2011/2012 Annual Report Vision: To improve the health and wellbeing of our community. Mission: West Gippsland Healthcare Group is committed to the provision of high quality, integrated health care that meets the changing needs of individuals and our community. We value: Our Customers G be committed to continuity of care for individuals whilst recognising rights, responsibilities and participation Our Community G be a responsible corporate citizen and neighbour in caring for our community and environment Our Staff G we are committed to our staff’s wellbeing and ongoing development Leadership G be a role model in the planning and delivery of health services Improving Performance G ensure continuous quality improvement. The Annual Report: The Annual Report seeks to present critical performance information in an open, clear and reader-friendly manner. West Gippsland Healthcare Group is committed to bench marking performance against best practice. For this reason we prepare our Annual Report against the criteria set by Department of Health (DH) guidelines indicating our commitment to provide quality reporting to stakeholders. Front Cover: Kim Dorling, Emergency Department Associate Nurse Unit Manager, jumps for joy at the commencement of our Emergency Department major redevelopment project in 2011. Contents 20011/12 Year in Brief Year in Brief 1 2012 2011 % +/- Duty of Disclosure 2 variance Statutory Reporting 3 FINANCIALS 000’s 000’s Our Profile 4 Total Revenue $79,680 $78,217 1.87 President and Chief Total Expenditure $84,314 $79,607 5.69 Executive Officer’s Report 5 Net Result for the Year ($4,634) ($1,390) (320.86) Financial Report 8 Total Assets $82,944 $85,081 (2.51) Overall Performance 9 Total Liabilities $21,568 $19,710 8.54 Net Assets $61,376 $65,371 (5.85) Review of Operations Total Equity $61,376 $65,371 (5.85) Quality Report 16 Acute (hospital) Services 21 STAFF Equivalent Full Time 664.48 652.03 1.91 Aged Care Services 24 Community Services 26 PERFORMANCE INDICATORS Corporate Services 28 Inpatients Treated: Allied Health 30 Hospital 13,212 11,064 19.41 Warragul Linen Service 31 Nursing Home 71 78 (8.97) Education 32 Hostel 70 69 1.45 Certifications 33 Average Length of Stay: Hospital 2.36 2.63 (10.27) Corporate Governance Bed Days: Board of Directors 34 Hospital 31,182 29,044 7.36 Organisation Chart 36 Nursing Home 21,243 20,733 2.46 Hostel 17,860 17,755 0.59 Our People Non-Admitted Executive Staff 37 Patient Services: 89,845 87,872 2.25 Our Staff 38 DONATIONS $000’s Staff List 39 Income $523 $1,022 (48.83) Our Environment 41 Our Community Volunteers 42 Significant Events Fundraising 43 G Emergency Department redevelopment project commenced Financial Statements G Mary Sargeant Wing building works completed resulting in new physicians consulting and Report rooms, new education and teleconferencing facilities and a new home for the District Nursing Service Financial Index 44 G Number of births totalled 881, a record breaking year Financial Reports 45 G Inpatients treated was 13,212 well above our target of 11,200 and last year’s actual number of 11,058 patients Glossary 91 G Emergency Department treated over 20,000 patients, a record breaking year G Directory inside back cover Introduction of the low level 2 nursery to support newborns requiring additional care G Significant growth in haemodialysis and oncology services G Retirement of long servicing CEO Ormond Pearson after 14 years of service G Appointment and commencement of new CEO Dan Weeks G Installation of an emergency generator to run all services in the event of a power outage G Full accreditation awarded by the Australian Council of Healthcare Standards (ACHS) and the Aged Care Accreditations and Standards Agency (ACSAA) G Warragul Linen Service ISO 9001 accreditation maintained G The appointment of a Geriatrician specialist G Redesigning Care initiative ‘Releasing Time to Care’ launched 1 Disclosure Index The Annual Report of the West Gippsland Healthcare Group is prepared in accordance with all relevant Victorian legislation. This index has been prepared to facilitate identification of the Department’s compliance with statutory disclosure requirements. Legislation Requirement Page Report of Operations Charter and purpose FRD 22C Manner of establishment and the relevant Ministers 34 FRD 22C Objectives, functions, powers and duties 34 FRD 22C Nature and range of services provided 4 Management and structure FRD 22C Organisational structure 36 Financial and other information FRD 10 Disclosure index 2 FRD 11 Disclosure of ex-gratia payments N/A FRD 15B Executive Officer Disclosures 87 FRD 21A Responsible person and executive officer disclosures 86 FRD 22C Application and operation of Freedom of Information Act 1982 3 FRD 22C Application and operation of the Whistleblowers Protection Act 2001 3 FRD 22C Details of consultancies over $10,000 2 FRD 22C Details of consultancies under $10,000 2 FRD 22C Major changes or factors affecting performance 5 FRD 22C Occupational health and safety 29 FRD 22C Operational and budgetary objectives and performance against objectives 1, 8 FRD 22C Significant changes in financial position during the year 8 FRD 22C Statement of availability of other information 3 FRD 22C Statement on National Competition Policy 3 FRD 22C Subsequent events 87 FRD 22C Summary of the financial results for the year 8, 13 FRD 22C Workforce Data Disclosures including a statement of the applications of employment and conduct principles 14 FRD 25 Victorian Industry Participation Policy disclosures 3 SD 3.4.13 Attestation on Data Integrity 33 SD 4.2(j) Sign off requirements 33 SD 4.5.5 Attestation on Compliance with Australian/New Zealand Risk Management Standard 20 Financial Statements Financial statements required under Part 7 of the FMA SD 4.2(a) Statement of changes in equity 47 SD 4.2(b) Operating Statement 45 SD 4.2(b) Balance Sheet 46 SD 4.2(b) Cash Flow Statement 48 Other requirements under Standing Directions 4.2 SD 4.2(a) Compliance with Australian accounting standards and other authoritative pronouncements 49 SD 4.2(c) Accountable officer’s declaration 88 SD 4.2(c) Compliance with Ministerial Directions 49 SD 4.2(d) Rounding of amounts 56 Total Expenditure Future Consultant Purpose of Consultancy Start date End date Approved Fee 2011-12 Expenditure Over 10k P2 Group Human Resource Management Oct-11 Ongoing Ongoing 143 Ongoing Suters Project Consultants - EDredevelopment Jun-11 Ongoing 369 276 93 Attend Anywhere Pty Ltd Strategic Planning Sep-11 Mar-12 15 15 - Inside Health Management Strategic Planning Sep-11 Sep-11 20 20 - Under 10k In 2011-12 West Gippsland Healthcare Group engaged 14 consultants where the total fees payable to the consultants were less than $10,000 with a total expenditure of $36,979. Legislation Freedom of Information Act 1982 3 Whistleblowers Protection Act 2001 3 Victorian Industry Participation Policy Act 2003 3 Building Act 1993 3 Financial Management Act 1994 88 2 Statutory Reporting Statement of Fees and Charging Rates Building Maintenance West Gippsland Healthcare Group charges fees in accordance West Gippsland Healthcare Group complies with the Building with Department of Health Victoria directives issued under Act 1993 which encompasses the Building Code of Australia Regulation 8 of the Hospital and Charities (Fees) Regulations, and Standards for Publicly Owned Buildings November 1994. 1986 as amended. Buildings Buildings certified for approval 1 Freedom of Information Constructions subject to mandatory inspections 1 Certificate of final inspection 1 The Freedom of Information officer is the Manager, Health Information Services, with final approval by the Director of Maintenance Medical Services. Consumers wishing to access documents Notice for urgent rectification, attention may contact the Freedom of Information officer on 03 5623 or major expenditure were received Nil 0611 and access details will be provided. During 2011/12 All renovations to existing buildings comply with year, 89 requests for information under the regulations of the Regulations and standards including the Freedom of Information Act 1982 were received. Access was Building Code of Australia Yes granted in full to 74 applicants and the average processing Orders to cease occupancy Nil time was 29.4 days. Whistleblowers Protection Act 2001 Other Information West Gippsland Healthcare Group is committed to the Information listed in FRD 22C Appendix is available on request principles of this Act and has policies and procedures in by relevant Ministers, Melbourne of Parliament and the public. place to enable full compliance. The Act is designed to protect people who disclose information about serious wrongdoings within the Victorian Public Sector and to provide a framework Victorian Industry Participation Policy Disclosures for the investigation of these matters. A copy of the Act and West Gippsland Healthcare Group did not award contracts a summary of its provisions is available for inspection at the to Victorian Industry Participation Policy for the year 2011/12. office of the Chief Executive Officer. Disclosures made under this policy will be investigated swiftly, professionally and discretely. No disclosures under the Act were received Overseas Travel during 2011/12. There was no overseas travel taken during the year 2011/2012. Disclosures may be made to: Chief Executive Officer West Gippsland Healthcare Group Competitive Neutrality 41 Landsborough Street, Warragul 3820 It is Government policy that the costing policies of publicly Telephone: 03 5623 0631 Facsimile: 03 5623 0896 funded organisations should reflect any competitive advantage email: [email protected] available to the private sector. During 2011/12 all competitive or neutrality requirements were met. President Board of Directors West Gippsland Healthcare Group Consultants 41 Landsborough Street, Warragul 3820 There were four consultants over $10,000. Consultants Telephone: 03 5623 0631 Facsimile: 03 5623 0896 engaged under $10,000 totalled 14. Consultancies are email: [email protected] listed on page 2 of this report.