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incorporating Quality of Care Report
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Leading, shaping and delivering quality health care services to East Gippsland
To be a key provider of healthcare services in East Gippsland through: • Innovation in the delivery of health care services • Recognition by its clients as being committed to quality care • Working in partnership with other healthcare providers • Responsiveness to community needs • Recognition by its staff as an employer who values their contributions; and • Delivery of cost effective services
• • • • Customer Service Respect Teamwork Efficiency
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Construction of new Oncology & Dialysis Unit - June 2010
The Bairnsdale Regional Health Service is established under the Health Services Act 1988. The responsible Minister during the reporting period is the Hon Daniel Andrews MP. The Bairnsdale Regional Health Service Annual Report 2009/10 has been prepared in accordance with the Health Services Act 1988, Financial Management Act 1994, Standing Directions of the Minister for Finance (Section 4 Financial Management Reporting) and Financial Reporting Directions (Specifically FRD 22).
Proﬁle Services President and CEO Report Summary of Strategic Goals Summary of Key Result Areas Financial Results Activity Data Workforce Data Corporate Governance Organisational Structure Organisational Chart
2 3 4 6 7 9 10 12 13 16 17
Management Committees Specialists and Visiting Specialists Financial Donations Life Governors Community Engagement Quality of Care Report of Operations Glossary of Terms Donations / Bequests Index Disclosure Index
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Bairnsdale Regional Health Service 2010 Annual Report
Bairnsdale Regional Health Service (BRHS) provides healthcare services to more than 40,000 people across the East Gippsland Shire covering an area of 21,000 square kilometres. Towns to beneﬁt from the services of BRHS include Bairnsdale, Benambra, Bruthen, Buchan, Ensay, Lakes Entrance, Mallacoota, Metung, Omeo, Orbost, Paynesville, Swan Reach and Swifts Creek. • Hospital services operate from the main campus in Day Street, Bairnsdale and include acute and post acute services, specialist consulting rooms, dialysis and oncology outpatient services, allied health outpatient services, radiology, pathology and residential aged care facilities. Community health services are located in both Bairnsdale and Paynesville providing outpatient allied health services, Planned Activity Group, and dental services in Bairnsdale. Outreach Planned Activity Groups are also located in Metung, Buchan, Bruthen, Lindenow and Paynesville. Outreach healthcare and education services are also provided throughout the region including allied health services at the Lake Tyers Aboriginal Trust and the Gippsland and East Gippsland Aboriginal Co-operative (GEGAC); outreach midwifery and maternal health, district nursing and in-home palliative care.
1887 1930 1940 1963 1967 1975 1981 1986 Opening of the Bairnsdale District Hospital Opening of the Orbost Hospital Relocation of the Bairnsdale District Hospital to Day Street (current site) Training facilities for nursing built on site Extension of hospital to facilitate outpatient facilities Name changed to East Gippsland Hospital Opening of children’s ward Completion of building works incorporating radiology, pathology, pharmacy and medical records Opening of new operating theatre Bairnsdale Regional Health Service established as an entity under the Health Services Act 1988 following amalgamation of the East Gippsland Geriatric Centre and East Gippsland Hospital Amalgamation of Community Health Services into the Bairnsdale Regional Health Service Establishment of Sutherland Lodge, dementia speciﬁc aged care facility Establishment of Maddocks Gardens residential aged care facility Construction of the new Emergency Department and associated works Extension of the Monash Rural Clinical School Master Planning commenced for construction of Oncology & Dialysis unit, and extension to pharmacy Pharmacy extension completed, construction underway on Oncology & Dialysis unit.
1996 2004 2007 2008 2009
Bairnsdale Regional Health Service 2010 Annual Report
Neck & Nose Counselling Services Low Fertility Clinic Low-Vision Clinic Neuropsychology Oncology Ophthalmology Orthopaedic Outreach Polio Clinic (bi-annual) Paediatric Surgeon Paediatrician Rehabilitation Cardiologist Renal Physician Rheumatologist Urology Vascular Surgeon Ancillary Audiology Medical Library Mental Health Orthotics Bairnsdale Regional Health Service 2010 Annual Report 3 .SERVICES Services offered by Bairnsdale Regional Health Service include: Acute & Sub Acute Health Dialysis Emergency Services Geriatric Evaluation and Management Medical Medical Imaging Obstetrics Oncology Paediatrics Palliative Care Pathology Pharmacy Rehabilitation Stomal Therapy Surgical Care Theatre Community Health Adolescent Health Breast Care Cardiac Rehabilitation Community Dental Health Program Continence Advisory Service Diabetes Education Home Based Nursing Service (District Nursing) Hospital Admission Risk Program (HARP) Hospital in the Home (HiTH) Needle Exchange Program Palliative Care Planned Activity Group (PAG) Post Acute Care (PAC) Pulmonary Rehabilitation QUIT program – smoking cessation Women’s Health Aged Care Rehabilitation Rehabilitation Physician Residential Dementia Residential High Care Residential Low Care Respite Care Allied Health Dietetics Equipment Service . Throat.Aids and Equipment Program Inpatient Rehabilitation Koori Hospital Liaison Occupational Therapy Outpatient Service Physiotherapy Podiatry Social Work Speech Pathology Visiting Specialists Audiology Cardiology Cognitive Dementia and Memory Service Gastroenterology General Physician General Surgeon Gynaecology Head.
air-conditioning. In delivering our mission of “quality health services” BRHS continues to seek independent afﬁrmation of our progress in this area and it is pleasing to report on some signiﬁcant outcomes. Without question the issue of the consulting suites and whether visiting consultants should pay for the use of the rooms and BRHS staff to conduct private clinics was locally controversial. In November 2009 BRHS signed a contract with local builder Brooker Builders. adopted. With the ever increasing demands for service provision and costs of healthcare. The BRHS Radiology Department at the time was the only Victorian radiology department to successfully achieve accreditation and is one of only three accredited services in Victoria. whose contribution made this project such an outstanding success. we are pleased to present the Annual Report of Bairnsdale Regional Health Service (BRHS) for 2009-10. Construction has commenced and it is anticipated that the building will be operational in early 2011. BRHS also commenced year one of a three year program to improve the focus on customer service throughout the organisation. Special mention needs to be made of the tireless fundraising efforts and contributions of the Pelicans. our Aged Care service. particularly Mick Campbell & Vin Martin. it is our priority to ensure that BRHS is able to meet as many as possible of the needs of our community. painting. Maddocks Gardens. partner organisations. BRHS is proud of its many working partnerships which include. The plan builds on BRHS’s mission of. the many auxiliaries that provide invaluable service to BRHS. as mentioned in last year’s report. We commend our staff on their achievements to date and encourage their future pursuits in this area.5 million dollars which in the main is self funded by BRHS and community fundraising. 4 Bairnsdale Regional Health Service 2010 Annual Report . During 2009-10 BRHS adopted a new strategic plan for the years 2009-2013. blinds and disabled access and toilets etc. In excess of 200 front line staff undertook customer service training during 2009 and we are conﬁdent of building on the gains made to date. shaping and delivering quality health care services to East Gippsland and a summary of the goals and strategies can be found following this report. This will bring to fruition a project that will have a total budget of 3.PRESIDENT AND CEO REPORT On behalf of the Board of Management. BRHS continues to pursue partnerships for the improved client outcomes and was pleased to have the BRHS and Gippsland Lakes Community Health joint draft work plan. management and staff. This project will be completed in August 2010 resulting in improved reception and waiting areas. Satisfying these competing demands is a constant and complex challenge for management. We would like to acknowledge the wonderful work of the many individuals and companies who have contributed to this project either directly or through the Toonalook Waters Project. for the construction of the much awaited Oncology and Dialysis Unit. In late 2009 BRHS committed $196. BRHS Radiology Department successfully undertook accreditation through the Royal Australian and New Zealand College of Radiologists/ National Association of Testing Authority. leading. and Mina Armstrong who donated the land for the Toonalook Waters Project. was achieved through the goodwill and co-operation of all parties concerned. A successful outcome for the visiting consultants and BRHS. This has resulted in a number of joint projects getting under way. The plan sets out the pathway for BRHS to build on its services as the opportunities arise over the next four years and to achieve these objectives whilst maintaining core clinical services and operating effectively within the resources we have. The healthcare landscape we operate in is both dynamic and challenging and the Board and management of BRHS are pleased to report that we have successfully met and navigated through these challenges for the beneﬁt of all sections of the community. “Baby Friendly” is an internationally recognised accreditation process and provides reassurance to our community that the services provided are both best practice and benchmarked. carpeting. The achievements outlined are representative of multiple activities that are undertaken by BRHS staff on a continuous basis. the Practical Men of the Village. in line with accepted industry wide practice.000 towards renovating the consulting suites and staff accommodation. our community advisory committee and the many volunteers throughout BRHS. was likewise reaccredited by the Federal Government Aged Care Standards & Accreditation Agency. BRHS’s midwifery service was also reaccredited under the “Baby Friendly” accreditation scheme.
We also acknowledge the retirement of Dr. Thanks is also extended to the Board who contribute many hours in a volunteer capacity to ensure that the mission. who during more than 34 years at BRHS. In the addition to the Obstetric registrars BRHS was able to secure $125. Geoff Brown.Recruitment and retention of skilled staff in the rural setting is an on-going challenge. BRHS commends the commitment of Board members.000 in funding from the Department of Health to review and develop alternative models of care for maternity services. BRHS notes the retirement of Mr Ian Roberts and Ms Lidia Thorpe from the Board of BRHS and thanks them for their contribution. A multi-disciplinary working party consisting of GP Obstetricians and Midwives has been exploring ways we can improve our maternity model of care and the recruitment and retention of both GP Obstetricians and Midwives. BRHS has been fortunate to receive funding to facilitate two GP Obstetric registrars. vision and values of BRHS remain at the fore front of our endeavors. Drs Daniel Otounye and Andrew Linton and we are appreciative of the opportunity to provide this experience and hope that we will be able to provide such programs in the future. staff. held roles of Medical Superintendant and Chief Radiologist and we acknowledge his dedication and commitment to the Health Service. Philippa deVoil President. medical ofﬁcers and volunteers for their efforts and looks forward to a continuing contribution and partnership in the provision of health services to the East Gippsland community. Board of Management Wayne Sullivan Chief Executive Ofﬁcer Bairnsdale Regional Health Service 2010 Annual Report 5 .
illness prevention and service coordination Advocacy for improved services for our community Support staff to gain and keep current qualiﬁcations and experience needed to sustain BRHS service requirements Partner with regional health services to support service delivery and workforce requirements Bairnsdale Regional Health Service 2010 Annual Report . clients and families Progressively implement environmentally friendly policies and reduce the BRHS environmental footprint 6 Progressively develop information systems that link seamlessly with local and regional health services Improve community health through health promotion. capital and staff resources within the annual health services agreement and funding availability Develop an information technology strategy to support clinical and business improvements Enhance cultural competence Provide residential aged care services that best meet community needs Develop ﬂexible and adaptable professional roles to best utilise the workforce and skills available to BRHS Provide services that are appropriate and accessible to Koori patients.SUMMARY OF STRATEGIC GOALS Innovation in the delivery of healthcare services Develop and promote integration and continuity of care Develop innovative and sustainable service models to meet community needs Develop sub acute services consistent with DoH subacute policy directions Effectively manage discharge planning Commitment to providing quality care Provide excellence in customer service Working in partnership Responding to community needs Enhance the community’s engagement with BRHS services Strengthen capacity in core clinical services Valuing and developing our workforce Achieve a full workforce compliment skilled to meet service delivery requirements Promote an organisational culture that reﬂects organisational values in all aspects of BRHS activities Ensure staff feel informed. listened to and engaged Cost effective service delivery Promote open communication with staff. health service partners and other stakeholders Work with other health service organisations to develop cooperative strategic partnerships Support and strengthen subregional health care partnership forums Develop strong partnerships with teaching and training organisations Provide efﬁcient services and make best use of existing facilities Develop facilities to meet contemporary health care requirements Enhance quality practice throughout BRHS Build recognition and support in the community Establish a high dependency unit (HDU) within ﬁve years Develop shared service solutions with other Gippsland health providers Prudently manage ﬁnancial.
The waiting time for outpatient allied health services should not exceed the DH target number of working days. State-wide 0. There are no clinical death reviews outstanding greater than 30 days. State-wide . The number of acute care bed days occupied by patients awaiting residential care placement should not exceed 90 days during the month.5. Staff agree their contribution to the organisation is valued as assessed via staff survey.65 and peer group . BRHS’ average rate of medical readmissions was less than 1%. BRHS score for the individual questions in the patient satisfaction survey varied considerably with some areas being well above peer average. The overall level of inpatient satisfaction should exceed the performance of BRHS’s peer group. peer group 0. Partial Substantial Substantial Partial The rate of medical readmissions within 28 days should not exceed 10%. BRHS as a value driven organisation is pleased that an average of 77% responded positively in regards to their contribution being valued. Substantial Partial No incident during the month should exceed a severity rating more than 6.59. BRHS achieved 100% compliance for this target. 2 and 3 patients presenting themselves to the Emergency Department (ED) are seen within the time performance expectations established by the Department of Health.78. there has been consistent improvement over the ﬁnancial year. BRHS . Overall pressure ulcer rates per ‘000 bed days. compared to the State target of 22 months. The overall care index was 77 for BRHS compared to 78 for peer health services. Partial Substantial Substantial Bairnsdale Regional Health Service 2010 Annual Report 7 . BRHS .SUMMARY OF KEY RESULT AREAS Key Result Area All category 1.7 months.7. Comment Compliance Partial Substantial Whilst there is only a partial compliance. BRHS’ performance in stage one pressure ulcers was BRHS 0. The rate of pressure ulcers acquired at BRHS should not exceed 30% of reported cases.48.78.1 and peer group 1. State-wide 1.25. BRHS Dental Services has maintained a consistently low waiting period with an average of 11. but others below. with the end result being an 82% compliance. In regards to stage two pressure ulcers. Conservative dental interventions should not exceed the Victorian State target identiﬁed by Dental Health Services Victoria. Benchmark: Category 1 – 100% seen immediately Category 2 – 80% seen within 10 minutes Category 3 – 75% seen within 30 minutes 90% of patients admitted through the ED should not be waiting longer than 12 hours for a bed.
Hospital in the home bed days YTD should constitute 10% of multi day stay bed days. Substantial Substantial Substantial Substantial Overall elective surgical day of admission rates should exceed 95%. Nineteen agencies participate in the sick leave benchmarking across Victoria. the target is being amended in line with State average. Compared to budget. Note: excludes nursery and patient discharged with a postcode outside Bairnsdale/Lakes Entrance catchment. the outcome was within the 2% variance as allowed by the Department of Health. chronic heart failure. without compromising patient health.100% of staff have completed a current performance development plan. as a percentage of productive hours. Substantial Substantial Partial Substantial 8 Bairnsdale Regional Health Service 2010 Annual Report . BRHS has consistently remained in the top 10% of agencies within the survey. Substantial Partial The YTD average length of stay for GEM patients should not exceed the State average. cellulitis and chest pain. This key result area measures length of stay for speciﬁed medical conditions. There should be no YTD variation for any of the top 20 DRG’s in comparison to the State average. There has been an in-house development / applications of IT solutions to improve the efﬁciency of clinical staff time. The combined YTD public and private WIES actuals at least exceeds the DH target Signiﬁcant gains have been made in regards to this Key Result Area. Strategies are in place to address this Key Result Area. The number of WorkCover claims remaining month end. BRHS has less sick leave. chemotherapy cancer streams statistics reporting. aged care packages management system etc. The YTD average length of stay for rehabilitation patients should not exceed the State average. Financial Outcome. is zero. ambulance transport management system. with time off greater than 10 days and no return to work plan. Although GEM bed days were under target. BRHS has maintained its compliance with ensuring all WorkCover claims have a speciﬁed return to work program developed. The GEM and rehabilitation bed day funding is interchangeable. There is documented evidence that 90% of all multi day stay patients have been asked if they are receiving service from another community provider and that e-notiﬁcation message has been sent. the shortfall was recovered in rehabilitation bed days. Eighty percent of all specialist discharges are completed. Substantial Substantial Partial Partial GEM bed days at least exceed the DoH target. ﬁnancial outcome was an improvement of 13%. than 90% of other agencies participating in the Regional HR Benchmarking exercise. Applications include: vaccination booking system. Partial Rehabilitation bed days at least exceeds the DoH target. Whilst the target was not met due to extended periods of absence by our resident general surgeon. BRHS is consolidating clinical pathways for conditions including chronic obstructive pulmonary disease. In an effort to reduce length of stay based on State guidelines.
633 65.708 66.901 30. Allied Health Clients accessing services through HACC and CACPs and district nursing.816 56.000) before transfers to and from reserves.787 24.372 (1.005 46.222 49. as well as private patients in our main hospital.593 Changes in Prices. Charges.458 33.356 51.573 43.556) 27.000).156.000) and applied a total depreciation amount of $3.679 49.458 2007 $000 50.000 (2008/09 $2.000 (2008/09 $2.521 17.380 2006 $000 44.964 13.160 1.380 30.222 2008 $000 52.370 26. Fees.FINANCIAL RESULTS The organisation produced an operational surplus of $1.343.667 2009 $000 53.281 12. 2010 $000 Total Revenue Total Expenses Overall Surplus / (deﬁcit) Retained Surplus / (Accumulated Deﬁcit) Total Assets Total Liabilities Net Assets Total Equity 54.385 28.901 17.644 27.545 15.593 26.000 (2008/09 $1. Rates and Levies The Service charges fees for services it provides to: Aged Care Residents.051.667 47.413 21.200 49.556.218 3. and fees are only increased when advise is received from the appropriate Commonwealth Department.087 33.036. This resulted in an overall Deﬁcit of $1.000 (2008/09 surplus $1.385.971 1.856. During the year BRHS received capital grants of $1. Completed Toonalook Waters home Bairnsdale Regional Health Service 2010 Annual Report 9 .000).854 47. capital grants and depreciation being applied.378 43.555 2. In all of these occasions the organisation charges according to schedules of fees published by the appropriate federal authority.323.171 48.762 39.
970 2008 14.380 2006 9.99% 32.640 2007 12.146 Acute 16. 2010 % of Total Bed Days Total Bed Days 13.465 12.807 Private Patient Initiative The private patient initiative continued in 2009/10.13% 34.904.339 9.3% compared to the previous ﬁnancial year.220 10 Bairnsdale Regional Health Service 2010 Annual Report .795 2009 13.744 Acute Sub-Acute Mental Health Other Total Non Admitted Patient Non Admitted Patients Emergency Department Presentations Outpatient Services – occasions of services (VACS and Non VACS clinics) Other Services – occasions of services Total occasions of service 16.886 4.339 9.15% 30.148 200 32.883 0 379 379 0 0 0 0 14 14 7.26 26.339 9.69% 32.47% 32.535 6.305 an increase of 32.858 12.886 4.ACTIVITY DATA Admitted Patient Admitted Patient Separations Same Day Multi Day Total Separations Total WIES Total Bed Days 7.807 Sub-Acute Mental Health Other Total 16.807 26. providing net income of $955. This initiative is very important for the hospital as it provides additional revenue to the service which is used to supplement government funding.351 5.
57 213. All health services have WIES targets and funding depends on the number of WIES the organisation attains.000 600.00 407.012.000 800.27 27.95 987.05 -24.904 or 146 less than target.000 200.Private Patient Net Income 1.87 Bairnsdale Regional Health Service 2010 Annual Report 11 .00 Actual 4.050.904.00 217.34 -81.387.00 27. The result was heavily inﬂuenced by the fact that we lost our resident surgeon through the year and had to source locum surgeons to continue to provide our services to the community.000 1. Target Public Private Renal TAC DVA TOTAL 4.43 -3.13 5.00 1.00 6.200.26 Variance -36.050 and achieved 5.34 325.73 0.000 400.000 2010 2009 2008 2007 2006 WIES The Weighted Inlier Equivalent Separations (WIES) is the Casemix instrument that is used by the Victorian Government to fund hospitals. BRHS’ WIES target for the year was 6.350.000. Although the result is under target it is within an acceptable range.
67 8.WORKFORCE DATA Labour Category Nursing Administration and Clerical Medical Support Hotel and Allied Services Medical Ofﬁcers Hospital Medical Ofﬁcers Sessional Clinicians Ancillary Staff (Allied Health) Dental Ofﬁcers Other Dental Clinicians / Specialists June Current Month FTE 108. A copy of the Act is available for inspection from the Health Service’s library. Whistleblowers Protection Act 2001 Under the provisions of the Whistleblowers Protection Act 2001 (the Act). The policy is also available to all staff on the BRHS intranet. patients and clients visiting our facilities.42 79. Bairnsdale Regional Health Service does not tolerate improper conduct by its employees.61 21.11 . Bairnsdale Regional Health Service has in place a corporate policy and procedure.25 3.82 10.00 . allowing us to track mandatory qualiﬁcations and competencies that staff must meet to provide excellent patient care. 12 Bairnsdale Regional Health Service 2010 Annual Report . professionally and discretely. BRHS has in place an OH&S Policy and a Return to Work Policy. Together with this program the process for purchasing chemicals has been centralised to our supply department. ofﬁcers or members nor the taking of reprisals against those who come forward to disclose such conduct. In order to improve Occupational Health & Safety the organisation invested in a software program that allows us to centralise all chemical’s Material Safety Data Sheets (MSDS) that the organisation uses.82 0 32.05 106. it collects information about all OH&S incidents and its OH&S Committee analysed them at every meeting to try to identify trends and to put in place corrective actions to protect the health and safety of all staff.49 June YTD FTE 176. Over the last twelve months BRHS has performed very well in all OH&S areas of the service. which complies with the Act. The new system allows us to better document our staff competencies. The Human Resources Department at BRHS has worked very closely with the Information Technology Department to redevelop our Workforce Development Software. Disclosures made under this policy will be investigated swiftly. In line with this.52 The industrial relations environment at BRHS remains stable.18 0 30.34 2.93 101.44 2. Occupational Health and Safety (OH&S) The Health Service complies with all its obligations under the Occupational Health and Safety Act 2004. who will be responsible to source not only the chemical but the MSDS required for its safe use.92 3. BRHS has not experienced any lost time through industrial accidents or disputes.33 27.45 76. Bairnsdale Regional Health Service is committed to the principles and intent of the Act and to the protection of genuine whistleblowers against action taken in reprisal for the making of protected disclosures.
Director of Whites Accounting and Taxation Solutions. Treasurer Ken White Appointed 2009 BBus. acute. Extensive health service experience including aged care services in public and private sectors at management and board levels. FRCP. Dip Ed. Hands-on involvement in business. C.A. Peter Crick Appointed 1992 Held various bank management positions in the Gippsland region and Tasmania over a 23 year period from 1979 – 2002. Comm. Past President of the Bairnsdale Golf/Bowls Club. Wangaratta Regional Hospital and Latrobe Regional Hospital. Extensive experience in public practice accounting. ﬁnancial and corporate strategic planning and policy development/ implementation for over twenty years. at senior executive and board level. Anoop Chauhan Appointed 2009 B.. sub-acute. Formerly Consultant Paediatrician at Princess Margaret Hospital. primary health care etc. Ll. (Nursing) Former Executive Director of Nursing. in System & Program Development / Management. Rotarian and local volunteer. Currently CEO of East Gippsland TAFE.CORPORATE GOVERNANCE There was only one change to the Board of Management throughout 2009/10. Former Medical Director Princess Margaret Hospital for Children. Member CPA Australia. Dip App Sc. Keen gardener and walker. Former surveyor with the Australian Council of Health Care Standards. Bairnsdale Regional Health Service 2010 Annual Report 13 . Grad Cert Enterprise Management. Perth. Extensive experience in executive management and governance in the public sector. Grad Cert .Human Resources & Industrial Relation Extensive experience in executive management and governance in public and private health sector incl. FRACMA.B. Signiﬁcant association with Freemasonry for over 40 years. aged. Board of Management President Philippa deVoil Appointed 2001 BA (Admin). Dip. ACHSE. Latrobe Regional Hospital and Bairnsdale Regional Hospital. Graduate Dip Business in Entrepreneurship and Innovation. CA. (Ind). Dr David Formby Appointed 2008 MB BS. FRACP. MHA.. Previous Treasurer and Chairman of the Federal Assembly of the AMA. taxation and business management. Diploma of Frontline Management. that being the resignation of Lidia Thorpe. served on various government advisory committees. Vice President Angela Hutson Appointed 2000 BA (UM).DCH. Masters in Organisational Leadership. GradCert FP Chartered Accountant. Vice President of the Pelicans community fundraising committee. MBA.
The Board recessed for January 2010 Completed Pharmacy renovation 14 Bairnsdale Regional Health Service 2010 Annual Report . Victorian representative to the National Indigenous Body Workshop. Past member of Government advisory committees. Married to Sharon. Ward 8 10 10 7 9 8 10 5 9 of 11 of 11 of 11 of 11 of 11 of 11 of 11 of 11 of 11 Lidia Thorpe Appointed 2008 (resigned May 2010) Manager. Thorpe T. Board of Management Attendance 2009/10 P. staff management. and past President Bruthen RSL. Trade qualiﬁcations in carpentry. Lake Tyers Aboriginal Training Centre and own business in Aboriginal Events Management. past member of Bairnsdale Rotary. Tony Ward Appointed 2000 B. current fellow in Aboriginal leadership in Victoria. Wards Barristers & Solicitors Pty Ltd. White A. Gippsland. Hutson K. B. Former Chairman. Laws. Nagle College School Council. Chauhan P.CORPORATE GOVERNANCE Ian Roberts Appointed 2000 Former Regional Manager VECCI. current Bail Justice/Justice of the Peace. past President East Gippsland Legacy. de Voil A. Experience in training and workplace assessment. Formby I. four children. Crick D. Roberts L. Jurisprudence Principal.
effectiveness and appropriateness to ensure an organisational wide quality program and culture exists.CORPORATE GOVERNANCE Finance. The Committee meets quarterly. safety. The Committee meets as required. Board Committee members during 2009/10 were: Philippa deVoil Ian Roberts Lidia Thorpe Bairnsdale Regional Health Service 2010 Annual Report 15 . Board Committee members during 2009/10 were: Ken White Angela Hutson Tony Ward Anoop Chauhan Medical Credentialing Committee The Medical Credentialing Committee is a sub-committee of the Board of Management. the risk management system and legal and regulatory requirements. Board Committee members during 2009/10 were: Peter Crick Philippa deVoil Tony Ward Community Advisory Committee The Community Advisory Committee is a sub-committee of the Board of Management. The Committee oversees progress of the strategic quality plan and monitors each dimension of quality. and including. It is a sub-committee of the Board of Management. Audit and Business Development Committee The Audit and Compliance Committee was renamed the Finance. competence. reputation and authenticity of the qualiﬁcations of medical staff seeking appointment or re-appointment to the medical staff of BRHS. The Committee assists the Board in fulﬁlling its governance responsibilities relating to. The Committee meets quarterly. Audit and Business Development Committee. external and internal audit functions. The Committee is responsible for assessing the professional expertise. the accounting and ﬁnancial reporting processes. The Committee provides mechanism for local community involvement in the BRHS strategic planning process and local health service delivery. Board Committee members during 2009/10 were: Peter Crick David Formby Lidia Thorpe Quality Audit Committee The Quality Audit Committee is a sub-committee of the Board of Management.
and serves as the base for the East Gippsland Post Acute Care program. the Consulting Rooms and Medical library. ASA.Pod (Hons). 16 Bairnsdale Regional Health Service 2010 Annual Report Lorraine Parsons (Former) Director Allied & Community Health Services Resigned January 2010 BA (Social Sciences). RN Div 1. plan and assist patient discharge and follow-up. and works collaboratively with East Gippsland Regional Clinical School to promote medical student placements in Bairnsdale. Grad Cert H. (Ed & Tr). CHE. M.Ec The Allied & Community Health Services Directorate at BRHS provides inpatient and outpatient allied health services at the Day Street campus. as well as the quality of care and clinical governance framework of the Health Service. MBA. general surgical services. FACHSM. In short the directorate provides most of the ancillary services BRHS needs to operate effectively. FRCNA. Grad Dip Health Science (Administration). pharmacy services and aged care for high and low level residential care needs. MBA. Grad. The Paynesville site hosts a similar range of services on a visiting basis. Cert of Gerontology. The nursing division includes a dialysis unit for patients with chronic renal disease and treats patients requiring chemotherapy agents and manages infection prevention at BRHS. BA Nursing. Stomal Therapist. along with Community Health Nursing and the Bairnsdale Planned Activity Group (PAG).Dip Bus. . Director of Medical Services The Medical Services Directorate at BRHS supports the development and planning of the medical workforce of Bairnsdale Regional Health Service. Broad experience within the health sector having commenced as a nurse and in the ensuing 27 years held clinical and management roles in health. Remberto Rivera Director Corporate Services & Business Development BEcon. and Health Information Management. Grad. community and residential aged care services.ORGANISATIONAL STRUCTURE Chief Executive Ofﬁcer and Directors Wayne Sullivan Chief Executive Ofﬁcer Master of Business. as well as Human Resources. MAASW Lorraine joined BRHS in February 2008 after working in the public health sector for 16 years in Victoria and the Northern Territory. Diploma AICD Company Director’s Course. Grad Cert Management. obstetric service. Vicki Farthing Director of Nursing RN. Prior to joining BRHS was CEO at Maryborough District Health Service. AACHSE The Nursing Clinical Services Directorate at BRHS incorporates a wide range of nursing. BSW. Aged Care Management. Health Management. Grad Dip Nursing (Community Health). one of six PAG’s that BRHS manages for local communities. district nursing service.Ed. Ka Chun Tse MB. Medical Services provides advice on the operational management of medical staff in the Health Service. Hotel Services. GAICD. Masters. Facilities Management. BS. Megan Morse Director Allied & Community Health Services B.Dip. in addition to providing outreach services to two Community Health sites. Grad Dip Health Informatics. AHSFMA The Corporate Services & Business Development Directorate at BRHS oversees the ﬁnancial management and compliance of BRHS. provide patient assistance in the management of chronic disease. The Directorate also includes the Aids & Equipment program. It is able to provide 24 hour emergency care. (Accounting). The Ross Street campus accommodates a Dental service.
Audit & Business Development Committee Chief Executive Ofﬁcer Director Corporate Services & Business Development Director of Medical Services Radiology Director of Nursing Services Director of Allied & Community Health Services Fundraising & Community Engagement Supply Medical Clinical Team Leadership / Emergency ICT Acute Wards Theatre Allied Health Koori Liasion Accident & Emergency Rehabilitation Unit Aged Care Hospital in the Home Infection Control Discharge Planning / Clinical Initiatives Direct Nursing Community Programs Pharmacy Diabetes Education Health Promotion Community Nursing Post Acute Care PAG Aids & Equipment Public Dental Medical Library Finance Payroll Intern Supervision (via Medical Clinical Team) Quality Education Hotel Services Reception Regional Supply Facilities Security Human Resources OH&S Bairnsdale Regional Health Service 2010 Annual Report Medical Records Endorsed by CEO May 2010 Medical Consultants Suite 17 .Board of Management ORGANISATIONAL CHART Committees • • • • • Community Advisory Committee Remuneration Committee Quality Audit Committee Medical Credentialing Committee Finance.
These committees are listed below. assessment and review of patient care and services. Audit and Business Development Committee Quality Audit Committee Medical Credentialling Committee Community advisory Committee The Occupational Health & Safety Committee continues to function within the scope of the Occupational Health & Safety Act. BRHS Management Committees support our role through the exchange of ideas. which set out the role and function of the Committee. ensuring legislative or funding requirements are met and overseeing the implementation of plans or policy. All committee meetings are minuted and available to staff through the intranet. decision-making.MANAGEMENT COMMITTEES Bairnsdale Regional Health Service (BRHS) believes committees are an excellent means of communication and has an active committee meeting structure which provides a valuable means of formal communication. The Board sub-committees as listed on page 15. investigation of events. BRHS Board Quality Audit Committee Quality Management Committee Clinical Committees Corporate Committees Theatre / Anaesthetics & Surgery Committee Information Management Committee Report directly to the Board. 18 Bairnsdale Regional Health Service 2010 Annual Report . All our committees have ‘Terms of Reference and Membership’. • • • • • • • • • • • BRHS Quality Management Committee Theatre/Anaesthetics & Surgery Committee Obstetrics & Neonatal Committee Emergency Department & Medicine Committee Pharmaceutical/Transfusion/Infection Prevention Committee Maddocks Gardens Continuous Improvement Committee Ambulatory Care Committee Information Management Committee Corporate Services Committee Occupational Health & Safety Committee Human Resources Committee Obstetrics & Neonatal Committee Corporate Services Committee Emergency Department & Medicine Committee Occupational Health & Safety Committee Pharmaceutical / Transfusion / Infection Prevention Committee Human Resources Committee Maddocks Gardens Continuous Improvement Committee Ambulatory Care Committee During the year each committee has reviewed its Terms of Reference and Membership. • • • • Finance. All clinical and non clinical committees at BRHS report to the Board through our peak committee which is the Quality Management Committee. Membership for each committee is appropriate for the role and function it performs. consideration of reports.
David Hooke Prof David Power Oncologists Dr John Scarlett Opthalmologist Dr Pradeep Madhok Orthopaedic / Legal Dr Stan O’Loughlin Orthopaedic Surgeons Mr Andries DeVilliers (commenced April) Mr Peter Rehﬁsch Mr Peter Smith Mr Warwick Wright Paediatricians Dr Peter Goss Dr Jo McCubbin Paediatric Surgeons Mr Chris Kimber Mr Neil McMullen Physician Dr Krishna Mandaleson Rehabilitation Physician Dr David McConachy Renal Physician Dr. Nose & Throat Prof Andrew Sizeland Gastroenterologists Dr David Iser Dr Jeremy Ryan General Surgeons Mr Adrian Aitken Mr Bob Irungu Mr Anamitra Sarkar Mr Clem Smith Gynaecologists Dr Robert McKimm Dr Michael Sedgley Dr Mac Talbot Dr Gareth Weston Nephrologists Dr. Neck. David Hooke Rheumatologists Dr Anthony Boers (ceased May) Assoc Prof Peter Ryan Urologists Prof Mark Frydenberg Dr Jeremy Grummet Vascular Surgeon Mr Peter Milne Visiting Medical Ofﬁcers Adrian Aitken Andrew Rutherford Andrew Sizeland Andrew Taylor Animitra Sarkar Ash Arunachalam (RMO) Bob Irungu Clem Smith Daniel Otuonye (RMO) Andrew Linton (RMO) Daryl Smith David Bertovic David Hooke David Iser David McConachy David McConville Elizabeth Boyd Emma Wong (RMO) Gareth Weston Graham Bromwich James Shaw Jeremy Grummett Jeremy Ryan Jo McCubbin John Scarlett John Urie Justin Mariani Krishna Mandaleson Poh Ng Margaret Niemann Mark Frydenberg Meroula Richardson Michael Sedgley Myles Chapman Naveen Joshi Peter Goss Peter Lindstedt Peter Milne Peter Rehﬁsch Peter Worboys Phillip Sewell Pradeep Madhok Robert McKimm Ross de Steiger Scott Deller Sema Yilmaz Sue George Tomasz Grabinski Wanda Wysocka-Grabinska Warwick Wright Y “Echo” Jiang (RMO) Gippsland Lakes Community Health District Medical Ofﬁcers serving the Hospital in the Home Program Cunninghame Arm Medical Centre District Medical Ofﬁcers serving the Hospital in the Home Program Bairnsdale Regional Health Service 2010 Annual Report 19 .SPECIALISTS AND VISITING SPECIALISTS AT BRHS Audiologists Sue Clutterbuck Neil Clutterbuck (ceased June) Sue Luscombe Cardiologists Dr David Bertovic Dr Justin Mariani Dr Meroula Richardson Dr James Shaw Dr Andrew Taylor Head.
FINANCIAL DONATIONS TO BRHS 2009/2010 Bequests and Estates Erica Cromwell Trust Estate of Letitia Maynard Ian & Jeannie Cooper-Brown $5.00 Maureen Connolly Gweneth Cooper Janine Cooper Allan Cracknell Deirdre Crick R & W Cunningham Bairnsdale Regional Health Service 2010 Annual Report .00 $2.00 BRHS Auxiliaries Bower Birds EGH Fund Raising Group Paynesville Pelicans Pelicans Interest Toonalook Waters proceeds Individuals Rebecca Ah Chow KN & J Alexander $10.00 $500.05 R & S Alexander Anonymous Wilhelmina Armstrong E MacArthur Glenn Baberton GH Barnett Mrs MJ Bell Carol Beveridge R & F Bills Mr Brennan John Brookes Mr & Mrs Bryant Kylie Peter & Jayne Bud Mr & Mrs Burrowes Jean Butcher L & V Calvert MD Campbell John & Maureen Campbell Kath Cassidy Ron Claridge Joyce Clemm Alan & Christine Clyne Stan M Collins Community Groups Bairnsdale Day Centre BRHS Flower Auxiliary Community Nursing CWA CWA High Country Branch Kilmany Remote Family Services 20 $700.93 $93.00 $1.250.00 $550.00 $100.00 $50.80 $1.00 $2.050.00 $200.13 Lindenow Lioness Club Lions Club of Lakes Entrance Paynesville Bowling Club Paynesville Hospital Auxiliary Paynesville RSL Paynesville Uniting Church Friendship Shed Riviera Quilters Inc $10.142.00 $1.00 $20.000.00 $1.00 $8.000.00 $250.30 $50.00 $50.511.000.00 $736.00 $2.341.00 $1.00 $30.00 $110.00 $2.00 $20.00 $165.00 $100.00 $200.00 $110.00 $50.00 $20.50 $500.00 $2.00 $3.00 $428.00 $585.00 $350.00 $20.70 St Johns Anglican Op Shop Urban Funk Dance $700.00 $1.101.00 $28.00 $200.000.00 $250.00 $100.000.00 $250.00 $50.000.59 $319.00 $5.51 $313.000.00 $50.502.00 $1.00 $100.00 $50.523.000.00 $100.00 $45.00 $405.00 $6.000.000.00 $100.00 $50.90 $893.00 $250.41 $200.00 $100.000.00 $20.00 $200.083.00 $4.150.00 $1.990.00 $2.00 Business Sector Allan Corrie Painting Bairnsdale Golf Club Bairnsdale RSL Sub Branch Bairnsdale Windscreens Brooker Builders Pty Ltd Bunnings Warehouse Collins Booksellers D A Johnson Dahlsens Dulux Group GSI House & Gift James Yeates & Sons Pty Ltd King & Heath Reg Biggs Safetech Slap Architects Tyco Healthcare Whiters Street Glass & Glazing Woolworths Bairnsdale Social Club $100.00 $15.
00 $500.00 $20.00 $50.000.00 $4.Marie Curtis Tanya & Simon Dalley Ellen Davies Deller Donations Philippa de Voil Ruth Engel Nicola Fanning Jim Ferguson Jan & Mike Finn Ken Firth KS Ford Dr David Formby Robert Franck T & M Goode MF Greenwood Mr & Mrs Grifﬁths JB Guerin Mrs A M Guy Elise Hall Ken Hall K & M Hanley AC & LE Harrington Maureen Hartigan Dael & Leo Heirman Mark Hocking WD Holden Mrs I Hutton Lorraine Jennings Shirley Keamy TP Keyte Bertha Khote Ros Kleinitz Elizabeth Lade Elizabeth Leadoux & Family SM & PM Logan June Mackie Arthur Thomas Martin Ron & Roma Martin Marijke Mascas Michelle McNairn Merle McRae Barry Mills Wayne Morgan $100.000.00 $50.00 $500.00 $50.000.00 $500.00 $50.00 $50.00 $20.00 $100.00 $500.00 $30.00 $7.00 $50.00 $135.00 $20.00 $50.00 $10.00 $100.00 $100.00 $1.00 $40.00 $30.00 Philanthropic Collier Charitable Foundation $50.00 $200.879.00 $100.00 $40.00 $100.00 $65.55 $50.558.00 $100.00 $20.00 $10.00 RA Murphy Karen Nattrass B & R Nicholes Betty Noris A Norman & Family Carl Poeschel Millicent Reggardo WA & GM Roberts Dr Jeremy Ryan M E Sanders Noel Scott Ken Simpson Sizeland Donations Joyce Smiley Gus & Jennifer Sperti Lois Stewart & Friends Denis & Rosalie Stringer Ian & Gwen Strobridge Wayne Sullivan Gail Swankie Leigh & Marc Tricard Spiros Tsetsos John & Mendy Urie Anthony Veale Mary Waites Tess Walker Norma Ward Mary Wassink Sara Wayman Matthew White Laurel Wilesmith Jennelle Wilkes/Paul Start Elaine Winterbottom & Family The Young Family Friends of Joyce Young $100.00 $75.00 Bairnsdale Regional Health Service 2010 Annual Report 21 .00 $20.00 $100.00 $400.00 $5.27 $20.00 $10.00 $100.00 $50.00 $50.00 $100.00 $5.00 $100.00 $100.00 $20.00 $100.00 $1.00 $950.00 $50.00 $100.00 $100.000.00 $300.00 $20.00 $30.00 $50.00 $220.000.00 $1.00 $50.00 $40.00 $20.00 $20.00 $50.00 $50.00 $548.00 $100.00 $50.500.00 $50.00 $50.00 $100.00 $1.35 $100.00 $420.
the hospital changed its name to East Gippsland Hospital and then again in 1992 to its current name Bairnsdale Regional Health Service. In 1975. 1890 1890 Pre1917 Pre1917 Pre1917 Pre1917 Pre1917 Pre1917 Pre1917 Pre1917 Pre1917 Pre1917 Pre1917 Pre1917 Pre1917 Pre1917 Pre1917 Pre1917 Pre1917 Pre1917 Pre1917 Pre1917 Pre1917 Pre1917 Pre1917 Pre1917 Pre1917 Pre1917 Pre1917 Pre1917 Pre1917 Pre1917 Pre1917 Pre1917 Pre1917 1919 1919 1921 22 William Bird John Kennedy Smith HT Arthur Richard G Brownlow Mrs Richard Brownlow GH Cole John Connelly F Eastwood HB Gibbs WB Giles Sharp Halmshaw Mrs WL Harris Mrs Hawkes John Holford Frank V Holloway HF Holloway J Hutchison John King JH Lawler J Laurent Mrs Mudie A Murray Mrs John Mills AJ McKenzie PJ O’Connor J O’Keefe GB Osborne Hon William Pearson GW Peart Mrs George Ross E Saunders Angus Shaw Mrs James Stewart Mrs E Twentyman Mrs W Winkelmann W Garlick TW Murphy John Reid 1921 1922 1922 1923 1923 1923 1923 1925 1926 1927 1927 1928 1928 1928 1928 1928 1928 1930 1930 1930 1930 1930 1930 1930 1930 1931 1931 1932 1932 1933 1933 1934 1934 1934 1934 1935 1935 1936 1936 1937 1937 1938 1938 1938 1938 1939 1939 1939 1939 1940 AT Bieri Alex McPherson EJ Williams Mrs H Bankin WP Craig EJ Roder C Healey Miss Irene Leonard Mrs H Wood Mrs L Dawe Mrs A Goodman Robert Gilder Harry Hopkins Mrs C Neal THC Johnson Mrs Mary Liddell Ernest Lindeman Mrs J Bull AJ Gilsenan EP Burke F Healey Mrs T Mathieson Mrs RJ Loveridge JW Marriott A McPherson JG Stanway MT Walsh Mrs L Jemmeson Mrs E Ross LR Skipworth W Garlick Roy Rieper F Rogerson Mrs W Vickers Mrs A Leask Mrs Grace Douglas Miss Elizabeth Bull AW Collins Mrs S Stein Mrs AE Bell Lord Nufﬁeld Dr Charles J Alsop Mrs R Alsop Arthur Dyer Mrs V Glen W Buchanan Mrs W Buchanan Mrs Clancy Mrs HJ Arthur Mrs R Meek 1940 1940 1941 1941 1941 1941 1941 1941 1941 1941 1941 1941 1941 1941 1941 1941 1943 1943 1943 1943 1943 1943 1943 1943 1943 1943 1943 1943 1943 1944 1944 1944 1944 1944 1944 1944 1945 1945 1945 1945 1945 1945 1946 1946 1946 1946 1946 1946 1946 1946 VV Vincent Mrs VV Vincent Mrs T Varney N Dunn JG Clapperton H Clues B Chadwick Mrs G Baker WD Gibbs Mrs AJ Gilsenan Miss BJ Hollingsworth PC Murray Miss Julia O’Shea Mrs EM McCann Mrs M McNeill Mrs PE McPherson Mrs J Dean Miss Grace Buse Mrs J Appleton Mrs Patten Mrs T Willhelme C Moon Mrs N Norris Mrs TW Murphy Mrs R Calder Mrs ME Martin Mrs C Meddings Mrs TK Lloyd TK Lloyd Mrs AE Bieri CW Pittman Mrs WJ McCormack P McFarlane HR Growcott Mrs E Kidd Joseph Lay J Doyle Kay Donoghue HC Reynolds LJ Taylor Miss E Stokes Mrs AC Yandle Mrs BE Thewlis J O’C Davies Rev A McMillan Miss Margaret Johnston Mr AT Gunn Dr A Robertson CE Goodman W O’Doherty Bairnsdale Regional Health Service 2010 Annual Report .LIFE GOVERNORS Bairnsdale District Hospital opened in 1887. In 1940. the hospital moved to its current site in Day Street. The East Gippsland Geriatric Centre and East Gippsland Hospital were amalgamated from this date.
providing an overview of news and events at our organisation and they presented an excellent opportunity to disseminate information relating to acute. sub-acute and community health services at BRHS. The Health Service also updated the community through media releases in the local papers on issues such as the progress of the Toonalook Waters project. The 2009-2013 Strategic Plan was also ﬁnalised during the year. Bairnsdale Regional Health Service 2010 Annual Report 23 . fundraising events. the pharmacy extension. accreditation achievements. the building of the new Oncology & Dialysis Unit. donations to the Health Service.1946 1947 1947 1947 1947 1948 1950 1950 1951 1951 1953 1953 1954 1954 1954 1955 1955 1955 1955 1955 1957 1959 1959 1961 1963 1965 1965 1968 1968 1968 1969 1969 1970 1970 1972 1972 1973 1974 1975 1976 1979 1979 1987 1992 1992 1992 1992 1992 1993 1993 A O’Leary FH Redman Mrs V King Mrs Jean Lafsky Mrs E McLaren Glynn D Timmins FL Johnston W Thatcher Mrs Judy Beatty John Spirason Mrs Betsy Cathcart Mrs Jean Loud S Telfer Ian Thatcher Leonard Rule CR Holman Ben Ogden Mrs Anne F Ikin Arthur Winter Mrs Flora Brumby Mrs B Watson Mrs Margaret Latimer Mrs Phyllis Rodgers-Wilson Rev Canon GFD Smith Mrs Isabel (Doris) Savige Thomas Hansen PJ Thompson Victor Cole Dr Thomas O’Beatty Mrs Mary Nicholls Mrs M (Peg) Bailey Joe Alvin Rex Foard Kenneth Beynon Miss Eileen O‘Leary William Rodgers-Wilson Gordon Arthur Henry Smith Clement John Sharp Miss Margaret McIntyre Mrs Margaret Sheehan William McCallum Robert Bosworth DM Yeates Alan Glass Mrs Thelma Glass Ron Nation Albert Rodd Mrs May Winnett Ian Campbell Brian Hopkins 1993 1993 1993 1993 1993 1993 1993 1993 1993 1993 1993 1993 1993 1993 1993 1993 1993 1993 1993 1993 1993 1993 1993 1993 1993 1993 1993 1993 1993 1994 1994 1994 1994 1994 1995 1995 1996 Pre2006 Pre2006 Pre2006 Pre2006 Pre2006 Pre2006 Pre2006 Pre2006 Pre2006 2008 2008 Peter Engel Robert Mansell Milton Murphy GJ Foard Ewan Logan Helen M Schutt (Trust) Mrs GF Barter LG Tipper J Siggins Miss JH Scott FH Ray J Parker Rev DM Muller Mrs DM Mitchell W Meade J Leatham Mrs E Ingle EGR Horsﬁeld Miss JH Holford JW Hawksley Mrs Patricia Evans MBE WH Elridge Mrs J Court HN Cox KL Cook M Campbell Mrs MA Cameron AE Boucher W Bills Derek Dahlsen Ray Holloway Mrs P Lane T Grass Mrs A Grass Ms T Gillies Dr F Malatt Mrs K Heath Mr E Dahlsen Mr T Eager Mr WH Eldridge Mr R Gregory Miss JH Holford Mr P Lay Mrs R Marsh Mrs M McRae Mrs M Winnette Dr James Evans Mr Michael Padula Community Engagement In 2009/10 Bairnsdale Regional Health Service delivered two newsletters to the general community. community health services and more. with copies available to the public from the hospital or on the BRHS website.
• • • • • Moment 1 – Before touching a patient Moment 2 – Before a procedure Moment 3 – After a procedure or body ﬂuid exposure Moment 4 – After touching a patient Moment 5 – After touching a patient’s surrounding (bed. The 5 moments are: 24 Bairnsdale Regional Health Service 2010 Annual Report . Hand washing is the single most important activity that minimises risk of infection for staff. Results from all infection prevention activities are reviewed by doctors. BRHS has an Infection Prevention Coordinator with expert knowledge to assist staff. Education for the staff has continued to be a focus especially in the health of our staff and minimising exposures. patients and visitors about infections and prevention strategies Managing outbreaks of infections such as gastroenteritis and inﬂuenza when they occur so they do not spread to others. Rates remain extremely low and well within the accepted rate for health services of equivalent size. This national initiative through the Australian Commission on Safety and Quality in Healthcare has a target of 65% compliance across Victoria for the 2010-2011 year.QUALITY OF CARE Infection prevention Infection prevention is very important to hospital staff and the community. Bloodstream infections continue to be monitored with a priority focus on Staphylococcus aureas bacteraemias. patients and visitors in hospitals and in the community. patients and visitors to minimise infection risks. and other relevant staff to work out the best way to reduce the risks identiﬁed. Surgical site infections continue to be monitored with the main focus being on caesarean sections. staff and visitors from infection transmission Reducing the risk that a patient’s existing infections may spread Observing and examining high risk procedures to reduce risks Ensuring that infection prevention standards are met Education of staff. Included in this auditing are areas such as: • • • • • • Hand Hygiene (washing your hands) Infections you may get in your blood stream Infections you may get in your wound after surgery Infections that are resistant to treatment (multi-resistant organisms) Staff injuries from exposure to blood or body ﬂuids Staff compliance with vaccination requirements. You can and should ask staff members caring for you “Have you washed your hands?” Along with other hospitals in Victoria. BRHS continues to review/audit areas of infection risk with the Victorian Nosocomial Infection Surveillance System (VICNISS). BRHS has performed well in the audits conducted for the 2009-2010 year with results equal to and above the Victorian expected compliance rate for the period. medical equipment). nurses. The Infection Prevention Coordinator helps by: • • • • • • • Developing policies and procedures to help staff know what to do about infection prevention Minimising the risks to patients. During the audit period every person who steps into the patient area is monitored. There have been two infections reported for the year. All staff work with the infection prevention coordinator and reduce the risk of infection by making appropriate changes to practice. The ‘5 Moments’ of hand washing are observed in the audit to make sure they occur and at the required standard. VICNISS monitors infections patients get while in hospitals. Hand washing compliance has had a strong focus within BRHS throughout this year.
Results of 2009-2010 Survey BRHS takes part in an annual patient satisfaction survey. Bairnsdale Regional Health Service 2010 Annual Report 25 . day activity centres. The majority of patients reported that they were helped a great deal by their stay at BRHS and felt that the length of time spent in hospital was about right. BRHS Hospital Category B All Hospitals 85 77 85 78 81 77 78 74 76 78 Key: All Hospitals = All Public Hospitals in Victoria Group B Hospitals = Rural Hospitals similar in size and patient mix to BRHS 78 76 82 78 80 75 76 79 78 77 82 79 80 76 77 80 Average of Overall Care Access and Admission General Patient Treatment and Related Information Complaints Management Physical Environment Discharge and Follow-up Consumer Participation Moderate Risk Areas All areas/issues that are identiﬁed are noted during the audit are actioned by cleaning staff immediately or within 24hours. acute wards. Rehabilitation areas. We are performing in line with the Category B hospital average. please let a staff member know about your concerns. oncology. Patients were very satisﬁed with most aspects of their stay at BRHS. If you do receive a questionnaire from UltraFeedback. A company contracted by the Department of Health called UltraFeedback collects the information through questionnaires it sends to patients that have been discharged from BRHS. Risk Categories Very High Risk Areas High Risk Areas Location and Frequency of Audit Monthly – Operating Theatres. dialysis Quarterly – Dental Services. The last patient satisfaction survey let us know that our cleaning standards meet patient’s approval. Acceptable Quality Level (AQL) 90 Patient Satisfaction at BRHS . from the patients’ view. Thirty nine percent (39%) of BRHS patients who were sent the survey completed and returned it to UltraFeedback. medical imaging (X-Ray). what we do well and how we can improve. The survey is undertaken to inform us. public areas including toilets. Group B hospitals.Emergency Department. pharmacy. we encourage you to complete it and return it to them in the envelope provided. waiting rooms.How Clean is Your Hospital? Cleaning standard audits are undertaken regularly and completed in accordance with the Department of Health Cleaning Standards for Victorian Health Facilities 2009. We welcome any feedback from you about the cleanliness of the hospital and if you visit. had 37% of patients return surveys. as the cleaning outcomes (Scores) are well above the Acceptable Quality Levels (AQL) required for each risk category. Central Sterilising Supply Unit Monthly . The audit results indicate that cleaning processes in place are suitable. residential accommodation. Your opinion is important to us. of which BRHS is one.
The Good News • Many falls are preventable • Injury from falls can be minimised • Aging does not have to mean loss of independence The reasons or causes of falls are known as RISK FACTORS. anxiety or depression Continuous Improvement and Accreditation BRHS is committed to continuous improvement and in the last year has undergone external reviews by a number of external agencies. Falls are a common problem and are often the reason why people come to hospital. poor nutrition (not eating enough. Parkinsons disease. trips and falls can happen to anyone but they are more common and more signiﬁcant as we get older.4% mentioning facilities for the question “what could the hospital do to improve the care and service it provides to better meet the needs of the patients?” We are working out ways to improve in each of the areas and will monitor how we have met your needs when the next survey is done in 2011. management systems stafﬁng and organisational development. problems with your “waterworks” or bowels (incontinence). The results were positive and suggestions for improvement have been actioned. The Aged Care services were reviewed by the Aged Care Standards and Accreditation Agency. These reviews have conﬁrmed that improvement is ongoing.” but they are often warning signs that something is “just not right. Falls Prevention Slips. not eating a balanced diet or drinking enough water) Even short term sicknesses (the “ﬂu” and other infections) or surgery can increase your risk of falling Medicines – some types of medicines can increase your risk of falling. weak muscles. Risk factors for falls include: • • • • • Poor eyesight Reduced balance. resident lifestyle and physical environment and safe systems. The feedback has been positive and full three years accreditation granted. dizziness. Aspects of care reviewed included. and we have successfully met all requirements against the following standards: In June 2009 we were reviewed against the Evaluation and Quality Improvement Program where we underwent self assessment of our clinical care in the acute services of BRHS. diabetes.availability. security and ease of use. including those you may take for sleeping. These standards review us as a teaching hospital for junior doctors. Total BRHS Falls 2009-2010 60 55 50 45 40 35 30 Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun . 26 Bairnsdale Regional Health Service 2010 Annual Report • • Falls prevention is a priority at BRHS. stiff joints Less feeling in your legs Slower reaction times Some health problems such as stroke. It is easy to dismiss falls as part of “getting older” or “just not concentrating. arthritis.High performing scores were obtained for the following items: ► The courtesy of the nurses ► The courtesy of the doctors ► The cleanliness of the room where patients spent most of their time ► Being treated with respect Areas where we could most improve include: facilities for storing belongings . privacy in the room where patients spent most of their time. dementia.” It is important to discuss all falls with your doctor. postural hypertension (low blood pressure when you stand up). Some people are more likely to fall than others because they have more risk factors. Feedback from the Australian Council on Healthcare Standards was very positive and comments have been used to make improvements in the 2010 Organisation Wide review. November 2009 saw us assessed against the Post Graduate Medical Council standards. with 8. These ﬁndings are supported by comments made by patients. and waiting room comfort. health and personal care.
An expectation about medication safety is given to all new staff when they begin employment. Medication safety is very important to the staff at BRHS and there are many strategies in place to reduce the risk of medication incidents occurring. Liaison with GPs and Community Care Case Managers who may not be aware their client has had a fall is also considered. Nursing and medical staff are required to explain what your medication is for and answer any questions you may have about your medications. including: • • All nurses have an annual test for medication safety. These approaches will reduce the risk. • • .In the last year there has been an eighteen percent (18%) reduction in falls. There are a number of approaches we have to help recognise if you have a high risk of falls. and check your armband. to receive follow up in the community eg initial phone contact by Integrated Care Coordinator and offered referral to physiotherapists. patients and carers to work closely to make it safe. particularly when you return home Review the suitability of your walking aids – on occasions your needs may change If you have had a fall at home that requires you to come to hospital we will arrange a visit to check the safety of your home and work with you to improve your safety if required You will be able to manage your health and medications a little easier if you know the following about the medications you are taking: • • • • • • • • • Is this a new medication that I haven’t taken before? What is my medication for? How much medication do I take? When and how do I take my medication? How long do I take my medication for? Can you take it with food or other medications? How should I store my medication? What do I do if I miss a dose? What are the common side effects and what should I do if I think I have side effects? Co-ordination of the Ambulance Victoria / Department of Health / BRHS Falls referral program has enabled clients across East Gippsland who fall. and they are: • • • • • • • • Risk assessments (asking you questions about the risk factors above) Accommodating those at risk in adjustable height beds Use of alert devices that let staff know when you are getting up. but are not transported to hospital. Managing medications is a very complex task and requires hospital staff. Bairnsdale Regional Health Service 2010 Annual Report 27 Reducing Medication Errors Prescribing (what the doctor does). BRHS uses the same prescription document as the rest of Australia. It is also a good idea to tell them about any “over the counter” medications or tablets you are taking or considering taking as they may react with tablets the doctor prescribes. nurses and pharmacists Australia wide use the same form. so they can come and help you The Pharmacist will review the tablets you are taking If appropriate. Serious injury from falls remains stable. which reduces the risk of errors occurring. What Can You do to make Taking Medications Safer? It is very important that you know and tell staff about any previous side effects or bad reactions to any medications or if you have any allergies. refer you to the “No Falls” preventative exercise program Talk with you/your family/carer about ways that you can reduce your risk of falls. This standardisation means that doctors. All staff are required to ask you “what is your name”. name and check that the tablet prescribed matches the name and tablet recorded on the prescription as well as the tablet bottle. dispensing (what the pharmacist does) and administering of medication to the patient (what the nurse does) is the most common activity undertaken in hospitals.
When lying on your side: ○ ear ○ side of your shoulder ○ pelvis ○ hip ○ knee ○ ankle bones (malleolus) Who gets pressure ulcers? Anyone conﬁned to a bed or chair. such as redness on the skin. swelling. Nurses are currently trialling an apron with “Medication Round . loss of bladder or bowel control. These diagrams show you where pressure ulcers occur in various positions or postures. dryness or dry patches. Education about medication safety is ongoing and includes a newsletter from pharmacy with topics from the Department of Health or learning’s from incidents that have occurred. dispensing and administration has remained stable when compared to the previous year. Where are they found on the body? Pressure ulcers usually occur over bony areas.• • • Medication incidents are discussed with staff involved and corrective actions are taken. blisters. The signs to look for (especially on skin over bony areas) are: Red / purple / blue skin. poor nutrition or is unwell is at risk of getting a pressure ulcer. When sitting: ○ tail bone (coccyx) ○ buttocks (ischium) ○ backs of heels ○ elbows ○ shoulder blades The number of incidents relating to medication prescribing. or wrinkles 28 Bairnsdale Regional Health Service 2010 Annual Report . shiny areas. has loss of sensation. Interruptions to medication rounds are kept to a minimum. but they can hide more damage under the skin. cracks.Do not Disturb” on it in order to reduce interruptions. Please ask them. the pharmacist will be happy to give it to you. who is unable to move. and the nurses and doctors will be happy to answerer any questions. Preventing Pressure Ulcers A pressure ulcer (also known as a pressure sore or bed sore) is an area of skin that has been damaged due to unrelieved pressure. There have been no serious patient complications arising from medication incidents. calluses. BRHS Medication Incidents 2009 -2010 30 25 20 15 10 5 0 Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun When lying on your back: ○ the back of your head ○ shoulder blades ○ tail bone (coccyx) ○ elbows ○ heels ○ toes If you would like written information about your medication. A pressure ulcer may look minor. Distractions / loss of concentration while giving medications is known to be the biggest contributing factor to medication incidents. buttocks and toes. especially heels.
The Food Safety Audit is an in-depth analysis of the following processes: Receiving food/ingredients. cushions and booties are available and may be used to reduce the pressure in particular places. and is an important part of care for all our staff. Our patient satisfaction survey conducted this year told us that patients were very satisﬁed with the temperature of hot meals. contributes to the safety of our food. ﬂoors. Cross contamination can occur when cooking and preparation utensils are used with more than one type of food at a time. staff and visitors with nutritious meals that are safe to consume. and the temperature control of food. or swollen skin over bony points What can we do? The best thing you can do is relieve the pressure by keeping active. if the knife used to debone a raw chicken breast is also used to chop lettuce for a salad.July 2009 . the quality of the food and the amount of food provided. preparation. there is a risk that contamination will occur and possibly lead to food poisoning. warm areas. Looking after your skin Keep your skin and bedding dry. This process of kitchen safety includes proper storage of food items prior to use. BRHS serves approximately 21. The East Gippsland Shire Audit indicated that compliance was reached in all areas. and changing your position frequently. The design and construction of the premises. BRHS Total Pressure Ulcers . Let staff know if you have any tenderness or soreness over a bony area or if you notice any reddened.The signs to feel for are: Hard areas. As a health Service we undergo Food Safety Audits by the East Gippsland Shire. cleaning and sanitising of equipment used in food preparation. kitchen staff monitor food safety standards on a meal by meal and monthly basis and this assures us that our food is safe and at the required standard. food recall and record keeping. and making sure that all equipment is thoroughly clean and free of bacteria that could lead to some form of contamination. blistered or broken skin. staff training.000 meals to patients each year and also have a staff and visitor cafeteria which is well patronised.June 2010 30 25 20 15 10 5 0 Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun that ensures the food is safe for human consumption. Special equipment such as air mattresses. Preventing cross contamination is also an important aspect of food hygiene. hygiene of those handling food. Meeting the Standards for Safe Food Handling/Hygiene Food hygiene is a broad term used to describe the preservation and preparation of foods in a manner Bairnsdale Regional Health Service 2010 Annual Report 29 . Pressure ulcer prevention and monitoring is an ongoing process at BRHS. In addition to the Shire Audit. whether you are lying in bed or sitting in a chair. Staff that work in the kitchen play a vital role in providing patients. If you are unable to move yourself. We contribute information to the Department of Health about our pressure areas and our rate of patients who get pressure areas when in hospital is half that of similar sized hospitals. The number of pressure ulcers has reduced by 17% in the past year. There is a focus on how food is handled. transportation to area for consumption. walls ceiling ﬁxtures. cooking. Use a mild soap and moisturise dry skin. ﬁttings and equipment are also assessed to make sure we meet required standards for food safety. For example. Avoid massaging your skin over bony parts of the body. maintaining a clean environment when preparing the food. the staff will help to change your position regularly. Let staff know if your clothes or bedding are damp. holding. storage.
205 421 16.797 154.896 20. Summary of factors affecting operations The reporting period was affected by the fact that the service lost its general surgeon for around 30% of the year.373 Over 90 days 140. Management is not aware of any events that have occurred subsequent to balance date that may have a material impact on the results of the next reporting period.90 days 44.687 668 169. this meant that the organisation had to rely on locum surgeons at a much higher cost.870 0 1. Events subsequent to balance date At the date of this report.REPORT OF OPERATIONS Responsible bodies declaration In accordance with the Financial Management Act 1994.168 3.684 4.834 2. Board of Management Attestation on Compliance with Australian/New Zealand Risk Management Standard I. This issue also affected our ability to completely meeting our WIES targets consequently reducing the income level of the service.528 Total 30/6/2010 787. Philippa deVoil Bairnsdale 16th August 2010 President.040 499.715 .824 31 . Wayne Sullivan. The Finance. Revenue Indicators Average Collection Days 09-10 Private TAC VWA Other Compensable Residential Aged Care 49 83 78 7 47 08-09 44 86 41 32 48 Wayne Sullivan Bairnsdale 16th August 2010 Accountable Ofﬁcer Debtors outstanding as at 30 June 2010 Under 30 days Private TAC VWA Other Compensable Residential Aged Care 467.027 965.677 0 0 134. I am pleased to present the Report of Operations for Bairnsdale Regional Health Service for the year ending 30 June 2010.173 1.301 61 . certify that the Bairnsdale Regional Health Service has risk management processes in place consistent with the Australian/New Zealand Risk Management Standard and an internal control system is in place that enables the executives to understand.476 13.807 270 0 0 3.506 3. manage and satisfactorily control risk exposures.60 days 134.220 2.483 247 14. Audit & Business Development committee veriﬁes this assurance and that the risk proﬁle of the Bairnsdale Regional Health Service has been critically reviewed within the last 12 months.234 30 Bairnsdale Regional Health Service 2010 Annual Report Total 30/6/2009 307.
40. Fees for Medico-Legal requests are also received.000 $ 18 161. The Bairnsdale Regional Health Service has critically reviewed these controls and processes during the year. • Examination of each business activity to establish the beneﬁts or otherwise of applying market contestability. Freedom of Information Act 1982 The Freedom of Information Act 1982 (the FOI Act) gives people the right of access to information held by Bairnsdale Regional Health Service and applications for access to information and records are processed in accordance with the FOI Act by the Health Information Manager under delegation from the Director of Medical Services. These consultancies cost $184.813 0 National Competition Policy In accordance with the national competition principals agreed by the Federal and State Governments in April 1995. Executive training on emergency procedures and development of training modules for dealing with clients exhibiting challenging behaviours. Health Services charge a fee for Freedom of Information (FOI) requests in accordance with the guidelines set by the Department of Justice. Attestation on Data Integrity I. and • Tendering for the provision of services where appropriate. The Freedom of Information Application Fee is waived for those applicants holding a health care card. Wayne Sullivan Bairnsdale 16th August 2010 Accountable Ofﬁcer Bairnsdale Regional Health Service 2010 Annual Report 31 . Type of request Freedom of Information Medico-Legal Total Number Processed 113 43 156 Consultancies There were 21 consultancies in this ﬁnancial year (18 in 08/09). The revenue for this ﬁnancial year is $2. Victorian Industry Participation Policy Act 2003 BRHS did not commence or complete any contracts to which the VIPP Act 2003 would apply. Bairnsdale Regional Health Service has implemented policies and programs to ensure compliance with the National Competition Policy. certify that Bairnsdale Regional Health Service has put in place appropriate internal controls and processes to ensure that reported data reasonably reﬂects actual performance.Building Act 1993 Bairnsdale Regional Health Service complies with the building and maintenance provisions of the Building Act 1993. these consultancies included: Strategic Planning. Wayne Sullivan. Board training. These programs and policies include: • The benchmarking of signiﬁcant business activities against other agencies of a similar size and nature.025 and no one consultancy cost more than $100.117.000 Consultancy Details Number of Consultancies Total $ of Consultancies Number of Consultancies > $100.
Geriatric Ophthalmology A branch of medicine that deals with the problems and diseases of old age and aging people. diseases. Hospital Admission Risk Program that enhances and develops preventive models of care focused on people with chronic and complex conditions to prevent inappropriate emergency presentations or admissions. diagnosis and management of people with cancer. Oncology A branch of medicine concerned with the investigation. and returning it to a vein – also called hemodialysis. or acting on the heart. adding vital substances. purifying it by dialysis. Chemotherapy A type of pharmacotherapy used in the treatment or control of disease. functions. Dietetics DVA The science of diet and nutrition. Midwifery The act of assisting at childbirth. particularly cancer. Treatment aimed at assisting people overcome limitations caused by injury or illness.GLOSSARY OF TERMS Accreditation Acute Care To audit and give credentials to. Paediatrics A branch of medicine dealing with the development. HACC Home and Community Care PAG Planned Activity Group 32 Bairnsdale Regional Health Service 2010 Annual Report . Governance Orthopaedic The way in which decisions important for the future of organisations are taken. communicated. Gastroenterology A branch of medicine concerned with the structure. Hospital in the Home. or associated with. functions. Intern A physician gaining supervised practical experience in a hospital after graduating from medical school. care. situated near. and diseases of the eye. monitored and assessed. and diseases of children. Cardiac HiTH Relating to. Acquired or occurring in a hospital Relating to. A branch of medical science dealing with the structure. enabling people to participate in the activities that have meaning to them. Occupational Therapy Department of Veterans’ Affairs. A branch of medicine concerned with the treatment of the musculoskeletal system. Dementia A usually progressive condition marked by the development of multiple cognitive deﬁcits. Dialysis Nosocomial (as in VICNISS) Obstetric The process of removing blood from an artery (as of a kidney patient). HARP Care that is generally provided for a short period of time to treat a certain illness or condition. It includes the processes an organisation has for holding managers accountable and measuring performance. pregnancy and childbirth. The provision of hospital care in the comfort of the persons own home. and pathology of the stomach and intestines.
evidence-based multidisciplinary management plans. Sub-acute care Pathway Goal-oriented interventions aimed at assessing and managing often complex conditions to maximise independence and quality of life for people with disabling conditions. VICNISS VWA Victorian Nosocomial Infection Surveillance System Podiatry The medical care and treatment of the human foot. Radiology A branch of medicine concerned with the use of radiant energy (as X-rays or ultrasound) in the diagnosis and treatment of disease. to raise funds for the new Oncology & Dialysis unit. nursing and allied services for people who are terminally ill. emotional and spiritual support for patients and for patients’ families and friends. Social Work Social work is committed to the pursuit of social Justice and addresses situations of personal distress and crisis. and auctioned. heat and electricity. WIES Weighted Inlier Equivalent Separations – Unit of payment for acute admitted care. Speech Pathology The study and treatment of human communication disorders including disorders of speech. Clinical pathways are standardised.Palliative A concept of care which provides coordinated medical. TAC Transport Accident Commission Toonalook Waters Physiotherapy House constructed. language and swallowing. Bairnsdale Regional Health Service 2010 Annual Report 33 . which identify an appropriate sequence of clinical interventions. light. The treatment of disease by physical and mechanical means such as massage. Pocket Macquarie Dictionary. timeframes. delivered where possible in the environment of the person’s choice. milestones and expected outcomes for an homogenous group of patients. and which provides physical. Victorian Workcover Authority (now known as WorkSafe Victoria) Pressure Ulcer/Area An area of skin that has been damaged due to unrelieved pressure. psychological. Social work is informed by an understanding of human development and behaviour and of complex social structures and processes. WorkSafe Victoria Formally Victorian Workcover Authority Registrar Renal An admitting ofﬁcer at a hospital Of or relating to the kidneys or the surrounding area Source: Merriam Webster Medical Dictionary (online). Stedman’s Medical Dictionary. Stoma An artiﬁcial permanent opening especially in the abdominal wall made in surgical procedures. water. regulated exercise.
First name Company name Address Hm phone Email All donations over $2 are tax deductible. To make a donation. I would like my donation to support the: Purchase of equipment Speciﬁc equipment as arranged with BRHS Surname Suburb Other phone P/code Please accept my contribution of (circle): $1000 $500 $250 Other 34 Bairnsdale Regional Health Service 2010 Annual Report . amenities and care that would normally be beyond our budgetary scope. Bairnsdale VIC 3875. trolley’s. PO Box 474. to Bairnsdale Regional Health Service enables us to provide equipment. call the BRHS Cashier on 5150 3413 and make a donation by credit card over the phone or join the BRHS Donor Program by completing the form below and sending it to BRHS Donor Program. Thanks to everyone who contributed during 2009/2010. It is through these donations that we have purchased many pieces of equipment this year.DONATIONS / BEQUESTS The generosity of the community by their ﬁnancial donations and volunteer support. treatment chairs. such as thermometers. oxygen equipment and more.
29 2. 28.26 3. 4 8.INDEX A Accreditation Acute Care Auxiliaries 4. 19 6 13. Summary of Governance 2 4. 25 G GEGAC Gippsland Lakes Community Health Goals. 26 O Obstetric Registrars Occupational Health & Safety Oncology 5 12. 23. 9 20. 20. 25 2. 15 S Strategic Plan 4. 3. 23 . 4. 23. 14. 30 6. 7. 25. 4. 25 5. 25 F Falls Prevention Financial Results Food Hygiene 26 9 29 Q Quality of Care 24 R Radiology Rehabilitation 2. 23. 20 M Maddocks Gardens Medication Errors Midwifery 2. 12 8 35 Bairnsdale Regional Health Service 2010 Annual Report . 4 C Cleaning Community Advisory Committee Consulting Suites Continuous Improvement 25. 18 27 2. 7 4. 29 7. 9. 23 I Infection Prevention 18. 19. 29 4. 29 10 E Emergency Department 2. 25 D Dental Department of Health Dialysis District Nursing Donations 2. 25. 10. 7. 18 2. 23 H Hand Hygiene 24 T Toonalook Waters 4. 34 P Palliative Care Pathology Patient Satisfaction Pressure Ulcer Private Patient Initiative 7. 28. 24 W WIES Workforce Workcover 8. 34 K Key Result Areas 7 L Life Governors 22 B Brooker Builders 4. 27. 4. 10. 11. 12. 18. 15 4 18.
4.5. 30 Back cover Front cover 31 30 9 12 n/a 31 30 30 Responsible person and executive officer disclosures Application and operation of Freedom of Information Act 1982 Application and operation of Whistleblowers Protection Act 2001 Compliance with building and maintenance provisions of Building Act 1993 Details of consultancies over $100.5 Disclosure index Disclosure of ex-gratia payments 36 n/a 30 31 12 31 n/a 31 30 12 9 9.000 Details of consultancies under $100.000 Major changes or factors affecting performance Occupational health and safety Operational and budgetary objectives and performance against objectives Significant changes in financial position during the year Statement of availability of other information Statement of merit and equity Statement on National Competition Policy Subsequent events Summary of financial results for the year Workforce Data Disclosures Victorian Industry Participation Policy Disclosures Attestation on Data Integrity Report of Operations. Legislation Requirement Page Reference MINISTERIAL DIRECTIONS REPORT OF OPERATIONS Charter and purpose FRD 22B FRD 22B FRD 22B Manner of establishment and the relevant Ministers Objectives.13 SD 4. functions.DISCLOSURE INDEX The Annual Report of the Bairnsdale Regional Health Service is prepared in accordance with all relevant Victorian legislation. powers and duties Nature and range of services provided Front cover 2 3 Management and structure FRD 22B Organisational Structure 16 Financial and other information FRD 10 FRD 11 FRD 21A FRD 22B FRD 22B FRD 22B FRD 22B FRD 22B FRD 22B FRD 22B FRD 22B FRD 22B FRD 22B FRD 22B FRD 22B FRD 22B FRD 22B FRD 22B FRD 25 SD 3. Responsible Body Declaration Attestation on Compliance with Australian / New Zealand Risk Management Standard . This index has been prepared to facilitate identification of the Department’s compliance with statutory disclosure requirements.2(j) SD 4.
2(b) Comprehensive Operating Statement SD 4.2(b) SD 4.2(a) Compliance with Australian accounting standards and other authoritative pronouncements SD 4.2(d) Balance sheet Statement of Changes in Equity Cash Flow Statement Accountable officer’s declaration Compliance with Ministerial Directions Rounding of amounts Finance 8 Finance 4 Finance 5 Finance 6 Finance 7 Finance 1 Front cover Finance 9 Legislation Freedom of Information Act 1982 Whistleblowers Protection Act 2001 Building Act 1993 31 12 31 31 Finance 1 Victorian Industry Participation Policy Act 2003 Financial Management Act 1994 .2(b) SD 4.2(c) SD 4.Legislation Requirement Page Reference FINANCIAL STATEMENTS Financial statements required under Part 7 of the FMA SD 4.2(b) SD 4.2(c) SD 4.
com. Victoria Internal Auditor Grant Thornton .com External Auditors Auditor-General.au Photography Jets Photography P: 0419 169 859 E: email@example.com Website: www.au W: www. Paynesville VIC 3880 Residential Aged Care Maddocks Gardens. Bairnsdale VIC 3875 Ph: (03) 5150 3333 Fax: (03) 5152 6784 Email: firstname.lastname@example.org Hospital 122 Day Street. The Esplanade. Bairnsdale VIC 3875 Sutherland Lodge.egee. Bairnsdale VIC 3875 Planned Activity Groups Ross Street. McKean Street. McKean Street.com.Contact Details Bairnsdale Regional Health Service PO Box 474.com.brhs. Bairnsdale VIC 3875 Ph: (03) 5152 0222 Acknowledgements Design & Printing Egee Printers P: (03) 5152 5055 F: (03) 5152 1387 E: email@example.com. Bairnsdale VIC 3875 Shop 19. Bairnsdale VIC 3875 Community Health Centres Ross Street.
com.au .Bairnsdale Regional Health Service PO Box 474 Bairnsdale VIC 3875 Telephone (03) 5150 3333 Facsimile (03) 5152 6784 Email firstname.lastname@example.org www.brhs.com.
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