERVICES Our Community Goulburn Base Hospital Mental Health, Our Health & Health Service Drug & Alcohol
Our Services Crookwell Health Community Health Service Map Aboriginal Health Yass Health Service A Word from the Chair Population Health & Chief Executive South East Regional Hospital
Pambula District Hospital
Eurobodalla Health Service
Queanbeyan Health Service
Cooma Health Service
Jindabyne HealthOne FRONT COVER: Goulburn Base Hospital Multi-Purpose Services medical student Patrick Feeney listens to the chest of little Edward Butler from Marulan.
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INNOVATION OUR PEOPLE OUR PARTNERS, APPENDICES & QUALITY OUR SUPPORTERS Our Staff Appendix A Digital Health Community Our Organisation Our Board Consultation Our 2019 Quality Committees Appendix B Awards Executive Our Partners Leadership Team Volunteers and Donors Appendix C Location Directory
Appendix D Abbreviations and Glossary
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1SECTION ABOUT SNSWLHD
Southern NSW Local Health District (SNSWLHD) is responsible for delivering public healthcare throughout regional south-east NSW.
In 2018-19, we attended to more than And it incorporates the traditional VISION 117,000 presentations in our emergency lands of four large Aboriginal nations Helping departments, more than 51,500 inpatient of the Gundugurra, Ngunnawal, people lead admissions, performed nearly 15,000 Ngarigo and Yuin peoples. healthy lives. surgeries and delivered more than 1500 babies. The LHD is characterised by strong tourism and agriculture industries MISSION SNSWLHD is one of 15 local health districts and a large renewable energy sector. Delivering (LHDs) in the NSW health system. healthcare that matters. Our network of hospitals and community Our Community services provides for the residents and tourists that populate 44,534 square SNSWLHD’s population of about VALUES kilometres of the State’s vast picturesque 207,0001 balloons according to Our CORE south east and tablelands. the season. values are: - Collaboration We employ 2856 individuals across more An influx of more than 4.2 million - Openness than 20 sites making it one of the region’s tourists each year are attracted to - Respect; and largest employers with the majority of staff the region’s snowfields and pristine - Empowerment. local to the communities they serve. coastal areas.
One of Australia’s most geographically Visitors account for between 13- diverse natural environments, SNSWLHD 17 per cent of all our emergency comprises seven local government areas department presentations each year. (LGAs) spanning tablelands to the ACT, the Snowy Mountains, and the far south The average age of our residents of coast to the Victorian border. 44 years is older than that for NSW at 38 years with coastal areas having It encompasses the Upper Lachlan, a high proportion of elderly people Goulburn Mulwaree, Yass Valley, while the peri-urban fringe around Queanbeyan-Palerang, Eurobodalla, the ACT is rapidly growing, including Bega Valley and Snowy Monaro LGAs. families with young children.
Clinical nurse consultant Emily Bunt (left), consumer advocate Robert Butch Young and nurse unit manager Kerry Fitzsimmons at the Chisholm Ross Centre in Goulburn.
5 About SNSWLHD SNSWLHD 2018-19 Year in Review
As older people are making up an An estimated 64 per cent increase in the increasing share of the local population, amount of new cancer cases between 2018-19 new patterns are emerging marked by a 2011 and 2031 is forecast for SNSWLHD. AT A GLANCE greater number of seniors than children and youths, and a steady increase in Rates of mental health illness, the ratio of older people to those of hospitalisation for mental distress and working ages. self-harm are higher in SNSWLHD than the rest of the State with younger The forecasted impact on the health residents aged 15-24 having high rates workforce and demand for healthcare of admissions for self-harm. 117,242 services will be significant as people ED presentations aged over 75 years use five times as Smoking rates overall in SNSWLHD many health services as those aged less. have dropped during the past decade from 26 to 18 per cent in 2018. Of our 86642-strong Aboriginal community, 45 per cent live on the south coast. Our Services
More than 26,2403 residents were born SNSWLHD has 14 public inpatient overseas, 11,000 speaking a language facilities comprising 11 hospitals and 51,689 other than English at home with the three multi-purpose services (MPS) Admissions highest proportion living in Queanbeyan. that together operate as a network.
Our local population is predicted to Our multi-purpose services combine increase to 250,1504 by 2036 with an a range of health and aged care. Each increase of 43,335 or 67 per cent of MPS is tailored to meet the community’s those aged 65 years and older. unique clinical needs into the future.
Hospitals with higher level services 14,824 Our Health are strategically connected to smaller Surgeries facilities providing emergency and There is a strong link between income basic care. and health and wellbeing. SNSWLHD partners with ACT Health People living in more disadvantaged and major Sydney hospitals to communities are at greater risk of accommodate local patients who unhealthy lifestyle behaviours such as require high-level specialist care. smoking, poor diet, lack of exercise, and risky alcohol intake which lead 1. 206,815 residents – ABS Population by age to chronic diseases such as diabetes, and sex, regions of Australia, 2017 2. ABS Estimates of Aboriginal and Torres Strait heart attack, stroke and obesity. 1507 Islander Australians, 2016 Births 3. PHIDU Social Atlas of Australia, 2018 The majority of LGAs in SNSWLHD are 4. NSW Department of Planning and categorised as socially disadvantaged Environment, NSW state and LGA household with the exception of the Yass Valley projections, 2019 Source: NSW Health and Queanbeyan-Palerang regions. Information Exchange and EDWARD NAP DataMart. Overweight and obesity in adults remain a challenge with 74 per cent of males and 52 per cent of females reporting a high body mass index in 2017. Diabetes affects 12 per cent of adults.
As the population ages, the number of people diagnosed with cancer has increased.
Prostate and breast cancers are the most common, while lung cancer causes more deaths.
6 About SNSWLHD SNSWLHD 2018-19 Year in Review
Sydney Kanangra-Boyd National Park
Upper Lachlan Shire
1 Crookwell Wollongong
2 Goulburn M31 Goulburn 3 Yass Mulwaree Nowra Council A25 A1
Yass Valley Council
Upper Lachlan Shire B52 Brindabella 1. Crookwell Health Service National Park Canberra 4 Queanbeyan Goulburn Mulwaree Council AUSTRALIAN Queanbeyan– 5 Braidwood CAPTIAL Palerang 2. Goulburn Base Hospital Clyde Mountain TERRITORY Regional Council 2. Bourke Street Health Service 2. Kenmore Hospital 2. Chisholm Ross Centre Batemans Bay 6
Yass Valley Council NEW SOUTH 3. Yass Health Service WALES Moruya 7 B23 Queanbeyan–Palerang Regional Council Eurobodalla 4. Queanbeyan Health Service B72 Shire 5. Braidwood Multi-Purpose Service Narooma 8 Kosciuszko 9 Cooma National Eurobodalla Shire Park 10 Jindabyne 6. Batemans Bay District Hospital
A1 7. Moruya District Hospital 8. Narooma Community Health
Snowy Monaro Brown Mountain Snowy Monaro Regional Council Regional Council 9. Cooma Health Service 13 Bega 10. Jindabyne HealthOne B23 Bega Valley 11. Bombala Multi-Purpose Service Shire 12. Delegate Multi-Purpose Service
11 Bombala 14 Pambula Bega Valley Shire 13. South East Regional Hospital 12 Delegate 15 Eden 14. Pambula District Hospital 15. Eden Community Health Centre VICTORIA
Southern NSW Local Health District acknowledges the Aboriginal peoples who N 0 15 30 60km are the traditional custodians of the land and pays respects to Elders past and present.
7 About SNSWLHD SNSWLHD 2018-19 Year in Review
A WORD FROM THE CHAIR & CHIEF EXECUTIVE
The Southern NSW Local Health These are very pleasing results in their District Year in Review reflects own right as well as providing a platform on our achievements and outlines for further initiatives. For example, operational goals for the year ahead. opportunities for improvement including communication around our future At the outset, our performance direction and improving management depends on our people. To become practices were identified. and remain a high performing >63% organisation, we must excel The State Government and the NSW PEOPLE at innovation, with high levels Minister for Health and Medical COMPLETED THE of employee engagement and Research Brad Hazzard have been to PEOPLE demonstrated fairness for our staff the fore in addressing the needs of and the communities we serve. rural and regional NSW with extensive MATTER investment in infrastructure. EMPLOYEE We are committed to improving the capability of our workforce SURVEY through the skills, qualifications and At the outset, aspirations of our people. Our future plans are intended to ensure the our performance continued provision of high quality, depends on our people. cost-effective and responsive services. To become and remain The 2018-19 period has signalled a greater focus on the engagement a high performing of our staff. This will help to attract organisation, we must 90% and retain the people we need to OF EMPLOYEES provide the highest levels of services excel at innovation, with FEEL THAT THEIR and support to the community. This WORK GROUP includes a people-first culture which high levels of employee STRIVES TO enables our staff to deliver consumer- centred healthcare services. We engagement and ACHIEVE are committed to improving the demonstrated fairness PATIENT experience of our patients. for our staff and the SATISFACTION In 2019, more than 63 per cent of our people completed the People Matter communities we serve. Employee Survey which provided an opportunity for all to have a say about their workplace and contribute their This includes $150 million for Goulburn ideas for improvement. Base Hospital and Health Service, $18.6 million to refurbish Cooma Key highlights from the survey Health Service, $150 million for a included 90 per cent of employees new green fields health facility in the feeling that their work group strives Eurobodalla, $2.6 million to refurbish to achieve patient satisfaction and 90 Pambula District Hospital and $2.5 per cent having a clear understanding million for Crookwell Health Service, $150 of what is expected of them. while funding for the Braidwood MILLION Multi-Purpose Service redevelopment FOR A NEW GREEN Most said their job gives them a is coming from the $300-million FIELDS HEALTH feeling of personal accomplishment Statewide program of works to FACILITY IN THE and that people in their team treat upgrade such facilities in rural and EUROBODALLA each other with respect. remote communities across NSW.
8 Providing accessible, quality and safe healthcare to local communities is our highest priority.
We demonstrated this commitment through achieving accreditation in December 2018 for three years against the 10 National Standards for Safety and Quality in Healthcare.
This independent verification of our performance from the Australian Council on Healthcare Standards is a key driver for continual improvement in safety and quality of which all our staff can be justifiably proud.
Our focus on clinical improvement and innovation during the year has resulted in work programs that have improved patient outcomes and increased our understanding of how people want their care delivered.
For example, the Leading Better Value Care program continues to deliver new models of care which provide more efficient and effective treatment to our communities by identifying the patient’s needs and adapting our services to meet those requirements.
The LHD’s progress throughout 2018-19 is pleasing and we look forward to building on these achievements into the future.
DR ALLAN HAWKE AC CHAIR
ANDREW NEWTON CHIEF EXECUTIVE
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2SECTION HEALTHCARE FACILITIES
GOULBURN BASE HOSPITAL & HEALTH SERVICE
Goulburn Base Hospital & Health Mental health services are • Medical, surgical, paediatric, Service (GHS) saw an increase delivered on the hospital site rehabilitation, and geriatric in activity with more people in the Chisholm Ross Centre, inpatient units treated in emergency, and and at the Kenmore psychiatric • Designated palliative care beds undergoing elective surgery, hospital located on the outskirts • Maternity unit and birthing suite and nearly 300 babies delivered of Goulburn. • Ambulatory paediatric and over the past year. antenatal clinics; and The $120 million Goulburn • Additional on-site car parking. GHS is a regional referral Hospital and Health Service hub delivering healthcare Redevelopment will provide a Enabling works were finalised, with to more than 37,000 people fit-for-purpose facility that will the extension to the community in the local community and continue to deliver high-quality health building, demolition, new neighbouring areas. healthcare for the region. asset and waste sheds, and a new services trench completed. It encompasses Goulburn An additional $30 million Base Hospital, Bourke Street was included in the State The building site has been Health Service, and Goulburn Government’s 2019-20 budget. prepared for main works to start Community Health, and provides in the second half of 2019, with a range of services including The redevelopment will deliver a completion expected in 2021. 24-hour emergency, intensive new four-storey clinical services care, maternity, paediatrics, renal building featuring: An arts and heritage program will dialysis, radiology, cardiac stress • Main entry and hospital reception build strong cultural connections to testing, community health, allied • Emergency department the new facilities as well as improve health, mental health, palliative • Medical imaging department health and wellbeing outcomes for care, cardiac and pulmonary • Intensive care unit patients. The project team raised rehabilitation, pathology, • Operating theatres more than $11,000 through a silent oncology and clinical education. • Day surgery and recovery areas auction to support the initiative.
Graduate nurse Madison Allum (left) and Yass Health Service nurse practitioner Wendy Waters.
11 Healthcare Facilities SNSWLHD 2018-19 Year in Review
10,728 Separations1
35,271 Total bed days
106,649 Hospital non-admitted patient services (occasions of service)2
19,278 ED presentations
298 Goulburn Base Hospital’s intensive care dedicated group of midwives under the Births in hospital unit (ICU) has established relationships new midwifery-led model of care team. with Liverpool and Campbelltown hospitals to provide a more complex The continuity of care model follows 3449 level of intensive care. staff and community consultation, and will not only be more Ambulance Linking to levels five and six ICUs gives responsive to women, their needs presentations nursing and medical teams greater and preferences while supporting access to education and day-to-day informed choices but attract and support, improving recruitment, retain midwives who are seeking roles 4050 retention and staff satisfaction. with midwifery-led models. Surgeries Importantly local patients will benefit from access to a higher level of ICU Improvements to the palliative care Source: HIE and expertise closer to home. service saw the introduction of a EDWARD NAP DataMart. transitional nurse practitioner to deliver Staff commenced training to support person-centred care incorporating 1. The process by which the implementation of eRIC, an diagnostic and treatment interventions; an episode of care for an electronic record for intensive care. local GPs providing after-hours admitted patient ceases 2. Comprises hospital palliative care support for clients and and community health eRIC enables downloading of their carers; hospital in the home and a meticulous observations directly from palliative care after-hours helpline. cardiac monitors, ventilators and PHOTOS: Page 12: dialysis machines, graphing results The innovations allow clients and their 1. Goulburn Base that are easily interpreted to improve carers to be supported in their homes Hospital Open Day clinical decisions. by palliative care nurses. promotes important health messages to the community We network with Canberra Hospital, GHS patients benefitted from new while showcasing key from where the majority of our current equipment including a portable services. Page 13: junior medical officers (JMOs) are ultrasound in ED, an AccuVein 2. Nurse Kim Shorter sourced on rotation. scanner for maternity, a RoMedic measures little Cooper ReTurn standing aid to assist patients Johansen, of Goulburn. GHS increased its focus on consumer in the sub-acute rehabilitation unit, 3. Bourke Street engagement in the provision of services, a body mass index (BMI) scale for Health Service nurse including community participation in paediatrics, an electronic examination unit manager Janelle design and planning of the new hospital table for sexual health and women’s Crooks (left) and Teresa with two community forums, and health clinics, and a portable oxygen Bortolazzo, of Goulburn. invitations to participate in recruitment concentrator (POC) to provide oxygen 4. Midwife Celie Suddull (left), clinical midwife processes, and formal committees. therapy to palliative care clients who educator Erin Petty require greater oxygen concentrations and nurse Ainslie Pregnant women will receive antenatal, than the levels of ambient air. The POC Humphries. labour and postnatal care from a small is available for loan.
12 Goulburn Community Health Centre Goulburn Community Health Service continued to improve services for continued to work in partnership with “I have a very special those living with a chronic disease several agencies, including Royal Far connection to this with the introduction of a patient West, to deliver Healthy Kids Bus Stop, service. flow portal to identify clients who a comprehensive health assessment may benefit from extra community identifying children’s developmental issues I lived across support and coordination. in rural NSW before they start school. the road here in Goulburn and saw An integrated care nurse works with The generosity of our 36 active Bourke Street grow clients requiring high levels of support, volunteers enhance the patient up brick by brick coordinating care with hospital experience. They provide a range of services, their GP, other healthcare benefits from information and personal many years ago. providers, family and community care packs to hairdressing, pastoral I then came and supports so they can regain or care, supporting dementia and delirium worked in the kitchen maintain physical, functional and patients and fundraising. for 17 years – my life cognitive abilities to either maintain is and has been all or recover a level of independence to More than $89,700 was donated by around this place. remain at home. the local community and organisations throughout the year to assist in providing Janelle and the Project officers introduced patient comforts and equipment to team are absolutely programs to reduce patient falls support the expansion of services. terrific, they care in hospital and pressure injuries at so much for each Goulburn Base Hospital and Bourke Key donors include the BDCU Alliance and every patient. Street Health Service. Bank Goulburn Hospital Foundation, the Rotary Club of Goulburn Mulwaree, They’re friendly and Electronic medications management the Lions Club of Goulburn City, and the make you feel right (eMEDs) was rolled out. The Goulburn Soldiers Club. at home as much system increases patient safety as possible.” by supporting doctors, nurses and The BDCU helped fund a tympanometer pharmacists to prescribe, order, to examine the middle ear and an TERESA BORTOLAZZO, check, reconcile, dispense and record audiometer to evaluate hearing acuity RESIDENT AT BOURKE the administration of medicines. increasing service capabilities. STREET HEALTH SERVICE
13 Healthcare Facilities SNSWLHD 2018-19 Year in Review
A rotating roster of local general practitioners ensures 24/7 coverage, and we initiated an emergency transitional nurse program to support and educate our ED nurses.
Our other services include community health, ambulatory care, a wellness centre, outreach pathology, radiology, physiotherapy, child and family health, occupational and speech therapy, social work, palliative care and dietetics.
We introduced outreach social work services and a juvenile mental health worker.
Crookwell Wellness Centre continued to build its clientele with 120 people registered for its various programs.
The Wellness Centre aims to prevent frequent preventable hospital readmissions by working with patients to prevent falls; encourages weight loss or gain; conducts post-acute and prehabilitation for hip and knee surgeries; assists chronic disease 939 clients with pulmonary rehab; and Separations1 CROOKWELL provides sensory stimulation through exercise, yoga and tai chi classes, crafts and music. 4645 HEALTH Total bed days Crookwell Health Service took part in a SERVICE pilot to reduce patient falls in hospital. Our staff and local residents were The program identifies at-risk patients, buoyed with the announcement during reviews their medication, and builds 13,181 the year of a multi-million-dollar the skills of nurses in falls prevention Hospital refurbishment program at Crookwell strategies. non-admitted Health Service which will see improved patient services facilities. Our volunteers provide an invaluable (occasions of service)2 role supporting our dementia and The current 18-bed acute care hospital delirium program, the Wellness Centre services 8000 residents that call the and delivering pastoral care. 5100 Upper Lachlan Shire home. Community donations and ED presentations In June 2019 the NSW Government fundraising efforts saw more than committed $2.5 million to refurbishing $18,600 raised for the purchase of the hospital with planning to two bikes and a treadmill for our 221 commence in the second half of 2019. Wellness Centre, and equipment Ambulance for physiotherapy and the wards to presentations Upgrades will deliver improved: improve patient care and outcomes. • Emergency department with increased capacity Our dedicated staff took part in the Source: HIE and EDWARD NAP DataMart. • Minor procedures area return-to-earn program which sees • Wards plastic water bottles provided to 1. The process by which • Nurse call system; and patients being recycled to raise funds. an episode of care for an • New medical equipment, floor admitted patient ceases coverings, and major painting works. 2. Comprises hospital and PHOTO: community health Page 14: 1. Nurse Deborah Webb (left) and The emergency department at Crookwell Crookwell Health Service Wellness Centre Health Service has telehealth links to manager Heather McDonald. Page 15: Canberra and Sydney tertiary hospitals. 2. The Yass Health Service clinical team.
14 Healthcare Facilities SNSWLHD 2018-19 Year in Review
delivery and include a dedicated ambulance entry, an additional 606 emergency department acute Separations1 YASS HEALTH treatment bay, an increase from 10 to 12 inpatient beds, and improved SERVICE community health facilities. 1766 Total bed days Yass Health Service, located 59km More than 74.8 per cent of the south from Canberra, delivers healthcare east of NSW has been in drought or to a rural population of nearly 17,000 at the onset of drought, while the people residing in the Yass township remaining 25.2 per cent is considered 14,696 and surrounding southern tablelands. borderline. Hospital non-admitted Currently undergoing an $8 million A coordinator from our Rural patient services 2 redevelopment, Yass Health Service Adversity Mental Health Program (occasions of service) provides emergency care and medical (RAMHP) has been linking people imaging. Outpatient services include experiencing mental health problems to child and family health, immunisation, appropriate care, drought workshops, 5603 nursing, palliative care, sexual health and educating our rural community, ED presentations and sexual assault, mental health, drug especially men, on mental health and alcohol and general counselling, and wellbeing, informing them about physiotherapy, occupational therapy, programs, resources and services to speech pathology, diabetes education, support access and recovery. 711 Ambulance dietetics, women’s health, Aboriginal presentations liaison, and dental health. Yass Health Service rolled out the electronic medications management Building works commenced in system eMEDs in early 2019, and February 2019 with completion was the first site in the LHD to go Source: HIE and scheduled for 2020. completely live within 24 hours. EDWARD NAP DataMart. 1. The process by which The redevelopment will further eMEDs enhances patient safety an episode of care for an integrate community health, acute and modernises patient care by admitted patient ceases and emergency services to provide improving medication management 2. Comprises hospital flexible and improved health service in the hospital. and community health
15 Our focus on recruitment continued Staff expanded their utilisation of the “My wife went in with the aim of securing permanent electronic patient journey board including staff, eliminating the need for agency diet requests, handover sheets for shift with a cut finger personnel. We have attracted new changes and booking patient transport. that caused her employees from Sydney and New severe pain. She Zealand. The electronic patient journey board also had to go delivers real-time information directly back in for a fresh Recognising the importance of related to patient care, providing the succession planning, Yass-specific care team with a clear view of every dressing. I just career pathways are being developed to patient’s journey from anywhere within wanted to pass on offer staff support in acute care, chronic the hospital and the ability to update our appreciation care, management or education. remotely from any computer. for the friendly and efficient Having trained staff available to The Bookham Hospital Auxiliary raised service by all staff recognise and manage deteriorating funds for three trauma beds for our ED. patients in a rural setting is important. we encountered. Skype has been utilised for education And our staff took part in a Fiver for a They were really programs conducted by NSW Health’s Farmer Day, raising funds to support busy but kept Agency for Clinical Innovation (ACI). local drought-stricken farmers. their sense of humour and The Essentials of Care (EOC) program The hard work of the Yass Hospital aims to enhance the experiences Auxiliary ensured the provision of extra maintained their of patients, consumers, families, patient comforts. And local resident professionalism.” carers and staff involved in the Barry Banks continued to volunteer his delivery of care through the ongoing time providing spiritual and pastoral care SCOTT AND KAREN development of safe, effective and to our inpatients. MATHESON, OF clinical workplace cultures. MURRUMBATEMAN, YASS HOSPITAL Our EOC programs addressed PHOTOS: Page 16: 1. Yass Health Service occupational therapist Kirsty Owen. Yass Health Service communication between nursing and 2. outreach midwife Elizabeth Perks. 3. Mental health hotel services staff to ensure the safe clinician Amy Senior (left) and Yass Health Service ordering and delivery of food to all administrative officer Annette McIver. Page 17: patients; and nursing handovers to 4. Midwives Celine Conrad (left) and Hannah Bird improve confidentially, communication watch over mum Kirstin Wright and her baby Billy skills and efficiency within the team. Gallagher, of Kiah, at South East Regional Hospital.
16 Healthcare Facilities SNSWLHD 2018-19 Year in Review
SOUTH EAST REGIONAL HOSPITAL
South East Regional Hospital SERH places a particular emphasis Our staff performed more than (SERH) is our southernmost on the contributions of staff 4000 surgeries during 2018-19, hospital. It is located in the Bega with the majority residing in an increase of 13 per cent from valley, 16km from the picturesque our community. Our employees the previous year. We delivered sapphire coast. are recognised through awards 233 babies, and there were programs, and social activities. 105,878 non-admitted patient SERH caters for a community of occasions of service. 49,000 people which balloons to We celebrate our Indigenous more than 85,000 with the influx of employees throughout the year but Paediatrics services grew with tourists during the holiday season. especially during NAIDOC week with the appointment of a director a bush tucker flag-raising event. of paediatrics who conducts Services include emergency outpatient appointments for the and intensive care, acute care, PwC’s Perform methodology, entire Bega valley. emergency and elective surgery, designed to change behaviours sub-acute care, maternity and and improve collaboration among A continued and ongoing focus for paediatrics. Mental health, clinicians, was implemented SERH has been improving practices chemotherapy and renal dialysis amongst our nurse unit managers around patient observations. are provided on site, as are to build capacity and capability. radiology, community nursing, The result was an increase in Frequent patient observations and dental care and allied health. the number of patients seen a clear and collaborative escalation Community health and outpatient throughout the year in the right process has ensured any deterioration clinics are delivered in the hospital place at the right time for optimum in a patient is being picked up and and patients’ homes. health outcomes. acted on more quickly.
17 Healthcare Facilities SNSWLHD 2018-19 Year in Review
Simulation sessions conducted 12,273 by our anaesthetics and intensive Separations1 care staff improved expertise with the result that no patient has had a serious adverse event relating to 32,018 deterioration in more than two years. Total bed days SERH has been working with the local primary health network (PHN), COORDINARE, to deliver pain 105,878 management clinics, as well as Hospital building improved communication On the SERH site we have 84 volunteers. non-admitted pathways between GPs and the Led by a dynamic coordinator they patient services hospital. are allocated across almost all areas 2 (occasions of service) of the hospital carrying out duties Our employees instigated a waste ranging from pastoral care to providing management and recycling group social stimulation, tai chi classes and 19,355 to work towards a more sustainable supporting exercise programs. ED presentations environmental footprint for SERH. The SERH and the Tathra Ladies We continued to work with South East auxiliaries raised more than $60,000 Arts to improve health and wellbeing for equipment items including a 233 as well as enhancing healthcare resuscitation dummy, a light to expose Births in hospital experiences for patients and their hard to find veins, call bells in the support networks through live music operating theatres. And through the and the hanging of artworks. combined efforts of the auxiliaries and 3762 the Commonwealth Bank Employees Ambulance Community Carers Accommodation Association we purchased audiometry presentations South East Inc (CCASE) is a group of equipment, electric cots for paediatrics, local voluntary service organisations and an outdoor setting for the and individuals who are passionate oncology service. 4103 about onsite accommodation for carers of patients. Our staff took to the catwalk for the Surgeries Ladies Auxiliary Fashion Parade, raising CCASE has raised more than $2 more than $2000. Source: HIE and million in cash and kind to open the EDWARD NAP DataMart. first two phases of a three-phase PHOTOS: accommodation project. 1. The process by which Page 18: 1. The mental health nursing team at an episode of care for an South East Regional Hospital. 2. Anaesthetist admitted patient ceases Volunteers make an amazing Dr Michael Haines. 3. Pharmacist Danielle Miller. 2. Comprises hospital difference to the experience of Page 19: 4. The team ready for duty at Pambula and community health our patients. District Hospital.
18 “Our 9-year-old daughter, Soph, has non-verbal, severe autism. Travelling away from home causes huge stress. Cynthia and Pip are both probably the most patient yet assertive people we are yet to meet. They treat Soph with such dignity. Ian was all about patient- first-care. Everything was at Soph’s pace and his attention to detail was fantastic. Jeff is an absolute asset to the Bega valley. He’s providing detailed care and is knowledgeable about Soph’s other medical issues.”
included a new main entry and reception, LISA LEE, OF MERIMBULA, a refurbished assessment, treatment and SOUTH EAST REGIONAL care clinic, treatment spaces, bathroom HOSPITAL PAMBULA facilities, and an exercise room. DISTRICT The second and final stage, finished in June 2019, encompassed refurbished “My family and I inpatient wards with updated fixtures, cannot speak highly HOSPITAL fittings and new carpet. enough about this Pambula’s 14-bed district hospital Most patients attending PDH are drawn hospital. Our baby girl serves its local community through from the population on the sapphire contracted influenza the provision of complementary coast south of Tura Beach. In the busy whilst on holiday and services to those offered at South tourist season an additional 30,000 the care and support East Regional Hospital. people take advantage of the beautiful coast line, and attendances at the UCC provided to her and They include slow stream rehabilitation, increased in 2018-19 by up to 50 per day. us by all the staff was maintenance, and palliative care, and absolutely amazing. since December 2018 the refurbished An evaluation of the nurse practitioner The staff were calm, urgent care clinic (UCC) which has model of care in the UCC demonstrated confident and put our provided a valuable nurse practitioner- overwhelming positive patient minds at ease during led service for walk-in patients with satisfaction and patient outcomes while non-life-threatening clinical issues. delivering more services closer to home a very scary time. We for the local community. honestly can’t thank The community health centre adjacent them enough and will to Pambula District Hospital (PDH) has There was a 169 per cent increase in be eternally grateful benefitted from our refurbishment, with occasions of assessment and treatment for the unsung heroes allied health staff integrating into the in the UCC. new exercise gym and consulting rooms. of this place including The Pambula Hospital Auxiliary raised the ambos.” The State Government invested $2.6 more than $5000 for equipment SHARI JEAN BURNHAM, million to refurbish the hospital. Stage including a drug fridge, and televisions OF PAMBULA BEACH, SOUTH one, completed in October 2018, to enhance the patient experience. EAST REGIONAL HOSPITAL
19 Healthcare Facilities SNSWLHD 2018-19 Year in Review
12,863 A clinical services plan is being Separations1 finalised with models of care designed EUROBODALLA around future population, innovation, viability, and sustainability. A key HEALTH feature is a single location for hospital 31,366 services to prevent duplication and to Total bed days SERVICE improve efficiency.
Extensive consultation with more Eurobodalla Health Service (EHS) is than 400 people comprising staff, 88,702 spread over three campuses, with stakeholders and the local community Hospital two hospitals and a community health will ensure the region’s healthcare non-admitted centre, located south of Ulladulla on needs are met into the future. patient services the beautiful south coast of NSW. 2 (occasions of service) Following completion of the clinical Eurobodalla Community Health services plan, the focus will be master operates from all three campuses at planning, and formal development and 30,037 Batemans Bay, Moruya and Narooma. consideration of a variety of solutions ED presentations that meet the clinical requirements. Moruya District Hospital is a 66-bed facility, and Batemans Bay District Master planning involves the Hospital has 37 beds. development of a campus plan 305 that identifies the key elements of Births in hospital Both sites offer emergency services, a hospital such as clinical or acute inpatient acute medical, general surgery, services buildings, structures housing palliative care, and hospital in the home. specialist care units, and ancillary or 4111 support services. Maternity, renal dialysis and inpatient Ambulance rehabilitation are available at Moruya EHS employed more newly graduated presentations only. nurses, known as transitional registered nurses (TRNs), in a rotational program In October 2018, the State Government designed to develop their skills, 3184 announced the $150 million competence, and confidence in a Surgeries redevelopment of EHS. variety of roles.
Source: HIE and EDWARD NAP DataMart. 1. The process by which an episode of care for an admitted patient ceases 2. Comprises hospital and community health
20 We are proud to be growing our skilled weight bear. These patients return workforce. Supervisors involved in the to hospital for review and discharge “I love the team TRN initiative noted their knowledge following their recuperation. cohesion, it’s like and skills also increased. The TRN a really supportive program has been very successful The Eurobodalla community contributes with seven of eight TRNs choosing to greatly to our health service with family which allows work at Eurobodalla Health Service on nearly 100 locals donating their time us to do the best completion of their first year. to consultation committees, hospital we can. There are auxiliaries, palliative care, pastoral care, some great career Our pathology, occupational therapy and supporting our dementia and delirium opportunities here physiotherapy staff saw the benefits of patients, providing in-home respite and and I am very lucky staff rotations with higher rates of staff companionship for palliative clients and retention, motivation, understanding of their carers, and organising our annual to have a great job clinical areas, and increased clinical and expo to promote health and wellbeing. in a great part of personal confidence. New South Wales.” Moruya District Hospital United Hospital We recognise that high rates of job NICOLE SAUNDERS, Auxiliary and the Batemans Bay District ADMINISTRATION stress, compassion, fatigue and burnout Hospital United Hospital Auxiliary raised SUPERVISOR, BATEMANS symptoms can negatively affect mental more than $200,000 throughout the BAY DISTRICT HOSPITAL health and wellbeing of our staff. year for hospital equipment.
The Eurobodalla community mental Eurobodalla Toyota provides $100 to health drug and alcohol service cancer care from the sale of each new “I’m fortunate to do established mindful wellbeing sessions Toyota, raising nearly $22,000. what I love doing in for our managers. my hometown. I’ve The community raised more than The Eurobodalla Shire has the highest $12,000 through GoFundMe in memory been on the wards proportion of older residents in of Dr Steve Murray for palliative care for six months and SNSWLHD. equipment and to enhance the comfort now in ED. I enjoy of patients. Dr Murray, who passed away learning the clinical Preventing falls while in our care in 2018, was a local GP and a visiting skills, seeing a has been a patient safety priority at medical officer at Moruya District variety of patients Batemans Bay and Moruya district Hospital for more than 30 years. hospitals. every day with a really supportive Systems to identify at-risk patients and PHOTOS: Page 20: 1. Clinical nurse specialist team who are always implement individual care plans saw Mark Rogerson (left), nurse unit manager perioperative Jean Head, nurse Maxine teaching me and a more than 50 per cent reduction in Schumacher, and health and security assistant inpatient falls per month. helping me learn David Westman. Page 21: 2. Occupational new things.” therapist Tracey Rich (left), University of We increased our acute care capacity Canberra physiotherapy student Liam Hanna BRENDA-LEE THOMPSON, by partnering with residential aged and nurse unit manager Rebekah O’Reilly. 3. care facilities to cater for our older REGISTERED NURSE, Batemans Bay District Hospital visiting medical BATEMANS BAY convalescing patients unable to officers Dr Jay Kar (left) and Dr Himmat Moon. DISTRICT HOSPITAL
21 Healthcare Facilities SNSWLHD 2018-19 Year in Review
8475 Separations1 QUEANBEYAN 14,536 HEALTH SERVICE Total bed days
Queanbeyan Health Service celebrated Those waiting to undergo surgery 91,878 10 years since the redevelopment of the at the hospital were seen quicker Hospital hospital on its current site during the year. with the number of patients on the non-admitted waiting list decreasing by more patient services The celebrations, attended by NSW than 50 per cent from 958 to 423 (occasions of service)2 Deputy Premier John Barilaro and following productivity initiatives. Queanbeyan-Palerang Regional Council mayor Tim Overall, marked a significant Time spent with patients on the ward 23,198 milestone in the hospital’s 172-year history. increased with the implementation of ED presentations a buddy team to streamline bedside Queanbeyan Health Service, located just handovers, resulting in improved a few kilometres from the ACT border, patient safety and outcomes. serves 60,000-plus residents in the 528 Queanbeyan-Palerang LGA. All medications are now prescribed Births in hospital electronically following the rollout The hospital’s emergency department, in May 2019 of eMeds which the busiest in the LHD, treated 23,198 replaced the national inpatient 2350 patients, while the maternity unit medication chart. Ambulance delivered the most babies with 528 births. presentations To improve Aboriginal culture Our child and family health nurses forged in the hospital environment, our links with Tresillian which opened in Aboriginal health team created an 2412 Queanbeyan in October 2018, providing Indigenous garden at the hospital’s Surgeries comprehensive parenting support. main entrance.
Source: HIE and EDWARD NAP DataMart. 1. The process by which an episode of care for an admitted patient ceases 2. Comprises hospital and community health
22 Our staff worked to decrease There are more than 30 volunteers waste and improve sustainability working to make a difference at “I found the staff in the hospital. Strategies included Queanbeyan Health Service, donating to be excellent donating untouched food waste to their valuable time and raising money. - caring, skilled the food rescue charity OzHarvest, and reducing plastic waste by giving We received $82,712 in 2018-19 from and professional. patients one bottle of water which can fundraising and donations. The experience be refilled from a filtered water source. from entering via The NSW Minister for Health and Medical the emergency The success of our pilot project to Research Brad Hazzard recognised the department, through reduce perineal tears during labour efforts of our hospital auxiliary presenting will be rolled out LHD-wide. a $31,000 BiPAP machine on their behalf. to the ward and then retrieval by A best practice collaborative project BiPAP helps patients who have trouble Southcare was with Canberra Hospital, and Women’s breathing by pushing air into the lungs. seamless. I felt Healthcare Australasia saw third and Demand for an extra machine resulted I was in safe hands. fourth-degree perineal lacerations from an increase in the number and The staff at this decrease from 3.5 per cent in 2016-17 acuity of inpatients. to 2.02 per cent in 2018-19. hospital should be congratulated.” PHOTOS: Page 22: 1. Nurse Tegan Slater (left), We celebrated the 20th anniversary midwives Jennifer Brandon Baker and Lynlee of the pram-walk-talk and exercise Gallagher. Page 23: 2. Oral health therapist PATIENT JANE DOUGLAS, OF QUEANBEYAN, group. Established as a post-natal Annie Cummins (left) and Dr Vasanthini QUEANBEYAN HEALTH depression health prevention initiative Balasubramaniam promote Dental Health SERVICE by child and family health nursing, Week to patient Rose Karam, of Pearce, ACT. it is sponsored by The Surgery at 3. Queanbeyan Health Service ED doctors Jerra, Rotary Club of Jerrabomberra, Muthiah Kumar (left), Simon Janes, Anabelle and the Queanbeyan-Palerang Celloe, Steve Myers and Jeannie Ellis. Regional Council. 4. Queanbeyan Health Service nurse Megan Cox.
23 Healthcare Facilities SNSWLHD 2018-19 Year in Review
4478 Separations1
8794 Total bed days
48,508 Hospital non-admitted patient services (occasions of service)2
11,004 ED presentations
143 Births in hospital
1464 Ambulance presentations
1075 COOMA HEALTH SERVICE Surgeries Cooma Health Service is the main as expanded and improved spaces for Source: HIE and hospital in the alpine region of NSW emergency, radiology, pathology and EDWARD NAP DataMart. servicing 20,733 residents in the ambulatory care. Snowy Monaro LGA. 1. The process by which An Aboriginal smoking ceremony an episode of care for an The hospital experiences winter and marked the start of the main on-site admitted patient ceases 2. Comprises hospital summer peaks as about 3 million works in May 2019. The build will be and community health people flock to Kosciuszko National conducted in five stages to allow for Park and surrounds each year for the the continuity of hospital services, PHOTO: HealthShare snow, fishing, hiking and mountain with the first stage being a temporary assistant Belinda Dwyer bike riding. emergency department. Completion is with patient Naomi expected in early 2021. Cross, of Berridale. Cooma Health Service provides support for Bombala and Delegate Our local community is working multi-purpose services and Jindabyne alongside clinical and management HealthOne. staff to plan and develop a facility that will be aesthetically pleasing and Emergency, acute care, elective clinically functional. surgery, sub-acute care, maternity, mental health, drug and alcohol, Our community health team introduced chemotherapy and renal dialysis a program called the Snowy Hydro services are provided on site, as are Wellbeing In Reach Nurse (WHIN) radiology, pathology, community to provide targetted support to $18.6 nursing, dental care and allied health. vulnerable students and families. The WHIN engages families, students, MILLION Cooma Health Service is undergoing a teachers and healthcare professionals, REDEVELOPMENT $18.6 million redevelopment that will breaking down the barriers to deliver deliver a new maternity unit as well integrated care. At the centre is the
24 student whose health and wellbeing Partnerships enhance our capability and requirements are individually tailored capacity. We worked with the Australian “The admittance with a focus on self-determination and National University which is building an department was improving health literacy. education centre on the campus. friendly and efficient, Our emergency department received Our partner agencies involved in explaining everything 11,004 presentations during the year with dealing with snow related injuries in detail. The nursing 85.3 per cent being treated and leaving and trauma met regularly to improve staff went out of their the ED within four hours of arrival. care and communication from the way to make me feel mountain resorts. comfortable and The hospital provided 4351 acute relaxed. The doctor and episodes of care, an increase from The Cooma Hospital Auxiliary runs 3886 in the previous year. And we the hospital kiosk raising funds to anaesthetist explained delivered 143 babies. purchase much-needed equipment. the procedure, and afterwards made a Staffing enhancements saw a dedicated A total of $13,303 was raised and point of telling me nurse unit manger employed for our donated throughout the year. exactly what needed to operating suite and maternity unit. be done in the future. We continued our focus on preventing PHOTOS: In my opinion, the 1. Nurse Tara Cawthorne checks patient John falls within our hospital, identifying at- service and treatment Ceuvas, of Bolaro. 2. Cooma Health Service risk patients, and providing staff with radiographer Eleanor O’Keeffee (left) with provided is as good as, ongoing education. Our continuous diagnostic services manager Pat Redmond. if not better than any improvement activities addressed Cooma Health Service midwife Wendy Frize 3. hospital in Australia.” preventing complications such as (left) advises Lisa Corkin, of Adaminaby. pressure injuries and infections. A focus 4. Cooma Health Service nurse Rai Warren PATIENT JOHN REES, on quality auditing ensured the care we (left) and Australian National University OF COOMA, provided continued to improve. medical student Annalise Lance. COOMA HEALTH SERVICE
25 Healthcare Facilities SNSWLHD 2018-19 Year in Review
JINDABYNE HEALTHONE
Jindabyne HealthOne is a unique design in healthcare delivery.
The award-winning purpose-built community health centre adjoins the Snowy River Health Centre, formerly known as the GP Super Clinic, bringing public and private healthcare under one roof.
The joint vision was realised following community consultation and research into evidence-based best practice. It provides the locals and tourists with integrated one-stop-healthcare.
Two years since it opened in 2017, services have expanded to meet increasing demand. Telehealth technology reduces the burden of travel for patients requiring some levels of specialist care.
The model of care allows GPs and SERVICING community health workers to come MORE THAN together using a multidisciplinary team approach to better respond to people with complex needs requiring a range 4200 of allied health services. PEOPLE
It provides for the more than 4200 people living in the picturesque town of Jindabyne that overlooks Lake Jindabyne near the Snowy Mountains.
Primarily a service town for Australia’s highest ski resorts of Perisher, Thredbo and Charlotte Pass, it also attracts tourists to its lake for sailing, walking and PRIMARILY trout fishing. Lake Jindabyne is one of A SERVICE the largest fresh water reservoirs in NSW. TOWN FOR PERISHER, PHOTOS: Page 26: 1-3. Jindabyne HealthOne is an award-winning purpose-built community THREDBO & health centre linking GPs, and our community CHARLOTTE and allied health clinicians under one roof. PASS 4. Jindabyne HealthOne community health nurse Vicki Black. Page 27: 5. Registered nurses Elise Coppins (left), Kerry Platten, Darryn Griggs, endorsed nurse Ann McGrath, University of New England student nurse Richie Waye, registered nurse Caroline Evans (front, left) and administration officer Georgina Morvai. 6. University of New England student nurse Shikha Sharma (left) and Bombala Multi-Purpose Service visiting GP Dr Charles Chihumbiri.
26 MULTI-PURPOSE SERVICES
Multi-Purpose Services (MPS) are Braidwood MPS specifically designed for regional “Working at the and remote communities in NSW Braidwood MPS provides services to the Bombala MPS is to provide coordinated delivery Braidwood township, located 60km inland of health and aged care. There are from Bateman’s Bay, and the surrounding a professionally 64 MPSs in rural NSW. villages and outlying rural area. satisfying experience. I get to fill a need in SNSWLHD’s three MPS facilities Our community is diverse with significant the community and provide urgent, acute, and growth in the number of older people. residential aged care, respite and also for the health community health. We work with our local population, service. The locals providing care across a broad spectrum really appreciate SNSWLHD is part of the State’s Living from emergency to community care Well MPS collaborative that focuses and residential aged care. what we do, which on improving the life experience of makes my job very aged care residents, and supporting Braidwood MPS is in the midst of a fulfilling.” staff to deliver a more homelike redevelopment, involving numerous environment, enhancing the lifestyle, consultation sessions with staff DR CHARLES CHIHUMBIRI, independence and wellbeing of and the community in an engaged GP VMO, AT BOMBALA MPS each resident. planning process.
Construction on the new facility commenced in February 2019 with completion expected in 2020.
27 Healthcare Facilities SNSWLHD 2018-19 Year in Review
BRAIDWOOD MPS1 131 Separations2 1073 Total bed days 5498 Hospital non-admitted patient services (occasions of service)3 1467 ED presentations 124 The redevelopment is part of the NSW Our community health programs Ambulance Government’s $304 million multi- continue to focus on falls reduction presentations purpose service program of works to across the acute and aged care upgrade existing facilities in rural and residential services. remote communities. BOMBALA MPS1 Braidwood Monopoly, the brainchild of The new building will enhance the Braidwood Community Bank manager 125 sustainability, functionality and safety Nick Fry and Vladimir Bohdan from of primarily aged care services. the Braidwood Hospital Auxiliary, has Separations2 Benefits include up-to-date acute in- raised almost $30,000 since the launch patient beds, extra residential aged of the board game in May 2019. 712 care beds supporting the concept of ageing in place, activity areas, lounge The Braidwood MPS will eventually be Total bed days and dining facilities, a dedicated the beneficiaries of the initiative through emergency department, and the auxiliary which supports the MPS 3899 purpose-built staff accommodation with the purchase of equipment and patient comforts to enhance services. Hospital non-admitted for visiting clinicians. patient services An open day allowed the community Our 40-strong group of volunteers (occasions of service)3 to view the proposed redevelopment enrich the lives of our clients keeping plans and ask questions to understand them connected to their local 1973 the scope of works. The event community. They assist our activity ED presentations provided an opportunity to share our officers in providing stimulating history, achievements and to provide activities, games, day trips or one-on- information on our services. one care for our aged care residents, 99 and transport community members Ambulance We have been successful in fostering to specialist medical, optical, and presentations and growing our nursing team. dental appointments locally and to neighbouring towns. Staff implemented falls risk assessment and delirium screening in the emergency DELEGATE MPS1 department with the support of the Bombala MPS Clinical Excellence Commission. Bombala, located 90km south of 571 Early recognition of patients with Cooma near the Victorian border, Hospital non-admitted cognitive deficits ensures our nurses is a rural town of about 1500 people, patient services are better prepared to deal with various many of whom are elderly. (occasions of service)3 safety issues, especially around falls. Staff provided patients, their carers and Bombala Multi-Purpose Service’s 18- families with a greater understanding bed facility delivers emergency and 227 of their falls risk, aiming to reduce acute care, community health and ED presentations readmissions from fall-related injuries. residential aged and respite care.
Source: HIE and EDWARD NAP DataMart. 1. Excludes residential aged care separations and residential aged care beds days. 2. The process by which an episode of care for an admitted patient ceases 3. Comprises hospital and community health
28 The MPS prides itself on providing a homelike environment for all patients including home-cooked meals.
Fulltime visiting medical officers replaced the various locum doctors that could only be accessed when available.
In June 2019 electronic medication ordering was implemented for all and residential clients in a homelike patients and residents increasing the environment and build strong “The level of care safety and accuracy of medication relationships with families and carers. here is magnificent. management. Delegate MPS introduced nurse Everybody is so kind, During the past year Bombala Hospital delegated emergency care (NDEC) caring and genuinely Auxiliary raised funds for numerous in the emergency department in concerned for you – items from wheelchairs and training early 2019. NDEC provides timely, it’s beautiful. I’m an equipment for staff. quality care for patients presenting ex-nurse, so I know to ED in rural and remote areas with when it’s good, and The MPS received $14,948 in fundraising low risk, low acuity conditions. and donations. here it is very good!” The NDEC model safely and PATIENT RUTH ALLAN-MEYER, effectively cares for people with OF BOMBALA, BOMBALA MPS Delegate MPS less urgent illnesses or injuries that
sometimes wait for lengthy periods The border town of Delegate has a within an ED. mainly older population of 450 people. “The care at the The small rural town is nestled among Bombala MPS is great. PHOTOS: grazing properties 11kms from Victoria. The staff are caring and Page 28: 1. Braidwood Multi-Purpose Service resident Bill George (left), activities compassionate and The team at the 13-bed Delegate officer Iona Harris, and Mary Harrison, of make you feel at ease. Multi-Purpose Service (MPS) delivers Braidwood. Page 29: University of New 2. We’re lucky to have the residential and respite care, community England student nurse Tika Basyal (left) health services and a low acuity and registered nurse Shirley Hilzinger. facility and these people emergency department. 3. Nurse Jane Slade and Braidwood MPS in our community.” resident Jonna Sorensen. Acting senior 4. nurse manager Heather Fairfax (left) and The small facility allows staff to provide PATIENT PETER COATES, OF ongoing individualised care to respite registered nurse Georgina Clarke. GLENGOWER, AT BOMBALA MPS
29
3SECTION SPECIALTY SERVICES
MENTAL HEALTH, DRUG & ALCOHOL
One in five people aged 16-85 in Child and adolescent mental health The strategy focuses on services Australia will be directly affected services (CAMHS) are provided and options for people in the by mental illness. SNSWLHD through our community mental community and seeks to cover the provides a comprehensive range health centres and those who require spectrum of local mental health of services to assist people inpatient services are transferred to and suicide prevention needs from experiencing mental illness nearby CAMHS inpatient units. prevention to acute care. or disorders. Community mental health teams It recognises the importance of Specialist mental healthcare are located in Batemans Bay, considering different ways in is delivered in community and Bega, Cooma, Goulburn, Moruya, which integrated services and inpatient settings across the LHD. Queanbeyan and Yass. care can be achieved ranging from better communication between Community mental health services Our inpatient units are in Goulburn providers through to shared are provided to people who at the Chisholm Ross, David delivery of services. experience acute conditions or Morgan, and Ron Hemmings disorders. When management centres, and in Bega at the South The project has seen the in the community is no longer East Regional Hospital. establishment of a more feasible, inpatient care is provided. collaborative and informed SNSWLHD, in collaboration with way of working and effective Our inpatient services include Illawarra Shoalhaven Local Health utilisation of resources, acute adult, specialist mental District and COORDINARE, the preventing duplication. healthcare for older people, South Eastern NSW Primary Health short-stay acute units, non- Network, developed a Regional We continued to focus on creating acute rehabilitation and forensic Mental Health and Suicide Prevention a safe and nurturing workplace for rehabilitation. Plan for south eastern NSW. our staff, consumers and carers.
Cooma Health Service nurse audiometrist Sue McPhie tests little Thomas Wood, of Cooma.
31 Specialty Services SNSWLHD 2018-19 Year in Review
In collaboration with the University of therapies for those with problematic Wollongong, we held a series of person- substance use. centred care leadership workshops for senior managers and clinical leaders We worked in collaboration with primary working in our mental health, drug and care providers, volunteer and not-for- alcohol services. profit services to: • Increase access to treatment services, We are committed to working in including increased addiction partnership with our consumers and >75% medication services carers. Led by people who have a OF MENTAL HEALTH • Increase access to, and compliance lived experience of mental illness, ISSUES DEVELOP with, pharmacotherapy for drug we commenced a review of the safe dependence assessment rooms in our emergency BEFORE A • Increase intervention with high-risk departments. PERSON groups • Decrease the risk of overdosing; and And we are working closely with our TURNS 25 • Strengthened partnerships. emergency department staff and mental health consumers to improve the care of In line with the National Drug Strategy those with mental illness presenting to 2017-2026, SNSWLHD’s drug and our emergency departments requiring 90% alcohol services will continue to use a acute support. harm minimisation approach to reduce OF CONSUMERS the harms associated with problematic We collaborated with mental health UNDERGOING substance use. consumers, carers and other stakeholders DRUG AND to ensure admission into and discharge The Drug and Alcohol Clinical Redesign from our mental health inpatient units ALCOHOL project, conducted in partnership with promotes a positive recovery. TREATMENT COORDINARE and the Agency for Clinical Innovation, aims to improve the LIVE WITH MENTAL Mental health consumer experience client experiences of services with a ILLNESS surveys promote two-way focus on timely access, evidence-based communication and importantly provide treatment and pathways to ongoing care feedback on areas for improvement. and support in the community. A total of 78.5 per cent of mental health 75% We commenced solutions to improve consumers scored SNSWLHD as very OF PEOPLE triaging of referrals, and standardising good or excellent. ACCESSING MENTAL treatment pathways and models for HEALTH SERVICES collaborative, step-down care through More than 75 per cent of mental health partnerships with general practitioners issues develop before a person turns HAVE and community services. 25. We established a Youth Wellbeing MISUSED Network in the Queanbeyan region to: And we are ensuring priority populations, • Gain a shared understanding of DRUGS AND such as pregnant women and Aboriginal services available and gaps that exist ALCOHOL clients, receive care when they need it. • Build ongoing partnerships, and improved wellbeing pathways for youth; and • Support service planning and capability building across youth services.
The relationship between mental illness and drug and alcohol misuse is complex and often linked with almost 75 per cent of people accessing mental health services having misused drugs and alcohol.
It is estimated 90 per cent of consumers undergoing drug and alcohol treatment live with mental illness.
Our drug and alcohol service provides counselling, treatment, withdrawal management and opioid replacement Mental health consumer advocate Sandra Morgan.
32 Specialty Services SNSWLHD 2018-19 Year in Review
COMMUNITY HEALTH
Southern NSW Local Health District provides a range of specialist services to assist people with their healthcare needs in the community.
Health promotion, child and family nursing, and allied health services are provided at home and in clinics.
We assisted more than 70,000 people in the region during 2018-19.
Timely Access to Care
The new community health central intake service processed more than 30,000 referrals in its first 12 months. 1. Eurobodalla Health Expo, organised annually by the local community consultation committee, showcases services. 2. Telehealth at Queanbeyan Health Service links There were more than 8800 phone calls our clinicians to specialist services. 3. Chisholm Ross Centre psychiatry registrar from GPs, healthcare providers, patients Tharanga Gunaradhng (left) with medical student Rachael McCormick. and family members. On average calls were answered within three minutes.
A review highlighted improved communication across the team and people living with complex health successful streamlining of referrals to needs such as diabetes, respiratory WE ASSISTED community health services. and cardiac conditions. >70,000 Referring or accessing care is New computer systems quickly identify via the toll-free phone number people with chronic conditions when PEOPLE 1800 999 880 or emailing they present to hospital enabling our IN THE REGION SNSWLHD-CommunityIntake@ community team to coordinate services DURING 2018-19 health.nsw.gov.au before the patient leaves hospital. We work with the patient’s GP. THE NEW COMMUNITY Enhancing Emergency Two integrated care nurse specialists HEALTH CENTRAL Counselling and Care were employed to work with INTAKE SERVICE clients who require a high level of PROCESSED In May 2019 SNSWLHD launched coordination, focussing on achieving the emergency department social identified health goals chosen by the work service with two additional staff client. They coordinate integrated >30,000 members starting in Goulburn and healthcare across hospitals, general REFERRALS Bega. They work with the ED teams practice, community care and allied IN ITS FIRST 12 helping people who may be experiencing health services to better meet the MONTHS violence, abuse or neglect, providing needs of these patients. crisis counselling and follow up, and ensuring they are referred to the most During 2018-19 the team at Goulburn THERE WERE appropriate service for ongoing support. redesigned the way frequent service users are identified in the ED. They >8800 work with general practice, NSW Coordinating Support for Ambulance, Goulburn Base Hospital, PHONE CALLS Chronic and Complex Patients community health and community FROM GPs, mental health, participating in HEALTHCARE Community health teams meet each fortnightly meetings to improve PROVIDERS, PATIENTS week to plan the best support for referrals and coordination of care. & FAMILY MEMBERS
33 Specialty Services SNSWLHD 2018-19 Year in Review
Southern NSW Integrated Partnering with Schools Health’s 2019 NSW Youth Health Care Strategy to Improve Wellbeing Showcase Report to demonstrate effective partnerships between In partnership with COORDINARE SNSWLHD received funding from public healthcare and schools. South Eastern NSW Primary Snowy Hydro Limited to establish Health Network, we developed a specialist nurse position in the the Southern NSW Integrated Cooma region. Building Local Solutions Care Strategy. The Wellbeing Health In Reach The Goulburn Local Solutions The vision of the strategy is Healthy Nurse (WHIN) helps student Grants, a SNSWLHD funding Together: Working with Our wellbeing by providing incidental initiative, supported 15 projects Community to Support Health and counselling, assisting with referrals involving 20 partnerships that Wellbeing across Southern NSW. to service providers, and working addressed healthy lifestyle. with students, parents and carers Programs included a play Four health priorities were to ensure the health and wellbeing forum, canteen food safety identified: support enables students to training, cooking and gardening 1. Aboriginal health achieve their best in school. workshops, school canteen 2. Chronic conditions upgrades and a Koori cook-off. 3. Mental health, drug and alcohol The WHIN commenced in 2018-19, and suicide prevention; and working closely with Monaro High PHOTOS: 1. Munch & Move fun at the 4. End-of-life care. School, Cooma Public School, Gunning Early Learning Centre. 2. iFace and Cooma North Public School, painter Naomi Jeffrey, of Goulburn, gets The strategy outlines the providing assistance to 425 community health counsellor Serena commitment of both organisations students and their families. Scarlett into the spirit of the Goulburn to work together to integrate play forum. 3. Health promotion’s healthcare and to enhance person- The successful pilot program was Natania Copp at Goulburn Base centred healthcare delivery. selected to present at the NSW Hospital’s open day.
CLIENTS SEEN* OCCASIONS OF SERVICE
Complex, Aged and Chronic Care 37,867 71,292
Child and Family Health 26,357 35,234
Integrated Violence Prevention Response Service 5125 7786
*Service events are an indicator of clients seen and are not a count of individual patients. The number is an aggregate count, not from an individual patient report. Source: iPM; EMR Cerner.
34 ABORIGINAL HEALTH
SNSWLHD is committed to improving the health and wellbeing of our Aboriginal communities.
Our programs saw breast feeding rates improve, smoking during pregnancy decrease, and a decrease in unplanned hospital readmissions in the past year.
The number of Aboriginal women smoking during pregnancy decreased by 11.4 per cent and Aboriginal child immunisation rates at one year of age increased to 94.4 per cent and 96.1 per cent at four years of age.
We operate in partnership with Aboriginal people to achieve the highest level of health possible for individuals, families, and communities. A boys-to-men group was established for Aboriginal men to encourage and “Aboriginal health Our Aboriginal health services provide share cultural knowledge with Aboriginal means not just the support across all our healthcare boys and to enhance their social and physical wellbeing of facilities and in the homes of our emotional wellbeing. Indigenous clients. an individual but the The Aboriginal health team at social, emotional and We work across the community and Queanbeyan Health Service has cultural wellbeing of with other service providers to support increased the awareness of, and access the whole community and improve the healthcare of our to, culturally appropriate spaces in which each Aboriginal families, respecting cultural and services. The layered approach values and beliefs. includes mapping and engagement individual is able with stakeholders, targetted education to achieve their full Many of our initiatives target specific among staff, and bringing Aboriginal potential thereby groups of the Aboriginal community. culture into the hospital environment. bringing about the We provide maternal health, child total wellbeing of and family health, chronic disease Our Aboriginal health staff work in close their community.” management and allied health services. collaboration with non-government organisations to provide and support Goulburn community mental health clients with chronic disease or maternal/ NATIONAL ABORIGINAL COMMUNITY CONTROLLED developed a women’s Aboriginal infant health issues. HEALTH ORGANISATION healing circle where women meet as a (NACCHO) group weekly to share personal stories Work progressed on a formal in a culturally safe, sensitive memorandum of understanding with and respectful manner. local Aboriginal medical services.
Community engagement activities during 2018-19 included NAIDOC PHOTOS: 1. SNSWLHD health challenge team, events, National Aboriginal & Torres led by Queanbeyan Aboriginal health worker Skyan Fernando (centre, front), took out second Strait Islander Children’s Day, Aunty place in the NSW Knockout Health Challenge Jean’s Mini Olympics for elders and losing a combined 119kg! 2. Eden Djaambi’s those with or at risk of chronic disease, Health Group share a yarn while prepping lunch. breast screening for Aboriginal women, 3. SNSWLHD Australian Indigenous Mentoring and an arts-as-therapy group for Experience (AIME) worker, Flic Waipuka Clark, Aboriginal women to support each gets the quit for new life (QFNL) message out to other’s social and emotional wellbeing. our Indigenous communities.
35 Specialty Services SNSWLHD 2018-19 Year in Review
POPULATION HEALTH
Population Health seeks to improve health and wellbeing by protecting and promoting the health of people living in our community.
It aims to reduce illness and hospitalisation by providing a wide range of preventative activities that address underlying causes of acute and chronic illness.
Student Vaccination
Year 7 school children were immunised against the human papilloma virus with 66.4 per cent of boys and 69.4 per cent of girls completing the two-dose course. And 3431 students in years 10 and 11 were offered the by 46 community volunteers in six The book developed with input meningococcal vaccine at 26 LGAs. The program, designed to from local childcare centres and high schools in SNSWLHD. In improve balance and reduce falls preschools contains a collection year 10 the uptake was 66.2 per is popular with older people. of resources and ideas to embed cent, and year 11, 61.4 per cent. healthy eating and active play. Stepping On falls prevention courses designed to improve Munch & Move supports the Tobacco Control strength and balance were healthy development of children conducted for older people who from birth to five years by We worked with maternity services have had a fall or are at risk. promoting physical activity, and Aboriginal health to reduce healthy eating and reduced smoking during pregnancy. small screen time. Culturally appropriate cessation Healthy Children support was offered to expecting Many early childhood centres women as part of their routine care. Children are healthiest if they stay and preschools in the LHD within a certain weight range as celebrated 10 years of Munch NSW Health’s smoke-free they grow. Youngsters who present & Move. A video was filmed healthcare policy was implemented to any of our services in SNSWLHD at Braidwood Preschool to at all our sites to reduce the risks have their growth assessed as part showcase the program to associated with tobacco use by of clinical practice. stakeholders on social media. patients, staff and visitors. We offer the Go4Fun program to We engaged 57 schools in the Tobacco legislation enforcement saw children 7-13 years who are above Live Life Well @ School program. tobacco seizures and prosecutions a healthy weight. Go4Fun is a free A collaborative between NSW following inspections of retailers 10-week healthy lifestyle initiative. Health and public and private for compliance with displays and primary schools, it provides warnings, smoke-free areas, and Munch & Move®, aimed at resources and professional sales to people under 18 years of age. promoting healthy habits, is active learning opportunities for teachers in 76 early childhood centres and to promote healthy eating and preschools throughout SNSWLHD. physical activity to students. Healthy Older People To celebrate the program reaching Our local schools increased their Tai chi classes were extended into its 10-year milestone, we published healthy food and drink options smaller communities bringing the Our Little Book of Big Munch & for students through the healthy total to 60 classes delivered weekly Move® Ideas. school canteen strategy.
36 Specialty Services SNSWLHD 2018-19 Year in Review
The program aims to give Get Healthy in Pregnancy is a Communicable Disease students a taste for healthy free, confidential information Surveillance foods and to make the healthy and telephone coaching choice, the easy choice. program for pregnant women SNSWLHD’s public health unit in NSW aged 16 years and received 2696 infectious disease It addresses school canteens older. It assists callers to foster notifications, many of which to support healthy growth and healthy lifestyle choices that were influenza. Staff worked with development of students. benefit them and their family. the community to minimise the transmission of infectious diseases. Food safety supervisor training, All sugar-sweetened beverages menu check support, working one- were removed from all to-one with canteen supervisors and SNSWLHD facilities. And we Collaborative Dental Services infrastructure grants in Goulburn are increasing the availability have increased the momentum to of healthy options to make the Dental staff partnered with implement the strategy. healthy choice an easy choice our Aboriginal health team for our staff and visitors through and schools applying fluoride the healthy food and drink in varnish to teeth and education to Healthy Eating, Active Living NSW health facilities framework. Aboriginal children at high risk or who do not have access to More than 530 people were referred fluoridated water at home. for one-to-one support to reach Environmental Health & healthy lifestyle goals through the Disaster Preparedness PHOTOS: Get Healthy information & Coaching Page 36: 1. SNSWLHD funding initiative, Service® and Get Healthy in Environmental health officers the Goulburn Local Solutions Grants, Pregnancy program. worked closely with our seven support healthy lifestyle choices for local councils, and water supply youngsters through the Bubble Muffin The Get Healthy Information authorities to ensure safe Show. Page 37: 2. Tai chi for arthritis. & Coaching Service® is a free drinking water was delivered 3. The Goulburn Goannas participate in the Goulburn Koori cook-off during NAIDOC telephone service staffed by to the region. Week. 4. Keeping young teeth healthy qualified health coaches aimed at at Waratah Preschool Queanbeyan. supporting adults to make lifestyle The environmental health 5. Working with Southern Tablelands changes regarding healthy eating, team completed a program for Arts to get Goulburn on the move with a physical activity, reducing alcohol testing warm water systems to creative fitness program.6. Munch & Move consumption and reaching and/or ensure early detection of risk kitchen garden harvest. 7. Goodstart Early maintaining a healthy weight. for legionella. Learning at Jerrabomberra.
37 ... ensure we are delivering today, planning for tomorrow and designing the future. 4SECTION INNOVATION & QUALITY
Innovation is crucial to the continuing success of any organisation. Encouraging and embracing new ideas and ways of doing business leads to improved patient safety and quality, and efficiencies that allow finite resources to be utilised in other areas.
DIGITAL HEALTH
Australia is at the beginning of a the infrastructure, 24-hour from paper to electronic versions new era of digital healthcare and support and clinical solutions to within the eMR application to in NSW, SNSWLHD is embedding ensure we are delivering today, allow prompts, alerts and tasks technological upgrades to better planning for tomorrow and to guide clinical decisions to cater for our community. designing the future of digital deliver quality patient care. healthcare for SNSWLHD. Our digital solutions are consistent We developed two renal with statewide, national and observations segments international agendas, which will Electronic Medical Records for peritoneal dialysis and see increased democratisation and haemodialysis enabling renal personalisation of healthcare. The electronic medical records clinicians to document results (eMR) team continued the electronically. Clinicians can see During the past 12 months, we journey to a digital environment, at a glance how their patients equipped our facilities with converting forms and assessments are tracking.
Dr Sanja Rajasegaran and visiting medical officer Dr Luigi De Frenza at Batemans Bay District Hospital.
39 Innovation & Quality SNSWLHD 2018-19 Year in Review
Integration improvements between to incorporate all patient imaging year all facilities in SNSWLHD will the patient administration system and results in a single repository. be using eMeds. (PAS) and eMR, saw National Disability Insurance Scheme (NDIS) The picture archiving and alerts flow into eMR to capture the communication system (PACS) My Health Record patient’s status providing clinicians will integrate with the electronic with one source of accurate and medical record giving clinicians Except for those people who current information. A carer faster access to all imaging. It will choose to opt out, our systems now package that enhances patient allow comparisons of imaging and automatically send patient discharge contacts and personal details has results from separate departments summaries and medication lists to improved the quality of patient within the one application. My Health Record giving all providers information available in the eMR. involved in a patient’s care a detailed The initial focus has been on our picture to make decisions, diagnose Continuity of care in a digital age digital operating theatre imaging and provide treatment. is critical. The clinical applications with electrocardiographies (ECGs) reliability improvement (CARI) and other patient imaging to program was completed, follow next year. Patient and Guest Wi-Fi increasing the reliability and availability of essential clinical Free Wi-Fi for patients and visitors is applications, migrating all eMR Electronic Medication being rolled out throughout the LHD domains to the government data Management with uptake popular in our larger centre, and providing eMR disaster facilities. The second phase will recovery within hours via an Electronic medication management include our smaller sites next year. alternative secure, stable platform. (eMeds) systems increase patient safety by supporting PHOTOS: 1. Braidwood Multi-Purpose Service doctors, nurses and pharmacists resident Patrick Hynes. 2. South East Regional Whole of Hospital Image to prescribe, order, check, Hospital food supervisor Christine Long Storage reconcile, dispense and record the (left) and food services assistant Frenzy administration of medicines. McCormack. 3. South East Regional Hospital Fast access to all data at the nurses Hayley Galvin (left) and Ashleigh right time and right place eMeds replaces paper medications Mawhinney. 4. Chisholm Ross Centre nurses for all our clinicians impacts charts with electronic charts. Akhil Narayanan Nair (left) and Viji Prakash. outcomes. Planning is underway By the end of the 2019 calendar 5. Moruya District Hospital’s Dr Liz Nguyen.
40 Innovation & Quality SNSWLHD 2018-19 Year in Review
OUR 2019 QUALITY AWARDS
The annual SNSWLHD Quality Staff Member of the Year Collaborative Team Awards recognise and celebrate of the Year innovation and commitment to Jenny Flaherty, Queanbeyan quality improvement. Health Service There were two winners in Clinical nurse educator Jenny this category: Projects are inspired by feedback Flaherty has a wealth of from our consumers and communities knowledge regarding maternity Never Tear Us Apart, to improve the care delivered. services and is an invaluable Queanbeyan Health Service member of the maternity team The maternity unit multi- All employees, volunteers and our providing exemplary care disciplinary team at many partners in the delivery of towards all woman and their Queanbeyan Health healthcare are welcome to enter. families. Highly respected Service reduced the rate of with a strong work ethic, she perineal lacerations through There were 54 entries across facilitates learning, and acts a collaborative project 17 categories judged by board as a conduit between the with Canberra Hospital, members, executive and senior midwifery and medical teams. and Women’s Healthcare staff. The winners of the six peak Australasia. Third and fourth- awards were: degree perineal lacerations Staff Excellence – decreased from 3.5 per cent in Collaborative Leader 2016-17 to 2.02 per cent Volunteer of the Year of the Year in 2018-19.
Beryl Harris, South East Jennie Keioskie – Rural Improving Care for Patients Regional Hospital Adversity Mental Health with Traumatic Chest Injuries, Beryl was recognised for 34 Program (RAMHP), SNSWLHD SNSWLHD Critical Care years of exceptional volunteering Jennie Keioskie has been Services in a variety of fields including the RAMHP coordinator for Guidelines and training were establishing the Pink Ladies. SNSWLHD for more than implemented to standardise Despite being diagnosed in 1999 seven years. Her dedication practice for traumatic chest with breast cancer and undergoing and understanding of the injuries to improve care with surgery, chemotherapy and community’s needs has enabled results showing no adverse radiotherapy, Beryl continued to her to link more than 850 outcomes in the target cohort volunteer in the oncology unit. people to care since 2016. since December 2018.
Patients as Partners: Gabrielle Mulcahy (left), Tim Leggett, Anne Francis, Joanne Brown, and Robert Young from Mental Health, Drug & Alcohol.
41 Innovation & Quality SNSWLHD 2018-19 Year in Review
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Women in Health – Aboriginal and established a communities of Patient Safety First and Torres Strait Islander practice network for all diabetes Leading Better Value Care: educators within SNSWLHD Preventing Falls and Delirium, Kimberley Green, Goulburn to provide clinical support Moruya District Hospital, and Community Mental Health and guidelines for high quality Braidwood Multi-Purpose Service Kimberley developed a women’s evidence-based diabetes care. Aboriginal healing circle where Keeping People Healthy women meet as a group weekly Preventative Model of Care for to share personal stories in a Category Winners Adult Patients, Moruya Public culturally safe, sensitive and Dental Clinic respectful manner. The pilot was A Safe and Healthy Workplace developed in collaboration with a Code Black: Empowering Staff, Supporting Our People local mental health clinician and South East Regional Hospital There were two winners: Aboriginal health worker. Patients as Partners Key Health Worker There were two winners: Accommodation Project, Goulburn Women in Health Base Hospital & Health Service CardioRespiratory Team, Goulburn Caroline Cook, nurse practitioner, Base Hospital & Health Service Mindful Wellbeing for Managers, diabetes, SNSWLHD Eurobodalla Health Service Caroline established a diabetes Using the Voice of Consumers service in SNSWLHD where she and Carers to Influence Change Health Research and Innovation conducts quarterly clinics for and Promote Owned Recovery, CTPA: A Continuous Quality communities with no access to SNSWLHD Mental Health Drug Improvement Project While endocrinology services. & Alcohol Becoming Australia’s Best, South East Regional Hospital She developed a health referral Delivering Integrated Healthcare pathway for diabetes services in Using Beds Better – The Right Bed Excellence in the Provision collaboration with the primary for the Right Patient, Eurobodalla of Mental Health Services health network COORDINARE, Health Service Together We Will Influence,
42 Innovation & Quality SNSWLHD 2018-19 Year in Review
6
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SENSW Regional Plan – NSW’s 10 11 first Regional Mental Health and Suicide Plan, SNSWLHD, Illawarra Shoalhaven Local Health District, COORDINARE
Agency for Clinical Innovation Award Code Black: Empowering Staff, South East Regional Hospital
Chief Executive Award 12 13 CardioRespiratory Team, Goulburn Base Hospital & Health Service PHOTOS: Page 42: 1. Collaborative Team of the Year: Nurse consultants Louise Casey (left) and Viv Chapman. 2. Collaborative Team of the Year: Queanbeyan Health Service’s Kassandra Packwood (left), Fiona Burge, Emma Mann and Matthew Stephenson. Board Chair Award 3. Women in Health – Aboriginal and Torres Strait Islander: Fiona Beston (left), Kimberley Code Black: Empowering Staff, Green, and Natasha Hutchison. 4. Excellence in the Provision of Mental Health Services: South East Regional Hospital COORDINARE’s Andrew Gow, and Anne Francis from SNSWLHD Mental Health, Drug & Alcohol. 5. Delivering Integrated Healthcare: Brigid Crosbie and Jason Mook from Moruya For more detailed District Hospital. Page 43: 6. People’s Choice – Best Poster: Mental Health, Drug & Alcohol’s information on the Gabrielle Mulcahy (left) Joanne Graham, and Danielle Neves. 7. Supporting Our People: winning projects visit: Eurobodalla Health Service’s Loyd Murray (left), Douglas Skipper and Jocelyn Pfitzner. https://www.snswlhd. 8. Winner of three awards, A Safe and Healthy Workplace, Agency for Clinical Innovation, health.nsw.gov.au/ and the Board Chair awards: Code Black: Empowering Staff, Annette Nichols from South East Regional Hospital. Supporting Our People: Kate Rice (left), Gary Wright, Liz Clarke, Tero getmedia/756dd918-9a76- 9. Korpinen, Cassie Skelly, and Kerry Hort (seated). 10. Keeping People Healthy: Dr Aravinthan 48ef-8f4f-4e9d65d0075a/ Bharathy and Lara Mayze from Moruya Public Dental Clinic. 11. Patient Safety First: Judy snswlhd-quality- Ryall (left), Jason Mook and Niccola Follett. 12. Patients as Partners: Sharon Eilers (left), Jane awardsbooklet-2019.pdf. Cotter and Rachel Davis from Goulburn Base Hospital & Health Service. 13. Staff Excellence – aspx?ext=.pdfrt Collaborative Leader of the Year: Fiona Beston (left) and Jennie Keioskie.
43
SECTION5 OUR PEOPLE
As one of the largest organisations in south-east NSW and the tablelands, SNSWLHD provides an abundance of employment opportunities for our population and those looking to escape to the country.
OUR STAFF
We employ 2856 individuals visits to all sites to reinforce our gave them a feeling of personal across more than 20 sites with the zero tolerance to bullying. accomplishment and that people majority local to the communities in their team treated each other they serve. The annual NSW People Matter with respect. Employee Survey provides an Doctors, nurses and allied health important opportunity for all The survey identified several professionals account for about employees to have a say about opportunities for improvement 70 per cent of the workforce. their workplace and to help make including communication around our local health district a better the organisation’s future direction Our mission is to ensure we place in which to work. and improving change management provide safe, responsive practices. While we have taken healthcare services that meet In 2019 almost 1800 employees, some initial steps to improve the needs of the community. or 63 per cent participated, these areas, further work will be which was one of the highest undertaken in 2020. During the year, we continued to response rates in the NSW promote a people-first culture Health system. We established the fitness to enable our staff to deliver passport initiative as part of our high-quality consumer-centred The results are being used to employee wellbeing program. healthcare. develop action plans to address workplace culture issues. The fitness passport is a corporate SNSWLHD’s executive leadership health and fitness scheme for staff team took a proactive approach In SNSWLHD the majority of and their families designed to inspire to improve workplace culture with respondents stated their job regular exercise.
Bombala Multi-Purpose Service hospital assistant Tony Bailey.
45 Our People SNSWLHD 2018-19 Year in Review
1081 Nursing 57 Medical 26 Oral Health Practitioners & Support Workers 275 Allied Health 28 Scientific & Technical 1 Clinical Support Staff
It allows access to a wide range of local SNSWLHD continued to focus on 46 health and fitness providers. improving employment opportunities Other Prof & for Aboriginal people. Para Professionals & Staff performance and development Support Staff were key priorities. We revised all To increase our Aboriginal workforce our performance review resources, and to improve the quality of and promoted ongoing learning and services and supports provided to development opportunities to all staff. our Indigenous communities, we 432 developed and implemented an Corporate Services The Clinical Excellence Commission’s Aboriginal workforce action plan. & Hospital Support (CEC’s) clinical leadership curriculum supports leaders in the workplace to As a result, there were 76 Aboriginal develop outstanding leadership skills employees working in SNSWLHD in through the foundational and executive 2018-19, representing 2.8 per cent 82 clinical leadership programs. of our workforce. And six additional Hotel Services school-based trainees commenced Two SNSWLHD employees successfully their traineeships across several of completed the CEC’s Executive Clinical our sites. Leadership Program and 10 graduated 23 from the Foundational Clinical Respecting the difference training is Maintenance & Trades Leadership Program. designed to give staff the necessary knowledge and skills to interact The Australasian College of Health positively with our Indigenous Service Management (ACHSM) communities to improve healthcare. TOTAL internship program offers the We continued to provide face-to-face opportunity to develop the skills, training with more than 150 sessions 2050 capabilities and knowledge required being delivered since 2016. to start a career in managing the challenges and complexities of health VaxLink was rolled out across the Contracted full time equivalents service delivery in NSW. LHD in May 2019 enabling NSW (FTEs) as at June 30, 2019. Health to capture and maintain
Source: SMR Workforce by Three of our staff started their ACHSM vaccination details for all employees Treasury Code; StaffLink Human health management internship with to ensure compliance with regulatory Resource Information System. graduation expected in 2021. standards.
46 Our People SNSWLHD 2018-19 Year in Review
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PHOTOS: Page 46: 1. South East Regional Hospital nurse Jessica Leggatt (left), Dr Angela Alessandri and nurse Beth Dixon. Page 47: 2. Care navigator Carolina Perez (left) and nurse Maggie-Rose Thompson showing their footy colours at Queanbeyan Health Service. 3. Braidwood Multi-Purpose Service hospital assistants Shannon Harrison (left) and Debbie Hodgson and site supervisor Joy Thistleton. 4. Acting nurse unit manager Joanne Gowland (left) and nurse Jeff McDonald from Goulburn Base Hospital.5. Bega Aboriginal health team leader Jo Donovan with Aboriginal health worker Nev Simpson from Grand Pacific Health in Bega.6. Bourke Street Health Service nurses Abdelhamid Elshweikh (left) and Richard Lee. 7. Nurse Susan Judd. 8. Yass Health Service nurses Lyn Green (left), Barbara Burleigh and Lynley Butler. 9. Bourke Street Health Service food and patient support service assistant Dannielle Gegg. 10. Queanbeyan Health Service administrative officer Nada Matijevic (left) and clinical nurse specialist Judy Redpath. 11. Bateman’s Bay District Hospital health and security assistants Peter Fantella and Sharon Emerson. 12. South East Regional Hospital clinical nurse educator Julieann White and emergency department chief medical officer Dr Nathan Dawe.
47 Our People SNSWLHD 2018-19 Year in Review
The members of the SNSWLHD and compliance, ensuring major OUR Board are appointed by the risks are identified and managed, NSW Minister for Health and and assisting the SNSWLHD BOARD* Medical Research for a term Board in achieving its goals of up to five years. and objectives.
There are four board committees They are the: that oversee specific areas of • Health Care Quality Committee the business including providing • Performance Committee advice on the organisation’s • Audit & Risk Committee; and the strategy, safety and quality of • Medical and Dental Appointments services, monitoring performance Advisory Committee.
Dr Allan Hawke AC PhD, FAICD, FIPAA, FIML Chair
Allan was appointed chair of SNSWLHD in August 2017. He has deep roots in the region having been schooled in Queanbeyan prior to gaining a Bachelor of Science and a PhD at the Australian National University, Canberra. Allan has extensive experience as a senior public servant and diplomat. He is the current chairman of the Canberra Raiders rugby league football club, a nonexecutive director of Lockheed Martin Australia, and a member of the board of governors of the Committee for Economic Development Australia (CEDA). 1
Mark Harrison B Bus (Accounting), Certified Internal Auditor Professional Deputy Chair
A board member since 2011, Mark Harrison became deputy chair in 2013. Mark is a managing director with Protiviti, a global management consulting firm. He has more than 25 years’ experience specialising in audit, financial, governance and risk advisory services spanning publicly listed companies to government agencies. His work in healthcare includes public and private providers, primary care, hospital and Indigenous health services, aged care, policy and funding agencies, and the pharmaceutical industry. Mark chairs the 2 Performance Committee, a committee of the board. 5
*As at June 30 2019 48 Our People SNSWLHD 2018-19 Year in Review
Margaret Lyons
Margaret is a lawyer whose career spans strategic and corporate planning, audit, risk and financial management, compliance and governance. A Braidwood resident, she joined the board in January 2019, and is chair of Braidwood Multi- Purpose Service’s Community Consultation Committee. Margaret’s appointments have included chief operating officer of the Australian Government’s Department of Health and Ageing, and executive general manager of Government and Corporate Services at Austrade. She lived in the Northern Territory for 20 years, five of which saw her as chief executive officer of the Attorney- 3 General’s Department.
Dr Brian Tugwell MBBS, FRACGP, GradDip Anaesthetics, GradDip Tropical Medicine and Hygiene
Brian has been a general practitioner visiting medical officer at Cooma Health Service since 1997, having completed his registrar training in the town. He previously worked as a GP registrar in northern NSW and as district medical officer in East Arnhem Land, NT. He is a registrar supervisor with GP Synergy and teaches medical students from the Australian National University during their placement at Cooma Health Service. Brian joined the SNSWLHD Board in 2015 and is a board representative on the Cooma Community Consultation Committee. 4
Dr Kenneth Crofts PhD (Accounting), GradDip App Corporate Governance, GradCert Public Sector Mgmt, GradDip Info Sys, M Ec (Accounting), B Bus (Accounting), FCA, CIA, CRMA, PMllA, GAICD, PGIA, ICSA, MCSE
Ken is a highly skilled senior executive in governance, finance, audit and risk in the public and for-purpose sectors. He has had extensive involvement in board and non-executive director positions with a particular focus on audit, risk and finance committees. Specific highlights include inaugural chair of the YMCA Australia governance national leadership team, and prequalification as an independent member of both the NSW and Federal governments’ Audit & Risk committees. Ken is a member of the SNSWLHD Performance Committee, as well as 5 Audit & Risk Committee.
*As at June 30 2019 49 Our People SNSWLHD 2018-19 Year in Review
Elizabeth Hoskins BA Bus Acctg Ec, CPA, GAICD
Beth Hoskins joined the SNSWLHD Board in 2017. She is a member of its Performance Committee and a board representative on the Goulburn Community Consultation Committee. An associate director with Boyce Chartered Accountants, she has had a long-term involvement in the not-for-profit sector through her roles focussed on governance, strategy and implementing financial control systems. They include the Country Education Foundation of Australia, the Country Education Foundation of Goulburn & District, Country Universities Centre, 6 and Beyond the Orphanage.
Geoffrey Frost BEc BSc (Hons)
Geoff joined the board of SNSWLHD in 2013. He is a member of the Health Care Quality Committee and a board representative on the Yass, Queanbeyan, Crookwell and Braidwood community consultation committees. Geoff is in his third term as a Yass Valley councillor and is president of the Yass Valley Branch of Can Assist. Until 2016 he was a regional research leader with the Commonwealth Bureau of Infrastructure, Transport and Regional Economics. 7
Russell Schneider AM GAICD
Russell has extensive experience in health policy. He joined the board in 2011 and is its regular representative for the Joint Strategic Alliance Group with the South Eastern NSW Primary Health Network, COORDINARE. Previous appointments included independent non-executive director of the Hospital Contributions Fund (HCF), member of its Audit and Risk Management Committee, trustee of the HCF Health and Medical Research Foundation, 8 and independent director of Manchester Unity.
*As at June 30 2019 50 Our People SNSWLHD 2018-19 Year in Review
Russell Fitzpatrick
Russell Fitzpatrick is a councillor on the Bega Valley Shire Council. He is a manager at Bobbin Transport Pty Ltd Pambula, chairman of Pambula Sporting Complex, Pambula Agricultural, Horticultural & Pastoral Society, and a board member of Pambula & District Community Bank® Branch of Bendigo Bank. 9
Diana Williams
Diana brings a wealth of project management, governance and financial skills to SNSWLHD. She joined the board in 2015. Diana is a member of the Health Care Quality Committee, and is a board representative for several of the LHD’s community consultation committees. She spent the past seven years of her 37-year public sector career in the senior executive service of the Federal Attorney- General’s Department where her roles included planning for the management of 7 natural and manmade disasters. 10
Narelle Davis MM, Grad Dip in Public Administration, Grad Dip Community Nursing, RN, MAICD
Narelle was appointed to the board in January 2019. She is a board representative for the Bombala and Delegate community consultation committees. Narelle worked for NSW Health for 35 year across a variety of management roles in regional and rural NSW, and is highly experienced in leading 11 health facility redevelopments.
*As at June 30 2019 51 Our People SNSWLHD 2018-19 Year in Review
Geoff Kettle JP, MAICD
Geoff was appointed to the board in 2015 and is a representative on the Goulburn Community Consultation Committee. A community and stakeholder engagement consultant, he is proactive in the local community. Geoff is chair of the board of Endeavour Industries Goulburn Inc, a member of the Goulburn Chamber of Commerce, the Australian Federal Police Former Members Association, a company member of Warrigal Care and a former mayor 12 of Goulburn Mulwaree Council.
Dr Pavan Bhandari MBBS (Hons) FRANZCP
Pavan is a psychiatrist and is the mental health clinical director of the LHD’s mental health, drug and alcohol service, a position he has held for more than 10 years. Pavan is the SNSWLHD’s Executive Medical Staff Council’s representative on both the SNSWLHD board, and the Health Care Quality Committee which he chairs. Having worked in the LHD for more than 20 years, Pavan is passionate about the integrity of clinical safety and quality systems and clinical risk management. He joined the board in 2011. 13
The members of the SNSWLHD executive, EXECUTIVE individually and as a committee, support the chief executive to lead, direct, coordinate and LEADERSHIP control the operations and performance of the local health district.
TEAM* Their role as strategic leaders is to formulate and execute business strategies to produce desired results critical to the organisation.
*As at June 30 2019 52 Our People SNSWLHD 2018-19 Year in Review
Andrew Newton FCHSM, RGN, MHM, GDPA, BHlthSc (Nurs), DipAcc, GradCert (CritCare), GradCert (NursEd) Chief Executive
Andrew was appointed chief executive in November 2017. He is responsible for delivering safe and quality healthcare services to south-east NSW through strong leadership, governances and partnerships. Andrew has significant experience in health service delivery across NSW, strategic and operational leadership, and 1 in capital development and implementation.
Jude Constable1 Dip Nurs, RCompN, BN, PG Cert HSc (Adv Mental Health), MBA (Dist) District Director Clinical Operations
Jude joined SNSWLHD in July 2018 and was appointed in January 2019. She is responsible for leading and managing the clinical operations of the LHD across a broad spectrum of health settings with a focus on ensuring the delivery of high quality, safe and efficient health services for patients and communities. Jude has more than 25 years experience in health leadership and management in a wide range of metropolitan and rural settings in NSW and New Zealand.
1. Director Clinical Operations Jude Constable, acting from July 2018 until her appointment in January 2019 2
Andrew Elliott2 BInfoTech, MMgmt, SAPBI, GAICD Chief Information Officer, and Acting District Director Information & Infrastructure
Andrew leads information communications technology (ICT) across two geographically challenging LHDs – Southern NSW, and Murrumbidgee, incorporating 90 sites. In the second half of 2018-19, he led a new directorate encompassing planning, data analytics, infrastructure redevelopments, asset maintenance and ICT. Prior to entering public health in 2016, his work, predominately in the private sector, included large scale rollouts of systems, applications and new technology in a global arena, covering industrial manufacturing and education.
2. The Infrastructure & Information portfolio was created in 3 February 2019 with Andrew Elliott appointed acting director
*As at June 30 2019 53 Our People SNSWLHD 2018-19 Year in Review
Mukunthan Ganeshalingam3 MBA(Exec), MAICD, CPA and BAcc Acting District Director Finance
Mukunthan Ganeshalingam joined SNSWLHD in March 2019 and is responsible for financial management and the supply chain. He has held senior leadership roles in the private and public sectors in banking and in healthcare across several jurisdictions over the past two decades.
3. Director Finance and Corporate Services from July 2018 - March 2019 was Colin Weeks. The position was revised with Mukunthan Ganeshalingam appointed acting district 4 director Finance March 2019
Virginia Cater RN, RM, RNDD, BHSc (Nursing), MHM, Dip HRM District Director People & Performance
Virginia provides leadership in strategic development, management and coordination of workforce strategies and services to support the local health district’s objectives. She has a strong operational background and is an experienced senior manager who has held clinical and management positions in the public and private sectors and in metropolitan and rural health services. Her major interest is in strategic and operational clinical recruitment and performance management. 5
David Hohnke MBA, GAID, DipCRB, Cert IVTAE District Director Media & Corporate Communications
David leads the media and communications strategy and operations across the LHD. His portfolio encompasses community engagement and volunteers. A senior manager and strategist, David has more than 20 years of experience in high profile roles in the media, corporate and public sectors including education, engineering and not for profits. A respected leader, communicator and journalist, he brings resilience, 6 creativity and precision to the organisation.
*As at June 30 2019 54 Our People SNSWLHD 2018-19 Year in Review
Dr Dennis Pisk MBBS, MHA, FRACMA District Director Medical Services
Dennis leads the medical workforce for the local health district and is responsible for medical leadership and engagement. His vast experience spans 40 years in medicine with the past 30 specialising in medical administration in rural and metropolitan hospitals and local health districts in NSW, interstate and overseas. 7
Cherie Puckett RGN, MN, BSc Nursing, Dip Nursing Sc, Grad Cert Adv Practice, Dip BM District Director Mental Health and Drug & Alcohol, Palliative Care, Renal, Cancer and Breast Screening
Cherie is accountable for the operational performance of mental health, drug and alcohol, cancer, palliative care, renal and breast screening services. She is a registered nurse with 30 years of experience in private and public healthcare, community and aged care in management and education roles. Her leadership and clinical skills complement her operational responsibilities to support the delivery of safe and quality care to the SNSWLHD community. 8
Julie Mooney RGN, RPN, Grad Dip (Health Policy and Management), M Sc (Mental Health), M Sc (Forensic Mental Health) District Director Nursing & Midwifery, and Clinical Governance
Julie is accountable for the professional oversight of the nursing workforce and responsible for establishing, directing and managing clinical governance to promote and support patient safety and excellence. A registered nurse, Julie’s work in healthcare for the past 38 years spans executive, clinical and 9 managerial roles across a range of disciplines.
*As at June 30 2019 55 We actively encourage communities and organisations to partner with us to deliver the best available care and plan for the future. 6SECTION OUR PARTNERS, OUR SUPPORTERS
Positive patient outcomes drive our planning decisions. SNSWLHD works in partnership with a range of stakeholders to shape and improve the delivery and evaluation of our healthcare services.
Our local health district Eurobodalla Health Service works Western Sydney local health does not have a tertiary- with Katungul to provide a range districts all support SNSWLHD. level hospital. We rely on our of integrated care to Aboriginal partnership with ACT Health communities from eye health to We greatly value and are committed to provide a range of specialty conditions such as chronic disease to working in partnership with our treatments for cancer and renal and otitis media. stakeholders to improve and grow services, and critical care. our health services and actively The dementia and delirium encourage communities and St Vincent’s Hospital Sydney volunteers program gives organisations to partner with us to delivers pain management emotional support to affected deliver the best available care and services to our patients via inpatients and their carers as plan for the future. telehealth technology. And their well as one-on-one practical specialist staff provide valuable assistance. It is a multi-partnership education and mentoring to our with the Commonwealth Community Consultation clinicians and GPs. Department of Health, the Committees Cognitive Decline Partnership The South Eastern NSW Primary Centre, the University of Sydney, Community and consumers Health Network COORDINARE, the Agency for Clinical Innovation, are a vital link in shaping our the Australian National University, consumers, carers and volunteers. local healthcare services. Their Canberra University and the advocacy and leadership bring Katungul Aboriginal Corporation NSW Health Pathology, eHealth about change. Regional Health and Community NSW, HealthShare, Health Service provide opportunities for Infrastructure, ACT and Sydney Our collective purpose is to innovative approaches to the way tertiary referral hospitals, and provide the best available care we deliver services. Western Sydney, and South now and plan for the future.
Batemans Bay District Hospital volunteer Neil Benson.
57 Our Partners, Our Supporters SNSWLHD 2018-19 Year in Review
Our patient-centred approach means we They advocate for patients, families treat each person respectfully. Involving and carers. 210 patients, families, carers and community members in our governance, quality and CCCs, located in the Bega valley, HEALTH safety processes and in how we design Bombala, Braidwood, Cooma, SERVICE services is central. Crookwell, Eurobodalla, Delegate, Jindabyne, Goulburn, Queanbeyan VOLUNTEERS They build trust and integrity and inform and Yass, actively engage with their the way we plan and deliver services that local communities to establish what is are accessible and appropriate. important to them.
Patients, families, carers and community The Eurobodalla CCC holds an annual members providing a consumer health expo to showcase services. In voice collaborate with our staff from Delegate a free mental health first aid participating in project groups to course gave community leaders the governance and steering committees, skills and knowledge to support people MORE THAN as well as providing daily feedback that struggling with their mental health. assists us to improve services. 50,000 Other CCC activities included health Their contribution influences the information sessions on topics such VOLUNTEER design of our multi-million-dollar as stroke, advanced care planning, HOURS redevelopment projects. Consultation and My Health Record; the Landmark for each project has been extensive, Trade Day providing health checks with more than 3000 interactions with for farmers; exhibitions at community community, consumer and industry events to promote local health representatives. services; and speaking at community forums. SNSWLHD has a network of 11 community consultation committees (CCCs) that bring the community voice Volunteers and Donors to the table. The selfless commitment and RAISING A mix of community members, staff dedication of our highly valued representatives, site executive and volunteers and fundraisers makes a $607,000 board members comprise each CCC. special difference to those in our care.
58 Volunteers provide joy, comfort and businesses, the Commonwealth Bank support to patients, families, carers Employees Association, the BDCU “Partnerships are and staff. Alliance Bank Goulburn Hospital essential, enabling us Fundraising Committee Inc, and the They participated in 20 programs, New Born Intensive Care Foundation to provide patient- improving the patient experience and have contributed valuable time and centred services and supporting staff across our hospitals, money to their local health services, to identify and plan community health, mental health and enhancing patient comforts and for improvements outreach services. purchasing equipment. that meet community expectations.” Our volunteers donated tens of A local knitting group, known as the thousands of hours assisting and south coast knitters, provided hand- JUDE CONSTABLE, DISTRICT providing a myriad of support from knitted and crocheted blankets and DIRECTOR, SNSWLHD falls prevention activities, to spiritual beanies to the oncology unit, medical CLINICAL OPERATIONS care, assisting in the dementia ward, sub-acute rehabilitation unit, and and delirium program, gardening, toys for the emergency department at providing arts programs, socialising South East Regional Hospital. “The compassion and transporting patients. Goulburn Rotary Club teamed up with and dedication of Staff welcome the contribution and Goulburn Base Hospital to establish our volunteers and difference they make to the health a book rotation program for patients, the generosity of service environment enabling our their families and carers. our donors is an clinicians to better focus on the care inspiration. Their needs of acutely unwell patients. PHOTOS: selfless acts of Volunteers assisted our mental health Page 58: 1. Acting director of nursing and kindness support midwifery at Goulburn Base Hospital Ann consumers to develop trust, friendship, our staff, patients Arthur (left), chair of the BDCU Alliance Bank respect and hope in a dedicated Goulburn Hospital Fundraising Committee and their families. inpatient mental health program at Inc Nerida Cullen, nurse unit manager I thank them for their South East Regional Hospital. of Goulburn’s sub-acute rehabilitation ongoing contribution unit Leanne Rayner, patient Ron Cullen, More than 50,000 volunteer hours physiotherapist Alison Cook, and BDCU to our organisation.” Alliance Bank Goulburn Hospital Fundraising was spent raising more than $607,000 ANDREW NEWTON, CHIEF during the past year through events organiser Prue Martin. 2. SNSWLHD major EXECUTIVE, SNSWLHD such as trivia nights, dancing capital works communications manager competitions, and sausage sizzles. Rebecca Bergman (left), consults with Marjorie Feilen, of Mount Darragh and Gayle Smallman, of Delegate on the Yass Hospital The work of 210 health service Redevelopment. 3. Eurobodalla Health Expo volunteers, 12 hospital auxiliaries, is an opportunity to showcase our health private benefactors, community and services to the community. Page 59: service organisations such as local 4. Rebecca and Edward Butler from Marulan Rotary and Lions clubs, the Monaro at Goulburn Base Hospital. 5. Dementia and Committee for Cancer Research, local delirium volunteer Ellen Seaman, of Goulburn.
59
7SECTION APPENDICES
Project Lead Goulburn Hospital and Nurse Unit Manager Maternity and APPENDIX A Health Service Redevelopment Paediatrics Kerry Hort Liz Simpson
OUR Goulburn Base District Hospital Nurse Unit Manager Surgical Ward ORGANISATION* Acting Director Nursing & Midwifery Rebecca Moon Cheryl Tozer Acting Nurse Unit Manager Intensive SOUTHERN NEW Acting Deputy Director Nursing & Care Unit SOUTH WALES LOCAL Midwifery Rhys Paddison HEALTH DISTRICT Sylvia Fitzgerald Nurse Unit Manager Renal Office of the Chief Executive Administration Services Manager Tracy Sampson Kate Rice Chief Executive Acting Nurse Manager Community Andrew Newton Acting Nurse Unit Manager Emergency Health Department Lauren Robinson Manager Internal Audit Joanne Gowland Colin McDowell Acting Allied Health Manager Acting Nurse Unit Manager Theatre Jeremy Gilchrist Clinical Operations Julie Gear Infection Control Officer District Director Clinical Operations Manager Patient Support Services Beth Henson Jude Constable David White Bourke Street Health Service Northern Cluster Nurse Unit Manager Medical Ward Senior Nurse Manager Helen Caddey John Gale Cluster General Manager Denis Thomas After Hours Nurse Managers Nurse Unit Manager Marian Unit Larissa Manning Jenelle Crooks Director Medical Services Lisa Best Dr Sunil Adusumilli Ann Arthur Acting Manager Southern Area Brain Mary-Ann Hunt Injury Service, incorporating Southern Chief Pharmacist Chris Paull Area Spinal Cord Injury Service Alice McKellar Levi Hick Nurse Unit Manager Sub-Acute Manager Medical Imaging Rehabilitation Unit Nurse Unit Manager Oncology Unit Jens Loberg Leanne Rayner Marissa Blackwell
Batemans Bay District Hospital technical assistant Sharon McGlinchey.
*As at June 30 2019 61 Appendices SNSWLHD 2018-19 Year in Review
Manager Transitional Aged Care Program Acting Nurse Unit Manager Paediatrics Eurobodalla Cluster Michelle Tozer Cynthia Lloyd General Manager Volunteer Coordinator Nurse Unit Manager Surgical Ward Lisa Kennedy Katherine Lee Roxanne Edwards-Maguire Acting Director of Medical Services Braidwood Multi-Purpose Service Acting Nurse Unit Manager Maternity Dr Arnel Polong Senior Nurse Manager Hannah Bird Patricia Hemler Director of Nursing & Midwifery Nurse Unit Manager Renal Leanne Ovington Crookwell Health Service Kate Stewart Acting Senior Nurse Manager Acting Nurse Manager Community Debbie Hay Nurse Unit Manager Sub-Acute Nursing Rehabilitation Unit Edwina Fynmore Yass Health Service Wendy Kelland Acting Health Service Manager Allied Health Manager Nicola Barnes Nurse Unit Manager Inpatient Mental Catherine Barkley Health Unit Bega Valley Cluster Gavan Pinne Acting Deputy Director Nursing & Midwifery, and Nurse Manager Moruya Cluster General Manager After Hours Nurse Managers District Hospital Wendy Hubbard Sharon Martin Ruth Snowball Janelle Finnerty Director Nursing & Midwifery Linda MacGregor Nurse Manager Batemans Bay District Nicole Tate Vanessa Humphreys Hospital Stuart Humphries Lisa Wilson Director Medical Services Dr Elizabeth Mullins Manager Physiotherapy Nurse Unit Manager Batemans Bay Christopher Cheung District Hospital Ward Manager Allied Health Rebekah O’Reilly Duane Kelly Manager Occupational Therapy Linda McCormack Nurse Unit Manager Moruya District South East Regional Hospital Hospital Surgical Ward Acting Nurse Manager South East Manager Speech Pathology Jim Herford Regional Hospital Pauline Mendes Cathy Boyle Nurse Manager Perioperative Services Coordinator Transitional Aged Care Marie Loudon Nurse Manager Hospital in the Home and Program Community Amanda Wilson Nurse Unit Manager Perioperative Services Wendy Grealy Jean Head Manager Medical Imaging Nurse Manager Perioperative Services Ralph Dixon Nurse Unit Manager Critical Care Lucie Phelan Sharon Howell District Health Information Manager Director General Surgery (Southern) Nurse Unit Manager Renal Associate Professor Allen-John Collins Robyn Lunt Linda Cox
Acting Director Anaesthetics Manager Pharmacy Nurse Unit Manager Sub-Acute Dr Nathan Oates Euna Huang Rehabilitation Jason Mook Director Obstetrics & Gynaecology Manager Pathology Dr Glen Davies Mark Carroll Midwifery Unit Manager Claudia Stevenson Acting Nurse Unit Manager Emergency Support Services Manager Department Cara Steiner Director Emergency Department Kreya Eves Dr Kirsty Dunn Pambula Health Service Nurse Unit Manager Critical Care Acting Nurse Manager Sessional VMO Anaesthetics Maree Gurton Kellie Jurd Dr Kirryn Lowe
Nurse Unit Manager Medical Ward Nurse Unit Manager Staff Specialist Surgery Sarah Little Mitzi Hyland Dr Neilson Wright
*As at June 30 2019 62 Appendices SNSWLHD 2018-19 Year in Review
Nurse Unit Manager Oncology Nurse Unit Manager Community Nursing Clinical Director Mental Health Tracy Blake Health and Oncology Dr Pavan Bhandari Dorothy (Dot) Nicholson Physiotherapy Head of Department Clinical Director Drug & Alcohol Gretchen Buck Acting Allied Health Manager Dr Ken Curry Lois Skotnicki Occupational Therapy Head Manager Mental Health Inpatient of Department Cooma Health Service and Access Services Lisa Reade Acting Health Service Manager Senior Mental Health, Drug & Rhonda Stewart Alcohol Nurse Speech Pathology Head of Tim Leggett Department Director Medical Services Miriam Staker/Sharon Newman Dr Liz Mullins Acting Manager Community Mental Health, Drug & Alcohol Services Medical Imaging Manager Acute Services Manager Fiona Beston Phil Carter Sasha Berryman Mental Health, Drug & Alcohol Chief Pharmacist Nurse Unit Manager Emergency Department Governance Manager David Quinn Dylan Bradbery Gabrielle Mulcahy
Team Leader Transitional Aged Nurse Unit Manager Theatre MHDA Strategic Coordinator Consumer Care Program Elizabeth Hill Participation Kerri Carmichael Anne Francis Nurse Unit Manager Inpatient Unit Finance and Business Manager Anja de Ruijter MHDA Business Partner Ben Wright Stuart Horner Nurse Unit Manager Renal Monaro Cluster Lyn Nichols Nurse Manager Goulburn Mental Health Inpatient Services Cluster General Manager Nurse Unit Manager Community Nursing Kerry Fitzsimmons Nicola Yates Health and Oncology Kirsten Herbert Nurse Manager Bega Mental Health, Drug Queanbeyan Health Service & Alcohol Services Director Nursing & Midwifery Allied Health Manager Fiona Burns Acting Health Service Manager Fay Fox Kassandra Packwood Mental Health, Drug & Alcohol After Jindabyne HealthOne Hours Nurse Managers Director Medical Services Allied Health Manager Rosemary Weston Dr Sunil Adusumilli Fay Fox Rose Roberts
Director Emergency Department Bombala Multi-Purpose Service MHDA Policy and Clinical Redesign vacant Senior Nurse Manager Melissa Keith Heather Fairfax Cancer Services Manager Aboriginal Mental Health, Drug & Alcohol Nick Wilcox Director Medical Services Clinical Leader Dr Liz Mullins Stephen Young Acting Nurse Unit Manager Emergency Department Nurse Manager Eating Disorders Coordinator Peter Biro Tania Cuzner Monique Perkins
Nurse Unit Manager Inpatient Unit Delegate Multi-Purpose Service Perinatal Infant Mental Health Coordinator and Close Observation Unit Senior Nurse Manager Brendan Cook Kassandra Packwood Heather Scroope Drug & Alcohol Strategic Coordinator Acting Nurse Unit Manager Maternity Director Medical Services Danielle Neves Fiona Burge Dr Liz Mullins Nurse Unit Manager Chisholm Ross Centre Nurse Unit Manager Theatre Mental Health, Drug & Alcohol Peta Kleinig Della Trute District Director Mental Health, Acting Nurse Unit Manager South East Nurse Unit Manager Renal Drug & Alcohol (MHDA) Regional Mental Health Inpatient Services Barbara Harvie Cherie Puckett Gavan Pinne
*As at June 30 2019 63 Appendices SNSWLHD 2018-19 Year in Review
Nurse Unit Manager Ron Hemmings Manager Aboriginal Health Community Nurse Unit Manager, Cooma Centre Jackie Jackson Julie Spring Joanne Brown Manager Aged and Chronic Care Aboriginal Health Team Leader, Nurse Unit Manager Psychogeriatric Unit Anka Radmanovich Tablelands Northern and Monaro Clusters and Dementia Support Unit Richard Shipp Anna Smith Coordinator Health Pathways Catherine Barkley Aboriginal Health Team Leader, South Mental Health Nursing Professional Coast Bega Valley and Eurobodalla Development Program Coordinator Manager Integrated Care Clusters Joanne Graham Karla Calleja Joanne Donovan
Triage and Emergency Care Support Manager Integrated Violence Abuse and Aboriginal Health Team Leader, Child and Manager Neglect Family Programs Gadhu Family Health Fiona Keddie Gemma Evans Shirlena Gallagher
Team Manager Cooma MHDA Manager Population Health Nursing, Midwifery & Kira Van Klink Lorraine Dubois Clinical Governance
Team Manager Eurobodalla MHDA Manager Oral Health MLHD and District Director Nursing, Midwifery & Jodie Quinnell SNSWLHD Clinical Governance Sue Winders Julie Mooney Team Manager Bega MHDA Erin Evans Chief Dental Officer MLHD and SNSWLHD Nursing & Midwifery Neville Heer Nurse Manager Leadership & Acting Team Manager Goulburn MHDA Development Natasha Hutchinson Manager Women’s Health, Child Youth Judy Ryall and Family Team Manager Queanbeyan, and Yass Annie Flint Nurse Manager Clinical Practice Mental Health, Drug & Alcohol Services Dot Hughes Yvonne McAviney Acting Manager Allied Health, Northern Cluster Nurse Manager Workforce & Policy Ambulatory & Integrated Jeremy Gilchrist Kay Morris Care Cluster Manager Allied Health, Eurobodalla Clinical Governance Cluster General Manager Cluster Director Patient Safety and Compliance Lou Fox Kathryn Harris Tony Robben
Director Public Health MLHD and Manager Allied Health, Queanbeyan Director Quality Strategy and SNSWLHD Vivienne Barker Improvement Tracey Oakman Tracey Elkins Manager Allied Health, Cooma District Advisor Dietetics Fay Fox Manager Accreditation & Risk Lyn Lace Simone Blay Manager Allied Health, Bega Valley District Advisor Occupational Therapy Cluster Medical Services Claire Blewett Duane Kelly District Director Medical Services District Advisor Physiotherapy Community Nurse Manager, Northern Dr Dennis Pisk David Schmidt Cluster Gillian Eccleston Chair Medical & Dental Appointments District Advisor Social Work Advisory Committee Sharon Mildwater Community Nurse Manager, Eurobodalla Dr David Dumbrell Cluster District Advisor Speech Pathology Ruth Snowball Director Pharmacy Andrea Cuadra Gabrielle Couch Community Nurse Manager, Bega Valley District Allied Health Educator Cluster Director Critical Care Megan Kurtz Maria Wilson Dr Trish Saccassan-Whelan
Rural Allied Health Assistant Coordinator Community Nurse Manager, Queanbeyan Director Trauma Jenni Devine Dorothy Nicholson vacant
*As at June 30 2019 64 Appendices SNSWLHD 2018-19 Year in Review
Acting Manager Medical Workforce Goulburn Base Hospital & Health Service Major Capital Works Communications Mellissa Ellis Redevelopment Manager Northern Cluster General Manager Rebecca Bergman Information & Infrastructure Denis Thomas Individuals & Teams Celebrated Chief Information Officer, and Acting GHHSR Project Lead District Director Information & Infrastructure Kerry Hort Australia Day Honours 2019 Andrew Elliott Dianne Layden, OAM, Crookwell Health Pambula District Hospital Refurbishment Service Community Consultation Application Support Team Leader Bega Valley Cluster General Manager Committee, for service to the community Tanyia John Wendy Hubbard of Crookwell eMR Team Leader Yass Health Service Redevelopment Greg Seaman, OAM, Crookwell Health Rebecca Woods Crookwell Health Service Refurbishment Service volunteer driver, for services to Braidwood Multi-Purpose Service the community of Crookwell RIS PACS Administrator Redevelopment Laurence Walker Northern Cluster General Manager Dr Sujon Purkayastha, OAM, for services Denis Thomas to medicine as an obstetrician and Corporate Information Manager gynaecologist, Goulburn Base Hospital Karla Calleja Finance Kevin Grainger, OAM, SNSWLHD Integration Officer Acting District Director Finance Community Representative Council, Robert Schultz Mukunthan Ganeshalingam for services to the community of Queanbeyan Operations Manager Acting General Manager Financial Ben Roberts Operations Queanbeyan Palerang Regional Council Patrick Niven NAIDOC Trainee of the Year eHealth Implementation Lead SNSWLHD David Thomas, Aboriginal mental health Peter Leach General Manager Financial Management trainee Glenn Cooper ICT Project Manager Queanbeyan Palerang Regional Council Louise Tan General Manager Supply Chain & Transport NAIDOC Inspirational Woman of the Year Gary Wright Skyan Fernando, Aboriginal health worker General Manager Assets Peter Lawrence People and Performance 2018 Pan Pacific Masters Games Medallists Manager Performance Analysis & Casemix District Director People and Performance • Bronze for netball, Lou Fox, cluster Lisa Mill Virginia Cater general manager, Ambulatory and Integrated Care Manager Health Service Planning General Manager Organisational • Bronze for hockey, Lisa Kennedy, Kristi Payten Development & Safety cluster general manager, Eurobodalla Brigid Ryan • Bronze for dragon boating: SNSWLHD Redevelopment - Carolyn Dwyer, Eurobodalla General Manager Professional Workforce Community Health Senior Management Violet Taylor - Jan Baker, Eurobodalla theatre nurse Acting District Director Information - Sue Seath, Eurobodalla Community and Infrastructure General Manager Workplace Relations Health nurse Andrew Elliott Wendy Atkins - Jodie Quinnell, team leader Eurobodalla Community Mental General Manager Assets Manager Redesign & Innovation Health, Drug & Alcohol Service Peter Lawrence Judith Hallam Monaro Service Award Cooma Health Service Redevelopment Media & Communications Anja De Ruijter, Cooma Health Monaro Cluster General Manager Service inpatient nurse unit manager, Nicola Yates District Director Media & Corporate in recognition for her work and the Communications difference she makes to the lives of others. Acting Monaro Cluster General Manager David Hohnke Matthew Stephenson 2019 ACHPER International Conference Manager Ministerial Liaison Academic Poster Award Eurobodalla Health Service Estelle Blackburn Emma Woolley, Population Health, for Redevelopment Integrating Healthy Eating & Children’s Eurobodalla Health Service General Manager Community Engagement Literature in Early Childhood Education Manager Lisa Kennedy Renata Sheehan & Care poster
*As at June 30 2019 65 Appendices SNSWLHD 2018-19 Year in Review
SNSWLHD 2019 Quality Award Delivering Integrated Healthcare Chief Executive Award Winners Using Beds Better — The Right Bed for CardioRespiratory Team the Right Patient Goulburn Base Hospital & Health Service: Volunteer of the Year Eurobodalla Health Service: Brigid Jane Cotter, Sharon Eilers, Rachel Davis Beryl Harris, South East Regional Hospital Crosbie, Jim Herford, Jason Mook Board Chair Award Staff Member of the Year Patient Safety First Code Black: Empowering Staff Jenny Flaherty, Queanbeyan Health Leading Better Value Care: Preventing South East Regional Hospital: Allyson Service Falls and Delirium Johnston, Annette Nichols Moruya District Hospital, and Braidwood Staff Excellence — Collaborative Multi-Purpose Service: Niccola Follett, Community Consultation Leader of the Year Judy Ryall, Glenda Ralph, Catherine Committees Jennie Keioskie, SNSWLHD Rural Bateman, Loren De Vries, Jim Herford, Adversity Mental Health Program Jason Mook, Jennifer Mitchell, Trena Bega O’Shea, Melissa Smith, Michelle Allan Chair, Ann Mawhinney Collaborative Team of the Year Jason Lewington Never Tear Us Apart Keeping People Healthy Jennifer Dessen Queanbeyan Health Service: Jenny Preventative Model of Care for Adult Sharon Tapscott Flaherty, Fiona Burge, Emma Mann, Patients Jennifer Brandon Baker, Jacqui Daniels, Moruya Public Dental Clinic: Dr Bombala Josine Snoek, Janine Turnbull, Gai Aravinthan Bharathy, Lara Mayze Chair, Chris Philbrick McGeoch, Nicola Hall, Sonia Nisbett, Anna Vincent Vanessa Ward, Jessie Brack, Karen Supporting Our People Geraldine Dyer Bamford, Jo Bellani, Vanessa Morris, Key Health Worker Accommodation Marjorie Feilen Stephanie Walker, Alina Baldock, Project Bronwyn Maher, Dr Peter Davis, Dr John Goulburn Base Hospital & Health Service: Braidwood Azoury, Dr Martina Mende, Dr Jeannie Kerry Hort, Deb McGuffike, Liz Clarke, Chair, Margaret Lyons Ellis, Dr Sarah Jensen, Dr Amy Daly, Dr Pam Keys, Kayla Keys, Gary Wright, Bente Hart Geetha Mathew, Dr Tom McGuire Tero Korpinen, Kate Rice, Cassie Skelly, Charlotte McClure Andrew Woolner, Katie Hannaford, Steve Dave Nelson Improving Care for Patients with Oakman, Peter Murphy Jennifer Sutherland Traumatic Chest Injuries Judit Kovacs SNSWLHD, Critical Care Services: Louise Mindful Wellbeing for Managers Keith Lyons Casey, Dr Trish Saccasan-Whelan, Eurobodalla Health Service: Jocelyn Frank Judge Vivienne Chapman, Joanne Dungey Pfitzner, Doug Skipper, Loyd Murray, Warren Barr Tina Le Karen Cairns Women in Health — Aboriginal and Torres Strait Islander Health Research and Innovation Cooma Kimberley Green, Goulburn Community CTPA: A Continuous Quality Improvement Chair, Sue Litchfield Mental Health Project While Becoming Australia’s Best Cathy Gray South East Regional Hospital: Grant Chris Reeks Women in Health Bryant, Ralph Dixon, Jennifer Leayr, Huw Lorraine McGregor Caroline Cook, SNSWLHD, nurse Vitlin, Danny Ovenden, Jeff Howlett, Kaye Anderson practitioner, diabetes Brendan Pottie Lee Evans Maria Linkenbagh A Safe and Healthy Workplace Excellence in the Provision of Mental Patricia Scheele Code Black: Empowering Staff Health Services South East Regional Hospital: Allyson Together We Will Influence, SENSW Crookwell Johnston, Annette Nichols Regional Plan – NSW’s first Regional Chair, Jo Agostini Mental Health and Suicide Plan Dianne Layden Patients as Partners SNSWLHD: Cherie Puckett, Zoe Harris, Darian Cameron CardioRespiratory Team Anne Francis Pam Kensit Goulburn Base Hospital & Health Service: ISLHD: Julie Carter, Gerard Duck, Irene Lynne van Veen Jane Cotter, Sharon Eilers, Rachel Davis Constantinidis Beryl Croker COORDINARE: Andrew Gow, Alison Using the Voice of Consumers and Bradley, Abhijeet Ghosh, Tim Heffernan, Delegate Carers to Influence Change and Promote Colleen Krestensen Chair, Rhonda Linehan Owned Recovery Dr Deb Foskey SNSWLHD Mental Health, Drug & Alcohol: Agency for Clinical Innovation Award Gail Smallman Gabrielle Mulcahy, Tim Leggett, Anne Code Black: Empowering Staff John Judge Francis, Joanne Brown, Robert Young South East Regional Hospital: Allyson Peter Jeffreys Johnston, Annette Nichols Charles Burton Gloria Cotterill
*As at June 30 2019 66 Appendices SNSWLHD 2018-19 Year in Review
Eurobodalla • Centre for Rural and Remote Mental Chair, Brad Rossiter APPENDIX B Health Bianca Coffey • Cerner Corporation Christine Smith • Charles Darwin University Leah Milston OUR PARTNERS* • Charles Sturt University Linda Brown SNSWLHD is committed to working in • Clinical Excellence Commission Robyn Miller partnership with key organisations, the • Cognitive Decline Partnership Centre community and consumers in decisions • Cooma Hospital Auxiliary Goulburn about planning, delivering and evaluating • Cooma North Public School Chair, Kay Rudd healthcare leading to better quality, • Cooma Public School Carol James safety and patient outcomes. • Commonwealth Bank Employees Holly Catt Association Kerry Fitzsimmons We were proud to be associated with • Commonwealth Department of Health Lorraine Emerton many organisations during 2018-19 • Community Carers Accommodation Nerida Cullen including: South East Inc Tracy Hayes • COORDINARE, South Eastern NSW • Aboriginal Health and Medical Primary Health Network Jindabyne Research Council • Country Women’s Association of NSW Chair, Lisa Linton • ACON • CQUniversity Barbara Amos • ACT Health • Deakin University Helen Blackmore Lee • Agency for Clinical Innovation • Dell Lauren Vinney • Alzheimer’s Australia • Dementia Australia Linda Beaver • Anglicare • Directions Marty Timmins • Australian Apprenticeships • Dry July Foundation Peter New • Australian Breastfeeding Association • Eden Marine High School • Australian Catholic University • eHealth NSW Queanbeyan • Australian College of Applied • Estia Health Dalmeny Chair, Tom Mavec Psychology • Eurobodalla Family Support Service Inc Andrew Heath • Australian College for Emergency • Eurobodalla Shire Council Anne Pratt Medicine • Eurobodalla Toyota Tracey Carino • Australasian College of Health Service • EveryMan Australia David Bailey Management • Flinders University Gary Harb • Australian College of Nursing • Flourish Australia Wayne Brown • Australian Dental Association • Fresh Hope Care • Australian Health Practitioner • Goulburn Community Garden Yass Regulation Agency Incorporated Chair, Jill McGovern • Australian Medical Association • Goulburn High School Noeleen Hazell • Australian Men’s Shed Association • Goulburn High School Parents and Geraldine Doyle • Australian National University Citizens Association Judith Williams • Australian Salaried Medical Officers’ • Goulburn Mulwaree Council Lachlan Butler Federation • Goulburn Soldiers Club Linda Langton • Avondale College of Higher Education • Goulburn West Public School P&C Lyn Morgan • Banksia Villages Limited Association Peter Miller • Batemans Bay District Hospital United • Grand Pacific Health Ron Badger Hospital Auxiliary • Griffith University Jean Frost • Batemans Bay Rotary Club • Gunning District Community & Health June Angel • Bega High School Service Janno Scannes • Bega Valley Shire Council • Gunning Early Learning Centre • BDCU Alliance Bank Goulburn Hospital • Hansen Yuncken Fundraising Inc • headspace • Bond University • Health Care Complaints Commission • Bookham Hospital Auxiliary • Health Consumers NSW • Braidwood Community Bank • Health Education Training Institute • Braidwood Hospital Auxiliary • Health Infrastructure • Braidwood Preschool • Health Services Union • Bureau of Health Information • HealthShare NSW • Calvary Public Hospital, Bruce Campus • Housing NSW • Canberra Hospital • Hutchinson Builders • Canberra Institute of Technology • Illawarra Retirement Trust • Cancer Council Australia • Illawarra Shoalhaven Local Health • Cancer Institute NSW District • Carestream • Institute of Health and Nursing • Catholic Healthcare Maranatha Lodge Australia
*As at June 30 2019 67 Appendices SNSWLHD 2018-19 Year in Review
• IRT Crown Gardens Aged Care Centre • Queanbeyan Hospital Auxiliary • University of New South Wales • IRT Dalmeny Aged Care Centre and • Queanbeyan-Palerang Regional • University of Tasmania Retirement Village Council • University of Technology Sydney • IRT Moruya Aged Care Centre and • Reconciliation Australia • University of Wollongong Retirement Village • Richard Crookes Constructions • Upper Lachlan Shire Council • Jacq Hackett Consulting • Rotary Club of Goulburn Mulwaree • Western Sydney Local Health District • James Cook University • Rotary Club of Jerrabomberra • Western Sydney University • Jindabyne Medical Practice • Rotary Club of Moruya • Women’s Healthcare Australasia • Johnstaff Projects • Rotary Club of Pambula Inc • Yass & District Garden Club • Justice Health and Forensic Mental • Royal Australian College of Surgeons • Yass Hospital Auxiliary Health Network • Royal Far West Children’s Health • Yass Landcare Community Nursery • Karabar High School Scheme • Yass Valley Council • Katungul Aboriginal Corporation • Schizophrenia Fellowship NSW • Youth Justice NSW Regional Health and Community • SDN Brighter Futures Batemans Bay Services • SDN Brighter Futures Moruya • KinCare Health Services • Snowy Hydro Limited • Lions Club of Goulburn City • Snowy Monaro Regional Council • Mental Health Commission of NSW • Snowy River Health Centre APPENDIX C • Merimbula Home Nursing Service • Southcare • Microsoft Corporation • South Coast Careers College and Adult LOCATION • Mission Australia Ed Community College • Monaro Committee for Cancer • South East Arts Inc DIRECTORY* Research • South Western Sydney Local Health • Monaro High School District Public Hospitals • Moruya Cancer Carers • Southern Cross University • Moruya District Hospital United • Stroke Foundation Batemans Bay District Hospital Hospital Auxiliary • St Vincent’s Hospital, Sydney 7 Pacific St, Batemans Bay NSW 2536 • Moruya High School • TAFE NSW Ph: (02) 4475 1500 Fax: (02) 4475 1678 • Muddy Puddles • Tathra Ladies Auxiliary • Mulwaree High School • The Albion Centre Cooma Health Service • Mulwaree High School P&C Association • The Australian and New Zealand 2 Bent St, Cooma NSW 2630 • Murrumbidgee Local Health District College of Anaesthetists Ph: (02) 6455 3222 Fax: (02) 6452 2117 • Narooma Rotary Club Inc • The Australian Commission on Safety • National Disability Insurance Scheme and Quality in Healthcare Crookwell Health Service • Newborn and Paediatric Emergency • The Australian Council on Healthcare 19 Kialla Rd, Crookwell NSW 2583 Transport Service Standards Ph: (02) 4837 5000 Fax: (02) 4832 2099 • New Born Intensive Care Foundation • The Glen Residential Care Service • NSW Ambulance • The Goulburn Agricultural, Pastoral and Moruya District Hospital • NSW Department of Communities and Horticultural Society Incorporated 2-10 River St, Moruya NSW 2537 Justice • The Hume Police District Ph: (02) 4474 2666 Fax: (02) 4474 1566 • NSW Department of Education • The Manor – Batemans Bay Retirement • NSW Department of Premier & Cabinet Village Goulburn Base Hospital • NSW Department of Primary Industries • The Royal Australasian College of 130 Goldsmith St, Goulburn NSW 2580 • NSW Health Education Centre Against Medical Administrators Ph: (02) 4827 3111 Violence • The Royal Australian and New Fax: (02) 4827 3988 • NSW Health Pathology Zealand College of Obstetricians and • NSW Family Referral Service Gynaecologists Pambula District Hospital • NSW Industrial Relations Commission • The Royal Australian and New Zealand Merimbola St, Pambula NSW 2549 • NSW Kids and Families College of Psychiatrists Ph: (02) 6495 8200 • NSW Ministry of Health • The Royal Australian College of Fax: (02) 6495 8280 • NSW Police Force General Practitioners • NSW Police Force Academy • The Royal Australasian College of Queanbeyan Health Service • NSW Nurses and Midwives’ Association Physicians Cnr Collett & Erin Sts, • NSW Volunteering • The Surgery at Jerra Queanbeyan NSW 2620 • Opal Denhams Beach • The University of Newcastle Ph: (02) 6150 7000 Fax: (02) 6150 7226 • One Door Mental Health • The University of Sydney • Orienteering ACT • Thredbo Medical Centre South East Regional Hospital • OzHarvest • Tresillian 4 Virginia Dve, Bega NSW 2550 • Pambula Hospital Auxiliary • TSA Management Pty Limited Ph: (02) 6491 9999 Fax: (02) 6491 9689 • Pambula Men’s Shed Inc • Uniting Care • PCYC Goulburn • United Hospital Auxiliaries of NSW Yass Health Service • Perisher Medical Centre • University of Canberra 145 Meehan St, Yass NSW 2582 • Project Coordination (Australia) Pty Ltd • University of New England Ph: (02) 6220 2000 Fax: (02) 6226 2944
*As at June 30 2019 68 Appendices SNSWLHD 2018-19 Year in Review
Chisholm Ross Centre Cooma Community Health Centre Pambula Health Service 165a Clifford St, Goulburn NSW 2580 Victoria St, Cooma NSW 2630 Merimbola St, Pambula NSW 2549 Ph: (02) 4827 3003 Fax: (02) 4827 3020 Ph: (02) 6455 3307 Ph: (02) 6495 8200
Kenmore Hospital Gadhu Family Health Centre Oral Health Services 209 Taralga Rd, Goulburn NSW 2580 10 River St, Moruya NSW 2537 Ph: (02) 4827 3303 Fax: (02) 4827 3335 Ph: (02) 4474 1978 Moruya Dental Clinic Moruya District Hospital, River Rd Multi-Purpose Services Eden Community Health Centre Moruya NSW 2537 Twofold Arcade Ph: 1800 450 046 Bombala Multi-Purpose Service 146-150 Imlay St, Eden NSW 2551 126-128 Wellington St, Ph: (02) 6496 1436 Fax: (02) 6496 1452 Pambula Dental Clinic Bombala NSW 2632 Pambula Community Health, Ph: (02) 6458 5777 Fax: (02) 6458 5767 Goulburn Community Health Centre Merimbola St, Pambula NSW 2549 Cnr Goldsmith and Faithful Sts, Ph: 1800 450 046 Braidwood Multi-Purpose Service Goulburn NSW 2580 73 Monkittee St, Braidwood NSW 2622 Ph: (02) 4827 3111 Cooma Dental Clinic Ph: (02) 4842 2566 Fax: (02) 4842 2054 Cooma Community Health, Jerrabomberra Community Health Centre Victoria St, Cooma NSW 2630 Delegate Multi-Purpose Service 25/31 Jerrabomberra Parkway, Ph: 1800 450 046 15 Craigie St, Delegate NSW 2633 Jerrabomberra NSW Ph: (02) 6459 8000 Fax: (02) 6458 8156 Ph: (02) 6150 7531 Queanbeyan Dental Clinic Queanbeyan Hospital, Collett St, HealthOne Karabar Community Health Service Queanbeyan NSW 2620 12 Southbar Rd, Queanbeyan NSW 2620 Ph: 1800 450 046 Jindabyne HealthOne Ph: (02) 6124 3700 5 Thredbo Terrace, Jindabyne NSW 2627 Yass Dental Clinic Ph: (02) 6457 2074 Moruya Community Health Centre Yass District Hospital, Fax: (02) 6457 1441 10 River St, Moruya NSW 2537 Meehan St, Yass NSW 2582 Ph: (02) 4474 1561 Fax: (02) 4474 1591 Ph: 1800 450 046 Community Health, Mental Health, Drug & Alcohol Services Narooma Community Health Centre Goulburn Dental Clinic Cnr Graham and Field Sts, Goulburn Community Health, Community Health Central Intake Narooma NSW 2546 Cnr Faithfull & Goldsmith Sts, Ph: 1800 999 880 Ph: (02) 4475 7200 Fax: (02) 4475 7225 Goulburn NSW 2580 Email: SNSWLHD-CommunityIntake@ Ph: 1800 450 046 health.nsw.gov.au Pambula Community Health Centre Merimbola St, Pambula NSW 2549 BreastScreen NSW Services Southern NSW Drug & Alcohol Ph: (02) 6495 8300 Service Intake Queanbeyan Service Centre Ph: 1800 809 423 Yass Community Health Centre Riverside Plaza, Suite 106, 145 Meehan St, Yass NSW 2582 Level 1, 131 Monaro St, Batemans Bay Community Health Centre Ph: (02) 6220 2111 Queanbeyan NSW 2620 7 Pacific St, Batemans Bay NSW 2536 Ph: 13 20 50 Ph: (02) 4475 1620 Fax: (02) 4475 1680 Goulburn Community Mental Health Service Bega Service Centre South East Regional Hospital Springfield House, 130 Goldsmith St, South East Regional Hospital, Community Health Centre Goulburn NSW 2580 4 Virginia Drive, Bega NSW 2550 4 Virginia Drive, Bega NSW 2550 Ph: (02) 4827 3257 Fax: (02) 4827 3173 Ph: 13 20 50 Ph: (02) 6492 9620 Killard Centre Moruya Bermagui Community Health Service 103 Crawford St, South East Radiology, Community Centre Building Queanbeyan NSW 2620 11 Mirrabooka Ave, Bunga St, Bermagui NSW 2546 Ph: (02) 6299 1725 Fax: (02) 6299 1426 Moruya NSW 2537 Ph: (02) 4475 7200 Ph: 13 20 50 Chisholm Ross Centre Bourke Street Health Service 165a Clifford St, Goulburn NSW 2580 The mobile BreastScreen NSW van 234 Bourke St, Goulburn NSW 2580 Ph: (02) 4827 3003 Fax: (02) 4827 3020 regularly visits Jindabyne, Cooma, Ph: (02) 4823 7800 Bombala, Goulburn, Crookwell South East Regional Hospital Mental and Yass Bungendore Community Health Centre Health Service Majura St, Bungendore NSW 2621 4 Virginia Drive, Bega NSW 2550 Ph: (02) 6150 7531 Ph: (02) 6491 9400 Fax: (02) 6491 9682
*As at June 30 2019 69 Appendices SNSWLHD 2018-19 Year in Review
Other Services BiPAP Bilevel positive airway pressure. GHHSR Goulburn Hospital and Health Similar to a CPAP machine, it is Service Redevelopment Aboriginal Maternal Infant Health a non-invasive form of therapy Service (AMIHS) for sleep apnoea patients GHS Goulburn Health Service. Aboriginal Health Office GHS encompasses Goulburn Ph: 1800 249 645; (02) 5943 2391 BMI Body mass index Base Hospital, Bourke Street Health Service, and Goulburn Southern Area Brain Injury Service CAMHS Child and adolescent mental Community Health Service Bourke Street Health Service health services 234 Bourke St, Goulburn NSW 2580 GP General practitioner Ph: (02) 4823 7911 Fax: (02) 4821 9165 CARI Clinical applications reliability improvement project HCF Hospital Contributions Fund Queanbeyan Hospital Renal Unit Queanbeyan Hospital Campus, CCASE Community Carers HETI Health Education Training Antill St, Queanbeyan NSW 2620 Accommodation South Institute Ph: (02) 6150 7320 Fax: (02) 6298 1045 East Inc HIE NSW Health Information SNSWLHD Administration CCC/s Community consultation Exchange Peppertree Lodge, committee/s Queanbeyan Hospital Campus, ICT Information communications Collett St, Queanbeyan NSW 2620 CEC Clinical Excellence Commission technology Ph: (02) 6150 7329 Fax: (02) 6150 7373 CEDA Committee for Economic ICU Intensive care unit Development Australia Integrated care Cerner A supplier of health Integrated care involves the APPENDIX D information technology provision of seamless, person- solutions, services, devices centred care across different and hardware health settings, focused ABBREVIATIONS on preventing illness and AND GLOSSARY CHOC Community health and deterioration outpatient care electronic medical record iPM Software that provides a single ACHSM Australasian College of Health patient index that has the ability Service Management COORDINARE to link patient activity across South Eastern NSW Primary health service providers, provide ACI Agency for Clinical Innovation, Health Network standardised data definitions a pillar of NSW Health and reference values and COPD Chronic obstructive standardised activity reports ACT Australian Capital Territory pulmonary disease ISLHD Illawarra Shoalhaven Local ANU Australian National University CORE NSW Health’s four values Health District of collaboration, openness, APRA Australian Prudential respect, and empowerment JMOs Junior medical officers Regulation Authority ECG/s Electrocardiograph/ies LGA/s Local government area/s Aunty Jean’s Good Health Program A weekly program that ED Emergency department LHD Local health district supports Aboriginal people in education on health conditions, eMEDs Electronic medications MHDA Mental Health, Drug & Alcohol healthy food preparation, and management to participate in gentle exercise MLHD Murrumbidgee Local Health sessions eMR/EMR Electronic medical record District
BDCU Alliance Bank EOC Essentials of care framework MPS A multi-purpose service is A customer-owned bank a model of care specifically based in regional NSW. eRIC Electronic record in intensive designed for regional and Headquartered in Bowral, care remote communities to provide it is part of the Alliance Bank coordinated delivery of health Group with Bendigo and ETP Emergency treatment and aged care services Adelaide Bank performance NDEC Nurse delegated emergency BFHI Baby Friendly Health Initiative FTE/s Full time equivalent/s care
70 NP A nurse practitioner is a registered TRN/s A transitional registered nurse nurse who has satisfied the is a newly graduated registered PHOTOGRAPHY requirements of the Nursing and nurse in a transition program David Hohnke, District Director Midwifery Board of Australia designed to equip them with Media & Corporate (NMBA) to be endorsed in the skills and confidence to Communications, SNSWLHD. accordance with the Health excel in nursing
Practitioner Regulation National Board and Executive portraits, Law Act. Endorsement allows them UCC Urgent care clinic Sean Davey. to initiate diagnostic investigations, prescribe medications and make VaxLink A statewide system that referrals enables health agencies to record vaccination information BACK COVER: SNSWLHD Aboriginal health PDH Pambula District Hospital and compliance status for staff worker Skyan Fernando.
NACCHO National Aboriginal Community VMO Visiting medical officer Controlled Health Organisation is the peak body representing 144 WHIN Wellbeing In Reach Nurse Aboriginal community-controlled is a registered nurse who Batemans Bay District Hospital health services across the country provides a range of support pharmacist Laura Lopresti. on Aboriginal health and wellbeing and coordination with the aim issues of contributing to improved education, health, and wellbeing NAIDOC National Aborigines and Islanders outcomes for children, young Day Observance Committee people and families
NDIS National Disability Insurance Scheme
NT Northern Territory
Otitis media A middle ear infection
PACS Picture archiving and communication system
PAS Patient administration system
PHN Primary health network
POC Portable oxygen concentrator
PwC Pricewaterhouse Coopers
RAMHP Rural Adversity Mental Health Program
SERH South East Regional Hospital
SMHSOP Specialist mental health services for older people
SMR Statewide Management Reporting
SNSWLHD Southern NSW Local Health District
Tertiary service Highly specialised healthcare, often for inpatients and on referral from a primary or secondary health professional. It includes complex medical or surgical procedures
71 SOUTHERN NSW LOCAL HEALTH DISTRICT
PO Box 1845 Queanbeyan NSW 2620 +61 2 6150 7999 [email protected] www.snswlhd.health.nsw.gov.au
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