2016-17 VHA ANNUAL REPORTvha.org.au/docs/vha-2017-annual-report-digital.pdf · 2 | VHA 2016-2017...

2016-17 VHA ANNUAL

REPORT

2 | VHA 2016-2017 ANNUAL REPORT

FAST FACTS

VHA is the peak body for the $16b Victorian public

healthcare sector

Members include key public health decision makers

– Board Directors,CEOs and senior

executives

Unified advocacy and policy

development voice to State and Federal Government

VHA represents 96% of the

sector, giving it exceptional

access, influence and scope

VHA 2016-2017 ANNUAL REPORT | 3

OUR PURPOSEChampion excellence in Victoria’s public health system.

OUR BELIEFAll Victorian communities should have equitable access to world-class healthcare.

OUR MISSIONDrive system reform to enable health services to deliver the right care in the right place at the right time.

STRATEGIC OBJECTIVESWe will:

• Champion system reform through leadership and innovation

• Offer services and products that deliver real value

• Build our public profile to influence decision makers in the interests of our members

• Support the public health sector to excel in clinical and corporate governance


It’s been another excellent year for the Victorian Healthcare Association.

There has been unprecedented member engagement and advocacy, a comprehensive and well-patronised events schedule and new areas of business growth.

We have retained a pleasingly-high level of membership - 96 per cent of the sector - which reinforces the VHA’s relevance, access and influence.

We continue to enjoy strong working relationships with the State and Federal Government, Opposition and other key influencers which allow us to represent our members, while retaining an independent, bi-partisan voice.

Business-as-usual activity resulted in the VHA delivering a better-than-budgeted outcome. Excluding investment in the Australian Centre for Healthcare Governance, there was a $45,000 surplus, against a break even result in 2015-16.

Strengthened planning across corporate partnerships and capacity building activity has resulted in the above-budget performance which enabled the delivery of even greater value to our members.

Highlights of the year include a successful 2016 VHA Annual Conference Inspiring Health Leadership which featured family violence campaigner Rosie Batty and attracted strong member patronage.

We have strengthened our capability to be of even more support to our wider membership, as well as health service CEOs.

This includes the building of enviable aged care and disability support services, particularly in the dynamic National Disability Insurance Scheme and aged care space, which increases the capability of health services to respond to changing care and support environments.

We delivered resources, tools and events across key priority areas including financial modelling, consumer directed care, strategic and operational planning, workforce, infrastructure, capital and marketing.

We have also launched a centralised issues register for VHA members to log queries and challenges about the reforms to inform our advocacy.

We’re continuing to strengthen our brand offering and develop our communications channels to serve our members, partners and other stakeholders by providing up-to-date, pertinent information in real time.

A significant development is the lead role we’ve taken in the industry to address a need for improved quality and safety governance. A commercial decision was made – based on clear sector need and a compelling business case – to invest in healthcare governance.

A $133,000 investment in business development to revitalise the Australian Centre for Healthcare Governance and a $75,000 investment in its re-establishment and running costs resulted in the VHA ending the financial year with a $162,000 deficit.

MESSAGE FROM THE CHAIR & THE CEO


The VHA Board views this renewed focus as both essential and timely, particularly following recommendations from Targeting Zero: supporting the Victorian hospital system to eliminate avoidable harm and strengthen quality of care.

The business model predicts the Australian Centre for Healthcare Governance will become financially sustainable by the end of its second full year of operation.

We would like to thank our Board of Directors and our dedicated VHA team for their stellar contribution this year and to our members for their ongoing contribution and engagement.

We are here for a shared purpose – to champion excellence in Victoria’s public health system and to support Victoria’s public health services to deliver quality care.

As the peak body for the health sector we look forward to being of even more service to our members, partners and the sector in the year ahead.

Gary ThomasVHA Board Chair

Tom SymondsonChief Executive Officer


VHA BOARD OF DIRECTORS

Gary Thomas (Chair) Independent Director

Trevor Adem Beaufort & Skipton Health Service CEO

Melissa Bastian Latrobe Community Health Service Board member

Kathy Bell Dental Health Services Victoria Board member

Peter Craighead Latrobe Regional Hospital CEO

Damian Ferrie Star Health CEO

Janette McCabe Rural Northwest Health Board member

Sue Matthews (Deputy Chair)

Royal Women’s Hospital CEO

John Rundell Independent Director

John Anderson Latrobe Regional Hospital Board member – 1 July 2016 – 6 April 2017

Joanne Booth Inner Easter Community Health Board member - 1 July 2016 – 7 October 2016

Nancy Hogan Peninsula Health Board member- 1 July 2016 – 7 October 2016


OUR POLICY YEAR IN REVIEW

Our policy team produced timely, influential work and many VHA recommendations have translated into successful results with government decision makers.

QUALITY AND SAFETY Health Minister Jill Hennessey, released Targeting Zero: supporting the Victorian hospital system to eliminate avoidable harm and strengthen quality of care in October 2016,

Commissioned by the Victorian Government and written by Dr Stephen Duckett, Health Program Director at the Grattan Institute, the report recommends an overhaul of quality and safety to reduce avoidable harm in Victorian hospitals.

In response, the Victorian Government established several new agencies to improve the oversight of healthcare and improving clinical governance across Victoria’s health system.

The VHA is contributing to the Government’s Implementation Advisory Committee and will continue to work with members, supporting them to embed improvements in clinical governance.

AUSTRALIAN CENTRE FOR HEALTHCARE GOVERNANCEThe VHA is revitalising its governance services through the Australian Centre for Healthcare Governance in response to sector need.

It has appointed quality and safety specialist Jo-Anne Moorfoot as Executive Director to develop sector-specific clinical and corporate governance resources to assist health services with their clinical and organisational governance

POLITICAL ENGAGEMENT AND ADVOCACY

The VHA Board, Chief Executive Officer Tom Symondson and senior staff engaged regularly with Victorian and Federal Government Ministers, Opposition spokespeople and senior Department of Health and Human Services representatives as part of the VHA’s advocacy.

The VHA team briefed members of parliament on health-related legislation and policy including amendments to the Health Services Act and the role of community health in delivering family violence services.

Through its concerted advocacy and engagement at state and federal levels, the VHA was pleased to secure an extension to the Victorian-specific referral pathways for Commonwealth Home Support Program allied health and nursing services.

VOLUNTARY ASSISTED DYINGThe VHA worked with members to ensure issues specific to public hospitals were considered by the Ministerial Advisory Panel on voluntary assisted dying.

The panel, formed to lead community and sector consultation, provided the Government with a framework to inform a bill to Parliament to legalise voluntary assisted dying.

CAPACITY BUILDING – AGED CARE & NDISThe VHA continued to provide support and advice to members in an evolving aged care and disability environment.

Through its capacity building program, the VHA builds aged and disability care sector capability across residential aged care, home care and in relation to the National Disability Insurance Scheme.


In the past year, the team has supported members to build capacity in strategy and governance, infrastructure and capital, finance, modelling and decision-making, workforce, cultural change and leadership, best-practice service provision and marketing through a range of activities, workshops and events.

Resources developed for members include:

• Making the most of a changing aged care environment: an impact analysis on the Victorian public aged care sector and recommendations report

• Residential aged care self-assessment and options for change tool

• Consumer directed care for residential age care providers resource

• Organisational self-assessment tool: supporting the delivery of inclusive care

• Utilising accommodation deposits for capital investment in public sector residential aged care

• Residential aged care fees and payments factsheet

• Aged care and disability reform timeline

• Home care transition fact sheets.

COMMUNICATIONSThe VHA has broadened it communications offering to include editorial, issues management and general communications services to members. As part of our member support and engagement we’ve established a VHA Member Communications Group to support our members’ communications personnel and continue to strengthen the VHA brand.



EVENTS

2016 VHA and ACHG Clinical Governance Forum: The road to quality care, accountability & improvement

Our Health Workforce: Tackling the challenge

Infrastructure Forum: Infrastructure and capital challenges for health services

VHA CEO dinner with Victorian Treasurer

VHA Annual Conference: Inspiring Health Leadership

VHA Annual Awards

Aged Care Forum - Delighting the senses: Eat well, smell the roses and live longer

2017 Cyber Security Workshop, in conjunction with Accenture – Protecting health services against cyber security threat

VHA Budget Submission Launch

International Women’s Day dinner

Building a high performing health service workshop - facilitated by Dr. John Øvretveit

Family Violence Forum: Understanding health sector’s life changing role

VHA Industrial Relations Workshop

Budget Breakdown Breakfast

VHA Governance Conference: Managing the minefield

Marketing in a changing healthcare environment (two-day event)

Community Health Forum – Collaborate or compete?

We have strengthenedour capability to be of evenmore support to our wider

membership, as well ashealth service CEOs.”

- VHA Chair & CEO


The VHA partnership program works collaboratively with corporate organisations who can deliver insights and thought leadership education in their fields of expertise. This provides our members with a unique engagement platform to assist them with organisational efficiencies and to continue to deliver high quality patient outcomes.

There was a significant growth this year in industry-relevant partnerships with NGO and corporate

organisations, including establishing a fully-fledged member benefits program VHAPlus+.

VHAPlus+ delivers exclusive member-only benefits for salary packaging, novated leasing and fleet management. With continued member consultation and feedback, the program will evolve to serve the needs of both our members and their staff.

PARTNERSHIPS



2016-17 VHA PARTNERS:


What Recipient/s When

Document Recipient Date of submission

Submission: Simplifying medical treatment decision making and advance care planning

Department of Health and Human Services 1 July 2016

Letter: The central role of public health services in family violence reform

Minister for the Prevention of Family Violence, Minister for Women

13 July 2016

Submission: Victorian state disability plan

Department of Health and Human Services 16 July 2016

Letter: Independent community health services in the health care homes trial

Minister for Health (C'wealth) 5 September2016

Letter: Best practice governance and CEO tenure

Secretary, Department of Health and Human Services 7 September 2016

Letter: The central role of public health services in family violence reform

Special Minister of State 22 September 2016

Submission: Victorian 30-year infrastructure strategy

Infrastructure Victoria 28 October 2016

Submission: Introducing competition and informed user choice into the human services - identifying sectors

Productivity Commission 3 November 2016

Letter: Safer Care Victoria and its work with Victorian health services

CEO, Safer Care Victoria 11 November 2016

Submission: Victoria's rural and regional health services system, design and infrastructure plan

Department of Health and Human Services 18 November 2016

Letter: Funding stability for Victorian public dental services

Minister for Health (C'wealth) 29 November 2016

Letter: Role of general surgeons undertaking caesarean sections

Royal Australasian College of Surgeons 30 November 2016

Letter: Role of general surgeons undertaking caesarean sections

Royal Australian and New Zealand College of Obstetricians and Gynaecologists

30 November 2016

Submission: Aged care legislated review

Department of Health (C'wealth) 1 December 2016

Letter: Role of Victorian public sector aged care providers

Assistant Minister for Health and Aged Care (C'wealth) 19 December 2016

Letter: National Disability Insurance Scheme transition

Minister for Social Services (C'wealth) 19 December 2016

Letter: Role of Victorian Aboriginal Community Controlled Health Organisation

Assistant Minister for Health and Aged Care (C'wealth) 20 December 2016

Letter: Food experiences in public sector residential aged care services

Department of Health and Human Services 16 January 2017

SUMMARY OF POLICY REPRESENTATIONS & SUBMISSIONSAs part of its advocacy, the VHA contributed more than 40 submissions and letters to governments, government bodies, professional associations and ministers providing an important, consistent voice on the issues that matter to our members.


Submission: Commonwealth Budget 2017-18

The Treasury (C'wealth) 30 January 2017

Letter: Incident reporting systems in community health services

Department of Health and Human Services 7 February 2017

Letter: Reform to human services issues paper

Productivity Commissioner 10 February 2017

Submission: Improving nurse/midwife to patient ratios

Nurse/Midwife to Patient Ratio Improvements Taskforce 16 February 2017

Letter: Standardised procedures for reviewing ultrasound scans

Royal Australian and New Zealand College of Radiologists

16 February 2017

Submission: Victorian Budget 2017-18 Department of Treasury and Finance 17 February 2017

Submission: Inquiry into the provision of NDIS services for people with psychosocial disabilities

Joint Standing Committee on the NDIS 27 February 2017

Letter: Aged care and mental health services in rural Victoria

Shadow Minister for Senior Victorians 9 March 2017

Submission: Review into NDIS costs - first phase

Productivity Commission 7 April 2017

Submission: Review of NDIS price controls

National Disability Insurance Agency 12 April 2017

Submission: Voluntary assisted dying bill 2017

Department of Health and Human Services 12 April 2017

Letter: Market testing of CEOs and tenure limits for public hospital directors

Secretary, Department of Health and Human Services 18 April 2017

Submission: Inquiry into the drugs, poisons and controlled substances amendment (Pilot medically supervised injecting centre) bill 2017

Department of Health and Human Services 19 April 2017

Letter: Online Medicare payments and income and asset testing

Secretary, Department of Human Services (C'wealth) 19 April 2017

Letter: AMA minimum standards for communication between health services and general practitioners

President, Australian Medical Association (Victoria) 19 April 2017

Letter: Audit of Victorian community health services

Victorian Auditor General 19 April 2017

Submission: Single aged care quality framework

Department of Health (C'wealth) 20 April 2017

Letter: Engagement with Victorian multipurpose services

Minister for Families and Children, Minister for Youth Affairs

20 April 2017

Letter: Budget cuts for small rural hospitals

Minister for Health 3 May 2017

Letter: People Matter Survey Victorian Public Sector Commissioner 31 May 2017

Letter: My Aged Care and CHSP allied health and nursing referral pathways

Minister for Housing, Disability and Ageing, Minister for Mental Health

30 June 2017

Letter: My Aged Care and CHSP allied health and nursing referral pathways

Minister for Aged Care (C'wealth) 30 June 2017

Letter on Aboriginal Health & Wellbeing Strategic Framework consultation

Director, Aboriginal Health & Wellbeing, Victorian Dept of Health and Human Services

May 2016

Letter regarding multi-purpose services Chair, Aged Care Financing Authority June 2016


2017 2016

$ $

Revenue 2,823,757 2,854,160

Property expenses (231,068) (230,655)

Office and administration expenses

(139,723) (128,177)

Depreciation expenses (45,260) (55,026)

Corporate and board expenses (86,643) (68,944)

Communication expenses (44,863) (84,401)

Events expenses (175,317) (237,065)

Project expenses (112,823) (45,697)

Service and professional fees (185,905) (345,730)

Employee benefit expenses (1,735,425) (1,631,074)

Business operations expenses (133,069) -

Bad debt expenses (32,736) -

Other expenses (63,309) (26,508)

Profit/(Loss) before income tax (162,384) 883

Income tax expense - -

Profit/(Loss) for the year (162,384) 883

VICTORIAN HEALTHCARE ASSOCIATION LIMITED & ITS SUBSIDIARYSTATEMENT OF PROFIT OR LOSS AND OTHER COMPREHENSIVE INCOME 1 JULY 2016 - 30 JUNE 2017


2017 2016

$ $

ASSETS CURRENT ASSETS

Cash and cash equivalents 960,060 1,015,487

Trade and other receivables 195,631 163,367

Other assets 173,933 195,768

TOTAL CURRENT ASSETS 1,329,624 1,374,622

NON CURRENT ASSETS

Financial assets 3,466,563 3,543,502

Property, plant and equipment 177,595 171,341

Intangible assets 1,809 3,662

TOTAL NON CURRENT ASSETS 3,645,967 3,718,505

TOTAL ASSETS 4,975,591 5,093,127

LIABILITIESCURRENT LIABILITIES

Trade and other payables 240,360 274,632

Short term provisions 59,324 38,778

Other liabilities 1,078,065 1,019,493

TOTAL CURRENT LIABILITIES 1,377,749 1,332,903

TOTAL LIABILITIES 1,377,749 1,332,903

NET ASSETS 3,597,842 3,760,224

EQUITY

Retained earnings 3,597,842 3,760,224

TOTAL EQUITY 3,597,842 3,760,224

STATEMENT OF PROFIT OR LOSS AND OF FINANCIAL POSITION 1 JULY 2016 - 30 JUNE 2017


VHA & ACHG CONSOLIDATED INCOME REVENUE

VHA & ACHG CONSOLIDATED EXPENSES

Member Subscriptions ($1,153,173)

Capacity Building ($583,010)

Partnerships ($444,545)

Interest and other investment income ($369,894)

Conferences and Events ($157,210)

Other Income ($115,924)

Office & Administration ($139,723)

Corporate and Board ($86,643)

Communication ($44,863)

Property ($231,068)

Employee Benefits ($1,735,425)

Events ($175,317)

Projects ($112,823)

Service and Professional Fees ($185,905)

Other General ($274,374)


• Access Health and Community

• Alexandra District Health

• Alfred Health

• Austin Health

• Bairnsdale Regional Health Service

• Ballan District Health and Care

• Ballarat Community Health Service

• Ballarat Health Services

• Banyule Community Health Service

• Barwon Health

• Bass Coast Health

• Beaufort & Skipton Health Service

• Bellarine Community Health Benalla Health

• Bendigo Community Health Services

• Bendigo Healthcare Group

• Bendigo Loddon Primary Care Partnership

• Boort District Health

• Calvary Health Care Bethlehem

• Campaspe Primary Care Partnership

• Carrington Health

• Casterton Memorial Hospital

• Castlemaine District Community Health

• Castlemaine Health

• Central Bayside Community Health Services

• Central Gippsland Health Service

• Cobaw Community Health Service Limited

• Cobram District Health

• Cohealth

• Cohuna District Hospital

• Colac Area Health

• Connect Health & Community

• Darebin Community Health

• Dartmoor & District Bush Nursing Centre

• Dental Health Services Victoria

• Dianella Health

• Djerriwarrh Health Services

• EACH

MEMBERSHIPAS AT 30 JUNE 2017


• East Grampians Health Service

• East Wimmera Health Service

• Eastern Health

• Echuca Regional Health

• Edenhope & District Memorial Hospital

• Elmhurst Bush Nursing Hospital

• Enliven Victoria

• Gateway Health

• Gippsland Lakes Community Health

• Gippsland Southern Health Service

• Goulburn Valley Health

• Grampians Community Health

• healthAbility

• Heathcote Health

• Hepburn Health Service

• Hesse Rural Health

• Heywood Rural Health

• Inglewood & Districts Health Service

• Inspiro

• IPC Health

• Kerang District Health

• Kooweerup Regional Health Service

• Kyabram & District Health Services

• Kyneton District Health Service

• Lake Bolac Bush Nursing Centre

• Latrobe Community Health Service

• Latrobe Regional Hospital

• Link Health and Community

• Lockington and District Bush Nursing Hospital

• Lorne Community Hospital

• Macedon Ranges Health

• Maldon Hospital

• Mallee Track Health & Community Service

• Mansfield District Hospital

• Maryborough District Health Service

• Melbourne Health

• North Western Melbourne PHN

• Mercy Public Hospitals Inc.

• Merri Health

• Mildura Base Hospital

• Moyne Health Services

• Nexus Primary Health

• North Richmond Community Health

• Northeast Health Wangaratta

• Northern District Community Health Service

• Northern Health

• Numurkah District Health Service

• Omeo District Health

• Orbost Regional Health

• Otway Health & Community Services

• Peninsula Health

• Peter MacCallum Cancer Centre

• Plenty Valley Community Health

• Portland District Health

• Primary Care Connect

• Queen Elizabeth Centre

• Robinvale District Health Services

• Rochester & Elmore District Health Service

• Royal Children’s Hospital

• Royal Women’s Hospital

• Rural Northwest Health

• Seymour Health

• South Gippsland Hospital

• South West Healthcare

• Spiritual Health Victoria

• Star Health Group

• Stawell Regional Health

• Sunbury Community Health Centre

• Sunraysia Community Health Services

• Swan Hill District Health

• Tallangatta Health Service

• Terang & Mortlake Health Service

• The Kilmore & District Hospital

• The Royal Victorian Eye & Ear Hospital

• Timboon and District Healthcare Service

• Upper Murray Health & Community Services

• Victorian Aids Council / Gay Men’s Health Centre

• Victorian Alcohol and Drug Association (VAADA)

• West Gippsland Healthcare Group

• West Wimmera Health Service

• Western District Health Service

• Western Health

• Wimmera Health Care Group

• Woomelang and District Bush Nursing Centre

• Yarrawonga Health

• Youth Projects

VHA ANNUAL REPORT 2016-17

Authorised by: Victorian Healthcare Association Chief Executive Officer Tom Symondson

© Victorian Healthcare Association Ltd ABN 54 004 228 111

Level 6, 136 Exhibition Street Melbourne Victoria 3000

P / +61 3 9094 7777 F / +61 3 9094 7788 E / [email protected]

vha.org.au

The Victorian Healthcare Association is the not-for-profit peak body supporting Victoria’s public and community health services to deliver quality care. Members of the VHA – established in 1938 – include public hospitals, community health services and aged care providers.

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