Helping everyone to be and stay healthy Annual and Quality of Care Report 2012 Echuca Regional Health Purpose ‘Helping everyone to be and stay healthy’ Guiding Principles Respect and Honesty Treat people with dignity and be truthful Inclusion Include everyone Empathy and Compassion Understand other people’s needs and feelings Excellence and Best Practice Aim high Access and Equity Open to everyone – same for all Commitment and Accountability Work hard, be loyal and responsible for own actions Incorporation The Governor-in-Council issued an order on 26 October 1993 declaring Echuca Regional Health to be a public hospital. The order took effect on 1 November 1993 and Schedule 1 of the Health Services Act 1988 was amended accordingly. The health service is established under the Health Services Act 1988. The responsible Minister during the reporting period was the Honourable David Davis MP. 1 www.erh.org.au Contents Page Our Community .....................................................................................................3 Reporting against our Strategic Priorities ...............................................................4 Our Profile .............................................................................................................7 History ...................................................................................................................8 Year in Review .......................................................................................................9 Performance Measures ........................................................................................11 Review of Operations – Acute Hospital, Residential Aged Care Services and Primary Care Services .................................15 Improving the Quality of Services and Patient Safety ............................................28 Communicating with our Community ...................................................................46 Support from our Community ...............................................................................49 Board of Management ..........................................................................................50 Board Committees ...............................................................................................51 Organisation Chart ...............................................................................................52 Staff .....................................................................................................................53 Statutory Reporting .............................................................................................56 Disclosure Index ..................................................................................................57 Index ...................................................................................................................59 annual and quality of care report 2 Artist’s Impression of the new and expanded Echuca hospital Our Community Echuca Regional Health is located approximately 180 kilometres directly north of Melbourne in the Shire of Campaspe (Victoria), adjacent to the community of Moama (Murray Shire, New South Wales). Echuca-Moama is surrounded by the majestic Murray River, which provides for an area prosperous with agriculture, tourism, industry, development and new residents. The Shire of Campaspe is home to 35,398 people and is a predominantly rural area, covering 4,517 square kilometres. Located on the New South Wales/Victorian border, Moama is the Murray Shire’s main township. The combined catchment areas for the Shire of Campaspe and Murray Shire serve an estimated 44,269 people. The health service has an operating budget of $46 million and a staff base of 528, representing 379 equivalent full time staff. Our Future Reporting Against Strategic Priorities Echuca Regional’s Health Strategic Plan 2012 – 2014 lays the pathway for the future direction of the health service. Listed over page are the five strategic priorities, together with the milestones achieved during the last year. 3 www.erh.org.au Our Future Reporting Against Strategic Priorities Strategic Priority 1 Develop services to meet community need Strategies Actions Milestones 2012 1.1 Enhance range and 1.1.1 Implement recommendations of Priority one (1) specialist appointments specified sustainability of services Clinical Services Planning Framework and recruitment strategies implemented available at Echuca (Dr H Wellington August 2011) Regional Health 1.1.2 In collaboration with GPs and Service delivery framework developed and midwives, develop and implement a implemented MoU signed with sub-regional sub-regional obstetric service partners including Deniliquin 1.1.3 Determine feasibility of providing Feasibility of providing psycho geriatric aged specialist mental health residential aged care determined care services (psycho-geriatric) 1.1.4 Continue to expand and enhance Complete detailed prioritised service plan increased specialist Primary Care services Implement Specialist Continence Clinic Implement a Paediatric Clinic Strategic Priority 2 Develop a sustainable and fulfilled workforce Strategies Actions Milestones 2012 2.1 Plan and manage for 2.1.1 Develop workforce plans for all Workforce plans finalised for medical and allied sustainability divisions and departments that includes Health as required for expanded hospital recognition of the service needs of Echuca Regional Health 2.1.2 Prepare a comprehensive plan, Appoint a project worker to develop detailed incorporating a clinical workforce plan, for implementation plan for sub acute services. the design and delivery of a substantially expanded sub-acute service to be commissioned in June 2014 2.2 Develop the workforce 2.2.1 Enhance customer service training, Identify customer service training programme to its optimal capacity including cultural awareness training for all including formalising a staff recognition new and existing staff, board members and programme clinicians 2.2.2 Continue to build and increase Indigenous ‘virtual’ unit established comprising Indigenous workforce at least four (4) Indigenous positions 2.3 Increase clinical 2.3.1 Increase opportunities for secondary Student placement numbers and accepting placement opportunities for school students to experience placement at departments confirmed as base students Echuca Regional Health 2.3.2 Offer quality placements to under- Formalise agreements for student placements graduate and post-graduate students with partnering institutions across disciplines and settings utilising Echuca Regional Health Education Centre annual and quality of care report 4 Strategic Priority 3 Develop appropriate infrastructure to support the delivery of quality services Strategies Actions Milestones 2012 3.1 Optimise opportunities 3.1.1 Redevelopment of Echuca hospital Early Works - Completed offered by the occurs consistent with the approved redevelopment programme and budget Main Works - Construction - Commenced 3.1.2 Optimise information and Implement robust data storage and back-up communications technology as a system (SAN) component of the redevelopment Implement guest LAN making internet access available to students, private patients and contractors 3.1.3 Develop a strategy to optimise Develop social media policy use of information and communication technology applications Implement hospital redevelopment website Communicate with our community via Facebook and Twitter 3.1.4 Seek funding opportunities to Prioritise areas for redevelopment including cost implement remaining sections of master estimate plan not included in the new Echuca Hospital redevelopment 3.1.5 Develop a ‘best practice’ fleet 10% of the fleet sponsored management strategy Implement automated car booking system 3.1.6 Seek opportunities to purchase Prioritise areas of land for purchase and additional land bordering ERH to ‘future estimated cost proof’ service delivery at Echuca Regional Health Marking the site of our new hospital 5 www.erh.org.au Strategic Priority 4 Develop collaborative partnerships to enhance service delivery and development Strategies Actions Milestones 2012 4.1 Formalised 4.1.1 Negotiate Memorandum of MoU signed with: Memorandum of Understanding (MoU) with key service • Bendigo Health Understanding delivering partners • Austin Health • Njernda 4.2 Increase provision of 4.2.1 Consult with neighbouring health Ensure sustainability of ‘Central Loddon Mallee support to the sub-region services to determine needs and Medical Workforce Group’ to ensure continuation in accordance with Health aspirations for sub-regional partnerships of sub-regional partnerships Service needs and Echuca Regional Health capability 4.3 Develop Echuca 4.3.1 Develop a formal research Appoint a RHAN coordinator at ERH Regional Health’s academic program at ERH and research base Research policy in place Formal links with an NHMRC committee are established Establish governance structure for research 4.4 Partner with GPs to 4.4.1 Develop and implement, in Develop framework for ERH to be a GP training establish Echuca as a best partnership with GPs, a comprehensive site practice example of GP strategy for GP participation, education training and GP led care and training Strategic Priority 5 Enhance governance, management and innovation Strategies Actions Milestones 2012 5.1 Demonstrate best 5.1.1 Develop and implement an A documented framework is in place which practice governance Echuca Regional Health quality and risk clearly articulates the components