Melbourne Health Annual Report 2007/08 1BTTJPOGPS $BSJOH"DIJFWJOH UIF&YUSBPSEJOBSZ PROFILE Prof Graham Brown There was none more deserving of the 2007 Melbourne Health Chairman’s Award than Prof Graham Brown. Prof Brown, an acclaimed infectious diseases physician, researcher and teacher, is passionate about public health and is highly regarded by colleagues for his outstanding leadership, intellect and ethical standards. Prof Brown this year took up the role of Foundation Director of the Nossal Institute for Global Health and Foundation Chair in Global Health at the University of Melbourne. Prof Brown’s association with Melbourne Health began as a medical student at RMH, then as a resident, medical registrar, consultant and ultimately, as the James Stewart Professor of Medicine. In 1996, he established the hospital’s renowned Victorian Infectious Diseases Service, taking responsibility for the many services transferred from the former Fairfi eld Infectious Diseases Hospital. “It was almost by chance that I ended up in Medical School, and incredible good fortune to be trained in the environment of RMH that valued academic- based medicine with strong links to Melbourne University. The mentorship, the collegiality, the pursuit of excellence, the challenging students, the superb nursing and allied health staff, and above all, the concern and care for every patient, set very high standards and a benchmark for my career in medicine.” CONTENT 43 Financial Statements 44 Operating Statement 45 Balance Sheet Contents 46 Cash Flow Statement 2 Chairman’s Report 47 Statement of Changes in Equity 3 Chief Executive’s Report 48 Notes to the Financial Statements 4 Melbourne Health at a Glance 86 Independent Audit Report 8 The Royal Melbourne Hospital 14 NorthWestern Mental Health 18 North West Dialysis Service 21 Victorian Infectious Diseases Reference Laboratory 22 Facilities Management 24 Staff Development 28 Research 31 Community Support 32 Corporate Governance 37 Appendices - General Information - Donors - Senior Staff - Organisational Structure - Disclosure Index The Melbourne Health Annual Report 2007/08 is also available at www.mh.org.au Melbourne Health Annual Report 1 Chairman’s Report In accordance with the Financial In August 2008, the Commonwealth These are not just wall posters but Management Act 1994, I am pleased to Government announced $7.3 million the way we work together throughout present the Report of Operations for funding to enhance our perioperative Melbourne Health. Melbourne Health for the year ending services, which will further improve 30 June 2008. patient access. I would also like to acknowledge our Chief Executive, Ms Linda Sorrell, who was I have just completed my first year as Construction of new facilities for the WHO the winner of the 2007 Telstra Victorian Chairman of Melbourne Health and I Collaborating Centre for Reference and Business Woman of the Year and the am delighted to report that 2007/08 has Research on Influenza – one of only four National and Victorian winner of the IBM been a year of significant improvement in the world – is nearly complete and is Community and Government category. in patient access, clinical and corporate expected to open in late December 2008. This is an outstanding achievement and a governance, organisational culture and testament to Linda’s professional standing In June 2008, we welcomed to the financial performance. On a personal note, and stature in the business community. I am tremendously proud to be associated Precinct the Royal Women’s Hospital, with an organisation such as Melbourne an iconic institution with a proud history. During the past year two major Health. The strength of our organisation We look forward to working closely with hospital wide projects were undertaken. is our people who bring care, skill and the Women’s Board to explore areas of The Australian Council on Healthcare dedication to our crucial community mutual benefit without compromising Standards (ACHS) Accreditation involved service. the independence of either organisation. every aspect of the hospital operation A combined Breast Service has been and required enormous effort from staff. During 2008, The Royal Melbourne operating successfully for some time; This work resulted in the organisation Hospital has celebrated its 160th year now the hospitals’ libraries have joined achieving four-year accreditation status of operation which makes it one of the as one unit, and the chaplaincy and receiving outstanding achievement most venerable and iconic Melbourne and pastoral care services are sharing ratings in Research and Contracts. institutions. Opening on 15 March 1848, a new sacred space. We are further Secondly the Nexus Disaster exercise, the hospital treated four outpatients connected to the Women’s by the new a statewide emergency and security and two inpatients on its first day. This shared retail precinct which has created a management exercise, affected a wide financial year, we treated nearly 300,000 lively ground floor link. The finishing touch cross section of the staff. Both of these outpatients and more than 100,000 will be the new front entrance for RMH projrcts demonstrated that teamwork inpatients, doing so as one of the state’s and the unveiling of the RMH Tapestry, and professionalism at Melbourne outstanding teaching, research and Healing Threads, in late 2008. Health is second to none. clinical hospitals. The $56 million RMH Emergency Finally I would like to thank retired Board This has been a busy and productive year Department redevelopment is member Dr Patricia Molloy for her valued of building and planning for our future. continuing and is due to open at the contribution over the past three years, end of 2009, to meet the expanding and welcome new Board member The Royal Melbourne Hospital (RMH) demand for emergency and trauma Mr Michael Gorton to Melbourne Health. Service Plan has been completed, services. This is a huge project, which as the first stage in planning a major has included substantial preparatory I would also like to acknowledge the redevelopment of the hospital. Detailed works and the creation of a temporary tireless and cooperative work of the planning has also started on the emergency facility which will open in Board and Executive over what has Melbourne Comprehensive Cancer Centre, early September 2008, allowing vital been a busy and challenging year but in conjunction with the State Government services to continue during the next a most successful year of achievement (which has provided $5 million funding construction phase. for Melbourne Health. for this stage), Peter MacCallum Cancer Centre and the Ludwig Institute for Cancer These capital projects have seen Research. Partnerships within the Parkville unprecedented construction activity Precinct continue to strengthen across in and around RMH (including the clinical, education and research initiatives. brick rectification works which are now complete). I wish to thank our patients, As part of its long-term vision for the Robert Doyle staff and visitors for their patience during Precinct, the Board has given in principle Chairman periods of disruption. endorsement of the Peter Doherty Melbourne Health Institute for Infection and Immunity During this year we have also had 18 August 2008 (PDI3). The PDI3 will integrate teaching, industrial action and while this is always training, research and public health difficult for all parties, one of the major activities in human infectious diseases at positive results was that staff worked The University of Melbourne and RMH, together in trying circumstances and offers opportunities in the areas of according to our Values – Caring, infectious diseases and immunity. Unity, Respect, Integrity and Discovery. 2 Melbourne Health Annual Report Chief Executive’s Report It has been an exciting and dynamic In particular, clinical divisions’ innovation Finally, I would also like to acknowledge year at Melbourne Health. The and quality of care; the culture of quality the contribution of Assoc Prof Christine implementation of a comprehensive improvement; care planning and pathway Kilpatrick, Executive Director – The Royal improvement program has been development; staff fire training compliance Melbourne Hospital, a highly respected underpinned by strong clinical at 95 per cent; commitment to nursing clinician and administrator at RMH for 25 governance, improved financial postgraduate education; commitment to years. Chris was appointed Chief Executive management, increased patient access clinical research; and contract management Officer of the Royal Children’s Hospital and service delivery, robust consumer (the latter two received Outstanding in August 2008, and we wish her every participation, and open and Achievement ratings). success in her new role. inclusive communication. During the year, Melbourne Health Patient access has been significantly completed two major projects as part improved through an organisation- of the Victorian Government’s multi- wide Access Improvement Plan, with million dollar HealthSMART initiative to 19 improvement teams producing upgrade technology across all public excellent results, for example: hospitals. The FMIS Oracle system for Linda Sorrell purchase orders and expense claims Chief Executive > overall elective surgery waiting lists came online in July 2007, replacing the Melbourne Health reduced by 21 per cent paper system and providing staff with 18 August 2008 > no patients waiting more than a faster, easier and more accurate system.