2013 - 2014 - Parliament of Victoria · Solicitors: Phillips Fox / Health Legal JUNE JUNE Current...

2013 -2014

Annual Report

Alexandra District Hospital – Annual Report 2014 1

In late 1866, the mining boom hit Redgate, (as Alexandra was then known) and with the consequential population explosion, the need for medical and hospital care became an issue.

In 1870, the Local Council purchased two buildings for two pounds. They went on to spend a further 50 pounds, converting part of an old hotel into a courthouse and the other section into a hospital. From these humble beginnings sprang the Alexandra District Hospital.

The Grand Opening Ball of the Hospital on the hilltop site was Friday, September 20, 1871. Its official incorporation and registration as a Public Hospital was on Saturday, December 11, 1871, the official opening date.

The then new Hospital had a bed capacity of five and the first matron was Mrs Margaret Milroy. In 1888, the size of the Hospital was doubled to ten beds with the reconstruction from wood to brick and the addition of the Jubilee Wing.

In 1957 a disastrous fire destroyed the major part of the Hospital but also all the archive records prior to that point, making the development of this institution very difficult to recount. Suffice to say, a total reconstruction was undertaken.

Between 1969 and 1977, further development

increased the services to a total of 30 beds including the only nursing home beds in the area.The mid 1980s to the present day saw the most rapid expansion in services and development of the Hospital. The Hospital now provides specialist medical services in eleven clinical disciplines, as well as a local doctor service of five general practitioners, supporting radiology, pathology, physiotherapy, district nursing and many other services.

In 2011 Alexandra District Hospital was moved from a nineteenth century building on the corner of Myrtle Street and Cooper Street to a state-of-the-art fully integrated health facility at 12 Cooper Street. The new facility is capable of serving the community well into the future.It is however, more than

worthy of repeating an excerpt from The Alexandra and Yea Standard at the turn of the century-“During the first two decades of this century, the Hospital was greatly supported by the people of the surrounding area. Donations of goods were greatly appreciated and acknowledged in monthly Hospital reports.”

The unstinting support from this community is what will always ensure the vitality and perpetuity of this Hospital.

Forward

The mid 1980s to the present day saw the most rapid expansion in services and development of the Hospital.

Alexandra Quilters donated this eye-catching quilt which tells the history of the hospital and the district.

2 Alexandra District Hospital – Annual Report 2014

Contents

Organisational Structure

Foreword to the 143rd Annual Report ...................................... 1

Organisational Structure ............................................................ 2

Disclosure Index ........................................................................ 3

Hospital Profile .......................................................................... 4

Chair’s Report ........................................................................ 5-6

Chief Executive Officer’s Report ............................................ 6-7

Corporate Governance .............................................................. 8

Board of Management ............................................................... 9

Statutory Reporting............................................................. 10-11

Statement of Priorities ........................................................ 12-14

Key Financial and Service Performance ................................. 15

Life Governors ......................................................................... 16

Senior Staff Positions and Roles ............................................. 16

Medical Staff ............................................................................ 17

Our Staff .................................................................................. 18

Our Services and Committee Structure ................................... 19

Donations ................................................................................ 20

C:\Users\anne\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\C6AHS46R\2014 Organisational Chart.doc Revised February 2014

BOARD OF MANAGEMENT

CHIEF EXECUTIVE OFFICER / DIRECTOR OF NURSING

Director Medical Services 0.1EFT

Visiting Medical Officers Group

Infection Control Practitioner 0.2 EFT

Ward Charge Nurse

1.0EFT

Theatre Charge Nurse &

OHS 0.8 EFT

Human Resources Coordinator

1.0 EFT

Professional Contracted Services

- Finance - Health

Information Management

Ward Nursing

Staff Pharmacy

Theatre Staff

Administration - Payroll - Finance

Primary Health Staff - Allied Health - District Nursing

Volunteers

CH Manager 0.5 EFT

Catering Cleaning

Catering and

Domestic Services Manager 1.0EFT

Quality Manager 0.4 EFT

Reception

Facilities Manager / Executive Assistant 1.0 EFT

Building and

grounds


Disclosure Index

Ministerial DirectionsReport of Operations

Charter and purpose FRD 22E Manner of establishment and the relevant Ministers 4FRD 22E Objectives, functions, powers and duties 4FRD 22E Nature and range of services provided 19

Management and structureFRD 22E Organisational structure 2

Financial and other informationFRD10 Disclosure index 3FRD 11A Disclosure of ex-gratia expenses N/AFRD 12A Disclosure of major contracts N/AFRD 21B Responsible person and executive officer disclosures 10FRD 22E Application and operation of Protected Disclosure Act 2012 10FRD 22E Application and operation of Carers Recognition Act 2012 10FRD 22E Application and operation of Freedom of Information Act 1982 10FRD 22E Compliance with building and maintenance provision of Building Act 1993 10FRD 22E Details of consultancies of $10,000 11FRD 22E Employment and conduct principles 10FRD 22E Major changes or factors affecting performance FFRD 22E Occupational health and safety 10FRD 22E Operational and budgetary objectives and performance against Objectives 12FRD 22E Reporting of office-based environmental impacts 11FRD 22E Significant changes in financial position during the year FFRD 22E Statement of availability of other information 11FRD 22E Statement of National Competition Policy 10

The annual report of the Alexandra District Hospital is prepared in accordance with all relevant Victorian legislation. This index has been prepared to facilitate identification of the Department’s compliance with statutory disclosure requirements.

Legislation Requirement Page reference

Legislation Requirement Page reference

FRD 22E Subsequent events NAFRD 22E Summary of the financial results of the year FFRD 22E Workforce Data Disclosures including a statement on the application of employment and conduct principles 4FRD 22E Victorian Industry Participation Policy disclosures 10FRD 22E Workforce Data Disclosures 4SD 4.2(g) Specific information requirements 11SD 4.2(j) Sign-off requirements 11SD 3.4.13 Attestation of data integrity 10SD 4.5.5.1 Ministerial Standing Direction 4.5.5.1 compliance attestation 11SD 4.5.5 Risk management compliance attestation 11

Financial StatementsFinancial statements required under Part 7 of the FMASD 4.2(a) Statement of changes in equity FSD 4.2(b) Comprehensive operating statement FSD 4.2(b) Balance sheet FSD 4.2(b) Cash flow statement F

Other requirements under Standing Directions 4.2SD 4.2(a) Compliance with Australian accounting standards and other authoritative pronouncements FSD 4.2(c) Accountable officer’s declaration FSD 4.2(c) Compliance with Ministerial Directions FSD 4.2(d) Rounding of amounts F

LegislationFreedom of Information Act 1982 10Protected Disclosure Act 2012 10Carers Recognition Act 2012 10Victorian Industry Participation Policy Act 2003 10Building Act 1993 10Financial Management Act 1994 10

(F): Financial Report attached inside back cover of report.


Hospital ProfileChair: Ian McKaskill

Acting Chief Executive Officer/Director of Nursing: Mrs Jo-Anne Cavill

Minister for Health and Ageing: The Hon. David Davies, MLC

Originally Established: Incorporated December 11th, 1871 – Hospital and Charities Act (6274)

Accreditation Status: Fully Accredited to 9th March 2017

Workforce Data:

Strategic Plan Objectives:1. Our Vision and Strategic Intent: “To be recognised as a leader in rural health

service provision, workforce development and consumer engagement.”

2. Corporate Objectives:- Sustain our General Practitioner workforce.

- Achieve accreditation as a “health promoting hospital”.

- Improve (two way) communication with our customers.

- Maintain accreditation (includes all operational requirements of Australian Council of Healthcare Standards).

3. Our Mission: Provision of quality integrated health services

that meet the needs of our community.

Office Bearers:Chair: Mr Ian McKaskillDeputy Chair: Mrs Jennifer CumminsTreasurer: Ms Margaret Rae (to 30/1/14)Board Members: Mr Geoff Hyland Ms K Michaels Ms C Stayley (Treasurer from 30/1/14) Mr R Twitchett Mr R Rogerson

Acting Chief Executive Officer / Director of Nursing: Mrs Jo-Anne Cavill RN, BNursing, Grad Dip Health Management

Auditor: Auditor General

Appointed Agent: Richmond, Sinnott & Delahunty

Bankers: ANZ Bank

Solicitors: Phillips Fox / Health Legal

JUNE JUNE Current Month YTD FTE FTELabour Category 2013 2014 2013 2014Nursing 21.17 23.18 22.13 22.28

Administration and Clerical 10.52 12.44 10.09 11.18

Medical Support 9.91 10.88 9.17 9.86

Hotel and Allied Services 10.66 10.59 10.71 10.82

Medical Officers 0.29 0.29 0.27 0.28

Ancillary Staff 0.71 0.67 0.87 0.67

Approved Beds:25 acute 6 day procedure

Philosophy:The Alexandra District Hospital Service philosophy is based on an abiding concern for all patients and their families, but primarily the patient, and that concern revolves around:

1. Prompt attention.

2. Communicating explanations of treatment, delays, changes, re-locations and environment.

3. Comfort – mental, physical and spiritual.

4. Identifying each patient as an individual with individual needs, and help to reduce apprehension.

5. Finally, for staff to appreciate and possess a capacity to see the Hospital and its services from the patient’s point of view and convey the need for review through proper channels.


Chair’s Report

Our challenge now is to ensure that what we now call the ‘Old Hospital’ has a viable future.

During the last financial year, we have settled into our new premises and are getting very comfortable. We have finally completed the defects liability period for the construction of the new facilities, and we are certainly glad to see the end on our contracted construction contractor, which left us less than fully satisfied. However, it is good to be totally in control of our own destiny. Our challenge now is to ensure that what we now call the “Old Hospital” has a viable future, which will ensure that the significant asset is used for the benefit of the community as a whole.

As I have said previously, ADH continues be a leader in providing a workplace that our employees rate very highly for equal opportunity, leadership, impartiality, safety, wellbeing, and respect. This is evidenced by the long employment history of a large proportion of our staff. We are very fortunate to have a strong and loyal workforce and I thank each and every one of them on behalf of the Board for their continued diligence and dedication. I can’t emphasise this enough; we are a success because of our staff. Everyone who attends ADH for a health service is treated with the utmost respect and this is reflected in the external surveys that we are subject to that rate the Alexandra District Hospital as one of the leading Small Rural Health Services in Victoria.

As well as providing significant acute health care, ADH is fully committed to the instigation of Primary Health Care. Our Community Heath Care services provide significant contributions to Population Health, an overall target of all levels of Government in Australia to encourage good health, the avoidance or proactive management of chronic diseases such as obesity diabetes, heart disease and stroke and generational change to health education to provide cultural change. The initiative this year of providing our Quality of Care Report as a calendar is a demonstration of the lateral thinking of our leaders and staff.

We continue to be a key provider of elective surgery services with a very high calibre of specialists willing to use our new facilities. This provides very good outcomes to our community in being able to have treatment quickly without the frustration of long waiting lists and long travel

times. However, because of our funding model, the more we provide the less we can cover our costs. This may seem odd, but that is what we deal with. The Board has made a decision this year that providing services is more important than achieving an operating surplus. We have a very strong balance sheet and we have no concern with making an operating loss solely for the reason that we have provided enhanced services to our clients.

As mentioned in last year’s report, we have achieved accreditation as a health provider for the next two years. We will be judged under a completely different set of criteria at our next audit as we move to the new set of National Standards. I can only applaud the efforts of our management and staff as they deal with a significantly increased standard of scrutiny imposed by the National Standards as we come up to our midterm review later this year. The amount of time spent on

making sure that we comply with these very rigorous standards is a testament to the dedication of our staff and sometimes makes us question process over purpose.

ADH continues to have a strong financial position, albeit that we have a small operating deficit this year. This is explained in part

by the commentary above. We have also had some one-off costs this year that have eroded our normally expected surplus. We maintain a strong balance sheet and have been able to invest in the purchase of a significantly important parcel of land adjacent to the Alexandra facility as protection against future private development.

One of our biggest challenges is to have available a vibrant General Practice workforce, all of which are provided by private practice. The last year has seen significant challenges in ensuring enough private practice GP’s are available to provide the needs of the hospital. In particular, I wish to make special mention of Heather Byrne’s contribution to facilitating the engagement of a new GP for the Eildon Clinic and also thank you to the Alexandra Medical Practice for their leadership on this issue.

I also want to thank Heather Byrne for her absolute commitment to her role over more than the last decade of changing times, including the building of a new hospital. Heather is now on a very well


Chair’s Reportdeserved 12 months long service leave. I want to welcome formally Ms Jo-Anne Cavill to the role of Acting CEO/DON, which she earned in full competition with candidates Australia wide

I also thank my fellow Board Members, who have done a sterling job this year in maintaining our high level of governance. We welcomed two new members this year and thank them for their patience and dedication. I particularly thank my

executive team of Jenny Cummins and Carol Staley for their support to the Board during the last year.

Ian McKaskillChair

Chief Executive Officer’s Report

CONTINUED

This year we have again achieved excellent results across all areas of service provision and management.

Alexandra District Hospital (ADH) is a dynamic organization that continues to evolve in response to community demand and a quest for excellence in service provision. The last 12 months have been no exception, even though there have been a number of challenges and changes in key personnel.

Heather Byrne enjoyed a well earned three month break in mid 2013 from the Chief Executive Officer / Director of Nursing (CEO/DON) role she has so capably managed for many years, and then decided to take a further 12 months leave from May 2014. It was my privilege to have the opportunity to step into the Acting CEO/DON role during these periods of absence, and I have greatly appreciated the support of the Board of Management and the wonderful staff at ADH.

Lee Bourdelov also joined ADH in October 2013 as Nurse Unit Manager, replacing Claire Palmer who went on maternity leave. Lee has brought a wealth of clinical knowledge and experience to the role from across Australia and the globe, and very quickly adapted to our rural environment with commitment!

Sections of our landscape designed garden areas are becoming established, and greatly enhance the surrounds of our facility. Plans are underway to continue development work in other areas that are more readily accessible to patients and staff. Rectification of most long-standing building

issues has also occurred, and any new problems identified are addressed in a timely manner. We are grateful to our maintenance and domestic staff for their efforts in maintaining our facility in such a high standard.

Continuous quality improvement and managing risks effectively are embedded within our organizational culture. Committees regularly review incidents and hazards reported internally as well as a range of external publications to minimize risk and provide the safest possible environment for our patients, visitors and staff. This year

we have again achieved excellent results across all areas of service provision and management. Having achieved the maximum 4 years accreditation status in 2012, in late 2013 ADH successfully participated in the first assessment rotation in the National Safety and Quality Health Service Standards confirming our

ongoing compliance. Thanks to all our staff who are now working tirelessly towards the second phase in this process, and demonstrate the energy directed at continually improving services for our community.

Maintaining a skilled workforce is a high priority. Our nurses continue to increase their knowledge and skills in clinical and person-centred management, particularly in the areas of recognizing and responding to clinical deterioration and First Line Emergency Care. Two more Registered Nurses have completed the Remote


and Isolated Practice Endorsed Registered Nurse course that authorizes them to practice extended clinical skills and treatments. These additional skills enable more patients presenting to our Urgent Care area to be treated promptly without the need for the on call doctor to attend, and improves the management of in-patients. There is always a doctor on call for emergencies, but we are mindful of the additional workload non-urgent cases create for our local general practitioners. We encourage the community to utilize the 24 hour telephone access to ‘GP on call’ and ‘Nurse on call’, assisting us by providing after hours support and advice to our community.

ADH also participated in an urgent care telehealth project conducted within the Hume region. The ‘computer on wheels’ was utilized to transmit real time interactions between patients and nursing staff at ADH with medical staff from Northeast Health Wangaratta for less critical clinical cases that required a medical opinion for treatment options when an on-site doctor was not available. In 2014 with the assistance of funding received from the Goulburn Valley Medicare Local this program will be enhanced by establishing a ‘train the trainer’ model. This will ensure that staff have ready access to education and the telehealth unit will be utilized on more occasions.

Another exciting opportunity to extend nurse’s skills to include Nurse-led limited X-ray services in small rural health services has become a reality through the support of the Department of Health. Three of our registered nurses will complete a specialized course, with assistance from our contract radiographer Liam Bradley and Northeast Health Wangaratta radiology department. This will enable these nurses to take x-rays in straight forward clinical scenarios, and possibly avoid an unnecessary trip to Melbourne for the patient.

Our Community Health (CH) division under the strong leadership of Jane Judd has faced allied health recruitment challenges common to most rural areas this year, but still continues to provide a much valued service to our community. The Intake Worker role was consolidated to further streamline CH customer referral and appointments, and apart from our usual allied health and district nursing services we are looking to establish and support

Signature – Jo Cavill

self-health groups for those with chronic health conditions. Needless to say, our reception staff are kept very busy managing appointments for services and visiting consultants, and their efforts are much appreciated.

Our community also benefits from the availability of an extensive range of elective surgery services, thus eliminating the need for travel to Melbourne for elective procedures. We are grateful to all staff involved in making this possible, and in particular our Operating Room Nurse Unit Manager Margaret Baker.

Videoconferencing continues to be utilised by staff in nonclinical and clinical areas, improving access to educational opportunities as well as decreasing the time staff spend travelling to meetings. This system and our Information Technology structure is well supported by the Hume Region Health Alliance, however we await with anticipation the implementation of a new patient management system. Our Consumer Advisory Committee, and our tireless volunteers continue to assist us to enhance the way we interact with our community. Our thanks go to all these people for their time and ideas. The Fundraising Group volunteers also provide us with considerable support for which we are most grateful.

My heartfelt thanks and appreciation go to Ian McKaskill as Board Chair and all our board members who have contributed greatly to the development of both our facilities and services. They act in a voluntary capacity and give of their time and resources freely for the good of our community. Their personal support for me in my leadership role has also been invaluable. Our people are the key to our success. I would therefore like to conclude this report, in what has been a year of considerable challenges and changes, by thanking all our staff who contribute in so many ways to making this organization a great place to work.

Mrs Jo CavillChief Executive Officer / Director of Nursing

Chief Executive Officer’s Report CONTINUED


Corporate GovernanceThe Alexandra District Hospital’s Annual Report has been compiled to meet the requirements of the Public Administration Act, Financial Management Act and other requirements.Information required by legislation – but not recorded elsewhere in this annual report is summarised below.The organisation is governed by the Board of Management. The Board is appointed by the Governor-in-Council upon the recommendation of the Minister of Health, the Hon David Davies MLC.

The functions of the Board as determined by the Health Services Act 1988 are:

• To oversee and manage the Organisation;

• To ensure the services provided by the Organisation comply with the requirements of the Act and the aims of the organisation.

Board CommitteesCommittee membership is governed by ADH rules.

Audit CommitteeThe committee receives and makes recommendations relating to internal and external audit reports and ensures compliance with any matters raised by the Auditor-General’s office. The committee meets four times annually. The committee chair and at least one other member meet the requirements for independence.

Finance and Physical Resources CommitteeThe committee examines monthly reports and ensures that they are prepared in accordance with the appropriate accounting requirements and sound accounting principles and standards. The committee meets monthly.

Medical Appointments Advisory CommitteeThe committee meet as necessary and advises the Board regarding the appointment, suspension and removal from office of medical practitioners as required.

Medical Credentials and Defining the Scope of Clinical Practice CommitteeThe committee meets as necessary to consult and provide advise on the range of clinical services, procedures or other interventions that can be provided safely in the organisation.

The committee also review and verifies the minimum credentials necessary for a medical practitioner to fulfil the duties of a specific position or scope of clinical practice.

Uncle Roy opened NADOIC Week celebrations on Monday, July 7, 2014 before catching up with Acting CEO Jo-Anne Cavill.

Continuous Quality ImprovementThe committee is responsible for coordinating quality assurance activities and risk management both clinical and non-clinical. The committee meets monthly.

Continuum of CareThe committee reports to the Board of the overall quality, effectiveness, appropriateness and use of services rendered to patients of the hospital. The committee works to review and establish the specific areas of care. The committee meets monthly.

Visiting Medical OfficersThe committee provides a forum for discussion and determination of clinical matters relating to medical/clinical practices within the hospital. The Committee meets four times per year.

Ethics CommitteeThe committee deliberates and gives advise on the resolution of significant ethical issues and confronts issues relating to moral choices and rules of conduct. The committee meets as required.

Policy and Procedure ReviewThe committee is responsible for reporting the overall quality, effectiveness and appropriateness and compliance with policies, procedures and guidelines. The committee meets monthly (excluding January).


Ms Kristin MichaelsKristin is the Chief Executive Officer of the Eastern Ranges GP Association Inc. Kristin has worked in a range of Health Management positions across Commonwealth, State and private organisations. She holds qualifications in arts, education, organisational leadership and governance, and has held Director positions in a number of primary, acute and community care

organisations. Kristin was a finalist in the Telstra Australian Business Women’s Awards in 2008.

Ms Carole Stayley Carole is Registered Nurse and holds qualifications in health service management. She has 30 years experience within the health care sector including senior management roles. She has extensive experience in implementing new models of care and improvement initiatives, particularly at the interface between the acute hospital and community care area.

She currently operates her own healthcare consultancy business.

Mr Ray TwitchetRay has worked in the Construction and Water Industry for some 47 years, having gained considerable experience in both the public and private sectors both as a contract plumber and in project management/supervisory positions. Ray holds a Diploma in Project Management and is well versed in OH&S requirements. He has also held various positions at Board level

with sporting bodies in both Euroa and Shepparton as well as being actively involved in the organisations.

Mr Richard RogersonRichard arrived in Marysville as a Forest Officer in 1980, a position he held for 12 years until the opportunity came for him to take over Lake Mountain Alpine Resort in 1988. Richard was employed as Resort Manager at Lake Mountain until 1995, when he became Resort Manager of both Lake Mountain and Mt Baw Baw until 1998. Following the demise of the Alpine Resorts Commission in 1998,

Richard was appointed Chief Executive Officer, a position he held until his retirement in January 2011. Richard has held various position at Board level including the Marysville Community Foundation, the Marysville Economic Leadership Group and the Community Recovery group.

Board of ManagementChair: Mr Ian McKaskill

Ian McKaskill is a mechanical engineer with over 30 years experience. He has expertise in the project management and delivery of large capital works projects in the process industries. Earlier in his career, he worked in the areas of design of large capital equipment. He has specific skills in the delivery of large EPC projects including the areas of project management,

contracts formulation and management. Ian is Vice President of the Upper Goulburn Landcare Network, President of the Murrindindi East Chapter of U3A and actively involved in the administration of the Alexandra Visitor Information Centre.

Deputy Chair: Mrs Jennifer Cummins Jenny is a qualified Physiotherapist who has held senior management positions in public hospitals. Jenny has experience in quality assurance, occupational health and safety management and has held directorships in a number of private companies. Jenny is a Board Member of the Darlingford Upper Goulburn Nursing Home.

Treasurer: Ms Margaret Rae Margaret has a background in both the public and private sectors and a professional career in academic management. Margaret has extensive experience on a range of boards and committees, including the Goulburn Valley Water Authority Board, Lake Mountain Alpine Resort Management Board and Buxton CFA, together with active involvement in local tourism and

community organisations. Also a graduate from the Australian Institute of Company Directors, Margaret brings a range of skills to bear on the complex issues managed by the Board in conducting its core business and in future planning and development initiatives.

Mr Geoff Hyland Geoff has a background in finance and accounting having graduated with a Bachelor of Commerce degree and worked with a Melbourne accounting firm for seven years before being self employed as an on course bookmaker – a profession he has enjoyed for 35 years. Geoff has been involved in traders and tourism bodies in Marysville and Alexandra at committee level.


Statutory Reporting

Long Service Awards:Regina Driscoll 10 yearsCassandra Fraser 10 yearsWendy Geldart 10 yearsAlison Elms-Smith 20 yearsGeraldine Mary McClure 20 years

The Alexandra District Hospital’s Annual Report has been complied to meet the requirements of the public Administration Act, Financial Management Act and other requirements.

Information required by legislation – but not recorded elsewhere in this annual report is summarised below.

PECUNIARY INTERESTSThe Board of Management members are required to notify the Chair of the Board of any pecuniary interests. All members have completed a statement of pecuniary interests.

HEALTH SERVICES ACT, 1988The hospital does not administer any Acts. The Health Services Act of 1988 is the vehicle by which Hospitals are incorporated and prescribes the manner in which they are regulated.

COMPLAINTS SYSTEMA complaints register is maintained and quarterly reports are made to the Health Services Commissioner.

Complaints are assessed promptly and the Board of Management is kept informed of the nature of complaints.

Complaints are used as a means to achieve continuous quality improvement in all facets of health care business.

FREEDOM OF INFORMATION ACT, 1982The Freedom of Information Officer is the Chief Executive Officer (CEO). Persons wishing to access information under the Freedom of Information Act 1982 should apply in writing to the CEO.

During 2013/2014 there were 26 Freedom of Information requests.

PROTECTED DISCLOSURE ACT 2012Alexandra District Hospital complied with the Protected Disclosure Act 2012 for the year 2013/2014.

CARERS RECOGNITON ACT 2012Alexandra District Hospital complied with the Carers Recognition ACT 2012 for the year 2013/2014.

VICTORIAN INDUSTRY PARTICIPATION POLICY ACT 2003During the financial year of 2013/2014 the Alexandra District Hospital complied with the Victorian Industry Participation Policy ACT 2003.

EMPLOYMENT AND CONDUCT PRINCIPLESAlexandra District Hospital complied with the Victorian Industry Participation Policy Act 2003 for the year 2013/14.

FEES AND CHARGESThe Hospital charges fees in accordance with the Department of Health fee schedule.

OCCUPATIONAL HEALTH AND SAFETYAlexandra District Hospital has an Occupational Health and Safety Committee which meets regularly. Staff report incidents, accidents and near misses which are then assessed at monthly meetings and appropriate action is taken.

During 2013/14 Alexandra District Hospital has:• Updated the online

manual handling training for all staff.

• Provided staff with training for OH&S managers and supervisors and refresher training for OH&S representatives.

• Provided staff with annual fire extinguisher and hose reel training.

COMPETITIVE NEUTRALITYAlexandra District Hospital has a policy in place for the implementation of the Victorian Government’s policy on Competitive Neutrality.

TIME LOST THROUGH INDUSTRIAL DISPUTESNil.

OVERSEAS TRAVELNil.

BUILDING STANDARDSAlexandra District Hospital complies with Regulation 1209 and 1215 of the Building Act 1993. The Hospital engages an independent contractor to perform an assessment of all the Hospital’s buildings in accordance with Section 22E of the Act. A current Annual Safety Measures Report is on display at the urgent care entry to the Hospital.


Outsourcing of services:• AASB Accounting and Audit Solutions –

Accounting

• Healthscope – Pathology

• North East Health Wangaratta / Mansfield Radiographic Service – Radiology

• Sound Imaging – Ultrasound

DETAILS OF CONSULTANCIES ENGAGEDOver $10,000:Clarke Phillips $12,225

Under $10,000:Murdoch Ray Trustee $3654Commonground $1333

PUBLICATIONSThe following publications dealing with the functions, powers, duties and activities of the Hospital were produced in 2013/2014 and may be viewed at the hospital upon request:

• Alexandra District Hospital 143rd Annual Report

ASSURANCE OF DATA QUALITYThe Alexandra District Hospital has all appropriate systems and processes in place to assure the quality of reported data.

Measures include but are not limited to:

• Review of all internal and external audits by the Audit Committee and Board of Management.

• Monthly review of activity and financial data by the Finance and Physical Resources Committee and Board of Management for submission to the Department of Health.

Ian McKaskillChair Board of Management

ATTESTATION FOR COMPLIANCE WITH MINISTERIAL STANDING DIRECTIONI, Jo-Anne Cavill certify that Alexandra District Hospital has complied with Ministerial Direction 4.5.5.1 – Insurance.

Jo-Anne CavillActing Chief Executive Officer/ Director of Nursing

RISK MANAGEMENT COMPLIANCEThe Chief Executive Officer of the Alexandra District Hospital attests that:

• Risk management processes are in place consistent with the Australian / New Zealand Risk Management Standard.

• An internal control system is in place that enables the executive to understand, manage and satisfactorily control risk exposure.

• The risk profile of the Alexandra District Hospital has been critically reviewed within the last 12 months.

• The Audit Committee verifies that view.

Jo-Anne CavillActing Chief Executive Officer/ Director of Nursing



Statutory Reporting

Environment and SustainabilityAlexandra District Hospital recognises its role in a more sustainable state for future generations.

Data Measure 2013/2014Energy ConsumptionElectricity (Peak) kWh 350743

Electricity (Off Peak) kWh 322193

LPG Litres 13341

Water ConsumptionWater Consumption kL/ML 4862

Waste ManagementGeneral Waste kgs 9641

Clinical Waste kgs 631.4

Clinical Waste Containers 263


Statement of PrioritiesStatement of Priorities Part A – Strategic Priorities for 2013 – 2014

Priority Action Deliverable Outcome

Developing a system that is responsive to people’s needs

In partnership with other local providers apply existing service capability frameworks to maximise the use of available resources across the catchment.

Implement formal advance care planning structures and processes that provide patients with opportunities to develop, review and have their expressed preferences for future treatment and care enacted.

Collaborate with key partners such as Medicare Locals, community health services and other providers to support local implementation of the Victorian Health and Wellbeing Plan 2011 – 2015.

Improve thirty-day unplanned re-admission rates.

Continue to work in partnership with other health services to deliver agreed cross-agency chronic care service frameworks, roles and pathways. Consolidate relationship with Goulburn Valley Medicare Local (GVML).

Registered Nurses educated and designated to this role.

Introduction of system to effectively collect and record treatment and care preferences.

Work in partnership with members of local PCP to implement strategies to address the Hume Region Integrated Health Promotion priority – Health Eating and identified subregional priority (Alcohol Harm Minimisation).

Streamline discharge processes and referral to community service providers as necessary, to ensure greater support in the home.

Alexandra District Hospital (ADH) has active representation in the Lower Hume Primary Care Partnership (PCP) Leadership group and the Service Development Collaborative (including Chronic Disease Management, Service Coordination and Aged Care).

ADH is a partner in the Lower Hume Integrated Health Promotion Plan (LH IHP). The current project involves partnering with Murrindindi Shire Council, local school and local businesses.

Informal partnership with local CEACA to assist delivery of health related Certificate courses locally.

Strengthening of relationship with Health Issues Centre – capacity building in consumer engagement.

Registered Nurse educated in Advanced Care Planning.

Policies reviewed and processes streamlined to accommodate State-wide principles and documentation.

Compliance to process continues to improve.

Representation in the LH IHP at both a regional and sub regional level.

Projects aligned with the Healthy Eating Priority to reach all community groups.

Food security and healthy eating programs in schools.

Continuation of the Alcohol Harm Minimisation project; Mountain Bike Project.

Dedicated Discharge Planning Nurse

Discharge planning processes improved

Nurse in Charge responsible for referral to appropriate service providers via established channels as necessary.

Improving every Victorian’s health status and experiences


Statement of Priorities (continued)


Expanding service, workforce and system capacity

Build workforce capability and sustainability by supporting formal and informal clinical education and training for staff, VMOs and health students, in particular inter-professional learning.

Work collaboratively with the department on service and capital planning to develop service and system capacity.

Identify opportunities for efficiency and better value service delivery.

Reduce variation in health service administrative costs.

Continue work with relevant agencies to support the Hume Region Clinical Placement Network strategies.

Implementation of the E3 Learning (on-line) health education program.

Continue work with government agencies to implement innovative workforce initiatives (expansion of allied health assistant roles; Rural Isolated Practice Endorsed Registered Nurse (RIPERN)).

Completion of Strategic Service Plan 2013 -2023.

Refine strategies and processes to increase the efficiency of Home and Community Care (HACC) allied health service delivery.

Encourage the ongoing utilisation of existing technology (videoconferencing) to decrease administrative costs related to time and travel attending meetings in person.

Explore administrative cost-sharing options between local organisations.

Nursing and Allied Health placements hosted throughout the year.

Student accommodation provided on-site.

Access for all nursing and Community Health (CH) staff to facilitate completion of competencies and ongoing education.

Another 2 registered Nurses completed RIPERN.

Collaborative partnership with Department of Health (DH), NHW and Mansfield Radiographic Services in developing Nurse-led limited X-ray service.

Preliminary work conducted to establish a Murrindindi wide casual bank of health professionals – all stakeholders in agreement.

Potential for improved co-location of ADH CH and GP clinic with Darlingford Upper Goulburn Nursing Home (DUGNH) at Eildon.

Community Health Manager actively involved in improving program delivery and reporting processes.

Utilisation of this facility by all staff and volunteers has increased over the last 12 months, reducing distance and time in travelling.

Discussions continue with DUGNH re possibilities.

ADH is fund-holder and administrator for aged care ‘Social Connections’ project.

Statement of Priorities

Increasing the system’s financial sustainability and productivity


Statement of Priorities (continued)


Implement-ing continu-ous improve-ments and innovation

Increasing account-ability and transparency

Improving utilisation of e-health and communica-tions tech-nology

Develop and implement improvement strategies that optimise access, patient flow, system coordination and the quality and safety of hospital services.

With the support of Government, develop board capability to ensure all board members are well equipped to effectively discharge their responsibilities and deliver against the outcomes articulated in the VHPF.

Prepare for the National Safety and Quality Health Service Standards, as applicable.

Maximise the use of health ICT infrastructure.

Enhance the introduction of new clients into the health care system with review of Intake and Service Coordination functions.

Adequate local resources allocated towards the delivery or facilitation of regular board education for all members related to governance and other relevant topics.

Streamline operational processes to ensure full compliance with EQuIP National, incorporating the 10 National Quality and Safety Health Service Standards.

Explore opportunities for rural consumers to access specialist medical services via telehealth technology.

Intake worker role fully established and responsible for service coordination; single point of entry for CH and HACC eligible clients.

Consumer Advisory Committee (CAC) actively involved in promotion of patient centred care.

Continuous Quality Improvement program as per the National Safety and Quality Health Service Standards (NSQHSS) has a strong focus on the delivery of optimal care across all areas of health service provision in collaboration with the consumer eg. Increase in multi-disciplinary shared care plans.

Budget allocation for Board education.

Regular attendance of Chair at Regional DH meetings.

Educational opportunities circulated, attendance encouraged.

Australian Council on Healthcare Governance (ACHG) board evaluation tool utilised, and work-plan developed to address identified issues.

Continuous Quality Improvement system revised to ensure compliance with NQSHSS across all standards.

All policies and work practices current.

Purchase of equipment and participation in pilot program with Northeast Health Wangaratta (NHW) to introduce telemedicine into the urgent care department.

Collaborative partnerships maintained with Northeast Health Wangaratta (NHW) and GVML to facilitate the ongoing education of staff in telemedicine in urgent care, with the potential to expand to other non-emergency health related consultations.

Statement of Priorities


Key Financial and Service PerformancePart B: Performance prioritiesFinancial performance

Key performance indicator

Operating Result Target 2013-14 actual

Annual Operating result ($m) 0.08 -0.21

Cash Management Target 2013-14 actualCreditors <60 days 42

Debtors <60 days 38

Service Performance

Key performance indicator

Quality and Safety Target 2013-14 actualHealth service accreditation Full compliance Full compliance

Residential aged care accreditation Full compliance Full compliance

Cleaning standards Full compliance Full compliance

Submission of data to VICNISS Full compliance Full compliance

Hospital acquired infection surveillance No outliers No outliers

Hand Hygiene (rate) No outliers 82.5%

Victorian Patient Satisfaction Monitor (OCI) Full compliance Full compliance

Consumer Participation Indicator 83% Full compliance

People Matter Survey Full compliance Full compliance

Part C: Activity and Funding

Funding Type 2013 – 2014 Activity AchievementSmall Rural Acute 4135

Small Rural Primary Health 10,873

Small Rural HACC 2201

PerformanceFIVE YEAR FINANCIAL COMPARISON SUMMARY 2014 2013 2012 2011 2010 2009

Total Revenue 7,037,653 7,014,411 7,699,936 19,088,806 11,528,131 7,132,140

Total Expenses 8,291,351 9,007,563 7,578,114 7,622,609 6,675,292 6,291,040

Operating Surplus / (Deficit) (1,253,698) (1,993,152) 121,822 11,466,197 4,852,839 841,100Retained Surplus/ (Accumulated Deficit) 17,318,064 18,571,762 20,564,914 20,443,092 8,996,495 4,143,656Total Assets 30,059,698 25,898,409 27,933,349 28,222,758 15,963,054 11,064,045

Total Liabilities 1,640,559 1,534,386 1,576,174 1,987,405 1,174,298 1,128,128

Net Assets 28,419,139 24,364,023 26,357,175 26,235,353 14,788,756 9,935,917Total Equity 28,419,139 24,364,023 26,357,175 26,235,353 14,788,756 9,935,917


Life governorsAdie, Mr RAndrews, Miss HBamford, Mr WBond, F RBradbury, A KBunn, Dr PCrooke, Dr CCumming, G FDe La Pierre, K

Dent, P JDobson, Ms ADobson, Mrs BDobson, Mr GGale, Mrs MGale, Mr WGriffiths, A LJohnson, Mrs BJohnston, Mrs D

Jolley, Mr T and Mrs BLayton, Mr ALester, Mr JMacdonald, Mrs AMatthews, Mr GMcNair, Mrs INihei, MNoye, T J

Parsons, Mrs BPask, Mrs EPrice, Mrs NPritchett, Mrs MProctor, Mrs WRadford, M KReddrop Mr M and Mrs TRobinson, Mrs H

Satori, Mr PScott, Miss MScott, Mrs MScott, Mr RShands, Mrs E BSims, Mrs DSloan, Mr RSmith, Ms JTaylor, Mrs M

Tate, R HThain, Mrs AWebster, Mrs E SWeeks, A JWelch, Mrs JWhittaker, J WWilliams, Mrs W

Senior Staff Positions and Roles

CHIEF EXECTIVE OFFICER / DIRECTOR OF NURSING:Jo Anne CavillThis role encompasses the overall management of the Hospital and requires a detailed knowledge and understanding of all facets of health service operation from clinical services to administration. Strategic planning to ensure the organisation meets the short and long term requirements of our community is a major responsibility.

Nurse Unit Manager Lee Bourdelov (left) was joined by fellow nurses Dianne Goschnick, Katelijne Kijlstra and Heather Shaw during a changeover shift in June 2014 at the Nurses Station.

COMMUNITY HEALTH:Jane JuddThis part time position is responsible for the management of Community Health services. This includes the management of primary health staff in a range of disciplines and is responsible for the provision of services against defined targets.

NURSE UNIT MANAGER (WARD):Lee BourdelovThis full time position is responsible for patient care delivery in the ward and urgent care area. This position requires a high degree of clinical skill as well as a broad range of management expertise.

NURSE UNIT MANAGER (OPERATING THEATRE):Margaret BakerThis part time position is responsible for the clinical care and management of the theatre suite. This role also includes running the pre-admission clinic for elective surgery.

HUMAN RESOURCES COORDINATOR:Sally MusgroveThis position coordinates human resources requirements with department managers and is responsible for the coordination of staff induction programs and contract management.

ACCOUNTANT: AASB ACCOUNTING AND AUDIT SOLUTIONSSteven JackelThis is a contracted position with Steven Jackel attending the hospital one day per month. The timely preparation of monthly reports for Board members and Department of Health, as well as Year End Financial Reports is the major responsibilities for this position.


Medical StaffDIRECTOR OF MEDICAL SERVICES:Dr Jane Greacen MBBS / Dr Peter Sloan MBBS

VISITING MEDICAL STAFF:Dr E Agraviador, MBBSDr A. Agrawal, MBBSDr T Chuah, MBBSDr O Crompton, MBBS, FACRRM Dr J. Findlow, MB,Ch.B, DCH, MRCPDr L Fraser, MBBSDr M Lowe, MBBSDr S Luke, MBBSDr C. O’Neil, MBBSDr M Thomas, MB ChB or MB ChB BAODr E. Zadneprovskaya, MBBS

VISITING SPECIALISTS:Visiting General SurgeonMr R Masters MBBS, FRACS

Visiting Obstetrician / GynaecologistDr A Lawrence, B.Sc.(Hons), MBBS (Hons), FRACOG, MRCOG

Visiting GastroenterologistDr J Iser, MBBS, FRACP

Visiting Specialist AnaesthetistsDr R Barnes, MBBS, FRANZCADr P Brown, MBBS, B Sc (Hons), FRANZCADr M Coghlan MBBS, FRANZCADr N Gattuso, MBBS, FRANZCA

Dr A Gurr, MD, FRANZCADr M Keane, MBBS, FRANZCADr S Kondogiannis, MBchB, FRANZCADr J Marxsen, MBBS, FRANZCADr J Monagle, MBBS, FRANZCADr C Noonan, MBBS, FRANZCADr A O’Leary MB,c.h.B, FRANZCADr B Slon, MBBS, FRANZCADr R Vittalraj, MBBS, FRANZCA

Visiting Orthopaedic SurgeonMr N Hartnett, MBchB, FRACSMr J Harvey, MBBS, FRACS orthMr C Kondogiannis, MBBS, FRACS

Visiting Specialist Ear, Nose, ThroatMr A Guiney, FRACS

Visiting OphthalmologistDr C Chesney MBBS, FRANZCO, Cataract Surgeon and General Ophthalmology

Visiting Urologist Dr P Ruljancich MBBS, FRACS

Visiting CardiologistDr E Kotschet MBBS (Hons) FRACP

Visiting Paediatrician Dr D Cutting MBBS, FRACP

Visiting Nephrologist Dr P Branley MBBS, BPharm

Landscaping out the front of the hospital’s main entrance continues to flourish.


Our StaffAldous, Janet Heather RN Division 1Arbuthnot, Joan Environmental ServicesArbuthnot, Margaret Mary RN Division 2/Theatre Charge NurseArmstrong, Helen FinanceAtkinson, Anne RN Division 1/ Womens Health NurseBaker, Margaret RN Division 1Bates, Karen Allied Health AssistantBennetts, Lynette Environmental ServicesBerry, Caroline (Resigned) Environmental ServicesBickham, Shene Environmental ServicesBonollo, Glynda (Resigned) RN Division 1Bourdelov, Leanne RN Division 1/Nurse Unit ManagerBowater, Natasha RN Division 1Boyle, Susan Occupational TherapistBrooks, Lynne DINDIBryant, Amanda RN Division 1Byrne, Heather CEO/DONCavill, Jo-Anne Claire Acting CEO/DONChristie, Michelle AdministrationClark, Rebecca RN Division 1Collins, Jody Speech PathologistCreighton, Karen (Resigned) Environmental ServicesCreighton, Geraldine (Resigned) Environmental ServicesCruise, Mary-Lyn Environmental ServicesDebono, Caitlyn RN Division 2Delmodes, Pamela RN Division 1Derham, Lisa Psychologist Dickens, Robyn RN Division 1Dougherty, Caitlin Environmental ServicesDriscoll, Regina RN Division 2Dwight, Leanne RN Division 2Elliott, Ross Maintenance Ellis, Anne Marie RN Division 1Elms-Smith, Alison PayrollEvans, Nola Maree RN Division 2Fitzgerald, Elizabeth Rhoda RN Division 1Flarherty, Judith Access WorkerFrancis, Lisa RN Division 1Fraser, Cassandra RN Division 1Geldart, Wendy PhysiotherapistGoschnick, Dianne RN Division 2Grimes, Linda Irene Environmental ServicesGuggemos, Elvira Anna RN Division 1Haslam, Karine Environmental ServicesHein, Hannah RN Division 1Holloway, Shannon Environmental ServicesHortin, Paige (Resigned) Allied Health AssistantHortin, Fiona FinanceHunter, Heidi RN Division 1Hurrey, Jeanie RN Division 1Jackson, Melinda Louise (Resigned) PharmacistsJohnston, Jennifer Beryl RN Division 1Johnston, Neil Maintenance Judd, Jane Community Health ManagerKeating, Julie Allied Health AssistantKijlstra, Katelijne RN Division 1Ladds, Brian RN Division 2Lenarcic, Caroline (Resigned) PhysiotherapistLeng, Donna RN Division 1Martin, Suzanne Mary RN Division 1

Massingham, Sarah (Resigned) RN Division 2Mayrhofer, Sarah PhysiotherapistMcCashney, Jay Maintenance McClure, Geraldine Mary RN Division 2McDonald, Thea Environmental ServicesMcFadyen, Jacquelyn Environmental ServicesMeadows, Rachael PsychologistMedcraft, Marina RN Division 2 Miller, Morag RN Division 1Mitchell, Laurel RN Division 1Morton, Stephanie RN Division 2Mulhall, Lynette Environmental ServicesMurphy, Diedree Ann Ward ClerkMusgrove, Sallyann Human Resources Coordinator Newman, Kate PhysiotherapistNicholson, Kerry RN Division 1Noble, Jacky RN Division 1/ Nurse ConsultantO’Brien, Anne Elizabeth Receptionist Paix, Helen (Resigned) RN Division 1Palmer, Claire RN Division 1Pyke, Bronwyn Joy RN Division 1Rigg, Melissa Chef/Food Services SupervisorRobertson, Phoebe Environmental ServicesRobinson, Elizabeth (Resigned) Allied Health AssistantRogers, Michelle RN Division 2Rowan, Hayley RN Division 2Russell, Simone RN Division 1Sartori, Juliana Facility Manager, Executive Assistant Sedgley, Teresa (Resigned) Psychologist Shaw, Belinda (Resigned) Environmental ServicesShaw, Heather RN Division 1Shaw, Kimberley Environmental ServicesSkinner, Debbie June RN Division 1/ Nurse ConsultantSlaughter, Barbara Quality ManagerSloan, Peter Medical DirectorSmith, Eleanor PhysiotherapistSmith, Lisa RN Division 2Smith, Susan Jane RN Division 1Taylor, Margaret Receptionist Terpstra, Rachael RN Division 1Thomas, Charina Environmental ServicesThomas, Cinoj PharmacistsTilley, Annette Instrument Technician Toll, Gail Environmental ServicesTwitchett, Louise RN Division 1Veldman, Kerrie Anne Receptionist Wadge, Ursula RN Division 1Wales, Hayley RN Division 1Wall, Kerry Sharon Environmental ServicesWallace, Tara Environmental ServicesWarren-Smith Angela RN Division 2Wasley, Christine Dietitian Watkins, Courtney Receptionist Weeks, Michelle PhysiotherapistWettenhall, Sally Environmental ServicesWillemsen, Lisa Environmental ServicesWise, Nevill Maintenance Yeoman, Andrea Janelle RN Division 1Young, Sharon Environmental Services


Our Services and Committee StructureOur ServicesAccess Worker

• Asthma Education• Audiology (private service)• Bounce Back with Babes• Childbirth Education• Cardiac Rehabilitation• Heart Health Program• Continence Management• Diabetes Education• Dietetics• Dindi Early Intervention Program for children• District Nursing Service• Echocardiography (private service)• Exercise Programs:

o Gymnasiumo Stall the fallo Gentle exerciseo Strength training

• Fit for birth• Hearing Clinic (private service)• Improving Quality of Life Program – Living with

a chronic disease• Lung Function Testing (private service)• Meals on Wheels• Specialist Outpatient Consultations:

o (General Surgeon, Gynaecologist, Ear, Nose and Throat Surgeon, Orthopaedic Surgeon, Paediatrician, Gastroenterologist, Eye Surgeon, Urologist, Cardiologist, Psychiatrist, Kidney Specialist)

• Occupational Therapy• Palliative Care Support• Papscreening for women• Pathology (private service)• Physiotherapy• Psychologist• Podiatry (private and HACC eligible)• Pulmonary Rehabilitation Program• Peer-led Support Groups• Radiology (private service)• Speech Therapy• Strength Training Program• Surgery including: General, Gynaecology, Ear,

nose and throat, Orthopaedic, Endoscopy, Urology, Eye Surgery)

• Ultrasound (private provider)• Wound Management Clinic

Committee Structure


Annual Appeal DonationsHorn, Mr and MrsAdlington, MrGoss, Mrs EJohnston, Mr A and Mrs ILeary, Mrs EHyland, Mr GWatts, Mrs SFoletta, Ms JSeaton, Mr WChancellor, Mr D and Mrs PKelly, Mr and MrsMiller, Mrs NVaninetti, Ms KPyke, Mr D and Mrs DDuffy, Ms RRidd, Mr R and Mrs BWalter, Mr DPerry, Mrs MKilpatrick, Mr IClement, Mr and MrsYoung, Mr and MrsBridgland, Mr MFindlay, Mr G and Mrs HSherlock, Mr JJones, Mr D and Mrs EWalsh, Dr D.JAmos, Ms LHaines, Mr C and Mrs DPhillips, Mr PDean, Ms RBoesh, Mr H.J and Mrs L.JKeath’s ExcavationsTate, Mr R.E and Mrs ALong, Mrs HHewitt, Mr I and Mrs ITeklenburg, Mr J and Mrs SBuckler, Mrs GJefferys, Mr and MrsSteele, Mr T and Mrs BComte, Mr BPayne, Mr DAtkins, Mrs JLL and E WaltersHosking, Mrs JWebster, Mr R and Mrs MWersham, Mrs MSloan, Mr REdwards, Mrs MEdwards, Ms T

Walker, Mr P and Mrs RThwaites, PTaysom, Mrs JMahoney, Mrs JSharwood, Mr J and Mrs PGibb, Mrs GWebb, Mrs EHolt, Mrs MBradford, Mr T and Mrs MCapp, Mr T and Mrs HCarter, Ms JCoates, Mrs JCreighton, Ms WGraham, Ms DJames, Mr Rand MRs SSpence, Mr and MrsReesel, Ms EMurdoch, Mr and MrsHorn, Mr J and Mrs JHendrickson, Mr DMarysville Garden CottageO’Pray, Mr MCollett, Mr ARowe, Mr CHills, Mrs SParsons, Mr M and Mrs JSimcocks, Mr P and Mrs JMr Tate, RYounger, Mrs MLester, Mr JCherry, Mr E.M and Mrs D.MProctor, Miss CWebb, Miss ERaymond, Mrs MHall, Mrs EO’Malley, Mr CLond, Mrs RSavage, Mrs and MrsFox, Mr I and Mrs LGamble Mr and MrsCameron, Mr J and Mrs mAttwoood, Mrs SLasford, MrsBissett, Mrs COostendorp, Mr E and Mrs jSutherland, Mrs RCulhane, Mr D and Mrs MHender, Mr BHofer, Mrs SKoala Country Orchards

Johnston, Ms MRagg, Mr and MrsHarding, Mrs CTurner, Ms L

Other donationsEstates of Leslie George CooperRaymond, Ms MChancellor, Mr DStinear, Mr and Mrs GStemmer, Mr LHR RobbColler, Mrs JAnderson, Mrs DLarner, Mr SJoliffe, MsGay, Ms JFlowers, Mrs LFraser, Dr LNorman, Mr DRedshaw, Mrs ROlive, JKeath, Ms WLongland, Mr PSelover, Mrs WWalshe, Mrs ATaylor, Mr DLloyd Mr AButterfield, Mrs JWelsh, Mr RSkerritt, Mrs BMacus, Ms KButterfield, Ms KButterfield, Ms MGilmore, Mr GRotary Club of AlexandraAlexandra Opportunity ShopEildon Opp ShopKoala Country OrchardsYarck CWAShamrock Hotel PatronsYarck Hotel PatronsLandmarkLions Club AlexandraLions Club EildonEildon Ladies Golf ClubEildon KindergartenCW Welsh Pty Ltd

Donations

Alexandra District Hospital

24 Cooper Street, Alexandra, Victoria 3714Postal: PO Box 21, Alexandra, Victoria 3714

Ph: (03) 5772 0900 Fax: (03) 5772 0919

Website: http://www.alexandrahospital.org.au/Email: [email protected]

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