annual report 2015 - parliament of victoria · 2015-10-06 · robinvale district health services...

ANNUAL REPORT 2015

COMMUNITY BEGINS HERE

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 2015.

Mr Peter CampisiChairman

Robinvale1st July 2015

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 Services reports on its annual performance in two separate documents. This Annual Report of Operations fulfils 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 Honourable Jill Hennessy MLA 4 December 2014 to 30 June 2015Minster for Health Martin Foley MLA 4 December 2014 to 30 June 2015 Minister for Mental HealthMartin Foley, MLA 4 December 2014 to 30 June 2015Minister for Housing, Disability and Ageing Jenny Mikakos MLC 4 December 2014 to 30 June 2015 Minister for Families and ChildrenThe Honourable David Davis MLC 1 July 2014 to 3 December 2014 Minister for Health, Minister for AgeingThe Honourable Mary Wooldridge MLA 1 July 2014 to 3 December 2014 Minister for Mental Health The Honourable Mary Wooldridge MLA 1 July 2014 to 3 December 2014 Minister for Community ServicesThe Honourable Mary Wooldridge MLA 1 July 2014 to 3 December 2014Minister for Disability Services and Reform

The responsible Ministers during the reporting period were:

Robinvale District Health Services Annual Report 2015 1

CONTENTSOur Vision, Our Statement of Purpose, Our Commitment 22014–2015 Health Service Snapshot 3Strategic Plan 2011–2016 4About Us 6Chairman and Chief Executive Officer’s Report 8Acknowledgement to Traditional Owners 11Director Reports 12Environmental 22Finance Report 24Performance 25Quality and Risk Management 32 Management 34The Board of Governance (Including Statutory Reporting) 36Disclosure Index 41Index 42Glossary of Terms 43

Robinvale District Health Services Annual Report 20152

Cultural DiversityIndividuals are entitled to care that is attentive, respectful, and responsive to their needs. We understand the value of cultural diversity and will strive to engage with all members of the community and other stakeholders.

CollaborationCollectively we can achieve better outcomes. Working collaboratively with other agencies we seek to reduce service fragmentation and generating resource efficiencies.

CommunityIndividual health, wellbeing and quality of life is closely connected to community. We are committed to the social determinants of health model and will work to assist individuals to achieve their potential and to build community capacity.

Quality, Safety and Environment Providing the best possible care and ensuring a safe and healthy environment. We work to continuously improve our services, identify, eliminate or minimise risks and minimise our environmental footprint.

Innovation/LeadershipInnovation 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.

Professional IntegrityAt all times we will act ethically and with integrity. We will observe responsible business practices, making best use of resources available to the organisation and the community

WorkforceStaff will be treated fairly, consistently and with honesty. We will invest in the development of a skilled workforce that is motivated by collaboration, striving for excellence and achieving outcomes for clients and the community.

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


2014–2015 HEALTH SERVICE SNAPSHOT

154STAFF

2,644URGENT CARE CENTRE

PRESENTATIONS

13,405PRIMARY HEALTH CONSULTATIONS

80+BIRTH

NOTIFICATIONS

59,300MEALS

PREPARED

83%OF CHILDREN

BETWEEN THE AGES OF 0 - 5 ATTEND AN

EARLY YEARS PROGRAM

1,214ACUTE

ADMISSIONS

RADIOLOGYEXAMINATIONS

2,451

STRATEGIC PLAN 2011–2016

The Robinvale District Health Services (RDHS) Strategic Plan 2011 – 2016 outlines our visions and goals for the next 5 years. It acknowledges and responds to the many infl uences and demands on our organisation and sets strategies in place to meet those demands. The strategic outcomes that we strive to achieve have been determined through a comprehensive process.

We have considered our risks, used feedback from our Integrated Management Systems and undertaken exhaustive service planning processes. We have consulted our communities and our stakeholders and have identifi ed opportunities for ongoing improvement and development.

The strategic plan represents the culmination of these varied planning processes and sources of intelligence. It communicates our strategic intent and organises our efforts into a cohesive management process. RDHS Board of Management, Senior Management Team and staff collectively reviewed the Strategic Plan in October 2014. Revised planned actions were established against each strategic outcome.



RDHS has 5 current strategic pillars:

PILLAR 1Delivering Person Centred Services

Planned Action1. Improve case co-ordination and care planning2. Develop and promote service integration and continuity of care3. Make a difference in the area of Aboriginal Health4. Continue to strengthen our preventative health initiatives

It is our belief that we should take a holistic view of the issues that impact on an individual’s wellbeing. Patients and clients must be able to actively participate in decisions concerning their care and clinicians must co-ordinate their efforts to achieve maximum benefi t.

PILLAR 2 Strengthening our Community

Planned Action1. Be proactive in community capacity development2. Invest in the early years3. Meet the changing aged care needs of the community

RDHS is committed to the social determinants of health model and is prepared to take a leadership role in the community working on community capacity development initiatives. It is our belief that a strong and resilient community will have a positive impact on individual wellbeing.

PILLAR 3 Using Resources Responsibly

Planned Action1. Maintain effective financial controls2. Align capital development and improvement with service priorities3. Ensure services are financially sustainable and cost effective

RDHS has achieved acknowledgement for excellence and consistently performs to a high standard. We will work to maintain and where possible, strive to improve these standards of performance. We have a responsibility to achieve the maximum benefi t possible for our communities with the resources that we have available. We must operate effi ciently, make good decisions and apply our resources to areas of greatest need.

PILLAR 4 Investing in an Outstanding Workforce Planned Action

1. Ensure we have a highly flexible and highly skilled workforce2. Commitment to “growing our own” workforce3. Ensure a positive and healthy work environment

If we are to maintain the high standard of our workforce we need to invest in the development of individuals and teams and establish ourselves as an employer of choice. We are committed to staff evaluation and feedback and we support a comprehensive professional development program.

PILLAR 5 Building Organisational Capacity

Planned Action1. Ensure we are safe and environmentally responsible2. Ensure services are evaluated and are of a high quality3. Ensure we manage towards our accountabilities

Governance, management and administrative systems and processes operate within an integrated quality management system that ensures maintenance of standards and provides for ongoing continuous improvement.


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 and Boundary Bend 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.

RobinvaleEuston

Ivan

hoe

Pooncarie

Dareton

Murray R

iver

Murray River

Wentworth

Red Cliffs

Ouyen

WemenBoundary Bend

ManangatangPiangil

Woorinen

Lake BogaMurrabit

KoondrookKerang

Nyah West

Ouyen

Balranald

Denotes RDHS Service AreaVic

NSWMildura

Mildura

Bendigo

Melbourne

Swan Hill

Echuca

Vic

NSWSwan Hill

Ballarat

Nyah

RobinvaleEuston

Ivan

hoe

Pooncarie

Dareton

Murray R

iver

Murray River

Wentworth

Red Cliffs

Ouyen

WemenBoundary Bend

ManangatangPiangil

Woorinen

Lake BogaMurrabit

KoondrookKerang

Nyah West

Ouyen

Balranald

Denotes RDHS Service AreaVic

NSWMildura

Mildura

Bendigo

Melbourne

Swan Hill

Echuca

Vic

NSWSwan Hill

Ballarat

Nyah

Ouyen

MilduraMildura

Swan HillSwan Hill


OUR SERVICESHospital (acute)

•20acutemedicalbeds•Stabilisationandresuscitation•UrgentCareCentre•MaternityProgram-AnteandPost

Natal Care•MaternalChildHealthNursing•Palliativecare•PostAcuteCare•MedicalImaging•RenalDialysis

Aged Care

•RiversideHostel-30LowCareAgedResidential Care beds

•MainMPSsite-14HighCareAgedResidential Care Beds

•ManangatangCampus-10HighCare Aged Residential Care Beds

•RespiteCare•AdultDayActivityandSupport

Service

Primary Care Services

•AboriginalHospitalLiaisonOfficer•EarlyYearsprogram•AgedandDisabilitySupport•AsthmaEducation•ContinenceManagement•Counselling•DiabetesEducation•HealthPromotion/Education•ImmunisationProgram•Men’sPrograms•NutritionandDietetics•OccupationalTherapy•PapSmearScreening/Women’s

Health•Physiotherapy•Podiatry•SocialWork•SpeechPathology•Women’sHealthPrograms

Home Nursing Service

•VisitingNurseService•PalliativeCareNursing/Volunteers•PostAcuteCare

Support Services

•Administration•CustomerServices•ClinicalEducatorservicesto

agencies in Manangatang and Ouyen

•EmployerTrainingPrograms•GraduateNurseProgram•HospitalityandFacilities

Management Services•InformationTechnology•MealsonWheels•OccupationalHealthandSafety•PublicRelations•Supply•RDHSLinenService•VolunteerServices

Services operating from or in association with RDHS:

•AgedCareAssessmentTeam•Agedpsychiatricnursingservice•Audiologyservices•Cancersupport•MeninSheds•Playgroup•Powerpals(exerciseprogram)•Psychiatriccommunitynursing•RuralAmbulanceServiceVictoria•SelfHelparthritisgroup•SeniorsinSchoolsProgram•SexualAssaultTeam •TiaChi

RDHS operates 20 acute beds, 55 residential aged care places (high and low care) and provides accident and emergency services to both the Robinvale and Manangatang communities. The main campus at Robinvale supports a comprehensive range of services that includes Dialysis, Radiology, Midwifery, Visiting Nursing and Community Health Nursing Services. Also based at Robinvale is an Allied Health team (approx 20 staff)fundedviatheLowerMurrayMedicareLocalundertheCommonwealth Government’s Rural Primary Health Services funding stream. RDHS has entered into contract with The Western Health AllianceLtd.AndTheMurrayPrimaryHealth Network to provide Primary Care Services across the region.

RDHS employs 154 staff and has an operating budget of approximately 14 million dollars. We are fortunate to have a high performing management team that takes pride in achieving exceptional business outcomes. RDHS maintains a clear focus on service development and delivery priorities and leverages off strong financial performance to make best use of the resources available to the community.

RDHS has achieved “Whole of Business” certification to the internationally recognisedstandardsofAS/NZS/ISO 9001:2008, AS4801:2001and the environmentalstandardAS/NZS/ISO 14001:2004. RDHS was the first health service in Australia to achieve this standard.

RDHS was honoured at the 2010 Victorian Health Care Awards to be presented with the ‘2010 Rural HealthServiceoftheYear”bythePremier of Victoria, Mr John Brumby. RDHS achieved the same award in 2007 and was the first Victorian rural health service to have received this award twice.

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.


On behalf of the Board of Management and all staff we are pleased to present the Annual Report for Robinvale District Health Services for 2014/2015, this is prepared in accordance with the Financial Management Act 1994.

CHAIRMAN AND CHIEF EXECUTIVE OFFICER’S REPORT


staff in maintaining and indeed surpassing their existing high standard of quality and safety for patients, residents and visitors. RDHS received no recommendations or non-compliances from the audit, further providing evidence of this outstanding achievement. RDHS also measured its performance against an additional two standards, medication safety and blood and blood products, against the National standards with good results. RDHS will be formally assessed against all ten standards in August of 2015. Riverside Hostel maintained its accreditation status with the Aged Care Standards Agency in April 2015.

We continue to work with our partners and our key stakeholders. It is vital to continue to build on these partnerships so we can provide services that meet the community’s expectations. In delivering services in a partnership model with other providers, to the local area, we can increase services whilst maintaining our budgetary allocations. We have many and varied partners including other health service providers, government, local government, non-government agencies, education, local indigenous organisations, and corporates. In addition to our formal organisational partnerships, both locally and across the region, we have many community relationships that are invaluable to our health service planning processes. The health service has formally undertaken many activities this year to recognise and foster these partnerships. On 27 October 2014, RDHS hosted a celebratory event where the Aboriginal and Torres Strait Islander fl ags were raised along side the Australian, symbolising our formal acknowledgement and welcoming to the campus of our indigenous community members. RDHS also hosted an Open Day on the main campus on 16 March, showcasing our primary care services and health promotion activities by cooking up foods that represent healthy living.

We have completed, some with the assistance of the state government, a number of minor works on our three sites including a total refurbishment of the Mortuary, expansion of the Dialysis room, new energy effi cient air-conditioning units, stage 2 of the painting of the Manangatang campus and two new care rooms at the Riverside Hostel to accommodate disabled Residents. In the coming months we will be installing a 100 kilowatt Photovoltaic Power generating system, transforming solar energy into free electricity, further reducing our carbon footprint and ensuring savings in our operating budget. Further details are available in the main body of the report.

Riverside Hostel is now formally a part of RDHS and will beknownas“Riverside”.ThepropertylocatedonLatjeRoad and which accommodates thirty Residents has been generously donated to the health service to continue to provide for aged care into the future. RDHS is grateful to

Cont’d...

The achievements of Robinvale District Health Services outlined in this report would not have been possible without the dedicated commitment of our staff, medical workforce and volunteers.

This year, the Board of Management and Staff have worked hard, to continue to deliver a diverse range of services, whilst maintaining a sound fi nancial base, to sustain our health service, into the future. The Board of Management, together with a range of stakeholders completed a review of our Strategic Plan, now more than halfway through its life. The review considered the fi ve pillars of the current plan and reprioritised the seventeen actions within them accordingly. The outcome of this review has refocussed the organisation’s efforts in continuing to invest into the health services being delivered to the community. The revised strategic plan was reintroduced to the community at the RDHS Open Day where comment was invited from those who attended. The strategic plan is available on our website.

RDHS continues to pursue excellence in the areas of governance, management, continuous quality improvement and service delivery.

New Board members welcomed this year are Clive Bowden and Freule Jones and together they have provided a very enthusiastic and energetic approach to their roles. Marion Rowe retired from the Board after 15 years of service. Marion’s contribution during her time as a Board member was invaluable and RDHS is very appreciative of her input and advice.

RDHS continues to maintain its current levels of staffi ng and our new organisational structure implemented last year appears to be effective in maintaining the operational requirements of the health service. The only change to the senior management team this year has been that of our Manager, Finance, Helen He. Helen left us in April to take up employment in her home town of Adelaide where she had been commuting from for many years. Helen provided RDHS with many years of excellent fi nancial stewardship, establishing sound systems for monitoring the health service fi nances and generally looking after the fi nancial resources we have. This change provided RDHS with the opportunitytopromoteRajNairintoaFinanceOfficerrole and outsource our high level accounting functions to Andrew Arundell of AASB, based in Bendigo.

Hospital wide accreditation has been maintained during the reporting period and our management team and staff are to be congratulated for the outcomes and status achieved. The surveillance Audit, conducted in November 2014, demonstrated a high level of achievement against all standards. The auditing team from TQCSI formally acknowledged the hard work and commitment from RDHS

the Committee for the Aging for this very generous and important gift. RDHS will continue to provide the same high quality of care in a warm and home like environment ensuring our families are cared for with heart.

During this year RDHS staff have presented at a number of National conferences, showcasing our success stories to others. Rachael Stewart presented a health promotion projectwhichreceivedahighcommendationatthestatehealth promotion awards on her program of HERB (Healthy Eating and Resourceful Budgeting); Cindy Hinterholzl presented in Darwin recently, a paper titled, “How do we engage them? How do we keep them engaged?, which continues the success story of the early years program; Glenn Stewart has presented several papers on topics including, working with Philanthropic partners (with our very good friends at RE Ross Trust), training programs for the indigenous youth and the early years program; and LisaTaggerthasdeliveredapaperontheeffectsofdrugson their families to an academic audience. Our staff are talented and indeed passionate about their work, it is not justaboutbeingemployedatRDHS,forourstaff,buthowthey can make a difference to the health of our community.

RDHS welcomed Claudia Hunter, to the role of Director of Nursing, Manangatang campus to the team and Crystal Kirby as VNS Coordinator to the team.

In addition to RDHS farewelling Helen He, Carol Buchecker has resigned from the position of Nurse Unit Manager of Riverside Hostel. We thank Carol for her time at Riverside and her service to RDHS over a number of years and wish her well for her future.

We would also like to take this opportunity to welcome Dr Svitlana Kelada, who this year commenced a part time GP practice in Manangatang to service the local members of the community.

The future of RDHS remains very bright and positive. WehaverecentlyseenthechangefromMedicareLocalsto Primary Health Networks (PHN) an initiative of the commonwealth government to focus on the delivery of primary care services to all communities. RDHS will have in place, two contracts, one with Victoria (Murray PHN) and one with NSW (Western PHN) due to its unique cross border position. RDHS will continue to provide allied health services across a large and diverse geographic area from its team based in Robinvale.

The Board and executive management team will also be exploring opportunities to increase our aged care services over the next twelve months. As our community ages, so does the demand for beds locally. Our bed numbers are capped within our agreement, with the commonwealth and state governments. We recognise that ideally, our loved ones would be best cared for locally, however with only 44 beds in Robinvale and 10 in Manangatang there are times when demand exceeds our bed capacity and families must consider permanent placement out of the area, a situation that is understood by the Board but practically, at times, unavoidable.

In recognising our increasing aged profi le of the health service, we are continuing to develop the buildings and environment to be more comfortable and home like. We have plans to remodel the external area within aged care on the main campus, to provide for a comfortable yet secure area to relax in. We will be making the area easy toaccessandenjoyfornotonlytheResidentsbuttheirfamilies and visitors. We will be adding new plants, new layout and also some birds, to make it a cheery place to be in. Our thanks to the Murray to Moyne team who have generously donated their hard earned funds to support this redevelopment.

At the Manangatang campus we will be remodelling the front patio area to make it safe, secure and weather proof, toenableResidentsonthatcampustoenjoytheoutdoorsin comfort in all weather conditions. Family and visitors willbeabletojointheirlovedonesandenjoytheambienceof the updated environment.

RDHS will continue to seek new opportunities in services, particularly as we are able to work together with our partners and our community. We see engaging with you, as an important part of our future in that, we rely on you, to become active participants in the planning and delivery of care services that will make a difference to your lives, enriching them through good health and wellness. RDHS has responsibilities to service the health needs of their communities and we must do this within our fi nancial capacity. By planning what is needed most by the community, together with you, we can ensure that we are delivering the right services to the right people at the right time.

Our health service continues to receive outstanding support from community groups, auxiliaries and individual volunteers who generously donate time and money to help us to continue to deliver services. Staff are able to work with excellent equipment provided by these kind and generous donations, Thank you to all for this.

We would like to thank and recognise all of those who support us, the Commonwealth and State departments of Health, Board members, all Staff, our Medical Offi cers, our partner organisations and volunteers, who have assisted us to provide quality health care.

Mr Peter CampisiChair, Board of Management

Mrs Mara RichardsChief Executive Offi cer


CHAIRMAN AND CHIEF EXECUTIVE OFFICER’S REPORT

ACKNOWLEDGEMENT TO TRADITIONAL OWNERS

Robinvale District Health Services respectfully acknowledges the traditional owners and custodians both past and present of the land which we service and declare Robinvale District Health Services commitment to reducing the inequalities between Indigenous and non-indigenous health outcomes in line with the Australian Government’s Close the Gap Initiative.

Flag Raising Ceremony, 27 October 2014


“Ourintentiontoday,istojourneythrougha ceremony, that traditionally cleanses the past

and prepares us for the future, both as a health service and a government organisation that welcomes all from

our Community through its doors, especially our indigenous members.”

Peter Campisi, Chairman, RDHSFlag Raising Ceremony, 27 October 2014


DIRECTOR REPORTS


CLINICALRDHS attained accreditation in Standards 1, 2 & 3 in the past year and are prepared to have our facility accredited against all 10 Standards in August 2015. RDHS staff in our acute sectors have been working towards adopting the Standards and entrenching the principles into practice.

• TherenovationtoourDialysisunitwascompletedinJune 2015 and provides a much improved environment for patients and staff. RDHS is grateful to Kidney Health Australia and Monash Health for the use of the Big Red Kidney Bus that enabled our patients to continue their treatment locally whilst building works were undertaken by local tradesmen. Service delivery continues with a morning and an afternoon shift three times per week.

• TheRIPERN(RuralIsolatedPracticeEndorsedRegisteredNurse) program continues and it is envisaged that we will build upon this bank of staff to strengthen our capabilities to manage clinical need in the absence of Doctors’ to support our Urgent Care Centres. It must be noted that the RIPERN nurse will not replace the Doctor or the need to attend the GP clinic during business hours.

• RDHSsawthecompletionofonenurseintheGraduateProgram for Registered Nurses in 2014 – a state wide initiative. We are very proud to see this local Indigenous lady complete her Graduate year with us and to then employ her in the Visiting Nurse Service (VNS). No suitable applicants were employed for the Graduate Program 2015.

• WewereverypleasedtoattractaTraineeEnrolledNurse this year and to continue participation in a Mentoring program with the P-12 College to expose students to the different aspects of the health sector and hopefully encourage them to consider our industry in their future career choices.

• StaffingdisruptionshaveimpactedVNSoverthepastyear in Robinvale. A big thank you is extended to our Enrolled Nursing (EN) staff who have provided service delivery admirably whilst we recruited to the Registered Nurse (RN) role. Also appreciation is extended to Binu Joy RN and Janet Pratt RN who have supported the VNS team. The unexpected staffing disruption also saw us return the HACC Assessment service back to Swan Hill Rural City Council. We are grateful to the continued relationship we have maintained with the Council. VNS delivery has continued at both sites with a review process identifying changes without impacting service delivery and being mindful of our resources.

• MedicalImagingservicescontinuetoprovideourcommunity with invaluable local access to x-ray and ultrasound. Accreditation was achieved with our current equipment and we are exploring our ability to upgrade the ultrasound machine to guarantee optimal services. A current review process is underway and it is expected that a cost will be incurred above the bulk billing payment to ensure we are able to continue offering this important service to our community.

• InfectionControlisconsideredsoimportantinthehealthindustry that it is National Standard 3. Janet Pratt RN leads RDHS in Infection Control and we are eternally grateful to her leadership in this area. We have passed this Standard in 2014 and are very proud of our successes in cleaning audits and Hand Hygiene audits that demonstrate our commitment to maintaining a safe environment for patients and staff. This commitment is reflected in the very low infection rates at RDHS.

• OurClinicalRiskManagementCommitteeoverseesallaspects of our clinical risk areas and provides leadership in clinical decision making, including Antimicrobial Stewardship. This is a health industry initiative that promotes the appropriate use of antibiotics and strives to reduce the antibiotic resistance bugs currently risking patients worldwide.

• RDHSishappytowelcomeDrSvitlanaKeladatotheManangatang community to oversee the care to our residents and low acuity patients. In 2014 we said good byetoDrJoseOmotosoandwethankDrLuccaforhissolo support to our after hours on call roster and to Manangatang.

AGED CARE

The Aged Care Reforms introduced in July 2014 have impacted entry into residential care and created challenges as we strive to meet the needs of the elders of our community that are no longer able to be in their own home. Currently we have 54 residential care beds across our organisation in Robinvale and Manangatang.

Riverside Residential Aged Care CampusOur facility continues to offer exceptional care and supervision to the residents. The Riverside Hostel had struggled with low occupancy rates but an increase in numbers recently has the Hostel fully occupied and 2 beds available for low care respite for community members.

Cont’d...

DIRECTOR OF CLINICAL SERVICES REPORT


DIRECTOR REPORTS

There have been considerable changes to building as we work towards “ageing in place” status in alignment with the Aged Care Reforms. The most notable being the new rooms that offer a more conducive environment for caring for elders with a disability requiring the use of equipment, the installation of inverter reverse cycle air conditioners to all resident rooms and new window furnishings in all resident rooms

Riverside Hostel experienced successful outcomes following an Aged Care Agency spot audit in July 2014 and a full audit in April 2015. Well done to the dedicated staff.

Riverside is well supported by the Allied Health team with regular visits by Social Work, Allied Health Assistants, and Physiotherapy and consults from Dietetics, Occupational Therapy, Podiatry and Speech Therapy. This enhances the general well-being of residents and assists in treating and preventing illness. Our elders are fortunate to have these services offered locally and in a timely manner.

Our local community continues to support the Hostel in many wonderful ways and we take this opportunity to thank those who have contributed. It is important that our residents feel part of their local community. Many of our activities are supported by volunteers and highlights include:

• Monthlysing-a-longperformancesby‘MalleeScrubbers’• TheRobinvaleEustonDanceGroupvolunteertoprovide

music and dancing at the Annual Resident Ball held in August

• Weeklycrosswordactivities

RDHS is very appreciative of all volunteers who assist with activities across all campuses.

Robinvale Nursing HomeThe high care facility at Robinvale is home to 14 residents ( full occupancy) and a waiting list for high care continues with nursing home type (NHT) residents being accommodated within the acute sector for short periods whilst seeking alternative residential care.

The nursing home is well supported by volunteers and ourLeisureActivitiesworkersAllisonandLorraine.Incollaboration with the DON from Manangatang an annual leisure activities planner was developed and has now been rolled out across all RDHS residential aged care.

Manangatang Nursing HomeThe high care facility at Manangatang has provision for 10residents.In2014/15wehavenotbeenabletomaintainnumbers without admissions from the Robinvale district. Manangatang welcomed Claudia Hunter DON to the team andtheyhaveenjoyedsomebeautificationtothebuildingand look forward to further refurbishments in the future. The campus has hosted placement opportunities to TAFE students and school students, developing and supporting

connections within the community. Various activities are offered throughout the year.

PRIMARY CARE SERVICES

RDHS continues to provide a comprehensive suite of Primary Care Services and employs committed, skilled Allied Health Clinicians to service our community. Primary Care Services delivered from the Health and Wellbeing Centre are conveniently co located with midwifery, x-ray and pathology. Our range of services include but are not limited to: Dietetics, Occupational Therapy, Health PromotionOfficer,AboriginalHospitalLiaisonOfficer, Access and Support Worker, Physiotherapy, Podiatry, Social Work, Speech Pathology and Community Health Nurses with skills in several specialist areas including Immunisation, Asthma and Diabetes Education and Women’s Health. In addition to this, we are fortunate to have several visiting specialists and services situated within the Health and Wellbeing Centre. RDHS encourages new partnerships which will further enhance the scope of services provided locally to enhance the health of the community.

Achievements• CorePrimaryCareServicesarecomplimentedbynumerous

Health Promotion Programs with a focus on illness prevention, chronic Illness self-management and community education.

• ExamplesofRDHSpromotinghealthandwellbeingwithin the community are our involvement in the depression, anxiety and mental illness information night in May 2015, providing after hours papscreen clinics to coincide with the Breast Screen Van visit to Robinvale, Health Promotion at the Almond Blossom Festival and thesuccessfulHealthyEatingandLifestyleProgramknownasHEAL.

• ThisyeartheRDHSHealthandWellbeingcentrehostedan open day showcasing services to the community. This was also an opportunity to provide health promotion, the afternoon concluded with a motivational presentation byformerAFLcoachDavidParkin

• Inresponsetoagrowingwaitinglistofchildrenrequiring intervention following diagnosis of a language delay, a new group was initiated by the Speech Pathology department. Through this innovative approach, children who would otherwise wait to receive treatment, participate in a group session and receive targeted intervention.

• HERBotherwiseknownasHealthyEatingand Resourceful Budgeting, is the concept of RDHS Health Promotion Officer Rachael Stewart and was recognised in December 2014 when selected as a finalist for Victorian Health Promotion Foundation Awards. This program promotes healthy eating and aims to provide


young people with the information and skills they need to purchase, choose and prepare good food choices.

• ResidinginruralVictoriacanattimesbeabarriertocommunity members receiving specialist care. RDHS assists in closing this gap in service delivery by our participation in the telehealth program. One example of this is where clients with diabetes needing consultation with an endocrinologist can access this appointment by telehealth in the comfort of our consulting rooms at the Health and Wellbeing Centre.

Challenges• RDHShasworkedhardtomaintainaconsistentstaffing

quota to provide service to the community. While recruitment is not always easy we have adopted other measures including supplementing with short term contracts in order to maintain a staffing level adequate to meet demand.

Future Directions• InthecomingyearRDHSwillcontinuetoprovideindividual

service to community members as well as provide Health Promotion within the Community. Working with other organisations and forming new partnerships is important for the success of programs and in developing our capacity to deliver health messages which will impact our community.

• Anewprogramwillbeavailabletoparents/carersofinfants regarding information on infant nutrition, and in maintaining our commitment to responsive health care, RDHS will continuously review the groups currently on offer to ensure they remain relevant to the needs of the community.

• Anexcitingdirectionforthecomingyearisthework being done in partnership with the Robinvale P12 college to promote health and wellbeing amongst the youth of the town.

HACC (Home and Community Care)• RDHSemploysafulltimeAccessandSupportworker

to assist all HACC eligible people to access appropriate services and ensure clients are aware of the support available which can assist them to live independently in their home for as long as possible.

• Continuousimprovementisafundamentalpartofourservice delivery. To this end we have reviewed the way in which we assist clients to work towards their self-determined health goals. RDHS has adopted and is currently implementing a new Goal Directed Care Plan process which will ensure both the treatment goals of clinicians, along with the specific priorities identified by clients are both met. While this process is largely an initiative aimed at HACC eligible clients, the staff at Primary Care understand the value of this type of partnership for all clients.

• HACCfundedPlannedActivityGroup(PAG)continuestooperate from the Town View room at Riverside Hostel. This is a valuable program which allows senior members of the community to socialise in a stimulating friendly environment. This type of program is once again an enabler for community members to remain living independently in their homes for as long as they are able by reducing social isolation and its related impacts.

MIDWIFERY

Achievements• ParticipationinMaternityConnect(MCP)atSunshine

Hospital for 2 weeks. This fully funded program (MCP) supports Rural Maternity Services midwives and nurses working in maternity services to develop and maintain their skills and competence.

• Regularchildbirth/parentingclassesthroughouttheyearwith some parents travelling from as far as Balranald to attend.

• Purchaseofanewtwinelectricbreastpumpforloantomothers in our community.

• Strengthenedrelationshipsandservicedeliverywithvisiting Perinatal Emotional Health Program (PEHP). PEHP is a model of care in which mental health workers in collaboration with maternity and maternal and child health services provide support and mental health care for women during pregnancy and up to twelve months after the birth of a child. The PEHP aims to provide early interventions for women at risk of or experiencing perinatal mental health problems identified by health professionals who have contact with women during the perinatal period (including midwives, maternal child health nurses, general practitioners, paediatricians, obstetricians).

• Skypeconsults(insteadofface-to-face)withBaker IDI Endocrinologists for Gestational Diabetic clients eliminating travel & accommodation expenses for these families.

• MaintainedavisitingObstetrician/GynaecologistfromMildura Base Hospital on a weekly basis.

Challenges• Majorityoflocalpregnantclientsfallintothehighrisk

category. A pregnancy is considered high-risk when there are potential complications that could affect the mother, the baby, or both. High-risk pregnancies require increased level of monitoring to help ensure the best outcome for the mother and baby.

Cont’d...


DIRECTOR REPORTS

• Toothpacks ProjectStudies show that providing fluoride toothpastes and tooth brushes in high needs communities can reduce tooth decay.

Robinvale Maternal and Child Health service was one ofsixsitesinvolvedinapilotstudyin2012/13totestwhether ‘providing tooth packs to families improved brushing habits in children’.

In response to outcomes from this pilot: A Colgate Grant has supported a partnership between Dental Health Service Victoria, The Department of Education and the Maternal&ChildHealthServicetoenablethisprojectto continue until 2017. Robinvale is one of six sites fortunate to participate in this dental health initiative: that involves dental hygiene education; provision of appropriate size toothbrushes and appropriate fluoride strength toothpaste for the entire family.

• Parent GroupsParent Groups provided opportunities for families to access valuable parenting education and build connections with other parents. First Aid Training, Managing Childhood Anger, Understanding Toddler Behaviours and Infant Nutrition werefacilitatedbyMildura4Life,CentreCare,RDHSDieticianwithsupportfromMCHandEarlyYearsServices.

Future Visions• TheMCHservicethroughitsmodelofprogressive

universalism supports all Victorian families to reach their parenting potential and provides additional supports to those who need it most. Families are engaged and do not experience any environmental, cultural or social barrier when accessing this service.

EARLY YEARS

Achievements • PresentingattheAustralianEarlyDevelopmentNational

Conference in Adelaide on the improvement in children’s vulnerability levels as they enter the primary school environment. This has been a community wide effort withtheRDHSEarlyYearsprogramsbeingamajorplayer in providing education and support to children and families within the community.

• Presentingatthe13thNationalRuralHealthConferencein Darwin. The presentation was titled ‘How do we engage them? How do we keep them engaged?’. The presentationfocusedontheEarlyYearsprogramswithin our community and their impact on children’s development and their ability to learn once at school.

• AssistingYear9studentswhohaveaninterestinEarlyYearsthroughtheRobinvaleP-12Collegementoringprogram.

• Greaternumberofwomenarebeingdiagnosedasgestational diabetics with the changed Australian Diabetes in Pregnancy Consensus Guidelines (ADIPS) also contributing to the number of local high-risk pregnancies

• MilduraPrivatehascommencedapostnatalcareservicewhere women and their partners can stay up to 10 days postnatal. While this is a welcome change we are no longer providing domiciliary home visits to these families.

Future directions• Medicare16400-Changetoelectronicclaimingandtake

advantage of the benefits such as faster payment and less paperwork.

• Explorefurthertelehealthtypeconsultationstoavoidclients travelling far from home to attend specialists

MATERNAL CHILD HEALTH

AchievementsThe Victorian Maternal and Child Health (MCH) Service is a free service available to all families with young children. In partnership with Swan Hill Rural City Council, the service supports every child to be healthy, develop, grow and learn and supports parental health, wellbeing and capacity.

• 2014/15hasseenanincreaseinbirthnotifications:withnumbers predicted to reach 83 by the end of this financial year. This is an overall increase of 25 birth notifications comparedto2013/14.

• Increasednumberofkeyagesandstages(KAS)consultations across all age groups has resulted in increased referrals to enhance health and development. Uptake of these referrals requires a cohesive response from allied health, early years and medical practitioners to meet the balance between wait times and timely assessment.

• TheBiannualMaternalandChildHealthConferencehosted by RDHS (via video conference) from Melbourne Conference Centre continues to be a highlight on the MCH calendar. MCH Nurses from Mildura, Swan Hill, Buloke and Gannawarra Shires continue to embrace this education and professional networking opportunity.

New Initiatives• Play, Learn, GrowPlay,Learn,GrowareresourcesdesignedforMCHnursesto support the crucial role that families play in fostering their children’s learning and development. Nurses use the Play,Learn,GrowresourcesduringKASconsultationsto spark strength based conversations with families about their children’s communication, play and learning.


• WeweresuccessfulinobtainingfundingfortheAssessmentforLearningprogram.TheVEYLDF–VictorianEarlyYearsLearningandDevelopmentFrameworkwillbeused as a training guide and will be partially facilitated by RDHS across 5 training days.

• SuccessfulapplicationforacontinuationoftheMobileVisiting Play Program for a further 2 years.

• HealthPromotionOfficerandotherprimarycarestaffattended play groups, family fun days, out of school hours programs and events to promote the services and the importance of healthy eating and good health to the community.

• Successfulgrantapplicationstoreceivefundingforprofessional development for early years staff within the community around the ‘Strength Based approach’

• SupportingtheCommunityWishingTreeprogramtoensure vulnerable children receive Christmas Gifts.

• AvisitfromtheMilduraOutofSchoolHoursNetworkprovided extremely complementary feedback on our Out of School Hours venue and program.

Future Directions • ContinueddeliveryoftheparentingprogramsTripleP

and Tuning into Kids

• Continuedsupportandeducationtoparentswithinthecommunity on their important role as their child’s first and most important educator. This will include speaking at new parents groups

• Continuetotrainstaffandcommunitymembersinaspects of child development and education to support future growth of the early years in our community

• ContinuetobuildrelationshipswithPrimaryHealthservices, MCH and external service providers to ensure we can best meet the individual needs of families.

Cont’d...


FACILITIES / INFRASTRUCTURE / ASSETS

RDHS continued to invest in infrastructure throughout the year notably replacement of the air-conditioning system in the main campus acute and nursing home building, refurbishment of the mortuary and replacement of mortuary fridge, significant refurbishment of the Riverside Campus to include two bedrooms and ensuite specifically designed toaccommodatedisabledresidentsandmajorupgradesto 8 ensuite bathrooms. There has also been ongoing security system improvements at both the main campus and Riverside.

A special thanks to Peter Rickard and the maintenance teamfortheircontributionstotheinfrastructureprojectsand to all staff at the 3 campuses who put up with disruption totheirenvironmentduringthebuilding/refurbishmentworks.

Investment was made in:• arangeofinformationtechnologyserviceinfrastructure

improvements to support the ever increasing technological demands required to support patient care

• newpatienttelevisionsystemwasinstalledinthemaincampus acute wing. All beds now have flat screen televisions and access to all free to air channels.

• Thedialysisunitbuildingwasexpandedtoaddcapacityfor a 4th chair

• Newultrasoundmachinehasbeenorderedandisduefor delivery August 2015

• Externalblindsfittedtoallwestfacingwindowsofthemain campus hospital and nursing home

• Newlabellingsystemintroducedforthestockcontrol

• arangeofminorinfrastructuremaintenanceprojects

FOOD SERVICES

Our Catering department and Riverside and Manangatang kitchens continued their quality work in the past year. The team of approximately 25 staff provides more than 59,300 meals each year to patients, residents, visitors and staff, including 2000+ Meals on Wheels which service the Robinvale and Manangatang communities.

LINEN SERVICES

The laundry staff continue to provide a high level of service to external customers at Balranald, Ouyen, local medical clinic and motel. RDHS also supplies linen to all three RDHS campuses.

Resident personal laundry is managed from the linen service with delicate precision.

HOTEL SERVICES

The cleaning staff of approximately 10 continued their quality work delivering excellent results.

Compliance was achieved with the relevant legislative cleaning standards, as per the external review processes conducted throughout the year. The clean state of the physical environment is a top priority as it effectively supports the provision of high quality and safe patient care.

SUPPLY

Our Supply department continues to meet the high demands across all campuses. A small team of 1.2 people work tirelessly to collate purchase orders from staff, place orders, receive and dispatch materials to all areas. This year we purchased a labelling (bar coding) system which has enabled the storeman to effectively record incoming and outgoing stock by department. This system enables us to accurately record to the appropriate cost centre.

DIRECTOR REPORTS

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.


ACCOMMODATION

Accommodation in a small rural community is often hard to obtain therefore as a recruitment and retention incentive RDHS does have available a number of RDHS owned fully furnished houses and units in both Robinvale and Manangatang. These are available to staff on an overnight or short term basis.

In2014/15wehadatotalof46individualsaccessing accommodation.

• 18placementstudents(alliedhealth&nursing)for periods of up to 6 weeks per student

• 17staffmembers-overnightstaysandsomeinamorepermanent arrangement

• 7agencynursesforperiodsrangingfrom1weekto3months

• AccommodationhasalsobeenprovidedtotheBreastScreen Van nurses and locum clinicians

INFORMATION TECHNOLOGY

It has been another busy year for the IT Department with anumberofprojectsonthego.

OurlargestprojectwasthereplacementofITcore infrastructureie;networkservers,minorprojectsincludedthe installation of a WiFi solution at the Riverside campus, setup of computers and interactive television in the training room.

A new website is to be launched in September 2015. The website will be consumer focussed and interactive, providing consumers and external stakeholders with current and informative data.

Information Technology Support is responsible for providing user support services for Robinvale District Health Services information technology systems and infrastructure. The key delivery mechanism for this service is via external company Pro Advance.

RDHSisalsoamemberoftheLoddonMalleeRuralHealthAlliance(LMRHA).ICTdevelopmentandsoftware implementationsupportisprovidedbyLMRHA.

HUMAN RESOURCES & OUR WORKPLACE

The Human Resources Department at RDHS is responsible for overseeing “Our Workplace”. The functions of recruitment and retention, professional development, employee support occupational health & safety (including WorkCover) and payroll performed within the HR department.

Amajorachievementfor2014/15wastheimplementation oftheKRONOSTime&Attendanceproject.RDHSjoinedforces with Bendigo Health to implement this system commencing March 2015, 95% of staff now clock in and out each day. This system replaces over 150 manual timesheets that were processed each fortnight reducing payroll processing time, and as of June 2015 is still in the implementation phase. Bendigo Health will provide ongoing support with the KRONOS system.

KRONOS Scheduling ( Rostering) is due to be rolled out in late 2015.

Implementation of the KRONOS Employee Self Service module is also scheduled for later in the year. This will allow employees to log into KRONOS from work or home to view their own timesheets, apply for lease and enter availability.

RecruitmentRDHS continues to experience difficulties in the recruitment of Registered and Enrolled Nurses and many of the Allied Health disciplines. This year has seen an unprecedented number of Agency staff contracted across the 3 campuses. It is becoming increasing difficult for small rural communities to attract health professionals.

RetentionThe challenge this year was to retain Allied Health Clinicians whenitwasknownthattheLowerMurrayMedicareLocal(LMML)fundingwastoceaseonthe30thJuneandtherewas no guarantee that their positions would be refunded for2015/16.July1sawtheintroductionofthe“PrimaryCare Network” (PHN). RDHS has been fortunate to have negotiated the ongoing provision of Allied Health Services to the communities of Robinvale, Manangatang, Ouyen, Wentworth, Dareton and Balranald, this has meant that staff were offered a 12 month extension to their contracts. Retention in Allied Health will be an ongoing issue due to our inability to guarantee on going employment at the end of each 12 months.

Employment & Conduct PrinciplesRDHS is committed to applying merit and equity principles when appointing staff.

The selection processes ensure that applicants are assessed and evaluated fairly and equitably on the basis of the key selection criteria and other accountabilities without discrimination.

All agreements that Robinvale District Health Services is a respondent have been replaced with new Certified Agreementsin2012/2013.

Cont’d...

Employee Remuneration & Benefi tsRDHS contract with Access Pay continues. Most employees now salary package a percentage of their wage in the management of wages for regular payments or savings. Robinvale District Health Services adopts the policy set by Government Sector Executive Remuneration Panel that is also endorsed by the Department of Health & Human Services.

Staff CredentiallingRDHS verifies the credentials of all registered practitioners annually through Australian Health Practitioners Regulation Agency (AHPRA) public access web site or directly with presentation of renewed registration.

Staff Training and developmentEducation is an ongoing commitment of RDHS and assists our staff to maintain, improve and broaden their knowledge, expertise and competence in their area of expertise. All staffaccessonlinetrainingthroughE3Learning,AgedCareChannel, on site mandatory training and various other training avenues depending on their discipline.

Clinical Placement2014/15wasabusyyearforplacementstudents.Placements were undertaken by:

• 19AlliedHealthstudents• 5CommunityHealthnursestudents• 7RNstudentsinAcute• 2ENStudentsatManangatang• 3MedicalstudentsfromRoyalFlyingDoctorServices• 2PCWstudentsatHostel-OneisnowemployedatRDHS.

We have now begun planning for next year’s clinical placement availability which will be booked and coordinated through viCPlace (viCPlace is a web-based information system to assist Victorian clinical placement providers to plan and administer clinical placements with their education provider partners).

Work Experience RDHS took on 19 work experience students from the Robinvale p-12 college in a number of areas and levels of experience. Work experience was provided to students in the areas of allied health, maintenance and aged care. Students spent 1 day per week for 5 to 10 weeks in their chosen area of interest and experiencing the workplace while being supervised and being provided with guidance by qualified staff.

Board of Management trainingRobinvale District Health Services is currently researching training for the Board of Management members on FinancialProbityandCorporate/BoardGovernanceasidentified by the Internal Auditors

TraineeshipsWe currently have 3 employees currently undergoing a traineeship. Two are completing Certificate III in Business, and one is completing a Certificate III in Parks and Gardens.

VolunteersRDHS are currently supported by 60 volunteers that participate in meals on wheels and other activities throughout the three campuses. RDHS are hoping to increase these numbers through community initiatives such as afternoon teas and advertising through local sources and networks.


The table above *(current month FTE) represents all employees that were paid in the month of June and their FTE for calculation for that month.**(YTDFTE)meansallemployeesemployedthroughoutthefinancial year i.e. the sum of each month FTE divided by 12.

The graphs above represent those employees who have worked in the pay period of the month of June. It does not include those employees paid on the paid parental leave scheme and casuals that did not work in the last pay period of the month.

As at 30th June 2015 RDHS had 154 employees or 117.6 full time equivalent employees.

Administration & Clerical Ancillary Support Services Hotel & Allied Services Medical Support Services Nursing Services

18.56

20.58

33.74

4.25

46.57

21.16

22.08

34.3

4.04

45.42

20.91

22.77

34.26

1.12

46.37

20.64

22.13

34.06

1.01

46.32

JUNECurrent Month FTE*

JUNEYTD FTE**Labour Category

2014 2015 2014 2015

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

492722

117.55

1.1644.56

32.3120.2619.26

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

492722

117.55

1.1644.56

32.3120.2619.26

DIRECTOR REPORTS


The graphs opposite represent those employees who have worked in the pay period of the month of June. It does not include those employees paid on the paid parental leave scheme and casuals that did not work in the last pay period of the month.

RDHS are proud to also have the support of 60 volunteers; these volunteers participate in Meals on Wheels and activities across all three campuses. RDHS is eager to increase these numbers through community initiatives such as afternoon teas and advertising through local sources and networks.

At RDHS we strive to ensure all employees have the same values required by the public sector:• Responsiveness–awareness,openness,sensitivity

& approachable• Integrity–honesty&truth

• Impartiality–fairness,neutral&independent• Accountability–responsible&liableforyouractions• Respect–respectfulofeveryone,includingyourself• Leadership–leadbyexample• HumanRights–understandingthateveryonehasaright

RDHS is committed to applying merit and equity principles when appointing staff.

The selection processes ensure that applicants are assessed and evaluated fairly and equitably on the basis of the key selection criteria and other accountabilities without discrimination.

RDHS staff are required to abide by the Code of Conduct which is based on the Code of Conduct for Victorian Public Sector employees.


RDHS has been accredited to ISO 14001:2004 Environmental Management Systems for 5 years, which shows our commitment to the environment by pollution prevention practices, waste minimization, energy usage and elimination of environmentally unfriendly products. The system is audited annually by a third party certification body

The RDHS Strategic Plan also includes our commitment to providing the best possible care whilst ensuring a safe and healthy environment.

RDHS has identified significant environmental impacts and these are controlled as far as practicable. Reductions continue to be made where possible in food waste, energy consumption and water usage and improvements have been made in vehicle efficiency.

In 2014 the Board of Management approved the installation of a renewable energy solution for the main campus. The 100kW solution involves 400 solar panels being installed on the roof structure to generate 162,416 kWh per year (approximately 30% of our overall energy requirements),

Robinvale District Health Services has demonstrated strong environmental credentials and is committed to the principle of environmental sustainability.

ENVIRONMENTAL


• Energyefficientglobesusedthroughoutthehealthservice • Ozonewatertreatmentprocessusedinthelaundry

eliminating the need to use hot water and provides better monitoring and control of chemicals.

• Gardensmulchedandprogrammablecontrolleddrippersystem installed to reduce water requirements

• Wastecardboardandpaperisseparatedandrecycled• PurchaseofSteamCleanerswhichhasresultedina

reduction of harsh chemicals and water by 90%.

• Replacementofbleachasacleanertoanon-hazardouschemical in dialysis equipment

• Batteryrecyclingservice

• HealthandWell-beingCentre-100%carbonneutralfurniture, increase use of natural light and double glaze windows to decrease energy usage.

The graph below shows:BuildingEnergyUseIntensity(GJ/m2);thisistheamountof energy (electricity and gas) used to maintain our campus buildings. Energy use age overall has declined, however higher usage is noted in the September quarter which covers the colder months of the year. Energy costs continue to rise.

Petrol consumption is slightly lower than previous years with a slight reduction of vehicles in the fleet and less kilometrestravelledinthe2014/15year.

resulting in electricity savings of approximately $34,000 inthefirstyear.ThisprojectisscheduledtocommenceinSeptember/October2015.

The air-conditioning system in the main campus hospital /nursinghomehasbeenreplacedwithamodernsystemwhich can be controlled easily per area, per room. The Mitsubishi system reclaims and cleans air thus reducing energy costs. Individual resident room air-conditioners at the Riverside campus have been replaced with efficient inverter reverse cycle models which use less energy and are “green” friendly.

Initiatives that improve the environmental performance of our service include:

• Purchaseorderraisedfortheinstallationofa100kWPVSolar system at the main campus

• Installationofmodernair-conditioningsysteminthemaincampusHospital/NursingHome

• Replacementofresidentindividualroomair-conditionersat Riverside campus

• ExternalbindsfittedtoWestfacingwindowsofthemaincampus hospital and nursing home

• InternalwindowfurnishingsreplacedattheRiversidecampus to better insulate rooms

• PurchasemanyproductsthroughHealthPurchasingVictoria (HPV). HPV do have an environmental policy

• Monthlyarticlesareplacedintheorganisationsnewsletterto inform staff about environmental reduction activities that can be implemented both at work and home.

SEP DEC MAR JUN SEP DEC MAR JUN SEP DEC MAR JUN SEP DEC MAR JUN11/12 12/13 13/14 14/15

Electricity (GJ) LPG (GJ) Petrol (GJ) Diesel (GJ) LPG Auto (GJ)

0

500

1,000

1,500

2,000

2,500

3,000

RDHS ENERGY USE

FINANCE REPORT


PrimaryCareNetworkandtheWesternHealthAllianceLtdto continue allied health service provision to communities in Victoria and New South Wales.

Community initiative activitiesAs community capacity building initiatives RDHS manages theoperationsoftheRobinvale/EustonTouristInformation Centre and the Robinvale Out of School Hours (OOSH) program to support the community. The sustainability of non-health community units is reviewed annually to ensure continuous services to the community.

Aged Care Finance2014/2015wasalwaysgoingtobeachallengingyearwiththe scene set at the end of June 2014 with the commencement ofthe“LivingLongerLivingBetter”strategy.Agreatdealof time and energy was been dedicated to ensuring we had processes in place to preserve and continue the care arrangements for our existing residents and the implementation of the reforms for new residents from 1 July 2014.

From an organisational perspective we do face challenges with the aged care funding component of the Multi Purposes Services funding agreement. A representation of Multi Purposes Services is seeking a review of the aged care component of funding.

This year we have experienced an increase in the number of new permanent residents at Riverside Hostel and Manangatang Campus and the demand for care at Robinvale main campus Nursing Home has remained constant throughout the year. There has also been an increase in the demand and usage of Respite Care. These trends reflect the choice of older members of our community to receive care at home for as long as possible.

As our community continues to age we expect that there will be an increase in the demand for Respite Care. RDHS will continue to provide timely and reliable information and provide support to assist members of our community navigate the aged care system and to understand the changes presented by the industry reforms. This open communication ensures that our community and residents are provided with up to date information regarding the financial considerations associated with their care.

Please refer to the attached Financial Statements for further information.

The Finance Team underwent a number of personnel changesin2014/2015,withtheresignationofFinanceManager Helen He and the introduction of a new Finance Officer position. Australian Accounting Services Bendigo (AASB) has been engaged to provide financial services particularly in the areas of monthly and quarterly reporting to the Board and DHHS, annual financial reporting, budgeting and other items. Also added to the team is an Admin Officer to support not only the team but also the supply area.

The capabilities of our new finance team and AASB will enable Board Reporting to be built upon significantly and improvements made to budget and cost centre reporting to Department Managers. Improved cash flow forecasting andassetmanagementwillalsobeaddressedin2015/16.These system and information improvements will be crucial investments into Robinvale District Health Services future viability.

Audit&RiskSolutionsPty.Ltd.(ARS)werecontractedtoprovide Internal Audit services.

A robust internal audit process was undertaken in 2014/15.Areasauditedinclude:• Payroll• FraudRiskAssessment• AccountsPayable&Purchasing• MonthlyFinancials• FinancialBudget• CommercialActivities• 2014-15FBTreturn• CreditCardtransactions• Purchasingprocedures

The internal auditor verified the effectiveness of RDHS’s internal control and risk management system.

FundingIn addition to operational funding from the Department of Health and Human Services Victoria and the Commonwealth Department of Social Services, RDHS is proud to secure supplementary grants from State and Commonwealth government and other agencies to support the Robinvale community through various programs. Programs such as BestStart,EarlyYears;HIPPY(HomeInteractionProgramforParentsandYoungsters);RuralPrimaryHealthfundingviatheLowerMurrayMedicareLocal(LMML)andAdvancing CountryTowns.LMMLfundingceasesasofthe24thJune2015. RDHS is currently negotiating with the Murray

RDHS remains in a strong financial position. We have continued to maintain our revenue base and controlled expenditure within parameters set by the budget.


Part A

PRIORITY 1 CONSOLIDATING ACUTE CARE AND RESIDENTIAL AGED CARE PROVISION

Multipurpose Services (MPS’s) are required to develop a comprehensive Service Plan which can be of 3-5 years in duration. The Service Plan consists of a series of specifi c goals and strategies which were developed to support a fl exible and sustainable RDHS. The goals and strategies have been clustered as follows:

Below are the key achievements against the Service Plan for the 2013-2015 period.

PERFORMANCE

GOALEnhance Renal Dialysis Capability to meet future demand

GOAL Support and maintain the existing maternity service model

ACTION• RenalDialysisisprovidedlocallyinournewlyrenovatedunitbyourstaffas

a satellite program from the Royal Melbourne Hospital.• Dialysistrainingisofferedtonursingstaffregularlytoserviceunitactivity.

ACTION• AnteandpostnatalObstetricsandGynaecologyservicescontinuetobe

delivered in partnership with Mildura Base Hospital which complements our Midwifery model of care.

• MaternityConnectprogramutilisedtomaintaintheskillsetoflocalmidwives.

Renal Dialysis

Maternity Services

PRIORITY 1 CONSOLIDATING ACUTE CARE AND RESIDENTIAL AGED CARE PROVISION

PRIORITY 2 ENHANCING COMMUNITY BASED HEALTH SERVICES

PRIORITY 3 ACHIEVING SUSTAINABILITY

PRIORITY 4 ENHANCING PERFORMANCE MANAGEMENT

PRIORITY 5 DEVELOPING PARTNERSHIPS

PRIORITY 6 ENABLING PEOPLE

PRIORITY 7 SUPPORTING QUALITY

PRIORITY 8 DEVELOPING INFRASTRUCTURE


GOALEnhance the existing urgent care capability

GOALEnhance the capacity and availability of local GPs

GOALImprove service delivery outcomes through collaboration and partnerships

GOALEnhance the service capability for AOD services

ACTION• RuralIsolatedPracticeEndorsedRegisteredNurse(RIPERN)trainingcontinues

to be offered to staff at RDHS to enhance skills and care delivery to our district, including Manangatang.

ACTION• DrSvitlanaKeladaprovidesGPsupportthroughaprivatepracticetoboth

the Manangatang community and Residential Aged Care Residents. • RDHScontinuestoexploreopportunitiestosupportlocalGPworkload.

ACTION• RDHScontinuestosupportMentalHealthvisitingservicesoutofMildura

Base Hospital. • SupportinitiativessuchastheHURT(HelpUsReachoutTo)forumprovides

the community with an opportunity to engage in Mental Health discussions.

ACTION• NeedleSyringeProgramcontinuestooperatefromtheHealth&Wellbeing

Centre to support community need.• AlcoholandDrugServicesdeliveredbyexternalprovidersissupportedby

the provision of consulting rooms by RDHS.

GOALEnhance the range of specialist consulting services that can be accessed locally

ACTION• VisitingNephrologyfromRoyalMelbournethroughtheMSOAP(Medical

Specialist Outreach Assistance Program) operates a renal clinic for the community and visits our dialysis patients.

• ResidentialcarecontinuestobesupportedbythePsychiatricGeriatricianservices out of Mildura Base Hospital.

• EndocrinologyappointmentsareconductedviaSkypeforpatientswithGestational Diabetes. This service compliments the model of care from the Midwife and Diabetic Educator.

• RoyalFlyingDoctorServicesaresupportedtoprovideOphthalmologyanddental services.

• ContinuedsupportprovidedtothevisitingContinenceService

Specialist Medical Services

Urgent Care

Primary & Community Health - General Practitioners

Community Mental Health – Collaboration and Integration

Primary & Community Health – Alcohol and Other Drugs

PRIORITY 2 ENHANCING COMMUNITY BASED HEALTH SERVICES

PERFORMANCE


GOALMaintain the RPHS grants

GOALImprove service integration within RDHS and between service providers

GOALConsolidate and incrementally improve a range of community based services

GOALDevelop a Service Framework that improves CDM service delivery

ACTION• RDHShassuccessfullynegotiatedwiththenewlyformedPrimaryHealth

Networks (PHN) to continue providing Allied Health services to the communities of Robinvale, Manangatang, Ouyen, Wentworth, Dareton and Balranald. AgreementshavebeensignedwiththeWesternHealthAllianceLtd(WHAL)for services to New South Wales communities and with Murray Primary Health Network for services to Victorian communities. The agreements are fortheperiod1/7/15–30/6/16

ACTION• Promotepolicytobettermanagetheinternalreferralprocess.• Provideaforumforserviceproviderstomeetandestablishrelationships

to better coordinate care delivery.• Embedinitiativestoenhancetheadmission/dischargeprocess.

ACTION• Establishmentofwalkinggroupsandmoderateintensityexercisegroups

which are responsive to the needs of the community.• ChronicDiseaseManagement/PreventionProgramsaredeliveredafter

hours to encourage participation

ACTION• EmbedPersonCentred/GoalDirectedCarePlanningprocess.• SupportvisitingNephrologyservicesfromRoyalMelbourneHospitaltoreach

community members at pre-dialysis stage.• PromotepartnershipstoenhancebetterdiseasemanagementE.g.skype

opportunities for Diabetes with Endocrinology. • ContinuetodeliverHEAL(HealthyEatingActivityandLifestyle)toboththe

community and local employers of large workforces• AssistlocalemployerstoestablishtheAchievementProgram–asystems

approach to a work environment supportive of good health.

Sustainability – Rural Primary Health Service Program

Primary & Community Health – Integration

Primary & Community Health – Other Services

Primary & Community Health – Chronic Disease Management

PRIORITY 3 ACHIEVING SUSTAINABILITY

GOALImprove understanding of the costs of service streams to better manage the service

ACTION• Budgetshavebeendevelopedforeachservicestreamandin2015/16RDHS

will undertake an analysis of each service type to enable an accurate understandingofthefullservicecostperresident/patientperday.

• AlldepartmentmanagerswillreceivetrainingintheuseofPowerbudgettoenable them to better manage their department budgets.

Sustainability – Financial Management


GOALEnsure a robust basis for performance monitoring

GOALEnsure development of innovative and flexible staffing and workforce models to enhance future service delivery

GOALFocus on the development of priority partnerships and alliances

ACTION• ContractedexternalaccountantisprovidingBoMwithamoreinformative

monthly financial report. Over the next 12 months RDHS will endeavour to develop a ‘balanced scorecard’ measurement framework for monthly reporting to BoM and staff.

ACTION• RIPERN(RuralIsolatedPracticeEndorsedRegisteredNurse)trainingcontinues

to be offered to staff at RDHS to enhance skills and care delivery to our district, including Manangatang.

• RDHScontinuestooffertheEnrolledNurseTraineeshipin2015toenhanceour workforce by “growing our own”.

• SupportAlliedHealthProfessionalstogainrecognitionofqualificationsforfull registration in their area of skill.

ACTION• Murray Valley Aboriginal Cooperative- Promote relationships and agreed

practices to better engage with the indigenous community.• AstrongpartnershipcontinueswiththeAboriginalEldersandSenior Managementstaff.TheAboriginalHealthLiaisonOfficercoordinatesthese conversations as required. A periodic meeting has also been established between MVAC senior staff and RDHS senior staff.

• Mildura Base Hospital – Promote dialogue to enhance the referral to and discharge from MBH processes.

• EstablisharelationshipwiththeMBHDialysisUnittopromoteactivesupport to each other.

• GP’s – Supporting the capacity for GPs to provide urgent care on-call services at Robinvale and Manangatang with the RIPERN (Rural Isolated Practice Endorsed Registered Nurse) staff.

• Education Providers–partnershipprojectwithRobinvaleP12Collegeaimsto promote health within the school community with flow on effects to the wider community

Enhancing Performance Management - Monitoring and Reporting

Enabling People – Innovative Workforce Models

Enhancing Performance Management - Monitoring and Reporting

PRIORITY 4

PRIORITY 6

PRIORITY 5

ENHANCING PERFORMANCE MANAGEMENT

ENABLING PEOPLE

DEVELOPING PARTNERSHIPS

PERFORMANCE


GOALDevelop and sustain a comprehensive clinical governance framework

GOALFurther develop effective staff engagement

ACTION· The organisation has successfully met Standards One, Two and Three of the

Australian Commission on Safety & Quality in Health Care National Safety & Quality Health Service Standards 2012 (NSQHS).These are the overarching accreditation and best practice framework for all RDHS services.•StandardOne-GovernanceforSafety&QualityinHealthService

Organisations & Standard Two Partnering with Consumers:•StandardsOneandTwoareinclusiveofevidencebasedpersoncentred

care framework.• AllotherNSQHSStandardsareclinicalandincludeapersoncentredcare

approach to service delivery. · Standard One is inclusive of clinical governance – RDHS continues to operate

a clinical risk management approach at unit and Board level i.e. clinical policy; Board of Management and quality and risk reporting requirements.

· RDHShasdevelopedasystemtoreviewaspectsofthepatientjourneyfrom admission to discharge. The information is collated, graphed and tabled at relevant Committees for discussion.

· Quality plays an active role across the organisation with the involvement of the quality team at committee and direct care level of the organisation.•Provideopportunityforinformalfeedback•Attendclinicalstaffmeetings

· Inaugural quality and safety information community forum conducted during 2015. The organisation plans to hold forums every two years.

· There was an identified need to improve the Quality ethos across the organisation. In 2014 the Accreditation Auditors documented that there was a significant change in the organisational culture and staff have an improved understanding of the quality management and improvement system.

ACTION• RDHScontinuestoassistwiththecostofprofessionaldevelopmentforall

staff, ensuring that skills are maintained. • SuccessionplanningcontinueswithintheInfectionControlandFinance

departments with senior staff taking on mentoring roles.

Enabling People – Innovative Workforce Models

Enabling People – Staff Engagement

PRIORITY 7 SUPPORTING QUALITY


Part B Performance Priorities

Safety and QualityHealth service accreditationResidential aged care accreditationCleaning Standards (Overall)CleaningStandards(AQL-A)CleaningStandards(AQL-B)CleaningStandards(AQL-C)Submission of data to VICNISS*Hand Hygiene program Quarter 2Hand Hygiene program Quarter 3Hand Hygiene program Quarter 4HCW Influenza Immunisation*

TargetFull complianceFull compliance

Full compliance908585Full compliance

75

77

80

75

ActualFull complianceFull compliance

Full complianceAchievedAchievedAchievedFull compliance

Achieved - 90.8%

Achieved - 87.5%

Achieved- 92%

Achieved

SAFETY AND QUALITY PERFORMANCE

*Victorian Healthcare Associated Infection Surveillance*Health care worker influenza immunisation

Patient Experience and OutcomesVictorian Health Experience Survey

TargetFull compliance

ActualFull compliance

Governance, Leadership and CulturePeople Matter Survey Patient Safety Culture

TargetFull compliance

ActualFull compliance

CampusFlexible High CareRobinvale Manangatang

Number 1410

FUNDED FLEXIBLE AGED CARE PLACES

CampusFlexible High CareRobinvale Manangatang Respite care bed daysRobinvale Manangatang

Number 5,0553,015

28241

Occupancy Level %

99%83%

UTILISATION OF FLEXIBLE AGED CARE PLACES

GOALImprove ICT within RDHS to address the technical and functional capability of the organisation (in collaboration with LMRHA)

ACTION• Workhascommencedonthedevelopmentofacoherentinformation

management strategy. The strategy will cover hardware and software requirements for a 3 year period, adoption of the Personally Controlled Electronic Health Record (PCEHR) in work practices and a long term vision of the introduction of the electronic health record to replace current paper medical records.

• WiFihasbeeninstalledatboththemainandRiversideCampuses,withpatients,students and visiting services utilising the service on a regular basis.

• IT(InformationTechnology)coreinfrastructure(i.e.networkservers)werereplaced in late 2014.

• Telehealthopportunitiescontinuetobeexploredwithintheurgentcareandprimary health areas.

• ContinuetoseekfundingopportunitiestointroduceVirtualDesktopInfrastructure(VDI) across the organisation

• Trainingroomestablishedwherestaffhaveaccesstoonlinecomputersandan interactive white board television

Infrastructure – Information Communication Technology

PRIORITY 8 DEVELOPING INFRASTRUCTURE

PERFORMANCE


ServiceMedical inpatientsUrgent care

Nursing home type patients#

Non-admitted patientsRadiology Palliative careDistrict Nursing

Renal dialysisMidwifery (pre & post natal)*

CampusRobinvaleManangatangRobinvaleManangatangRobinvaleManangatangRobinvaleManangatangRobinvale Robinvale

Manangatang

RobinvaleRobinvale

Type of ActivityBed daysBed daysPresentationsPresentationsBed daysBed daysOccasions of serviceNumber of clientsNumber of clientsOccasions of serviceOccasions of serviceNumber of clientsNumber of clients

Activity Level3,029582,334310616204,9023102,451N/A2,167

725

9751,223

ACUTE

# a nursing-home type patient of a hospital, within the meaning of the Health Insurance Act 1973, may be considered to be ‘residing in a nursing home’.

* Services which are not funded or only part funded through the MPS Tripartite Agreement

Service

Speech Pathology*Community Health NursingOccupational Therapy*Dietetics*

Podiatry*

Physiotherapy*

Social Work*

Allied Health Assistant*Cultural Officer*

Health Promotion*Planned Activity Group*EarlyYears*Access and Support Worker*

Activity levels (e.g. occasions/hours of service. By campus)Individual Occasions of serviceGroup attendeesIndividual Occasions of serviceGroup attendeesIndividual Occasions of serviceGroup attendeesIndividual Occasions of serviceGroup attendeesIndividual Occasions of serviceGroup attendeesIndividual Occasions of serviceGroup attendeesIndividual Occasions of serviceGroup attendeesIndividual Occasions of serviceGroup attendeesIndividual Occasions of serviceGroup attendeesGroup attendeesNumber of Group SessionsGroup attendeesGroup attendeesIndividual Occasions of serviceGroup attendees

PRIMARY CARE

* Services which are not funded or only part funded through the MPS Tripartite Agreement

1,3422,0821,2671,2641,5632359364572,5392222,4065651,284-3901,7586431642,5387426313,4791,035124

YEAR IN BRIEF

ROBINVALE ACUTE AdmissionsBed DaysOccupancy RateAverage Length of StayWIESA & E OutpatientsDialysisMANANGATANG ACUTEAdmissionsBed DaysOccupancy RateAverage Length of StayWIESA & E Outpatients

ROBINVALE NURSING HOME

Bed DaysOccupancy RateRespite Bed DaysHOSTELBed DaysOccupancy RateDischarges

MANANGATANGCAMPUS

Bed DaysOccupancy RateRespite Bed Days

2014/15

1212302959%

2389.12

2334975

2583%29

6.79310

505599%

28

988690%

10

301583%241

2013/14

10603478 68%

3 416.78

2438749

5 152 7% 30

10.22138

506899%

0

856478%

10

341594%

16

Variance

14.34%(12.91%)(12.91%)(16.69%)(6.64%)(4.27%)30.17%

(60.00%)(61.84%)(61.84%)

(3.33%)(33.56%)124.64%

(0.26%)0.00%

(5.55%)(6.02%)(9.09%)

(11.71%)(11.70%)

PERFORMANCE INDICATORS (ACUTE)

PERFORMANCE INDICATORS (AGED CARE)


QUALITY AND RISK MANAGEMENT


During the last Accreditation process, RDHS addressed all previous findings and no new issues were identified during the 2014 audit. It was observed that a significant change within the organisational culture was evident throughout all sites and that staff had an intimate understanding of their management system and continual improvement processes and in fact, a number of improvements to the system have been identified by staff during the audit throughout the audit interviews conducted, which further demonstrates the culture of management system ownership by staff and empowerment to make improvements to the system.

We successfully maintained ‘Standards’ and accreditation in November 2014 as required by State and Commonwealth Governments. The required standards and accreditation frameworks are listed below:

• NationalSafetyandQualityHealthService(NSQHS)Standards

• ISO9001:2008QualityManagementSystems• ISO14001:2004EnvironmentalManagementSystems• AS4801:2001OccupationalHealthandSafety

Management Systems, • AustralianAgedCareQualityAgencyStandards(AACQA)• CommunityCareStandards(HACC)

RDHS continues with ongoing work in order to meet all ten Standards as required by Commonwealth and State Governments.

RDHS Successfully maintained Accreditation in 2014-15 for the National Safety and Quality Health Service Standards with compliance for all 109 (including developmental) actions for:

• Standard1–GovernanceforSafetyandQualityinHealthcare

• Standard2–PartneringwithConsumers• Standard3–PreventingandControllingHealthcare

Associated Infections.

During this audit, RDHS completed a self-assessment for;

• Standard4–MedicationSafety• Standard7–BloodandBloodProducts

The Auditors identified nil deficiencies in the compliance of these Standards and a more thorough review will be conducted during the Triennial Audit in August 2015.

We strive hard to ensure we meet the required standards, thereby providing best possible clinical care to people accessing our services whilst also maintaining a safe environment for staff, visitors and clients.

Aged Care AccreditationRiverside Hostel was successfully accredited against the Aged Care Standards by Australian Aged Care Quality Agency (AACQA) in April 2015.

There are 4 standards with 44 outcomes of the Accreditation standards that a facility must comply with these are:

• Managementsystems,staffingandorganisationaldevelopment.

• HealthandpersonalCare.• Residentlifestyle.• Physicalenvironmentandsafesystems.

Riverside Hostel is required to participate in one scheduled audit every three years and one support (un-announced) visit annually. In July 2014 the hostel participated in their support visit and April 2015 the staff and residents participated in their scheduled two day audit and were compliant against all 44 outcomes. This resulted in the hostel receiving re-accreditation for another 3 years, which is an outstanding result. These results give us confidence that all our aged care residents are given the best possible service by our extremely caring staff. The Aged Care areas at Manangatang Nursing Home and Robinvale Nursing Home do not require external accreditation, however with our extensive internal auditing process we ensure that the same processes and procedures are followed at all of our Aged Care facilities.

Consumer/Community FeedbackThe organisation continually seeks consumer feedback through surveys (internal and external), direct contact and our comments and complaints process. All feedback is viewed as ‘opportunities for improvement’ and our aim is to ensure consumers and community members have opportunity in decision processes relating to the safe and effective delivery of services.

RDHS received 9 formal complaints during 2014-2015 year, which was a decrease from the 2013-2014 (10). All complaints were reviewed and responded to in the nominated timeframe. All written complaints are managed by the DepartmentHeadand/orCEOandtheBoardofManagementare provided with feedback reports.

“So Many Standards, So Many Opportunities for Improvements”. RDHS continues to demonstrate this with our ongoing commitment to maintain the Integrated Quality Management System including: health and safety, environmental management; organisational governance; evidenced based clinical care and support services.


SENIOR MANAGEMENT TEAMMrs Mara RichardsMBA,AFCHSM

Chief Executive OfficerThe Chief Executive Officer responsible to the Board of Management for the efficient and effective management of Robinvale District HealthServices.Majorresponsibilitiesincludethedevelopmentandimplementation of operational and strategic planning, maximising service efficiency and quality improvement and minimising risk .

Mrs Leanne AdcockRN, BA App Man, Cert IV TAA, Certified Instructor IANCICI, MRCNA

Director of Clinical ServicesThe Director of Clinical Services manages the clinical operations of RDHS including; Acute Nursing, Residential Aged Care, Primary Care Services, Visiting Nurse Services, Maternity and Maternal Health, Clinical Education and Radiology.

Mrs Vicki ShawcrossBA App Man, Adv Dip Bus Man, Certificate IV Workplace Training & Assessment, AFCHSM

Director Corporate ServicesThe Director Corporate Services has operational responsibility for themajorityofcorporatesupportservicesprovidedtosupporttheorganisation. Financial Services, Human Resources, Health Information Systems,InformationCommunicationTechnology,CapitalProjects,Hospitality Services, Hotel Services, Procurement, Engineering, Maintenance, Fleet , Administration \ Customer Services, Corporate Reporting&Publications,Robinvale/EustonTouristInformationCentre.

Ms Claudia HunterDirector of Nursing – Manangatang CampusThe Director of Nursing has the overall responsibility and management for nursing and associated services at the Manangatang campus of Robinvale District Health Services (RDHS). Services include Acute, Aged, Visiting Nurse, and, Health and Allied employees whilst on site.

Mrs Helen HeFinance Manager (to March 2015)The Finance Manager is responsible for the financial management and reporting requirements of the Board of Management, managers and external bodies, including the Department of Health and Human Services.

OUR DEPARTMENTAL MANAGERSManager Primary CareMrsLisaTaggert,RN

Manager Supply & MaintenanceMr Peter Rickard

Human Resources CoordinatorMrsJulieanneLoy

Quality CoordinatorMs Connie Chirchiglia

Hospitality Services CoordinatorMrs Teresa Mezzatesta

Hotel Services CoordinatorMrs Susan Mattschoss

Clinical Educator / Infection Control Nurse CoordinatorMrs Janet Pratt, RN, Certificate IV Workplace Training & Assessment

Maternity Services ManagerMiss Vicki Broad, RN, RM

Nurse Unit Manager - Riverside Hostel Ms Carol Buchecker, RN(to June 2015)

Nursing Services OfficerMrs Binu Joy, RN

Medical TechnologistMrs Andrea Mays

OUR VISITING MEDICAL OFFICERS & CONSULTANTSGeneral Practitioners

Dr. L. Lucca MBBS TURIN 1981

Dr. Jose Omotoso MBBS UniversityofLagos1981(Nigeria)

Dr Raj Beejadhur MB BCh BAO National University of Ireland (Ireland) 1971

Dr Svitlana Kelada MBBSDonetsk State Medical University (Ukraine)

MANAGEMENT


ORGANISATIONAL STRUCTURE

• Acute Services• Clinical Education• Maternal & Child Health• Medical Imaging• Midwifery• Primary Care Services• Residental Aged Care• Visiting Nurse Service

• Quality Systems• Quality Accreditation• Risk Management

• Accomodation• Administrative Services• Education• Environmental• Finance• Fleet• Health Information• Hospitality Services• Hotel Services• Human Resources• Information Communication Technology• Infrastructure• Linen Services• Occupational Health & Safety• Payroll• Procurement/Supply• Tourist Information Centre

Board of Management

Organisational Structure

Board Sub Committees

Quality

Executive Assistant

Director of Clinical Services Director of Corporate Services

Visiting Medical OfficerChief Executive Officer


THE BOARD OF GOVERNANCE

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 nine member Board of Management (BOM), appointed by the Governor in Council upon recommendation of the Minister for Health.


CAPITAL WORKS AND PROJECTS COMMITTEE (MEETS AS REQUIRED)

Mr P Campisi - ChairmanMr Q Norton - Vice ChairmanMrs S IrvingMrs M Grant

EXECUTIVE GOVERNANCE CREDENTIALING COMMITTEE (MEETS AS REQUIRED)

Mr P Campisi – ChairmanMr Q Norton – Vice ChairmanMrs S IrvingMr D Hulls

The Governor in Council appoints Board Members on the advice of the Minister for Health.

Board Members of Robinvale District Health Services do not receive payment and are responsible for the effective and efficient clinical and corporate governance of the Service and ensure reporting of financial and clinical data is accurate, transparent and in compliance with Government requirements.

RDHS BOARD OF GOVERNANCE 2014–2015Name Office Original Appointment Attendance Record 9 Meeting HeldPeter Campisi Chairman 01.03.1999 100%Quentin Norton Vice Chairman 01.07.2011 100%Merrilyn Grant 01.11.2009 90%Shirley Irving 01.03.1999 90%Mrs Freule Jones 01.07.2014 90%Mr Clive Bowden 01.07.2014 90%Daron Hulls 01.07.2013 80%MaryanneLeslie 01.07.2013 80%Desmond Ryan 01.11.2009 20% ( absent due to illness)

BOARD OF GOVERNANCE MEMBERS 2014–2015Mr P Campisi - ChairmanMr Q Norton - Vice ChairmanMr C BowdenMrs F JonesMrs S IrvingMrs M GrantMr D RyanMr D HullsMrsMLeslie

FINANCE AND RISK AUDIT COMMITTEE(MEETS QUARTERLY)

Mr B Ginn - Chair (Independent Member)Mr Q NortonMr P CampisiMr D HullsMr G Bussell (Independent Member)Mrs M Chirchiglia (Independent Member)


COMPLIANCE

STATUTORY REQUIREMENTS

Attestation for Compliance with Australian/New Zealand Risk Management Standard

I, Peter Campisi certify that Robinvale District Health Services has Risk Management processes in place consistent with AS/NZSISO31000:2009(orequivalentdesignatedstandard)andaninternalcontrolsystemisinplacethatenablestheexecutive to understand, manage and satisfactorily control risk exposures. The Finance and Audit committee verifies this assurance and the risk profile of Robinvale District Health Services has been critically reviewed within the last 12 months.

Mr Peter CampisiBoard Chairman

Robinvale 1st July 2015

Attestation On Data Integrity

I, Mara Richards certify that Robinvale District Health Services has put in place appropriate internal controls and processes to ensure that reported data reasonably reflects actual performance. Robinvale District Health Services has critically reviewed these controls and processes during the year

Ms Mara RichardsChief Executive Officer


Attestation on Insurance

I, Mara Richards certify that Robinvale District Health Services has complied with Ministerial Direction 4.5.5.1 - Insurance

Ms Mara RichardsChief Executive Officer



Occupational Health and Safety

Robinvale District Health Services (RDHS) is committed to enthusiastically working to provide a safe, “environmentally friendly” work environment for all staff and for residents that meet regulatory requirements.

RDHS monitor and maintain the safety and wellbeing of staff, patients, residents, consumers, visitors and contractors through Occupational Health, Safety and Environmental (OHSE) procedures. AmajorcomponenttoensureRDHSremains a safe working environment is through the OHSE committee.

The OHSE committee meet on a bi-monthly basis (every two months) to report and resolve any issue that may arise or have arisen as a result of OHSE. This meeting is minuted and available for viewing by all staff, Managers and Directors.


Robinvale District Health Services (RDHS) standard Work Cover claims

RDHS had a total of two WorkCover claims submitted in the 2014-15 financial year. One was temporary accepted as the employee was deemed fit to return to full duties within a fortnight and the second claim was withdrawn by the employee. RDHS has no outstanding claims for WorkCover.

Freedom of Information

Access to documents and records held by RDHS may be requested under the Freedom of Information Act 1982. Consumers wishing to access documents should apply in writing to the FOI Officer at RDHS.

This year 12 FOI requests were received. No requests were denied. All requests were processed within the required timeframes.

Competitive Neutrality

Robinvale District Health Services complied with all the government policies regarding competitive neutrality.

Statement on Compliance with the Building and Maintenance Provisions of the Building Act 1993

In accordance with the Building Regulations 2006, made under the Building Act 1993, all buildings within the Service are classified according to their functions.

Each campus has a planned preventative maintenance program to ensure ongoing building safety and compliance with regulations.

An Essential Safety Measures Report is prepared annually for each campus and confirms the safety of buildings including fire safety, entry and egress.

Summary of major changes or factors which have affected the achievement of the operational objectives for the year

During the 2014-2015 financial year therewerenomajorchangesorfactors which materially affected the achievement of the operational objectives.

Events subsequent to balance date which may have a significant effect on the operations of the entity in subsequent years

There were no events subsequent to balance date that may have a significant effect on the operations of the entity in subsequent years.

Victorian Industry Participation Policy Act

Robinvale District Health Services abides by the principles of the Victorian IndustryParticipationPolicy.In2014/15therewerenoprojectsundertheVictorian Industry Participation Policy which were above the threshold of $1 million.

Fees and Charges

All fees and charges charged by Robinvale District Health Services are regulated by the Australian Department of Health and Ageing and the Hospital & Charities (Fees) Regulations 1986, as amended and as other determined by the Department of Human Services, Victoria.

Policies and procedures are in place for the effective collection of fees owing to the service.

Publications

Publications such as the Annual Report, Quality of Care Reports, Strategic Plan 2011-2016 and a multiplicity of Patient Information Brochures are available from Robinvale District Health Services.

Information on Robinvale District Health Services is also available online at www.rdhs.com.au

The Protected Disclosure Act 2012

ThemainobjectoftheProtectedDisclosure Act 2012 is to encourage and facilitate the making of disclosure of improper conduct by public officers and public bodies and establish a system for matters to be investigated. The Act provides protection from detrimental action to any person affected by a protected disclosure whether it is a person who makes a disclosure, a witness, or a person who isthesubjectofaninvestigation.

Protected Disclosures are to be reported directly to:Independent Broad-Based Anti-Corruption Commission (ibac)T 1300 735 135 F 03 8635 6444Streetaddress:Level1,NorthTower,459 Collins Street, Melbourne VIC 3000Postal address: GPO Box 24234, Melbourne VIC 3001www.ibac.vic.gov.au/contact-us

Robinvale District Health Services is obligated by legislation to ensure the welfare and protection of genuine persons making protected disclosures, against detrimental action. Any instances of detrimental action against a person making a protected disclosure should be reported immediately to the Protected Disclosure Coordinator (PDC). The PDC is also available to provide advice relating to Protected Disclosure.

Protected Disclosure Coordinator (PDC)MrsJulieanneLoyHuman Resource CoordinatorPhone 03 50 518174

Health Records Act 2001 and Information Privacy Act 2000

The Acts preserve the privacy and confidentiality of information held by our agency. Cont’d...


All patients, residents and clients receive a brochure explaining how their health information will be used and who will have access to such information

All staff are required to undertake privacy and confidentiality training on a regular basis and there are documented policy and protocols relating to privacy and confidentiality within our organisation

The Chief Executive Officer is the designated Privacy Officer and deals with enquiries and complaints relating to the Health Records and Information Privacy Acts

In2014/15therewerenowrittencomplaints with respect to breaches of privacy or confidentiality.

Carers Recognition Act 2012

Under the Act, State government departments, councils, and organisations funded by government to provide programs or services to people in care relationships, need to take all practicable measures to:

• ensurestaffareawareofand understand the principles in the Act

• ensurestaffpromotetheprinciplesto people in care relationships, so that people in care relationships are aware of and understand the principles in the Act

• reflectthecarerelationship principles in developing, providing or evaluating support and assistance for those in care relationships.

RDHS does ensure that staff have an awareness about the Act principles and charter, and what they mean for staff. RDHS also has available for staff copies of the principles of the Act and copies of the charter. The RDHS staff induction package includes information about the Act and charter, and what the Act principles and charter mean in the way staff do their work.

g) details of overseas visits undertaken includingasummaryoftheobjectives and outcomes of each visit;

h) detailsofmajorpromotional,public relations and marketing activities undertaken by the Health Service to develop community awareness of the services provided by the Health Service;

i) details of assessments and measures undertaken to improve the occupational health and safety of employees, not otherwise detailed in the report of operations;

j) ageneralstatementonindustrialrelations within the Health Service and details of time lost through industrial accidents and disputes, which are not otherwise detailed in the report of operations; and

k) alistofmajorcommittees sponsored by the Health Service, the purposes of each committee and the extent to which the purposes have been achieved.

l) Details of all consultancies and contractorsincludingconsultants/contractors engaged, services provided and expenditure committed for each engagement.

Consultancies

In2014/15RDHSdidnotengageanyconsultants where the total fees paid were less than $10,000.

In2014/15RDHSdidnotengageanyconsultants where the total fees paid were more than $10,000.

Additional Information (FRD 22F APPENDIX)

In compliance with the requirements of the Standing Directions of the Minister for Finance,

details in respect of the items listed below have been retained by the Robinvale District Health Services and are available to the relevant ministers, Members of Parliament and the public onrequest(subjecttothefreedomofinformation requirements, if applicable):

a) a statement that declarations of pecuniary interests have been duly completed by all relevant officers of the Department;

b) details of shares held by senior officers as nominee or held beneficially in a statutory authority or subsidiary;

c) details of publications produced by the Department about the activities of the Health Service and where they can be obtained;

d) details of changes in prices, fees, charges, rates and levies charged by the Health Service

e) detailsofanymajorexternal reviews carried out in respect of the operation of the Health Service

f) details of any other research and development activities undertaken by the Health Service that are not otherwise covered either in the report of operations or in a document which contains the financial statement and report of operations;



Legislation Requirement Page Reference

Ministerial Directions

Report Of Operations

Charter and PurposeFRD 22F Manner of Establishment and the relevant Ministers 36, IFCFRD 22F Purpose, functions, powers and duties 6, 37FRD 22F Initiatives and key achievements 25FRD 22F Nature and range of services provided 6

Management and StructureFRD 22F Organisational structure 35 Financial and Other InformationFRD 10 Disclosure index 41FRD 11A Disclosure of ex-gratia payments FSFRD12A DisclosureofMajorContracts 40FRD 21B Responsible person and executive officer disclosures 38, IFCFRD 22F Application and operation of Protected Disclosure 2012 39FRD 22F Application and operation of Carers Recognition Act 2012 40FRD 22F Application and operation of Freedom of information Act 1982 39FRD 22F Compliance with building and maintenance provisions of Building Act 1993 39FRD 22F Details of consultancies over $10,000 40FRD 22F Details of consultancies under $10,000 40FRD 22F Employment and conduct principles 19FRD22F Majorchangesorfactorsaffecting performance 39FRD 22F Occupational Health and Safety 38FRD22F Operationalandbudgetaryobjectives andperformanceagainstobjectives FSFRD 24C Reporting of office-based environmental impacts 22FRD 22F Significant changes in financial position during the year FS

Legislation RequirementFRD 22F Statement on National Competition Policy 39FRD 22F Subsequent events FS

Legislation Requirement Page Reference

FRD 22F Summary of the financial results of the year FSFRD 22F Workforce Data Disclosures including a statement on the application of employment and conduct principles 19, 20FRD 25B Victorian Industry Participation Policy Disclosures 39FRD 29A Workforce Data disclosures 19, 20SD 4.2(g) Specific Information requirements FSSD4.2(j) Sign-offrequirements FSSD 3.4.13 Attestation on data integrity 38SD 4.5.5.1 Ministerial Standing Direction 4.5.5.1 compliance attestation 38SD 4.5.5 Risk management compliance attestation 38

Financial Statements

Financial Statements required under Part 7 of the FMASD 4.2(a) Statement of Changes in Equity Financial StatementsSD 4.2(b) Comprehensive Operating Statement Financial StatementsSD 4.2(b) Balance Sheet Financial StatementsSD 4.2(b) Cash Flow Statement Financial Statements

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

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

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


AAcceditation 33Acute Care 13Aged Care 13, 14Attestation Data Integrity 38Attestation Risk Management 38Attestation on Insurance 38Auditor General’s Report FS

BBoard of Governance 37

CCatchment Map 6Chairman 8-10Chief Executive Officer 8-10Corporate Services 18-21Consumers Rights and Responsibilities 44Customer Feedback 33, 44

DDeclaration Responsible Bodies IFCDepartment Managers 33Disclosure Index 42

EEarlyYears 16-17Environmental 22-23

FFees 39Financial Management 24Financial Performance FS

GGlossary of Terms 44Governance 36-37

HHand Hygiene 30Haemodialysis 31

IInfection Control 13InformationManagement/ Technology 19Internal Auditors 24Integrated Management Systems 35

LLocationMap 6

MMaternal and Child Health 16Medical Imaging 13Midwifery 15

OOccupational Health & Safety 39Organisational Structure 35Our Commitment 2Our Statement of Purpose 2

PPartnerships 9Primary Care Services 7, 14Profile 7Publications 39

QQuality 32-33

RResidential Care 13-14Responsible Officers Declaration FSRisk Management 32-33Role of Board of Management 36-37

SSenior Managers 34Statutory Requirements 39-40Strategic Plan 4-5Statement of Priorities 25-31

VVision 2VMO - Visiting Medical Officers 34Volunteers 20

WWorkforce Composition 20-21

XX-ray/Ultrasound 13

FS - Refers to Financial Statements

INDEX


Australian Standards - National Standards developed by theStandardsAssociationofAustralia/NewZealand.

Best Practice - Measuring results against the best performance of other groups.

BOM - Board of Management Robinvale District Health Services.

Carers-Peoplewhocareforpatients/clientswhoarenot part of Robinvale District Health Services.

Client-Apersonreceivingcareand/ortreatmentfromRobinvale District Health Services.

Continuity of Care - The cycle of care incorporating access, entry, assessment, planning, implementation, evaluation, discharge and community care.

Corporate Governance - Effective, fair, transparent and accountable management of the relationship with the community with integrity to produce an efficient service.

DH – Department of Health, Victoria

DHS - Department of Human Services

DVA - Department of Veteran’s Affairs

EEO - Equal Employment Opportunity

EFT - Equivalent Full Time staffing position

FBT - Fringe Benefits Tax

HACC - Home & Community Care. Funding for services and programs which are provided in the home or community.

Inpatient - A person who is admitted to Robinvale District Health Services for care and treatment.

ISO 9001:2008-AS/NZS9001:2008QualityManagement Systems Requirement.

LMML-LowerMurrayMedicareLocal

Medical Record - Compilation of patient medical treatment and history.

Multidisciplinary - Care or service provided with input from more than one discipline or profession.

Occupied Bed Days - Total number of patients Robinvale District Health Services has in a given period.

Outcome -The result of a service provided.

Patient/Client/ConsumerA person for whom this service accepts the responsibility of care.

PCP - Primary Care Partnership

Quality Activities - Activities which measure performance and identify areas for improvement in our service.

RDHS - Robinvale District Health Services

Separation/Discharge - The process whereby care is completed and the patient leaves the organisation.

Standard -Levelofperformancetobeachieved.

Statutory or legislative requirement - Any requirement laid down by an Act of Parliament.

The Board - The Board of Governance

The Service - Robinvale District Health Services

Values - The principles and beliefs which guide Robinvale District Health Services.

Comments and ComplaintsRDHS invite any comment you may have about the care or service provided by RDHS as this provides an opportunity for service improvement.

Comments or complaints may be directed to the Chief Executive Officer on 03 5051 8111.

If the matter is not resolved to your satisfaction, the Health Services Commissioner who assists with complaint resolution can be contacted on 03 9655 5200.

For Information about Patients’ Right and ResponsibilitiesContact the Quality Coordinator on 03 5051 8122.

To Make a Tax Deductible DonationTo Robinvale District Health Services, or if you are considering a contribution to health care services through a bequest please contact the Chief Executive Officer on 03 5051 8111.

To become a VolunteerContact: Human Resource Manager on 03 5051 8174

To let staff know you are pleased with the service you have receivedWrite to the Quality Coordinator PO Box 376, Robinvale 3549 or call the main switchboard on 03 5051 8111.

StudentsSeeking information about student work experience, should call the Admin Clerk – Human Resources on 03 5051 8179.

GLOSSARY OF TERMS

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Attach Financial Statements 2014-2015.

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

ROBINVALE DISTRICT HEALTH SERVICES APPENDIX B – 5 YEAR FINANCIAL COMPARISON 2015 2014 2013 2012 2011 $000 $000 $000 $000 $000

Total Revenue 16,725 14,479 14,670 14,482 13,775

Total Expenditure 15,043 14,546 15,073 15,017 14,565

Net Result for the Year (Inc. Capital and Specific Items)

1,682 (67) (403) (535) (790)

Retained Surplus/ (Accumulated Deficit)

1,682 (67) (403) (535) (790)

Total Assets 27,661 24,739 28,301 26,153 26,181

Total Liabilities 5,805 4,565 5,501 5,535 5,028

Net Assets 21,856 20,174 22,800 20,618 21,153

Total Equity 21,856 20,174 22,800 20,618 21,153

annual report 2015 - parliament of victoria · 2015-10-06 · robinvale district health services...

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