2019 Annual Report

Adventist HealthCare Limited Contents

4 Key Stats 19 Mission

6 Message 23 Quality & Excellence 23 Safety & Reliability Improvement Program 23 Quality Management & Accreditation 9 Strategic Focus 24 Quality Awards

12 2018-19 Highlights 26 Education & Research 12 40 Years of Cardiac Surgery 26 Research Advisory Committee 12 San’s MDT Room 27 Avondale College of Higher Education 15 Da Vinci 2000th Celebration 27 SAH Clinical School 15 4K Surgical Imaging Technology 28 Community Education 15 San Water Launch 28 Clinical Trials 16 SanCare App 30 P restigious Appointments & Recognition 18 San Radiology & Nuclear Medicine 30 Australasian Research Institute 32 Community 47 San Foundation 32 Media & Radio 47 World-class Robotic Program 32 Therapy Workshops 47 New Surgical Imaging Technology 33 Teddy Bears Picnic 47 Jacaranda Lodge & 34 San Carols Cancer Support Services 37 International Women’s Day 48 Run for Life 37 Open Heart International 48 Palliative Care in the Home 48 Annual Donor Luncheon 48 Farewell to Dr Leon Clark

40 Our People 50 Key AHCL Businesses 40 Workplace Giving 40 Focus Week 40 San Health Professionals Speak 41 Staff & Volunteers Celebrated 52 Board of Directors 41 San Radiology at the ASMIRT/ AACRT Conference 42 Appointments & Awards 42 Homecoming 53 Executive 42 Fitness Passport

Medical Advisory 44 Sustainability 54 Committee Key Stats Adventist HealthCare 2018/19

39,578 25,768 day patient episodes overnight patient episodes

126,750 192,096 outpatient episodes total patient episodes

2,347 1,068 staff numbers accredited medical officers

4 ANNUAL REPORT 2019 1,696 San babies

Key AHCL Stats 5

18,230 emergency care presentations Message from Glenn Townend BOARD CHAIR

Adventist HealthCare (AHCL) continues to build on a challenges, we remain committed to AHCL’s mission strong foundation of mission focus, talented people of ‘Christianity in Action – caring for the body, mind and state-of-the-art facilities. AHCL is growing, and spirit of our patients, colleagues, community innovating and expanding its services and reach. and ourselves’. I look forward to a very full year of sharing God’s care throughout our facilities, and One of the reasons for the growth occurred with supporting healthier communities. the development of a new vision and strategic plan. The Executive team worked closely with a highly-engaged Board, to ensure AHCL provides With blessings exceptional care for its community well into the coming decades. AHCL is a leading provider of faith-based healthcare throughout Northern Sydney and beyond. I would like to pass on my personal appreciation – and that of the other members of the Board – for the exceptional work our people do in the organisation. Pastor Glenn Townend The Board remains committed to ensure our people Board Chair Adventist HealthCare Limited Board have what they need to deliver the best care of Directors, President South Pacific Division of the possible for our patients. Seventh-day Adventist Church It is a privilege to continue to support the community with high-quality healthcare, compassion and excellence. As we move into a new year and new

6 ANNUAL REPORT 2019 Message from Brett Goods CHIEF EXECUTIVE OFFICER

It is with much gratitude to our people – our staff, Adventists, who believe healthcare is the human doctors, volunteers and Board – that I bring you the expression of Christ’s healing ministry. 2018-2019 report of Adventist HealthCare’s hospitals Throughout the year we maintained our and services. commitment to being good stewards of finances While the Australian private healthcare landscape and resources, as well as establishing growth continues to be complex and challenging, I am strategies in key areas and new services. As always, inspired every day by the passion with which our providing excellence and continuity of care, people live out the organisation’s mission and values health and wellbeing for our community has been – making a difference to the health of our patients fundamental to our daily activities. and the community one interaction at a time. Working in healthcare is such a privilege; being part One of the highlights of the 2018-2019 year was the of a person’s life when they are vulnerable or in need development and launch of AHCL’s new vision and is both humbling and enormously fulfilling. I am strategy. Our vision is: ‘To be a thriving faith-based proud of the AHCL team. It is through their skills and provider of world class care, inspiring hope and hard work and God’s continued blessings, that AHCL wellbeing’. This vision is where we aspire to be in the continues to be the remarkable organisation that it is. next few years, and the strategy is the plan for how we deliver that vision. At its core, our new vision is strongly founded on our mission and faith-based approach to care, as well as our commitment to remain at the forefront of technology, facilities, service delivery and education. Brett Goods ‘Inspiring hope’ speaks to the heart of our people, Chief Executive Officer Adventist HealthCare Limited our patients and those who love them. Our focus on ‘wellness’ is part of our DNA as Seventh-day Message from the Board Chair and CEO 7 MISSION “ Caring for the body, mind & spirit of our patients, colleagues, community and ourselves. Strategic Focus 2019 - 2022

Vision and Strategic Priorities 2019 – 2022 The Board, Executive, Medical Advisory Committee and Leadership team have worked together to develop a new Vision and strategic framework to lead us into the next decade. Our Mission, Christianity in Action, is still firmly at the heart of our plans, and you can feel its substance in the Vision. The strategic plan to achieve that Vision has five key areas of focus which we are already actively working towards.

8 ANNUAL REPORT 2019 Strategic Focus 2019 – 2022 9 Future Growth

Engaged & Meaningful Achievement Community Focused People Strategic Impact VISION Focus Areas “ To be a thriving faith-based provider of world class care, inspiring hope and wellbeing 2019 - 2022

Aligned Excellent & Governance Efficient Services 2018-19 Highlights

CELEBRATION OF 40 YEARS OF THE SAN’S MDT ROOM WINS CARDIAC SURGERY AT THE SAN PRESTIGIOUS DESIGN AWARDS Celebrating 40 years since the San’s Australian first, The San’s $1 million state-of-the-art fully integrated cardiac surgery program in a private hospital, a super-sized ‘human heart’ was formed Multidisciplinary Team Conference on the Hospital’s front lawn by over 200 pioneering Room in the Integrated Cancer heart surgeons, doctors, nurses and local school children. Centre has been recognised for its innovative design and clinical The 40th anniversary celebration excellence, winning 2 prestigious was held to commemorate May built environment and design 1979 when the San became the awards in October 2018. first private hospital in Australia to provide a wide range of complex The purpose built facility which is used for life-saving cardiac procedures. multidisciplinary team meetings for the treatment of patients with cancer won the Consult Australia’s 2018 Client Service Excellence Gold Award. The program went from strength to strength, achieving world-standard results for outcomes WSP Technology Systems, partner with the San in and recovery times for patients and the innovation the MDT room, was awarded the Building Industry set a new precedent for the development of Consultants Society International South Pacific 2018 specialisation in the private hospital sector ICT Active Equipment Design Excellence Award throughout Australia. The implementation of other against a strong national and international field. advanced services not normally provided by private hospitals, such as Radiology and Oncology, followed the Cardiac initiative.

12 ANNUAL REPORT 2019 “Starting cardiac surgery at Sydney Adventist Hospital was a challenging innovation because no other free standing private hospital performed complex sophisticated procedures of that kind at the time, and there was a presumption they couldn’t.”

– Bert Clifford, former CEO –

40 Years of Cardiac Surgery at the San

Gates Family MDT Conference Room

2018-19 Highlights 13 2,000 da Vinci robotic assisted procedures at the San

Celebrating new Arthrex Synergy units at the San

14 ANNUAL REPORT 2019 DA VINCI 2000TH CELEBRATION WORLD LEADING 4K SURGICAL IMAGING TECHNOLOGY INSTALLED In May 2019 members of the San Operating Theatres team were The San is now home to world leading involved in the 2,000th da Vinci 4K surgical imaging technology in robotic assisted procedure at the San. the form of 17 new Arthrex Synergy units in our operating theatres, the The collaborative procedure was done by largest installation of this technology Gynaecologist Dr Yogesh Nikam and Colorectal Surgeon Dr Steve Pillinger and made full use of the in Australia. advanced da Vinci technology using dual consoles for the bowel resection required for a patient with The Arthrex Synergy units provide 4K camera severe endometriosis. technology and significantly better image clarity and colour. The technology connects to the San 1000 of these surgeries have been performed since operating theatre bookings system, uploading October 2017, when the San Robotic program daily case lists and camera preferences for expanded with the addition of da Vinci Xi, increasing individual surgeons and recording images on the range of procedures available to include cardio- patients’ electronic records. It allows improved thoracic, colorectal and gynaecological surgeries. communication with patients postoperatively. The San is now believed to be providing the widest range of da Vinci procedures in the country.

SAN WATER LAUNCH A collaborative hospital-wide team effort has resulted in the launch of the San’s own branded water, San Water. Fifty cents from each sale of either Containing Australian sourced the still or sparkling San Water goes to the San water and made from 100% recycled Foundation to support the donation of medical materials, the San Water bottles equipment and supplies to the Hospital. are recyclable! The arrival of San Water builds on the Hospital’s adoption of NSW Health’s ‘Healthy Choices in Health Facilities Policy Framework’ which saw the removal of sugar-sweetened drinks from our cafés last year. Nutritionally beneficial flavoured milks and naturally sweetened juices are still available. NSW Health reports that the strongest evidence for the link between sugar intake and obesity is the consumption of sugary drinks. With 8,670 litres of water purchased across the hospital each year, the San Water sales are expected to raise $8,000 per year for San Foundation. San Foundation has previously provided funding to the Nutrition and Dietetics department for its food shaping project helping produce appetising meals for patients with swallowing difficulties, and a food labeller for correct meal detailing.

San Nutrition and Dietetics report that based on previous year’s figures, the removal of of 17,000 high sugar drinks means that close to 687kg, or 161,246 teaspoons of sugar, wasn’t consumed – supporting the San’s mission of caring for our patients, colleagues, community and ourselves. 2018-19 Highlights 15 Information Services Team

San Information Services won the Health Informatics Society of Australia Enterprise Achievement Award for their outstanding achievement in the creation of the SanCare Mobile App.

INFORMATION SERVICES TEAM AWARDED FOR THE SANCARE APP Designed and built by the San’s health informatics experts, the app allows doctors real-time access to patients’ records enabling them to see up-to-the-minute vital signs, most recent x-rays, scans, test results and communications from nursing staff and the extended care team. They can then authorise appropriate care, whether they are at the bedside, in the operating theatres, in their consulting rooms, or even at an overseas conference. The app connects directly to patients’ electronic hospital records so that doctors always have their patients’ latest information at their fingertips. The app makes real-time patient information securely available to doctors as soon as it’s captured.

16 ANNUAL REPORT 2019 “The San has had an electronic medical record for many years, but the SanCare Mobile App takes ease of access to medical information to a new level…it’s a perfect example of the team identifying a need, working together with clinicians to find the best solution, then applying the latest technology to make it a reality.

It’s a game-changer for both our doctors and our patients. It gives our doctors the information they need about patients, wherever they are, whenever they need it.

They all carry a mobile phone, it’s in their pockets... now if a patient develops a problem, doctors can just whip out their phone, dial up the app and see everything that’s in the patient’s medical record.

It’s all there in the App, always at a doctor’s fingertips, so they can make the right decision about the best care and how urgent that care needs to be.

That is a great reassurance for patients... it could even be life-saving.” Dr Bronwyn Gaut Medical Informatics Doctor Liaison Dr Lisa Tarlinton, Clinical Director San Radiology & Nuclear Medicine

San Radiology & Nuclear Medicine

LEADING PROSTATE IMAGING used in men with treatment refractory, castrate resistant, prostate cancer but trials are being San Radiology & Nuclear Medicine remains the only conducted to evaluate the role of lutetium PSMA imaging practice in the country to perform PSMA earlier in the disease process. PET-MRI fusion as standard of care on all prostate cancer patients for primary staging, and is also using From a technology perspective, our PET-CT machine it for primary detection, active surveillance and will undergo a major upgrade by the end of the year guided biopsy. to accommodate our increased activity, and our advanced imaging and software requirements. Within one year of the acquisition of Northern Nuclear Medicine, the PSMA PET activity at San Radiology & Nuclear Medicine (SRNM) has more ENHANCED BREAST IMAGING than doubled and PSMA PET CT is now performed During this year the Breast Imaging clinical model as routine staging for men with prostate cancer at has continued to improve since the installation of our Sydney Adventist Hospital. new Mammography unit in October 2018. We have a In 2019, we introduced 18F DCFPyL PSMA in addition strong focus on meeting referrer and patient clinical to 68Ga PSMA, and this tracer has improved image needs, offering additional imaging resources to resolution particularly in larger patients and those enhance diagnostic ability which can be tailored to patients with biochemical recurrence and very low the patient and referrer’s needs, and providing an PSA levels. exceptional patient experience. Significant changes including the introduction of Tomosynthesis, Breast In 2020, we will introduce the latest PSMA agent, a Density and Contrast Enhanced Mammography into non-renally tracer called 18F PSMA-1007, which is the diagnostic algorithm, along with investments in particularly useful in the post-operative biochemical the imaging team (Nurses, radiographers and sub recurrence setting to improve detection of tumour specialty radiologists), has created a world class breast recurrence at the urethral anastomosis by minimising imaging diagnostic service. Improvements to the urinary excretion of tracer. clinical rooms and surrounding environment has also Our PMEHGMA pilot study, looking at the accuracy resulted in a truly unique experience for our patients. of PSMA PET-MRI to diagnose prostate cancer, and We now have a dedicated waiting area complete with whether this could allow a subset of men with high aromatherapy and soothing music, all to improve the risk features to proceed to prostatectomy without experience in a more holistic way, with an emphasis on biopsy, is about to commence. caring for the body, mind and spirit our of patients. Building on our prostate cancer imaging strength, SRNM is ready to commence lutetium PSMA therapy EDUCATING FOR THE FUTURE in clinical and trial settings. Lutetium PSMA therapy Other areas of focus have been solidifying our falls under “theranostics”, and utilises PSMA PET to connection with the Sydney Adventist Hospital guide treatment of metastases by administering Clinical School and facilitating education for therapeutic doses of a radiopharmaceutical (177 numerous medical students. This not only enhances Lu-PSMA-617) that attaches to cells that overexpress their learning experience but also gives our PSMA. Currently lutetium PSMA therapy is being radiologists and clinical teams an opportunity to give back to the next generation. 18 ANNUAL REPORT 2019 Mission

Mission integration throughout the organisation is something we are incredibly passionate about – bringing our mission to life every day, through all activities and interactions with the communities we serve is an integral part of our reason for being.

MISSION INTEGRATION PLAN MISSION AMBASSADORS Our Mission Integration Plan provides the framework The ongoing Mission Ambassador program provides to enhance Mission awareness within the organisation. encouragement and a structure for peer inititated A new video series is recommended to all employees, mission enculturation throughout the hospital and providing education on mission, historical background, recognition for staff who are examples of mission in our Adventist identity and More Care. Each person various way. appointed to a leadership role meets with the Director of Mission Integration, and awareness sessions are SPIRITUAL AMBASSADORS run for nursing staff, particularly those identified as potential leaders, with plans to further reach our Approximately 20 Spiritual Ambassadors quietly doctor community in the future. minister and serve the organisation within their workplace environment. Currently in its infancy, this initiative has great potential and will be further CHAPLAINS SYMPOSIUM integrated into the AHCL Spiritual Care strategy. Chaplains from around Australia and New Zealand were inspired, spiritually refreshed and received SPIRITUAL CARE WEEK professional development at the Chaplains Symposium held at the Level 2 Conference room A week long program of prayer and celebration of at Sydney Adventist Hospital from 25-27 July. whole person care was held in October 2018. Staff “Resilience” was the theme of the three-day were invited to attend morning and evening sessions symposium, that bought together 98 chaplains from with guest presenter, Dr Subodh Pandit. Dr Pandit, a various denominations working in health care, aged medical doctor from California USA, is an author and care, corrective services and corporate sector. renowned world speaker and shared inspirational ‘moments of care’ reflections with the attendees. Mission 19 Chapel, Sydney Adventist Hospital

VESPERS PRAYER REQUESTS Vespers (prayer services) occur every Friday evening, Each year hundreds of prayer requests are received where everyone is invited for prayer, reflection on and every request is attended to. Those who desire Biblical stories and worship in song. personal interaction are contacted in person or by phone, and future plans involve having ‘live prayer SABBATH PRAISE requests’ every morning during the 8:15am worship at the chapel. Happening once per month, this community-based program features guest presenters and a focus on PRAYER PARTNERS music, and is streamed to all patient rooms through San TV. Each month a Prayer Partner newsletter is sent to approximately 120 people in our broader FIRST FRIDAY community who have expressed the desire to pray for AHCL on a regular basis, seeking prayers and On the first Friday of every month visiting local support for specific requests. churches partner with the San community to share stories of healing and restoration, communal CLINICAL PASTORAL EDUCATION TRAINING prayer and worship in song. First Friday services are streamed to patients through San TV. This is our second year offering Clinical Pastoral Education at the San, and there is strong interest MONDAY MISSION MESSAGE in this program continuing on a regular basis and growing in the future. Our weekly newsletter focusing on specific aspects of the organisation’s Mission and Values, the PRAYER GROUPS AND MORNING WORSHIP Monday Mission message is distributed throughout the organisation, and shared with AHCL board Every morning begins with a short worship service members and other stakeholders. The newsletter in the chapel at 8:15am, open to everyone, and includes suggestions for the weekly focus and a there are a number of prayer groups at various times simple prayer that can be used in meetings. throughout the day. We hope to grow the morning worship into a ministry serving all patients via San TV. MORE CARE CHAPEL UPGRADE ‘More Care’ is driven by our philosophy of whole- person care about and for our patients, and With generous donor support, our Chapel has been initiatives throughout the organisation focusing upgraded with a new sound system, upgraded on Connecting, Accountability, Respect and video and lighting facilities. This will better serve our Empowerment. patients viewing the services in their rooms through San TV. Our aim is to create a calm and relaxing space for reflection and prayer. 20 ANNUAL REPORT 2019 “People sometimes don’t know what a Chaplain is for, so will say ‘no thank you, I’m fine.’ Often after a few days into their hospital stay they realise that an impartial, unbiased, non-judgemental ear can be a good source for them to reassess their life’s journey – and the next time they say ‘yes’. We offer listening, counsel, comfort, mediation, care, empathy and compassion. It might be a moment of silence or prayer, sometimes a smile or a hug, maybe even just a presence. We understand that caring about the whole person does mean mind, body and spirit and that we as a team don’t work in isolation, but as an adjunct facility to the medical services people come here to receive. We want people to feel that their time at the San has not only made them physically well, but that their emotional and spiritual needs have been met and their voice has been heard in that moment when they are feeling most vulnerable. We want people to know that we care and leave them feeling cared about – not just cared for.” Yvonne Hypolite Chaplain, Spiritual Care Services San Volunteers

SAN VOLUNTEERS

The San is blessed to have more than two San Volunteers were given special recognition 500 dedicated Volunteers who give for 30 years of volunteering service. The hospital benefits enormously from the dedication and their time freely to help patients, our longevity of the San Volunteers who truly love staff and their community. and support the hospital. By using their varied skills throughout many areas of the Hospital, they provide an invaluable service GOD OF HOPE: MISSIONAL ART that is greatly appreciated by both patients and staff EXHIBITION AND DOCUMENTARY members. Our San Volunteers can be seen assisting Adventist Media has begun working together with nursing staff on the wards with non-medical activities, the San to commission original artworks and develop serving in our San Snax Café, greeting and assisting a new documentary in support of the Seventh-day hospital patients and visitors on arrival and as they Adventist Church’s focus on Discipleship, Mission leave, helping patients and community members to the Cities, Media and Health. Artworks themed who use the facilities of Jacaranda Lodge and the on Hope, Prayer and Spiritual Wellbeing will be Cancer Support Centre, providing Spiritual Care with displayed throughout the Hospital in public spaces our Volunteer Chaplains, and supporting office staff including the Hub, Cafeteria, Chapel and waiting in various hospital departments. The majority of the areas in the coming year. San Volunteers commit to a minimum of one four- hour shift per week. During Volunteer Week in 2019

22 ANNUAL REPORT 2019 Quality and Excellence

Delivering our healthcare services to the highest quality and excellence is something we strive to achieve every day for our community. We take very seriously the need to constantly push the boundaries of what is seen as 'excellent' service.

SAFETY & RELIABILITY improve patient care. A large proportion of our IMPROVEMENT PROGRAM nursing, allied health practitioners, doctors and leadership continue to attend training to become In 2015, Sydney Adventist Hospital was selected to advocates for safe work practices. join seven Asia Pacific organisations as the Cognitive Institute’s Safety and Reliability Improvement Program (SRIP) partners. QUALITY MANAGEMENT AND ACCREDITATION The partnership with the Cognitive Institute is long term and involves working collaboratively to AHCL has successfully achieved all required deliver improvement projects, develop leadership Accreditation requirements during the annual capability and improve accountability practices ISO 9001 Certification held in August 2019 for both across the Hospital. The support of all San clinicians, Sydney Adventist Hospital and San Day Surgery support staff and leaders is paramount to the Hornsby. program’s success to ensure an environment in We are proud of our comprehensive quality which staff feel safe and comfortable to speak up management program to monitor, assess, evaluate whenever they see something that may endanger and improve the quality of patient care across safety for patients or staff. the organisation. To ensure compliance with the ‘Speaking up for Safety’ is a program which builds standards, an audit schedule for both clinical and on the commitment and professionalism of AHCL non-clinical practices and processes is in place. staff to provide training, reporting, auditing and The philosophy of continual process improvement ensuring follow up action. It encourages a high is supported by a corporate Adventist HealthCare performance culture of safety and reliability to Quality Awards program. Quality and Excellence 23 QUALITY AWARDS Excellence in care and quality improvement initiatives were celebrated when AHCL staff members, management, doctors and San family members including representatives of Wahroonga Rotary came together at the Oatlands Golf Club for the annual Adventist HealthCare Quality Awards dinner in November 2018. Amongst those recognised were the recipients of customer service excellence awards, and quality improvement project winners from both clinical and non-clinical areas. Throughout the evening, project participants shared the motivations behind, processes, and the end results of their projects. Coronary Care team member Bessie Matambo was announced as the Mission Ambassador for 2018.

Bessie was nominated for her kind, considerate physiological and spiritual care she provides for her patients.

Team award winners: • Clinical Care Award – Coronary Care Unit for ‘Alarm Fatigue’ • Safety Initiative Award – San Radiology/San Pathology and Nuclear Medicine/Northern Surgical Oncology for ‘Ensuring the Accuracy of Pathology Requests for Radiology for Utmost Patient Safety’ • Consumer Participation Award – Nutrition & Dietetics and Food Services for ‘Show you Care, Do your Share – GO GREEN’ • Supporting Services Award – Nutrition & Dietetics and Food Services for ‘The Scoop on The 2018 Hand Hygiene award Texture Modified Foods’ was received by Radley Ward.

24 ANNUAL REPORT 2019 “Since I first became an orthopaedic surgeon, the most exciting changes have been how we place the devices into patients without disturbing their tissues too much, and place them more accurately.

This technology has exploded...

The computerisation, the robotics, the guidance that we now have to help us position those components down to the millimetre, to get the degree of rotation within that patient’s body that will get that sweet spot where that joint will function as near perfectly as possible.

As a surgeon who wants to get people walking again... it’s so humbling to have all this at our disposal. I love it when patients come back for a check-up after surgery and tell me they’d totally forgotten they had a problem until their prosthesis got picked up by the metal detector at the airport...

One of the things I love hearing is – ‘I can go walking with my husband again... I’ve got my life back.’

It’s so heart-warming. The advances in what we can do for our patients have been amazing.“

Dr Rod Brooks Orthopaedic surgeon Education and Research

Research Governance & Ethics This year AHCL is Pharmacy Sydney Adventist Hospital Clinical School placing greater emphasis on our approach to conducting research, Allied Avondale including appointing Health Lifestyle Research a Clinical Director of Research Research supported by Advisory Nursing Australasian a Research Advisory Committee Research Institute Committee. This is a broad, multidisciplinary committee which will Diagnostics San Clinical Trials Unit help guide our focus on research to the next level. Clinical San Departments Foundation

26 ANNUAL REPORT 2019 2018 SAH Clinical School Medicine Graduates

AVONDALE COLLEGE OF SAN EDUCATION HIGHER EDUCATION AHCL has a long standing commitment to educating Our longstanding partnership in education with the healthcare workforce – equipping them to provide Avondale College’s Faculty of Nursing continues competent and excellent care today and into the to deliver exceptional nurses to the Australian future. Key initiatives undertaken in 2018-19 include: healthcare industry as they train on-site at the • San College of Education (SANCE) ran 13 RTO Clinical School alongside allied and medical programs students. This year more than 360 students are • San Education held more than 30 education enrolled in Bachelor, Masters or Preceptor nursing workshops courses with 86 students graduating in 2018. Four • eLearning made 75 clinical packages available final year students were sponsored by Nursing and for staff online Midwifery Office (NaMO) to attend the Australian Overall more than 1,300 AHCL staff and community College of Nursing (ACN) annual nursing forum healthcare workers participated in education held in Tasmania in August, while students across programs through San Education in 2018-19. all levels of the course continue to participate in One Mission trips to international communities in In 2019 San College of Education had its RTO licence association with ADRA. renewed for a record 7 year term, until 2026. Quality training and great student feedback assisted in Avondale College becomes a ‘University College’ achieving this milestone. San College of Education is also now one of only 115 RTOs Australia-wide able Avondale College of Higher Education has been to deliver the new Cert IV qualification. accredited with the status of ‘University College’, placing it on a five year pathway to achieving full-fledged university status. This is the first time SAH CLINICAL SCHOOL OF a higher education provider has qualified for a THE UNIVERSITY OF SYDNEY change of category since the Federal government established new stringent standards for advancing In 2018 the School graduated 24 new medical to university status in 2011, and is a major interns. Graduating students celebrated the milestone for Avondale College. completion of their medical degrees with their families at a dinner hosted by the SAH Clinical School the night before their graduation became official at the Graduation ceremony in The Great Hall at The University of Sydney. Now in its ninth year, the school has approximately 120 students across the four years of the medical program.

Education and Research 27 GRAND ROUNDS CLINICAL TRIALS Professional multidisciplinary education for doctors, The San Clinical Trials Unit offers participation in GPs and allied health staff featured six Grand multi centre, national and international clinical trials Rounds events this year where renowned specialists run by Pharmaceutical Companies and National presented a range of topics to average audiences of and International Collaborative groups such as over 70 participants. We had the privilege of featuring Australasian Gastro Intestinal Trials Group (AGITG), two international speakers as well as running another the Australian and New Zealand Urogenital and Medical Student-Led Ground Rounds. Prostate Cancer Trials Group (ANZUP), the ANZ Gynaecology / Oncology Group (ANZGOG), and the MEDICAL UPDATES FOR HEALTH ANZ Breast Cancer Trials Group (ANZBCTG). PROFESSIONALS The unit is made up of a collaborative team of As part of our ongoing commitment to medical oncologists, haematologists, radiation professional development among our local medical oncologists, clinical trial coordinators, pharmacists, community, many of our Accredited Specialists and experienced oncology nurses, pathology and participated in AHCL’s Medical Updates for GPs and radiology staff. It provides oncology, haematology physiotherapists throughout the year. At these free and radiation oncology patients treated at Sydney seminars, San specialists share important insights Adventist Hospital with the best possible treatment into new treatment approaches and technologies outcomes. Over the past 12 months the unit has to keep our local GPs and allied practitioners up to experienced increasing interest from other specialty date, enabling them to deliver better care to their areas within the hospital, and has commenced patients. trials for pain specialists, lung and gastrointestinal physicians. COMMUNITY EDUCATION Patients are offered the opportunity and ability to participate in the most current treatment options Free Public Health Seminars available through clinical trials. Currently the San AHCL has a long-standing commitment to sharing Clinical Trials Unit has 41 active clinical trials across important health and wellness education with our many different sub-specialties including bladder, community. In 2018-19 our remarkable doctors breast, gastrointestinal, germ cell, haematological, and allied health professionals presented three free lung, pancreatic, prostate and renal cancers along public health seminars on a broad range of topics, with pain management. We are working towards including Men’s Health, Women’s Health and Kids opening trials for better diagnostic procedures. The Health. Unit has participated in more than 100 clinical trials involving approximately 990 patients since it was Cancer Support Centre established in 2005. Providing community education for cancer patients and their carers, the cancer support team conducted 185 support groups and also held 8 education sessions throughout the year.

Maternity Education With a rich history of providing outstanding Maternity Services to the community, San Maternity also has a well-established education program for new families. Covering Choices in Childbirth, Caesarean, Grandparent refresher, Breastfeeding and Babycare classes, the Maternity Educators are very busy helping our community deliver and raise their children. In 2018-19 over 2,100 new parents and carers participated in face to face learning sessions.

28 ANNUAL REPORT 2019 “Since the clinical trials unit started in 2005 we have run over 100 clinical trials, with more than 990 patients getting the chance to access cutting edge oncology treatments.

If there is no clinical trial or form of rigorous testing, there’s no way to confirm improvement on what currently exists. Only about 1 in 10,000 compounds that are originally tested in a laboratory eventually make it to approval as a medication and that process can take anywhere between 10 to 15 years.

It’s really a test to see whether the drug or treatment or device is more effective, has fewer side-effects, or offers a better quality of life. At the heart of it, we are trying to improve peoples’ pathways as they deal with their condition.

Clinical trials are the only proven way to advance the treatment of disease. It’s really as basic and as simple as that.

We do good work in this unit, we have a great team. I love what I do.” Nina Singh Manager, San Clinical Trials Unit PRESTIGIOUS APPOINTMENTS & RECOGNITION

Associate Professor Michael Hughes has been announced as the Head of the Sydney Adventist Hospital Clinical School of The University of Sydney. The appointment follows his role as Acting Head since the resignation of Professor John Watson in 2018. He has been a member of the Clinical School team from the very beginning after being appointed in 2011 as a Foundation Associate Professor in Surgery. A/Prof Hughes has also recently been appointed as the Clinical Director Division of Surgical Services at Adventist HealthCare.

Dr Geoffrey Herkes has been appointed as the Director of Research for Adventist HealthCare Ltd. This important new role will provide academic leadership and strategic direction to AHCL’s research program, as well as promoting the growth of research activity and the maintenance of academic standards across AHCL’s research active departments. Dr Herkes is a consultant neurologist with clinical and teaching appointments and has been a member of the Neurology department at the San since 1992.

AUSTRALASIAN RESEARCH INSTITUTE

For more than 15 years the Australasian Research Institute (ARI) has been a collaborative venture of AHCL, Avondale College of Higher Education and Australian Health and Nutrition Association Ltd that conducts and facilitates research into the mechanisms linking lifestyle to both better health and the development of disease, and works to ensure this knowledge is translated, wherever possible, into clinical and community practice.

30 ANNUAL REPORT 2019 Dr Gillian Dunlop, Ear Nose & Throat surgeon at Sydney Adventist Hospital has been recognised for excellence in her two concurrent yet diverse careers as a surgeon and a national portrait artist. Dr Dunlop has been presented with the Graham Coupland Memorial Medal from the Royal Australian College of Surgeons, and has delivered the Graham Coupland Oration at the Art Gallery of NSW. The Graham Coupland Oration and Medal were created in 1983 to honour the memory of gastric and paediatric surgeon Associate Professor Graham Coupland who was the Supervisor of Surgery for the University of Sydney and taught at Royal North Shore Hospital. The medal was awarded by NSW Health Minister Brad Hazzard. As an artist Dr Dunlop’s commissions have included Dame Quentin Bryce, Dame Marie Bashir and most recently Chief Justice John Pascoe of the Family Law Court of Australia.

San urologist Professor Henry Woo was elected to the Royal Australasian College of Surgeons (RACS) as a Fellowship Elected Councillor for 2019. Professor Woo is one of nine elected councillors representing surgeons across a diverse range of specialities in Australia and New Zealand. He has been a pioneer in the development of minimally invasive therapies for benign prostate disease and has extensive experience in the management of prostate cancer. Prof Woo is extremely active in research and clinical trials and is extensively published.

In 2018-19 the ARI has been leading or supporting commercial and community radio on numerous more than 20 research projects involving 22 ARI staff occasions. members, SAH doctors, Avondale staff, students of Key developments of the ARI are a comprehensive the SAH Clinical School of the University of Sydney, ‘Wellness Assessment Program’ now being used by and university PhD students and researchers both in corporate entities, and the first trial of a multimodal Australia and overseas. (including lifestyle) program for clients with mild During this time ARI researchers also had 11 full cognitive impairment. Other programs such as the research journal articles published and presented ‘Targeted brain training for adolescent depression papers at 16 scientific / medical conferences, recovery’ are currently also being trialled. World while ARI Director Ross Grant delivered more than leading ARI research into the role of the essential 20 lectures on health-related topics to various molecule NAD+ in aging and degenerative disease churches, health and community groups throughout has resulted in a commercial joint venture to extend Australia and the USA, and was interviewed on both and potentially commercialise key findings.

Education and Research 31 Community

Bringing care to our community is essential to AHCL and it happens in many ways. Through education, fundraising, community events and volunteering, we share messages of health, wellbeing and care by building deep relationships with those around us.

MEDIA & RADIO ‘ITS ABOUT US’ WRITING AS As part of an ongoing relationship with radio 2GB, THERAPY WORKSHOPS close to 40 interviews with AHCL specialists and Beginning in June 2019, Sydney Adventist Hospital staff have been presented during 2018-19 on a very together with ‘it’s about us’ hosted a series of broad variety of health and wellness topics. ‘Writing as Therapy’ workshops aimed at enhancing AHCL events, doctors, staff and initiatives continue the emotional and psychological wellbeing of those to feature in local press and this year four initiatives affected by breast cancer. Patients were guided have drawn TV coverage, illustrating our position as through the sessions in a supportive and inclusive respected healthcare leaders. environment and were shown how to use a digital tool to create a personalised and unique book about In addition, a range of doctors, staff and patients their cancer experience, capturing their thoughts, have participated in health and wellness interviews feeling and emotions. on the ‘Mums at the Table’ TV chat show. Guest speakers including health professionals and members of organisations and services specialising in providing support for those with cancer were invited to talk at the sessions, which gave patients a chance to meet like-minded people going through something they can relate to in a caring and supportive environment.

32 ANNUAL REPORT 2019 TEDDY BEARS PICNIC More than 1,000 San babies, siblings, mums, dads and family members enjoyed the 2019 San Teddy Bear’s Picnic, now in its sixth year. Held annually in the lead up to Mother’s Day, the much-loved event offers recent San mums the opportunity to catch up with other mothers and reconnect with the doctors and staff who cared for them. Children danced along to ABC Playschool host Justine Clarke, had photos, hugs and high-fives with San Bear, and enjoyed a range of other fun activities.

Teddy Bears Picnic 2019

Community 33 SAN CAROLS

Christmas spirit, carollers and charity were amongst the highlights of the annual San Carols which attracted thousands to the San’s Village Green. A wonderful variety of free family activities were available during the afternoon, then children were entertained by Santa, San Bear and Poppy and Branch from DreamWorks Trolls. The main event featured host Tim Webster, musical theatres stars Kane Alexander and Amanda Harrison, local artists Ardentsound and former The Voice contestant Emily Rex, the Wahroonga Adventist School Choir and Dave Martin & The Carols Band.

San Carols 2018

34 ANNUAL REPORT 2019 Regifting Fair

Funds raised for Hornsby Ku-ring-gai Women’s Shelter

Open Heart International Fiji

36 ANNUAL REPORT 2019 INTERNATIONAL WOMEN’S DAY With over 1,700 female staff in 2019, Adventist to their taste, and may be better suited to another HealthCare joined in the celebration of International home. Donating them and enabling funds to be Women’s Day in March. One initiative staff raised carried over the spirit of goodwill with which wholeheartedly participated in was the San they were given. Regifting Fair which raised funds for the Women’s The AHCL Executive pledged to match funds raised Shelter at Hornsby which provides accommodation up to $1000. Proceeds from the sale of these ‘regifts’ and refuge for women facing challenges caused in February, together with this $1000 meant almost by a range of circumstances including ill health, $4,000 was donated to the Women’s Shelter at unemployment, homelessness, and domestic Hornsby – a proactive and practical way to show violence issues. support for disadvantaged and compromised The Regifting Fair encouraged staff to donate women while also showing pride for the 1700 Christmas gifts they received but would not use; female staff at AHCL, and celebrating International gifts that were in excess to what they needed, not Women’s Day.

OPEN HEART INTERNATIONAL PNG healthcare team visits the San Open Heart International (OHI) is a humanitarian aid Cardiologists, radiography and cardiac nursing program initiated by Sydney Adventist Hospital in staff from Papua New Guinea visited the hospital’s 1986 and now part of the Adventist Development cardiac facilities with San interventional cardiologist and Relief Agency (ADRA) Australia. OHI’s volunteer Dr Jason Sharp as part of an observational study medical teams visit developing countries to provide tour, as they looked to increase their knowledge cardiac, ophthalmology, women’s health, plastic prior to the installation of the first Cardiac and reconstructive surgery, and to train local staff. Catheterisation Laboratory in Port Moresby’s public Based on-site at the San, the OHI program continues hospital in 2019. Dr Sharp also travelled to Port to transform lives in countries where individuals Moresby to assist as the doctors performed their would otherwise have little or no access to this first procedures in the new CCL. type of healthcare. Since 1986, 200 trips have been Dr Sharp has been a volunteer surgeon with the conducted with over 7,350 patients treated in Open Heart International Team since 2004, where countries including Cambodia, Fiji, Solomon Islands, life transforming surgeries are performed and the Vanuatu, Myanmar, PNG, Tanzania, Philippines, skills shared during visits helps equip the local Nepal, Tonga, India and Bolivia. health professionals to become self-sufficient – In 2018-19 OHI undertook 11 projects in 7 countries, part of OHI’s aim to leave a legacy of learning in the treating 450 patients. There were almost 260 countries they work in. volunteers involved, 55 of whom were AHCL employees and doctors.

Glenys Chapman Scholarship Winner for 2018 The Glenys Chapman Scholarship awards a Sydney Adventist Hospital new graduate nurse an opportunity early in their nursing career to experience how working and volunteering in a developing country results in a life-changing experience. Named after nurse Glenys Chapman who devoted her life to helping patients both locally and abroad, the Scholarship honours the tremendous contribution that Glenys made to Open Heart International and the community. In 2018 the scholarship was awarded to Hannah Muggeridge who travelled to Nepal on a Burns Surgery trip in early 2019, saying she found the experience incredibly enriching and life changing.

Community 37 RAISING AWARENESS & FUNDS TO SUPPORT GREAT CAUSES 1. Two successful BBQs held at the San in October 2018 and April 2019 helped raise close to $4,500 for the 10,000 Toes Campaign, which helps combat Type 2 Diabetes and other non-communicable diseases in the South Pacific islands 2. 24 San Cyclists rode in the Bobbin Head Cycle Classic, an annual event organised by the Rotary clubs of Ku-ring-gai, Wahroonga, St Ives and Turramurra to raise funds for Lifeline. The team 1 led by San CEO Brett Goods consisted of doctors, executive, nurses and other health professionals and raised a total of $5,005.20. Cyclists rode between 57 and 104km through Ku-ring-gai Chase National Park, Bobbin Head, West Head and Akuna Bay 3. Cake and sweet treats stall raised almost $1,300 to aid in the creation of activity blankets 2 and other practical items that help dementia patients and their carers’ have a better hospital experience 4. Over 700 knitted and crocheted poppies were planted in the San’s Village Green gardens to mark the significance of Remembrance Day 3 in November 2018. The bright red poppies commemorate the end of World War 1 in 1918 and were a poignant reminder of the sacrifice of the original ANZAC’s and the generations of service men and women who have served in war, with 2018 marking the 100th anniversary of the end of hostilities. Amongst the garden of red poppies are a patch of purple poppies to commemorate the service of animals involved in military campaigns, including horses and homing pigeons 4 5. Ribbons were sold by the San’s Social Work team to acknowledge White Ribbon Day, Australia’s national day for raising awareness of men’s violence against women and how to prevent it in the community 6. San team members combined to take more than 32,288,000 steps and raise almost $15,000 5 for the Cerebral Palsy Alliance during the Steptember campaign with money raised going towards vital equipment, therapy and services for children and adults living with cerebral palsy 7. Members of AHCL staff including CEO Brett Goods and directors, managers, doctors and others volunteer their time on a Friday evening every few weeks to serve meals to those in need in Hornsby with The Dish. An ecumenical 6 initiative of the St John’s Uniting Church in Wahroonga since 2003, San staff have been taking part in helping the needy, together with members of local churches and schools of varied religions, for the past few years. 7 38 ANNUAL REPORT 2019 “Patients normally attend our program after a cardiac event like a heart attack that has required an intervention – maybe open heart surgery, valve replacement or a stent.

Our focus is to optimise their heart health through our education and exercise program which gives them confidence to return to work and family life. Many of them are overwhelmed by what’s happened and often very apprehensive about what is going to happen next.

Our education sessions explain the process of heart disease, why are they taking medication, what they should be doing, and gives them the knowledge to make positive lifestyle choices.

Patients have told me ‘This is the best thing I have ever done. I now can get on with my life.’ It is really gratifying for staff to see patients confident to go back to their lives.

We know we’ve played a real role in their health and wellness.”

Sharyn Scott Nursing Unit Manager, Cardiac Rehabilitation, Heart Health Program Our People

AHCL boasts a remarkable team of dedicated and passionate people who are the foundation of our reputation for excellence. Many are recognised within our community for the unique care and talents which set them apart.

WORKPLACE GIVING SAN HEALTH PROFESSIONALS SPEAK AHCL’s Workplace Giving program offers employees San Ear Nose & Throat Surgeon Associate Professor the opportunity to donate to a variety of causes Payal Mukherjee was a guest speaker at the direct from their wages. We all have times we Sydney Innovation and Research Symposium in could do with a helping hand, or when we might July 2018, where she discussed her professional like to give a helping hand. As a result AHCL has journey, her passion for gender equality in medicine established a Caring for our Colleagues Fund. and providing opportunities for young women in Supporting our Mission of Christianity in Action, STEMM careers. the fund enables the donation of funds to help staff Associate Professor Ross Grant, Director of the during times of need, offering practical support and Australasian Research Institute based at Sydney showcasing care for staff not only in their workplace Adventist Hospital, was a guest speaker discussing environment but also in their private lives. the effects of caffeine on the body at the 3rd Global Conference on Health and Lifestyle in Loma Linda, FOCUS WEEK California, United States in July 2019. In 2019 Focus Week was held in May for AHCL leadership and staff, and was centered on Respect – the third element of CARE in the More Care program (Connection, Accountability, Respect, Empowerment). Guest speakers, SAH doctors, staff and patients shared their perspectives on Respect with the leadership team.

40 ANNUAL REPORT 2019 San staff and volunteers at National Volunteers Week

STAFF & VOLUNTEERS CELEBRATED staff and volunteers for between 10 and 40 years of service. The Mission Ambassador recipients for 2019 AHCL acknowledged and celebrated the hard work, were awarded for their contribution to the overall dedication and commitment of staff members and AHCL mission of ‘Christianity in Action’. volunteers across all departments during the annual Staff Week held in May. The week coincides with Overall, awards were presented to more than 80 International Nurses Day (12th May) and National staff members acknowledging their service at AHCL Volunteers Week (20-24th May). – 2 for 40 years, 7 for 30 years, 26 for 20 years and 47 for 10 years. In addition, there were 35 volunteers This year eighteen individual sessions were held by awarded, 2 for 30 and 1 for 25 years, 4 for 20 of the Human Resources team with awards given to service and the remainder for 10 or 15 years.

SAN RADIOLOGY & NUCLEAR MEDICINE AT Radiation Therapy (ASMIRT). There were over 900 THE ASMIRT/AACRT CONFERENCE delegates and representatives from 19 different countries. Team members represented San Radiology & Nuclear Medicine at the ASMIRT/AACRT 2019 Oral and poster presentations from the six in Adelaide, the Asia-Australasia Conference of San team members were well received, with the International Society of Radiographers and Radiographer Lachlan Hinds awarded the Radiation Therapists (AACRT) held in conjunction ASMIRT2019 Student Conference Diagnostic with the Australian Society of Medical Imaging and Radiography Student Paper prize.

San Radiology & Nuclear Medicine Team at ASMIRT/AACRT Conference

Our People 41 APPOINTMENTS & AWARDS Rotary Wahroonga Awards Australia Day Honours The Annual Rotary Club of Wahroonga Awards Breakfast was held in March 2019 honouring San Cancer Support Centre Volunteer Susan staff and volunteers doing exceptional work McCullogh has been awarded the medal of the at the hospital. The Bill Leventhal award was Order of Australia (OAM) in the General Division presented to Helen Knox, Anaesthetic Nurse of the 2019 Australia Day Honours List for her at San Day Surgery Hornsby, for her holistic Service to Community Health. approach to caring for patients and going the Susan who has volunteered at the San Cancer extra mile to make sure they and their families Support Centre in Jacaranda Lodge for many are well cared for. Helen has been with the San years is a lung cancer survivor dedicated to Day Surgery Hornsby for 10 years. reducing the stigma of the cancer, increasing Community Service awards were presented to research and attracting more funding for its Gai Mitchell from the Cancer Support Centre support services. who runs the Look Good Feel Better Workshops In her service to the community, Susan also for patients and the wig and headwear library, volunteers with the Lung Foundation Australia Geraldine Sluis for her contribution to the and NSW Cancer Council, and is a founding Social Work Department over the past 7 years, member of the Lung Cancer Patient Support and Sheryl Findlay for her 5 years as a pillar Group. Passionate about the cause, Susan is of support for patients at the Cancer Support also a member of many advisory panels for Centre. Vocational Excellence Awards were organisations including Cancer Institute NSW, presented to Catherine Bell (Case Manager), Consumer Australasian Lung Trials Group, Trans- Helen Killian (Medical Records) and Melissa Tasman Radiation Oncology Group, Translational Legg (Medical Services MDT Coordinator). Cancer Research Network UNSW Lowry Research Centre and the Cancer Australia Lung Cancer Advisory Panel.

HOMECOMING The annual San Homecoming event held in August provided a wonderful opportunity for approximately 80 former San nursing graduates and staff to reunite and reminisce. This year the event included the launch of a new book entitled ‘Take me to the San’, a collection of stories from those involved in the San’s history and how they have seen it grow into the healthcare facility it is today. The book was edited by the San’s Director of Mission Integration Dr Branimir Schubert and Denise Murray, former SAH Staff member and Journalist.

FITNESS PASSPORT The Fitness Passport Program launched in 2016 continues to grow in popularity, providing staff with access to multiple gyms and pools at very low cost. There are now more than 350 facilities participating in the program spread throughout Sydney and the Central Coast, giving staff a wider variety of choice. Staff have the option of single and family memberships to cover themselves, partners and dependents. To date, more than 370 memberships have been taken out covering over 760 AHCL staff and family members.

42 ANNUAL REPORT 2019 “Having a strong academic philosophy and ethos in the hospital is really important for the quality of care we provide. The clinical school is not just teaching theory, it’s real life learning in tutorial rooms, the simulation centre, on the wards, in the operating theatre and through our interactions with patients and staff.

Institutionally, having an onsite clinical school and being involved in teaching and research creates a more collaborative and collegiate environment for doctors, and broadly for the entire staff, so that we feel like we are part of something more.

There is a recognition that we were taught by highly skilled people which has enabled us to practice – now there’s a responsibility to hand that down to the next generation.

From the time that we have our first tutorial on the ward I can see how rapidly they absorb knowledge and then use that to communicate with patients. I think ‘wow, they are amazing’.

It’s the future of medical practice. It’s our patients and the community who are going to benefit.”

A/Prof T. Michael Hughes Head of Clinical School, Sydney Adventist Hospital Clinical School, Associate Professor of Surgery, The University of Sydney, Clinical Director AHCL Division of Surgical Services Sustainability

AHCL has an Environmental Sustainability Plan to help manage our resources efficiently and minimise waste as a means of improving our environmental footprint for the health and wellbeing of our community.

We are a corporate member of the NSW Government Office of Environment and Heritage Sustainability Advantage program and have been awarded Bronze status which requires a number of measurable achievements in waste management, utility usage, policies and education. Our Waste & Environmental Management Committee meet quarterly to oversee measures, reports and plans for new projects. We currently have a draft document for our corporate sustainability goals that are aligned with Sustainable Development Goals used in more than 175 countries and established at the International Paris Agreement for Managing Climate Change in 2015.

Recycling activities currently include: Other initiatives include: • Cardboard and selected paper recycling as well • Clinical waste audits are conducted - training as co-mingled recycling is provided for those areas that fall below the • Soft plastic recycling benchmark • Mattress recycling • Monitoring of electricity, gas and water usage • Printer cartridge recycling together with an ongoing program of optimising • Recycling (or re-purposing) trial for single use usage through areas such as HVAC monitoring & scissors and clamps adjustment, LED globe installation, purchase of • Recycling of contact lenses and packaging for ‘high star rating’ electrical appliances charity • Champions sought in each area to support new • Recycling of non-rechargeable batteries initiatives • Plastic recycling in theatres pilot program • Metal recycling of large items

44 ANNUAL REPORT 2019 Topics Topics Topics 45 “It’s an honour to be invited to help a woman give birth and be involved in one of the most significant events in a family’s life. My patients and I share in the journey of their pregnancies. In this partnership there may be ups and downs, with emotional, social or physical issues, but the mutual trust is the key that I find most rewarding. These special bonds are why we obstetricians get such joy out of our work, and I think patients can see that. People tell me ‘I’m a San baby’ like it’s a badge of honour. They sense they are part of a big thing, part of the hospital that is the icon on the hill, part of a big family. I think it’s because of the special community that is the midwives, doctors, managers, hospitality, nurses, and other staff, not forgetting the volunteers.

We are all just in it together, and there is a sense of helping each other, like a big extended family. We all love being there. It’s what makes a San baby experience fabulous. It’s why I deliver babies here.”

Dr Peter Wood Former San Emergency Care Dr 1997-2001, Obstetrician since 2002, San Obstetrician since 2009, Delivered 1,800 San babies San Foundation

Without the support of donations to San Foundation, AHCL could not provide a range of vital equipment, services and staff to the hospital and its community. Under the leadership of San Foundation chairman Richard Warburton AO LVO and managing director Karen Gair, San Foundation has significantly grown its supporter base and revenue in the past financial year.

San Foundation is delighted to report that, through NEW SURGICAL IMAGING TECHNOLOGY the generosity of donors, a total of $4.4 million was San Foundation donors also responded provided to the hospital to continue to provide the enthusiastically to supporting the purchase of new best in patient care. surgical cameras to the tune of $1 million. The San is now home to superior imaging technology in WORLD-CLASS ROBOTIC PROGRAM the operating theatres which means surgeons have Over $1.3 million was provided to ensure the San greater vision when operating. Robotics Program is amongst the world’s best. San Foundation values the role new technology JACARANDA LODGE AND plays in ensuring the hospital not only has the CANCER SUPPORT SERVICES best equipment available to doctors, but that new technology, and particularly, minimally Jacaranda Lodge and its cancer support services invasive robotic procedures, result in better patient continue to hold a special place for San Foundation outcomes. donors. We continue to fund ongoing renovations to the Lodge and have now completed all the guest bathrooms. We have also created a new gymnasium.

San Foundation 47 Run for Life 2018

RUN FOR LIFE ANNUAL DONOR LUNCHEON Over 800 runners and walkers took part in the In November 2018, San Foundation welcomed annual fun run in August 2018, raising over $30,000 Marcus Blackmore AM, executive director of the for cancer support services at the San. We are natural health and supplement provider Blackmore appreciative of the strong community support for Ltd as guest speaker at our annual donor luncheon. the event and we look forward to building this event Mr Blackmore shared his connection to the San in the future. through his naturopath father Maurice who founded the company in 1938. “I support the San Foundation PALLIATIVE CARE IN THE HOME because it is an investment in my health and in my community as it ensures the hospital can keep One of the most important services that San offering the best possible healthcare,” Marcus told Foundation supports, largely through the generosity supporters at the luncheon. of the Charles Warman Foundation, is the San Palliative Care in the Home Service. This has proven FAREWELL TO DR LEON CLARK a valuable service to San patients to provide a choice of receiving palliative care in the home or We sadly farewelled Dr Leon Clark who resigned in hospital. from the San Foundation board in November 2018. Dr Clark generously volunteered his time, Some other examples of San Foundation knowledge and expertise both as a chair and a impact includes: board director for 27 years. We remain forever in Dr • A new Mammography unit Clark’s debt for the enormous legacy he has created • New Chapel sound system in bringing San Foundation to where it is today. • Massage therapist for day infusion and Poon oncology • New blinds for renal care • Bedside lockers for Critical Care Unit • Special care nursery monitors • Blood pressure monitors • Cardiac Rehabilitation gym equipment

48 ANNUAL REPORT 2019 “When I arrive the first thing I do is get the kitchen in order. Then I visit each patient, see what they would like and cover them up if they are cold. I offer them tea or coffee and something to eat, and just be there for them generally.

I think it gives a little bit of comfort to people who are in a hard place. It’s not easy for them to come here when they are sick - it’s good for them to have somebody who is happy to listen to their story and is positive about things.

The nurses don’t always have time for the extra bits that we do, so they are always grateful, very kind and warm, and they treat me like family.

Usually at this age one doesn’t get the opportunity, but here at the San I feel as though I’m putting a little something back into life. I come away feeling very fulfilled. I think the Hospital gains a lot by having the Help Team, but I think the Volunteers gain even more by being here.”

Sue Brown San Poon Day Infusion Centre Volunteer, 500+ strong San Help Team Key AHCL Businesses

Sydney Adventist Hospital remains NSW’s largest private hospital with over 700 beds, including 524 overnight beds.

A comprehensive group of leading practitioners deliver a broad range of acute, medical and surgical services, diagnostic and surveillance services, rehabilitation and allied health services as well as support services. Committed to research and clinical trials the hospital is at the forefront of clinical advances.

Through partnerships with University of Sydney Faculty of Medicine and Avondale College of Higher Education Faculty of Nursing, the hospital is an education hub with a purpose built clinical school on site training medical, nursing and 189,386 allied health students. total patient episodes

1,696 1,003 babies delivered Accredited Medical Officers

500 18,230 volunteers emergency care presentations

50 ANNUAL REPORT 2019 Originally established in 1986 as NSW’s first private day surgery, the San Day Surgery Hornsby is a specialised surgical centre with a personalised approach.

Widely recognised for its particular expertise in procedures for eye conditions, dental surgery, paediatric procedures and cosmetic procedures, the San Day Surgery Hornsby has an exceptionally skilled and efficient team providing specialised care for short stays. 2,710 total patient episodes

65 Accredited Medical Officers

San Radiology & Nuclear Medicine has provided quality imaging services to the community for over four decades and services expanded with the purchase of Northern Nuclear Medicine in 2018.

Well recognised as a leader in the provision of comprehensive diagnostic imaging, nuclear medicine and interventional radiology services San Radiology and Nuclear Medicine performs more than 85,000 examinations a year. With a continued commitment to be at the forefront of imaging technology, San Radiology and Nuclear 189,386 Medicine boasts a comprehensive suite of ‘new generation’ imaging equipment as well as leading edge total patient episodes technology tools to deliver high quality diagnostic information to treating doctors rapidly. San Radiology and Nuclear Medicine is staffed by highly experienced and dedicated Radiologists, Radiographers, Sonographers, Interventionists and Nuclear Scientists as well as specialised nurses and support staff who are all committed to delivering personalised care for patients. 1,003 Accredited Medical Officers 85,632 imaging investigations 18,230 emergency care presentations

Key AHCL Businesses 51 ADVENTIST HEALTHCARE Board of Directors LIMITED

Pastor Glenn Townend, Board Chair

Brett Goods, Chief Executive Officer

Rodney Brady

Dr Daryl Cheng

Kevin Jackson

Francois Keet

Geraldine Przybylko

Kathy Raethel

Pastor Lionel Smith

Martina Stanley

Prof John Watson

52 ANNUAL REPORT 2019 ADVENTIST HEALTHCARE Executive LIMITED

Brett Goods Chief Executive Officer, BSc (Nursing), Advanced DipBusMgt

Dr Jeanette Conley Medical & Clinical Governance Executive, DipAppSci (Nurs), B Med, GradDipAppFin, GradCertHealthEc&Policy, MBA, FRACMA, SA Fin, GAICD

Clare Lumley Nursing & Operations Executive, BA(Nurs), GradCertCriticalCare, GradDipHealthAdmin&Ed, MhealthSc, JurisDrMLaws, GradCertClinicalRedesign&Innov, GradCertCulture&Leadership

Philip West Chief Financial Officer & Services Executive, Dip Bus, Grad Dip Bus, MCom, FCPA

Board of Directors and Executive 53 Medical Advisory SYDNEY ADVENTIST Committee HOSPITAL

Prof John Watson Chairman Neurology, AM, D.Phil MBBS. (Hons I) BSc. (Hons I) FRACP MD Dr Rod Brooks Orthopaedics, MBBS FRCS(Edin) FRCS(Eng) FRACS FAOrthA Dr Walid Barto General Surgery & Surgical Oncology, MBBS FRACS Dr Mark Bukofzer Anaesthesia, MBBCh FANZCA Prof Simon Finfer Intensive Care Medicine, MBBS FRCA FRCP FCICM FAHMS DrMed Dr Neil Ginsberg Paediatrics, MBBCh FRACP M Med (Paeds) Dr Richard Harris Vascular Surgery, MBBS(USyd) FRACS (Gen and Vasc) Dr Geoff Herkes Director of Research, MBBS PhD FRACP A/Prof Michael Hughes Division of Surgical, Women & Children’s Services Group, MBBS (Hons 1) (USyd) FRACS Dr Auriel Jameson General Medicine, MBBCh (Wits) FCP (SA) MRCP(UK) FRACP Dr John Kippen Plastic & Reconstructive Surgery, BSc MBBCH FRACS (Plast) Dr Avelyn Kwok Gastroenterology, BSci (Med) MBBS (Hons) FRACP Dr Greg McDonald Emergency Medicine, MBBS FACEM A/Prof Gavin Marx Medical Oncology, BSc (Med) MBBS (Hons) FRACP Dr Barry Mayes General Practice, MBBS Dr Peter Puhl Neurology, MBBS FRACP Prof Ray Sacks ENT Surgery, MBBCH FCS (S.A) ORL FRACS MMed (ORL) Dr Brent Steeves Career Medical Officer, MBBS (Syd) MClinMed (L&Mgt) (Newcastle) Dr Ru-Dee Ting Cardiology, MBBS FRACP PhD MClinT (R) Dr Lisa Tarlinton Radiology, BSc (Med) MBBS (Hons) EMBA FRANZCR FAANMS Dr Muh Geot Wong Nephrology, MBBS PhD FRACP Prof Henry Woo Urology, MBBS DMedSc FRACS (Urol) Dr Peter Wood Obstetrics & Gynaecology, MBBS FRANZCOG

54 ANNUAL REPORT 2019 Medical Advisory SAN DAY SURGERY Committee HORNSBY

Dr Antonio Carrozzi Chairman Anaesthesia, MBBS FANZCA Dr Anil Arora Ophthalmology, MBBS (Syd) M.M. (Ophthal.) FRANZCO FRACS Dr Stuart Deane Oral and Maxillofacial Surgeon, BDSc(Hons) MBBS(Hons) FRACDS(OMS) Dr John Flood Plastic & Reconstructive Surgery, B. Med (Hons) FRACS Dr Graham Gumley Hand Surgery, MBBS (Hons) FRACS FRCSEd (Orth) FAOrthA Dr Ian Hargreaves Hand Surgery, MBBS (Hons) FRACS (Orth) FA.Orth.A Dr Angus Kingon Oral Surgery, BDS MDSc FRACDS FDSRCS Eng. FICD Dr Con Moshegov Ophthalmology, MBBS FRANZCO FRACS Dr Graham Sellers Plastic & Reconstructive Surgery, MBBS FRACS (Plast.Surg) Dr Sven Whitehouse Ophthalmology, MBBS FRANZCO FRACS

Medical Advisory Committee 55 Adventist HealthCare 185Fox Valley Road, Wahroonga NSW2076 Telephone: 0294879111www.adventisthealthcare.org.au ABN 76096452925

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