ANNUAL REPORT QUALITY OF CARE REPORT FINANCIAL STATEMENTS Organisational Structure ...... · 2021....

ANNUAL REPORTQUALITY OF CARE REPORT

FINANCIAL STATEMENTS2012-2013

Human Resources

Kinglake Ranges Health Centre

Quality, Access and home support services

Clinical services

District nursing

Counselling and support services

Social support services

Victorian Bushfire Appeal Fund

Preventative health and community development

Administration

Finance

Executive assistant

Whenever You’re Likely to Drink (WYLD)Healthy Eating InitiativesAlcohol InitiativesSexual and Reproductive Health ServicesRural AccessGay, Lesbian Bisexual Transgender, Intersex (GLBTI) Community GroupsGamblers HelpCommunity EducationCommunity Engagement

PayrollAccounts

Reception ManagementIT CoordinationBuilding MaintenanceFleet/Vehicle CoordinationCleaning

HR AdministrationVolunteersStudent PlacementsWork experience Students

GPs ReceptionPractice NursesWallan GP SuperClinic (WGPSC)

Home Support Service Access & Care Coordination (SACC)Home & Community Care Services Assessment (HACC)Delivered Meals

Continence NursingEarly Childhood Intervention Service (ECIS)Allied Health- Physiotherapy, Speech Pathology,Community HealthNursing

District Nursing Service- HACC, PAC, HITH and Palliative CareDVA Community Nursing ProgramClinical support of Home Support ServiceStudent Nurse Placement

Financial CounsellingGambler’s HelpFamily ViolenceAlcohol,Tobacco Other Drugs (ATOD)

Personal Helpers and Mentors (PHaMS) CACPsDisability Case ManagementSocial Inclusion Activities

Statewide Children’s and Adults Counselling

Board of directors

CEO

Corporate services (acting)

Wallan SuperClinic

Organisational StructureMay 2013

living well in your community

Human Resources

Kinglake Ranges Health Centre

Quality, Access and home support services

Clinical services

District nursing

Counselling and support services

Social support services


Preventative health and community development

Administration

Finance

Executive assistant

Whenever You’re Likely to Drink (WYLD)Healthy Eating InitiativesAlcohol InitiativesSexual and Reproductive Health ServicesRural AccessGay, Lesbian Bisexual Transgender, Intersex (GLBTI) Community GroupsGamblers HelpCommunity EducationCommunity Engagement

PayrollAccounts

Reception ManagementIT CoordinationBuilding MaintenanceFleet/Vehicle CoordinationCleaning

HR AdministrationVolunteersStudent PlacementsWork experience Students

GPs ReceptionPractice NursesWallan GP SuperClinic (WGPSC)

Home Support Service Access & Care Coordination (SACC)Home & Community Care Services Assessment (HACC)Delivered Meals

Continence NursingEarly Childhood Intervention Service (ECIS)Allied Health- Physiotherapy, Speech Pathology,Community HealthNursing

District Nursing Service- HACC, PAC, HITH and Palliative CareDVA Community Nursing ProgramClinical support of Home Support ServiceStudent Nurse Placement

Financial CounsellingGambler’s HelpFamily ViolenceAlcohol,Tobacco Other Drugs (ATOD)

Personal Helpers and Mentors (PHaMS) CACPsDisability Case ManagementSocial Inclusion Activities

Statewide Children’s and Adults Counselling

Board of directors

CEO

Corporate services (acting)

Wallan SuperClinic

Organisational StructureMay 2013


Recipients of the Broadford Proud Awards 2013 – students from Broadford Secondary College.

3

4 Introduction from the Chief Executive Officer

5 Message from the Chair of the Board

6 Members of the Board

8 Annual Report

12 Quality of Care Report

16 Financial Statements

Contents

Vision

Living Well in Your Community

Mission

Nexus Primary Health is a trusted provider and purchaser of choice for a comprehensive range of client directed information and services.

Through rigorous quality systems and service development, Nexus Primary Health is a sustainable, innovative and ethical identity within the primary health care sector and the community.

Nexus Primary Health (the trading name of Mitchell Community Health Service) is a company limited by guarantee. The governance of the company and the management of its affairs are the responsibility of the Board of Directors. The constitution of the company provides for the Members of the company to vote to appoint six of the nine Directors of the Company.

4

The 2012-13 year has been a busy and productive time for Nexus. The year began with some significant senior staffing changes with the resignations of the Chief Executive Officer, Chris McDonnell, and the Director of Corporate Services, Jenny Buckingham. Chris and Jenny left Nexus with too many achievements to individually mention, however, it would be remiss not to acknowledge their work on the organisation’s new name, its strong financial position and the landmark Superclinic building in Wallan.

The change in name from Mitchell Community Health Service to Nexus Primary Health represents a deliberate change in approach for Nexus. The health and community sector is at the beginning of significant reform in funding and service delivery approaches.

The Board and staff see these changes as a great opportunity to create innovative services that respond to the particular needs of each of the communities we serve. However, all

this is predicated upon listening to our customers and our communities. To assist us to do this, we have developed a Marketing and Engagement Strategy to make it easy for people to communicate with us, and for us to be responsive to this communication.

The redeveloped Nexus website and Facebook platforms are the central point for our communications. Therefore as you read this Annual Report, if you have any queries about our programs, I encourage you to go to www.nexusprimaryhealth.org.au to access program related information.

I also encourage you to Like us on Facebook www.facebook.com/NexusPrimaryHealth to get regular updates about what Nexus staff and volunteers are doing.

I would like to acknowledge the work of the Board of Directors, under the leadership of John Thompson, for their continued support of Nexus and their aspirational approach for

Nexus in the future. As you will see in the biographies on the following pages, the knowledge and experience of the Board is an asset to Nexus and the communities we serve. The Directors are a handful of the 120 volunteers that help Nexus each year and their continued support and work is invaluable.

Finally I would like to thank the incredible Nexus staff. The new Management Team has provided extraordinary support for me in my new role as Chief Executive Officer, whilst they supported their staff to provide excellent and innovative service responses.

I feel confident that in the next 12 months, these staff will continue to design and implement creative and evidence driven services that respond to the voice of our communities.

Suzanne Miller, Chief Executive Officer.

“Exciting times ahead at Nexus! I love working with our committed staff and Board to deliver quality services and programs to our many and varied clients throughout the community.”

Suzanne Miller, Chief Executive Officer.

Introduction from the Chief Executive Officer

Welcome

5

So we have made some important changes. Recognising the necessity for clear and effective communication, the name of our organisation was changed to Nexus Primary Health and a whole new corporate identity was developed. Our previous name led to confusion with Mitchell Shire Council with whom we have good working relations but no formal association – and we operate well beyond the boundaries of that Shire. We saw these changes as necessary as communication to and from the community is central to the operations of a good health service.

There has also been significant change in the senior management of Nexus. Suzanne Miller was appointed to the position of Chief Executive Officer following the resignation of Chris McDonnell. Ms Miller, previously Director of Client Services at Nexus, brings a high level of experience and expertise to the position and is already initiating effective organisational changes to ensure greater responsiveness and efficiencies.

We have been building to meet our objective. With the construction of the new Kinglake Ranges Health Centre, Nexus now provides general practitioner

and allied health services at the centre, and integrates them with a range of supporting home-based services for the local community. The service has been very well received by the local people and other similar rural communities have expressed interest in Nexus providing a similar high quality service.

Building of the Wallan GP Superclinic is also now well under way after the Honourable Tanya Plibersek MP, Minister for Health, officially marked the commencement of construction on 20 November 2012. At that ceremony, Nexus pledged to establish the health centre as a lighthouse service that would demonstrate how primary health services of the highest quality can be provided.

To ensure that the new centre operates effectively, high level work is continuing on developing management and operating systems that will provide the excellent client-centred, integrated care and preventive programs that we aspire to. Meanwhile, we have extended and improved our current programs. Nexus continues to provide high quality health services to the communities of our region, and has introduced a number

of additional innovative programs such as the Whenever You’re Likely to Drink (WYLD) program that tackles the problem of binge drinking especially by young people. For these programs, we have maintained and strengthened our working relationships with many agencies in our region, and have developed new productive relationships with other organisations where appropriate.

This year the Board was pleased to welcome Dr Paul Scown and Associate Professor Kelsey Hegarty as Directors. They, and other members of the Board, have made a very important contribution to the health of our community, and I thank all Board members for the support and wise counsel they have given me.

The Board recognises and appreciates the work of our many volunteers. These enthusiastic and steadfast men and women provide not just a valuable service, but a very important social connection for those in our community in need. Thank you. Our grand adventure is well under way . We look forward with great enthusiasm to the year ahead.

John Thompson, Chair.

Message from the Board Chair

We at Nexus are embarked upon a grand adventure. We are committed to developing a new and innovative approach to the provision of health services that will deliver important benefits for the communities of our region.

We have a highly professional and enthusiastic staff, a very competent and keen Board, and a team of loyal volunteers and members - all committed to this objective.

And, with clear values and objectives, we are dedicated to the development and demonstration of a new approach to primary health service that puts the people we serve firmly at the centre of our operations as active and capable partners in the management of their own health.

Des Callaghan

Des has been a Board

Member for over 30

years and is a past

Board President. This

has provided him

with a comprehensive

understanding of the

community and the

commitment required to

meet its needs. Des was

appointed an Honorary

Bail Justice in 1990 and

a Justice of the Peace

in 1996. Des received

the Community Services

Award from Southern

Mitchell Rotary and was

also awarded Mitchell

Shire Citizen of the year

in 2005. Des has been a

Councillor of the Mitchell

Shire and is actively

involved in the Broadford

RSL. He was awarded the

highest honour bestowed

upon a member of the

RSL, a Meritorious Medal

awarded in 2011. This

National award is only

given to life members of

the RSL.

6

John ThompsonChair

John was appointed

as Chair of the Nexus

Primary Health Board

in April 2011. He is a

member of the Audit

and Risk Management

Committee, the

Governance Committee,

the Project Governance

Review Committee and

the GP Superclinic Project

Governance Review

Committee. John has held

roles including Secretary

of the Victorian Institute

of Marine Sciences,

Managing Director of

Tide International Pty

Ltd, CEO of Yarra Bend

Park Trust, Director of

Hallmark Dell Pty Ltd,

Councillor and Mayor

of the City of Doncaster

and Templestowe, and

member of Libraries

Board of Victoria. John

is currently a Committee

Member of the Australian

Light Horse Memorial Park

Committee. He holds a

Bachelor of Commerce in

Economics degree.

Yvonne WhittakerDeputy Chair

Yvonne is a member

of the Audit and Risk

Management Committee.

She has worked as a

registered nurse, a

senior lecturer at the

Lincoln Institute of

Health Sciences, and as

the manager and joint

proprietor of Ashleigh

Lodge Private Nursing

Home. She was awarded

a Tasmanian Government

scholarship to undertake

the Public Health Nursing

Diploma and Dip N Ed

course and the WK Kellogg

Foundation Scholarship

for general practitioners

and registered nurses

to further their studies

in primary health care.

Yvonne’s volunteer roles

have included being a

Council Member of the

Royal College of Nursing

Australia and a member of

the Victorian State Board

of National Association

of Nursing Homes.

Yvonne holds a Public

Health Nursing Diploma,

a Diploma in Nursing

Education, a Master of

Health Science and a

Diploma of Acupuncture.

Gordon HastieTreasurer Chair

Gordon joined the Board

of Nexus Primary Health

in March 2012, bringing

over 40 years’ experience

in business management.

As Treasurer, he is Chair

of the Audit and Risk

Management Committee.

Gordon has held various

senior and regional

management roles in

the private sector. He

was a Regional Director

with Gerber Technology

for 12 years where he

was responsible for

managing international

operations located in

the USA, Singapore and

Turkey. Most recently, he

has been operating his

own software solutions

company. He has a broad

understanding of all areas

of management including

human resources,

finance, operations and

governance. Gordon has

also held roles as President

of the Rotary Club of

Southbank Victoria and

President of the Broadford

RSL Sub-Branch.

Board Members

Emeritus Professor Rae Walker

Rae joined the Board in

February 2012 and has

over 20 years’ research

experience in the area of

community-based health

service provision and

health promotion. She has

worked with community

health services and local

government. Rae has

been Chair of the Victorian

Consortium for Public

Health, and a Member

of the National Health

and Medical Research

Council. She was a

Board Member for both

the Victorian Research

and Education Council

and Women’s Health

in the North. Rae also

developed and managed

a Corporate Master of

Public Health program

for the Department of

Health and Ageing. Rae

has a PhD from the School

of Education at La Trobe

University, a Bachelor of

Education, a Bachelor of

Arts (Social Science) and a

Diploma of Dietetics.

Terry Moran, AC

Terry joined the Board in

May 2012. Previously,

Terry was CEO of the

Office of the State

Training Board in Victoria.

He was the inaugural CEO

of the Australian National

Training Authority in

Brisbane and in 1998

became Queensland’s

Director-General of

Education. Terry was

appointed Secretary of

the Victorian Department

of Premier and Cabinet

in 2000 and Secretary

of the Commonwealth

Department of Prime

Minister and Cabinet, a

position he held until his

retirement in 2011. In

June 2006, Terry was

named an Officer of the

Order of Australia for

service to public sector

leadership in key policy

areas and program

implementation. In

January 2012, he was

named a Companion of

the Order of Australia.

Terry holds a Bachelor of

Arts (Hons) from La Trobe

University.

Assoc. Professor Kelsey Hegarty

Kelsey joined the Board

in November 2012. She

is an academic general

practitioner who has

general interests in

women’s health, in

particular women’s

emotional wellbeing.

Kelsey currently works as

an Associate Professor

in the Department of

General Practice at the

University of Melbourne

and in general practice in

inner city Melbourne. She

currently leads an Abuse

and Violence in Primary

Care research

program and the

postgraduate coursework

program for primary care

nurses in the Department.

Her current program of

research includes the

links between partner

abuse and depression;

educational and complex

interventions around

identification of partner

abuse in primary care

settings.

Dr Paul Scown

Paul joined the Board

in November 2012.

From 2000-2005, he

was the Chief Executive

of Melbourne Health,

which includes the Royal

Melbourne Hospital.

He has been a Board

Director of Bio21 Australia

Limited, The Walter &

Eliza Hall Institute for

Medical Research, The

Royal Melbourne Hospital

Foundation Limited,

Health Roundtable,

National Ageing Research

Institute (NARI) and

Chairman, Victorian

Healthcare Association

(VHA). Paul is the

National Chair of the

Australian Healthcare

& Hospitals Association

(AHHA), Victorian State

Chair of the AHHA, a

National Councillor on

the Australian Council

on HealthCare Standards

(ACHS) and a Member,

Walter & Eliza Hall

Medical Research Institute

(WEHI).

7

8

Annual Report

Our year in review

Reception and Assessment Services

Our Reception Staff

The first point of call for anyone attending Nexus is our friendly and helpful customer service staff based in Broadford, Wallan, Seymour or Kinglake.

Each day, this team meet and greet people arriving for services, answer phone calls for a myriad of enquiries and support the clinicians to deliver the best services possible.

“I am very passionate about my reception role. I’ve been doing this work for over 20 years and I enjoy working with our local community. Treating people with dignity and respect, that’s the key,” Suzie Customer Service Officer, Broadford.

The Service Access Team

Nexus has a central service access team through which 1900 new clients were connected to services last year. This highly skilled and experienced team are a recognised community resource that work to explore and identify the best service or program options at Nexus or other agencies and health providers.

New Nexus Clients

Home and Community Care (HACC) Assessment

For people over the age of 65 or with a disability, the next service likely to be utilised is HACC Assessment. This service usually involves a home visit where individual needs are assessed and service options explored, such as personal care, nursing, allied health and social inclusion. Last year, 347 Mitchell Shire residents accessed this assessment service.

HACC Assessment Recipients

Community Support Services

Nexus provides a range of in home services to support frail aged people and people with disabilities and their carers to remain living independently at home. Services include: personal care, respite care, household tasks, meals on wheels and home maintenance. Last year, 1639 Mitchell Shire residents received these services, either through HACC or as part of a Community Funding Package.

Service People

Home maintenance 401Household tasks 641Personal care 135Personal transport 172Respite 57 Shopping support 93Planned Activity Group 140

Our customers range in age from pre-school children receiving respite service to our oldest who is 100 years of age. The average age of most of our customers is 72 years.

Assisting with smoke detector batteries

Clinical Services

Our Clinical Services team covers a range of services including:

• Dietetics,• Diabetes Support,• Physiotherapy,• Exercise Physiology,• District Nursing,• Occupational Therapy and• Speech Therapy.

The team worked with over 2080 people ranging from infants to centenarians.

Men WomenNew Nexus Clients 46.00% 54.00%

New Nexus Clients

Men

Women

54% Women

46% Men

Women Men OtherHACC Assessment Recipients 62.00% 37.00% 1.00%

HACC Assessment Recipients

Women

Men

Other

62% Women

1% Other

37% Men

“If it wasn’t for the District Nurses, I wouldn’t be able to do this. I am so grateful to them

for helping me get this far. There are so many physical and mental ups and downs that they

have helped me through.”

Joann Formosa, 2012 Paralympian

9

Community Health

Allied Health, Home and Community Care

Highlights of the year

Dietetics Student Innovations - mentoring final year undergraduate dietetic students on placement who created and launched the Healthy Workplace Catering policy for Nexus clients and staff.

Increased Diabetes Services - to better meet the demand for diabetes services Nexus piloted a multi-disciplinary group education program for diabetes.

Children’s Holiday Program - Occupational Therapy and Exercise Physiology staff developed a Kids Holiday Program for children with developmental and neurodevelopmental disorders.

Using play-based activities within a group setting, children developed their social skills, gross and fine motor skills, motor coordination and motor planning skills, and sensory regulation skills.

Music based speech programs - Nexus hosted paediatric speech pathology undergraduate students. The students were able to take on client caseloads to prepare them as entry level practitioners.

A new paediatric music group was also established to show parents strategies to provide a language rich environment to help their children develop language.

‘Buster’ was referred to Nexus for Speech Pathology due to concerns about his language skills and speech sound clarity. The Speech Pathologist worked closely with Buster and his mum to target speech sound production as well as attention and concentration. Buster’s mum put in the hard yards at home and with the support of ongoing centre based review sessions with the Speech Pathologist, Buster will now be transitioning to school with age appropriate speech sound and language skills.

District Nursing

Our District Nursing and Continence

Nursing Services helped 200 clients achieve the best possible quality of life, regardless of disease or disability. Services range from medication or wound management to palliative care and continence supports.


A highlight of the year was watching Joann Formosa win the London 2012 Paralympics equestrian gold medal. Joann has experienced ongoing health issues and disabilities since an accident 25 years ago. For the past 18 years, Nexus nursing staff have supported Joann to manage her health and achieve her gold medal goal.

Counselling and Support Services

The Counselling and Support Services team includes the following services:

• Alcohol Tobacco and Other Drugs,

• Financial Counselling,

• Gambler’s Help,

• Family Violence and

• Generalist Counselling

Occupational Therapy

Speech Pathology Dietietics

Physiotherapy & Exercise Physiology

Diabetes Nursing Podiatry

Female 15 69 185 96 105 85Male 41 116 144 52 101 61

Community Health

0 50 100 150 200 250 300 350


Speech Pathology

Dietietics


Diabetes Nursing

Podiatry

Female

Male

020406080

100120140160180200

Female

Male




District Nursing

Continence Nursing Podiatry

Female 59 34 73 100 46 99 284Male 39 44 58 57 46 49 148

Home and Community Care & Third Party

0 100 200 300 400 500


Speech Pathology

Dietietics

Physiotherapy & Exercise…

District Nursing

Continence Nursing

Podiatry

Female

Male

0

50

100

150

200

250

300

Female

Male




District Nursing


Female 59 34 73 100 46 99 284Male 39 44 58 57 46 49 148


0 100 200 300 400 500


Speech Pathology

Dietietics


District Nursing

Continence Nursing

Podiatry

Female

Male

0

50

100

150

200

250

300

Female

Male

Occ

upat

iona

l The

rapy

Spee

ch P

atho

logy

Die

tetic

s

Phys

ioth

erap

y &

Exe

rcis

e Ph

ysio

logy

Dis

tric

t Nur

sing

Cont

inen

ce N

ursi

ng

Podi

atry




District Nursing


Female 59 34 73 100 46 99 284Male 39 44 58 57 46 49 148


0 100 200 300 400 500


Speech Pathology

Dietietics


District Nursing

Continence Nursing

Podiatry

Female

Male

0

50

100

150

200

250

300

Female

Male




District Nursing


Female 59 34 73 100 46 99 284Male 39 44 58 57 46 49 148


0 100 200 300 400 500


Speech Pathology

Dietietics


District Nursing

Continence Nursing

Podiatry

Female

Male

0

50

100

150

200

250

300

Female

Male




District Nursing


Female 59 34 73 100 46 99 284Male 39 44 58 57 46 49 148


0 100 200 300 400 500


Speech Pathology

Dietietics


District Nursing

Continence Nursing

Podiatry

Female

Male

0

50

100

150

200

250

300

Female

Male

Occ

upat

iona

l The

rapy

Spee

ch P

atho

logy

Die

tetic

s

Phys

ioth

erap

y &

Exe

rcis

e Ph

ysio

logy

Dis

tric

t Nur

sing

Cont

inen

ce N

ursi

ng

Podi

atry

ATODFinancial Counselling

Gamblers Help Counselling

Family Violence Children

Men's Behaviour Change

Female 90 101 11 246 39Male 207 71 16 109 15 253


0 50 100 150 200 250 300 350 400

ATOD

Financial Counselling

Gamblers Help

Counselling

Family Violence Children

Men's Behaviour Change

Female

Male

0

50

100

150

200

250

300

Female

Male




District Nursing


Female 59 34 73 100 46 99 284Male 39 44 58 57 46 49 148


0 100 200 300 400 500


Speech Pathology

Dietietics


District Nursing

Continence Nursing

Podiatry

Female

Male

0

50

100

150

200

250

300

Female

Male




District Nursing


Female 59 34 73 100 46 99 284Male 39 44 58 57 46 49 148


0 100 200 300 400 500


Speech Pathology

Dietietics


District Nursing

Continence Nursing

Podiatry

Female

Male

0

50

100

150

200

250

300

Female

Male

ATO

DFi

nanc

ial C

ouns

ellin

gG

ambl

ers

Hel

p

Coun

selli

ngFa

mily

Vio

lenc

e Ch

ildre

nM

en’s

Beh

avio

ur C

hang

e

Grand Opening of the KRHC

The vision for the Kinglake Ranges Health Centre is to provide an integrated primary health care service, incorporating a General Practice, Allied Health, Mental Health and Counselling Services, alongside other services that promote the Health and Wellbeing of local residents.

10


Nexus recently received funding to undertake a Statewide Partner Contact Pilot Program for Corrections Victoria. The Pilot Program is designed to provide telephone-based Partner Contact Support to participants of the Domestic Abuse Program (DAP) which is being delivered out of Margoneet Correctional Centre in Lara and Community Corrections in Wodonga.

The Happiness Group has successfully operated in Kinglake and Kilmore. The group provides an opportunity for personal development by creating a positive retreat where people explore tools and strategies to increase overall happiness and wellbeing. The group is based on a mixture of therapeutic influences from Positive Psychology, Psycho-educational Principles and Cognitive and Interpersonal Skills and Acceptance and Commitment Therapy.


Nexus is funded by the Victorian Bushfire Appeal Fund (VBAF) to work with adults and children affected by the Black Saturday bushfires. Since commencing in October 2012 the service has worked with 62 adults and 31 children with complex trauma presentations.

The majority of people who have been assisted continue to live in the shires of Mitchell and Murrindindi or surrounding areas. For many, pre-existing issues have been exacerbated by the trauma experienced during and after the fires.

Due to the multi-disciplinary capacity of the team, services have been provided to children and adults in a family context.

In addition to self-referrals, local schools often refer clients to this important Nexus service.

The project has highlighted the ongoing and growing need for accessible therapeutic interventions for children and adolescents. Funding has recently been extended until November 2014.

Preventive Health and Community Development

The Preventive Health and Community Development (PHCD) team works in collaboration with a wide variety of stakeholders to promote healthy behaviours, empower communities and build supportive environments through education, policy development and advocacy.


Whenever You’re Likely to Drink (WYLD) is a youth led initiative that works with 16-24 year olds within the Mitchell and Murrindindi Shires. Extensive youth consultations led to a written submission to both Shires regarding alcohol consumption by-laws, which were subsequently amended.

International Disability Awareness Day attracted 100 primary and secondary school students who enthusiastically participated in a range of activities.

The establishment of a Gay, Lesbian, Bisexual, Transgender and Intersex (GLBTI) group that meets monthly.

Kinglake Ranges Health Centre (KRHC)

The medical practice moved into the purpose built building in February 2013. Since December 2012, 4 general practitioners provide services to the community 6 days per week, including 2 late night clinics.


The total number of patients seen at KRHC throughout the year was 1118, while the total number of new clients seen was 367.

“So after completing 4 weeks of what I thought was going to be stupid and a complete waste of time, I now have the self-confidence and belief in myself that I can, will and am

going to get through this and be a better person at the end of it. The horses teach you a lot about yourself and make

you more aware of the things that are the most important or the issues at hand. I may never know how or understand

what exactly the horses did but I can say thank you…”

11

Social Support

Social Support Services include:

• Personal Helpers and Mentors Scheme (PHaMS)

• Disability Case Management

• Community Aged Care Packages

The Personal Helpers and Mentors Scheme (PHaMS) supports participants with diagnosed or undiagnosed mental illness in their recovery journey, building long-term relationships by providing holistic support. This ensures that services accessed by participants are coordinated, integrated and complementary to other services in the community.

Nexus PHaMS covers five local government areas across the Hume and Goulburn Valley areas. Our service extends from Beveridge to Echuca and Kinglake to Yarrawonga via outreach.


Fifty-seven per cent of PHaMS referrals last year were received from Centrelink Shepparton as a result of a strong partnership developed to support complex and highly disadvantaged Centrelink customers from the Shepparton/Cobram region.

To support this influx of referrals, Nexus PHaMS has co-located a team of 4 outreach workers at Centrelink Shepparton twice a week.

Our Planned Activity Group (PAG) has provided stimulating social support and

activities based programs for community members over 60 years of age.

The program delivers health and wellbeing activities such as Tai Chi and low impact exercises as well as lunch 4 days a week. There is also a special shopping day once a month.

Social Inclusion

People remain healthier if they are well connected socially. To assist some of the more vulnerable in the community to be socially active, Nexus has established numerous social inclusion activities.

Wanderers and Manpower Programs

The Wanderers and Manpower programs support people recovering from mental illness or people with a disability. These programs aim to develop practical and social skills in an enjoyable group setting. We have seen a number of strong friendships develop from these programs which extend outside of the group environment.

Our Community Social InclusionChristmas in July

Our Community Social Inclusion Events involved over 300 people last year. Participants attended a variety of events, outings and special interest activities. Due to its immense popularity, the program activities now take place every month.

Our Community Social InclusionDisability Awareness Day

12

Volunteer’s Lunch

Thank you

Each year Nexus shows our appreciation to our volunteers by hosting a luncheon during Volunteers’ Week and providing a gift of thanks.

of feedback reports

received by Nexus

in the past twelve

months have been

complimentary.

64%

Quality of Care Report

2012-2013

Consumer, carer and community participation

Nexus values participation from the community and our clients to ensure services are targeted to meet their needs. Nexus adopts the Department of Health policy ‘doing it with us not for us’ by operating using the principles of:

• trust,

• responsiveness,

• respect,

• dissemination,

• openness,

• evaluation,

• equal opportunity,

• shared ownership,

• advocacy and

• support and accountability.

These principles ensure Nexus staff are trained for comprehensive screening of clients upon their referral.

An outcome of this has been an increase in the number of clients who identify as Aboriginal or Torres Strait Islander, gay, lesbian or transgender (GLBTI).

Nexus is an active participant on the following committees to support the

cultural diversity of our community:

• Closing the Gap - Closing the Gap is a commitment by all Australian governments to improve the lives of Indigenous Australians, and in particular provide a better future for Indigenous children.

• HACC Cultural committees.

• Auspice for the Rural Access Program – disability inclusion in the community.

• Local Government Access and Inclusion Committee – local infrastructure for disabled.

Nexus is also an active partner in the implementation of the Municipal Health and Wellbeing Plans of both the Mitchell and Murrindindi Shires.

Nexus engages the community through active staff, client and carer involvement in a number of approaches including:

• the Sunshine Club and the Wanderers groups planning sessions,

• participation in the Broadford Secondary College Breakfast Club – weekly during terms two and three,

• client feedback surveys – at various stages during client involvement,

• attendance at community events – as they occur,

• feedback to and from referrers and

• attendance at various service provider and community meetings.

The basis of service delivery is through comprehensive assessment and the construction of a care plan which outlines goals and strategies to improve identified health needs.

Care plans are designed in collaboration with the client and/or carer who is provided with a copy to enable them to work towards their goals between sessions. Our file reviews showed that seventy per cent of clients have care plans.

Nexus aims to provide information that is current and is in an easy to read format using plain English.

To achieve this, information is reviewed based on the Department of Health Well Written Health Information Guide to ensure the information provided is:

• written in plain English,

• appropriate for the intended consumer group,

13

• clearly formatted and labelled,

• balanced and written in non-judgemental language,

• written in easy to understand language and

• based on consumer feedback.

Volunteers

As a not-for-profit organisation Nexus benefits greatly from the hours provided by our volunteers.

Volunteers provide support through many different areas of Nexus service provision from the delivery of meals to frail aged or disabled clients, supporting our staff at activity groups to providing administrative assistance in the office. Our volunteers come from all walks of life with varied experience and their support enables essential services and programs to operate.

Currently, Nexus has about 120 registered volunteers who provide more than 2000 volunteer hours each year. The majority of these volunteers are with our home delivered meals service. If Nexus was to employ staff to provide these services it would cost our agency approximately $70,000, but because of our volunteers we are able to provide other essential services to the community.

Governance and planning at a strategic level is undertaken by

a Board of Directors. The Board consists of representatives of the community who are responsible for ensuring the current and future directions of the organisation meet the needs of the changing and diverse communities within our catchment area.

Quality and Safety

Falls Monitoring and Prevention

The falls prevention program is designed to reduce the risk of falls so people can remain living independently in the community.

Nexus Home and Community Care (HACC) assessment officers use the National Ageing Research Institute (NARI) Falls Risk Screening

for Older People. Those identified as a falls risk are given education and physical activities to reduce their falls risk. This program has been expanded to the Murrindindi Shire and Home Support Staff.

Incident Reporting

Incidents are recorded into VHIMS (Victorian Health Information Management System) and are categorised into three main types;

• Clinical Incidents, involving a client who is receiving a service;

• Occupational Health and Safety (OH&S) Incidents involving staff or volunteers participating in Nexus activities and

• Other Incidents which include damage to property such as vehciles.

Incident Trends Annually

Feedback

Social Inclusion

“These events are the only time I leave my house

now my kids have moved away.”

“Your events are fantastic and well supported by

friendly caring staff. It’s nice to be treated with

respect.”

“You always seem to hit the spot with these things,

keep at it, please don’t stop.”


“The Family Violence Team are an important asset

to the team at Nexus Primary Health. They are

professionals with a ‘drive’ to empower women

affected by domestic violence, to acknowledge the

unpleasant past, and to rise above this to nurture

and nourish our physical, emotional and spiritual

needs again.”

of feedback received

from customers was

negative. of feedback

received from

customers was

positive.

30%

70%

2009‐10 2010‐11 2011‐12 2012‐13Staff Related 33% 22% 41% 42%Client Related 33% 21% 30% 31%Other 31% 37% 28% 26%

0%5%

10%15%20%25%30%35%40%45%

Staff Related Client Related Other


2009‐10

2010‐11

2011‐12

2012‐13


0%5%

10%15%20%25%30%35%40%45%



2009‐10

2010‐11

2011‐12

2012‐13


0%5%

10%15%20%25%30%35%40%45%



2009‐10

2010‐11

2011‐12

2012‐13


0%5%

10%15%20%25%30%35%40%45%



2009‐10

2010‐11

2011‐12

2012‐13


0%5%

10%15%20%25%30%35%40%45%



2009‐10

2010‐11

2011‐12

2012‐13


0%5%

10%15%20%25%30%35%40%45%



2009‐10

2010‐11

2011‐12

2012‐13

1414

Continuity of Care

The Service Access and Care Coordination (SACC) Team manages all

incoming referrals. Last year, the SACC team managed thousands of client

referrals, each reviewed individually. If Nexus is not able to provide the

appropriate service an external referral is facilitated.

During the year over 1900 new clients were registered with Nexus.

This equates to an average of 158 per month. Nexus ensures feedback

to referrers occurs strategically throughout the service provision.

Categories of incidents are similar to the previous year. A slight increase in staff related OH&S incidents (from 42% to 43%) with a similar increase in client related (from 30% to 31%) and a decrease in the reporting of ‘other’ incidents (28% to 26%).

This indicates ongoing staff education is enabling Nexus to operate within acceptable risks.

Feedback

Feedback helps Nexus improve and

plan for our services. All feedback

is managed through VHIMS and

reported quarterly to the Board of

Directors for review. Customers

can feedback via hardcopy forms at

all Nexus locations or via an online

form.

Accreditation

In January 2013 Nexus underwent

its three year accreditation cycle

with QIC, the Quality Improvement

Council, formerly known as

QICSA (Quality Improvement and

Community Service Accreditation).

This review included assessment

against the Department of Human

Services (DHS) Standards for

Disability, Homelessness and Child,

Youth and Family programs, and the

Community Care Common Standards

(CCCS) for HACC.

The organisation was successful in

meeting all Standards and has been

accredited for three years.

1515

Clinical Governance

Staff employed by Nexus have the appropriate skills and experience to deliver a diverse range of services and programs.

Staff are encouraged to participate in relevant professional development programs to ensure compliance with current standards and practice and are supported with regular clinical supervision.

In 2012-2013 significant investments were made in staff training with:

• One staff member completing Certificate III in Business Administration.

• Four staff members completing their Certificate III in Aged Care/Home and Community Care.

• Five staff members completing Certificate IV in Aged Care.

• Five staff members completing Certificate IV is Disability.

Nexus regularly reviews all policies and procedures to ensure standards

are met and all staff are qualified to perform their duties.

At recruitment, all staff must have a current driver’s licence and agree to undergo a national police check.

Where applicable, staff are required to provide a Working With Children’s Check upon employment which must be updated every five years. All staff undergo annual performance appraisals which inlcude the development of learning plans.

Ongoing learning is essential to ensure our clients are receiving evidence based practices by skilled staff.

Effective Workforce

Nexus is an equal opportunity employer committed to employing knowledgeable and professional staff. Prior to staff appointment, position descriptions are updated to ensure they meet service delivery requirements and include a scope of practice.

This ensures that a match between job requirements and employee skills. Regular supervision ensures professional development and growth of staff.

Clinical Risk Management

Clinical Risk Management is part of the broader risk management system which identifies the organisational, financial, occupational health and safety and clinical risks which impact Nexus. Identifying risks and implementing controls to offset them occurs on a daily basis through incident reporting and the feedback process.

Infection Control

Infection control reduces the risk of infections spreading to clients and staff in the day to day activities of the organisation. Control approaches include:

• staff and customers not attending Nexus when unwell.

• monitored maintenance and cleaning regimes for sites and equipment. All sites and equipment have a detailed cleaning schedule with regular audits taken.

• widespread distribution of antiseptic hand rub.

Staff Immunisation

Twenty-eight per cent of staff accessed the free Fluvax offered by Nexus.

Cultural Diversity

20% of clients were born overseas with 0.55% speaking a language other than English at home.

1.2% of clients identify as Aboriginal or Torres Strait Islander.

PDF File

1616

Financial Statements

2012-2013

Introduction

Nexus Primary Health is pleased with the 2012/13 year financial surplus of $2,317,477. This result is driven by funding received for the capital investment in the Wallan GP Super Clinic. This investment will lead Nexus into an exciting future developing quality GP services for our growing communities.

Nexus Primary Health remains in a sound financial position, with an increase in total equity of 61 per cent during 2012/13 (from $3.8 million in 2011/12 to $6.1 million in 2012/13). Growth in equity resulted from the Wallan GP Super Clinic capital investment, supported by service delivery within budgeted revenue and expense targets. Nexus Primary Health's financial position provides ongoing capacity to deliver and coordinate quality health services to our community's demands.

18

be found following.

31

16 to 30,

servicesOur


DID YOU KNOW?

Mental illness is an extremely common form of distress and exists in many different forms of facets, each of which can have a debilitating effect on both your mental and physical well-being.

Common modifiable risk factors for chronic disease include tobacco smoking, excess weight, physical inactivity, poor diet, and risky alcohol consumption.

Removing barriers in public accommodations, transport, information, and communication enables people with disabilities to participate in education, employment, and social life, reducing their isolation and dependency. With its origins in community health,

Nexus Primary Health is a comprehensive health service provider covering the communities of Mitchell and Murrindindi Shires and beyond.

We provide a continuity of care for the health and wellbeing of people in our region and in neighbouring communities.

Incorporating General Practitioners into our services makes us a truly multi-disciplinary primary care provider, delivering cost-effective care to a large number of people through:

> a philosophy that promotes health and wellbeing

> better early management of chronic conditions

> reducing unnecessary hospital admissions and specialist referrals.

To find out more or to make an appointment, please contact us on:

1300 773 352 [email protected]

BROADFORD72 Ferguson Street T 5784 5555

KINGLAKEKinglake Ranges Health Centre 19 Whittlesea-Kinglake Road T 5734 8400

WALLANMultiPurpose Centre 42 – 80 Bentinck Street T 5784 5555

SEYMOURCallen Street (Seymour Hospital) T 5784 5555

NEXUS PRIMARY HEALTH CENTRES: POST OFFICE BOX 84 BROADFORD VICTORIA 3658

www.nexusprimaryhealth.org.au

Nexus Primary Health PO Box 84Broadford Vic 3658

e: [email protected]: www.nexusprimaryhealth.org.auFind us on Facebook www.facebook.com/NexusPrimaryHealth

Broadford | 72 Ferguson St | 5784 5555Kinglake | Kinglake Ranges Health Centre | 19 Kinglake-Whittlesea Road | 5734 8400Wallan | Multi Purpose Centre | Bentinck St | 5784 5555Seymour | Callen St Seymour Hospital | 5784 5555

ANNUAL REPORT QUALITY OF CARE REPORT FINANCIAL STATEMENTS Organisational Structure ...... · 2021....

Documents

Transcript of ANNUAL REPORT QUALITY OF CARE REPORT FINANCIAL STATEMENTS Organisational Structure ...... · 2021....