lia ha t l a a t N i p s o H District Providing Quality Care Annual Report 2016/17 Nathalia District Hospital ANNUAL REPORT 2016/17 Mission Values Working collaboratively to provide quality health and Integrity well-being services for our community. We engage others in a respectful, fair and ethical manner, fulfilling our commitments as professionals. We ensure the highest degree of dignity, equity, honesty and kindness. Vision Accountability Leading our community towards better health. We ensure quality patient care and use resources appropriately in an open and transparent manner. Collaboration We work as a team in partnership with our staff, our community and other healthcare providers. Knowledge We create opportunities for education and health promotion. Excellence We are committed to achieving our goals and improving quality of care by delivering efficient, safe, person-centred, innovative, knowledge-based healthcare. 2 N ATHALIA D ISTRICT H OSPITAL - A nn UAL R EPORT 2 0 1 6 / 1 7 INTRODUCTION In accordance with the Financial Management Act 1994, I Contents am pleased to present the Report of Operations for the Nathalia District Hospital for the year ended 30 June 2017. About Nathalia District Hospital 4 Board Chair Report 6 Sue Logie Director of Medical Services Report 7 Board Chair 4 September 2017 Board & Board Committees 8 Board of Management 11 Leadership Team 12 ANNUAL REPORTING Workforce 14 Nathalia District Hospital reports on its annual performance in one document. This Annual Financial and Performance Organisational Structure 15 Report fulfils the statutory reporting requirements to Government by way of an Annual Report and the Victorian Statutory Requirements 16 Quality Account reports on quality, risk management and performance improvement matters. Both documents are Initiatives and Key Achievements 10 presented to the Annual General Meeting and then distributed to the community. Part A - Statement of Priorities 22 Nathalia District Hospital was established under the Health Part B - Performance Priorities Service Act 1988. Financial Performance 26 Part C - Activity & Funding 28 Disclosure Index 32 RELEVANT MINISTER Financial Report 33 The responsible Ministers during the reporting period were: Victorian Quality Report 105 The Honourable Jill Hennessy MP, Minister for Health, Minister for Ambulance, 1 July 2016 to 30 June 2017. The Honourable Martin Foley MP, Minister for Housing, Disability and Ageing, Minister for Mental Health, 1 July 2016 to 30 June 2017. N ATHALIA D ISTRICT H OSPITAL - A nn UAL R EPORT 2 0 1 6 / 1 7 3 About Nathalia Hospital athalia District Hospital is a Small Rural Health History Service located in the north of the State. It services the residents of Nathalia and district, which In response to an advertisement placed in the Nathalia N Herald on 14 December 1888, on 21 December 1888 encompasses the small townships and districts of Waaia, Barmah, Picola, Kotupna, Bearii and Yalca. about thirty gentlemen gathered to consider the advisableness or otherwise of erecting a hospital in Nathalia District Hospital is governed by a Board of Nathalia. The opinion of this meeting was that ‘the time Management, appointed by the Governor in Council upon has now arrived, when a hospital should be erected in recommendation of the Victorian Minister for Health, the Nathalia’. The meeting did not decide to build a hospital, Hon. Jill Hennessey. Under the Health Services Act 1988, the but only affirmed that it was a necessity, and that if the hospital has flexibility to tailor services to meet the changing promised support warranted, a further meeting would needs of our community. be called. Whilst it would be many years before a public Our Annual Report is best read in conjunction with the hospital would be established in Nathalia, during the early Quality of Care Report. These two documents detail our 1900’s a hospital service was represented by a succession achievements across the clinical, community and operational of midwives who delivered babies in the home and several departments of our health service. lying-in homes and private hospitals. The purpose, function, power and duties of Nathalia District In 1892-93 Dr F. Keyes built a private residence known as Hospital are described in the operation practices and ‘Mayo’ on the corner of Elizabeth and North Streets in by-laws of the organisation. Established under the Health Nathalia. In 1939 the then current owner of the house Dr Services Act 1988, Nathalia District Hospital is the major N. Harbison closed the six bed private hospital he ran at 42 health provider for Nathalia. Fraser Street and converted ‘Mayo’ into a private hospital. In 1951 the Hospital & Charities Commission and the Acknowledgement to Country Hospital Committee of Management purchased ‘Mayo’. The Hospital became known as Nathalia District Hospital We acknowledge the traditional owners of this land and and was officially opened by the Hon. E. P. Cameron MLC pay our respects to their Elders past and present. We Minister of Health in December 1955. acknowledge their living culture and the unique role they play in the life of our region. Today Nathalia District Hospital plays a key role in the provision of health care to Nathalia and district communities operating from a purpose built facility it relocated to in November 2009. 4 N ATHALIA D ISTRICT H OSPITAL - A nn UAL R EPORT 2 0 1 6 / 1 7 Our Services • Urgent Care Centre provides urgent medical care on a 24 hour basis, seven days a week. • Acute Care Unit of six beds offers general inpatient medical and palliative care. • A twenty bed residential aged care home offering high level nursing care. • Nathalia Medical Clinic. • In addition, various community and primary care services are offered either by the health service or through private providers. These including Radiology, Pathology Collection, Physiotherapy, Podiatry, Diabetes Education, Occupational Therapy, Women’s Health Clinic, Dietetics and Generalist Counselling. N ATHALIA D ISTRICT H OSPITAL - A nn UAL R EPORT 2 0 1 6 / 1 7 5 Board Chair Report t has been a very busy year for the board of management Thanks must go to our Director of Nursing Leigh Giffard, and staff. The introduction of the Department of Health the doctors, hospital and medical centre staff and the Iand Human Services Safer Care Victoria program has volunteers who strive to provide a caring and quality service. seen the Board review its clinical governance systems to The hospital nominated Dr Peter Poon for the Moira Shire eliminate avoidable harm and strengthen the quality of care Australia Day Awards and he was awarded the Nathalia delivered to our community. Citizen of the Year. Our congratulations to Dr Poon. The hospital was successful in obtaining funding to Congratulations also to Dr Drenen who reached a milestone upgrade our nursing home to extend the dining living area by achieving twenty-five years of service to the hospital. and allow more personal space for residents. Thank you to our partner organisation Goulburn Valley Changes to Home and Community Care Services, which Health for their support and expertise: to Trevor include the District Nursing Service and Planned Activities Saunders CEO, Donna Sherringham Executive Director Group, has moved under the control of the Federal Clinical Services, Sam Costanzo Executive Director Government and staff have worked to make the transition of Finance & Business Services and Kate Osmond seamless for the consumer. Governance Officer. The Peter Prentice flats were sold and some of the We welcome our new Board members Peter Limbrick profit was used to install solar panels on the roof of and Maxene Hughes who bring financial and clinical the hospital. This will help to reduce energy costs and governance expertise to the Board. Finally, I would like is a long term investment to making our service more to acknowledge the hard work and commitment of our financially and environmentally sustainable. The balance Board members who strive to make our health service has been invested, to be used for community programs the best it can be. and services. Susan Logie, Our partnership with Barwo Homestead has delivered Board Chair several information sessions which include Advanced Care Planning, Powers of Attorney and Wills and Fees and Charges in Residential Aged Care. The joint committee continues to work together in consultation with the community to deliver sessions which meet their needs. Our Community Advisory Committee has been very active with the refurbishment of the Palliative Care Suite, which was official opened in October 2016 and was well attended by the community. The upgrade was made possible by funds donated by the New Year’s Eve Carnival Committee. Hospital signage has been reviewed and changes made; this has received very positive feedback from consumers. Thank you to the committee for their time and commitment; it is much appreciated by the Board and hospital management. 6 N ATHALIA D ISTRICT H OSPITAL - A nn UAL R EPORT 2 0 1 6 / 1 7 Director Medical Services Report athalia’s dedicated GPs provide high calibre family The DMS role in small rural hospitals is one of liaison GP level medical services to patients at Nathalia with health service clinicians as well as the provision of NDistrict Hospital (NDH), its nursing home as well senior medical administrative advice to staff on clinical as at the Nathalia Medical Centre (NMC). governance, medical services, clinical quality and medico- legal matters. As NDH’s visiting Director of Medical This year has seen the retirement of a highly esteemed Services (DMS), my role includes monthly visits to NDH, senior GP, Dr Peter Poon as well as the commencement of during which I meet with NMC doctors, executive staff practice in Nathalia of Dr Hamed Shafaie ably supported and attend Board and NDH related clinical governance by Drs John Drennan and Mogeke Nyorora.