DIVERSITY IN PRACTICEPLAN 2011–2016 6 Robinvale District Health Services Annual Report 2016 2016...
Transcript of DIVERSITY IN PRACTICEPLAN 2011–2016 6 Robinvale District Health Services Annual Report 2016 2016...
DIVERSITY IN PRACTICE
ANNUAL REPORT 2016
Responsible Bodies Declaration
In accordance with the Financial Management Act 1994, I am pleased to present the Report of Operations for Robinvale District Health Services for the year ending 30th June 2016.
Mr Peter CampisiChairman
Robinvale1st July 2016
Robinvale District Health Services
128 Latje Road Robinvale Victoria 3549Telephone +61 3 5051 8111 Facsimile +61 3 5051 8100Email [email protected] 58 413 230 512
Annual Report
Robinvale District Health Service reports on its annual performance in two separate documents. This Annual Report of Operations fulfi ls the statutory reporting requirements to Government and the Quality of Care Report reports on quality, risk management and performance improvement matters. Both documents are distributed to the community.
These reports are available on our website: www.rdhs.com.au
The Hon. Jill Hennessy MP Minister for HealthThe Hon. Martin Foley MP Minister for Mental Health Minister for Housing, Disability and AgeingThe Hon. Jenny Mikakos MLC Minister for Families and Children
The responsible Ministers during the reporting period were:
CON-TENTS
1Robinvale District Health Services Annual Report 2016
About Us 2
Our Vision, Our Statement of Purpose, Our Commitment 4
2015–2016 Health Service Snapshot 5
Strategic Plan 2011–2016 6
Chairman and Chief Executive Officer’s Report 8
Director Reports 12
People and Culture 18
Primary Care Services 20
Environmental Performance 22
Performance 24
Quality and Risk Management 32
Management 34
The Board of Management (Including Statutory Reporting) 36
Disclosure Index 41
Index 42
Glossary of Terms 43
Robinvale District Health Services Annual Report 20162
About us
Robinvale District Health Services (RDHS) is a Multi-Purpose Service (MPS) that provides a diverse range of services to communities across a catchment area of approximately 60,000 square kilometres.
In addition to service delivery in its immediate area, RDHS provides outreach services to the communities of Ouyen, Boundary Bend and Manangatang in Victoria and Dareton, Wentworth and Balranald in New South Wales. We have a proud history of growth through innovation, investment in our staff and working in partnership with a broad range of stakeholders.
Denotes RDHS Service Area
Nyah
RobinvaleEuston
Ivan
hoe
Pooncarie
Dareton
Murray R
iver
Wentworth
Red Cliffs
Ouyen
WemenBoundary Bend
ManangatangPiangil
Woorinen
Lake BogaMurrabit
KoondrookKerang
Nyah West
Balranald
Vic
NSWMildura
Melbourne
Swan Hill
Denotes RDHS Service Area
Nyah
RobinvaleEuston
Ivan
hoe
Pooncarie
Dareton
Murray R
iver
Wentworth
Red Cliffs
Ouyen
WemenBoundary Bend
ManangatangPiangil
Woorinen
Lake BogaMurrabit
KoondrookKerang
Nyah West
Balranald
Vic
NSWMildura
Melbourne
Swan Hill
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OUR SERVICESHospital (acute)
• 20acutemedicalbeds• Stabilisationandresuscitation• UrgentCareCentre• MaternityProgram-AnteandPostNatalCare
• MaternalChildHealthNursing• Palliativecare• PostAcuteCare• MedicalImaging• RenalDialysis
Aged Care
• RiversideHostel-30LowCareAgedResidentialCarebeds
• MainMPSsite-14HighCareAgedResidentialCareBeds
• ManangatangCampus–10HighCareAgedResidentialCareBeds
• RespiteCare• AdultDayActivityandSupportService
Primary Care Services
• AboriginalHospitalLiaisonOfficer• Access&SupportWorker• EarlyYearsprogram• AgedandDisabilitySupport• AsthmaEducation• ContinenceManagement• Counselling• DiabetesEducation• HealthPromotion/Education• ImmunisationProgram• Men’sPrograms• NutritionandDietetics• OccupationalTherapy• PapSmearScreening/Women’sHealth
• Physiotherapy• Podiatry• SocialWork• SpeechPathology• Women’sHealthPrograms
Home Nursing Service
• VisitingNurseService• PalliativeCareNursing/Volunteers• PostAcuteCare
Support Services
• Administration• CustomerServices• ClinicalEducatorservicesto agenciesinManangatangandOuyen
• EmployerTrainingPrograms• GraduateNurseProgram• HospitalityandFacilities ManagementServices• InformationTechnology• MealsonWheels• OccupationalHealthandSafety• PublicRelations• Supply• RDHSLinenService• VolunteerServices
Services operating from or in association with RDHS:
• AgedCareAssessmentTeam• Agedpsychiatricnursingservice• Audiologyservices• Cancersupport• MeninSheds• Playgroup• Psychiatriccommunitynursing• RuralAmbulanceServiceVictoria• SelfHelparthritisgroup• SeniorsinSchoolsProgram• SexualAssaultTeam
RDHSoperates20acutebeds,55residentialagedcareplacesand providesUrgentCareservicestoboththeRobinvaleandManangatangcommunities.ThemaincampusatRobinvalesupportsacomprehensive rangeofservicesthatincludesRenalDialysis,Radiology,Midwifery,Visiting NursingandCommunityHealthNursing Services.AlsobasedatRobinvaleisanAlliedHealthteamfundedbyTheWesternHealthAllianceLtd.AndTheMurrayPrimaryHealthNetworktoprovidePrimaryCareServicesacrosstheregion.
RDHSemploys154staffandhasanoperatingbudgetofapproximately14milliondollars.Wearefortunatetohaveahighperformingmanagementteamthattakesprideinachievingexceptionalbusinessoutcomes.RDHSmaintainsaclearfocusonservicedevelopmentanddeliveryprioritiesandleveragesoffstrongfinancialperformancetomakebestuseoftheresourcesavailabletothecommunity.
RDHShasachieved“Wholeof Business”certificationtothe internationallyrecognisedstandards ofAS/NZS/ISO9001:2008,AS4801:2001andtheenvironmentalstandardAS/NZS/ISO14001:2004.RDHSwasthefirsthealthserviceinAustraliatoachievethisstandard.
RDHSwashonouredatthe2010VictorianHealthCareAwardstobepresentedwiththe“2010RuralHealthServiceoftheYear”bythePremierofVictoria,MrJohnBrumby.RDHSachievedthesameawardin2007andwasthefirstVictorianruralhealthservicetohavereceivedthisawardtwice.
In July 2009 the Manangatang & District Hospital and RDHS merged to ensure the sustainability and development of health care services for the Manangatang community. During 2010 RDHS was also successful in having the Manangatang location incorporated into an MPS funding agreement.
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Cultural DiversityIndividualsareentitledtocarethatisattentive,respectful,andresponsivetotheirneeds.Weunderstandthevalueofculturaldiversityandwillstrivetoengagewithallmembersofthecommunityandotherstakeholders.
CollaborationCollectivelywecanachievebetteroutcomes.Workingcollaborativelywithotheragenciesweseektoreduceservicefragmentationandgeneratingresourceefficiencies.
CommunityIndividualhealth,wellbeingandqualityoflifeiscloselyconnectedtocommunity.Wearecommittedtothesocialdeterminantsofhealthmodelandwillworktoassistindividualstoachievetheirpotentialandtobuildcommunitycapacity.
Quality, Safety and Environment Providingthebestpossiblecareandensuringasafeandhealthyenvironment.Weworktocontinuouslyimproveourservices,identify,eliminateorminimiserisksandminimiseourenvironmentalfootprint.
Innovation/LeadershipInnovationandleadershipisvaluedandencouraged.Wearecommittedtoasupportiveenvironmentthatencouragesnewideasandcreativityandwillactivelyseekopportunitiestodevelopandimproveservicesavailabletothecommunity.
Professional IntegrityAtalltimeswewillactethicallyandwithintegrity.Wewillobserveresponsiblebusinesspractices,makingbestuseofresourcesavailabletotheorganisationandthecommunity
WorkforceStaffwillbetreatedfairly,consistentlyandwithhonesty.Wewillinvestinthedevelopmentofaskilledworkforcethatismotivatedbycollaboration,strivingforexcellenceandachievingoutcomesforclientsandthecommunity.
OUR COMMITMENT
Robinvale District Health Services is an acknowledged leader and innovator in the provision of rural health services. We aim to build sustainable healthy communities by improving the health, wellbeing and quality of life of all of our community members. We will achieve this by being accessible, building strong relationships, understanding and meeting people’s needs and using resources wisely.
OUR STATEMENT OF PURPOSE
Through leadership and innovation Robinvale District Health Services will strive to improve the health, wellbeing and strength of our communities.
OUR VISION
Robinvale District Health Services Annual Report 2016
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2015–2016 HEALTH SERVICE SNAPSHOT
147STAFF
2,260PRESENTATIONS TO THE
URGENT CARE CENTRE
7,000ATTENDED
GROUP ACTIVITIES
50WOMEN AT ANY GIVEN
TIME ARE RECEIVING PRE-NATAL CARE
2,500MEALS PREPARED
AT RDHS AND DELIVERED BY VOLUNTEERS
OVER1/2
OF ALL 4 AND 5 YEAR OLD CHILDREN
IN ROBINVALE AND SURROUNDS,
PARTICIPATE IN THE 2 YEAR HIPPY PROGRAM
(Home Interaction Program for Parents
and Youngsters)
1,027ACUTE ADMISSIONS
RADIOLOGY EXAMINATIONSPERFORMED
2,200+
PROGRAM
HIPPY
STRATEGIC PLAN 2011–2016
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2016 brings Robinvale District Health Services’ to the fi nal year of its 5-year Strategic Plan. The RDHS Strategic Plan outlined our vision and goals. It assisted us to acknowledge and respond to the many infl uences and demands placed on our organisation.
In October 2014 the RDHS Board of Management, Senior Management team and staff collectively reviewed the Strategic Plan. Revised planned actions were established against each strategic pillar. The outcome of the review refocused the organisations efforts in continuing to invest in the health services being delivered to the community. During the life of the plan strong progress has been made against all pillars. Examples of the current year’s achievements are noted below.
RDHS’ next Strategic Plan will be developed to align with the health priorities of both federal and state governments and will be consolidated by the RDHS Multi-Purpose Service; Service and Business Plan.
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STRENGTHENING OUR COMMUNITY
• Anewpositiontitled‘CommunityWellbeingOfficer’wasintroducedinmid-2015andanappointmentwasmadeinDecember2015.Thispositionhasastrongfocusonimprovingthewellbeingofourcommunity.
• RDHShostedanumberofcommunityeventssuchasNeighbourDay–acelebrationofcommunityrelationships.NeighbourDaywascelebratedatboththeManangatangandRobinvalecampuses.NAIDOCweekisalsocelebratedannuallyattheRobinvalemaincampus.
• TheRippleEffectofEthnicities(TREE)Project;acommunityventurecommencedplanningandconsultingwiththecommunityinJanuary2016.TheprojectishostedbyRobinvaleDistrictHealthServiceswiththeaimtoprovideasafe,comfortableandmeaningfulplatformforpeoplefromdifferentculturalgroupstoparticipateandengageintheRobinvalecommunity.
• LaunchingofanewRDHSWebsite.Thewebsiteiseasy-touse,makingitsimplerandfastertolocateinformationandengagewiththecommunity.
USING RESOURCES RESPONSIBLY
• RDHShascontinuedtomaintainabalancedbudget.• ‘InFlow’inventorymanagementsystemintroducedandembeddedintheprocurement/supplydepartment.
• Newairconditioningsystems(providingforpersonalcomfortlevels)tothemaincampushospitalandnursinghome.
• 100KilowattSolarEnergysystem(allowingustobelessreliantonnon-greenenergysources)atthemaincampus.
• PhillipsUltrasoundmachinepurchasedtoreplacethedatedunit.
INVESTING IN AN OUTSTANDING WORKFORCE
• TheWorkplaceAchievementProgramhasbeenimplementedacrosstheorganisation.TheprogramisaninitiativeofHealthyTogetherVictoriaandsupportsahealthyworkplaceenvironment.
• 2xAlliedHealthAssistantTraineeshipswereintroducedandfilledinDecember2015.
• BoardofManagementcontinuetosupportlocal’sstudentswishingtoundertaketertiarystudiesintheHealth\Sciencefieldwiththeannualboardscholarships.
BUILDING ORGANISATIONAL CAPACITY
• ThehealthservicewideAuditconductedinAugust2015demonstratedahighlevelofachievementagainstall10NationalSafetyandQualityHealthServiceStandards(NSQHSS)andindeedwewereawarded3“metwithmerit”inourGovernanceandPartnershiparrangements.
• RiversideresidentialagedcarecampusachievedfullcomplianceagainsttheAustralianAgedCareQualityAgencyStandards(AACQA).
• RDHSEnvironmentalManagementSystemsrecertifiedtoInternationalStandardISO14001:2004.
• BoardofManagementundertookGovernanceevaluationandtraining.• Kronostimeandattendanceandrosteringembeddedwithintheorganisation.
DELIVERING PERSON CENTRED SERVICES
• VisitingserviceshaveexpandedtoincludeOphthalmology,MentalHealth,Psychology,Nephrology,Gynaecology,ObstetricsandAudiologyfrom3differentserviceproviders.
• Preventivehealthgroupshaveexpandedtoincludegroupssuchaswarmwaterexerciseclasses,communitywalkinggroups,Strength&Balance,HEALandmonthlydiabeteseducationsessionsforthosewithType2Diabetes.
• RegularmeetingswiththeRobinvale“Elders”todiscusscurrentissuesrelatingtotheindigenouscommunity.
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CHAIRMAN AND CHIEF EXECUTIVE OFFICER'S REPORT
Welcome to our 2015/2016 Annual Report. It is pleasing to report that Robinvale District Health Services has again had a successful and rewarding year, operating within agreed budgets, increasing the range and diversity of services and meeting the set targets for service delivery required of a Multi-Purpose Service. The reputation of RDHS continues to grow as a leader in the delivery of Rural Health Services with a strong focus and commitment to improving the health and well-being of the communities we service.
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threetiersofgovernment,localbusinessandcommunityorganisationstofocusondeliveringlongtermbenefitsforourchildren,youthanddisadvantagedgroupsbyimprovingsustainableeconomicdevelopmentandinvestmentforthecommunity.OnbehalfoftheBoardandcommunitywewouldliketothankGlennforhistirelesswork.
Itisalsopleasingtoreportthatexistingpartnershipsandnewpartnershipsarebeingdeveloped.Someexamplesare;
• TheMemorandumofUnderstandingfortheRenalDialysisServicewhichexpiredon30thJune2016hasbeenrenewedwithMelbourneHealth.
• Fundingagreementsignedforthe16/17yearwiththeMurrayPrimaryHealthNetworkfortheprovisionofalliedHealthservicestothecommunitiesofRobinvale,ManangatangandOuyen
• Fundingagreementsignedforthe16/17yearwiththeWesternNewSouthWalesPrimaryHealthNetworkfortheprovisionofalliedhealthservicestothecommunitiesofWentworth,Dareton&Balranald
• ContinuedfundingforafurthertwoyearsfortheHomeInteractionProgramforParentsandYoungsters(HIPPY)whichisaverysuccessfulEarlyYearsinitiative.
• 3yearfundinggrantfundingundertheCommonwealthHomeSupportProgramme
• 3year(2016–2019)Multi-PurposeServiceTripartiteAgreementsignedbetweentheDepartmentofHealth&HumanServicesandtheCommonwealthDepartmentofHealth.
InDecember2015weintroducedthepositionofCommunityWellbeingOfficertothePrimaryCareTeam.Thispositionhasbeendesignedtofocusonthementalwell-beingofourcommunity.SueWatsonhasbeenengagedandapproachedtherolewithmuchenthusiasm.Suehasastrongbackgroundinmentalhealthandsocialwork.
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SERVICE AND PARTNERSHIPThe5-yearServicePlanwhichunderpinstheTripartiteMPSAgreementexpireson30thJune2017.Theplancontinuestosteerdecisionmakingandhasenabledachievementofsignificantchangesandbenefitsforthehealthserviceandcommunity.
The2011-2016StrategicPlaninitsfinalyear,hasrequiredRDHStobeinnovativeandstrategicinourapproachtomeettheneedsofthecommunitiesweservice.Wehaveconsideredthebroadrangeofinfluencesonthewellbeingofindividualsandtheircommunitieswhendesigninganddeliveringourservicesandwehaveacknowledgedourimportantroleofbuildingcommunitycapacityandresilience.InmeetingtheFivepillarsoftheStrategicPlan,RDHShas:
- Delivered Person Centred Services- Strengthened our Communitythroughcommunitycapacitydevelopment,investinginthe“EarlyYears”andmeetingthechanginghealthandagedcareneedsofourcommunity
- Used Resources Responsibly bymaintainingeffectivefinancialcontrolsandaligningcapitaldevelopmentandimprovementwithservicepriorities.
- Invested in an Outstanding Workforcebyensuringthatwehaveahighlyflexibleandhighlyskilledworkforceandapositiveandhealthyworkenvironment
- Built Organisational Capacitybyensuringthatservicesareevaluated,areofahighqualityandthatwemanagetowardsouraccountabilities.
2015/6sawthefinalyearoftheRobinvaleAdvancingCountryTownsProjectwhichwasauspicedbyRDHS.TheAdvancingCountryTownsInitiativebuiltkeypartnershipsandinitiativesaroundserviceintegrationinareassuchasearlyyears,schoolaspiration,studenttransitionandemployment.GlennStewartastheStrategicProjectManagerworkedwiththeSteeringCommitteeGroup,
Our Board of Management, Executive, Staff, Visiting Medical Offi cers and Volunteers have a common goal of improving the health and well-being of our community.
OurpartnershipwiththeIndigenouscommunitycontinuestostrengthenandisrecognisedbyeventssuchasourannual NAIDOCcelebration.ThisyeartheEldersprepared “JohnnyCakes”foralltoshare.Wehavealsobeensuccessful inobtainingfundingfromDHHStoestablishAboriginalArtworkatthemaincampus,RobinvaleCollegeand MurrayValleyAboriginalCo-operative.Theartworkwillconnectallagencies.TheEldersoftheRobinvaleandDistrictAboriginalcommunitywillassistustobrokerthisprojecttoasuccessfuloutcome.
NeighbourDaywascelebratedinMarch2016atboththeManangatangandRobinvalecampuseswithguestspeakers andrefreshments.InRobinvalewecelebratedwithalunchtime“Hangi”cookedbythePolynesiancommunityandthethemeforthedaywas“multiculturalexperiences”.Itwasanexcellenteventandweenjoyedaverygood patronagefromthecommunityandfrommany representativegroups.OurFederalMemberforMalleeAndrewBroadwasalsoinattendance.
TheRippleEffectofEthnicities(TREE)Projectisa communityventurewhichcommencedplanningand consultingwiththecommunityfromJanuary2016hostedbyRobinvaleDistrictHealthServiceswiththeaimtoprovideasafe,comfortableandmeaningfulplatformforpeoplefromdifferentculturalgroupstoparticipateandengageintheRobinvalecommunity.
ThiswillbeasoftentrypointtoaddressingmentalhealthinthecommunityinadditiontoincreasinginterculturalawarenessandunderstandingintheRobinvaleand surroundingcommunities.Thisistobeachievedthrough 3phasesthatincludes-Aculturalskillsexchangeprogramforpeopleovertheageof45years;amuralbythe RobinvaleCollegestudentsonthecommunityradiostation caravanandfinallytheRobinvaleMulticulturalFestival.Afocusgroupwasheldonthe3rdofMaytointroducetheTREEProjecttothecommunity.Thisfocusgroupwasattendedby31communityrepresentativesfromover15differentcultures.ThisprojectisexpectedtotakeplacethroughoutthisyearuptoNovember2016
SUPPORT SYSTEMS & SERVICESOursoundfinancialfoundationallowedustoundertakeanumberofkeycapitalprojectsacrossthe3campusesandinclude:
• newairconditioningsystems(providingforpersonalcomfortlevels)tothemaincampushospitalandnursinghome
• 100KilowattSolarEnergysystem(allowingustobelessreliantonnon-greenenergysources)atthemaincampus
• anewPhillipsUltrasoundmachinetoreplacethedatedunit
• Refurbishmentoftheagedcarecourtyardatthemaincampustomakeamore“userfriendly”forour Residents,patients,theirFamiliesandStafftoenjoy theoutdoors.
Thisupgradehasbeenmadepossiblethroughthe fundraisingeffortsoftheMurraytoMoynelocalbikeriders, speciallongtimepartnersofRDHS.WeareindebtedtothemfortheirongoingcommitmenttoRDHSandtheirgenerosityandenthusiasmforthisprojectwhichbenefitsallwhowork,visitorresidehere.
TheManangatangcampushadworkundertakentoremodelthefrontpatioareatomakeitsafe,secureandweatherproof.Thisprojecthasprovidedalovelysettingforourresidentstorelaxoutdoorswithfamilyandfriendsorwhencelebratingaspecialoccasion.
Anumberofothercapitalimprovementshavebeenmadeacrosstheorganisation,thesearelistedintheDirectorCorporateServicesreport.
Ourhealthservicewideaccreditationhasexceededourpastperformance.ThehealthservicewideAuditconducted inAugust2015demonstratedahighlevelofachievement againstall10NationalSafetyandQualityHealthServiceStandards(NSQHSS)andindeedwewereawarded3“metwithmerit”inourGovernanceandPartnershiparrangements. RiversidealsohaditsmajorAuditagainsttheAustralianAgedCareQualityAgencyStandards(AACQA)thisyearandcontinuedthesuccessstory.AttheexitinterviewtheAuditorsmadecommentaboutthesignificantshiftin culturewithinRDHSandthatStaffhadobviouslyembraced anenvironmentofcontinuousqualityimprovement.ThankyoutoallStaffandinparticulartheQualityteamofRDHS,GayleNicholsandConnieChirchigliaandwhokeepusonawellguidedpathoflearningandimprovement!
WealsomaintainedouraccreditationstatusforISOQuality, SafetyandEnvironmentalsystems.
RDHSlaunchedanew-easy-tousewebsiteduringtheyear,makingitsimplerandfastertolocateinformationandengagewiththecommunity.
Thesearesignificantachievementsandourmanagementandstaffaretobecongratulatedforthecommitmentandgoodworkinthisarea.
OUR PEOPLERDHScontinuestostrivetoenhanceourreputationasanemployerofchoiceprovidingtheopportunityforpeopletoworkinasafe,positiveandrewardingenvironmentwithastrongcultureofteamworkandparticipation.
AfterfouryearsatRDHS,MaraRichardsresignedasCEOtojoinAlexandraDistrictHealth.WecongratulateMara onherappointmentandthankherforhercontributionandleadershipduringhertermasCEO.UnderMara’sleadershipRDHShascontinuedtogrowanddevelopandsheleavesRDHSinexcellentshapeandwellpositionedtomeetthechallengesthatlayahead.
DuringthetransitionperiodfromMaratothenewlyrecruited CEO,RDHSwasunderinterimleadershipfromtheRDHSDirectorofCorporateServices–VickiShawcrossRDHSwelcomedtotheteamJudyShawyerasDirectorofNursing
Robinvale District Health Services Annual Report 201610
Chairman and chief executive officer's REPORT
oftheManangatangCampusinDecember2015This appointmenthasprovidedstabilitytotheManangatangCampus.
RDHSalsowelcomedRayGentletothemaincampustofillthenewlycreatedpositionofManagerPeople&CultureandGailRobinsontotheRiversideCampusasNurseUnitManager.KerrynMoroneyhasbeenappointedasNurseUnitManagerattheRobinvalecampustorelieveBinuJoywhocommencedmaternityleaveinJune2016.LaceyWestgarthwasalsoawelcomeadditiontoourCorporateteamasourManagementAccountant.
RDHSfarewelledJulieanneLoy,HumanResources Coordinator,ClaudiaHunter-DirectorofNursing– ManangatangCampus,MarySeymour–MaternalChildHealthNurseandRajNair-FinanceOfficer.RDHS recogniseandthankthemfortheirservicetoRDHS
RDHShascontinuedonitsquesttoengagetheservicesofaDirectorofMedicalServices,unfortunatelythispositionremainsvacant.
WesaythankyouandfarewelltotwoVisitingMedical Officers;DrJoseOmotoseandDrSvitlanaKelada.DrSamerShaikhisapleasingadditiontotheVMOteamandwe embracehisservicetoourcommunity.WewouldliketothankDrLuigiLuccaforhiscontinuedsupport.
Wearealsothankfulandappreciativeofthemany organisationsandindividualsfromourcommunitywhichdonatetoRDHSandassurethemthatthosegiftsand donationsarespentonhealthdeliverytoourlocalcommunity.
GOVERNANCETheBoardofManagementprovidescleardirectionforRDHS,monitorsorganisationalperformanceensuringgoodgovernance,givingtheirtimeasunpaidMembersoftheBoard.TheleadershipandcommitmentprovidedbytheBoardisappreciated.
NewBoardmemberswelcomedthisyearwereLisa MurrayandTeneilleFollettinJuly2015andAlisonBlackwhotookupherappointmenttotheBoardinApril2016.ShirleyIrvingdidnotseekre-electionwhenhertermexpiredinJune2015after16years’serviceandwewouldliketoacknowledgeShirley’sinvaluablecontributionandstewardshiptoourhealthservice.
DesmondRyanandMaryanneLesliealsodidnotseekre-electionwhentheirtermsexpiredinJune2015andwealsothankthemfortheircontribution.
ACKNOWLEDGEMENTSTheongoingsuccessofRDHSisaresultofacommittedandhardworkingteam.OurBoardofManagement, Executive,staff,VisitingMedicalOfficersandvolunteershaveacommongoalofimprovingthehealthand well-beingofourcommunity.
WeexpressoursincereappreciationtoourManagementTeam,Staff,VisitingMedicalOfficers’volunteersand communitysupporters,yourdedication,enthusiasmandsupportmakesawonderfulcontributiontothelifeofRDHS.Thankyou.
Wewouldalsoliketoexpressourappreciationtothe CommonwealthDepartmentofHealthandDepartment ofHealth&HumanServicesatStateandRegionallevelfortheirhardwork,dedication,professionalismandcontinuedsupportoftheorganisationoverthepastyear.Thesupport fromourlocalPoliticians,Mr.PeterWalsh,MemberforSwanHill,Mr.AndrewBroad,FederalMemberforMalleeandPeterCrisp–MPMilduraandtheSwanHillRuralCityCouncilisacknowledgedandappreciated.
EachYearpresentsnewchallengesandopportunitiesfortheBoardandStaff.RDHSiswellpositionedtoaddressthesechallengesandmaximisetheopportunitiesastheypresentduetothepositivecultureandstrongcommitment ofallinvolvedatRDHS.
PeterCampisiChairman
VickiShawcrossInterimCEO
Robinvale District Health Services AnnualReport2015 11Robinvale District Health Services Annual Report 2016 11
Robinvale District Health Services Annual Report 201612
DIRECTOR REPORTS
Innovation and leadership is valued and encouraged. We are committed to a supportive environment that encourages new ideas and creativity and will actively seek opportunities to develop and improve services available to the community.
Robinvale District Health Services Annual Report 2016 13
ACUTERDHSsuccessfullyattainedaccreditationtoall10NationalStandardsinAugust2015andcontinuestoentrenchtheprinciplesoftheStandardsintopracticetoensureoptimalcaretoourpatients.Thenewworkpracticesarepromotedtodevelopbetteroutcomesandinvolvethepatientintheircare.
ThenewlyrenovatedDialysisunitprovidesexceptionaltreatmentwithtwoshiftsoperatingthreetimesperweek.Stafftraininghasbeenmaintainedtoensuretheserviceisavailabletoourcommunityandalsotooffertreatmenttopatientsholidayinginourregion.TheunitissupportedbyMelbourneHealthasasatelliteservice.Therehasbeenadecreasenotedinoccasionsofservicethispastyear.
TheRIPERN(RuralIsolatedPracticeEndorsedRegisteredNurse)staffarepreparingtoembedtheprograminourclinicalservicedelivery.ThisprogramisenvisagedtoprovidesupporttotheUrgentCareCentres(UCC).ThisprogramwillnotreplacetheneedforVisitingMedicalOfficers(VMO)butrathersupporttheDoctors’andsustainmedicalexaminationstoahighstandard.TheprogramiswellreceivedasthePrimaryCareClinicalManualisavaluableresourceforallstaff.Welookforwardtomorestafftakingontheenhancedtrainingintothefuture.
RDHSdidnothostaGraduateNurseprogramin2016andremainhopefulofattractingasuitablecandidatefor2017.DuetocurriculumchangesfortheEnrolledNurse(EN)program,TAFEdidnotoffertheopportunityforustocontinueEnrolledNursetraineeshipsin2016.Welookforwardtothetraineeshipresumingin2017.Thecurrent
2015traineeshouldcompletethecoursebytheendof2016.RDHSseesthisasanexcellentopportunityto“grow”ourownstafffromourowncommunity.
TheVisitingNurseService(VNS)hasprovidedcaretomanypatientswithintheirownhomewithspecialisttraininginareassuchaswoundcare,beingsuccessfullyutilised.Thisspecialisttrainingisalsoawelcomesupporttotheacuteandagedcaresectors.
TheMedicalImagingdepartmentpurchasedanewPhillipsUltrasoundmachinewhichisabletoproduceimagesofgreaterclarity.3Dimagesarealsoofferedtopregnantwomenasanon-diagnosticexamination.RDHSisveryproudtocontinuetooffermedicalimagingtothecommunityasthisassistsmanydiagnosticoccasionswithoutthepatienthavingtoaccessservicesoutoftown.BendigoRadiologysupportsuswithexcellentreportingturnaroundtimes.
InfectionControlremainsanimportantStandard(3)andRDHScontinuestodemonstrateexcellentoutcomesincleaningandhandhygieneaudits.ThecommitmenttomaintainingahighstandardisreflectedinthelowinfectionratesreportedforRDHS.Theincreaseinthestaffinfluenzaimmunisationratewasalsoverypleasingfor2015.
TheClinicalRiskManagementCommitteewelcomedtwoBoardofManagementmemberstostrengthenourcommitmenttoclinicalgovernance.ThiscommitteeappreciatesthesupportofDrLuigiLucca,JohnPisasale,
DIRECTOR OF CLINICAL SERVICES REPORT
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Our aim is to improve the health and wellbeing of all patients through promoting wellness and caring for illness effi ciently, effectively, compassionately and without discrimination.
Robinvale District Health Services Annual Report 201614
localcommunityPharmacistandFayePerry,ManagerofBarratt&SmithPathology.TheseprofessionalsgivetheirtimetooverseeclinicalaspectsofRDHSpracticetoassistinappropriateclinicaldecisionmakingandmeetingtherequirementsoftheNationalandindustryStandards.AntimicrobialStewardshipremainstopicalwithRDHSmaintainingmonitoringprocessestopromotetheproperuseofantibiotics.
AGED CARERobinvaleDistrictHealthServicesAgedCarecampusesarehometo54agedcareresidents.Riversidecampusprovidescareforresidentswithlowcareneedsonapermanentorrespitebasis.RobinvaleandManangatangofferResidentialAgedCaretoclientswithhighcareneeds. Riversideoccupancylevelshavefluctuatedthroughouttheyearwithoveralloccupancyslightlyhigherthanthepreviousyear.RobinvaleandManangatangcontinuetoruntocapacitywithcontinuousprovisionofNursingHomeTypeservicesintheacutesectorwhererequired.ClientServicesOfficerMandyHoldsworthassiststomanagewaitinglistsfortheRobinvaleandManangatangsitesandisavaluableresourceforfamilies.
Staffaimtoprovideahomelikeenvironmentfortheresidentsandofferarangeofactivitiesfortheirenjoyment.Wewereluckytosecurefundingwhichhasenabledthepurchaseof4AppleiPad’sforouragedcarecampuses.Thisnewtechnologyhasallowedresidentstoaccessgames,readnewsandskypewithfamilyorfriends.Communityengagementremainsanimportantaspectforimprovingtheoutlookofourresidentsandwearethankfulforthemanyvolunteerswhoassistinmaintainingthatcommunitylinkforresidents.Theeldersinparticularenjoyvisitsfromschoolchildrenanditispleasingtoseethepositivegenerationalinteractions.
Theagedcaresectorappreciatestheservicesprovidedbythealliedhealthteam,allowingthemtimelyinterventionthatcanenhancetheirwellbeing.Theseincludephysiotherapy,occupationaltherapy,podiatry,speechpathologyanddietetics.
RobinvalenursinghomeandManangatangcampushavebothreceivedimprovementstoenhancethespacetheresidentsareabletoenjoy.WearethankfultotheMurraytoMoyneteamfortheircontinuedsupportwhichhasallowedustoimprovetheagedcarecourtyardattheRobinvalecampus.Thecourtyardisnowhometoafamilyofbudgies,wehavenewseating,alargesensorygardenandadditionalshade.Residentsarenowabletoenjoytheoutdoorswiththeirfamilies.Newair-conditioninghasbeeninstalledatRobinvaleandRiversideandanewoutdoorverandahasbeenconstructedatManangatang.Thiswillallowresidentstoenjoyoutdoorsinallweather.
Wearegratefulfordonationsandfundingfromthedepartmentthathasallowedpurchasestoassistincaringforandenhancingoutcomesforourpatientsandresidents.
Staffingturnovershavebeenhigherthispastyearwithexpectedattritionandmaternityleavebeingsignificant.WewelcomedJudyShawyer,DirectorofNursingtoManangatangcampusandKerrynMoroney,NurseUnitManagertocovermaternityleaveatRobinvale.
ThispastyearwefarewelledDrSvitlanaKeladafromManangatang.WewelcomedDrSameerShaikhtoMVACandwithVMOprivilegestoRDHS.AppreciationisextendedtoDrLuigiLuccawhoremainsaconstantsupporttotheoncallneedsofRDHSincludingourManangatangcampusresidentsinagedcare.
DIRECTOR REPORTS
Robinvale District Health Services Annual Report 2016 15
MIDWIFERYAnotherbusyyearhasbeenexperiencedinprovidingmidwiferycaretothecommunity.Manyexpectantmothersfromtheregionwereabletoreceiveappropriatecarewithoutunduestressoftravellingoutoftown.
Achievements• Regularchildbirth/parentingclassesthroughouttheyearwithsomeparentstravellingfromasfarasBalranaldtoattend
• PurchaseofanExaminationCouchspecificallydesignedforGynaecology&Obstetricsclients
• VisitingGPObstetrician/GynaecologistfromMilduraBaseHospitalonaweeklybasis
• OnlineclaimingforMedicare16400(Midwifeantenatalattendances)nowoperational
Challenges• ClientsineligibleforMedicare.23%ofallmidwiferypatientsattendingtheclinicdonothaveMedicarebenefits.Thisprovideschallengesforboththepatientandthemidwifeasthecostoftestsandhospitalcarecanbegreat,whichcanoftenleadtodelaysintreatmentandcomplications.Reducedfeesandpaymentplanscanbenegotiated,anddoassist,howeverareferraltoSocialWorkandotherexternalagenciesforfinancialassistanceisoftenrequired.
• Alargeproportionofourlocalpregnantpopulationareconsideredtohavecomplicated(high-risk)pregnancies,meaningthatthereisariskthattheirhealthmightbeaffectedbythepregnancyorthattheirbabywillbeborntooearly.Requiringextracare,investigations&referraltoTertiarycenters.
• DiscontinuationofthePEHP-PerinatalEmotionalHealthProgram(PEHP).Sadly,fundingforthisprogramwaswithdrawnin2015andthereisnolongeradedicatedfreeserviceforpregnantandpostnatalwomeninourarea.
Future directions• Explorefurthertelehealthtypeconsultationstoavoidclientstravellingfarfromhometoattendspecialists
• Revampchildbirtheducationclasses
MATERNAL CHILD HEALTHAnotherbusyyearwithparentssourcingthesupportoftheMaternal&ChildHealthNurse(MCHN).
Servicesinclude;• Participationinchildbirthandparentingclasses• Domiciliaryvisits• KeyAges&Stagescheckstomonitorbaby’sprogress• Supporttoparentswithallaspectsofbabycare• Initiatereferralswhereidentified,includingmentalwellbeingissues
• ParticipatinginPositiveParentingProgram• ArrangingFirstAidclassesforparents,grandparentsandcarers’
• ReferringfamiliesandinteractingwiththeEarlyYearsprogramsandPlayGroups
• Assistingwiththe0to5immunisationprogramatRDHS• Maintainingrecordstomeetdepartmentalrequirements
TheMCHNhasworkedveryhardtodeveloprelationshipswiththefamiliesofourregiontoensureappropriateengagementforthewelfareofthechildren.AnopensessionisofferedonaTuesdaytoallowparentstovisitwithoutfirstmakinganappointment.AnotherachievementhasbeenimprovingaccessforthefamiliesofManangatang.
RDHShasdevelopedwonderfulcohesiverelationshipstoassistfamiliesfrom0to5yearswhichinturnseesourchildrentobemore“schoolready”.Thiscreatesabetteropportunityforlearningandreducesthosemorelikelytoslipthroughthegaps.
Robinvale District Health Services Annual Report 201616
FINANCERDHSremainsinastrongfinancialposition.Wehavecontinuedtomaintainourrevenuebaseandcontrolledexpenditurewithinparameterssetbythebudget.PleaserefertotheattachedFinancialStatementsforfurtherinformation.
TheFinanceTeamunderwentanumberofpersonnelchangesin2015/16,withtheresignationofRajNairintheFinanceOfficerpositionandtheintroductionofanewposition–ManagementAccountant.WewelcomeLaceyWestgarthtotheteam.
Audit&RiskSolutionsPty.Ltd.(ARS)provideInternalAuditservices.
Arobustinternalauditprocesswasundertakenin2015/16.Areasauditedinclude:
• Payroll• FraudRiskAssessment• AgedCarebillingandtransactions• MonthlyFinancials• FinancialBudget• Patient\ResidentTrustAccounts• 2014-15FBTreturn• CreditCardtransactions• PayrollTesting/TimeSheets/Overtime
TheinternalauditorverifiedtheeffectivenessofRDHS’sinternalcontrolandriskmanagementsystem.TheydidreportthatRDHShasmadesignificantimprovementsintheirFinancialandGovernanceprocessesandtheybelievethatthecurrentcontrolsinplacearesound.
Furtherreinforcementoftheseprocessesandcontrolsweresuggestedtoimprovethisposition.Anumberofrecommendationshavebeenmadethroughouttheyearwhichwillfurtherstrengthenandimprovetheexistingframework.
FundingInadditiontooperationalfundingfromtheDepartment ofHealthandHumanServicesVictoriaandthe CommonwealthDepartmentofHealth,RDHSisproud tosecuresupplementarygrantsfromStateand CommonwealthGovernmentandotheragenciestosupport theRobinvalecommunitythroughvariousprograms.ProgramssuchasBestStart,EarlyYears;HIPPY(HomeInteractionProgramforParentsandYoungsters);RuralPrimaryHealthFlexiblefundingviatheMurrayPrimaryCareNetworkandtheWesternNewSouthWalesPrimaryCareNetwork.
Community Initiative ActivitiesAscommunitycapacitybuildinginitiativesRDHScontinues tomanagetheoperationsoftheRobinvale/EustonTourist InformationCentreandtheRobinvaleOutofSchoolHours(OOSH)programtosupportthecommunity.Thesustainability ofnon-healthcommunityunitsisreviewedannuallytoensurecontinuousservicestothecommunity.
FACILITIES / INFRASTRUCTURE / ASSETSAvarietyofbuildingworkswereconductedthisyear,withtheassistanceofthemaintenancestaff.Theseinclude:
• Commissioningoftheair-conditioningsysteminthemaincampusacuteandnursinghomebuilding
• Installationofa100Kwsolarrenewableenergysystematthemaincampus
• Refurbishmentoffrontoutdoorpatioareaatthe ManangatangCampus
• Installationofashadesail,birdaviary,newbbqandseatingtothenursinghomecourtyardatthemaincampus
• 2ndstageofinternalpaintingcompletedatthe ManangatangCampus.Thehospitalbuildinghasnowbeenfullyrepaintedinternally.
AspecialthankstoPeterRickardandthemaintenanceteamfortheircontributionstotheinfrastructureprojectsandtoallstaffatthe3campuseswhoputupwithdisruption totheirenvironmentduringthebuilding/refurbishmentworks.
DIRECTOR OF CORPORATE SERVICESCorporate Services comprises departments staffed by people with a wide range of skills and expertise in business analysis, budget and finance, food, environmental and linen, human resources, information communications and technology, supply and maintenance services.
These departments support direct patient care and ensure Robinvale District Health Services functions effectively and efficiently. These departments participate in management decision-making for the entire organisation, in particular the interpretation of government policy, the implementation of changes required for compliance with statutory obligations and the management of resources necessary for the delivery of clinical services.
DIRECTOR REPORTS
Robinvale District Health Services Annual Report 2016 17
Investmentwasmadein:• Phillipsultrasoundmachinewascommissionedin August2015• FireSafetyauditconductedacrossallcampuses.• arangeofminorinfrastructuremaintenanceprojects
FOOD SERVICESOurCateringdepartmentandRiversideandManangatangkitchenscontinuedtheirqualityworkinthepastyear.Theteamofapproximately20staffprovidesmorethan60,000mealseachyeartopatients,residents,visitorsandstaff,including2,500+MealsonWheelswhichservicetheRobinvaleandManangatangcommunities.
LINEN SERVICESThelaundrystaffcontinuetoprovideahighlevelofservicetoexternalcustomersatBalranald,Ouyen,localmedicalclinicandmotel.RDHSalsosupplieslinentoallthreeRDHScampuses.
Residentpersonallaundryismanagedfromthelinen servicewithdelicateprecision.
HOTEL SERVICESThecleaningstaffofapproximately8continuedtheir qualityworkdeliveringexcellentresults.
Compliancewasachievedwiththerelevantlegislativecleaningstandards,aspertheexternalreviewprocessesconductedthroughouttheyear.Thecleanstateofthephysicalenvironmentisatoppriorityasiteffectivelysupports theprovisionofhighqualityandsafepatientcare.
SUPPLYOurSupplydepartmentcontinuestomeetthehighdemandsacrossallcampuses.Asmallteamof1.2peopleworktirelesslytocollatepurchaseorders,placeordersandreceiveanddispatchmaterialstoallareas.Thisyearweestablishedadrygoodstoresothatweareabletopurchasefooddrygoodsinamoreunifiedapproachacrossallcampusesandcantakeadvantageofbulk purchasingpricing.
Thebarcodingsystemimplementationwascompletedthisyearandwearenowabletoaccuratelyrecordstockusageandchargebacktotheappropriatecostcentre.
ACCOMMODATIONFindingaccommodationinasmallruralcommunityisoftenhardtoobtainthereforeasarecruitmentandretentionincentiveRDHSdoeshaveavailableanumber
ofRDHSownedfullyfurnishedhousesandunitsinbothRobinvaleandManangatang.Theseareavailabletostaffonanovernightorshorttermbasis.
In2015/16wehadatotalof62individualsaccessingaccommodation.Ofthese,24wereuniversitystudentsundertakingplacementintheareasofAlliedHealthandNursing,23werestaffmembersneedingovernightorshorttermaccommodation,11wereagencynursesand theremaining4consistedoflocumprofessionals.
INFORMATION TECHNOLOGYIthasbeenanotherbusyyearfortheITDepartmentwith anumberofprojectsonthego.
AnewwebsitewastolaunchedinSeptember2015.Thewebsiteisconsumerfocussedandinteractive,providingconsumersandexternalstakeholderswithcurrentandinformativedata.
InformationTechnologySupportisresponsibleforproviding usersupportservicesforRobinvaleDistrictHealthServices informationtechnologysystemsandinfrastructure.ThekeydeliverymechanismforthisserviceisviaexternalcompanyProAdvance.
RDHSisalsoamemberoftheLoddonMalleeRural HealthAlliance(LMRHA).ICTdevelopmentandsoftwareimplementationsupportisprovidedbyLMRHA.
Robinvale District Health Services Annual Report 201618
People AND Culture
In 2015 the Human Resources Department was rebranded and is now recognised with a modern title of People & Culture. Ray Gentle was appointed as the manager of this department and is supported by the People & Culture Offi cer.
The role is to support the health service through cultural change by creating, implementing and managing change and supporting the Management team in leadership development through performance management systems and constructive feedback.
The People & Culture department is responsible for overseeing industrial matters, recruitment and retention, professional development, employee support and payroll.
In 2014/15 RDHS implemented KRONOS; an electronic Time & Attendance system which replaces manual timesheet processes. In 2015/16 we continued to fi ne tune the KRONOS Time & Attendance system and rolled out the Employee Self Service module which allows employees to manage a majority of leave. Staff are now receiving payslips electronically on the day of payroll processing which is a vast improvement on the former arrangement of receiving paper copies 3-4 days later.
Robinvale District Health Services Annual Report 2016 19
RECRUITMENTRDHScontinuestoexperiencedifficultiesintherecruitment ofRegisteredandEnrolledNursesandsomedisciplines withinAlliedHealth.Itisstillincreasinglydifficultforsmallruralcommunitiestoattracthealthprofessionals;however, wehaveimplementedanongoingstrategytoseeksuitablecandidatesthroughouttheyear.
EMPLOYMENT & CONDUCT PRINCIPLESRDHSiscommittedtoapplyingmeritandequityprincipleswhenappointingstaff.
Theselectionprocessesensurethatapplicantsareassessedandevaluatedfairlyandequitablyonthebasisofthekeyselectioncriteriaandotheraccountabilitieswithoutdiscrimination.
AllagreementsthatRobinvaleDistrictHealthServicesisarespondentarecurrentlybeingnegotiatedthroughVHIA.
EMPLOYEE REMUNERATION & BENEFITSRDHScontractwithAccessPaycontinues.Mostemployees continuetosalarypackageapercentageoftheirwagesinthemanagementofwagesforregularpaymentsorsavings. RDHSadoptsthepolicysetbyGovernmentSectorExecutive RemunerationPanelthatisalsoendorsedbytheDepartment ofHealth&HumanServices.
STAFF CREDENTIALINGRDHSverifiesthecredentialsofallregisteredpractitionersannuallythoughAustralianHealthPractitionersRegulation Agency(AHPRA)publicaccesswebsiteordirectlywithpresentationofrenewedregistration.
CLINICAL PLACEMENT2015/16wasabusyyearforplacementstudents.Placementswereundertakenby:
• 9AlliedHealthStudents• 22RegisteredNurseStudents(Acutesetting)• 1EnrolledNurseStudent(RiversideResidentialAgedCare)
• 1EnrolledNurseStudent(VisitingNurseService)
WORK EXPERIENCERDHSaccepted10workexperiencestudentsfromtheRobinvaleCollegeinanumberofareasandlevelsof experience.WorkexperiencewasprovidedtostudentsintheareasofAlliedHealth,Hospitality,MaintenanceandAgedCare.Studentsspent1dayperweekfor5to10weeksintheirchosenareaofinterestandexperiencingtheworkplacewhilebeingsupervisedandbeingprovidedwithguidancebyqualifiedstaff.
TRAINEESHIPSWecurrentlyhave4employeesundergoingatraineeship.OnecontinuesinaCertificateIIIinParksandGardens.TwohavecommencedCertificateIIIinAlliedHealthandonehascommencedaCertificateIIIinHealthAdministration.
Thetableabove*(currentmonthFTE)representsallemployeesthatwerepaidinthemonthofJuneandtheirFTEforcalculationforthatmonth.**(YTDFTE)meansallemployeesemployedthroughoutthefinancialyeari.e.thesumofeachmonthFTEdividedby12.
NursingAdministrationandClericalMedicalSupportHotelandAlliedServicesAncillaryStaff(AlliedHealth)
46.3720.91
1.1234.26
22.77
46.3220.64
1.0134.06
22.13
47.5421.30
1.1936.23
27.26
46.7820.85
1.1434.65
23.11
JUNECurrent Month FTE*
JUNEYTD FTE**Labour Category
2015 2016 2015 2016
Thegraphsaboverepresentthoseemployeeswhohaveworked inthepayperiodofthemonthofJune.Itdoesnotincludethoseemployeespaidonthepaidparentalleaveschemeandcasualsthatdidnotworkinthelastpayperiodofthemonth.
As at 30th June 2016 RDHS had 147 employees or 115.53 full time equivalent employees.
FTE
Hea
d Co
unt
Administration and ClericalAncillary Support ServicesHotel and Allied Services
Medical Support ServicesNursing ServicesGrand Total
115.53
2.0040.18
33.7121.52
18.12
147.00
2.0046.00
51.0028.00
20.00
0 20 40 60 80 100 120 140 160
FTE
Hea
d Co
unt
Administration and ClericalAncillary Support ServicesHotel and Allied Services
Medical Support ServicesNursing ServicesGrand Total
0 40 80 120 160 200
154
254
4927
22
117.55
1.1644.56
32.3120.2619.26
Primary Care Services
RDHS continues to provide high quality Primary Care Services in a model that is responsive and refl ects the ever changing needs of our diverse community. Highly skilled clinicians provide service including but not limited to Dietetics, Physiotherapy, Women’s Health, Diabetes Education, Podiatry, Social Work, Speech Pathology and Occupational Therapy.
Robinvale District Health Services Annual Report 201620
Manysuccessfulprogramsaretheresultofvariouscliniciansworkingtogethertoensurethebestpossibleservicedeliveryforourcommunity,forexampleSpeechPathologyandOccupationalTherapyworkingtogetherintheEarlyYearsenvironment.Theco-locationofservicesalongsidethePrimaryCareDepartmentsuchasx-ray,ultrasound,midwiferyandpathologyprovideaconvenientuserfriendlyservice.InadditiontothisthecommunitycontinuestobenefitfromvisitingspecialistservicesoperatingfromRDHSPrimaryCare,offeringabroadrangeofhealthcareoptionsinoneconvenientlocation.
Achievements• EfficientandeffectivedeliveryofAlliedHealthservices,providingtimelytreatmenttowholeofcommunitywhileensuringthosemostatriskareabletoaccessappropriateservices.Continuedcommitmentinbothpreventingthedevelopmentandassistingpeopleintheirmanagementofpre-existingchronicillness,suchasdiabetesinanefforttoimprovehealthandminimiseavoidablehospitaladmissions.
• Buildingcommunitycapacityandprovidingrelevanteducation.InDecember2015RDHSimplementedanewposition(CommunityWellbeingOfficer).Thispositionhasastrongfocusonprovidingeducationandbuildingcommunitycapacityinareasrecognisedaspriorityissuessuchasthoseimpactingonmentalhealth.
• Numerousgroupprojectscomplimenttheindividualservicesoffered.Theseinclude:Carer’sSupportGroup,HealthyEatingActivityandLifestyle(HEAL)andpartnershipprogramssuchasthoseofferedbyMaternalChildHealthNurse,EarlyYearsandSpeechPathologyinthePositiveParentingProgram.
• RDHSPrimaryCareTeamacknowledgethevalueofprogramswhichassistcommunitytomodifylifestylebehaviourriskfactors(forexampleinactivity).Byassistingclientstomodifytheirlifestylebehaviourswhichplacethematriskofdevelopingchronicillnessandsomediseaseconditions,weareabletoworkinatrulypreventativehealthmodel.ThisyearwehaveseenthesuccessfulexpansionofourwarmwaterAqua
Robinvale District Health Services Annual Report 2016 21
peoplewillbefundedbytheCommonwealthGovernmentandservicesforyoungerpeoplewillbefundedandmanaged bytheVictorianGovernmentuntiltheNationalDisability InsuranceScheme(NDIS)isfullyoperational.Both VictorianandCommonwealthGovernmentsareworking togethertoensurethebenefitsofthecurrentHACC servicecontinue.
EARLY YEARSChallenges• Recruitmentofstaffwithadequatequalifications/ requirementsofthefundingbodiesieHIPPYtutorsshouldbeemployedfromthegroupofHIPPYparents(asthisgroupoftenhaveyoungchildrenandchildcare withinthecommunityisanongoingissue)thisis extremelydifficultandwesometimesneedtoworkwiththefundingbodiestoexplaintheseissuesandseek permissiontogooutsidetheseboundariesonceallavenueshavebeenexhausted
• Buildingandcontinuingrelationshipswithalliedhealthservices,MCHNandotherserviceproviderstoensurewemeettheindividualneedofallofthefamilieswhouseourservices
• WorkingtowardsmeetingthechildsafestandardsforEarlyYearsandthewiderhealthservice
Achievements • RobinvaleEarlyYearsNetwork(REYN)continuestosupportprogramsdeliveredwithinthecommunity.AllserviceprovidersaregiventheopportunitytopromotetheiractivitiesaswellasshareprofessionalknowledgewithotherEarlyYearsservices.
• CollaborationwithMobileVisitingPlayProgram(MVPP),MaternalChildHealthandAlliedHealthstafftobettermeettheneedsofthechildrenandfamilieswhorequiremultipleservices.
• OngoingsupportfromAlliedHealthstaffandHealthPromotionOfficeratplaygroups,familyfundays,out ofschoolhours’programsandEarlyYears’eventstoreinforcetheimportanceofhealthyeatingandgoodhealth.
• Successfulco-facilitationwithMaternalChildHealthandSpeechPathologytodelivertheTriplePparentingprogram
• ShortlistedinVictoria’splaygroupagencyoftheyearawardsforPlaygroupprogramsdeliveredbytheEarlyYearsteam.
Future Directions • Traininganddevelopmenttoensurestaffarefully qualifiedintheBestStartprogram.
• DeliveryofparentingprogramssuchasTriplePand TuningintoKids.
• Supportandeducationforparentswithinthecommunity.• Provideawarenessinchilddevelopmentandeducationtosupportfuturegrowthoftheearlyyearsinour community
Program,asaresultofapartnershipwithRobinvaleCollege.Thisexpansionhasallowedtheprogramtocontinuethroughoutthewintermonths,offeringthecommunityalowimpactenjoyablemodeofactivity.
• Strongpartnershipswithlocalandsurroundingserviceprovidersbothinhealthandotherareas.Partnershipssupportthedevelopmentofconceptsandmakesbestuseofresourcesandideas.Manysuccessfulprogramsaretheresultoforganisationsbeingopenandreceptivetoworkingwithothersforthebenefitoflocalcommunity, forexampletheCommunityGarden.
Challenges• Recruitmentandretention-RDHShasbeenefficientinthemethodofrecruitmentoverthepastyear.Forthemostpartwehavebeenabletoprovideafullquotaofstafftoserviceclientdemand.Howeverevenwithsoundrecruitmentstrategiesinplace,therehavebeenshortperiodsoftimewhereafullstaffquotahasnotbeenachieved.
Future Directions• ContinuetoprovidemainstreamAlliedHealthservicesinacosteffectiveandefficientmodel,reviewingcurrentservicedeliverymodelstoensurewearestillprovidingserviceinawaythatisrelevanttotheneedsofthe communityandinlinewithgovernmentpriorities.
• Identifyopportunitiesforpartnershipswhichbetterutilisefundingandsupportthebenefitsofawholeofcommunitydirection.
• Implementprogramswhichencourageandsupportthemulti-culturalcommunitytoaccesscareandhealtheducation.
• Accessopportunitiestoprovidepreventativehealth programswhichalignwiththemodelofamulti-disciplinary approach.
HACC (Home and Community Care)
Providessupportandmaintenanceservicesforolderfrailpeoplelivingathomeinadditiontoyoungerpeoplewithdisabilitiesandtheircarers’.Thissupportisprovidedtoenablepeopletocontinuelivingathomeandavoid inappropriateorprematureadmissiontoresidentialcare.
ProgramscurrentlydeliveredundertheHACCprogram:
• AccessandSupportWorker-assistsHACCeligible peopletoaccessappropriateservices
• PlannedActivityGroup(PAG)–OperatestwiceweeklyfromthetownviewroomatRiversideCampus,providing opportunityforsocialisationandstimulatingactivities.Longtermbenefitsofsocialinclusionandactivitieswhichstimulateourmindshavebeenmuchdiscussedandendorsedinrecenttimes.
FromJuly12016theHACCprogramwillalterfromits currentform.Thesechangeswillmeanservicesforolder
Robinvale District Health Services Annual Report 201622
ENVIRONMENTAL Performance
Robinvale District Health Services has demonstrated strong environmental credentials and is committed to the principle of environmental sustainability.
Robinvale District Health Services Annual Report 2016 23
RDHShasbeenaccreditedtoISO14001:2004Environmental ManagementSystemsfor5years,whichshowsour commitmenttotheenvironmentbypollutionpreventionpractices,wasteminimization,energyusageandelimination ofenvironmentallyunfriendlyproducts.Thesystemisauditedannuallybyathirdpartycertificationbody
TheRDHSStrategicPlanalsoincludesourcommitmenttoprovidingthebestpossiblecarewhilstensuringasafeandhealthyenvironment.
RDHShasidentifiedsignificantenvironmentalimpactsandthesearecontrolledasfaraspracticable.Reductionscontinuetobemadewherepossibleinfoodwaste,energyconsumptionandwaterusage.
Arenewableenergysolutionhasbeeninstalledonthemaincampus.The100kWsolutionconsistsof400solarpanelsinstalledontheroofstructure.Thepanelswillgenerate162,416kWhperyear(approximately30%ofouroverallenergyrequirements),resultinginelectricity savingsofapproximately$34,000inthefirstyear. SavingstoJune2016haveexceededestimations.Initiativesthatimprovetheenvironmentalperformance ofourserviceinclude:
• Installationofa100kWPVSolarsystematthemaincampus
• Installationofmodernair-conditioningsysteminthemaincampusHospital/NursingHome
• Replacementofresidentindividualroomair-conditioners atRiversidecampus
• ExternalbindsfittedtoWestfacingwindowsofthemaincampushospitalandnursinghome
• InternalwindowfurnishingsreplacedattheRiversidecampustobetterinsulaterooms
• PurchasemanyproductsthroughHealthPurchasingVictoria(HPV).HPVdohaveanenvironmentalpolicy
• Energyefficientglobesusedthroughoutthehealthservice
• Ozonewatertreatmentprocessusedinthelaundryeliminatingtheneedtousehotwaterandprovides bettermonitoringandcontrolofchemicals.
• Gardensmulchedandprogrammablecontrolleddrippersysteminstalledtoreducewaterrequirements
• Wastecardboardandpaperisseparatedandrecycled
• UseofSteamCleanerswhichhasresultedinareductionofharshchemicalsandwaterby90%.
• Batteryrecyclingservice
• HealthandWell-beingCentre-100%carbonneutralfurniture,increaseuseofnaturallightanddoubleglazewindowstodecreaseenergyusage.
Thegraphsbelowoutline:Energy and Water Usageacrossourcampusbuildings.Vehicle Usageacrossourcampuses.
2015/16 Energy and Water Usage 2015/16 Vehicle Usage
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RDHS ENERGY USE
GOALEnhance Renal Dialysis Capability to meet future demand
GOAL Support and maintain the existing maternity service model
OUTCOME• RenewedMOUwithMelbourneHealthtocontinueRenalDialysisasasatelliteprogram.
• 3additionalstafftrainedin15/16
OUTCOME• ParticipationintheMaternityConnectprogram.Thisprogramisutilisedtomaintaintheskillsetoflocalmidwives.
RENAL DIALYSIS
MATERNITY SERVICES
Robinvale District Health Services Annual Report 201624
Part A Service Plan Key Achievements
1 CONSOLIDATING ACUTE CARE AND RESIDENTIAL AGED CARE PROVISION
Review of the RDHS Service Plan commenced in October 2015, further review occurred in May 2016 by senior managers and tabled at the Board of Management for discussion.
Duringthenextfinancialyear,theintentionofRDHSistoimproveourstrategicplanningprocessestoensurebothStateandFederalGovernmenthealthprioritiesunderpinallplanningdocuments.
TheRDHSServicePlanisnowacondensedversionfortheremainingterm(2017)identifyingpriorityactionsasnotedbelow:
Below are the key achievements against the Service Plan for the 2015-16 period.
PERFORMANCE
• Review of aged care service delivery models by an external consultant
• Secure the appointment of a Director Medical Services for Acute services
• Create a position for a “Community Wellbeing” officer• Ensure clear protocols for accessing mental
health services are available for staff
• Document RDHS model for chronic disease management; identifying opportunities for enhance service integration.
• Continue to support/develop the RIPERN nurse model in urgent care centre and acute care.
Robinvale District Health Services Annual Report 2016 25
2 ENHANCING COMMUNITY BASED HEALTH SERVICES
GOALEnhance the range of specialist consulting services that can be accessed locally
GOALEnhance the capacity and availability of local GPs
GOALImprove service delivery outcomes through collaboration and partnerships
OUTCOME• VisitingserviceshaveexpandedtoincludeOphthalmology,MentalHealth,Psychology,Nephrology,Gynaecology,ObstetricsandAudiologyfrom3differentserviceproviders.
• ResidentialcarecontinuestobesupportedbythePsychiatricGeriatricianservicesoutofMilduraBaseHospital.
• EndocrinologyappointmentsareconductedviaSkypeforpatientswithGestationalDiabetes.ThisservicecomplimentsthemodelofcarefromtheMidwifeandDiabeticEducator.
• ContinuedsupportprovidedtothevisitingContinenceService
OUTCOME• MurrayValleyAboriginalCooperative(MVAC)welcomedanewGPwhohasprovidedRDHSwithVMOsupport.
• DrSvitlanaKeladaprovidesGPsupportthroughaprivatepracticetoboththeManangatangcommunityandResidentialAgedCareResidentsfortheperiodJuly2015–April2016.
• RDHScontinuestoexploreopportunitiestosupportlocalGPworkload.
OUTCOME• RDHScontinuestosupportMentalHealthvisitingservicesoutofMilduraBaseHospital.
• Supportinitiativessuchasthe“OutoftheBlue”and“CallmeDad”providedtothecommunitywiththeaimtodecreasethestigmaofmentalhealthandincreaseawarenessofissuesthatimpactonmentalhealthandwellbeing.
• MentalHealthtriageeducationsessionswereprovidedtoRDHSstaffviaMilduraMentalHealthServices
• 2RDHSstaffscheduledtoattendMentalHealthFirstAidInstructortraininginlate2016• ImplementationoftheTREE(TheRippleEffectofEthnicity)project-aimedatincreasingsocialinclusionandparticipation
SPECIALIST MEDICAL SERVICES
PRIMARY & COMMUNITY HEALTH - GENERAL PRACTITIONERS
COMMUNITY MENTAL HEALTH – COLLABORATION AND INTEGRATION
GOALEnhance the existing urgent care capability
OUTCOME• RuralIsolatedPracticeEndorsedRegisteredNurse(RIPERN)trainingcontinuestobeofferedtostaffatRDHStoenhanceskillsandcaredeliverytoourdistrict,includingManangatang.
URGENT CARE
GOALEnhance the service capability for AOD services
OUTCOME• NeedleSyringeProgramcontinuestooperatefromtheHealth&WellbeingCentretosupportcommunityneed.
• AlcoholandDrugServicesdeliveredbyexternalprovidersissupportedbytheprovisionofconsultingroomsbyRDHS
PRIMARY & COMMUNITY HEALTH – ALCOHOL AND OTHER DRUGS
Robinvale District Health Services Annual Report 201626
GOALDevelop a Service Framework that improves CDM service delivery
OUTCOME• TheWorkplaceAchievementProgramhasbeenimplementedacrosstheorganisation.TheprogramisaninitiativeofHealthyTogetherVictoriaandsupportsahealthyworkplaceenvironment.Localsupplierswillbeencouragedtoparticipateintheprogram.
• PersonCentred/GoalDirectedCarePlanningprocessembedded.• SupportvisitingNephrologyservicesfromRoyalMelbourneHospitaltoreachcommunitymembersatpre-dialysisstage.
• Preventivehealthgroupshaveexpandedtoincludegroupssuchaswarmwaterexerciseclasses,Strength&Balance,HEALandmonthlydiabeteseducationsessionsforthosewithType2Diabetes.
• RegularmeetingswiththeRobinvale“Elders”todiscusscurrentissuesrelatingtotheindigenouscommunity.
PRIMARY & COMMUNITY HEALTH – CHRONIC DISEASE MANAGEMENT
GOALImprove service integration within RDHS and between service providers
GOALConsolidate and incrementally improve a range of community based services
OUTCOME• Promotepolicytobettermanagetheinternalreferralprocess.• Provideaforumforserviceproviderstomeetandestablishrelationshipstobettercoordinatecaredelivery.
• Embedinitiativestoenhancetheadmission/dischargeprocess.
OUTCOME• Preventivehealthgroupshaveexpandedtoincludegroupssuchaswarmwaterexerciseclasses,Strength&Balance,HEAL,monthlydiabeteseducationsessionsforthosewithType2Diabetes,walkinggroupsandmoderateintensityexercisegroupswhichrespondtotheneedsofthecommunity.
• AppointmentofCommunityWellbeingOfficerinDecember2015.Thispositionhasastrongemphasisonmentalhealthawarenessandcommunitywellbeing.
• ChronicDiseaseManagement/PreventionProgramsaredeliveredafterhourstoencourageparticipation
• “SpeechintheSchools”introducedlocally.Thisserviceisprovidedtochildrenofprimaryschoolage.
• SpeechandOccupationalTherapyhavepartneredtoreintroducetheSPOT(SpeechPathologyandOccupationalTherapy)program.Thisisaprogramisamulti-disciplinaryapproachforpre-schoolagedchildren.
PRIMARY & COMMUNITY HEALTH – OTHER SERVICES
PRIMARY & COMMUNITY HEALTH – INTEGRATION
3 ACHIEVING SUSTAINABILITY
GOALMaintain the Commonwealth Flexible Funding ( under Primary Health Network)
OUTCOME• ContractswiththeWesternNewSouthWalesPHNandtheMurrayPHNhavebeenrenewedfortheperiod1/7/16–30/6/17.ThesecontractswillensurecontinuationofalliedhealthservicestoRobinvale,ManangatangandOuyeninVictoriaandDareton,WentworthandBalranaldinNewSouthWales.
SUSTAINABILITY – RURAL PRIMARY HEALTH SERVICE PROGRAM
PERFORMANCE
Robinvale District Health Services Annual Report 2016 27
4 ENHANCING PERFORMANCE MANAGEMENT
5 DEVELOPING PARTNERSHIPS
GOALEnsure a robust basis for performance monitoring
GOALFocus on the development of priority partnerships and alliances
OUTCOME• ContractedexternalaccountantcontinuestoprovidetheBoMwithinformativeadviceandmonthlyfinancialreports.Improvedreportingensuresarobustbasisforperformancemonitoring.
• Internal/externalauditorsperformquarterlyauditstoreviewRDHSbusinessfunctionsandcompliancewiththeFinancialManagementAct.
OUTCOME• Murray Valley Aboriginal Cooperative-Continuetopromoterelationshipsandagreedpracticestobetterengagewiththeindigenouscommunity.
• AstrongpartnershipcontinueswiththeAboriginalEldersandSeniorManagementstaff.TheAboriginalHealthLiaisonOfficercoordinatestheseconversationsasrequired.AperiodicmeetinghasalsobeenestablishedbetweenMVACseniorstaffandRDHSseniorstaff.
• Mildura Base Hospital –ContinuetopromotedialoguetoenhancethereferraltoanddischargefromMBHprocesses.
• RelationshipwiththeMBHDialysisUnitestablishedtopromoteactivesupporttoeachother.
• GP’s –SupportthecapacityforGPstoprovideurgentcareon-callservicesatRobinvaleandManangatangwiththeRIPERN(RuralIsolatedPracticeEndorsedRegisteredNurse)staff.
• Robinvale College–newpartnershipestablishedtoexpandservicedelivery.RDHSnowpartnerswiththecollegetoutiliseheatedpoolfacilitiessothatwaterexerciseclassescanberunallyearround.
ENHANCING PERFORMANCE MANAGEMENT - MONITORING AND REPORTING
PARTNERSHIPS AND ALLIANCES
GOALImprove understanding of the costs of service streams to better manage the service
OUTCOME• AcomprehensiveBudgetdevelopedforservicesprovidedundertheCommonwealthFlexibleFunding(PHN)programforthe2016/17period.
• DepartmentalandOrganisationBudgetisannuallydevelopedforeachservicestream.In2016/17RDHSwillundertakeananalysisofeachservicetypetoenableanaccurateunderstandingofthefullservicecostperresident/patientperday.
• Thesoftwarebudgetingtool‘Powerbudget’willbeenhancedtoenableManagerstobettermanagetheirdepartmentbudgets.
SUSTAINABILITY – FINANCIAL MANAGEMENT
Robinvale District Health Services Annual Report 201628
6 ENABLING PEOPLE
GOALEnsure development of innovative and flexible staffing and workforce models to enhance future service delivery
OUTCOME• AppointmentofaManagerPeople&Culture.Thispositionwascreatedtosupportthehealthservicethroughculturalchangebycreating,implementingandmanagingchangeandsupportingtheManagementteaminleadershipdevelopmentthroughperformancemanagementsystemsandconstructivefeedback.
• RIPERN(RuralIsolatedPracticeEndorsedRegisteredNurse)trainingcontinuestobeofferedtostaffatRDHStoenhanceskillsandcaredeliverytoourdistrict,includingManangatang.
• RDHSunabletooffertheEnrolledNurseTraineeshipin2016asthetrainingcurriculumwasnotavailablenationally.
• AppointmentofCommunityWellbeingOfficer.Thispositionhasastrongemphasisonmentalhealthawarenessandcommunitywellbeing.
• AppointmentofadditionalAlliedHealthtraineestosupportofalliedhealthclinicians.• ContinuetosupportAlliedHealthProfessionalstogainrecognitionofqualificationsforfullregistrationintheirareaofskill
ENABLING PEOPLE – INNOVATIVE WORKFORCE MODELS
GOALFurther develop effective staff engagement
OUTCOME• RDHScontinuestoassistwiththecostofprofessionaldevelopmentforallstaff,ensuringthatskillsaremaintained.
• StafftrainingcontinueswithmanymodulesnowpresentedbytheManagerPeople&Culture.Additionaltrainingisprovidedthroughthee-learningmodules.
• TheWorkplaceAchievementProgramhasbeenimplementedacrosstheorganisation.TheprogramisaninitiativeofHealthyTogetherVictoriaandsupportsahealthyworkplaceenvironment
• Traineeshipsinmanydisciplinesareofferedacrosstheorganisation.
ENABLING PEOPLE – STAFF ENGAGEMENT
7 SUPPORTING QUALITY
GOALDevelop and sustain a comprehensive clinical governance framework
OUTCOME• ThehealthservicewideAuditconductedinAugust2015demonstratedahighlevelofachievementagainstall10NationalSafetyandQualityHealthServiceStandards(NSQHSS).AttheexitinterviewtheAuditorsmadecommentaboutthesignificantshiftinculturewithinRDHSandthatStaffhadobviouslyembracedanenvironmentofcontinuousqualityimprovement
• RDHSwereawarded3“metwithmerit”inourGovernanceandPartnershiparrangements.• RiversidealsohaditsmajorAuditagainsttheAustralianAgedCareQualityAgencyStandards(AACQA)thisyearandcontinuedthesuccessstory.
• Furtherenhancedtheinvolvement/presenceofthequalityteamatcommitteeanddirectcareleveloftheorganisation:
• Provideopportunityforinformalfeedback • Attendclinicalstaffmeetings• RDHSrecognisestheimportanceofstrongclinicalgovernanceacrosstheorganisationashasengagedanumberofexternalconsultantstoconductclinicalreviewsofcurrentprocesses.Thiswillcontinuein2016/17.AsaresultofthesereviewsRDHSwillcontinuouslyimproveprocesses,minimiserisks,andfosteranenvironmentofexcellenceincareforconsumers/patients/residents.
QUALITY
PERFORMANCE
Robinvale District Health Services Annual Report 2016 29
8 DEVELOPING INFRASTRUCTURE
GOALImprove ICT within RDHS to address the technical and functional capability of the organisation (in collaboration with LMRHA)
OUTCOME• WiFihasbeeninstalledattheManangatangCampusandadditionalunitsatthemaincampustoensurethatthereisadequateconnectivity
• NewvideoconferencingunitswereinstalledinJune2016(LMRHA).Theupgradedunitswillincreasetelehealthopportunitiestodrivepointofservicetechnology.
• In-Flowinventorysystemrolledoutinsupply/procurementdepartment• OutreachalliedhealthstaffnowhaveaccessviaVDItorealtimeappointment/clientdataandotherprograms.
• MaternityServicesnowabletoclaimviaonlinemedicare(HPOS)• RDHScontinuestoparticipateinregionalandLMRHAinitiativesincludingICTstrategicplanningfortheLoddonMalleeRegion.
QUALITY
Effective management systems, processes and support services are essential to the ongoing viability of our organisation and the quality of the services we offer to the community.
Robinvale District Health Services Annual Report 201630
Part B Performance Priorities
GOVERNANCE, LEADERSHIP AND CULTURE PERFORMANCEKey Performance IndicatorPeopleMatterSurveyPatientSafetyCulture
Target80%
Actual94%
CampusFlexible High CareRobinvaleManangatang
Number 1410
FUNDED FLEXIBLE AGED CARE PLACESQUALITY AND SAFETY PERFORMANCEKey Performance IndicatorHealthServiceAccreditationResidentialagedcare accreditationOverallcompliancewithcleaningstandardsVeryhighrisk(CategoryA)
Highrisk(CategoryB)Moderaterisk(CategoryC)VICNISSdatacompliance*CompliancewiththeHandHygieneAustraliaProgramPercentageofhealthcareworkersimmunisedforinfluenza
TargetFullcomplianceFullcompliance
Fullcompliance
90points
85points85pointsFullcompliance80%
75%
ActualAchievedAchieved
Achieved
Notapplicable toRDHSAchievedAchievedAchieved90.0%
78.8%
*VictorianHealthcareAssociatedInfectionSurveillance
PATIENT EXPERIENCE AND OUTCOMESKey Performance IndicatorVictorianHealthExperienceSurvey–datasubmission
VictorianHealthcareExperienceSurvey–patientexperiencePercentageofwomenwithprearrangedpostnatalcare
TargetFullcompliance
95%positiveexperience100%
ActualNotAchievedduetolatesubmissionofFebruary2016dataNotapplicable toRDHS100%
OCCUPATIONAL VIOLENCEOccupational Violence Statistics1. Workcoveracceptedclaimswithanoccupational violencecauseper100FTE2.NumberofacceptedWorkcoverclaimswithlost timeinjurywithanoccupationalviolencecause per1,000,000hoursworked.3.Numberofoccupationalviolenceincidentsreported4.Numberofoccupationalviolenceincidentsreported per100FTE5.Percentageofoccupationalviolenceincidents resultinginastaffinjury,illnessorcondition
2015-20160
0
00
0
DefinitionsForthepurposesoftheabovestatisticsthefollowingdefinitionsapply.
Occupational violence-anyincidentwhereanemployeeisabused,threatenedorassaultedincircumstancesarisingoutof,orinthecourseoftheiremployment.
Incident-occupationalhealthandsafetyincidentsreportedinthehealthserviceincidentreportingsystem.CodeGreyreportingisnotincluded.
Accepted Workcover claims–AcceptedWorkcoverclaimsthatwerelodgedin2015-16.
Lost time–isdefinedasgreaterthanoneday.FTEfiguresrequiredintheabovetableshouldbecalculatedconsistentwiththeWorkforceinformationFTEcalculation(refertopage16oftheHealthServiceModelAnnualReportguidelines).Thesedonotincludecontractedstaff(e.g.Agencynurses,Fee-for-ServiceVisitingMedicalOfficers)whoarenotregardedasemployeesforthispurpose.TheabovedatashouldbeconsistentwiththeinformationprovidedintheMinimumEmployeeDataSet.
PERFORMANCE
Robinvale District Health Services Annual Report 2016 31
Service
Medical inpatientsUrgentcare
Nursinghometypepatients#Non-admittedpatientsRadiologyPalliativecareVisitingNurseServiceRenalDialysis
Midwifery(pre &postnatal)*
Campus
RobinvaleManangatangRobinvaleManangatangRobinvaleManangatangRobinvale
Robinvale
RobinvaleManangatangRobinvale
Robinvale
Type of Activity
BeddaysBeddaysPresentationsPresentationsBeddaysBeddaysOccasionsofserviceNumberofclientsNumberofclientsOccasionsofserviceOccasionsofserviceOccasionsofservice
Actual Activity2015-162,423852,03322724002,117
2,284N/A1,638557857
1,207
ACUTE CARE
#anursing-hometypepatientofahospital,withinthemeaningoftheHealthInsuranceAct1973,maybeconsideredtobe‘residinginanursinghome’.
*ServiceswhicharenotfundedoronlypartfundedthroughtheMPSTripartiteAgreement
Service
SpeechPathology*
CommunityHealthNursing
OccupationalTherapy*
Dietetics*
Podiatry*
Physiotherapy*
SocialWork*
AlliedHealthAssistant*
CulturalOfficer*
HealthPromotion*PlannedActivityGroup*
EarlyYears*AccessandSupportWorker*
Activity levels (e.g. occasions/ hours of service. By campus)IndividualOccasionsofServiceGroupAttendeesIndividualOccasionsofServiceGroupAttendeesIndividualOccasionsofServiceGroupAttendeesIndividualOccasionsofServiceGroupAttendeesIndividualOccasionsofServiceGroupAttendeesIndividualOccasionsofServiceGroupAttendeesIndividualOccasionsofServiceGroupAttendeesIndividualOccasionsofServiceGroupAttendeesIndividualOccasionsofServiceGroupAttendeesGroupAttendeesNumberofGroupSessionsGroupAttendeesGroupAttendeesIndividualOccasionsofServiceGroupAttendees
PRIMARY HEALTH CARE
*ServiceswhicharenotfundedoronlypartfundedthroughtheMPSTripartiteAgreement
13,0991,9941,5959102,5011681,9233184,973613,4044961,284-5542,9005608821,4458829412,439842116
UTILISATION OF FLEXIBLE AGED CARE PLACES
CampusFlexible High Care bed daysRobinvaleManangatangRespite Care bed daysRobinvaleManangatang
Number 50333269
639116
Occupancy Level %
98%92%
YEAR IN BRIEF2015/16
1022242347%
2326.162033857
5854%17
12.61227
2014/15
12123,02959%
2389.122334975
2583%296.79310
Variance
(15.68%)(20.01%)(20.01%)(5.14%)(16.18%)(12.90%)(12.10%)
150.00%46.55%46.55%(41.38%)85.71%
(26.77%)
PERFORMANCE INDICATORS (ACUTE)
2015/16
922263990%
503398%
326911692%
2014/15
9886103290%
505599%
301524194%
Variance
(6.72%)(38.08%)0.00%
(0.44%)(1.01%)
8.42%(51.87%)(2.13%)
PERFORMANCE INDICATORS (AGED CARE)
ROBINVALE NURSING HOME
BedDaysRespiteBedDaysOccupancyRateRIVERSIDE CAMPUSBedDaysOccupancyRate
MANANGATANGCAMPUS
BedDaysRespiteBedDaysOccupancyRate
ROBINVALE ACUTE
AdmissionsBedDaysOccupancyRateAverageLengthofStayWEISUCCOutpatientsDialysisEpisodes
MANANGATANGCAMPUS
AdmissionsBedDaysOccupancyRateAverageLengthofStayWEISUCCOutpatients
Robinvale District Health Services Annual Report 201632
QUALITY AND RISK MANAGEMENT
RDHS successfully obtained full accreditation in August 2015 for the National Safety and Quality Health Service Standards (NSQHS) with compliance for all 256 actions, (including developmental) and achieved our fi rst above standard rating; “Met with Merit” for aspects of Standard 1 – Governance for Safety and Quality in Healthcare and Standard 2 – Partnering with Consumers.
Robinvale District Health Services Annual Report 2016 33
WealsomaintainedouraccreditationstatusforISOQuality, SafetyandEnvironmentalSystems.ISOaccreditationisorganisationwidecoveringacute,primarycareandagedcarecampusesatRobinvaleandManangatang.The auditorsidentifiedsomeminordiscrepancieswhichhavebeenactionedthroughoutthereportingperiodandwill becompletedpriortothenextsurveillanceauditin September2016. Theauditorsobservedsignificantchangewithinthe organisationalculturerelatingtotheunderstandingof thequalitymanagementandcontinualimprovementsystemwhichwasevidentthroughoutallsites.Duringthestaffinterviewsconductedbyauditors,staffdemonstrated theirknowledgeofimprovementsmadetothesystem andidentifiedotherongoingimprovements.This understandingbystaffconfirmstheongoingchangewithintheorganisationintermsofstaffownershipandempowermenttomakeimprovementstothesystem.
Riversideagedcareaccreditationwasmaintainedby AACQAfollowingaregulatoryunannouncedauditin October2015reviewingthecontinuousimprovementstandard.
Staffandmanagementarecommittedtocontinual improvementtoensureRDHSmaintainsitscurrent accreditationandmeetallstandardsasrequiredby
CommonwealthandStateGovernments.Insodoingwestrivetowardsprovidingthebestpossiblecaretothoseaccessingourservices,whilstmaintainingasafe environmentforstaff,visitorsandclients.
Therequiredstandardsandaccreditationframeworksarelistedbelow:• NationalSafetyandQualityHealthService(NSQHS)Standards
• ISO9001:2008QualityManagementSystems• ISO14001:2004EnvironmentalManagementSystems• AS4801:2001OccupationalHealthandSafety ManagementSystems,
• AustralianAgedCareQualityAgencyStandards(AACQA)• CommunityCareStandards(HACC)• ChildSafeStandards(DepartmentofHumanServices)
Consumer/Community Feedback/ComplaintsTheorganisationcontinuallyseeksconsumerfeedbackthroughsurveys(internalandexternal);directcontact andourcommentsandcomplaintsprocess.Allfeedback isviewedas‘opportunitiesforimprovement’andouraimistoensureconsumersandcommunitymembershave opportunityindecisionmakingprocessesrelatingtothesafeandeffectivedeliveryofservices.
JUL AUG SEP OCT NOV DEC JAN FEB MAR APR MAY JUN
Complaints Compliments/Suggestions/Feedback
0
1
2
3
4
5
67
8
REGISTERED COMPLAINTS & COMMENTS / SUGGESTIONS / FEEDBACK
Robinvale District Health Services Annual Report 201634
SENIOR MANAGEMENT TEAM
OUR DEPARTMENTAL MANAGERS
OUR VISITING MEDICAL OFFICERS & CONSULTANTS
Mrs Mara RichardsMBA,AFCHSM
Chief Executive Officer (to 20th May 2016)TheChiefExecutiveOfficerresponsibletotheBoardofManagementfortheefficientandeffectivemanagementofRobinvaleDistrictHealthServices.Majorresponsibilitiesincludethe developmentandimplementation ofoperationalandstrategicplanning,maximisingserviceefficiencyandqualityimprovementandminimisingrisk.
Mrs Leanne AdcockRN,BAAppMan,CertIVTAA, CertifiedInstructorIANCICI,MRCNA
Director of Clinical ServicesTheDirectorofClinicalServices managestheclinicaloperationsofRDHSincluding;AcuteNursing,ResidentialAgedCare,PrimaryCareServices,VisitingNurseServices, MaternityandMaternalHealth, ClinicalEducationandRadiology.
Mrs Vicki ShawcrossBAAppMan,AdvDipBusMan,CertificateIV WorkplaceTraining&Assessment,AFCHSM
Director Corporate ServicesTheDirectorCorporateServiceshasoperationalresponsibilityforthe majorityofcorporatesupportservicesprovidedtosupporttheorganisation.FinancialServices,HumanResources,HealthInformationSystems, InformationCommunication Technology,CapitalProjects,HospitalityServices,HotelServices,Procurement,Engineering,Maintenance,Fleet,Administration\CustomerServices,CorporateReporting&Publications,Robinvale/EustonTourist InformationCentre.Interim Chief Executive Officer (from May 2016)
Manager Primary CareMrsLisaTaggert,RN
Manager Supply & MaintenanceMrPeterRickard
Manager People & CultureMrRayGentle
Quality CoordinatorMsConnieChirchiglia
Hospitality Services CoordinatorMrsTeresaMezzatesta
Hotel Services CoordinatorMrsSusanMattschoss
Director of Nursing – Manangatang CampusMsClaudiaHunter(toOctober2015)MrsJudyShawyer,RN
Clinical Educator / Infection Control Nurse CoordinatorMrsJanetPratt, RN,CertificateIVWorkplaceTraining&Assessment
Maternity Services ManagerMissVickiBroad, RN,RM
Nurse Unit Manager - Riverside Hostel MsGailRobinson,RN
Nurse Unit Manager - Robinvale CampusMrsBinuJoy,RN(toJune2016)MsKerrynMoroney,RN
Medical TechnologistMrsAndreaMays
General Practitioners
Dr. L. LuccaMBBSTURIN1981
Dr Raj Beejadhur MB BCh BAO NationalUniversityofIreland (Ireland)1971
Dr Svitlana Kelada, MBBS (to April 2016)DonetskStateMedicalUniversity(Ukraine)
Dr Sameer Shaikh, MBBS 1998KuvempuUniversity,India
MANAGEMENT
Robinvale District Health Services Annual Report 2016 35
ORGANISATIONAL STRUCTURE
• Acute Services• Clinical Education• Maternal & Child Health• Medical Imaging• Midwifery• Residental Aged Care• Visiting Nurse Service
Board ofManagement Board Committees
• Quality Systems• Quality Accreditation• Risk Management
• Allied Health Services• Primary Care• Early Years
Executive Assistant
• Accomodation• Administrative Services• Education• Environmental• Finance• Fleet• Health Information• Hospitality Services• Hotel Services• Information Communication Technology• Infrastructure• Linen Services• Occupational Health & Safety• Payroll• People and Culture• Procurement/Supply• Tourist Information Centre
QualityManagerPrimary Care
Director ofClinical Services
Director ofCorporate Services
Visiting Medical OfficerChief Executive Officer
Robinvale District Health Services Annual Report 201636
The board of MANAGEMENT
On the 30th June 2009 Robinvale District Health Services (RDHS) and Manangatang and District Hospital were amalgamated and declared to be a ‘Multipurpose Health Service’ (the same as a ‘multipurpose service’) named Robinvale District Health Services under s115U of the Act (Special Gazette S214 p1). This Order took effect on 1 July 2009.
RDHS operates under a tripartite agreement between the Department of Health and the Australian Government Department of Social Services. The Health Service is governed by a Board of Management (BOM), appointed by the Governor in Council upon recommendation of the Minister for Health.
Robinvale District Health Services Annual Report 2016 37
CAPITAL WORKS AND PROJECTSCOMMITTEE (MEETS AS REQUIRED)
MrPeterCampisi–ChairMrQuentinNorton–ViceChairMrsLisaMurray
EXECUTIVE GOVERNANCE CREDENTIALING COMMITTEE (MEETS AS REQUIRED)
MrPeterCampisi–ChairMrQuentinNorton–ViceChairMrsMerrilynGrantMrDaronHullsMrsTeneilleFollett
TheGovernorinCouncilappointsBoardMembers ontheadviceoftheMinisterforHealth.
BoardMembersofRobinvaleDistrictHealthServicesdonotreceivepaymentandareresponsibleforthe effectiveandefficientclinicalandcorporategovernance oftheserviceandensurereportingoffinancialandclinicaldataisaccurate,transparentandincompliancewithGovernmentrequirements.
RDHS BOARD OF GOVERNANCE 2015–2016Name Office Original Appointment Attendance Record 10 Meeting Held
MrPeterCampisi Chair 01.03.1999 10/10MrQuentinNorton ViceChair 01.07.2011 8/10MrsMerrilynGrant 01.11.2009 8/10MrDaronHulls 01.07.2013 5/10MrsFreuleJones 01.07.2014 9/10MrCliveBowden 01.07.2014 10/10MrsTeneilleFollett 01.07.2015 8/10MrsLisaMurray 01.07.2015 6/10MsAlisonBlack 05.04.2016 AppointedApril2016 Attended3/3meetings
BOARD OF MANAGEMENT MEMBERS 2015–2016MrPeterCampisi–ChairMrQuentinNorton–ViceChairMrCliveBowdenMrsFreuleJonesMrsMerrilynGrantMrDaronHullsMrsTeneilleFollettMrsLisaMurrayMsAlisonBlack(AppointedApril2016)
FINANCE AND RISK AUDIT COMMITTEE(MEETS QUARTERLY)
MrBruceGinn–Chair(IndependentMember)MrQuentinNortonMrPeterCampisiMrDaronHullsMrsLisaMurrayMrGlennBussell(IndependentMember)MrJohnBond(IndependentMember)
Robinvale District Health Services Annual Report 201638
COMPLIANCE
Attestation for Compliance with Australian/New Zealand Risk Management Standard
I,PeterCampisicertifythatRobinvaleDistrictHealthServiceshasRiskManagementprocessesinplaceconsistentwith AS/NZSISO31000:2009(orequivalentdesignatedstandard)andaninternalcontrolsystemisinplacethatenablestheexecutivetounderstand,manageandsatisfactorilycontrolriskexposures.TheFinanceandAuditcommitteeverifiesthis assuranceandthattheriskprofileofRobinvaleDistrictHealthServiceshasbeencriticallyreviewedwithinthelast12months.
Mr Peter CampisiBoardChairman
Robinvale1stJuly2016
Attestation On Data Integrity
I,VickiShawcrosscertifythatRobinvaleDistrictHealthServiceshasputinplaceappropriateinternalcontrolsandprocessestoensurethatreporteddatareasonablyreflectsactualperformance.RobinvaleDistrictHealthServiceshascriticallyreviewedthesecontrolsandprocessesduringtheyear.
Mrs Vicki ShawcrossInterimChiefExecutiveOfficer
Robinvale1stJuly2016
Attestation for compliance with the Ministerial Standing Direction 4.5.5 – Risk Management Framework and Processes
I,VickiShawcrosscertifythatRobinvaleDistrictHealthServiceshascompliedwithMinisterialDirection4.5.5 –RiskManagementFrameworkandProcesses.RobinvaleDistrictHealthServicesAuditCommitteehasverifiedthis.
Mrs Vicki ShawcrossInterimChiefExecutiveOfficer
Robinvale1stJuly2016
THE BOARD OF MANAGEMENT
Robinvale District Health Services Annual Report 2016 39
STATUTORY REQUIREMENTS
Occupational Health and Safety
RobinvaleDistrictHealth Services(RDHS)iscommittedto enthusiasticallyworkingtoprovide asafe,“environmentallyfriendly”workenvironmentforallstaffandforresidentsthatmeetregulatoryrequirements.
RDHSmonitorandmaintainthesafetyandwellbeingofstaff, patients,residents,consumers, visitorsandcontractorsthroughOccupationalHealth,SafetyandEnvironmental(OHSE)procedures.AmajorcomponenttoensureRDHSremainsasafeworkingenvironment isthroughtheOHSEcommittee.TheOHSEcommitteemeetonabi-monthlybasis(everytwomonths)toreportandresolveanyissuethatmayariseorhavearisenasaresultofOHSE.Thismeetingisminutedandavailableforviewingbyallstaff,ManagersandDirectors.
Robinvale District Health Services (RDHS) standard Work Cover claims
RDHShadatotalof2WorkCoverclaimssubmittedinthe2015-16financialyear.Onewasrejectedandthesecondwastemporarilyacceptedastheemployeewasdeemedfittoreturntofulldutiesafteranabsenceofonly2shifts.RDHShasno outstandingclaimsforWorkCover.
Freedom of Information
AccesstodocumentsandrecordsheldbyRDHSmayberequestedundertheFreedomofInformationAct1982.ConsumerswishingtoaccessdocumentsshouldapplyinwritingtotheFOIOfficeratRDHS.
Thisyear14FOIrequestswere received.Norequestsweredenied.Allrequestswereprocessedwithintherequiredtimeframes.
Competitive Neutrality
RobinvaleDistrictHealthServicescompliedwithallthegovernmentpoliciesregardingcompetitiveneutrality.
Statement on Compliance with the Building and Maintenance Provisions of the Building Act 1993
InaccordancewiththeBuildingRegulations2006,madeundertheBuildingAct1993,allbuildingswithintheServiceareclassifiedaccordingtotheirfunctions.
Eachcampushasaplanned preventativemaintenanceprogramtoensureongoingbuildingsafetyandcompliancewithregulations.
AnEssentialSafetyMeasuresReportispreparedannuallyforeachcampusandconfirmsthesafetyofbuildingsincludingfiresafety,entryandegress.
Summary of major changes or factors which have affected the achievement of the operational objectives for the year
Duringthe2015-2016financialyeartherewerenomajorchangesorfactorswhichmateriallyaffectedtheachievementoftheoperationalobjectives.
Events subsequent to balance date which may have a significant effect on the operations of the entity in subsequent years
Therewerenoeventssubsequenttobalancedatethatmayhaveasignificant effectontheoperationsoftheentityinsubsequentyears.
Victorian Industry Participation Policy Act
RobinvaleDistrictHealthServicesabidesbytheprinciplesoftheVictorian IndustryParticipationPolicy.In2015/16therewerenoprojectsundertheVictorianIndustryParticipationPolicywhichwereabovethethreshold of$1million.
Fees and Charges
AllfeesandchargeschargedbyRobinvaleDistrictHealthServicesareregulatedbytheAustralianDepartment
ofHealthandAgeingandtheHospital&Charities(Fees)Regulations1986,asamendedandasotherdeterminedbytheDepartmentofHumanServices, Victoria.
Policiesandproceduresareinplacefortheeffectivecollectionoffees owingtotheservice
Publications
PublicationssuchastheAnnualReport,QualityofCareReports,StrategicPlan2011-2016andamultiplicityofPatientInformationBrochuresareavailablefromRobinvaleDistrictHealthServices.
InformationonRobinvaleDistrictHealthServicesisalsoavailableontheWebwww.rdhs.com.au
The Protected Disclosure Act 2012
ThemainobjectoftheProtectedDisclosureAct2012istoencourageandfacilitatethemakingofdisclosureofimproperconductbypublicofficersandpublicbodiesandestablisha systemformatterstobeinvestigated.TheActprovidesprotectionfromdetrimentalactiontoanypersonaffectedbyaprotecteddisclosurewhetheritisapersonwhomakesadisclosure,awitness,orapersonwhoisthesubjectofaninvestigation.
ProtectedDisclosuresaretobe reporteddirectlyto:
Independent Broad-Based Anti-Corruption Commission (ibac)Phone1300735135Fax0386356444Street addressLevel1,NorthTower,459CollinsStreet,MelbourneVIC3000Postal addressGPOBox24234,MelbourneVIC3001Webwww.ibac.vic.gov.au/contact-us
RobinvaleDistrictHealthServicesis obligatedbylegislationtoensurethewelfareandprotectionofgenuinepersonsmakingprotecteddisclosures, againstdetrimentalaction.Any instancesofdetrimentalactionagainstapersonmakingaprotected
Cont’d...
Robinvale District Health Services Annual Report 201640
disclosureshouldbereportedimmediatelytotheProtectedDisclosureCoordinator(PDC).ThePDCisalsoavailabletoprovideadvicerelatingtoProtectedDisclosure.
Protected Disclosure Coordinator (PDC)MrRayGentleManagerPeople&CulturePhone0350518174
Health Records Act 2001 and Information Privacy Act 2000
TheActspreservetheprivacyandconfidentialityofinformationheldbyouragency.
Allpatients,residentsandclientsreceiveabrochureexplaininghowtheirhealthinformationwillbeusedandwhowillhaveaccesstosuchinformation
Allstaffarerequiredtoundertakeprivacyandconfidentialitytrainingonaregularbasisandtherearedocumentedpolicyandprotocolsrelatingtoprivacyandconfidentialitywithinourorganisation
TheChiefExecutiveOfficeristhedesignatedPrivacyOfficeranddealswithenquiriesandcomplaintsrelatingtotheHealthRecordsandInformationPrivacyActs
In2015/16therewerenowrittencomplaintswithrespecttobreachesofprivacyorconfidentiality.
Carers Recognition Act 2012
UndertheAct,Stategovernmentdepartments,councils,andorganisationsfundedbygovernmenttoprovideprogramsorservicestopeopleincarerelationships,needtotakeallpracticablemeasuresto:• ensurestaffareawareofandunderstandtheprinciplesintheAct
• ensurestaffpromotetheprinciplestopeopleincarerelationships,sothatpeopleincarerelationshipsareawareofandunderstandtheprinciplesintheAct
• reflectthecarerelationshipprinciplesindeveloping,providingorevaluatingsupportandassistanceforthoseincarerelationships.
(g) detailsofoverseasvisits undertakenincludingasummary oftheobjectivesandoutcomes
ofeachvisit;(h) detailsofmajorpromotional, publicrelationsandmarketing activitiesundertakenbythe
HealthServicetodevelop communityawarenessofthe servicesprovidedbytheHealth Service;
(i) detailsofassessmentsand measuresundertakentoimprove theoccupationalhealthand
safetyofemployees,not otherwisedetailedinthereportof operations;
(j) ageneralstatementonindustrial relationswithintheHealthService anddetailsoftimelostthrough industrialaccidentsanddisputes, whicharenototherwisedetailed inthereportofoperations;and
(k) alistofmajorcommittees sponsoredbytheHealthService, thepurposesofeachcommittee
andtheextenttowhichthe purposeshavebeenachieved.
(l) Detailsofallconsultanciesand contractorsincludingconsultants/ contractorsengaged,services providedandexpenditure committedforeachengagement.
Acknowledgement of Support
RDHSacknowledgestheWesternNSWPrimaryHealthNetwork&theMurrayPrimaryHealthWorkasmajorfundingbodies.
RDHSdoesensurethatstaffhaveanawarenessabouttheActprinciplesandcharter,andwhattheymeanforstaff.RDHSalsohasavailableforstaffcopiesoftheprinciplesoftheActandcopiesofthecharter.TheRDHSstaffinductionpackageincludesinformationabouttheActandcharter,andwhattheActprinciplesandchartermeaninthewaystaffdotheirwork
Consultancies
In2015/16RDHSdidnotengageanyconsultantswherethetotalfeespaidwerelessthan$10,000.
In2015/16RDHSdidnotengageanyconsultantswherethetotalfeespaidweremorethan$10,000.
Additional Information (FRD 22G APPENDIX)
IncompliancewiththerequirementsIncompliancewiththerequirementsoftheStandingDirectionsoftheMinisterforFinance,detailsinrespectoftheitemslistedbelowhavebeenretainedbytheRobinvaleDistrictHealthServicesandareavailabletotherelevantministers,MembersofParliamentandthepubliconrequest(subjecttothefreedomofinformationrequirements,ifapplicable):
(a) astatementthatdeclarationsof pecuniaryinterestshavebeen dulycompletedbyallrelevant officersoftheDepartment;
(b) detailsofsharesheldbysenior officersasnomineeorheld beneficiallyinastatutory authorityorsubsidiary;
(c) detailsofpublicationsproduced bytheDepartmentaboutthe activitiesoftheHealthService
andwheretheycanbeobtained;(d) detailsofchangesinprices,fees, charges,ratesandleviescharged bytheHealthService
(e) detailsofanymajorexternal reviewscarriedoutinrespectof theoperationoftheHealthService
(f) detailsofanyotherresearchand developmentactivities undertakenbytheHealthService
thatarenototherwisecovered eitherinthereportofoperations orinadocumentwhichcontains thefinancialstatementandreport ofoperations;
THE BOARD OF MANAGEMENT
Robinvale District Health Services Annual Report 2016 41
Legislation Requirement Page Reference
Ministerial Directions
Report Of Operations
Charter and PurposeFRD22G MannerofEstablishmentandthe relevantMinisters 36,IFC FRD22G Objectives,Functions,Powersand Duties 2,36FRD22G Natureandrangeofservicesprovided 3FRD22G Initiativesandkeyachievements 5,24
Management and StructureFRD22G Organisationalstructure 35 Financial and Other InformationFRD10 Disclosureindex 41FRD11A Disclosureofex-gratiapayments FSFRD21B Responsiblepersonandexecutive officerdisclosures 38,IFCFRD22G ApplicationandoperationofProtected Disclosure Act 2012 39FRD22G ApplicationandoperationofCarers Recognition Act 2012 40FRD22G ApplicationandoperationofFreedom of information Act 1982 39FRD22G Compliancewithbuildingandmaintenance provisionsofBuilding Act 1993 39FRD22G Detailsofconsultanciesover$10,000 40FRD22G Detailsofconsultanciesunder$10,000 40FRD22G Employmentandconductprinciples 19FRD22G Majorchangesorfactorsaffecting performance 39FRD22G OccupationalHealthandSafety 39FRD22G Operationalandbudgetaryobjectives andperformanceagainstobjectives FSFRD24C Reportingofoffice-basedenvironmental impacts 23FRD22G Significantchangesinfinancialposition duringtheyear FS
Legislation Requirement FRD22G Subsequentevents FSFRD22G Summaryofthefinancialresultsofthe year FS
Legislation Requirement Page Reference FRD22G WorkforceDataDisclosuresincluding astatementontheapplicationof employmentandconductprinciples 19FRD25B VictorianIndustryParticipationPolicy Disclosures 39FRD29A WorkforceDatadisclosures 19SD4.2(g) SpecificInformationrequirements FSSD4.2(j) Sign-offrequirements FSSD3.4.13 Attestationondataintegrity 38SD4.5.5 Riskmanagementcomplianceattestation 38
Financial Statements
Financial Statements required under Part 7 of the FMASD4.2(a) StatementofChangesinEquity FSSD4.2(b) ComprehensiveOperatingStatement FSSD4.2(b) BalanceSheet FSSD4.2(b) CashFlowStatement FS
Other requirements under Standing Directions 4.2 SD4.2(a) CompliancewithAustralianaccounting standardsandotherauthoritative pronouncements FSSD4.2(c) Accountableofficer’sdeclaration FSSD4.2(c) CompliancewithMinisterialDirections FSSD4.2(d) Roundingofamounts FS
LegislationFreedom of Information Act 1982Protected Disclosure Act 2012Carer Recognition Act 2012 Victorian Industry Participation Policy Act 2003 Building Act 1993 Financial Management Act 1994
FS-ReferstoFinancialStatementsIFC-ReferstoInsideFrontCover
The Annual Report of Robinvale District Health Services is prepared in accordance with all relevant Victorian legislation. This index has been prepared to facilitate identification of Robinvale District Health Services compliance with statutory disclosure requirements.
DISCLOSURE INDEX
Robinvale District Health Services Annual Report 201642
AAccreditation 33AcuteCare 13AgedCare 14AttestationCompliance 38AttestationDataIntegrity 38AttestationRiskManagement 38AuditorGeneral’sReport FS
BBoardofManagement 36
CCatchmentMap 2Chairman 8-11ChiefExecutiveOfficer 8-11CorporateServices 16-17ConsumersRightsand Responsibilities 40CustomerFeedback 33,43
DDeclarationResponsibleBodies IFCDepartmentManagers 34DisclosureIndex 41
EEarlyYears 21Environmental 22-23
FFees 39FinancialManagement 16FinancialPerformance FS
GGlossaryofTerms 43Governance 36-37
HHandHygiene 13Haemodialysis 13
IInfectionControl 13InformationManagement/ Technology 17InternalAuditors 16IntegratedManagementSystems 35
LLocationMap 2
MMaternalandChildHealth 15MedicalImaging 13Midwifery 15
OOccupationalHealth&Safety 39OrganisationalStructure 35OurCommitment 4OurStatementofPurpose 4
PPartnerships 9PeopleandCulture 18-19PrimaryCareServices 20-21Profile 2-3Publications 39
QQuality 32-33
RResidentialCare 14ResponsibleOfficersDeclaration FSRiskManagement 32-33RoleofBoardofManagement 36-37
SSeniorManagers 34ServicePlan 24-29StatutoryRequirements 39-40StrategicPlan 6-7
VVision 4VMO-VisitingMedicalOfficers 34
WWorkforceComposition 19
XX-ray/Ultrasound 13
FS-ReferstoFinancialStatements
INDEX
Robinvale District Health Services Annual Report 2016 43
Australian Standards-NationalStandardsdevelopedbytheStandardsAssociationofAustralia/NewZealand
Best Practice-Measuringresultsagainstthebestperformanceofothergroups
BOM-BoardofManagementRDHS
Carers-Peoplewhocareforpatients/clientswhoarenotpartofRobinvaleDistrictHealthServices
CEO-ChiefExecutiveOfficer
Client-Apersonreceivingcareand/ortreatmentfromRobinvaleDistrictHealthServices
Continuity of Care-Thecycleofcareincorporatingaccess,entry,assessment,planning,implementation,evaluation,dischargeandcommunitycare.
Corporate Governance-Effective,fair,transparentandaccountablemanagementoftherelationshipwiththecommunitywithintegritytoproduceanefficientservice
DHHS-TheDepartmentofHealthandHumanServices,Victoria
DVA-DepartmentofVeteran’sAffairs
EEO-EqualEmploymentOpportunity
FBT-FringeBenefitsTax
FTE-FullTimeEquivalentstaffingposition
HACC-Home&CommunityCare.Fundingforservicesandprogramswhichareprovidedinthehomeor community.
HIPPY-HomeInteractionProgramforParentsandYoungsters
Inpatient-ApersonwhoisadmittedtoRobinvaleDistrictHealthServicesforcareandtreatment ISO 9001:2008-AS/NZS9001:2008QualityManagementsystems-Requirement
PHN-PrimaryHealthNetwork
Medical Record-Compilationofpatientmedicaltreatmentandhistory
Multidisciplinary-Careorserviceprovidedwithinputfrommorethanonedisciplineorprofession
NSQHSS-NationalSafetyandQualityHealthServiceStandards
Occupied Bed Days-TotalnumberofpatientsRDHShasinagivenperiod
Outcome-Theresultofaserviceprovided
Patient/Client/Consumer-Apersonforwhomthisserviceacceptstheresponsibilityofcare
Quality Activities-Activitieswhichmeasureperformanceandidentifyareasforimprovementinourservice
RDHS-RobinvaleDistrictHealthServices
Separation/Discharge-Theprocesswherebycareiscompletedandthepatientleavestheorganisation
Standard-Levelofperformancetobeachieved
Statutory or legislative requirement-AnyrequirementlaiddownbyanActofParliament
The Board-TheBoardofManagementRDHS
The Service-RobinvaleDistrictHealthServices
Values-TheprinciplesandbeliefswhichguideRobinvaleDistrictHealthServices
Comments and ComplaintsRDHSinviteanycommentyoumayhaveaboutthecareorserviceprovidedbyRDHSasthisprovidesanopportunityforserviceimprovement.
CommentsorcomplaintsmaybedirectedtotheChiefExecutiveOfficeron0350518111
Ifthematterisnotresolvedtoyoursatisfaction,the HealthServicesCommissionerwhoassistswithcomplaintresolutioncanbecontactedon0396555200
For Information about Patients’ Right and ResponsibilitiesContacttheQualityCoordinatoron0350518122
To Make a Tax Deductible DonationToRobinvaleDistrictHealthServices,orifyouare consideringacontributiontohealthcareservices throughabequestpleasecontacttheChiefExecutive Officeron0350518111
To become a VolunteerContact:ManagerPeopleandCultureon0350518174
To let staff know you are pleased with the service you have receivedWritetotheQualityCoordinator POBox376, Robinvale3549 orringthemainswitchboardon0350518111.
StudentsSeekinginformationaboutstudentworkexperience,shouldringthePeopleandCultureOfficeron50518179
GLOSSARY OF TERMS
Robinvale District Health Services Annual Report 201644
NOTES
Design, Production & Print ManagementVisual Strategy Design vsdesign.com.au
Attach Financial Statements 2015-2016.
Please email [email protected] in the event that there are no Financial Statements attached to this report.
www.rdhs.com.au
T 03 5051 8111 F 03 5051 8100E [email protected]
Latje Road, Robinvale VictoriaPO Box 376 Robinvale Victoria 3549