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Peninsula HealthAnnual Report 2007
Winner - 2007 Premier’s AWArd for most outstAnding metroPolitAn HeAltH service
objective of this report
This Report is produced to inform Peninsula Health’s communities, staff, partners and government of its performance for the financial year 1 July 2006 – 30 June 2007.
Peninsula Health’s vision is to provide coordinated health care and this leads to an integration of programs and patient services across a number of sites. Progress and achievements of some services are presented to demonstrate this integration.
The Annual Report should also be read in conjunction with the Quality of Care Report, which details Peninsula Health’s progress and achievements in many clinical areas and the Peninsula Health Research Report which details research undertaken by clinicians and other health professionals.
It is prepared in accordance with Victorian Government guidelines, the directions of the Minister for Finance and in line with Australasian Reporting Awards Incorporated Guidelines.
Peninsula Health is committed to benchmarking its performance against best practice.
The 2007 Annual Report will be presented to the public at Peninsula Health’s Annual General Meeting on 19 October 2007.
our vision• To be recognised as a leader in promoting and providing quality,
innovative, coordinated and personalised health services• To be recognised as an employer of choice
We believe that our Vision will be achieved by:
• Promoting health, treating illness and providing long term care• Working in partnership to coordinate health care• Managing and meeting consumer expectations• Providing teaching, training and education• Managing resources efficiently and effectively
our values
Service, Integrity, Compassion, Respect, Excellence, Professionalism
In Partnership, Building a Healthy Community.
Our Mission
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2007�Contents
2 ChairpersonandChiefExecutive’sReport
4 PeninsulaHealthProfile
5 PeninsulaHealthOverview
6 2006/07PerformanceataGlance
10 KeyPerformanceIndicators
12 BoardofDirectors
16 ExecutiveStaff
18 OrganisationalStructure
19 FrankstonHospitalExpansion
20 TheMorningtonCentre,PromotingHealthIndependence
22 MeetingDemand
32 BuildingPartnerships
38 EnhancingQuality
43 EnhancingQuality–Research
44 CaringforandSupportingOurWorkforce
47 ManagingOurResources
48 ManagingOurResources–Environment
50 ManagingRisk
52 VolunteersandAuxiliaries
53 ServiceProfile
53 Frankston Community Health Service
53 Frankston Hospital
54 Rosebud Hospital
54 Peninsula Health Psychiatric Services
55 Community & Continuing Care Services
56 SeniorStaff
60 DisclosureIndex
61 Index
BackCover MapandContacts
Front cover: Joyce Sweeting participated in Peninsula Health’s Agestrong program during the year. Agestrong is a strengthening and balance group program designed for older people. Joyce is pictured doing light weight exercises, with trainers Rebecca Rohloff and Lesley Rieveley.
Photography in the 2006/07 Annual Report features some of Peninsula Health’s award winners and highlights the Health Service’s key achievements.
In addition to this Annual Report, information on Peninsula Health and its activities can be found in the 2007 Quality of Care Report and the 2007 Research Report, which are published separately. The Annual Report, Financial Statements, Quality of Care Report and Research Report are available on Peninsula Health’s website – www.peninsulahealth.org.au
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2007 � Chairperson and Chief
Executive’s Report
PeninsulaHealthcontinuestomeetthedemandsofthegrowingpopulationinFrankstonandtheMorningtonPeninsula.Duringtheyearunderreview,PeninsulaHealthprovidedcareandserviceon365,000occasionstopeoplelivingwithinitscommunity.
Thegrowingdemandforserviceswasmetthroughdeliveringawiderangeofhighquality,effectiveandefficientprograms.
StaffacrosstheHealthServicedevelopedinnovativeprogramstomeetincreasingdemandandanumberofinitiativesresultedinimprovedpatientoutcomes.
InSeptember2007,PeninsulaHealthreceivedboththePremier’sAwardasOutstandingMetropolitanHealthServiceoftheYearandtheQualityofCareReportingAwardattheVictorianPublicHealthcareAwardspresentation.Theannouncementcameafterthisreporthadbeenfinalisedandfulldetailswillappearinthe2007/08AnnualReport.
Otherhighlightsoftheyearinclude:
The Mornington Centre, Promoting Health Independence
Stage1AofTheMorningtonCentrewascompletedandsuccessfullyopenedinSeptember2007.
The$21.8milliondevelopmentcomprises60geriatricevaluationandmanagementbedsandprovidestreatmentandcareforelderlypatients.
TheMorningtonCentrereplacesfacilitiesthatformerlyoperatedattheMountElizaCentre.
Frankston Hospital Stage 2A Redevelopment
InMay2007,theStateGovernmentannounced$45millioninfundingfortheStage2AredevelopmentofFrankstonHospital.
TheexpansiontoFrankstonHospitalwillprovidetwonewsurgicaltheatresandrefurbishmentofthefourexistingtheatres.Itwillprovideanewcentralised33-bedand7-chairrecoverysuite,andnewareasforEndoscopy,DaySurgerytheatresandCardiacAngiography.TheCentralSterileSupplyDepartmentwillalsoberefurbishedandexpanded.
TheprojectwillalsoredevelopandexpandthePharmacyDepartment.TheHealthInformationServicesDepartmentwillberelocatedtoanewarea.
ThenewoperatingtheatreswillbereadyforuseinNovember2009andwhenthetotalexpansioniscompletedin2010,PeninsulaHealthwillhavesurgicalandcriticalcarefacilitiesthatcomparewiththebestinVictoria.
ItwasabusyyearforcapitalworksprojectsacrosstheHealthService.
The$3.4mredevelopmenttotheFrankstonHospitalRadiologyDepartmentwascompletedinSeptember2006.
TheRosebudHospitalRenalDialysisandtheChemotherapyUnitswereredevelopedtomeetgrowingdemandontheMorningtonPeninsula.
FrankstonHospitalandRosebudHospitalEmergencyDepartmentswererefurbishedtoimprove
patientflowandprovidechildfriendlyareas.
Peninsula Health Maternity Services
PeninsulaHealth’sMaternityServiceswererestructuredduringtheyeartoenhancethecareandchoicesavailabletowomenontheMorningtonPeninsula.
TheHillviewBirthingUnitwassuccessfullyrelocatedfromRosebudHospitaltoFrankstonHospitalinApril2007.ThedecisiontorelocatetheunitwastheonlywaytopreservetheRosebudHospitalmidwifeledmodelofcare.
Inaddition,anexpansiontoFrankstonHospital’smaternityfacilitiesisplannedfor2008.Thiswillresultinadditionalmaternityandbirthingfacilities.
Community Participation
TheHealthServiceworkscloselywithcommunitygroupsandotherserviceproviderstoimprovetheintegrationanddeliveryofservices.
TherearetwoCommunityAdvisoryCommittees,aKooriAdvisoryGroup,aCALDAdvisoryGroupandaSHARPSAdvisoryGroup.PeninsulaHealthisindebtedtothemembersofthesecommitteesfortheirsupportoftheHealthService.
Staff Achievements
Throughouttheyear,staffandmanagementateverysitedevelopedprograms,systemsandprocessesthatprovidedcomprehensiveandexpandedserviceswithinallocatedresources.TheexcellenceofmanyprogramswasrecognisedintheVictorian
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PublicHealthcareAwards.Thesearehighlightedthroughoutthisreport.
Research Highlights
Research,anditsoutcomes,playsavitalroleintheprovisionofoptimumhealthcareandenablesPeninsulaHealthtoextenditscommunityofcarebeyondtheMorningtonPeninsula.
TheroleofresearchwasfurtherdevelopedacrosstheHealthServicewiththeestablishmentofthePeninsulaHealthResearchProgram.TheResearchProgramdrawstogetheranumberofresearchfunctionsthatwerepreviouslyadministeredseparately.
Financial Overview
Theyear-endfinancialresultisapositiveresult.Ourfinancialperformancewasstrong,withasmallsurplus(recordedbeforecapitalanddepreciation)of$1.977m,whichwillbeusedtofundcapitalexpenditureinthecurrentfinancialyear.
PeninsulaHealthachievedtheoperationaltargetasspecifiedinthe2006/07StatementofPrioritiesagreedbytheMinisterforHealth,ChairpersonandtheBoard.
Accreditation
Duringtheyearunderreview,PeninsulaHealth’sresidentialcarefacilitiesmaintainedaccreditationwiththeAgedCareStandardsandAccreditationAgency.
AnothermajorhighlightoftheyearwasthesuccessfulorganisationwideaccreditationsurveyconductedbytheAustralianCouncil
onHealthcareStandards(ACHS).Accreditationwasgrantedforafouryearperiod.TheSurveyorsawardedaModerateAchievement(MA)in21areas,anExtensiveAchievement(EA)in21areasandthetopratingofOutstandingAchievement(OA)forPeninsulaHealth’sLegalComplianceprogram.
ThereportisoneofthebestachievedbyPeninsulaHealthinanOrganisationalWideSurvey.
Immediate Challenges
Atotalof50,518patientspresentedtotheFrankstonHospitalEmergencyDepartment(anincreaseof1,187patientsor2.3%from2005/06).
AlthoughPeninsulaHealthachievedthemajorityofitstargets,thepercentageofFrankstonHospitalEmergencypatientsadmittedtoawardwithin8hourswas57%in2006/07.ThisisbelowtheDepartmentofHumanServices’targetof80%andwholeoforganisationstrategiesarebeingimplementedtoimproveperformanceinthisarea(page25-26).
PeninsulaHealthisworkingwiththeDepartmentofHumanServicestodevelopaSouthernPeninsula(PeninsulaHealth)ServicePlantomeethealthserviceneedsontheSouthernPeninsulaoverthenextfiveto10years.
PeninsulaHealthisdevelopingaMentalHealthServicePlanthatwillidentifyanticipatedneedsoverthenext10-15years.Itwillproposeanoptimalmentalhealthservicesystemintermsofbedandcommunity-basedadult,childand
adolescentandagedcarementalhealthservicesrequiredtomeettheneedsofthecatchmentarea’spopulation(page31).
The Board
On1July,DianaWard(DeputyChairperson),LizaNewby,MichaelTiernanandDianneWickhamwerereappointedforanotherthreeyearterm.TheongoingBoardDirectorsareBarryNicholls(Chairperson),JimKerriganOAM,AssociateProfessorRuthSalomandJimSwinden.ItisalsoimportanttorecognisetheserviceandcontributionofMrPeterLeRoy,whoresignedfromtheBoardduringtheyear.OnenewBoardDirector,MsNancyHogan,wasappointedfrom1July,2007forathreeyearterm.
SpecialthanksareextendedtothestaffofPeninsulaHealth,itsvolunteersandauxiliarymembers,donors,theDepartmentofHumanServices,andtheExecutivewhosecontinuingsupportwillenablePeninsulaHealthtomeetfuturechallenges.
BarryNichollsChairperson
DrShereneDevanesen ChiefExecutive
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2007 � Peninsula Health Profile
PeninsulaHealthisoneof15metropolitanpublichealthservices.PeninsulaHealthwasformallyconstitutedasapublichealthservicein2000andcarriesontheservicesoftheformerPeninsulaHealthCareNetwork,establishedin1995.
PeninsulaHealthcomprises:FrankstonandRosebudAcuteHospitals;AgedCare,Rehabilitation,PalliativeCareandResidentialservicesinChelsea,Seaford,Frankston,MountElizaandRosebud;PsychiatricservicesinFrankstonandRosebud;andaCommunityHealthServicebasedinFrankston.
PeninsulaHealthoffersacutemedical,paediatric,surgicalandmaternitycare,criticalcare,psychiatricservices,agedcare,rehabilitation,palliativecare,residentialcare,communityhealth,healtheducationandpromotion,outpatientservices,agedcareandassessment,investigativeandmedicalsupportservices,alliedhealth,clinicaltrainingandresearch.
Population
PeninsulaHealthserves300,000peoplewholiveinan853sqkmareathatincludestheCityofFrankston,theMorningtonPeninsulaShireandthesouthernpartoftheCityofKingston.
About32%ofthepopulationisundertheageof25and26%isovertheageof55.Thisproportionofolderpeople,thegrouprequiring
themosthealthservices,isoneofthehighestandfastestgrowinginVictoria.
TheestimatedresidentpopulationofthePeninsulaHealthcatchmentareaisexpectedtogrowfrom261,573in2006,toalmost313,000,in2031.
PeninsulaHealthalsorespondstotheneedsofmorethan80,000holiday-makersduringthesummermonthsandseveralmillionpeoplewhovisittheMorningtonPeninsulaeveryyear.
The2006censusshowsthereareover1,500Indigenouspeoplelivingintheservicearea.PeninsulaHealthprovidessomeservicesspecificallyfortheKooricommunity.
High Health Risks
Thetop10healthriskfactorsontheMorningtonPeninsulaaretobacco,highbloodpressure,obesity,poordiet,physicalinactivity,highcholesterol,alcohol,unsafesex,illicitdrugsandworkinjuries.
Themajorcausesofdeathanddisabilityforthispopulationarecancer,stroke,asthma,heartdisease,accidents,emphysemaanddiabetes.
TherateofdeathanddisabilityintheserviceareaisslightlylowerthantheaverageforVictoria.Womenintheserviceareapopulationcanexpecttolivetonearly83-mentonearly77yearsofage.Aboriginallifeexpectancyisbetweeneightand18yearslower
thantheVictorianaverageof84.3yearsforwomenand79.6yearsformen.
Addressing High Risk Factors
Acomprehensiveapproachistakentoallriskfactorsandprevalentmedicalconditions.Recentstrategiesinclude:
• ThePeninsulaComplexCareProgram(PCCP)isfocussedonhelpingpeoplepreventavoidablehospitaladmissionsandemergencydepartmentpresentations(seepage29-30).
• StayHealthyisanEarlyInterventioninChronicDiseaseProgramprovidedbyFrankstonCommunityHealthServicetosupportpeoplewithlongtermhealthconditions(seepage34).
• ThePaediatricDiabetesCliniccommencedinDecember2006.TheClinicaimstoprovidepatientsandtheirfamilieswithaccesstoamulti-disciplinaryteamofhealthcareprofessionals(seepage26).
• InSeptember2006,morethan1,000peopleattendedthefirstAgeingWellExpowithinformationonanumberofdifferentaspectsincludingkeepingactiveandageingwellwithchronichealthconditions(seepage36).
Sources: Australian Bureau of Statistics; Census QuickStats, 2006; Australian Bureau of Statistics, Regional Population Growth, Australia, 2004-05; Burden of Disease: Victoria 1996-2016; Southern Metropolitan Burden of Disease Study; Department of Sustainability and Environment: Victoria in Future 2004.
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Peninsula Health – Overview
PeninsulaHealthoperates21publichealthfacilitiesacross10sites.Servicesareprovidedthroughtwopublicacutehospitals,aninpatientpalliativecareunit,hospitalandcommunity-basedpsychiatricservices,inpatientanddayservicerehabilitationfacilities,residentialagedcareunits(nursinghomesandhostels)andcommunityhealthprograms.ManyservicesarealsodeliveredbyPeninsulaHealthstaffvisitingpeoples’homes.
TheHealthServiceisactiveinbothclinicaleducationandmedicalresearchandisthelargestemployeronthePeninsulawith4,210staff.Servicesareenhancedbythecontributionsof820volunteers.
Highlights for 2006/07
• FullaccreditationforafouryearperiodwasgrantedbytheAustralianCouncilonHealthcareStandards(ACHS),seepage38.
• TheexcellenceofmanyofPeninsulaHealth’sprogramswasalsorecognisedintheVictorianPublicHealthcareAwards.Theseteamsandindividualsarehighlightedinthisreport.
• PeninsulaHealthwasawardedtheNationalClinicalQualityAwardbyACHSforitspioneeringworkinusingcomputerprogramstohelpprescribemedications,seepage51.
• $45minfundingwasannouncedbytheStateGovernmentfortheStage2ARedevelopmentofFrankstonHospital,seepage19.
• WorkwascompletedonStage1AofTheMorningtonCentre,PromotingHealthIndependence,anewGeriatricEvaluationandManagementfacilityconsistingoftwo30bedwards,seepage20.
• TheHillviewBirthingUnitwassuccessfullytransferredfromRosebudHospitaltoFrankstonHospitalandmaintainsthe
RosebudMidwiferyModelofCare,seepage28.
• TheRenalDialysisandChemo-therapyUnitatRosebudHospitalwasredeveloped,seepage29.
• RefurbishmentsintheFrankstonHospitalandRosebudHospitalEmergencyDepartmentswaitingroomswerecompleted,seepage25and28.
• A$3.4mredevelopmenttotheFrankstonHospitalRadiologyDepartmentwascompleted,seepage26.
Year in Brief
Year in Brief
Financial ($000s) 2007 2006 VarianceTotalrevenue 284,173 267,702 6.15%Totalexpenditure 282,196 266,147 6.03%Operatingsurplus(beforedepreciation,capitalandabnormalitems) 1,977 1,555 27.14%Totalassets 218,746 202,155 8.21%Totalliabilities 64,725 57,333 12.89%Equity 154,021 144,822 6.35% Staff Numberofstaffemployed 4,210 4,213 -0.07%Equivalentfulltime(EFT) 1,297 2,583 -49.78% Performance Indicators Acute(FrankstonandRosebudHospitals) Inpatientstreated(separations) 60,441 58,910 2.59%Emergencypresentations 71,075 69,881 1.71% PsychiatricServices Occupiedbeddays 14,373 14,701 -2.23%Communitycontacts 118,742 113,851 4.29% CommunityandContinuingCareServices OutpatientServices-occasionsofservice 41,698 37,011 12.66% CommunityHealth OutpatientServices-occasionsofservice 69,769 56,880 22.66%
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2007 � 2006/07 Performance at a Glance
PeninsulaHealth’s2005–2008StrategicPlanhassixobjectives.Outcomesagainstthemarelistedbelow.
Goals
Provideaqualityofcaretoolderpeoplethatisinkeepingwithevidencebasedpractice.
Providehighquality,complementaryservicesfromRosebudHospital.
Workinpartnershipwithotherhealthproviderstoenhancethehealthandwellbeingofthecommunity.
Provideaflexiblerangeofresponsestotheincreasinglevelandcomplexityofdemand.
Continueandenhanceserviceandcapitalplanningacrossacute,mentalhealth,communityhealthandagedcareandrehabilitation.
Achievements
Stage1AofTheMorningtonCentre,PromotingHealthIndependence,wascompleted.
‘ImprovingCareforOlderPeople’initiativesarenowsuccessfullyembeddedwithintheinpatientsub-acuteenvironment.
PeninsulaHealthhasimplementeda‘wholeofservice’approachtofallsprevention.PeninsulaHealthwasselectedbytheDepartmentofHumanServices(DHS)astheleadmetropolitanagencyfortherolloutoffallspreventionprogramsacrossacuteservices.
TheTransitionCareProgramcommenced.
TwoDivision2nursesfromRosebudResidentialAgedCareServices,LisaDellaGattaandZoeCaspar,wonanawardattheStateNursingExcellenceAwards.
RosebudHospital’sRenalDialysisandChemotherapyUnitwasredeveloped.
TheAgestrongProgramexpandedoutintothecommunity,inpartnershipwithlocalhealthcareagenciesandcouncils.
ThePeninsulaHealthPsychiatricService,withthePsychiatricDisabilityRehabilitation&SupportServices,haveestablishedTheAllianceProject.Theaimoftheprojectistoworkwithlocalnon-governmentorganisationswhicharefundedtoproviderehabilitationandsupportservices.
RedevelopmentofEmergencyDepartmentwaitingroomsatFrankstonandRosebudHospitalswascompleted.
A15bedMedicalAssessmentandPlanningUnit(MAPU)wasestablishedatFrankstonHospital.
AsixbedEmergencyObservationWard(EOW)wasrefurbished.TheHillviewBirthingUnitwasrelocatedtoFrankstonHospital.
A$3.4mredevelopmenttotheFrankstonHospitalRadiologyDepartmentwascompleted.
Future Directions
PlanningisunderwayforthefuturestagesofTheMorningtonCentre.Thiswillcompriseanother30geriatricevaluationandmanagementbeds,30complexcarebeds,60agedcarementalhealthbeds,acommunityrehabilitationcentreandhydrotherapypoolandfacilitiesforthePeninsulaCommunityHealthService.
Serviceswillexpandtomeetfutureneed.
WorkhascommencedtodevelopaSouthernPeninsula(PeninsulaHealth)ServicePlantomeethealthserviceneedsontheSouthernPeninsulaoverthenextfiveto10years.
Moreprogramswillbeintroduced.
Workhascommencedtothe$45mStage2AredevelopmenttoFrankstonHospital(seepage19).
ExpansionofFrankstonHospitalMaternityWardin2008.
Meeting Demand (page 22)
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Goal
Fosterdevelopmentofmutuallybeneficialpartnershipstobuildahealthiercommunity.
Achievements
PeninsulaHealthheldthefirstAgeingWellExpo.
PeninsulaHealthheldthefourth“MenBehavingPositively”forum.
TheAssistanceandCareinEmergency(ACE)programhasexpandedfromFrankstonHospitaltocommenceatRosebudHospital.
Future Directions
Introducemorehealthforumsandexpos.
Smallermen’shealthworkshopswillbeheldtofollowuptheMen’sHealthForum.Theseworkshopswillcovertopicssuchasdepression.
Goal
Buildonourstrongcultureofqualityandinnovation.
Achievements
Fullaccreditationfora4yearperiodwasgrantedbytheAustralianCouncilonHealthcareStandards(ACHS).
SuccessfulACSAaccreditationgrantedforCarinyaandJeanTurnerNursingHomes,MichaelCourtandLotusLodgeHostels.
PeninsulaHealthPsychiatricServiceswasrestructuredtoimprovetheformeruseofCATServicesandCaseManagementServiceswithamoreintegratedservice.
‘AboutPsychosis’DVDwaslaunchedasaneducationaltoolforcarersandfamiliesofpeoplewhosufferfrompsychosis.
OneofthePsychiatryDepartment’sseniornurseshasbeenendorsedbytheNursesBoardofVictoriaasaMentalHealthNursePractitioner,thefirstsuchappointmentinMentalHealthinVictoria.
TheexcellenceofmanyofPeninsulaHealth’sprogramswasalsorecognisedintheinauguralVictorianHealthcareAwards.
ThePeninsulaHealthResearchProgramwasfurtherdeveloped.
Future Directions
Continuetodevelop,reviewandifnecessaryamend,enhancedpathwaysbasedonexperiencesandevidence-basedpractice.
Fosterandencourageinnovativeprogramsthatenhancethequalityofcareprovided.
FurtherimplementMentalHealthNursePractitioner’spracticesatPeninsulaHealth.
Building Partnerships (page 32)
Enhancing Quality(page 38)
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2007 � 2006/07 Performance at a Glance
Goal
PromotetheattractivenessofPeninsulaHealthasanemployerofchoice,avoidingstaffshortagesinkeyareas.
Achievements
AprogramofsupportforjuniorInternationalMedicalGraduate(IMG)staffhasbeenimplemented.
AnonlineeRecruitmentsystemtoautomateandstreamlinetheemployeerecruitmentandselectionprocesswasintroduced.
TheveryfirstStaffClimateSurveywasconducted.
Future Directions
Implementthe‘BuildingPositiveAttendanceVictoria’Program.
PeninsulaHealthwillrespondtofeedbackfromtheStaffClimateSurvey.
Opportunitiesfordepartmentalandinter-departmentalcommunications,increasedtrainingopportunitiesandprogramstoenhanceemployeeengagementwillbeintroduced.
Goals
Maintainfinancialviabilitybylivingwithinourmeans.
Plan,manageandenhancephysicalinfrastructure.
Providetimely,accurateinformationtoimproveefficiencyandpatient/clientoutcomes.
Achievements
Thefullyearfinancialoperatingsurplusof$1.977mmeetsthetargetagreedbytheBoardofDirectorsandtheMinisterforHealthintheStatementofPriorities.
TheHealthService’sconsumptionofwaterandenergyhasbeenreducedandmorewastematerialrecycled.
$45mfundingwasannouncedbytheStateGovernmentfortheStage2AredevelopmentofFrankstonHospital.
PeninsulaHealthundertookanexternalauditofitscleanlinessduring2006andtheoverallaverageresultwas97%.
PeninsulaHealthwasawardedtheNationalClinicalQualityAwardbytheAustralianCouncilonHealthcareStandards(ACHS)foritspioneeringworkinusingcomputerprogramstohelpprescribemedications.
WorkprogressedonintroducinganewPatientandClientManagementSystem(P&CMS).
Future Directions
EnergyandwaterconservationprogramsextendedandbuiltintotheexpansionofFrankstonHospital.
ConstructionworktoFrankstonHospitalStage2Aexpansiontocommencein2008.
ExpansionoftheMaternityUnitatFrankstonHospitalplannedfor2008.
ImplementandexpandthenewPatient&ClientManagementSystemtoincludeallservices.
Caring for and Supporting Our Workforce (page 44)
Managing Our Resources (page 47)
PeninsulaHealth’s2005–2008StrategicPlanhassixobjectives.Outcomesagainstthemarelistedbelow.
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Goal
Identify,analyse,treat,evaluateandmonitorkeyrisksatalllevels.
Achievements
ARiSCE(RiskIdentification,Safety,Containment,Environment)Framework(includingpolicy,proceduresandatrainingpackage)wasfinalisedandcommencedimplementation.
Auditoffinancialstatements,includingreviewofcontrolsandITprocessesfor2006/07wassignedoffbyAuditor-GeneralduringAugust2007.
ReviewandupdateofthePeninsulaHealthRiskRegisterinMay2007.PeninsulaHealth’sManagementPracticesreviewedandbenchmarkedagainstotherpublicHealthServicesbytheAuditor-GeneralandVictorianManagedInsuranceAuthority(VMIA)inNovember2006.
Future Directions
OngoingsustainabilityoftheRiSCEProgramincludesannualmandatorytrainingforallrelevantstaff.
Managing Risk (page 50)
Electronic Prescribing Peninsula Health was awarded the ACHS National Clinical Quality Award. See Page 51
Pharmacy’s “Be Aware” Campaign Won in the Category of Excellence in Safety of Care at the 2006 Victorian Public Healthcare Awards. See Page 40
Food.Kids.Play Highly commended at the 2006 Victorian Public Healthcare Awards. See Page 31
Core of Life Highly commended at the 2006 Victorian Public Healthcare Awards. See Page 28
Lisa Della Gatta and Zoe Caspar Two Division 2 nurses from Residential Aged Care Services won an award at the State Nursing Excellence Awards. See Page 24
ACHS Accreditation Full accreditation for a four year period was granted by ACHS. See Page 38
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2007 �0 Key Performance Indicators
Emergency Department PresentationsPresentationstoHospitalEmergencyDepartmentsgrewby2.4%atFrankstonHospitalandremainedsteadyatRosebudHospital.
Episodes of Hospital BypassFrankstonHospitalhad141episodesofhospitalbypass.
Elective Surgery Waiting Times (in days) by CategoryAveragewaitingtimesforelectivesurgeryofCategory3(non-urgent)andCategory2patientsdecreasedduringtheyear.TheaveragewaitingtimeforCategory1patientsremainedthesameas2005/06.
Emergency Patients with a length of stay greater than 24 hoursTherehasbeenimprovementinthenumberofpatientsstayingintheEmergencyDepartmentforgreaterthan24hours,withthe2006/07resultstandingat9compared56thepreviousyear.
Emergency Patients admitted to a ward within 8 hoursTheprioryeardataisnotcomparablebecauseitwasonthebasisofdifferentstatisticalcounting.AlthoughtheDepartmentofHumanServicestargetof80%wasnotmet,wholeoforganisationstrategiesarebeingdevelopedandimplementedtoimproveperformanceinthisarea.
Elective Surgery Patients on Waiting List as at June 30TherewasareductioninthenumberofpatientswaitingforelectivesurgeryasatJune30.
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Hospital Inpatients TreatedThenumberofinpatientstreatedfortheyearremainedsteadyatFrankstonHospital.ThenumberofinpatientstreatedatRosebudHospitalsawanincreaseof1,602(or14.95%)onthepreviousyear.
Assets/LiabilitiesTotalassetsroseby$16.6mto$218.7mduring2006/07.Liabilitiesroseby$7.4mto$64.7m.Equity,beingthedifferencebetweenassetsandliabilitiesroseby$9.2mto$154min2006/07.
ExpenditureExpenditureroseby$16.5mto$282.2min2006/07.
Operating Surplus before depreciation, capital and abnormal itemsAnoperatingsurplusof$1.977mwasachieved,reflectingthatPeninsulaHealthcovereditsoperatingcostsandwasabletocontributetowardsfundingcapitalexpenditure.
Sources of Revenue 2007Revenuefromoperationstotalled$288.7min2006/07.
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2007 �� Board of Directors
Mr Barry Nicholls (Chairperson)MEcBEc(Hons1)TPTCAppointed:1July2003FormerSeniorVictorianpublicservant,includingroleswithinDHSandnumerouspublicauthorities;Fellow,AustralianInstituteofCompanyDirectors;Fellow,InstituteofPublicAdministrationAustralia(Vic);PastPresident,EconomicSocietyofAustralia(Vic);President,RotaryClubofSorrentoInc.
Ms Diana Ward (Deputy Chairperson) MSocSc(Pol&HumServ)BA(Soc)&(Anthrop)DipArts(ProfWrit&Ed)Appointed:1July2000LicensedEstateAgent;Director,VictorianHealthcareAssociation.
Mr James Kerrigan OAM JPBHA(NSW)FACHSE(HonoraryLifeMember)Appointed:1July2002Formerco-ordinatingSurveyorandPreceptorforAustralianCouncilonHealthcareStandards;FormerStatePresidentandCouncillorACHSE;FormerStatePresidentandFederalCouncillorAustralianHospitalsAssociation;FomerCEOthreemajorteachinghospitals,PANCH,RVEEHandMaterHospitalNewcastle.
Associate Professor Ruth Salom MBBSMDBMedSci(Hons)FRCPAMIACMBAAppointed:1July2005ManagingPathologist,VictorianCytologyService;AssociateProfessorofPathology,MonashandMelbourneUniversities;FormerFacultyBoardMember,MonashUniversity;FormerBoardMember,RoyalCollegeofPathologistsAustralasia;FormerMember,MedicalServicesAdvisoryCommittee.
Ms Nancy HoganBA(Hons)PoliSci,GradDipRehabStudies,MBA,FACHSE,AAICDAppointed:1July2007ExecutiveDirector,HealthandAgedCareServiceswithGalanteBusinessSolutions;FormerBoardDirector,Hesta;FormerBoardDirector,IndustryFundsManagementAdvisoryBoard.
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Ms Liza NewbyLL.B(Hons)MAFAIMAppointed:1July2004Consultantinhealthlawandpolicy;MemberoftheVictorianQualityCouncil;CommunityMemberofVictorianMentalHealthReviewBoard;FormerVictorianHealthServicesCommissioner.
Mr Jim Swinden MAdminBEcFCHSECPAAppointed:1July2006ConsultantinHealthServicesmanagement;DirectorofAustralianRedCrossBloodService;Healthmanagementexperienceinarangeofsettingsincludingspecialist,teachingandruralhospitalsaswellaspolicydevelopmentandadvocacy;FormerVictorianBranchPresident,ACHSE.
Mr Michael TiernanLL.BAppointed:1July2004ConsultantinLegalManagementandOHS,RehabilitationandRiskManagement;MemberLawInstituteofVictoria;WorkCoverCommittee,AccidentCompensationCommittee.
Ms Dianne WickhamBBusCAMIACDAppointed:1July2001Partner,MoreyWickhamCharteredAccountantsandAdvisers.
Mr Peter LeRoy (notpictured)Appointed1July2006-resigned11January2007Assoc.DiplomaComputingManagementConsultantandAdvisoryBoardmemberwithPotterFarrellyandAssociates;MemberAustralianComputerSociety;FormerDirector,StrategicProjects,withtheDepartmentofPremier&Cabinet’sOfficeoftheChiefInformationOfficer(OCIO);FormerChiefInformationOfficerwithinvariousFederalandStatejusticeagencies.
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2007 �� Board of Directors
Board Governance
Thenine-memberBoardofDirectorsisappointedbytheGovernorinCouncilupontherecommendationoftheMinisterforHealth.Directorsareusuallyappointedforatermofthreeyearswithmemberseligibletoapplyforreappointment.TheMinisterforHealthrequirestheBoardtodevelopaStrategicPlanfortheHealthServiceandtoensureaccountableandefficientprovisionofhealthservices.
Role of the Board
TheBoardofDirectorsisresponsibleforthegovernanceandstrategicdirectionoftheHealthServiceandiscommittedtoensuringtheservicesprovidedbyPeninsulaHealthcomplywiththerequirementsoftheHealthServicesAct1988andthemission,visionandgoalsoftheservice.
TheDirectorscontributetothegovernanceofPeninsulaHealthcollectivelyasaBoardthroughattendanceatBoardmeetings.IndividualcontributionoccursthroughparticipationinthevariouscommitteesoftheBoard.DirectorsalsogivetheirtimetoattendsignificantPeninsulaHealthfunctionsandevents.
TheBoardheld11meetingsinthefinancialyear1July2006to30June2007.Atthesemeetings,membersofthePeninsulaHealthExecutiveregularlypresentreportsontheirareasofresponsibility.
Retirements
PeninsulaHealthBoardandStaffextendtheirsincereappreciationtoformerBoardDirector,MrPeterLeRoy,whoresignedfromtheBoard(asat11January2007),forhisvaluablecontribution.
New Appointments
TheappointmenttotheBoardofMsNancyHogan,wasannouncedon1July2007.MsHoganistheExecutiveDirectorHealthandAgedCareServiceswithGalanteBusinessSolutions.MsHoganhaspreviouslybeentheCEOofanumberofpublic,not-for-profitandprivatehospitalsandagedcareorganisationsandaBoardDirectorofHestaandtheIndustryFundsManagementAdvisoryBoard.
Board Committees as at 30 June 2007
NinecommitteesprovidespecialistadviceandsupporttotheBoard.ThecommitteesalsoassisttheBoardandseniormanagementtomeetallstatutory,regulatoryandoperationalrequirementsfortheHealthService.
Finance & Resources Committee
TheFinance&ResourcesCommitteereviewsallfinancialmatters,managementinformationandinternalcontrolsystemsandconsidersandmakesrecommendationstotheBoardonmajorandminorworks.Members:•DianneWickham(Chair)•JimKerriganOAM
•PeterLeRoy(until11/1/07)•JimSwinden(until31/1/07)•MichaelTiernan(from1/2/07)
Audit Committee
TheAuditCommitteemeetsquarterlyandatanyothertimeasrequestedbythePeninsulaHealthBoard,anyCommitteemember,theinternalauditorortheAuditor-General.TheCommitteeliaiseswiththeinternalandexternalauditors,reviewsandapprovesauditprogramsandevaluatestheadequacyandeffectivenessoftheoverallgovernanceframeworkoperatingwithinPeninsulaHealth.TheCommitteereceivesreportsviacompliancemonitoringframeworkandmonitorsallriskmanagementactivitiesforPeninsulaHealth.Members:•DianaWard(Chair)•BarryNicholls•DianneWickham
Quality & Clinical Governance Committee
TheQuality&ClinicalGovernanceCommitteemeetsasrequiredtomonitoroutcomesandimprovethequalityandeffectivenessofhealthservicesprovidedbyPeninsulaHealth.TheCommitteeisalsoresponsiblefortheclinicalriskmanagementactivitiesofPeninsulaHealth,whichareintegratedwithitsqualitysystems.Members:•JimKerriganOAM(Chair)•BarryNicholls•AssociateProfessorRuthSalom•MichaelTiernan
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Planning & Future Development Committee
ThePlanning&FutureDevelopmentCommitteeplansforthefuturedistributionanddeliveryofservicesandensuresfutureservicesarebasedondemonstratedcommunityneeds.Itidentifiesexistingserviceswhichrequireupgrading,extension,modificationordeletionandmakesrecommendationstotheBoardonsuggestedmethodsoffinancingproposedfutureservices.Members:•MichaelTiernan(Chair)•AssociateProfessorRuthSalom
Medical Staff Association/Board Executive
TheBoardExecutiveconsidersmattersofurgencybroughtforwardthroughtheChiefExecutivefromtheMedicalStaffAssociation(MSA).TheBoardExecutiveisempoweredtomakedecisionsonthesemattersandisrequiredtoreportonanyactionsotakentotheBoardofDirectors.Meetingsareheldasrequired,whichincludesaquarterlymeetingbetweentheBoardExecutiveandtheChairoftheMedicalStaffAssociation,withtheDeputyChairMedicalStaff
Association,theChiefExecutiveandtheExecutiveDirectorMedicalServices,PeninsulaHealth,inattendance.Members:•BarryNicholls(Chair)•DianaWard
Human Research & Ethics Committee
TheHumanResearch&EthicsCommitteeassessesallprotocolscoveringresearchinvolvingpatientsandmakesrecommendationstotheBoardastotheapprovalofprotocolsforresearchtobecarriedoutwithinPeninsulaHealth.ItmonitorsandseeksfeedbackfromresearchersinrelationtoongoingandcompletedprojectsandconsidersandreportstotheBoardonotherethicalissuesasreferredtotheCommittee.Members:•LizaNewby(Chair)•DianaWard
Community Advisory Committee
TheCommunityAdvisoryCommitteeprovidesadviceonneeds,demands,andservicedevelopmentfromacommunityperspectivewhilstalsoharnessing
communitysupportforPeninsulaHealthanditsservices.ItissupportedbytwoCommunityAdvisoryGroups,includingtheCulturallyandLinguisticallyDiverse(CALD)CommunityAdvisoryGroupandtheKooriCommunityAdvisoryGroup.Members:•JimSwinden(Chair)•LizaNewby
Primary Care & Population Health Committee
ThePrimaryCare&PopulationHealthCommitteeassistsincreatingeffectivelinkagesbetweenMetropolitanHealthServicesandPrimaryCarePartnerships.Members:•PeterLeRoy(Chair)(until11/1/07)•JimSwinden(Chair)(from1/3/07)•DianaWard(from1/3/07)
Remuneration Committee
TheRemunerationCommitteemeetsasrequiredtoreviewperformanceanddetermineremunerationofexecutivemanagement.Members:•BarryNicholls(Chair)•DianaWard•DianneWickham
Board Finance& Audit Quality Planning MSA/Board Research Community PrimaryCare Remuneration Meetings Resources &Clinical &Future Executive &Ethics Advisory &Population Governance Development Committee Health
BarryNicholls 11of11 4of11* 4of4 5of5 2of2 1of1
DianaWard 9of11 4of4 2of2 9of11 2of3* 1of1
JamesKerriganOAM 10of11 9of11 5of5
PeterLeRoy 6of11* 4of11* 1of3*
LizaNewby 10of11 9of11 4of6
RuthSalom 10of11 4of5 5of6
JimSwinden 9of11 4of11* 5of6 2of3*
MichaelTeirnan 10of11 3of11* 4of5 5of6
DianneWickham 11of11 11of11 4of4 1of1
Meeting Attendances
* Committee member for only part of the year.
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2007 �� Executive Staff Profile
Dr Sherene DevanesenChiefExecutiveMBBSDipObstRACOGFRACMAFCHSEFAIMFHKCCMAppointed:October2000Sherenehas11yearsexperienceinclinicalworkfollowedby26yearsinHealthServicemanagement.SheisamemberoftheDHSBoardofHealthInformationSystems;aMemberoftheVictorianQualityCouncil;aMemberofMonashUniversityFacultyofBusinessandEconomics,PeninsulaAdvisoryBoard;aBoardDirectorofWesleyMissionMelbourne;aformerPresidentoftheRoyalAustralasianCollegeofMedicalAdministratorsandanACHSSurveyor.
Dr Peter Bradford ExecutiveDirectorMedical,FrankstonAcuteCare,andQuality;andDeputyChiefExecutiveMBBSMPHFRACMAFCHSEAppointed:January2001PeterhasbeenwithPeninsulaHealthfor8yearsandhasworkedinseniorhealthcaremanagementrolesfor26yearsinVictoriaandtheNorthernTerritory.PeterisalsoaCouncilloroftheRoyalAustralasianCollegeofMedicalAdministrators,aCouncilMemberoftheChisholmInstituteofTAFE,anACHSCoordinatingSurveyor,andistheChairoftheVictorianStateAdvisoryCommitteeforACHS.
Dr Sara Watson ExecutiveDirectorCommunity&ContinuingCareandAlliedHealthServicesMBChBFRACMAMHA(NSW)BSc(Hons)Appointed:March2006Sarahasheldanumberofseniorexecutiveandmanagementpositionsinhealthcare.SaraisaFellowoftheAustralasianCollegeofMedicalAdministrators,anAssociateFellowoftheAustralianCollegeofHealthServiceExecutivesandanHonorarySeniorLecturerintheDepartmentofEpidemiologyandPreventiveMedicine,MonashUniversity.
Mr Chris England ExecutiveDirectorHumanResourcesandRosebudAcuteCareAHA(UK)CMAHRIAppointed:August2005Chris’scareerinhealthadministrationincludesleadingtheHumanResourcesfunctionsatBaysideHealth,PeninsulaHealthCareNetwork,TheRoyalMelbourneHospital,TheAustinHospitalandTheAlfredHospital.
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Mr Brendon GardnerExecutiveDirectorPlanning,PsychiatryandInfrastructureBAppSc(HIM)MHAUNSWAFCHSEAppointed:May2007BrendonfirstjoinedPeninsulaHealthin1997asNetworkManager,HealthInformationServices,andhasheldseveralprojectmanagement,operationalandActingExecutivepositionswithintheHealthService.HehasbeenamemberofvariousDHScommitteesonCodingandCasemix,andmorerecentlyamemberoftheSteeringCommitteeresponsibleforselectingandimplementingthenewPatientandClientManagementSystemswithintheHealthSmartprogram.
Ms Jan ChildExecutiveDirectorNursing,FrankstonEmergency&IntensiveCareandCommunityParticipationGradDip(BehaviouralSc)GradDipHlthAdminAppointed:February2007JanisaDivision1RegisteredNursewithover20yearsexperienceinthepublicandprivatesectors.ShehasheldprofessionalandoperationalrolesinarangeofpublichealthsettingsincludingCommunityHealthandPrimaryCareandhasbeenamemberofPeninsulaHealth’sOperationalandNursingExecutiveformorethanfiveyears.
Mr David AndersonExecutiveDirectorFinanceandInformationBComMCom(Finance)Appointed:October2002DavidhashadexperienceinseniormanagementrolesingovernmentincludingtheDepartmentofWaterResources,CommunityServicesVictoriaandtheDepartmentofHumanServices.PriortojoiningPeninsulaHealthhewasManager,FinancialAnalysisandFunding,intheDepartmentofHumanServices.DavidisamemberoftheAustralianHealthServicesFinancialManagementAssociationandtheVictorianHealthServiceManagementInnovationCouncil.
Ms Elaine Bennett ActingAssociateExecutiveDirectorofPsychiatryandDirectorClinicalGovernance,QualityandCustomerServicesBAJoint(Hons)CPFA(UK)MBAAFCHSEAppointed:April2007PriortocomingtoAustraliaElainewastheExecutiveDirectorofFinanceandInformationforaMentalHealthNationalHealthServiceTrustintheUKforeightyears.ElainehassinceheldseniormanagementpositionsinFinanceatbothStVincent’sHealthandWomen’sandChildren’sHealth.HerappointmentasActingAssociateExecutiveDirectorisinadditiontoherroleasDirectorofClinicalGovernance,QualityandCustomerServices.
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2007 �� Organisational Structure
NursingMs Jan Child
Allied HealthDr Sara Watson
ExecutiveDirectorMedical,Frankston
Acute Care& QualityDr Peter Bradford
BOARD
Deputy Chief Executive
Executive Directors
Dr Peter BradfordChief Executive
Dr Sherene Devanesen
PROFESSIONAL ISSUES
ExecutiveDirector
Community& Continuing
Care and AlliedHealth
Dr SaraWatson
ExecutiveDirectorHuman
Resourcesand RosebudAcute Care
Mr ChrisEngland
ExecutiveDirector
Finance andInformation
Mr David Anderson
ExecutiveDirector Nursing,
FrankstonEmergency &
Intensive Careand Community
Participation
Ms Jan Child
ExecutiveDirector
Planning,Psychiatry
andInfrastructure
ActingAssociateExecutiveDirector ofPsychiatry
Mr Brendon
Ms ElaineBennett
Gardner
LegalMs Vicky Hammond
Public RelationsMr John Jukes
MedicalDr Peter Bradford
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Medicine/CardiacServicesSurgery/OperatingServicesWomen’s/Children’s/AdolescentsOncology andPalliative CareCriticalGovernance,Quality andCustomerServicesInvestigativeServicesPharmacyMedicalGovernanceHMOCoordination/SupportMedicalEducationPatientTransportFrankston sitecoordination
Rehabilitationand Aged Care/SitesResidentialCareAllied HealthSocial Workand IntegratingCareOutpatientsHospital inthe HomeCommunityHealth ServicesResearch andEthics
HumanResourcesEmergencyResponseManagementOH&SRosebudHospital
FinancePayrollSupplyPersonal AlarmCall ServicePrintingInformationManagementInformationTechnology
FrankstonEmergencyServicesFrankstonIntensiveCare UnitNursingServices/RecruitmentNursingEducationCommunityParticipationKoori LiasonPastoral CareLibraryServicesCore of Life
PlanningCapitalProjectsPsychiatryServices/SitesInfrastructureEngineeringEnvironmentalServicesFood ServicesSecurity
As at 30 June 2007
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2007��Frankston Hospital Expansion
Initialworkonthe$45mexpansionofFrankstonHospitalhascommenced.
TheprojectwilltakethreeyearstocompleteandisasignificantmilestoneinthecontinuingdevelopmentofhealthservicesontheMorningtonPeninsula.
WhenthisnextphaseintheexpansionofFrankstonHospitalisopened,PeninsulaHealthwillhavesurgicalandcriticalcarefacilitiesthatcomparewiththebestinVictoria.
Theredevelopmentwillprovideover6,000squaremetresofnewandredevelopedareasatFrankstonHospital.
Theexpansionwillincludethedevelopmentoftwonewsurgicaltheatresandnewendoscopyanddaysurgeryfacilities.Thefourexistingtheatreswillalsoberefurbished.Thiswillbringthetotalnumberoftheatresatthehospitaltoeight.
ThedevelopmentofthetwonewsurgicaltheatreswillhelptoreducethewaitinglistforCategory2and3patientswaitingforelectivesurgery.
ThenewoperatingtheatreswillbereadyforuseinNovember2009.AnewCardiacAngiographyUnitwillbesituatedclosetothenewoperatingtheatrecomplexandwillhavebetteraccesstotheintensivecareandtheatreareas.Theredevelopmentwillalsoincludeanew13bedIntensiveCareUnit.
ThetheatresandtheAngiographyUnitwillbeservicedbyanewcentralised33-bedand7-chairrecoverysuite.TheCentralSterileSupplyDepartment,whichsterilisesalltheequipmentusedinthetheatres,willalsoberefurbishedandexpanded.
ThePharmacyDepartmentwillberedevelopedandexpanded,andtheHealthInformationServicesDepartmentwillberelocatedtoanewarea.
Neweducationfacilitiesandstaffaccommodationwillalsobebuilt,providingabetterenvironmentforstaff.
Theredevelopmentwillboostthehospital’scapacitytomeetthedemandsofthegrowingpopulationonthePeninsulabyenhancingexistingfacilitiesanddevelopingmoreservicestocaterforfuturehealthneeds.
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2007 �0 The Mornington Centre
ThenewMorningtonCentre,acentreofexcellenceforagedcare,openedinSeptember2007.
Stage1AofTheMorningtonCentrecomprises60geriatricevaluationandmanagementbedsandprovidestreatmentandcareforelderlypatients.
TheMorningtonCentre,locatedontheNepeanHighway,providesanew,dynamicperson-centredmodelofcare.
SpecialfeaturesofTheMorningtonCentreinclude:• 20doubleand20singlerooms
allwithensuites.• Liftingapparatusin12ofthe
patientroomsandensuitestoassiststaffwiththetransferofdependantpatientsfrombedtochairorbedtobathroom.
• Anumberofconsultationroomsoneachfloorforone-on-oneorgrouptherapyasrequired.
• Grouproomsdesignedformultiplepurposesincludingpatientandstaffactivities.
• Securelandscapedmobilityandsensorygardenareasaroundthebuilding,andathirdgardenforvisitors.
ThedesignofTheMorningtonCentreincorporatesfeatureswhichhelptoreduceriskoffallsandminimisecognitivedecline.
InpatientsfromtheMtElizaCentrewererelocatedtoTheMorningtonCentreinSeptember2007.
TheMorningtonCentrewilltreatabout1,500elderlypatientseveryyear.Theaveragelengthofstayisexpectedtobe23days.
PeninsulaHealthisworkingwiththeDepartmentofHumanServicesonplanningforthefuturestagesofTheMorningtonCentre.Thiswillcompriseanother30geriatricevaluationandmanagementbeds,30complexcarebeds,60agedcarementalhealthbeds,acommunityrehabilitationcentreandhydrotherapypoolandfacilitiesforthePeninsulaCommunityHealthService.
The new Mornington Centre, a centre of excellence for aged care, opened in September 2007.
Mornington Development Project Manager, Judi McKee, and Site Engineer, Guy Chipperfield, view plans as
construction of the centre nears completion.
Judi McKee & Guy Chipperfield
Improving Care for Older People
OlderpeoplearesignificantusersofPeninsulaHealthservices.Whenadmittedtohospitaltheyoftenpresentwithmultipleandcomplexneeds.In2006/07,peopleover65accountedfor47%ofalladmissions.Inseveralnonsub-acuteunits,bedsbeingoccupied
byolderpeoplerangedbetween46-82%.
In2005,theDepartmentofHumanServices(DHS)grantedfundingtoPeninsulaHealthand14othermetropolitanandruralHealthServices,toensureHealthServicescontinuetorespondtotheoftencomplexneedsofolderpeopleintothefuture.
Significantprogresshasbeenmade,withinthesub-acuteservices,towardsimplementationoftheprinciplesunderpinningVictoria’s‘ImprovingCareforOlderPeople’projects.Theseinclude:• ThedevelopmentofanInpatient
FallsProgram.• Furtherdevelopmentofstaff
expertiseinallmajorclinicalriskareas,includingfallsprevention,cognition,skinintegrity,continence,diabetesandmedication.
• Agestrong-astrengthandbalancegroupprogramdeliveredinthesub-acuteinpatientsettings(includingagedpsychiatry)andinthecommunity.
• Robustprocessesforconsumerfeedback.
• AClinicalGovernancestructureforOlderpeople.
• ImplementationofanOlderPersonFriendlyenvironmentaudittoolresultingina$137,000grantbyDHSfornewchairsandbedsdesignedtoimprovecareforolderpeople.Anursecallbellsystemwasalsoupdatedtoimproveresponsivenesstopatientcallsforassistance.
Falls Prevention ProgramPeninsulaHealth’sorganisationwideFallsPreventionProgramisrecognisednationally,andinternationally,asbestpractice.Theprogramhasbeenintegratedintoroutineworkpracticeforallinpatientandresidentialcaresettings.
DHShasselectedPeninsulaHealthtobetheleadmetropolitanagencyfortherolloutofafallspreventionprogramacrossacuteservices.
Meeting Demand
Goals•Provideaqualityofcaretoolderpeoplethatisinkeeping
withevidencebasedpractice.•Providehighquality,complementaryservicesfromRosebud
HospitalthatassistsPeninsulaHealthinmeetinggrowingdemand.
•Workinpartnershipwithotherhealthproviderstoenhancethehealthandwellbeingofthecommunity.
•Provideaflexiblerangeofresponsestotheincreasinglevelandcomplexityofdemand.
•Continueandenhanceserviceandcapitalplanningacrossacute,mentalhealth,communityhealthandagedcareandrehabilitation.
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Mornington Peninsula Shire Age Groups 70+
Dialysis Nurse, Jody Holmes, assists Renal Dialysis patient, Anthony Keep with his treatment.
Since the redevelopment of the Renal Dialysis Unit at Rosebud Hospital, it has tripled its capacity, expanding from
three chairs to nine. Now at its full capacity, it allows an extra 24 patients to receive this treatment three times each week.
Jody Holmes
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Theprogramwaslaunchedasaclinicalportfoliomodelofcareproactivelyaddressingfallsprevention.Itassistsincorrectlymanagingmedication,reducinghazardsinthehomeorinhospital,andprovidingasaferlivingenvironment.
Agestrong
Agestrongisastrengtheningandbalancegroupprogramdesignedforolderpeople,whichisbasedonresearchevidence,hasbeendevelopedbytheStrengthisforLifeNetwork-apartnershipoflocalagenciesintheFrankstonandMorningtonPeninsularegion.
In2006/07,therewere610participantsintheAgestrongprogram,whichwasconductedat10venuesacrossFrankstonandtheMorningtonPeninsula,inpartnershipwithlocalhealthcareagenciesandcouncils.Trainedleadersprovidedsessionsinsafe,supportiveenvironmentsatlowcost.Carerandchair-basedsessionswerealsoprovided.
Theprogramisnowofferedineightwardswithinin-patientandresidentialcampusesacrossPeninsulaHealth.TheAgestrongprogramprovidesdirecthealthbenefitsandsupportforthetransitiontoahealthierlifestyleuponleavingthehospitalenvironment.
Mt Eliza Personal Assistance Call Service (MEPACS)
PeninsulaHealth,throughtheMtElizaPersonalAssistanceCallService(MEPACS),providespersonalalarmsforover13,000peoplethroughouttheEasternpartofthestate.ThesealarmsenableuserstocontactMEPACSinamedicalemergencyandtoliveindependentlyintheirhomesforlonger.
Duringtheyear,MEPACSrespondedto15,659truemedicalemergencies,with97.17%ofthecallsansweredwithintwominutes.
Clientsatisfactionsurveysindicatethatover96%ofclientswereverysatisfiedwiththeirserviceatMEPACSand100%wereverysatisfiedwiththeresponsetoamedicalemergency.
Theservice,whichisbasedatMtEliza,usestelephonesystems,advancedsoftwareandbackupfacilitiestomaintaincontactwithclients.
Ambulatory Services
Allambulatoryservices,includinghomebasedcomponents,havemergedtoformoneservicedeliveredatChelsea,FrankstonandRosebudCommunityRehabilitationCentres.Thismeansthatclientscanaccesstheservicerequiredclosetoorintheirhomes.
Residential Aged Care Services
InApril2007,DrCraigClarkejoinedPeninsulaHealthasClinicalDirector,AgedCareMedicine.
TwoDivision2nursesfromRosebudResidentialAgedCareServices,LisaDellaGattaandZoeCaspar,wonanawardattheStateNursingExcellenceAwardsheldinOctober2006.
Theawardinthecategoryof‘Improvingthepatient/clientexperiencethroughinnovativenursingpractices’recognisedtheirworkinimprovingtheoralhealthcareofresidents.Therewereover80nominationsandfivewereshortlistedfortheaward.
Transition Care Program
TheTransitionCareProgramisa12weekprogram,jointlyfundedbytheCommonwealthandStateGovernment.Itprovidescareandrestorativeservicesforolderpeoplewhohavebeeninhospital.Theprogramcanbeprovidedatthepatient’shomeorinaresidentialcareservice.Theaimforthoseintheprogramistoimprovetheirfunctionalcapabilitiesandtheiroveralllevelofcare.
TheprogramcommencedinDecember2006.Itcurrentlyhas20residentialplacesataprivateresidentialcarefacility,RegisSheltonManorinFrankston,and10homebasedplaces.BotharesupportedbyPeninsulaHealthAlliedHealthstaff.
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Osteoporosis Service
PeninsulaHealthhasfundedanOsteoporosisNursetoworkwiththeFrankstonFracturePreventionProgram.TheroleoftheOsteoporosisNurseistohelppreventfuturefracturesinpatientswhohavebeentreatedforafracture.TheNurse’sroleincludes:• Organisingscreeningtests.• Ensuringfollowupappointment
withtheEndocrinologyteaminoutpatients.
• PatienteducationinrelationtoOsteoporosispreventionandtreatment.
• MaintenanceofadatabaseofOsteoporosismanagementoutcomes.
Frankston Hospital
FrankstonHospitalisthemajorproviderofacutesecondaryandtertiaryhospitalservicesontheMorningtonPeninsula.
In2006/07,FrankstonHospitaltreated48,120inpatients,adecreaseof70patientsfrom2005/06.
EachmonthatPeninsulaHealth,over1,000surgicalproceduresareperformedandnearlyhalfoftheseareelectivesurgery.Thenumberofpatientsonthewaitinglistreducedfrom2,609inJune2006to2,322asatJune302007.
Emergency DepartmentTherewere50,518presentationstotheFrankstonHospitalEmergencyDepartment,anincreaseof1,188patients(2.4%)fromthe2005/06financialyear.
The6bedEmergencyObservationWard(EOW)wasrefurbishedinSeptember2006,andisusedforpatientswhomayrequireprolongedobservation,butarelikelytothenreturnhome.FutureplansfortheEOWwillseetheinstallationofmonitorsallowingtheEmergencyDepartmenttoobservepatientsrequiringinvestigationforchestpain.
A15bedMedicalAssessmentandPlanningUnit(MAPU)wasestablishedtofacilitateaquickerflowofpatientstomedicalwardsandotherprograms,andispartoftheFrankstonHospitalEmergencyDepartment.
ThegoalofMAPUistomovetheestimated30,000patientsitwillseeeachyeartoanappropriateareaorprogramwithin48hours.Patientsaredischargedhome,transferredtoaninpatientwardbed,sub-acutefacilityortoHospitalintheHome.
Thisinitiativewillassistinmanagingtheflowofthe1,000patientstheEmergencyDepartmentseeseachweek,assistinavoidingby-passsituationsandspeedthepatient’sjourneytofurtheracuteandsub-acutecarewhenitisrequired.
InOctober2006,workontheEmergencyDepartmentwaitingareawascompleted.Thewaitingareaisenhancedthroughnaturallighting,bettertriageandmoreprivacy.
AdedicatedpaediatricwaitingareaintheEmergencyDepartmentwasalsocreated.ThisDHSfundedinitiativeimprovedtheexperienceforchildrenwhopresenttotheEmergencyDepartment.ThepaediatricwaitingareawasenhancedbythedonationofaStarlightFunCentre,whichisacolourful,high-techentertainmentunitofferingadiversionforchildrenwaitingtobeseenbyadoctor,helpingtoalleviatetheiranxiety.
IntheyearunderreviewanorganisationwideresponsetolengtheningwaitingtimesintheEmergencyDepartmentatFrankstonHospitalwasdeveloped.
SomepeoplespenttoomuchtimeintheEmergencyDepartmentwaitingtobetreated,waitingforabedinanappropriatewardorwaitingtobereferredtoaprogramofcare.
AconsultingareaforpatientslikelytobedischargedquicklywasestablishedintheadjacentMedicalImagingDepartmentandotherareas.
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Theincreasednumberofpatientsrequiringcardiacmonitoringforbetween12and36hoursresultedinsomeprolongedstaysinEmergencyDepartment.AdditionalmonitorswereorderedtoenablethesepatientstobetransferredtotheEmergencyObservationWardfreeingupbedsintheEmergencydepartmentforotherpatients.
Revisedbedmanagement,dischargemanagementandpatientflowprocesseshavebeenintroduced.Thesehavemaximisedbedavailabilitybyensuringpromptandappropriatedischargetimes;transferringidentifiedpatientsfromFrankstonHospitaltoRosebudHospital,andtobothagedcareandrehabilitationprograms.ThiswillresultinmorebedsbeingavailableduringpeaktimetoallowefficientpatientflowsfromtheEmergencyDepartmenttootherwardsandprograms.
Otherstrategiesdevelopedincludethefasttrackingofsomepatients,suchaschildrentothechildren’sward,fortreatmentandthefasttrackingofpatientslikelytobedischarged,toprocedureroomsanddischargeareas.
SuccessfulimplementationofthesestrategieswillenableFrankstonHospitaltomeetbothinternalandDHStargetsforthetimelytreatmentofpatientsintheEmergencyDepartmentandtheirdischargeortransfertootherwardsandprograms.
Radiology DepartmentThe$3.4mredevelopmenttotheFrankstonHospitalRadiologyDepartmentwascompletedinSeptember2006.ThisprojectimprovedtheRadiologyDepartment’sfacilitiestobettercopewithcurrentandfuturedemandsformedicalimaging.
Sincethecompletionofthisredevelopment,Radiologyhasseenthenumberofexaminationsincreaseto72,220from68,005inthelastfinancialyear.Thisrepresentsa6.2%growthinthenumberofexaminations.
Theredevelopmentincluded:• PlacementoftheCTscannerin
amoreaccessiblesite,closertoEmergencyandtheotherwardsanddepartments.
• DevelopmentofanadditionalGeneralX-rayroomandanInterventionalUltrasoundroom.
• Newandlargerpatientobservationareasforshort-termandlong-termstay.
• AnewwaitingroomandReceptionarea.
• ImprovedstafffacilitiesandaConferenceroom.
• Infrastructuretosupportnewimagerecordingandstoragesystems(PictureArchivingandCommunicationsSystems-PACS).
• ImprovedSpecialistRadiologistreportingareas.
AnewInterventionalAngiographySuitewasalsodevelopedtoenablepatientstohavediagnosticangiographyaswellasvascularinterventionalprocedures.
Duringtheredevelopment,MIAVictoria-theproviderofRadiologistsupportandMRIservicestotheDepartment–alsoreplacedtheirMRIscannerwithastateofart$2.5mMRIscannercapableoffasterscansequencingandwholebodyimaging.
MIAalsoreplacedtheirNuclearMedicineGammaCamerawithanewdual-headGammaCamera,atacostof$500,000.Thiswillachievefasterandmoredetailedimageacquisitionandleadtoimproveddiagnosis.TheGammaCamerawasinstalledinJune2007.
Paediatric Diabetes ClinicThePaediatricDiabetesClinichascommencedonaweeklybasisforpaediatricpatients,andtheirfamilies,whohavebeenreferredbytheirgeneralpractitioner.
TheCliniccommencedinDecember2006and,byJune2007,ithadprovided144occasionsofservice.TheClinicprovidespatientsandtheirfamilieswithaccesstoamulti-disciplinaryteamofhealthcareprofessionals.Theseincludeapaediatrician,diabeteseducator,dietitianandapsychologist.TheClinicsavesfamiliestimeandmoneyinindividuallyaccessingeachofthesehealthcareprofessionals.
In March 2007, the Hillview Birthing Unit relocated to Frankston Hospital to provide a safer clinical environment for expecting mothers. Hillview Birthing Unit, Nurse Unit
Manager, Loretta Whyte is pictured above with new mum Arlene Yeoh and baby Brandon. Brandon is one of 55 babies
born in 2006/07, at Hillview Frankston since the relocation.
Loretta Whyte
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Flexible Cystoscopy ServiceInNovember2006,PeninsulaHealthcommencedtheFlexibleCystoscopyservice.Flexiblecystoscopyallowsadoctortoexamineapatient’sbladderusingathin,flexible,tube-liketelescopecalledacystoscopeandassistsindiagnosisofbladderconditions.
Thecystoscopyprocedurewaspreviouslyperformedwitharigidcystoscopeundergeneralanaesthesia.Nowitisamuchshorterprocedureperformedwithaflexiblecystoscopeunderlocalanaesthesia,increasingpatientcomfortandsafety.Theenhancedserviceislessinvasiveandreducestheimpactonlifestyleforthepatient.
Peninsula Health Maternity Services
In2006/07,therewere2,584birthsatFrankstonandRosebudHospitals.
PeninsulaHealthhasrestructuredbirthingservicestooffertheRosebudlowrisk‘Hillview’MidwifeLedModelofCareandboththeFrankstonHospitalMidwifeandMedicalModelsofCare,whichincludeshigherriskcases,atFrankstonHospital.
InApril2007,theHillviewBirthingUnitwasrelocatedtoFrankstonHospital.
ThedecisiontorelocatetheHillviewBirthingUnitwasmadefollowingreviewsmadebyProfessorEuanWallace,ProfessorofObstetrics,MonashUniversity,andDrCampbellMiller.BothrecommendedthepreservationoftheRosebudMidwiferyModelofCareatFrankstonHospital.
RosebudHospitalcontinuedtoofferprenatalandpostnatalservices,includingbookingclinics,midwivesclinic,postnatalcare,homevisitingservice,MotherBabyUnitandSleepclinics.
TherelocationoftheHillviewBirthingUnitprovidestheopportunityforwomentochoosethemodelofcaretheypreferwithreadyaccesstomedicalexpertiseifitisrequired.
AnexpansiontoFrankstonHospital’smaternityfacilitiesisplannedfor2008andwillresultinadditionalmaternityandbirthingfacilities.
Core of Life
CoreofLifehasexpandednationally.Thisunique,‘handson’lifeeducationprogrampresentsmaleandfemaleadolescentswithinformationonpregnancy,givingbirthandparentinganewborn.In2006/07,theprogramwasdeliveredto15,000youthatapproximately240secondaryschoolsand50communitysettings.Bytheendof2007,theprogramwillhavereachedover38,000youngpeopleacrossAustralia.
TheprogramwaspresentedtohundredsofIndigenousyoungpeopleinruralandremoteareas.CoreofLifeworkedinpartnershipwithseveralAboriginalandTorresStraitIslanderhealthorganisationstodevelopmodifiedresourcesforAustralia’sIndigenouscommunity.SeveralIndigenouscommunitieswereencouragedtocontributeimages,artworkandlanguagetofurtherdeveloptheprogram’seducationalresources.
InrecognitionofthesuccessfulworkofCoreofLife,theprogramwashighlycommendedintheExcellenceinPreventionandEarlyInterventionCategoryofthe2006VictorianPublicHealthcareAwards.
Rosebud Hospital
In2006/07,RosebudHospitaltreated12,322inpatients,anincreaseof1,602patientsfrom2005/06.
AtRosebudHospital,severalnewserviceswereintroducedandotherswereexpandedandenhanced.
Emergency DepartmentTheEmergencyDepartment’sTriageAreahasbeenexpandedtoprovideincreasedprivacyforpatients,aswellasalargerfamily-friendlywaitingenvironment.
AdedicatedtriagenurserolewasalsointroducedattheRosebudEmergencyDepartment.
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Rosebud Day Treatment CentreTheRosebudHospitalRenalDialysisandChemotherapyUnitwasredevelopedtomeetgrowingdemandontheMorningtonPeninsula.The$700,000expansionwassupportedbya$250,000grantfromtheSouthernPeninsulaCommunityFundandothercommunitydonations.
TheRenalDialysisUnithastripleditscapacity,expandingfromthreechairstonine.Nowatitsfullcapacity,itallowsanextra24patientstoreceivetreatmentthreetimeseachweek.
AninternetbookingservicefordialysispatientsholidayingonthePeninsula,hasbeenintroduced.
Thebookingserviceusesacalendar,whichcanbeaccessedfromthePeninsulaHealthwebsite.PatientswhoholidayontheMorningtonPeninsulacaneasilybookintemporarydialysistreatmentatRosebudHospital.
RosebudHospital’sfour-chairChemotherapyserviceforcancerpatientswasmovedtoanewareaadjacenttotheRenalDialysisUnit.ThecombinedareasarenowknownastheRosebudDayTreatmentCentre.
ThegraphaboveshowsthegrowthinChemotherapytreatmentin2006/07,atRosebud.
Operating TheatresRosebudHospital’soperatingtheatresessionswerereviewed,andoperatingsessionswereconsolidatedintoalldaysessionsMondaytoThursday,ratherthanhalfdaysessions.Thechangesweremadetoimproveefficiencyandoptimiseuseofresources.
Central Sterilising Supply DepartmentRosebudHospital’sCentralSterilisingSupplyDepartment(CSSD)acquiredastate-of-the-artAthertonSteriliser,valuedat$90,000.Thisequipmenthasimprovedefficiencieswithinthedepartment,whichprovidessterilisingservicesfortheSouthernPeninsulaHealthsites.
Patient Transport RosebudHospitalhasbeenabletosignificantlyimprovepatientaccesstooffsitehealthcarefacilitiesbypurchasingitsowndedicatedminibus,thankstoagenerous
donationof$50,000fromtheRosebudHospitalKioskAuxiliary.Thevehiclehasbeenspeciallyadaptedtotakeuptotwowheelchairpatients.
Complex Care Program
ThePeninsulaComplexCareProgram(PCCP)helpspreventavoidablehospitaladmissionsandemergencydepartmentpresentationsbyprovidingcarecoordinationservicesinthecommunity.
TheProgramprovidescarecoordinationacrossfivestreams-diabetes,cardiology,respiratory,drugandalcoholandagenericstream,whichincludespaediatrics.PeoplewhohaveattendedtheEmergencyDepartmentateitherFrankstonorRosebudsixormoretimeswithina12monthperiodwillbereferredtoComplexCareforfollowup.
Chemotherapy Treatments – Rosebud 2006/07
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WiththeadditionofaDietitian,PharmacistandGPLiaisonOfficer,theRosebudComplexCareTeamnowprovidesamulti-disciplinaryapproachtoclientcare.
Atotalof1,053clientsreceivedservicesin2006-07,anincreaseof242comparedtothepreviousyear.Thegraphshows1,104fewerEDpresentations,748fewerinpatientadmissionsand2,769fewerbeddaysamongstthisgroupofclientscomparingthe12monthspriortoinvolvementwithPCCPandayearafterreceivingtheservice.
TheComplexCareprogramreceived$102,000infundingfromDHSinFebruary2007toenableprogramstafftoparticipateinapilotofthe“InterRAIHomeCareAssessmentForm”-acomprehensiveelectronicin-homeassessment.Nineteenprogramstaffhavecompletedtrainingandaprojectworkerwasappointedtosupporttheproject.Theprogramcreatesaconsistentcomprehensiveassessmentwhichcanbeusedandunderstoodbyawiderangeofclinicians.
Community Health
CommunityHealthServicesatPeninsulaHealthpromotewellnessandencouragepeopletoshareintheresponsibilityfortheirownhealthandwellbeing.
In2006/07,CommunityHealthServicesprovided69,769occasionsofserviceattheFrankstonIntegratedHealthCentreandatotherPeninsulalocations.
Introduction of Single Session TherapyWaitinglistsforindividualandfamilycounsellinghavereducedsignificantly.
TheCounsellingteamhasdesignedandimplementednewgroupprogramsinresponsetotrendsinone-on-oneconsultationsandclientfeedback.Theseallowaccesstosupport,informationandtreatmentforcommonproblemssuchasanxiety,depression,grief,separationandageing.
ThecombinationofSingleSessionWorkandtheGroupProgramsgivesclientsdifferentmediumsinwhichtoworkthroughtheirissueseffectively.
In2006/07,thenumberofclientsreferredtogroupprogramshasincreasedfrom55to140.
Food.Kids.PlayFood.Kids.Play(formerlyFood.Com.Play)isafamilybasedinterventionforchildhoodobesity,whichisacollaborationbetweenFrankstonHospitalPaediatricstaffandCommunityHealthstaff.
Total 12 month Pre and Post Hospital Utilisation Data for Peninsula Complex Care Program
Food.Kids.Playisasix-weekfamilygroupprogramwhichaimstoimprovehealthoutcomesoffamilieswithpre-pubescentchildren,whohaveweightandselfesteemissues.Itencouragesthewholefamilytomakechangesinnutrition,physicalactivityandlifestyleinordertomaximisethefamily’shealth.
In2006/07,30childrenfrom21familiescompletedtheprogram.Theresultshavebeenpositivewithparentsurveysindicatingthattheirchildren’sselfesteemhasimproved.Overall,childrenparticipatingintheprogramhavereducedtheirhoursofTVviewingby29%andhaveincreasedtheirhoursofphysicalactivityby31%.
Food.Kids.PlaywashighlycommendedintheExcellenceinContinuityofCareCategoryofthe2006VictorianPublicHealthcareAwards.
Psychiatric Services
In2006/07,PeninsulaHealthPsychiatricService(PHPS)had118,742communitycontacts,anincreaseof4,891(or4.3%)from2005/06,Ithad14,373occupiedbeddays,whichisadecreaseof328beddaysfrom2005/06.Thenumberofseparationsremaunedsteadyat1,056.
PHPScontinuetoworkonimprovingallaspectsofpsychiatricservicedeliverytoFrankstonandtheMorningtonPeninsula,andhavedevelopedanimprovedmodelofcare.
PsychiatricServicesintroducedfourmulti-disciplinarycommunity-basedadultteamsthatworkcloselywithlocalgeneralpractitionersandotherhealthcareprovidersaswellascollaborativelyworkingwithclientsandtheirfamiliesorothercarers.
ThenewmodelreplacestheformeruseofCATServicesandCaseManagementServiceswithamoreintegratedservice.
PHPShasreviewedanddevelopedservicestohelpensurethatpatientswhopresentwithapsychiatricproblemdonothavetowaitintheEmergencyDepartmentatFrankstonorRosebudHospitalsforanylongerthanisnecessary.
Thenumberofpatientsplacedinalow-stimulusenvironmentdecreasedin2006/07.Thecurrentmonthlyrateofseclusionis7.6%ofalladmissions,comparedwith16.44%lastyear.TheACHSbenchmarkofseclusionis20%.
OtherdevelopmentsoverthelastyearincludetheacquisitionofaleaseonabuildingnexttothecommunitymentalhealthserviceinDaveySt.ThisenabledPHPStoexpandservicesinanimprovedenvironment.
Mental Health Service PlanPeninsulaHealthisdevelopingaMentalHealthServicePlanthatwillidentifyanticipatedneedsoverthenext10-15years.Itwillproposeanoptimalmentalhealthservicesystemintermsofbedandcommunity-basedadult,childandadolescentandagedcaremental
healthservicesrequiredtomeettheneedsofthecatchmentarea’spopulation.
TheServicePlanwillidentifyamodelwhichwillincorporatetheservicecomponentsofemergency,community,residentialandacuteinpatientandnewservicemodelssuchaspreventionandrecoverycare(PARC),aswellaspsychiatricdisability,rehabilitationandsupportservices(PDRSS)providedbythenongovernmentsector.Inaddition,relationshipswithdrugandalcoholservices,primarymentalhealthteams,generalpractitioners,housing,hospitals,privatementalhealthservices,consultationliaisonandsupportservices,andacademicinstitutionswillalsobeconsidered.TheServicePlanwilltakeintoconsiderationDepartmentofHumanServices’policydirections,planningundertakentodatebyPeninsulaHealthandSouthernMentalHealthServices,aswellasrecommendationsoftheproposedSouthernPeninsula(PeninsulaHealth)ServicePlan.
Intern Positions
DHShasfundedtwoadditionalInternpositionsforPeninsulaHealthtomeetextrapatientdemand.ThesepositionsincluderotationsindepartmentsincludingPsychiatry,Surgery,RosebudHospital’sGeneralMedicineandEmergencyDepartment.
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PeninsulaHealthworkscloselywithcommunitygroupsandotherserviceproviderstoimprovetheintegrationanddeliveryofservices.
Community Advisory Committee
TheCommunityAdvisoryCommittee(CAC),anditssubcommittees,meetregularlyandprovidefeedback,perspective,ideasandinformationtotheBoardandStaff.Advisorycommitteesandgroupsaremadeupofcommunitymemberswhoseinterestsandactivitiesgivethemaccesstopublicopinion.Inselectingmembersforthecommittees,PeninsulaHealthalsotriestoensurethatthesemembersrepresentthegroupsinthecommunity.
ThedevelopmentoftheCommunityParticipationPlanwasundertakeninconjunctionwithCACmembersandhasresultedinastrongframeworkforbuildingcommunityparticipationacrosstheHealthService.
CACmember,MarilynRowe,wassponsoredbytheVictorianQualityCouncil(VQC)toattendtheAustralasianConferenceofSafetyandQualityinHealthcareheldinMelbourneinAugust2006.PeninsulaHealthsupportedthe‘ParticipateinHealth’ConferenceheldinFebruary2007.CACMember,GusDeGrootledthegroupdiscussingMedicationSafetyIssues.Culturally and Linguistically Diverse Groups
PeninsulaHealthtriestoinvolveconsumersinallaspectsofitsprogramandservicedevelopmentfromserviceplanningthroughtoevaluation.Particularattentionispaidtoculturallyandlinguisticallydiversegroups.
Goal•Fosterdevelopmentofmutuallybeneficialpartnershipsto
buildahealthiercommunity.
ACulturallyandLinguisticallyDiverse(CALD)CommunityAdvisoryGroupwasestablished.Thegroup’sinauguralmeetinginNovember2006waswellattendedbymembersoftheCALDcommunityandCALDServiceproviders.
TheCALDCommunityAdvisoryGrouphasendorsedPeninsulaHealth’sCALDPlan.PeninsulaHealth’sCALDPlanfocusesonactivitiessuchastrainingofPeninsulaHealthstafftoappropriateuseoflanguageservices,undertakingcommunityengagementactivitieswithlocalmigrantresourcecentresandethniccommunitygroups,implementingtheVictorian‘interpretersymbol’acrossallsitesandestablishingaCulturalDiversityCommitteetooverseetheseinitiatives.
TheCALDCommunityAdvisoryGrouphasrepresentativesfromlocalGreek,Russian,DutchandItaliancommunityorganisations.
Throughout2006/07,anaverageof60interpreterbookingsweremadeeachmonth.ThemainlanguagesrequestedwereGreek,Italian,Auslan(signlanguageforhearingimpaired),Mandarin,Croatian,Dari,CantoneseandArabic.
Koori
TheKooriCommunityAdvisoryGrouphasincreaseditsmembershipfromfourto10members.
PeninsulaHealthstaffcontinuetoparticipateinarangeofworkshopsconductedbytheVictorian
Frankston Hospital’s Ward 5GN Volunteer Brian Whitlow, explains rights and responsibilities
to patient Wilma Kneebone, as part of Peninsula Health’s Rights and Responsibilities Program.
Brian Whitlow
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AboriginalCommunityControlledHealthOrganisation.Trainingincludesprogramevaluation,workroles,AboriginalhealthpromotionandIndigenousculturalrespecttraining.
PeninsulaHealthpresentedattheDHS‘ParticipationandHealth’conferenceheldinFebruary2007.Apresentationwasmadeabouttheformation,successesandlearningsoftheKooriCommunityAdvisoryGroup.
The Aboriginal Health Promotion and Chronic Care Program (AHPACC)
Thereareover1,500IndigenouspeoplelivingontheMorningtonPeninsula.
TwostaffhavejoinedtheAboriginalHealthPromotionandChronicCareProgramtoensurethatcommunityhealthservicesareculturallyresponsivetothechronichealthneedsofthelocalIndigenouspopulation.ThegeographiccatchmentforthisprojectwillbethelocalgovernmentareasofFrankstonCityandMorningtonPeninsulaShire.
ThetopfiveAmbulatoryCareSensitiveConditionsfortheFrankston/MorningtonPeninsulaareaarediabetescomplications,chronicobstructivepulmonarydisease,dehydrationandgastroenteritis,anginaanddentalconditions.AlloftheseoccurinIndigenouspeople,atrateshigher
thanthegeneralcommunityandVictorianaverage.ThechronicdiseaseprioritiesforAHPACCwillbediabetes,dentalconditions,mentalhealthanddrug/alcoholuse.Targetpopulationswillbethosepeoplealreadyexhibitingsymptomsandproblemsaswellasthoseatriskoftheseconditions.
ACommunityAccessworkerhasbeenappointedtoworkwithlocalIndigenouspeopletosupportandencouragetheuseofmainstreamhealthservices.AhealthpromotionworkerhasalsobeenappointedtoidentifylongtermriskfactorsandchronicillnessamongstthelocalAboriginalcommunityandensurethatPeninsulaHealthservicesareculturallysensitiveandappropriate.
Stay HealthyStayHealthyisanearlyinterventioninchronicdiseaseprogramprovidedbyFrankstonCommunityHealthServicetosupportpeoplewithlongtermhealthconditions.
TheprogramalsoprovidesadditionalsupporttoGeneralPractitioners(GPs)caringforpeoplewithchronicconditions.
Theservicewillparticularlybenefitpeoplenewlydiagnosedwithdiabetes,cardiovasculardiseaseorchronicrespiratorydisease(COPD)-forexampleasthmaoremphysema.
In2006/07,321peoplereceivedalliedhealthandnursingservices.Thisnumberexcludesclientswhoattendedgroupsessions.ThefullcareplanningrolecommencedatthebeginningofFebruary2007.
Theprogramencouragespeopletoselfmanagetheirlongtermillnessandofferseducation,onetooneconsultationandtheopportunitytoattendgroupprograms.Clientsarefollowedupatsixand12monthlyintervalstosupportandencouragelongtermmanagement.
Community Health Partnerships
Local CouncilsThetwoCouncilsonthePeninsulacontinuetoworkwithPeninsulaHealthonarangeofprojects.
PeninsulaHealth’sFrankstonCommunityHealthServiceisworkingwithFrankstonCityCounciltodeliverPre-SchoolOralHealthservicestothecommunity.
Oralhealthpromotionandeducationareprovidedtochildrenandtheirparentsincomfortablesettings.Thesecanalsobeincorporatedwithindividualscreeningtocheckoralhealth/conditionofteethwhereparent/guardianconsentisgiven.
In2006/07,26Pre-Schoolswerevisitedwithatotalof47ScreeningSessionsconductedwhere925pre-schoolchildrenwerescreened.Fromthescreeningprocess,530ofthesechildrenreceiveddirecttreatment.
FrankstonCommunityHealthServicecompletedthe2PICprojectinpartnershipwiththeMorningtonPeninsulaShireCouncil.Aspartoftheproject,twoshortfilms(threeminutes)“Adrift”and
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“EverywhereYouGo”werewrittenandproducedbyyoungpeoplefromtheSouthernandWesternportregionsofthePeninsula.Thefilmsaboutyoungpeople,friendshipandalcoholwerelaunchedinNovember2006atRosebudCinemawhere280peopleattendedthepremiere.Theprojectgaveyoungpeoplethechancetobecomeinvolvedinthefilmmakingprocess.
The2PICfilmprojectwaspresentedattheWorldHealthPromotionConferenceinVancouver,CanadainJune2007.
Community Kitchens ProjectFrankstonCommunityHealthServicecurrentlyconducts13CommunityKitchens.TheconceptofCommunityKitchenshastakenoffacrossVictoriawith28establishedkitchensandmoreintheplanningphase.
CommunityHealthhasdevelopedaresourcekitwhichincludesamanual,promotionalDVD/videoandabudgetingpocketbook
ACommunityKitchenswebsitewasalsoestablishedandlaunchedinApril2006andhashad3,100uniquevisitorswith6,000visits.
CommunityKitchenswasshortlistedforaPrimaryHealthAwardinthecategoryofResearchandEvaluation.
TheFrankstonCommunityKitchensProjectisfundedforthreeyearsaspartoftheStrongerFamiliesandCommunities–LocalAnswersGrants,andsupportedbytheBrotherhoodofSt.Laurence,
MahoganyNeighbourhoodHouseandtheGroupforEmotionalandMentalSupport(GEMS).
Peninsula Community Health ServiceCommunityHealthServicesonthePeninsulaaredeliveredbytwoorganisations-PeninsulaHealth’sFrankstonCommunityHealthServiceandPeninsulaCommunityHealthService(PCHS).ThetwoCommunityHealthServicescontinuetoworktogethertodeliverprogramsonthePeninsulaincluding‘OpenUP’,whichisajointhealthpromotionprojectaimedatimprovingtheoralhealthofdrugusers,particularlyfocusingontheconditionknownasXerostomia,or“DryMouth”.
Posters,acartoonbrochureand1,000healthpackscontainingtoothpaste,toothbrush,sugarfreechewinggumanddrinkbottlewereproducedwithsignificantsupportofcorporatedonors.Atleast1,000FrankstonandMorningtonPeninsulabaseddrugusersandpharmacotherapyclientsreceived‘OpenUP’packsand120healthworkers,drugandalcoholworkers,GPsandPharmacistsweretrainedtopromoteharmreductionstrategiestothetargetgroup.
TheAustralianDrugFoundationisnowdistributingthe‘OpenUP’posterandbrochurenationally.
The‘OpenUP’projectwaspresentedatseveralconferencesincludingtheAustralasianAmphetamineConferenceinSydneyinSeptember2006,
theVictorianAlcoholandDrugAssociationConferenceinMelbourneinFebruary2007,andtheWorldHealthPromotionConferenceinVancouver,CanadainJune2007.
The‘OpenUP’projectwasshortlistedforanawardattheVictorianPrimaryHealthCareAwardinthecategoryofInnovationandExcellenceinHealthPromotioninMay2007.
SHARPSTheSouthernHIV/HEPResourceandPreventionService(SHARPS)distributed387,933syringesandhad389,812returnedintheyear.Thereturnrateforneedleandsyringeswas100.4%.
TheroleofaprojectnursewasintroducedatSHARPSinFebruary2006inrecognitionofthenumberofpreventableinfectionsandinjuriesoccurringamongstthisclientpopulation.Initiallya12monthappointment,thesuccessoftheprojectinpreventingillnessandreducingunnecessaryhospitalpresentationshasledtorolebecomingpermanent.In2006/07,theprojectnurseprovided462occasionsofservice.
Forthefourthyear,SHARPSheldaceremonyinFrankstontomarktheNationalOverdoseAwarenessDay.Thedayoffersanopportunitytoincreaseawarenessaboutoverdoseissuesandthedangersofinjectingdrugs.
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DrugandalcoholtrainingforumsweredevelopedanddeliveredtoimproveandincreasethecapacityofgeneralistworkforcesandvolunteerswithinFrankstonandtheMorningtonPeninsularegiontoengageandsupportdrug-usingclients.
Working with Schools
National Archery in Schools Program AustraliaMorethan700studentsbenefitedfromthepilotprojectoftheNationalArcheryintheSchoolsProgramAustralia(NASPA).
TheFrankstonSchoolFocusedYouthService(FSFYS,aFrankstonCommunityHealthServiceProgram)providedfundingof$31,650toenable10localPrimarySchoolstoparticipateinthepilotproject.
TheNASPAprogramteachesthepracticalandtheoreticalskillsofarchery,enablesstudentstodevelopcriticallifeskills,andbenefitsstudentswhoarenotparticularlyathletic.VictoriaPoliceandParksVictoriasupportedthepilotproject.
Linking and Learning Festival 2006InJune2006,217welfareandeducationsectorworkersattendedthefirsteverLinkingandLearningFestival.
Thefestival,organisedbytheFrankstonSchoolFocusedYouthService(FSFYS),aFrankstonCommunityHealthServiceProgram,wasdesignedtoenhancelinksbetweenschoolsandlocallybasedagenciesandtoincreaseawarenessofcommunitybasedservicessupportingchildrenandtheirfamilies.
Therewereexhibitsby42communitysupportgroupsandperformancesbyanumberoflocalschoolsthroughouttheday.
Duetothesuccessoftheday,theLinkingandLearningFestivalhasbecomeabi-annualevent.
Community Forums & Exhibitions
Ageing Well ExpoInSeptember2006,morethan1,000peopleattendedthefirstAgeingWellExpo.TheExpowasheldinpartnershipwithMorningtonPeninsulaShireCouncil,FrankstonCommunityHealthService,BrotherhoodofStLaurence,Over50sAssociation,PeninsulaCommunityHealthServiceandtheMorningtonPeninsulaDivisionGeneralPractice.
TheExpo,heldinMornington,gaveolderpeopleachancetoexplorewaysinwhichtheycanleadahealthyandactivelife.Therewere42stallswithinformationonanumberofdifferentaspectsofageingwellincludingkeeping
active,lookingafteryourhealth,keepinginvolved,stayingsafe,ageingwellwithchronichealthconditions,andkeepinginformed.
TheExpowasopenedbytheMinisterforAgedCareGavinJennings.
AnotherAgeingWellExpowasplannedforSeptember2007.
Men Behaving Positively Health ForumInJune2007,morethan800peopleattendedthefourth“MenBehavingPositively”publichealthforum.
Theforumfocusedonmen’shealthissueswithanemphasisonpositivementalhealthandwell-being,worklifebalanceandfamilyrelationships.
The“MenBehavingPositively”programexpandedtoincludea“BreakfastintheVineyard”,whichwasattendedby100peopleandaseriesoffourweekendworkshopswhichwillbeheldlaterin2007.
TheforumwasagainsupportedbyawiderangeofcommunityorganisationsincludingtheRotaryclubsofFrankstonandLongIslandandbothFrankstonCityandMorningtonShireCouncils.
Volunteers & Auxiliaries
VolunteersandauxiliariesareanintegralpartofPeninsulaHealth,enhancingcarethroughthemanyactivitiestheyperform.In2006/07,therewere820volunteerswhosupportPeninsulaHealth.
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TheAssistanceandCareinEmergency(ACE)programexpandedfromFrankstonHospital,commencingatRosebudHospitalinDecember2006.TheACEprograminvolvesninevolunteersrotatingthroughtwoshifts,threedaysaweek.
TheintroductionoftheACEvolunteerscoincidedwiththecompletionoftheRosebudEmergencyDepartmentWaitingRoomredevelopment.
InOctober2006,ThePinkLadiesGroupTeamLeaderssupportedthePatient’sRightsandResponsibilitiesProgram.AtrialwasimplementedandreviewedpriortoNovember2006.Therewaspositivefeedbackfromallinvolved,includingpatients,staffandPinkLadies.
ThePsychiatricServicehasaVolunteerGroup,consistingofconsumersandcarers,whichinvolvesapproximately7volunteers.Thesevolunteersworkinthecommunityandcanbecalledontohelpwhereneeded.Othersconvenesupportgroupsorworkwithcarers’groups.
CommunityHealthvolunteershaveattendedcoursesofferedbytheEmploymentLearningandDevelopmentUnitand22volunteershavecompletedasix-sessiondrugandalcoholcourse.
FormoreinformationabouttheessentialroleofVolunteersandAuxiliaries,refertopage52.
Psychiatric Partnerships
ThePHPS(PeninsulaHealthPsychiatricServices)andPsychiatricDisabilityRehabilitation&SupportServiceshaveestablishedtheAllianceProject.Theaimoftheprojectistoworkwithlocalnon-governmentorganisationswhicharefundedtoproviderehabilitationandsupportservices,aswellasassistancewithaccommodation.
PHPSisamemberoftheSouthernConsortiumandbeganmanaginganIntegratedandRecoveryCareServiceProject.Theprojectwillprovidesupportandaccommodationtoasmallnumberofindividualswithmultiplecomplexneeds,manyofwhomarecurrentlyresidinginsecurefacilities.
Department of Human Services
PeninsulaHealthreceivesstrongsupportfromtheDepartmentofHumanServices(DHS).
TheDepartmentfundscoreacute,sub-acuteandagedcareservices,whilealsofundinginnovativeservicesbasedonsubmissions.
FundinghasalsoenabledthehealthservicetoenhancethecapitalfabricofmanyareasandservicesincludingEmergencyDepartmentsinbothFrankstonandRosebudHospitals,RosebudHospitalChemotherapyDepartmentandDialysisUnit,
FrankstonHospitalMedicalImagingDepartment,TheMorningtonCentreandtheplanned$45mexpansiontoFrankstonHospital.
Monash University
LinkswithMonashUniversitycontinuedduringtheyearwiththeestablishmentofanAlliedHealthPhysiotherapyClinicalSchool.DiscussionscontinuewithMonashUniversityregardingtheSchoolofOccupationalTherapy,andearlydiscussionshavecommencedwithMonashUniversityregardingadietetics/nutritionclinicalschool.
OtherlinkageswiththeSchoolofHealthSciencesandCommunityHealthwereestablishedwithaparticularfocusonhealthpromotionandtraining.
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TheindependentnationalbodyforqualityandsafetyinhealthcareinAustraliaistheAustralianCouncilonHealthcareStandards(ACHS).ItconductedanOrganisationWideSurveyforPeninsula
Goal•Buildonourstrongcultureofqualityandinnovation.
HealthinNovember2006.ThereportandratingoftheHealthServicewasthebesteverreceived.ThenextfullOrganisationWideSurveyisscheduledforNovember2010.
PeninsulaHealthwasassessedagainst43criteria,including19mandatorycriteria.Inthe19mandatorycriteria,theSurveyorsawardedaModerateAchievement(MA)insevenareas,anExtensiveAchievement(EA)in11areasandthetopratingofOutstandingAchievement(OA)fortheHealthService’sLegalComplianceprogram.
Eachofthemandatorycriteriareceivesoneofthefollowingratings:• LA=littleachievement;
awarenessandknowledgeoffundamentalrequirements;systemsforbasicrequirementsareinplace.
• SA=someachievement;systemshavebeendevelopedandareimplemented.
• MA=moderateachievement;performancedataiscollected;systemsareevaluated;improvementsaremade.
• EA=extensiveachievement;internalandexternalbenchmarkingoccursthroughcomparisonsofsystemsandresults;systemsareimproved.
• OA=outstandingachievement;anindustryleaderinsystemsandoutcomes.
ThediagramatleftoutlineshowtheHealthServiceratedagainsteachofthe19mandatorycriteria.
TheresultsoftheSurveyreflecttheHealthService’scommitmenttoprovidingsafehighqualityhealthcare.
ACHS – 19 Mandatory Criteria Rating1. Continuum of Care 1.2.1. Theassessmentsystemensuresconsumer/patientneeds
areidentifiedbycompetentprofessionals MA1.3.1. Careisplannedanddeliveredinpartnershipwiththeconsumer/patient
andwhenrelevant,thecarer,toachievethebestpossibleresults. EA1.4.1. Processfordischarge/transferaddresstheneedsoftheconsumer/patient
forongoingcare EA
2. Leadership & Management 2.1.2. Careandservicesareprovidedinaccordancewithlegislativerequirements. OA2.1.5. Documentedcorporate,operationalandclinicalpoliciesassistthe
organisationtoprovidequality,safeandefficientcareandservice. MA2.2.1. Anorganisation-wideriskmanagementpolicyensuresthatsafetyis
consideredinallactivities. EA2.3.1. Theorganisationdevelopsacontinuousqualityimprovementsystem
todemonstrateitscommitmenttoimprovingperformanceincareandservicedelivery. EA
2.4.2. Informationisreadilyavailableforconsumers/patientssotheyareinformedontheirrightsandresponsibilities. MA
3. Human Resource Management 3.1.2. Therecruitment,selecting,appointmentandcontinuingemployment
systemensuresthattheskillmixandcompetencyofstaffsupportsafepracticeandtheprovisionofqualitycareandservice. EA
4. Information Management 4.1.1. Consumer/patienthealthrecordsareaprimarysourceofinformation
tosupportconsumer/patientcareandsafety,improvingperformanceandformanagingtheorganisation. EA
5. Safe Practice & Environment 5.1.1. Thereisasystemthatidentifiesandmanageshealthandsafetyrisksto
ensurethewellbeingofallemployees,consumers/patientsandvisitors. EA5.1.2. Buildings,plant,equipment,utilities,consumablesandsuppliesare
managedandoperatedtosupportsafepracticeandasafeenvironment. MA5.1.3. Theinfectioncontrolsystemsupportssafepracticeandasafeenvironment. EA5.1.4. Theemergencymanagementsystemsupportssafepracticeandasafe
environment. MA5.1.5. Themanagementofmanualhandlingriskssupportssafepracticeand
asafeenvironment. EA5.1.6. Securitymanagementsupportssafepracticeandasafeenvironment. EA5.1.7. Themanagementofdangerousgoodsandhazardoussubstances
supportssafepracticeandasafeenvironment. MA5.1.8. Theradiationsafetymanagementsystemsupportssafepracticeand
asafeenvironment. EA5.1.9. Thewastemanagementsystemsupportssafepracticeandasafe
environment. MA
The ‘Be Aware’ campaign was launched to improve the treatment of patients with warfarin over-
anticoagulation who were actively bleeding or potentially at risk of bleeding. Peninsula Health received a Victorian Healthcare Award in the category of Excellence in Safety
of Care for the campaign. Dr Barry Chan, Emergency Physician in the Emergency Department at Frankston
Hospital, discusses the guidelines with Dr Winnie Nogti.
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Residential Care
TheAgedCareStandardsandAccreditationAgency(ACSA)isthebodyresponsibleformanagingtheaccreditationandongoingsupervisionofAustralianGovernmentfundedagedcarehomes.
AllfourofPeninsulaHealth’sResidentialAgedCarefacilitiesmaintainedfullACSAaccreditation.Positivefeedbackwasalsoreceivedfromunannouncedsupportvisits,whichaimtomonitorfacilitiesonanongoingbasistoensureresidentscontinuetoreceiveahighlevelofcareandthatallstandardscontinuetobemet.
JeanTurnerNursingHomeandLotusLodgeHostelreceivedunannouncedsupportvisitsfromACSAandinFebruary2007werefoundcompliantinallareas.
InNovember2006,therewasanunannouncedsupportcontactvisittoMichaelCourtHostel.Feedbackfromthevisit,whichscrutinisedincidentreportingindepth,wasverypositiveandnotedthatnofurthercontactvisitswerenecessarywithina12monthperiod.
Interdisciplinary Care Practices
Interdisciplinarycarepracticeshavebeenfurtherdevelopedacrossthesub-acutewards.Ratherthananindividualclinicianworkingwiththepatientinisolationfromothers,allmembersofthecareteamnowassessthepatient.Thismeansthatpatientsreceivebettercoordinatedandmorefocusedcare.
Clinical Development Unit
Portfolioholdersareinplaceformajorriskareasoneachsub-acuteward.ClinicalNurseConsultants/expertclinicianshavebeenappointedforeachportfolioarea.ThemodelisbeingextendedtocommunityresidentialfacilitiesthroughROSS(ResidentialOutreachSupportService)fallspreventiontraining.PeninsulaHealthcontinuestointegrateportfoliorolesthroughtheClinicalDevelopmentUnit.
Pharmacy
Themajorcomplicationofwarfarin,a“bloodthinner”,istheriskofmajorbleeding.The‘BeAware’campaignwaslaunchedattheendof2004toimprovethetreatmentofpatientswithwarfarinover-anticoagulationwhowereactivelybleedingorpotentiallyatriskofbleeding.Theimprovementachievedwassignificantandmoreimportantlysustainableasdemonstratedbyamonthlycompliancerateof83–88%fromSeptember2005toJune2006.
InJune2006,thePharmacyDepartmentlaunchedthe‘WarfarinDose-GetItJustRight’campaigntointroduceacompletesetofguidelinesontheprescribingofwarfarin.
Thecampaignresultedinthepercentageofpatientswiththecorrectbloodlevelsincreasingfrom30%inJune2006to72%inMarch2005.
ADVDwasalsoproducedtobeusedasanaidtoensuretimely,consistentandaccuratemedicationinformationisprovidedtowarfarinpatients.Inanaudit,patientswhowatchedtheDVDandreceivedpharmacistcounsellingweremorelikelytocommunicateeffectivelywiththeirdoctor,helpingtoensurethatpatientsreceivemoreaccuratedoselevelsofwarfarinthanthosewhoreceivedpharmacistcounsellingonly.
The‘BeAware’campaignwonanawardforExcellenceinSafetyofCareattheVictorianPublicHealthcareAwardshostedbythePremierinOctober2006.
Clinical Skills Centre
TheClinicalSkillsCentre,adedicatededucationfacilityforclinicalstaff,wasofficiallyopenedinApril2007.Itisequippedwiththelatesttechnologyincluding‘SimMAN’,anadvancedtrainingsimulator.SimMANisoneofseveralsimulatedpatientdevicesintheClinicalSkillsCentre.
ClinicalstafffromAlliedHealth,NursingandMedicinecannowbeeducatedasaclinicalteamratherthanasindividualswithintheirdisciplines.SimMANisaneffectiveeducationaltool,inthatitprovideshighlyrealisticpatientsimulationtrainingexperiences,andthispromotesteamwork,leadershipandcommunicationskills.
TheClinicalSkillsCentreisavailablefortrainingtoPeninsulaHealthstaff,localGeneralPractitionersandPrivateHospitals.
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FundingprovidedbyDHS,theDanksTrustandPeninsulaHealthenabledtherefurbishmentandequippingoftheClinicalSkillsCentre,whichislocatedattheMountElizaCentre.
Psychiatry
PeninsulaHealthPsychiatricService(PHPS)hasimplementedanumberofsuccessfultraininginitiatives.TheseincludetheimplementationoftheRiskIdentification,Safety,Containment,Environment(RiSCE)trainingpackage.TheyincludethedevelopmentofaCognitiveBehaviourTherapytrainingprogram,whichhasnowbeenaccreditedasthefirstadvancedtrainingcourseinCognitiveBehaviourTherapybytheRoyalAustralian&NewZealandCollegeofPsychiatrists.
PHPS’scommitmenttodevelopPeninsulaHealthasapreferredhospitalforpsychiatrictrainingcontinues.DrLucindaSmith,oneoftheDepartment’sRegistrars,hasnowcompletedallofherbasicandadvancedtraininginpsychiatrywithinPeninsulaHealth,thefirstdoctortodoso.DrSmithisoneofthefirstpsychiatristsinAustraliaorNewZealandtobecertificatedasaspecialistinadultpsychiatry.
OneofthePsychiatryDepartment’sseniornurses,CayteHoppner,hasbeenendorsedbytheNursesBoardofVictoriaasaMentalHealthNursePractitionerthefirstsuchappointmentinMentalHealthinVictoria.
PHPShasalsoworkedcloselywithcommunitycarersandconsumerrepresentativestodevelopaDVDcalled“AboutPsychosis”.ThisisthefirstsuchDVDinAustraliawhichprovidesinformationforcarersandpatientsonthesubjectofschizophreniaandrelatedillnesses.TheDVDwaslaunchedattheBi-nationalCongressoftheRoyalAustralianandNewZealandCollegeofPsychiatristsandwillbepresentedattheMentalHealthServicesConferencelaterintheyear.
Southern Melbourne Integrated Cancer Service
SMICSisajointinitiativebetweenPeninsulaHealth,BaysideHealthandSouthernHealth,whichhasbeenestablishedtofacilitatetheimplementationoftheCancerServicesFrameworkforVictoria.SMICSisdevelopingpartnershipswithconsumers/carers,privatehospitals,communityandprimarycareservicestodeliverseamless,multidisciplinarycarethatimprovesthepatientjourneyandoutcomesforpeopleaffectedbycancerinthesouthernMelbournemetropolitanregion.
PeninsulaHealthcontinuestocontributetotheworkofSMICSthroughPeninsulaHealthrepresentatives’involvementonalllocalcollaboratingtumourstreamgroups,managementandexecutivecommittees.PeninsulaHealthisalsoactivelyinvolvedinseveralqualityimprovementprojectsandprojectsrelatingtoengagementofconsumersandgeneralpractitionersincancerservicereform.
Victorian Public Healthcare Awards
OneteamfromPeninsulaHealthreceivedanawardattheVictorianPublicHealthcareAwardsfunctionhostedbythePremierinOctober2006.
• Pharmacy’s‘BeAware’campaignwoninthecategoryofExcellenceinSafetyofCare,seepage40.
TwoPeninsulaHealthprogramswerehighlycommendedandteammembersalsoreceivedawards.
• TheCoreofLifeprogramwashighlycommendedinExcellenceinPreventionandEarlyInterventioncategoryoftheAwards,seepage28.
• Food.Kids.Play,(formerlyFood.Com.Play)afamilybasedinterventionforchildhoodobesity,washighlycommendedintheExcellenceinContinuityofCarecategoryoftheAwards,seepage33-31.
Primary Health Care Awards
ThreeofPeninsulaHealth’sCommunityHealthProgramswereshortlistedinthe2007AwardsforInnovationandExcellenceinPrimaryHealthCare:
• Food.Kids.PlaywasshortlistedinthecategoryInnovationandExcellenceinServiceDelivery,seepage31.
• CommunityKitchens–Stage2wasshortlistedinthecategoryInnovationandExcellenceinResearchandEvaluation,seepage35.
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• OpenUpwasshortlistedinthecategoryInnovationandExcellenceinServiceDelivery,seepage35.
Nursing Awards
TheVictorianNurseExcellenceAwardsrecogniseandacknowledgeoutstandingachievementsbynurseswithinthepublichealthsystem.Theseawardsalsorecognisecontributionsofnursestotheirpatients/clientsthroughinnovativenursingpractice.
LisaDellaGattaandZoeCaspar,Division2nursesatRosebudResidentialAgedCarewereannouncedthewinnersofthecategory‘Improvingthepatient/clientexperiencethroughinnovativenursingpractices’(seepage24).
HelenHutchins,theNurseManagerofthePaediatricUnit,wasrecognisedinthecategoryof‘Outstandingclinicalnursingleadership’.Helenwasnominatedforhercommitmenttochildrenandthecommunity.Helenhasledtheintroductionofmodelsofcareforchildrenthatresultinnurseinitiatedmanagementanddischargeinanenvironmentoflearningandtrust.
JudithHoult,Division3NurseinWard2West,wasrecognisedinthecategoryof‘MakingaDifferencetotheworkinglivesofnurses’.Judithimplementedandsoughtsponsorshipforatrial‘StaffWellBeingProgram’,whichgave
psychiatricnursingstaffthechancetoenjoysomemuchneededtime-outintheformofmassage,aromatherapyandReikitherapy.
TracySmith,oneoftheProgramManagersfromCoreofLife,wasrecognisedatthe2007HESTAAustralianNursingAwards,anationalawardsprogramrecognisingAustralia’smostremarkablenurses.
TracywastheVictorianfinalistinthecategoryofNurseoftheYear.
TheseoutstandingachievementsbyPeninsulaHealthconfirmPeninsulaHealth’scommitmenttoexcellenceandprofessionalisminprovidingqualityhealthservicestoourcommunity.
Compliments and Concerns
PeninsulaHealthrecognisesthevalueofcomplaintsasanimportantsourceoffeedbackfromconsumersintheplanning,deliveryandevaluationofservices.
Thisyear,theHealthServicereceived522complaints,whichisaslightdecreasefrom529receivedin2005/06.
Anewstrategytoseekfeedbackfrompatientswasimplementedduringtheyear.FeedbackcardslikethoseusedinmotelsarenowavailableforallpatientsacrosstheRehabilitation,AgedandPalliativeCareServicesandRosebudHospital.
Thisprovidesopportunityforstafftobeacknowledgedforprovidinghighqualitycarebutalsotoidentifyareasforimprovement.
FulldetailsofPeninsulaHealth’squalityactivitiesin2006/07areprovidedinthePeninsulaHealthQualityofCareReport2007.CopiesareavailablefromPeninsulaHealth(PublicRelationsUnit,POBox52,Frankston3199,ortelephone97847821)orfromthewebsite–www.peninsulahealth.org.au.
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Research
Research,anditsoutcomes,playsavitalroleintheprovisionofoptimumhealthcareandenablesPeninsulaHealthtoextenditscommunityofcarebeyondtheMorningtonPeninsula.Througharticlesinprofessionaljournals,presentationstonationalandinternationalconferencesandcontributionstotexts,PeninsulaHealth’sresearchersarecontributingtoandenhancingtheexistingbodyofknowledgeinmanyareasofmedicine,nursingandalliedhealth.
In2006/07,thePeninsulaHealthResearchProgramwasestablished.ItdrawstogetheranumberofresearchfunctionsandtheportfoliowillbeoverseenbyDrSaraWatson,ExecutiveDirectorCommunityandContinuingCareandAlliedHealth.
ThePeninsulaHealthHumanResearchandEthicsCommitteemeetsmonthlytoconsiderresearchtrials,studiesandprojectspresentedbymedical,nursingandalliedhealthprofessionalsandtoconsideranyethicalissuesthatarise.
Duringthe2006/07year,theHumanResearchandEthicsCommitteeconsidered54projectsrelatingtoresearchatPeninsulaHealth.
Goal•Establishandmaintainastronganddynamicresearchfunction
forclinical,strategicandsocialresearch.
TheResearchDevelopmentCommitteewelcomedAssociateProfessorChrisGilfillantothepositionofChair,followingProfessorJonathanSerpell’sappointmentasProfessorandDirectorofGeneralSurgeryatTheAlfred.
TheResearchDevelopmentFund,administeredbytheResearchDevelopmentCommittee,awardsalimitednumberofsmallgrantsupto$5,000tosupportandencouragehome-grownresearchatPeninsulaHealth.
EightsmallgrantsforMedicalResearchwerefunded.Thecombinedtotalofgrantmoniesawardedfortheseeightresearchprojectswasmorethan$33,000.
Thistakesthetotalnumberofresearchprojectsawardedfundingsince2005,bythePeninsulaHealthResearchDevelopmentCommittee,to11.
ResearchWeek,anannualinitiativeoftheResearchDevelopmentCommittee,wasagainheldinNovember2006.
TheRegistrarResearchPrizewaswonbyDrBradleySkinner,anAnaestheticRegistrar,forhisproject“TheAdditionofaKetamineInfusiontoTramadolforPostoperativeAnalgesia.ADouble-Blind,PlaceboControlledRandomisedTrialAfterAbdominalSurgery”.
TheAlliedHealthandNursingResearchSymposiumdemonstratedthestrongresearchcultureamongstAlliedHealthandNursingstaffwith16participantscontendingtheAlliedHealthandNursingResearchPrizes.
MsLisaSchneiderwontheAlliedHealthResearchPrizeforthepresentationofherproject“Nutrition/Post-ColorectalSurgery”.
MsFionaButlerwontheNursingResearchPrizeforthepresentationofherproject“SkinTearManagementatPeninsulaHealth”.
ProfessorDaviddeKretser,AO,GovernorofVictoria,wastheOratoratthe2006ResearchDinnerandJeremyAndersonOration.ProfessordeKretserspokeonMen’sHealth:Challengesforthe21stCentury.
ThedinnercommemoratesProfessorJeremyAndersonwhowasanesteemedacademic,doctor,researcherandadvocateforhighquality,evidence-basedmedicine.HewasappointedtotheBoardofDirectorsofthenewlyformedPeninsulaHealthCareNetworkin1995andservedontheBoardforsevenyears.ProfessorAndersonpassedawayinFebruary2005.
FulldetailsofPeninsulaHealth’sresearchactivitiesin2006/07areprovidedinthePeninsulaHealthResearchReport2007.CopiesareavailablefromPeninsulaHealth(PublicRelationsUnit,POBox52,Frankston3199,ortelephone97847821)orfromthewebsite–www.peninsulahealth.org.au
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Medical Education
UndergraduateeducationisprovidedformedicalstudentsthroughPeninsulaHealth’saffiliationwithMonashUniversity.During2006/07,217medicalstudentsparticipatedinmedicalrotationsthatincludedemergencymedicine,psychiatricmedicine,paediatrics,obstetricsandgynaecology,surgery,medicine,andintensivecare.PeninsulaHealthtrained13yearthreestudents,94yearfourstudents,whocompletedpaediatric,obstetricandgynaecologyrotations,and89studentsinyearfive(final)yearof
Goal•PromotetheattractivenessofPeninsulaHealthasan
employerofchoice,avoidingstaffshortagesinkeyareas.
Labour Categories in EFT 2007 2006
Allied Health Female 760.23 749.97 Male 191.31 185.32 Total 951.54 935.29
Managers Female 97.95 88.89 Male 52.26 49.68 Total 150.21 138.57
Medical Female 108.85 110.42 Male 213.96 183.83 Total 322.81 294.25
Nursing Female 945.34 932.03 Male 80.29 75.52 Total 1025.63 1007.55
Trades Person Female 0 0 Male 13 13 Total 13 13
Psychiatric Services Female 150.7 146.8 Male 48.37 47.74 Total 199.07 194.54
Misc Female 0.05 0.07 Male 0.06 0.07 Total 0.11 0.14
Casual 43.94 50.59Full Time 1297 1258Part Time 1321.62 1274.62
Grand Total 2662.56 2583.21
undergraduatestudy.Therewerealso10electiveoverseasmedicalstudentscompletinga4weekrotationatPeninsulaHealthduring2006/07.
PostgraduatemedicaltrainingisprovidedthroughPeninsulaHealthforits173interns,residentsandregistrars.ThisyearPeninsulaHealthrecruited28interns.
AprogramofsupportforjuniorInternationalMedicalGraduate(IMG)staffhasbeenimplemented.TheprogramincludesEnglishlanguageassistance,communicationtraining(offered
onaone-to-onebasis),smallgroupclinicalskillstraining,regularweeklymedicaleducationsessions,six‘oncall’clinicalmentorslocatedthroughoutthePeninsula,regularweeklyAustralianMedicalCouncilexampreparationsessionsandculturallysensitivesimulationtraining.Alltheseprogramsaretailoredspecificallytotheneedsofthegraduates.
ThisprogramhasresultedinahighpassrateintheAustralianMedicalCouncilexams,favourableendofrotationappraisalsofIMGHouseMedicalOfficersandpositivefeedbackbyIMGsoftheirworkexperienceatPeninsulaHealth.
Nurse Education
PeninsulaHealthhadapproximately1,850nursesemployedinitsservices.Anoverseasrecruitmentdrivesaw46nursesfromoverseascommenceemploymentwithPeninsulaHealth.
In2006/07,16Division1nursesregainedtheirregistrationorwereregisteredinVictoriaforthefirsttime,asaresultofcompletingoneofthreeSupervisedPracticeProgramsconductedbytheNurseEducationDepartment.
During2006/07approximately650individualClinicalPlacementsforstudentnurses,fromfiveUniversitiesandTAFEColleges,enabledbothDivisionOneandTwonursingstudentstoparticipateinclinicalexperienceatPeninsulaHealth.
In2006,34firstyeargraduatenursescompletedtheGraduateNurseProgram.Ofthese,32were
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successfulingainingpositionsatPeninsulaHealth.In2007,35newgraduatescommencedtheGraduateYearProgram,31ingeneralacuteand4inPsychiatricServices.
In2006,19studentscompletedpostgraduatediplomas/certificatesintheirareaofspecialtyincludingcriticalcare(7),mentalhealth(7),emergencynursing(1),midwifery(1),andperioperativenursing(3).
Atotalof413staffdevelopmentsessionswereconductedthroughoutPeninsulaHealth,recordingatotalof4,459nursingstaffattendances.Additionaleducationwasalsoprovidedinspecialityareasonaregularbasis.
Shortcoursesandstudydays,offeringin-depthtrainingonspecialisttopics,wereprovidedon99occasionsand1,357nursingattendanceswererecorded.
Employee Learning and Development
PeninsulaHealthstaffareabletoaccessalargenumberofin-servicecoursesledbyHumanResourcestrainersandspecialistsfromwithintheHealthService.Morethan1,300staffmembersparticipatedinover150sessionsconductedduring2006ontopicsrangingfromTimeManagementSkillstoBusinessReportWritingtoPerformanceReviewProcesses.
ThreeManagementDevelopmentProgramswereconductedforatotalof40AssociateNurseUnitManagersacrosssitesin2006.
eRecruitment
InOctober2006,PeninsulaHealthintroducedanonlineeRecruitmentsystemwhichhashelpedtoautomateandstreamlinetheemployeerecruitmentandselectionprocess.
FromitsimplementationinOctober2006toJune2007,374successfulplacementsweremadeacrossalldisciplines.
PeninsulaHealth’swebsiteispopularwithjobseekersand70%ofvisitorssoughtinformationonemployment.
Building Positive Attendance Victoria
PeninsulaHealthhascommencedimplementationofthe‘BuildingPositiveAttendanceProgram’.Thisisastate-wideinitiativesupportedbytheVictorianHealthServiceManagementInnovationCouncil.ItwasimplementedinresponsetothetraditionallyhighlevelofunplannedleaveevidentwithintheAustralianhealthcareindustry,relativetootherindustrysectors.Inthe2005/06financialyear,PeninsulaHealth’sunplannedabsencerate(excludingWorkCover)was4.6%anditisestimatedthatthiscosttheHealthServicemorethan$7million(includingthedirectcostofpaidleaveaswellasthecostofreplacementstaff).
‘BuildingPositiveAttendance’supportsworkersandtheirmanagersinthecreationofapositiveworkenvironmentwhichencouragestheeffectivemanagementandappropriate
utilisationofbothplannedandunplannedleave.
Duringtheyear,morethan60line-managersreceivedtrainingintheprogram.
Equal Employment Opportunity
PeninsulaHealthiscommittedtoensuringthatstaffareselectedonmerit,i.e.thebestpersonforthepositionbasedonthe“inherentrequirementsoftheposition”.Tomeetthisobjectivestaffwhoareinvolvedintheinterviewandselectionprocessareofferedatrainingprogramtogainthenecessaryskillsandknowledgeontheselectionandinterviewprocess.
Occupational Health & Safety
PeninsulaHealthhascomprehensiveoccupationalhealthandsafety(OH&S)systemsinplace.
TheOH&SUnitintroducedaneLearningmoduletoassiststaffatPeninsulaHealthwiththeirannualrefresherfiretraining.Anonlinereportisnowavailableadvisingmanagersastowhichstaffhavecompletedtrainingandwhichareoverdue.
Duringtheyear:• 2,860employeesparticipated
inGeneralFireTraining(face-to-facetrainingsystemandonlineeLearningmodules).
• 69EmergencyControlTrainingsessionswereconductedand713employeesparticipated.
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• 45MockEmergencyExerciseswereheldand651employeesparticipated.
• 3HazardousSubstancesandDangerousGoodsTrainingsessionswereconductedand42employeesparticipated.
OH&Sperformanceagainstall15DHSSafetyManagementSystemelementswasreviewedinordertoevaluatetheeffectivenessofthesystemandtoidentifyopportunitiesforimprovement.
WorkCover
TheappointmentofafulltimeWorkCoverManagerhasenhancedthesupportavailabletobothmanagersandemployeesandfacilitatedimprovedreturntoworkfrominjuryorillnessintoasafeworkingenvironmentassoonaspossible.
Whilstoverallclaimnumbersreducedby9%comparedtothepreviousyeartherewere22%moreclaimswhichbecame‘standardlosttime’injuries.
PeninsulaHealthisimplementingamajorinitiativetoimprovesafetyacrosstheorganisation.In2007/08,anumberofeducationalactivitieswillbeimplementedformanagersandstaffincludinga“mockcourt”experienceforManagerstopromoteawarenessoftheirresponsibilitiesundertheOH&SAct2004inanovel,interestingmanner.
Youth Employment Scheme (YES) Traineeships
PeninsulaHealthcontinuestobenefitfromthecontributionsofenthusiasticandwillingworkersthroughaYouthEmploymentScheme(YES)programthatoffersyoungpeoplejobandtrainingopportunities.
PeninsulaHealthhasofferedentrylevelpositionsinadministrationandalliedhealthassistancetoyoungadultswhothenhavetheopportunitytoacquirespecialskills,experienceandqualifications.
TheDepartmentofHumanServicesandtheCommonwealthDepartmentofEducation,ScienceandTraininghavesubsidisedtrainingpositionsatPeninsulaHealthannuallysince2001.
Atotalof60traineeshavesuccessfullycompletedtheprogram,earningnationally-recognisedLevelThreeCertificatesineitherBusinessAdministrationorAlliedHealth.
Service Recognition Awards
In2007,aServiceRecognitionCeremonywasheldtorecognisetheachievementsoflong-servingstaffmembers.Over90staffmemberswererecognisedfortheirachievementof10,15,20,25,30and35yearsofemployment.
Employee Support
PeninsulaHealthstaffandtheirimmediatefamiliescontinuetobenefitfromtheEmployeeAssistanceprogram.Itprovidesindependent,confidentialand
professionalassistancetoindividualswhoareexperiencingpersonalorwork-relateddifficulties.TheprogramisfundedbyPeninsulaHealthatnocosttotheindividualemployee.
Inthe2006/07,atotalof124employeesandfamilymembersaccessedtheservice.Duringthisperiod,over250hoursofcounsellingsupportwereprovidedtoemployees.
Staff Climate Survey
PeninsulaHealthconducteditsfirstStaffOrganisationalClimateSurveyduringtheyear.Staffwereabletoprovidefeedbackonawiderangeofissuesassociatedwiththeirworkandworkingenvironment.Nearly1,000staffcompletedtheSurveyandthefeedbackhasprovidedawealthofinformationonperceptionsofworkinglifeatPeninsulaHealth.Staffrespondedverypositivelytothevastmajorityofissues,withparticularlycomplimentarycommentsonthequalityandsafetyofcarePeninsulaHealthprovides,thestrong‘clientfocus’acrosstheHealthServiceandtheoverallworkenvironment.
Suggestionsforimprovementmainlycentredaroundcommunicationprocessesandthepressuresassociatedwithheavyworkloads.Asaresult,PeninsulaHealthwillimplementarangeofstrategies.Theseincludecreatingmoreopportunitiesfordepartmentalandinter-departmentalcommunications,increasingtrainingopportunitiesandimplementingnewschemestoenhanceemployeeengagement.
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Full Year Financial Performance 2006/07
Thefullyearfinancialoperatingsurplusof$1.977misapleasingresultandmeetsthetargetagreedbytheBoardofDirectorsandtheMinisterforHealthasoutlinedintheStatementofPriorities.
Theachievementisduetocarefulmanagementofexpenditurebudgetsbyallstaff,clinicalefficiencyandagrowthinrevenuefromnewactivities.
Thesurplusassiststhepurchaseofequipmentandothercapitalitemsacrosstheorganisation.
Mt Eliza Centre
PeninsulaHealthislookingatoptionstoconsolidatetheMountElizaCentresite.TheMountElizaCentredatesfromthe1930sandceasedtohaveinpatientswhenthewardsmovedtoTheMorningtonCentreinSeptember2007.
Aspartofthe$45mprojecttoredevelopFrankstonHospital,severalareasoftheHospitalwillbedemolished.Approximately100staffmemberswillberelocatedfromFrankstonHospitaltotheMtElizaCentreuntiltheredevelopmentprojectiscomplete.
Goals•Maintainfinancialviabilitybylivingwithinourmeans.•Plan,manageandenhancephysicalinfrastructure.•Providetimely,accurateinformationtoimproveefficiency
andpatient/clientoutcomes.
FMIS/Oracle
FMIS/Oracleistheorganisation’sFinanceandSupplyManagementInformationSystem.PeninsulaHealthwasthesecondagencytointroducetheFMIS/OracleimplementationinJuly2005.
ThesystemisfullyfunctionalandworkisprogressingonoutstandingissuesincludingtheinterfacewithStocca(pharmacysystem),andtheabilitytoproduceoutstandingreporting.
Patient and Client Management System
PeninsulaHealthisimplementinganewcomputerbasedpatientmanagementsystem,iPatientManager(iPM),aspartof“HealthSMART”,whichistheStateGovernment’swhole-of-healthinformationandcommunitytechnology(ICT)strategy.
Acomputer-basedPatientandClientManagementSystems(P&CMS)isusedtosupportallfunctionsassociatedwiththeadministrationandmanagementofpatientsandclients.
Duringtheyear,workwascompletedonpre-implementationstagesforthenewsystem.Theseincludedinterfacedevelopment,datamigrationanduseracceptancetesting.
ItisestimatedfullimplementationoftheP&CMSproductacrossPeninsulaHealthwilltaketwoyears,withapproximately3,000usersrequiringtraining.
Picture Archiving and Communications System (PACS)
PeninsulaHealthisoneofnineVictorianPublicHealthAgenciesimplementingPACS.
DHShascommittedtofundingapproximately$1.25mfortheimplementationofPACSatPeninsulaHealth.ItwillbeintroducedintheRadiologyDepartmentinearly2008.
PACSisasystemwhichwillenabledigitalcommunication,archiving,processingandviewingofimagesandimage-relatedinformation,andwillreplacethetraditionalfilm-basedsystems.Cleaning audits
CleaningauditsassessPeninsulaHealth’scleaningagainsttheVictorianHospitalCleaningStandardsoutcomebenchmarkof85%.
PeninsulaHealthundertookanexternalauditofitscleanlinessduring2006.Theoverallaverageresultwas97%.Thishasincreasedfromthepreviousoverallaverageof93.6%,whichisanexcellentresultandwellabovethebenchmarkexpectedbyDHS.
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Environment
ProgramshavebeenintroducedtoreducetheHealthService’sconsumptionofwaterandenergyandtorecycleandreusewastematerials,aspartofacomprehensiveenvironmentalmanagementplan.
Water Management
Anumberofwatersavinginitiativeshavebeenprogressivelyimplementedandsavedapproximately9,000kiloliters(kL)forthe2006/07financialyear.ThisisroughlyequivalenttothreeOlympicsizeswimmingpools.
ItisexpectedthatPeninsulaHealthwillsave20,000kLinthe2007/08financialyear.
The Frankston Hospital Water Management PlanFrankstonHospital’saveragewaterconsumptionis70,680kLperannum,andrepresents57%ofthetotalconsumptionof124,600kLforthewholeHealthService.
SeveralinitiativestoconservewaterhavebeenimplementedatFrankstonHospital,including:• Preventativemaintenancewas
undertakentoreduceleakageoroverflow.
• RecycledwaterisusedinPeninsulaHealth’scarwashfacilityreducingwaterconsumptionby104kLperannum.
• Waterflowrestrictiondeviceshavebeeninstalledinsevenwards,deliveringwatersavingsestimatedat11,400kLperannum.
• Aprojecttoreducedialysisbackwashwaterlossthroughswitchingredesignwillsaveanestimated2700kLofwaterperannum.
Energy Management
Improvedenergyefficiencyhasbeenachievedthroughtheinstallationof‘SmartLightingLogic’controllers.InitsinitialtrialinPathology,therewasa27%reductioninenergyusage.Thissavingisenoughtopower21homesforayear(basedoneachhomeusinganaverageof6000kWeachperyear).
Otherinitiativesdirectedtowardsimprovedenergyefficiencyinclude:• Theuseofgas-poweredchillers
forairconditioningunitsandsteam-basedheatingpoweredbygasboilersresultsinenergyefficienciesandreducedgreenhousegasemissions.
• Ice,generatedviauseofoffpeakelectricity,isproducedviaaheatexchangeprocesstogeneratecoolingcapacityduringhighertariffperiods.
• Energysavingfluorescentlightbulbshavebeenusedtoreplacelessefficientincandescentbulbsinsomeresidentialfacilities.
Capital Developments
Energyandwaterefficientfixtureswillbeusedforallnewinstallations,capitalandminorworksatPeninsulaHealth.
ThedesignoftheMorningtonsiteincludesdesignatedwastemanagementareasofan
appropriatesizeforthecollectionofgeneralwaste,clinicalwasteandcomminglerecycling.Thisimprovescompliancewithwastesegregationandfacilitatesrecyclingopportunities.
InitiativesdesignedintoFrankstonStage2include:• Theuseofwater-efficient
plumbinginensuitesandtoilets.• Theinstallationofwatertanks
foruseinflushingtoilets.• Theuseofdouble-glazed
windows,predominantlyonthewestsideofthebuilding.Thisreducestheamountofheatenteringthebuildingandthereforetheamountofenergyrequiredforcooling.
• Theinstallationofasolarpre-heathotwaterservice;and
• Theuseofhigh-energy,heatreflectivematerialforthenewbuildingfacade.
Waste Minimisation and Recycling
AdetailedexternalwasteauditconcludedthatPeninsulaHealthdemonstratesimprovedwastesegregation.FrankstonHospitalgenerates4.75kgoftotalwasteperoccupiedbedday(OBD),whichisatthelowerendoftherange(2.58kgto10.98kgperOBD)whenbenchmarkedwithotherHealthServices.
A number of water saving initiatives were progressively implemented in 2006/07 and saved
approximately 9,000 kilolitres per annum, roughly equivalent to three Olympic size swimming pools.
Eugene Nogueira, Senior Engineer, and Lynne Winterburn, Manager Support Services, discuss
reconnecting Y2K water tanks, like this one located at the Golf Links Road site – one of the environmental
initiatives which will be implemented in 2007/08.
Eugene Nogueira & Lynne Winterburn
Managing Risk
PeninsulaHealthhasacoordinated,service-wideapproachtoriskmanagement.
PeninsulaHealthconsidersthatitcanimproveconsumeroutcomesthroughacoordinatedapproachtotheidentification,analysesandmanagementoffactorsimpactingonrisk.ItskeypolicyisbasedonAustralianStandardsandprovidesaframeworkforRiskManagementwhichexplicitlyrecognisesthediversenatureofrisks,whichahealthserviceneedstoimprove.ThisincludesClinicalGovernance,CorporateGovernance,FinancialRisk,BuildingandInfrastructure,Reputation,DisasterPlanning,OccupationalHealthandSafetyandSecurity.
BoardofDirectorsandseniorstaffareresponsibleforimplementingproceduresandmanagingrelevantrisksintheirareasofresponsibility.
AreviewandupdateofthePeninsulaHealthRiskRegisterwasheldinMay2007.PeninsulaHealth’sManagementPracticeswerereviewed,andfairedwellwhenbenchmarkedagainstotherpublicHealthServices,bytheAuditor-GeneralandVictorianManagedInsuranceAuthority(VMIA)inNovember2006.
Goal•Identify,analyse,treat,evaluateandmonitorkeyrisks
atalllevels.
RiSCE
TheRiSCE(RiskIdentification,Safety,Containment,Environment)ProgramisacomprehensivetrainingprogramdesignedtoimprovethemanagementofoccupationalviolenceandaggressionwithintheHealthService.Itprovidesstaffwiththeappropriateknowledge,attitudesandskillsdeemedvitaltomitigaterisk.
TheRiSCEProgramconducted16twodaytrainingsessionsinpsychiatryandatotalof258staffattended.Oftheattendeeswhowereevaluated,67%ofstaffconsideredthetrainingworkshopveryusefulforlearningskillstohelpreducetheriskofoccupationalviolenceandaggression.
TheprogramcontinuestobeimplementedacrossPeninsulaHealth.
Respond Brown Plan
ChangeshaveoccurredtothewayPeninsulaHealthrespondstoanexternalemergencyincidentofmassproportions(forexample,amajorchemicalleakatalocalfactory).KnownastheRespondBrownPlan,thesechangesreflectthenewDHSrecommended
organisationalframework,knownastheIncidentControlSystem(ICS).ThismeansthatthenumberofcoordinatorsimplementingtheRespondBrownplanhasincreasedfromone(formerlyknownasanEmergencyController)tofour,whichincludesaHospitalIncidentCommander(HIC),PlanningManager,OperationsManagerandLogisticsManager.
SeveralinformationsessionshavebeenheldtoexplainhowthisnewstructureappliestoPeninsulaHealth’sRespondBrownPlan.PeninsulaHealthstaffhaveundertakentrainingtoensurethattheyarepreparedinthecaseofanexternalemergencyandtoundertaketheproceduresrequiredtocarryoutanefficientresponse.
Medication Safety Program
PeninsulaHealthprovidesinformationaboutthesafeuseofmedicationsthroughpublichealthforums,guidancefrompharmacistswhenpatientsaredischargedfromhospital,seminarsforhealthprovidersandassistanceathomewithmedicationqueries.
WithinPeninsulaHealthfacilities,acomprehensiveprogramofmedicationsafetyimpactsonallclinicalfunctionsandprograms.Atthestartof2006,theMedicationSafetyProgramwasfurtherextendedbybeingintroducedwithintherehabilitation,agedcareandpalliativecareunits.
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Theprogramhasimplementedaprocesstostandardisedrugsupplyacrossallofthewards.Drugstorageareasandmedicationtrolleyswerestandardisedwiththesameappearance.Acompulsorytrainingprogramwasestablishedfornursingstaff.Bysimulatingreal-lifesituationsandlearningaboutadditionalsafetychecks,allnursesweretrainedandassessedonthesafestwaytogivemedicationsothattheriskofanerrorcanbereduced.
e-Prescribing
PeninsulaHealthwasawardedtheNationalClinicalQualityAwardbytheAustralianCouncilonHealthcareStandards(ACHS)foritspioneeringworkinusingcomputerprogramstohelpprescribedischargemedications.
TheprojectallowsdoctorstoprepareprescriptionsusingacomputerprogramthatnotonlylistsdetailsofanydruginFrankstonHospital’sformulary,butalsoaidsinreducingpotentialerrors.
ElectronicdischargeprescribingisusedthroughoutPeninsulaHealth,andaninpatientelectronicprescribing(e-prescribing)systemisnowinusethroughoutPeninsulaHealth’sacuteandrehabilitationserviceswith88%ofdoctorsusinge-prescribingregularly.
InMarch2003,1,948prescriptionsweregeneratedelectronicallyandinJune2007thatnumberreached12,001prescriptions.
Security
Auditorscompletedaninternalsecurityassessmentandidentifiedseveralopportunitiestofurtherimprovesecurityofpatients,staffandvisitors.Asaresultofrecommendationsmadebytheaudit,improvedsecuritymeasureswereimplementedincludingenhancingtheprotectionwindowatthepharmacystore,increasingstaffavailabilityduringCodeGreyalerts(responsetoincidentsofunarmedviolence)andimplementingapermanentsecuritypresenceatFrankstonHospitalEmergencyDepartment.
Fire Safety Standards
PeninsulaHealthcontinuestomaintainfullcompliancewithrelevantFireSafetyStandards.AFireSafetyAuditwascompletedbyexternalconsultantsin2006.AllworkthatresultedfromtheauditwascompletedandsignedoffinNovember2006.RegulartestingofPeninsulaHealthFiresystemsareconductedbyfireservicecontractorsandFacilitiesManagementstaff.
Food Safety Standards
AllPeninsulaHealthsitesweresubjecttoexternalauditsandallappropriatestaffhaveundergoneannualrefresherFoodSafetyTraining.
Asresultoftheaudit,anewDiningRoomattheMtElizaCentrewillopenin2008.AllothersiteshavepassedtheFoodSafetyAuditsforthelastfouryearsandhaveagainreceivedre-registration.Ahighcomplianceratewasnotedacrossallcampuses.
Audit Processes
Anauditoffinancialstatements,includingreviewofcontrolsandITprocessesfor2006/07,wassignedoffbytheAuditor-GeneralduringAugust2007withnoqualifications.Financialstatementsfor2006/07includeimpactsoftheInternationalFinancialReportingStandardsasrequired.
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Volunteers
Therewere820volunteerandauxiliarymemberssupportingPeninsulaHealthat1July2007.Theyreadilygavetheirtimetosupportpatientsandstaffandtoraisefunds.TheirtirelesseffortsmadeanenormousdifferencetoboththequalityandeffectivenessoftheHealthService.
Theirenthusiasmanddedicationisreflectedintheirsupporttopatientsandstaff,residentsinagedcareandrehabilitationfacilitiesandintheirassistancetofamiliesandvisitors.Theyprovidehandandfootmassagestochemotherapypatients,assistinactivitiesforrehabilitationandagedcareresidentsandsupportpatientsinfamiliesinthePsychiatricandEmergencyDepartment.Theyoperatedapatientlibraryserviceandkiosksandsupportarangeofcommunityhealthservices.
TheBoardhostedaVolunteerAppreciationLuncheon,whichwasattendedby470people,attheMorningtonRacecourseinMay2007.
Auxiliaries and Volunteer Groups
Servingmultiplesites–• OperationSmallChange
–fundraisingbarrels• PastoralCareVolunteers.
FrankstonHospital• K.I.D.SAuxiliary• FrankstonHospitalMen’s
Auxiliary• FrankstonHospitalPink
LadiesAuxiliary
Volunteers and Auxiliaries
• PsychiatryServiceVolunteers• CarrumAuxiliary• PatientFreeLibraryService• Ward5GNVolunteers• RedCrossACEprogram
–AssistanceandCareinEmergency.
RosebudHospital• RosebudHospitalGardenGroup• RosebudHospitalPinkLady
Group• RosebudHospitalKioskAuxiliary• RosebudAuxiliary• WestRosebud/Tootgarook
Auxiliary• RyeAuxiliary• BlairgowrieAuxiliary• Sorrento/PortseaAuxiliary• RosebudHospitalRehabilitation
andAgedCareOpportunityShopGroup
• RedCrossACEprogram–AssistanceandCareinEmergency.
Community&ContinuingCare• FrankstonCommunityHealth
Volunteers• ChelseaCommunity
RehabilitationServiceVolunteers• FrankstonCommunity
RehabilitationServiceVolunteers• RosebudCommunity
RehabilitationServiceVolunteers• RosebudRehabilitationUnit
Volunteers• JeanTurnerNursingHome
Volunteers• LotusLodgeHostelVolunteers• FrankstonRehabilitation
Volunteers• FriendsofCarinyaAuxiliary• MichaelCourtVolunteers• MtElizaCentreVolunteers• RosewoodHouseVolunteers• CarinyaVolunteers• PalliativeCareVolunteers.
Fundraising and DonationsThroughouttheyearmanycommunityorganisationssupplementtheworkoftheAuxiliaries,donatingmedicalequipmentandhelpingtofundprograms.
ThesecommunitydonationsaddtothesignificantgiftsthatPeninsulaHealth’sAuxiliariescontributeeveryyear.In2006/07,donationsfromAuxiliarygroupsenabledPeninsulaHealthtopurchase-• Aspecialisedpatienttransport
busforRosebudHospital.• Abariatricoperatingtablefor
patientswithmorbidobesity.• Recliningchairsforfamily
membersstayingwithlovedonesinPalliativeCare.
• MonitorsforMaternityServicesandemergencyventilationequipmentforcriticallyillchildren.
• ManyitemsofequipmentfortheIntensiveCareUnit.
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Frankston Community Health Service
Main Site:FrankstonIntegratedHealthCentre,HastingsRoad.ServicesacrossFrankstonandtheMorningtonPeninsula
Key Services and Facilities:Healthpromotion(Men’sShed,CommunityKitchens)Children’sServices(SchoolReadiness,HealthyFutures),PrimaryHealth(Counselling,Dietetics,ServiceCoordination),diseaseeducationandhealtheducationprogramsincludingCardiacRehabilitationProgram,diabeteseducation,YouthSupport,SchoolFocussedYouthService,PeninsulaDrugandAlcoholProgram,Pharmacotherapy,Optometry,CommunityDental,ChronicDiseaseselfmanagement,ComplexCare,GPsinCommunityHealthproject,GamblersHelp.
Fast Facts:
Outpatientoccasionsofservice: 69,769
Numberofstaff: 170
EFT: 116.38
Major Achievements / Highlights:• TheComplexCareandStay
HealthyprogramscombinedwiththeMorningtonPeninsulaDivisionofGeneralPracticetoemployafulltimeGPLiaisonworkerwhohasmetwithmanystakeholders,producedpromotionalmaterialsandincreasedtheGPreferralstotheCommunityHealthServiceforclientswithaChronicIllness.
Service Profile
• FundswerereceivedinconjunctionwithPeninsulaCommunityHealthServicetodevelopGPservicesfordisadvantagedandcomplexclientsintheFrankstonandHastingsarea.
• HospitalAdmissionsRiskProgram(HARP)fundswereusedtoprovideaprimaryhealthnurseintotheSHARPSNeedleSyringeExchangetoaddresshealthneedsofinjectingdrugusersandtheirfamilies.
• TheAboriginalHealthPromotionandChronicCareprogramexpanded.
• Anafterhourshydrotherapyprogramwasestablishedforclientswithworkingcarers/partners,toprovidebetteraccesstoclientsunabletoattenddaytimesessions.
• Additionalfundingof$125,000wasreceivedfortheChildren’sServicesProgram,whichisdesignedtoassistchildrenwithmildtomoderatedevelopmentaldelays.
• In2006,Food.Kids.Play,afamilybasedinterventionforchildhoodobesity,washighlycommendedintheVictorianPublicHealthCareAwardsinthecategoryofExcellenceinContinuityofCare
• A“2PIC”filmprojectwasdevelopedinconjunctionwithMorningtonPeninsulaShireCouncil.
Frankston Hospital
Location:HastingsRoad,Frankston.
Key Services and Facilities: EmergencyDepartment,Outpatients,MedicalImaging,Pathology,CoronaryCare,Cardiacandnon-cardiacAngiography,CardiacInvestigations,IntensiveCare,Chemotherapy,RenalDialysis,generalandspecialtymedicalandsurgicalservices,HospitalintheHome,MaternityandPaediatricServices,includingaSpecialCareNursery,OperatingTheatres,andEndoscopy.
Fast Facts:
Numberofbeds: 336
Numberofstaff: 2487
EFT 1511.26
Separations: 48,120
SurgicalProcedures: 9,253
Births: 2,383
EmergencyPresentations: 50,518
Major Achievements / Highlights:• InSeptember2006,the$3.4
millionredevelopmenttotheFrankstonHospitalRadiologyDepartmentwascompleted.Thefour-stageprojecthasimprovedtheRadiologyDepartment’sfacilitiestobettercopewithdemandforimagingservices.Seepage26.
• InOctober2006,workstotheFrankstonHospitalEmergencyDepartmentwerecompleted.Thisincludedasixbedobservationward,waitingareaandpaediatricwaitingarea.
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• FlexiblecystoscopyservicesforurologypatientscommencedinNovember2006.
• ThePaediatricDiabetesCliniccommencedinDecember2006.
• InApril2007,theHillviewBirthingUnitwasrelocatedtoFrankstonHospital.A$3millionexpansiontoFrankstonHospital’smaternityfacilitiesisplannedfor2008andthiswillresultinadditionalmaternityandbirthingfacilities.Seepage28.
• InMay2007,FrankstonHospitalreceived$45millioninfundingtoexpanditssurgicalandintensivecarefacilities.Seepage19.
• AssociateProfessorappointmentsweremadeinAnaestheticsandWomen’s,Children’sandAdolescentHealth.
Rosebud Hospital
Location:1527PointNepeanRoad,Rosebud
KeyServicesandFacilities:Emergencyservices,surgery,Mother/babyprogram,feedingandsleepingdifficultiesclinics,psychiatricoutpatients,HospitalintheHome(HITH),renaldialysisandchemotherapy.
Fast Facts:
Numberofbeds: 79
Numberofstaff: 343
EFT 198.27
EmergencyPresentations: 20,557
Separations: 12,322
SurgicalProcedures: 962
Births: 201
Major Achievements / Highlights:• RedevelopmentofEmergency
Departmentwaitingroomwascompleted.
• TheRedCrossACEVolunteerprogramcommencedatRosebudinNovember2006.
• AdedicatedtriagenurserolewasintroducedatRosebudEmergencyDepartment.
• RedevelopmentofRosebudHospitalDayTreatmentCentrewascompleted.
• AClinicalNurseEducatorwasappointedtoworkonsiteatRosebudHospital.
• TheRosebudHospitalTransitServicecommenced–operating5daysprovidingnonacutepatienttransport,facilitatingpatientflow.
• CSSDwasenhancedwithinstallationofnew$90,000Sterilizer.
Peninsula Health Psychiatric Services
Location: AcrossFrankstonandtheMorningtonPeninsula
Key Services and Facilities: Servicesareprovidedintwocontinuumsofcare,AdultandAged,acrosssixsitesandincludeassessment,acutetreatmentandcareincommunityandinpatientsettings,crisisintervention,casemanagementandresidentialrehabilitationandcare.Allservicesareprovidedbyarangeofmultidisciplinaryteams.
Fast Facts:
Numberofbeds: 64 (29Adult, 15Aged, 20Community Careunitbeds)
Numberofstaff: 290
EFT 223.79
CommunityContacts: 118,742
OccupiedBedDays: 14,373
Separations: 1,056
Major Achievements / Highlights:• Serviceswererestructuredto
replacetheformeruseofCATServicesandCaseManagementServiceswithamoreintegratedserviceinvolvingfourmulti-disciplinarycommunity-basedadultteams.
• TheAdultInpatientUnitcontinuedtolookatalternativewaystoreducetherateofseclusion.Theseclusionratehasreducedfromanaverageof10.5%in2004/05to7%in2006/07.
Service Profile
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• ADVDentitled‘AboutPsychosis’waslaunchedasaneducationaltoolforcarersandfamiliesofpeoplewhosufferfrompsychosis.
• CayteHoppnerwasappointedVictoria’sfirstNursePractitionerforMentalHealth.
• DrLucindaSmithcompletedallbasicandadvancedtraininginpsychiatrywithinPeninsulaHealth.SheisoneofthefirstpsychiatristsinAustraliaorNewZealandtobecertifiedasaspecialistinadultpsychiatry.
• InJune2007,over800peopleattendedthefourth“MenBehavingPositively”forum,whichwasheldattheFrankstonArtsCentre.
Community & Continuing Care Services
Location:AcrossFrankstonandMorningtonPeninsula
Key Services and Facilities: ACCESSreferralservice,AgedCareAssessmentService,GeriatricEvaluationandManagement,ResidentialAgedCarefacilities,homemodification,PersonalAssistanceCallService,ResidentialOutreachSupportService(ROSS),respiteandcarersupport,interimcare,inpatientpalliativecareservices,palliativecareconsultancyservice,inpatientandcommunityrehabilitation,fallspreventionservice,Agestrong,MovementDisorder’sClinic.
Fast Facts:
Numberofbeds: 317 (60NursingHome, 30TransitionCare, 90Rehabilitation, 15PalliativeCare, 60GeriatricEvaluation &Management 62Hostelbeds)
Numberofstaff: 920
EFT 613.83
Outpatientoccasionsofservice: 41,698
TotalBedDays: 103,025
Separations: 3,797
Major Achievements / Highlights:• TheFallsPreventionProgram
wasselectedbyDHSastheleadmetropolitanagencyfortherolloutoffallspreventionprogramsacrossacuteservices.
• TheTransitionCareProgramcommencedinDecember2006.
• CarinyaandJeanTurnerNursinghomesandMichaelCourtandLotusLodgeHostelsearnedACSAAccreditation.
• LisaDellaGattaandZoeCasper,Division2nursesfromRosebudResidentialAgedCareservicesreceivedawardsatthe2006StateNursingExcellenceAwardsinthecategory‘Improvingthepatient/clientexperiencethroughinnovativenursingpractises’fortheirworkinimprovingoralhealthcareofresidents.
• Morethan1,000peopleattendedtheAgeingWellExpo.
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The structure listed below reflects senior staff membership at 30 June 2007.
CHIEF EXECUTIVEDr S Devanesen MB BS Dip Obst RACOG FRACMA FCHSE FAIM FHKCCM
EXECUTIVE DIRECTOR MEDICAL, FRANKSTON ACUTE CARE, and QUALITY; and DEPUTY CHIEF EXECUTIVEDr P Bradford MB BS MPH FRACMA FCHSE
FRANKSTON HOSPITALChief Nursing Officer Frankston HospitalMs S Jones RN RM BNsg Cert AdvCertMgt Cert Adv EmergOperations Director Major ProjectsMr C McCarthy RN Crit Care
MEDICINE, CANCER AND PALLIATIVE CARE SERVICESOperations Director and Principal NurseMedical Specialties and Medical Inpatients Ms B Williamson RN BNsg CCU RN
NURSE UNIT MANAGERSCardiac Angiography Mr R Templin RN GradCert Oncology UnitMs L Taylor-Lovett BA Adv Cert Chemotherapy AdminRadiology NursingMs A Donnelly RNHaemodialysisMs H Hinrichsen RN BScN Dip Psych Nsg Grad Cert CC Grad Cert RenalWard 5FNMs L Walsh RNWard 5GSMs H Lack RN RM Dip N Ed BEd
MEDICINEDirector of MedicineAssociate Professor D Langton MB BS(Hons) FCCP FRACP FJFICMDirector of Endocrinology and Director Academic General MedicineAssociate Professor C Gilfillan MB BS (Melb) PhD FRACPDirector of Clinical Practice ImprovementDr G Braun MB BS FRACP
Medical Staff CardiologyDr P Carrillo MB BCh FRACP (Director)Dr A Arunothayaraj MB BS MRCP (UK) FRACPDr R Lew MB BS FRACPDr G Szto MBBS FRACPDr R Teperman MB BS (Hons) FRACP FCSANZ DDUDr G Toogood MB BS FRACPDr B Wood MB BS FRACPMedical Staff EndocrinologyAssociate Professor C Gilfillan MB BS (Melb) PhD FRACP (Director)Dr D Dutta MB BS PhD FRACPDr S Morris MB ChB (AUK) FRACPMedical Staff Infectious DiseasesDr P Vinton MB BS (Hons) FRACP (Head of Unit)Dr M Ananda-Rajah MB BS FRACPDr S Broughton MB ChB MRCP(UK) FRCPathDr C Harangozo MB BS FRACPDr C Marshall MB BS FRACPMedical Staff GastroenterologyDr D Badov MB BS FRACP (Head of Unit)Dr R Chen MB BS FRACP MDDr R Herrmann MB BS FRACPDr M Merrett MB BS (Hons) FRACPDr A Thornton MB BS FRACPMedical Staff General Medicine Dr P Fiddes MB BS FRACP (Head of Unit)Dr S Morris MB ChB FRACPDr P Nayagam MB BS(Hons) MRCP (UK) FRACPDr M O’Ryan MRCP(UK) FRACPDr B Pathik MB BS FRACP MD(Melb) Medical Staff RenalDr G Perry MB BS FRACP (Head of Unit)Medical Staff Pain ManagementDr A Prendergast MB BS FFARACS FANZCADr M Taverner MB BS FRCA FANZCA FFANZCE DipPainMgtMedical Staff RheumatologyDr E Thevathasan MB BS(Hons) FRACPMedical Staff General Practice Medicine FrankstonDr A Gunesekera MB BS DipObst DipRACOG (Head of Unit)Dr Z Barr MB BS FRACGPDr M Cross MB BS FRACGPDr R Cuthbertson MB BS BSc BMedSci FRACGP DRANZCODr R Lewis BSc MB BS DCH DRCOG FRACGPDr M Porter MB BS
Medical Staff NeurologyAssociate Professor E Butler MB BS FRACP (Head of Unit)Dr S Raghav MB BS MD DM (Neuro) FRACPMedical Staff Respiratory MedicineAssociate Professor D Langton MB BS(Hons) FRACP (Head of Unit)Dr G Braun MB BS FRACPDr N Manolitsas MB BS(Hons) FRACP
CANCER SERVICES AND PALLIATIVE CAREDirector of Palliative Care Medicine and Acting Director of Cancer ServicesDr B McDonald MBChB MRCGP(UK) FAChPM MScNurse Unit Manager Palliative Care UnitMs H Wearne RN MScMedical Staff Radiotherapy, Oncology & HaematologyDr D Blakey MB BS FRANZCRDr J Catalano MB BS FRACP FRCPADr V Ganju MB BS FRACP Dr N Potasz MB BS FRACPDr J Ruben MB BCh FCRadOnc FRANZCRDr R Srivastava MB BS (Hons) FRACPDr J Thomson MB BS FRACPMedical Staff Palliative CareDr B McDonald MB ChB FChPM MScDr R Lewis BSc MBBS DRCOG DCH FRACGP
SURGERY AND WOMEN’S, CHILDREN’S & ADOLESCENT HEALTH (WCAH)Operations Director/Principal Nurse Surgery and AnaestheticsMr E Dunn BN Grad Cert HSM RN
NURSE UNIT MANAGERSClinical Sterile Supply DepartmentMr B Button RN PeriOp Cert (RMH) Inf Control Cert Mgt Cert (Mayfield)Endoscopy Unit Ms J Robertson RNDay Surgery UnitMs G Richards RN BNsg MRCNAOperating SuiteMs S Maxwell RN PeriOp Grad DipWard 2GNMs E Weir RN CCRNWard 4GNMs G Walters RN Dip Hosp Nsg/Ward Admin FCNAWard 4GSMs J Stephens RN BNsg CCCert MRCNA
Ward 5GNMr J Aylward BNsg, Dip Crit Care NsgSurgical Unit 5Ms J Emmanuel RN BNsg Dip Front Mgt
SURGERYDirector of SurgeryAssociate Professor C Russell MB ChB MS FRACS GradDipBus MRACMAMedical Staff Ear Nose and ThroatMr N Vallance MB BS FRACS (ENT) (Head of Unit) Mr D Diamantaris MB BS FRACSMr W Hurst MB BS FRCS(Edin) FRCS(Eng) FRACSMr J Redman MB BS FRACS LDS BDScMedical Staff General Surgery and Upper GIAssociate Professor C Russell MB ChB MS FRACS Grad Dip Bus MRACMA (Head of Unit)Mr G Draper MBBS FRACSMr P Evans MB BS FRACSMr I Wheatley MB BS(Melb) FRACS BAppSc MComp FACS LLB (Hons)Medical Staff Gastro IntestinalMr S Skinner MB BS PhD FRACS Senior Lecturer (Head of Unit)Mr P Gray MB BS(Melb) FRCS(Edin) FRCS(Eng) FRACSMr R McIntyre MB BS DPhil(Oxon) FRACSMr E Torey MB BS(Hons) FRACSMedical Staff Endocrine / BreastProfessor J Serpell MB BS(Melb) MD FRACS FACS (Head of Unit) Ms B Brown MB BS FRACSMr R Ferguson MBBS FRACSMs M Walker MB BS FRACS (Surgical Education and Training Supervisor)Medical Staff OphthalmologyMr H Baig MB BS FRCS(Edin) FRACS FRACOMedical Staff Orthopaedic SurgeryMr P Brydon MB BS FRACS (Orth) (Chairman) Mr G Bourke MB BS FRACS (Orth)Mr N Broughton MB ChB (Hons) FRCS (Ed) FRCS (Eng) FRACSMr P Hamilton MB BS FRACSMr P McCombe MB BS FRACSMr J Rehfisch MB BS FRACSMr A Weber MB BS FRACSMr R Wuttke MB BS FRACSMedical Staff Paediatric SurgeryMr R Stunden MB ChB(Edin) DA FRCS FRACS(Paed Surg)
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Medical Staff Plastic / Maxillofacial SurgeryDr P Terrill MB BS FRACS (Head of Unit)Mr D Hunter-Smith MB BS(Hons) FRACSMr T Robbins MB BS FRACS FRCS(Ed) FRCSMr D Ross MB BS FRACS (Plast)Dr M Rostek MB BS FRACSMedical Staff Thoracic SurgeryMr P Cole MB BS FRACS FRCS Ed (Card/Thor) FACS FCCP STS (Head of Unit)Medical Staff UrologyMr C Cham MB BS MD FRCS FRACS (Head of Unit)Mr C Chang MB BS (Melb) FRACS (Urol)Dr K McKertich MB BS FRACS (Urology)Mr A Tan MB BS(Melb) FRACS Medical Staff Vascular SurgeryMr G Somjen MS FRACS FRCS(Ed) DDU (Head of Unit)Mr C Last MB BS(Hons) FRACS (Vasc)Mr Wai-Leng Chue MBBS FRACS (Vasc)
ANAESTHETICSDirector of AnaesthesiaDr J Copland MB BS FFARACS FANZCADeputy Director of AnaesthesiaDr C Bowden MB BS FANZCADirector of Anaesthetic Research & TrainingAssociate Professor T Loughnan MB BS FANRACS FFARACS FANZCAMedical Staff - AnaestheticsDr P Brown MB BS BSc(Hons) DA(UK) FANZCADr J Campbell MB BS DipAnaes(UK) FRCA FANZCADr M Chen MB BS FANZCADr T Crofts MB BS FANZCADr M Diacon MB BS FANZCADr T Ding MB BS FANZCADr T Edgley MB BS FANZCADr E Gunasekera MB ChB FRCADr D Henry MB BS DA FFARACSDr H Kolawole BMedSci MClinEd MB BS FANZCA MRACMADr S Leong MB BS FANZCADr J Marxsen MB BS FANZCADr G McKenzie MB BS FFARACS FANZCADr A McLaughlin BM DCH FRCADr A Prendergast MB BS FFARACSDr N Roberts MB BS FANZCADr E Rubinstein MB BS DA FFARCS FFARACS FANZCA
Dr T Stambe MB BS FANZCADr J Tang MB BS FANZCADr A Vulcan MB BS FANZCADr A Webb MB BS FANZCA
WOMEN’S, CHILDREN’S AND ADOLESCENT HEALTH (WCAH)Operations Director/Principal Nurse Women’s Children’s & Adolescent HealthMs S Jones RN RM BNsg Cert AdvCertMgt Cert Adv Emerg
NURSE UNIT MANAGERSWomen’s ServicesMs D Attwood RN RM IBCLCChild and Adolescent UnitMs H Hutchins RNMaternity Inpatient Services Ms S Sewell (Acting) RN RM BNsg Grad Cert Adol HealthSpecial Care NurseryMs D MacFarlane RN RM IWC Neonatal Paed Cert BAppSci (N.Admin) MRCNAHillview Maternity (Rosebud and Frankston)Ms L Whyte RN RMProject OfficerMs K Brown (Acting) RN RM Grad Cert CNP MNsg Director of Women’s, Children’s & Adolescent HealthAssociate Professor A Trivedi MBBS (Hon) Dip Obs FRANZCOG DDUMedical Staff Obstetrics & GynaecologyMr G Baker MB BS FRANZCOG FRCOG FRCS (Edin)Mr A Griffiths MB BS MRACOG FRANZCOGMr R Guirguis MB BS FRCOG FRANZCOGMr K How MB BS FRANZCOG MRCOGMr T Jobling FRCOG FRANZCOG CGO MDMr D Johnson MB BS FRANZCOG FRCOGMr D Luiz MB Bch FCOG (SA) MRCOG FRANZCOGDr P Porter MB BS FRANZCOGMr R Vasant MB BS FRANZCOG FRCOG (UK)Clinical Head PaediatricsDr P Francis MB BS FRACPMedical Staff Paediatrics FrankstonDr Y Anderson MD (Germany) FRACPDr S Blair MB BS FRACP MRCPCHDr H Kelso MB BS FRACPDr E Lowther MB ChB DCH FRACPDr A O’Neill MB BS FRACP
MEDICAL PROFESSIONAL, INVESTIGATIVE AND PHARMACY SERVICES
MEDICAL STAFF COUNCILChairman, Medical Staff CouncilDr J Copland MB BS FFARACS FANZCADeputy Chairman, Medical Staff CouncilMr R Stunden MB ChB(Edin) DA FRCS FRACS(Paed Surg)Honorary TreasurerDr J Copland MB BS FFARACS FANZCAHonorary SecretaryDr R Ward MB BS (Hons) MIFSMExecutive Director Medical ServicesDr P Bradford MB BS MPH FRACMA FCHSEChairman, Division of AnaestheticsDr J Campbell MB BS DipAnaes (UK) FRCAChairman, Division of Obstetrics & GynaecologyDr P Porter MB BS FRANZCOGChairman, Division of OrthopaedicsMr P Brydon MB BS FRACS (Orth)Chairman, Division of PaediatricsDr P Francis MB BS FRACPClinical Head PaediatricsDr P Francis MB BS FRACPChairman, Division of General PracticeDr J Siemienowicz MB BS DRACOG FRACGP DipCompChairman, Division of SurgeryMr R Stunden MB ChB(Edin) DA FRCS FRACS(Paed Surg)Chairman, Division of MedicineDr G Szto MB BS FRACPDirector of Medicine Associate Professor D Langton MB BS(Hons) FCCP FRACPDirector of Women’s, Children’s & Adolescent HealthAssociate Professor A Trivedi MBBS (Hon) Dip Obs FRANZCOG DDUDirector, Aged Care MedicineDr C Clarke MBBS (Melb) FRACPDirector, RadiologyDr C O’Donnell MBBS FRANZCR MMedDirector, SurgeryAssociate Professor C Russell MB ChB MS FRACS GradDipBus MRACMAClinical Director Rosebud Hospital Dr R Ward (Acting) MB BS (Hons) MIFSM
Director, Emergency MedicineAssociate Professor J Wassertheil C StJ MB MS (Monash) MClinEd (USNW) FACEM MRACMA MACLM Cert IV Train&AssessClinical Director PsychiatryAssociate Professor R Newton FRANZCP MRCPsych MB ChB (Edin)Medical Director Patient Safety and MedicolegalDr C Wellington MB BS FRACMA Director Clinical Training/Supervisor Intern TrainingDr D Haji MB ChB FACEM
HMO SUPPORT UNITManager HMO Support Unit & Business and Resourcing Support to Clinical DirectorsMr P Naughton Dip App Sc Grad Dip App Sc Sen Sys Mgmt Dip Naut St Grad Cert Mgmt Cor AIMM AFACHSE JPHMO MentorsDr J Downes-Brydon MBBS Dip RACOGDr D Haji MB ChB FACEMDr B MacDonald MB ChB FChPM MScDr S Macfarlane MB BS (Hons) MPM FRANZCPDr R Ward MB BS (Hons) MIFSM
MEDICAL EDUCATIONDirector Clinical Training/Supervisor Intern TrainingDr D Haji MB ChB FACEMClinical Dean Dr J Botha MB ChB MMed FCP(SA) FRACP FJFICM Dip Neph(London) Dip Echo (Melbourne) Medical Clinical Educator Associate Professor J Wassertheil C StJ MB MS (Monash) MClinEd (USNW) FACEM MRACMA MACLM Cert IV Train&Assess
INVESTIGATIVE SERVICESManager Investigative Services and ContractsMr B Thorbecke Dip Med Radiog GDU
PATHOLOGY (Symbion Dorevitch)Manager Pathology Ms J Couper BSc (Hons) MBADirectorDr P Kostos MBBS FRCPA MIACAnatomical PathologyDr P Kostos MBBS FRCPA MIACDr C McTigue MBBS FRCPADr J Pollard MBBS FRCPA MIAC PhC
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2007 �� Senior Staff
HaematologyDr J Catalano MBBS FRACP FRCPADr M Levin MBBS FRACP FRCPADr J Metz MD DSc(Med) FRCPath FACP FRCPAMicrobiologyDr S Broughton MBChB MRCP(UK) FRCPathDr C Perera MBBS PhD Dp Bact MD FRCPADr C Reed MBBS MRCPath FRCPADr G Wood BSc(Hons) MBBS FRACP FRCPABiochemistryDr A McNeil MBBS FRACP FRCPA PhD
MEDICAL IMAGING SERVICESDirector of RadiologyDr C O’Donnell MBBS FRANZCR MMedRadiologistsDr T Anderson MBBS FRANZCRDr M Bartlett MBBS FRANZCRDr A Dulimov MBBS FRACR DRACRDr A McKenzie MBBS FRANZCRDr S Morley MBBS FRANZCRDr J Waugh MB ChB FRANZCR RCRL
PHARMACYDirector of PharmacyMr S Lam BPharm FSHPA Accredited Consultant Pharmacist
CLINICAL GOVERNANCE, QUALITY AND CUSTOMER SERVICES
Director Clinical Governance, Quality and Customer Services Ms E Bennett BA (Hons) CPFA (UK) MBA AFCHSEMedical Director Medicolegal and Patient SafetyDr C Wellington MB BS FRACMA
EXECUTIVE DIRECTOR COMMUNITY & CONTINUING CARE and ALLIED HEALTH SERVICESDr S Watson MBChB FRACMA MHA (NSW) BSc (Hons)Operations Director Sub-acute Care, Principal Nurse CCC & Chief Nursing Officer and Site Manager Mt ElizaMs J Jukes RN BNsg MBus (HR Mgmt)Operations Director Continuing CareMs L Jamieson BAppSci(SpPath) MSPAA Grad Dip PGSS (Oxford)
Director Social Work & Integrating CareMs S Goonan BSW DipMgt AdvCertMgtDirector of Physiotherapy and Sub-acute Ambulatory CareMs J Roberts (Acting) BPhysio (Hons) MPH AFCHSE MAPA MCSP (UK)Director of Occupational TherapyMs A Closter BAppSc (Occ Therapy)Director of Speech PathologyMs J Collins BSpPath CPSPDirector Nutrition and DieteticsMs H Nikolas MPHC AFCHSE APDClinical Director Aged Care MedicineDr C Clarke MBBS (Melb) FRACPDirector of Rehabilitation MedicineDr S Mudaliar AMC FAFRM(RACP) MRACMA
MEDICAL STAFF - CCCProfessor Aged Care MedicineProfessor J Ibrahim MBBS Grad Cert HE PhD MRACMA FAFPHM FRACPGeriatriciansDr Ah-Choy Chan MBBS FRACPDr S Denton MB BS DGM DipPallMedDr S Kumar MB BS FRACGP D G M GradDipHlthAdmin DipPallMedPhysicians in Rehabilitation MedicineDr M Leach MB BS(Hons) FRACGP FAFRMDr J Rubenis MB BS DGM FAFRM(RACP)Dr R Thavarajah MB BS FRACP
SITE & SERVICE MANAGERSChief Nursing Officer and Site Manager Golf Links Road siteMr J Arrebola (Acting) Dip AppSci(Nsg) BNsg GradDip Gerontology NsgChief Nursing Officer/Site Manager Rosebud Residential Aged Care Services (incorporating Jean Turner Nursing Home and Lotus Lodge Hostel)Mr D Baulch (Acting) RN Div 1 BNsgChief Nursing Officer & Site Manager Rosebud Rehabilitation Services and CCC Budget Project ManagerMs K Murphy RN RM B App Sci (Nsg Admin) Dip App Sci (Community Health) Master Health Service Mgt Dip Health and Community Services
Carinya Residential Aged Care Unit Ms C Graham RN Div 1Golf Links Rd Rehabilitation Unit 1Ms L Chapman BNsgGolf Links Rd Rehabilitation Unit 2Ms L Clark RN Div 1 Ward 4 Mount Eliza CentreMs A Goodrich DipNsg Grad Dip GerontologyWard 5 Mount Eliza CentreMs R Gersdahl RNJean Turner Community Nursing HomeMs K Mackenzie RN BNsgLotus Lodge HostelMr J Alexander (Acting) RN Div 1Michael Court HostelMs W Hellier RN RM Gr Cert Psych Nsg Gr Dip Geron MNRosebud Rehabilitation UnitMr A Saliba (Acting) RN BSc Health Sciences Community Rehabilitation CentresMr J Arrebola Dip AppSci(Nsg) BNsg GradDip Gerontology NsgOutpatients DepartmentMs B Connolly RN BNsg
RESEARCH & ETHICS COMMITTEEExecutive SponsorDr S Watson MBChB FRACMA MHA (NSW) BSc (Hons)
COMMUNITY HEALTH SERVICESGeneral Manager Community Health Services, Chief Operating Officer, Frankston Integrated Health CentreMr R Macindoe BA GDRec GDBus MAppSc AFCHSE CHE
EXECUTIVE DIRECTOR PLANNING, PSYCHIATRY & INFRASTRUCTUREMr B Gardner B App Sc (HIM) MHA UNSW AFCHSE
Acting Associate Executive Director PsychiatryMs E Bennett BA (Hons) CPFA (UK) MBA AFCHSE
PSYCHIATRIC SERVICESClinical DirectorAssociate Professor R Newton FRANZCP MRCPsych MB ChB(Edin)Director of Community & Aged PsychiatryDr S Macfarlane MB BS (Hons) MPM FRANZCP
Director of Adult Hospital Based ServicesDr M Lee MB BS B Sc FRANZCPOperations DirectorMs B Keeble-Devlin (Acting) RN RPN BAppSci DipAppSciPsychNurse Med MANZCMHN FRCNAChief Nursing OfficerMs B Keeble-Devlin RN RPN BAppSci DipAppSciPsychNurse Med MANZCMHN FRCNASenior Medical Staff PsychiatryDr S Chambers MB ChB FRANZCPDr C Etulain FRANZCPDr R Kruk MD FRANZCPDr P Manawadu MD(Hons) PGDIP(Psy) MDPsychAssociate Professor P Mazumdar MBBS FRANZCPDr D O’Loughlin MB BS DipRACOG MPM FRANZCPDr J Selman FRANZCP MRCPsych MB ChB(Liv)Dr L Smith MBBS MPSYCH FRANZCPDr J Stone MB BS (Hons) MPM FRANZCPDr M Tsanglis MB BS MPSYCH FRANZCPDr P Tolan MB BS FRANZCPProgram Manager Aged Acute Assessment & Treatment ProgramDr Steve Macfarlane MB BS (Hons) MPM FRANZCPProgram Manager Adult Acute Services ProgramMs A Hamden RPN RN BN Grad Dip (Gerontics) MANZCMHNProgram Manager Adult Community Psychiatric Services ProgramMr K Joseph RPNNurse Unit Manager Community Care Unit (CCU)Mr A Merrett RN Div 3Nurse Unit Manager Aged Psychiatry Inpatient Unit (1WA)Mr R Bakey RN Div 1 & 3Nurse Unit Manager Adult Psychiatry Inpatient Unit (2W)Mr S John RN RPN PGDip Adv Clin Nursing (Mental Health)Quality ManagerMs R Cantley-Smith RN RPN MANZCMHN
INFRASTRUCTURE SERVICES FACILITIES MANAGEMENT DEPARTMENTDirector of Engineering ServicesMr G De Campo BBus Grad Dip Mgt MB
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EXECUTIVE DIRECTOR HUMAN RESOURCES and ROSEBUD ACUTE CAREMr C England AHA(UK) CMAHRIRosebud Hospital Operations Director, Site Manager & Chief Nursing OfficerMs S White RN RM Grad Dip Clinical Nsg (Emergency) MNurs
MEDICAL STAFF - ROSEBUDClinical DirectorDr R Ward (Acting) MB BS (Hons) MIFSMGeneral Medicine RosebudDr S Morris MB BS FRACPDr P Nayagam MB BS FRACP MRCP(UK)Renal MedicineDr G Perry MB BS FRACPGeneral Practice RosebudDr C Amarasinghe BSc MBCHB DipObstDr M Coffey MB BS BSc(Hons)Dr R Duff MB BS Dip RACOGDr S Fifield MB BS DRACOGDr D Flanagan MB BS DipObst RACOGDr M McLean MB BS DRACOG FRACGP DipRGPDr S Pilbrow MB BS PhD FRACGPEmergency MedicineDr B Chan MBBS FACEMGeneral Surgery RosebudMr G Draper MBBS FRACSAssociate Professor C Russell MB ChB MS FRACS GradDipBus MRACMAMr E Torey MBBS(Hons) FRACSMr I Wheatley MB BS FRACSVascular Surgery RosebudMr Wai-Leng Chue MBBS FRACS(Vasc)Mr C Last MBBS (Hons)FRACS(Vasc)Mr G Somjen MS FRACS (Ed) FRACS DDUObstetrics & Gynaecology RosebudMr A Griffiths MB BS MRACOG FRANZCOGMr K How MB BS FRANZCOG MRCOGMr D Johnson MB BS FRANZCOG FRCOGMr R Vasant MB BS FRANZCOG FRCOG (UK)OncologyDr V Ganju MB BS FRACPOrthopaedic Surgery RosebudMr P Hamilton MBBS(Hons) FRACS(Orth)Mr P McCombe MB BS FRACSPaediatrics RosebudDr E Lowther MB ChB DCH FRACPDr A O’Neill MBBS FRACPPalliative CareDr B McDonald MB ChB FChPM MSc
Plastic Surgery RosebudMr D Hunter-Smith MBBS (Hons) FRACS
NURSE UNIT MANAGERSEmergency DepartmentMr G Matthews BSc DipApSc (Nsg) BN MNU ICU Certificate Operating Suite Mrs S Lambert BSc(Nsg) Cert Peri Op Dip MgtSouthern Wing Ms S Netherwood RN RM AdvCertMgt Walker Wing Ms L Goodwin RN BNsg(Post reg) Grad Cert Diabetes EducationChemotherapy/Renal DialysisMs C O’Kane RN
EXECUTIVE DIRECTOR FINANCE and INFORMATIONMr D Anderson BCom MCom (Finance) Director of Financial Services Mr D O’Connor-Price BBus(Acc) CPA Manager Computer ServicesMr E Aspinall HND Bus Studies MACS
EXECUTIVE DIRECTOR NURSING, FRANKSTON EMERGENCY & INTENSIVE CARE and COMMUNITY PARTICIPATIONMs J Child RN GradDip(Behavioural Sc) GradDipHlthAdmin
NURSING SERVICES EXECUTIVEActing Operations Director/Principal Nurse Emergency, ICU and Consumer Participation Ms K Heriot RN Chief Nursing Officer and Operations Director/Principal Nurse Women’s, Children’s and Adolescent Health and Surgical Inpatients Ms S Jones RN RM BNsg MNsg AdvCertMgt Cert Adv EmergOperations Director/Principal Nurse Medical Specialties and Medical InpatientsMs B Williamson RN BNsg CCU RNOperations Director/Principal Nurse Major Projects and Perioperative ServicesMr C McCarthy RN Crit Care Rosebud Hospital Chief Nursing Officer & Principal NurseMs S White (Acting) RN RM Grad Dip Clinical Nsg (Emergency) MNurs
Psychiatry Chief Nursing OfficerMs B Keeble-Devlin RN RPN AppSciDipAppSciPsychNurse Master Ed St MANZCMHN FRCNARehabilitation, Aged & Palliative Care ServicesPrincipal Nursing Officer CCC & Chief Nursing Officer Jacksons RoadMs J Jukes RN BNsg MBus (HR Mgmt)Chief Nursing Officer Golf Links RoadMs R Digby RN Div1 BA Cert Diab Ed Grad Cert GerontologyChief Nursing Officer / Site Manager Rosebud Residential Aged Care Services (incorporating Jean Turner Nursing Home and Lotus Lodge Hostel)Ms M Cook RN BAppSc Nsg Mr D Baulch (Acting) RN (BNur) Chief Nursing Officer Rosebud Community Rehabilitation Centre & Rosebud Rehabilitation UnitMrs K Murphy RN RM BAppSc (Nsg Admin) Diploma AppSc (Community Health) Dip Health/Community Services Master Health Service MgmtNurse Unit Manager Medical Assessment & Planning UnitMs A Lindsay RN (Div 1) BNsg MNsg Crit Care Cert AdvCertMgt Dip Frontline MgtManager Nursing Recruitment & Allocations Ms K Story RN BNsg Grad Cert ICU Grad Cert Health Services MgmtSenior Manager, Nurse Education & DevelopmentMrs M Habner RN RM BAppSci(AdvNsg)Ed MHA Cert IV WT&A MRCNAAFCHSE
EMERGENCYDirector of Emergency MedicineAssociate Professor J Wassertheil C StJ MB MS (Monash) MClinEd (USNW) FACEM MRACMA MACLM Cert IV Train&Assess Clinical Director Frankston Emergency Department Dr L Goh MB BS (Melb) FACEM Director of Emergency Medicine TrainingDr M Smith MB MS (Monash) BMedSci Hons (Monash) FACEM Emergency Physicians / CliniciansDr V Amarasinghe MB BS (Colombo) FACEMDr T Baker MB BS Hons (Monash) BMedSci Hons (Monash) FACEM
Dr K Bristow MB ChB (Otago) FACEMDr B Chan MB BS (Melbourne) FACEMDr D Haji MB ChB (Mosul) FACEM Emergency PaediatricianDr P Francis MB BS FRACPGeneral PractitionersDr M Jackson MB BS (Melb) BMedSci (Melb) DipObs RACOG FRACGPDr G Macaulay MB BS (Melb) DipObs RCOG ACCAMDr R Ward MB BS Hons (Melb) FISMS Nurse Unit Manager Emergency DepartmentMr A Browne RN RSCN (Lon) Critical Cert ICU BA (Hons)Project OfficerMs N Parker GradDipAppNur BA MA Grad Dip CritCareEN Grad Cert Health ProfEd GradCert Health PromNurse Unit Manager Medical Assessment and Planning UnitMs C Stevens (Acting) BN
INTENSIVE CAREDirector Intensive Care UnitDr J Botha MB ChB MMed FCP(SA) FRACP FJFICM Dip Neph(London) Dip Echo (Melbourne) Deputy Director Intensive Care UnitDr I Carney B Sc MB.BS(Hons) FRACP MPH&TM FJFICM Dip Echo (Melbourne)Nurse Unit Manager Intensive Care UnitMr P Taylor RN Dip HE (UK) Cert ICU Cert HDU CertMgtStaff IntensivistsDr S Arora MD FRACP FJFICM Dip Echo (Melbourne)Dr H Gangopadhyay MB BS (India) MD FFARCS(IRE) FJFICM
LEGAL COUNSELMs V Hammond LLB (Hons) LLM (Hons)
PUBLIC RELATIONS & MARKETINGDirector Public Relations & MarketingMr J Jukes BA Grad Dip Mktg
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2007 �0 Disclosure Index
TheAnnualReportofPeninsulaHealthispreparedinaccordancewithallVictorianlegislation.Thisindexhasbeenpreparedtofacilitateidentificationofcompliancewithstatutorydisclosurerequirements.
Legislation Requirement Page
Report of Operations
Charter and purpose
FRD 22A MannerofestablishmentandtherelevantMinisters 4,14
FRD 22A Objectives,functions,powersandduties Insidefrontcover
FRD 22A Natureandrangeofservicesprovided 4-5,53-55
Management and structure
FRD 22A Organisationalstructure. 18
Financial and other information
FRD 22A Operationalandbudgetaryobjectivesandperformanceagainstobjectives FinancialStatements
FRD 22A Statementofmeritandequity FinancialStatements
FRD 22A WorkforceDataDisclosures 44
FRD 22A Occupationalhealthandsafety FinancialStatements
FRD 22A Summaryofthefinancialresultsfortheyear 5,11,FinancialStatements
FRD 22A Significantchangesinfinancialpositionduringtheyear FinancialStatements
FRD 22A Majorchangesorfactorsaffectingperformance FinancialStatements
FRD 22A Subsequentevents FinancialStatements
FRD 22A ApplicationandoperationofFreedom of Information Act 1982 FinancialStatements
FRD 22A CompliancewithbuildingandmaintenanceprovisionsofBuilding Act 1993 FinancialStatements
FRD 25 VictorianIndustryParticipationPolicydisclosures FinancialStatements
FRD 22A StatementonNationalCompetitionPolicy FinancialStatements
FRD 22A ApplicationandoperationoftheWhistleblowers Protection Act 2001 FinancialStatements
FRD 22A Detailsofconsultanciesover$100,000 FinancialStatements
FRD 22A Detailsofconsultanciesunder$100,000 FinancialStatements
FRD 22A Statementofavailabilityofotherinformation FinancialStatements
FRD 10 Disclosureindex 60
FRD 11 Disclosureofex-gratiapayments FinancialStatements
FRD 21A Responsiblepersonandexecutiveofficerdisclosures FinancialStatements
Financial statements required under Part 7 of the FMA
SD 4.2(b) OperatingStatement FinancialStatements
SD 4.2(b) BalanceSheet FinancialStatements
SD 4.2(a) StatementofChangesinEquity FinancialStatements
SD 4.2(b) CashflowStatement FinancialStatements
SD 4.2(c) Accountableofficer’sdeclaration FinancialStatements
SD 4.2(c) CompliancewithAustralianaccountingstandardsandother authoritivepronouncements FinancialStatements
SD 4.2(c) CompliancewithMinisterialDirections FinancialStatements
SD 4.2(c) Roundingofamounts FinancialStatements
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200761Index
Subject PageNo.
Accreditation 38
Aged care 24, 40
Australasian Reporting Awards Inside Front Cover
Auxiliaries 52
Board Committees 14 - 15
Board of Directors 12 - 13
Building Partnerships 32 - 37
Caring for and Supporting our Workforce 44 - 46
Catchment area 4 - 5
Chemotherapy 29
Cleaning Audit and Standards 47
Community Advisory Committees 32
Community Health 30 - 31
Community Participation 32
Community Rehabilitation Centres 24
Department of Human Services 37
Disclosure Index 60
Education 44 - 45
Elective Surgery 25
Emergency Departments 25, 28
Enhancing Quality 38 – 42
Environment 48
Executive Staff 16 - 17
Facilities 53 - 55
Falls Prevention Service 22
Financial Performance 5, 11
Forums 36
Frankston Hospital 25 - 28
Frankston Hospital Expansion 19
Fundraising 52
General Practitioners 34
Key Performance Indicators 10 – 11
Koori Advisory Group 32
Subject PageNo.
Location map Back Cover
Managing Our Resources 47
Managing Risk 50 - 51
Medical Assessment and Planning Unit (MAPU) 25
Meeting Demand 22 - 31
Mission statement Inside Front Cover
Monash University 37
Mornington Centre 20
Nursing 44 - 45
Objective of Report Inside Front Cover
Occupational Health and Safety 45 - 46
Organisational structure 18
Organisational Wide Survey 46
Peninsula Complex Care Program 29 - 30
Profile 4
Psychiatric Services 31
Radiology Department 26
Renal Dialysis 29
Research 43
Research Week 43
Residential care 40
Role of Board of Directors 14
Rosebud Hospital 28 - 29
Senior staff listing 56 - 59
Services 53 - 55
Staff Training 45
Strategic Plan 6 - 9
Victorian Public Healthcare Awards 53
Vision Inside Front Cover
Volunteers 52
Waiting list 10
WorkCover 46
Youth Employment Scheme (YES) traineeships 46
HASTINGS ROAD (PO BOX 52) FRANKSTON, VICTORIA 3199PH: (03) 9784 7777For those outside the Melbourne Metropolitan Area PH: 1800 858 727www.peninsulahealth.org.au
CARINyA ReSIDeNTIAl AGeD CARe UNIT125 Golf links Road Frankston Vic 3199Tel: (03) 9783 7277 Fax: (03) 9783 7515
CHelSeA COMMUNITy ReHABIlITATION CeNTRe8 edithvale Road edithvale Vic 3196Tel: (03) 9772 6099 Fax: (03) 9772 3042
COMMUNITy CARe UNIT4 Spray Street Frankston Vic 3199Tel: (03) 9781 4288 Fax: (03) 9781 4393
FRANKSTON COMMUNITy ReHABIlITATION CeNTRe125 Golf links Road Frankston Vic 3199Tel: (03) 9783 7288 Fax: (03) 9770 5459
FRANKSTON HOSPITAlHastings Road (PO Box 52) Frankston Vic 3199Tel: (03) 9784 7777
FRANKSTON ReHABIlITATION UNIT125 Golf links Road Frankston Vic 3199Tel: (03) 9784 8666 Fax: (03) 9784 8662
FRANKSTON INTeGRATeD HeAlTH CeNTRe12-32 Hastings Road Frankston Vic 3199Tel: (03) 9784 8100
Community Health ServiceTel: (03) 9784 8100 Fax: (03) 9784 8149
MICHAel COURT ReSIDeNTIAl AGeD CARe UNIT32 Michael Court Seaford Vic 3198Tel: (03) 9785 3744 Tel: (03) 9785 3739Fax: (03) 9782 4434
ROSeBUD COMMUNITy ReHABIlITATION SeRVICe288 eastbourne Road Rosebud Vic 3939
Community Rehabilitation CentreTel: (03) 5986 3344 Fax: (03) 5981 2267
Inpatient UnitTel: (03) 5981 2166 Fax: (03) 5982 2110
ROSeBUD HOSPITAl1527 Pt. Nepean Road Rosebud Vic 3939Tel: (03) 5986 0666 Fax: (03) 5986 7589
ROSeBUD ReSIDeNTIAl AGeD CARe SeRVICeS1497 Pt. Nepean Road Rosebud Vic 3939
Jean Turner Community Nursing HomeTel: (03) 5986 2222 Fax: (03) 5982 2762
Lotus Lodge HostelTel: (03) 5986 1011 Fax: (03) 5982 2762
S.H.A.R.P.S.35-39 Ross Smith Avenue Frankston Vic 3199Tel: (03) 9781 1622 Fax: (03) 9781 3669
TATTeRSAllS PeNINSUlA PAllIATIVe CARe UNIT125 Golf links Road Frankston Vic 3199Tel: (03) 9784 8600 Fax: (03) 9784 8674
THe MORNINGTON CeNTReCnr Tyalla Grove and Separation Street Mornington Vic 3931Tel: (03) 5976 9000 Fax: (03) 5976 9136
MOUNT elIzA CeNTReJacksons Road (PO Box 192) Mount eliza Vic 3930Tel: (03) 9788 1200 Fax: (03) 9787 9954
PeNINSUlA COMMUNITy MeNTAl HeAlTH SeRVICe15-17 Davey Street Frankston Vic 3199Tel: (03) 9784 6999 Fax: (03) 9784 6900
PeNINSUlA DRUG & AlCOHOl PROGRAMRosebud Officec/o Southern Peninsula Support & Information Centre878 Nepean Road Rosebud Vic 3939Tel: (03) 5986 0709 Fax: (03) 5982 2601
Hastings Officec/o Peninsula Community Health ServicesCnr Cool Stores Road and Victoria StreetHastings 3915Tel: (03) 5979 2894 Fax: (03) 5979 4735
PeNINSUlA HeAlTH PSyCHIATRIC SeRVICeHastings Road (PO Box 52)Frankston Vic 3199Tel: 1300 792 977 Fax: (03) 9784 7192
Portsea
Sorrento Rosebud
Dromana
Flinders
Hastings
Mornington
Baxter
Mount Eliza
Frankston
Seaford
Carrum
Chelsea
Cranbourne