Annual Report 2015-16 Improving the lives of patients and their families Our story Our purpose To improve the lives of our patients and their families, Across our diverse organisation, our communities and humanity. we value and respect life from beginning to end. Our beliefs We provide treatment, care and compassion to the people of Patients are the reason we are here – they are the focus Melbourne and Victoria. Our research and education programs of what we do. advance the science of medicine and health and contribute to innovations in treatment and care. Through partnerships we How we do things is as important as what we do. build our knowledge and share it with the world. Respect, support and compassion go hand in hand with knowledge, skills and wisdom. Safety and care of patients and staff are fundamental. Contents Excellence is the measure we work towards every day. Through research and education we set new standards for tomorrow. About Alfred Health 1 We work together. We all play vital roles in a team that achieves The year in review 3 extraordinary results. Our employees 6 We share ideas and demonstrate behaviours that inspire others to follow. Our patients 10 Delivering quality care 13 Performance 19 About this report Research through partnership 26 This annual report outlines the operational and financial performance for Alfred Health from 1 July 2015 to 30 June 2016. Projects and infrastructure 29 Alfred Health is a major health service provider, with three hospital campuses – The Alfred, Caulfield Hospital and Community and environment 31 Sandringham Hospital – as well as several clinics and a Governance 35 range of community-based services. Disclosure index 44 There were two relevant Ministers for the period. The Minister for Health was the Hon. Jill Hennessy MP and the Minister for Financial Statements 48 Mental Health, Minister for Housing, Disability and Ageing, the Hon. Martin Foley MP. Notes to the Financial Statements 53 Alfred Health is a metropolitan health service established under section 181 of the Health Services Act 1988 (Vic) in June 2000. Established as Bayside Health, the name was changed to Alfred Health from 10 September 2008, by order of the Governor in Council. This report is available on line at: www.alfredhealth.org.au/about/about-alfred-health/ alfred-health-publications Alfred Health 1 About Alfred Health Highlights We are a leading major metropolitan health service, caring for our local community 108,520 episodes of inpatient care in southern and Bayside Emergency Department 94,983 presentations (admitted and Melbourne as well as for the non-admitted) broader Victorian community 11,351 elective surgeries performed through our many statewide of elective waitlist patients treated services. 98% within clinically recomended times lung and heart transplants gave 94 & 31 many a second chance of life Our focus is also on improving the lives of our patients through excellent healthcare whether in hospital, through rehabilitation, at home or in the community. We work with our patients to 8,570 employees improve their independence and wellbeing at all stages of life. 510 volunteers Our role is to discover and deliver the next generation of healthcare through: 1. Research – translating medical research into clinical practice. This way we can offer our patients the very best and latest care to achieve the greatest possible health outcomes. 2. Education – we continue to develop and foster our staff as a teaching hospital committed to excellence. Patients are placed at the centre of all that we do to give them the best possible healthcare experience. 3. Replication – by striving for new and improved practices, Alfred Health remains at the forefront of healthcare developments and medical research. Other hospitals in Australia and overseas have followed our lead and adopted our innovative approach. Our Emergency Department staff work hard to treat the increasing number of patients presenting each year. 2 Annual Report 2015-2016 About Alfred Health (continued) Three hospital campuses The Alfred, a major tertiary referral hospital, Caulfield Hospital specialises in community Sandringham Hospital is community is best known as one of Australia’s busiest services, rehabilitation, aged care and focused, providing hospital healthcare emergency and trauma centres and home aged mental health. The hospital delivers needs for the local area through to many statewide services including the many services through outpatient and emergency, paediatrics, general medicine Victorian Adult Burns Service, Victorian community-based programs and plays a and outpatient services. The hospital Melanoma Service and heart and lung statewide role in providing rehabilitation works closely with local community transplant service. services, which includes the new Acquired healthcare providers. Brain Injury Rehabilitation Centre. Community services and clinics Melbourne Sexual Health Centre has Community clinics: In line with the (Geriatric Evaluation and Management) dedicated clinics for men and women, expectations of our patients for treatment at Home, Hospital in The Home, onsite testing for sexually transmitted in their communities or at home, we have community rehabilitation programs and infections and provides counselling, developed numerous clinics to deliver psychiatric help for all ages. advice and health information. this care, including new service GEM Alfred Health’s Primary and Secondary catchments Alfred Health National Service • Paediatric Lung Transplant Service Secondary Catchment (297,000+) Alfred Health Statewide Services Primary Catchment The Alfred (380,000+) 1. Bariatric Service Caulfield 2. Clinical Haematology and Haemophilia Hospital Services Sandringham Hospital 3. Cystic Fibrosis Service 4. Heart and Lung Transplant Service 5. Hyperbaric Medicine Service 13 Statewide Services 6. Major Trauma Service 7. Malignant Haematology and Stem Cell Transplantation Service 8. Psychiatric Intensive Care Service 9. Sexual Health Service 10. Specialist Rehabilitation Service 11. Victorian Adult Burns Service Source: Adapted from an Australian Bureau of Statistics map 12. Victorian HIV/AIDS Service 13. Victorian Melanoma Service Clinical services We provide the most comprehensive range of specialist medical and surgical services in Victoria. We offer almost every form of medical treatment across our multiple sites and three hospital campuses. Clinical services include: • Aged Care (Geriatric Evaluation and • Gastrointestinal (Gastroenterology, • Rehabilitation (Acquired Brain Injury Management) Gastrointestinal Surgery) Rehabilitation Centre, Amputee, Cardiac, • Allied Health • General Medicine Spinal, Neurological, Orthopaedic) • Cancer care (Bone Marrow Transplantation, • General Surgery • Renal Services (Nephrology, Urology, Haemodialysis, Renal Transplantation) Radiotherapy, Oncology, Cancer Surgery, • Neurosciences (Neurology, Neurosurgery) Palliative Care) • Special Care Nursery • Orthopaedics • Cardiothoracic Services (Heart and Lung • Specialist Medicine (Clinical Immunology, Transplantation, Cardiology, Cardiac Surgery, • Pathology (Anatomical, Clinical Biochemistry, Clinical Pharmacology, Dermatology, Cardiac Rehabilitation, Respiratory Medicine, Laboratory Haematology, Microbiology) Endocrinology/Diabetes, Hyperbaric, Thoracic Surgery, Adult Cystic Fibrosis) • Pharmacy Infectious Diseases, Rheumatology) • Emergency Medicine, Intensive Care, • Psychiatry (Adult, Child, Adolescent, • Specialist Surgery (Dental Surgery, Burns and Adult Major Trauma Youth, Aged) Faciomaxillary Surgery, Plastic Surgery, • Eye and Ear, Nose and Throat • Radiology Vascular Surgery) (Head and Neck Surgery) Alfred Health 3 Chairperson and Chief Executive’s Year in Review Meeting standards and expectations We continued to care for As one of Victoria’s leading public healthcare services, it is imperative our care meets and, where possible, exceeds the more Victorians than ever expectations of our patient community. before, while we focused Patient feedback about their care remained at high levels. on staff wellbeing, system The Alfred Health Patient Experience Survey showed that 94 per cent of patients rated the quality of their overall care as ‘good’, ‘very good’ transformation and setting or ‘exceptional’. Importantly, 96 per cent felt they were always the bar for the future. or almost always treated with respect and dignity. Accreditation: National accreditation is another significant measure for hospital performance, rigorously assessing day-to-day healthcare alongside ten exacting standards. In May, Alfred Health was again fully accredited by the Australian Council on Healthcare Standards, Caring for Victorians receiving 51 ‘Met with Merits’ from the independent surveyors. This positive result gives us the confidence and reassurance to Through a shared commitment to improving the health and wellbeing know we are consistently providing our community with quality care. of our community, the Alfred Health team provided quality care to more people than ever before in 2015-16. We delivered a strong Health Service of the Year: It was a proud moment when performance on all measures, balancing quality care with increased Alfred Health was awarded the 2015 Premier’s Health Service demand for our services, all within a sound financial framework. of the Year award (Large Health Service) at the Victorian Public Healthcare Awards in November. In 2015-16: • we provided 108,520 episodes of inpatient care. This prestigious award highlighted the