annual public meeting 27 february 2014 · nslhd website the new look nslhd website launched in...
TRANSCRIPT
Leaders in Healthcare…Partners in
community wellbeing
Annual Public Meeting
27 February 2014
NSLHD Strategic Plan 2012 – 2016
Aligning achievements
NSLHD’s Strategic Plan is framed around three strategic priorities,
each of which drives specific initiatives and actions in the pursuit
of delivering our Vision:
1. Maintaining the health of our Local Health District
(a) Talent & Culture
(b) Clinical excellence
(c) Operational excellence
2. Enhancing the strength and impact of our Local Health District
(a) Community & patient experience
(b) Strategic relationships
(c) Infrastructure
NSLHD Strategic Plan 2012 – 2016
Aligning achievements cont.
3. Enabling transformational change in our Local Heath District
(a) Operating model reform
(b) Academic excellence
(c) Risk, governance & quality
Maintaining the health of
our Local Health District
‘Walk a day in my shoes’
Executive staff swap a day in
the office to participate in
front line hospital roles
Provides an insight into the
everyday challenges in
delivering health care at the
frontline.
Identifies areas of
excellence, commitment,
opportunity and potential
improvement.
Prostate cancer tracking system
World first clinical trial began in
November at the Northern Sydney
Cancer Centre.
Uses a tracking system to improve
prostate cancer radiotherapy
treatment.
Potential to reduce prostate
radiotherapy treatment from eight
weeks to five days.
Trial team hoping to use the
technology in lung, pancreas and liver
tumours.
Canine cancer vaccine trial
Kolling researchers are
producing vaccines that are
prolonging the lives of dogs
with cancer.
64 dogs have been treated.
Vast majority have outlived
their expected survival time.
Next step commercialisation
in the United States.
Mental Health Service silver award
‘No Suppression’ is a
recovery group for people
with mental health issues.
The group won the award for
its role in encouraging
people to share their
creativity through art, music,
poetry, comedy or drama.
Participants report a sense of
fulfilment, happiness and
connection with others.
NSW Health Innovation Award
Doctors and nurses at RNSH
won this award for creating a
series of short films to
educate staff about caring for
deteriorating patients.
Since the films were
introduced in February 2013,
there have been no serious
critical incidents involving
deteriorating patients .
The films are now being
shared with staff in other
NSW hospitals.
Accreditation … November 2013
NSRHS and MHD&A were
successful in achieving full
accreditation for four years:
NSRHS had 12 actions
assessed as “Met with
Merit” (indicating industry
best practice)
MHD&A achieved 23 “Met
with Merits”
Enhancing the strength and impact
of our Local Health District
P.A.R.T.Y. Sydney at RNSH
A program that brings high
school students into hospital
to show them first hand the
effects of risk-related
behaviours like drinking,
using drugs and texting
while driving.
RNSH is the first hospital in
NSW to run the program.
NSLHD website
www.nslhd.health.nsw.gov.au
The new look NSLHD website
launched in December 2013.
It’s user friendly and
contains more information at
your fingertips.
Designed to be mobile and
tablet compatible.
Approximately half of the
27,000 users accessing our
website each month are
doing so from a mobile
phone or tablet.
NSW Senior Volunteer of the Year Award
Norma Unger - one of the
original Ryde Hospital Pink
Ladies – won NSW Senior
Volunteer of the Year in 2013.
The award recognises her 47-
year commitment to Ryde
Hospital.
Norma has been described
as a “living angel”.
Cognitive Decline Partnership Centre
A $25 million Partnership Centre for Better Health to improve the
quality of care for people with dementia in hospitals, community
settings and residential care across Australia.
Based at Hornsby Ku-ring-gai Hospital and led by Associate Professor
Sue Kurrle.
Projects across NSLHD are in the five-year work plan.
Our ageing population will benefit from the work.
headspace Chatswood
headspace is designed for 12
to 25 year olds.
Focusing on early
intervention during the
critical adolescent years.
By ensuring help is accessed
in those early stages, young
people can get things back
on track.
Hornsby Ku-ring-gai Mental Health Centre
A $33.5 million state-of-the-art mental health facility
Includes a 35-bed adult inpatient ward and a 12-bed child and
adolescent inpatient unit
Enhances mental health care for both the Northern Sydney and Central
Coast communities.
Graythwaite at Ryde Hospital
The $41 million, 64-bed inpatient
facility opened in September 2013.
Provides modern and best practice
rehabilitation medicine and models of
care to those living in the Ryde and
North Shore area.
Caters specifically to neurological,
orthopaedic, reconditioning, and
burns and amputee patients.
Enabling transformational change
in our Local Health District
NEAT performance
The 2013 NEAT benchmark of 71 per
cent was consistently met by Manly,
Mona Vale and Ryde Hospitals.
Hornsby and Royal North Shore
Hospitals continued to show
improvement during 2013.
Carers Act and Disability Action Plan
The Disability Action Plan has
seven priority areas:
Identifying and removing
barriers to services for
people with a disability.
Providing information in a
range of formats that are
accessible to people with a
disability.
Making Government
buildings and facilities
physically accessible to
people with a disability.
DAP priority areas continued
Assisting people with a disability to participate in public
consultations and to apply for and participate in government
advisory boards and committees.
Increasing employment participation of people with a disability
in the NSW public sector.
Using government decision-making, programs and operations
to influence other agencies and sectors to improve community
participation and quality of life for people with a disability.
Providing quality specialist and adapted services where
mainstream services are not responsive or adequate to meet the
needs of people with a disability.
Nursing and Midwifery Research and
Innovative Practice Conference
Nurses, midwives and health
professionals shared
developments in nursing and
midwifery research and
innovative practice.
Topics included burns,
rehabilitation, diabetes, child
and family health, surgery,
aged care.
Highlighted contributions
towards excellence in health
care within NSLHD.
eASY
(electronic Antibiotic Stewardship System)
Pharmacists and infectious
diseases specialists created
an electronic approval
system called ‘eASY’ to help
reduce inappropriate
prescriptions.
eASY is designed to improve
patient outcomes and reduce
adverse consequences of
antimicrobial use.
eASY is now available at all
NSLHD hospitals.
Also being offered to other
LHDs.
Finance & Performance 2012/13
Expense/ Revenue Budget Actual
$000's $000's $000's %
Expense 1,240,359 1,269,474 (29,116) (2.35)
Revenue (210,534) (208,596) (1,938) 0.92
Other Items 59,426 62,737 (3,311) (5.57)
Net Cost of Service 1,089,251 1,123,616 (34,365) (3.15)
Variance
2011/12 2012/13 Variance
KPI % % %
NEAT 55.10 67.50 12.40
NEST 1 94.00 99.00 5.00
NEST 2 91.00 93.00 2.00
NEST 3 96.00 92.00 (4.00)
Major National KPIs
Financial Performance
Activity KPIs & Volumes
• The LHD was 3.15% over budget in 2012/13
o Operating costs of the new Royal North
Shore
o Increases in unplanned demand
• ED Presentations increased 5.71% (NSW 2%) –
particularly at RNS, Hornsby, & Mona Vale
• Total Separations – major increases at RNS 10%,
Mona Vale 8%
o Partly NEAT related
KPI 2011/12 2012/13 Variance %
ED Presentations 171,834 181,640 9,806 5.71
Total Separations 112,819 120,824 8,005 7.10
NWAU 129,049 132,484 3,435 2.66
Major Activity KPIs
• NEAT improvement of 12%
• Improvement to NEST performance in Category 1
& 2
• NEST 3 below target, though target was being
achieved by June 2013
Current challenges, opportunities and
future directions
Capital works
RNSH; Ryde; Hornsby; Northern Beaches – NB Hospital,
Mona Vale and community health centres
Clinical services planning
Increased partnering with the academic, commercial, no-for-
profit, primary care sectors
Agreed strategic priorities in 2014-6
Development of Integrated Models of Care
Development of an Academic Health Science Centre in the
Northern Sydney Local Health District
Commitment to a cultural change that will facilitate efficiency in
the delivery of health care and equity of access across the
health district.
Integrated models of care
Development of Integrated models of care
What populations do we serve?
What care do we deliver and where (with a focus on delivering
more care in the home environment)?
How well do we do it?
What are the risks and opportunities?
What are our plans for the future?
Are training, education and research integrated to improve care,
increase knowledge and train the next generation of health care
workers?
Academic Health Science Centre
The population expects we will constantly re-engineer the health
system to provide excellent services that reduce variation in outcome,
no matter where one enters the health system and guards against
inappropriate and ineffective treatment
We need to enable the workforce to develop and implement better
treatments for existing conditions
The community expects that we will continually research the cause of
disease, treatments of disease and when appropriate facilitate the
patient’s access to new therapies
We need improved interaction with the commercial sector to facilitate
implementation of novel therapies sooner than currently occurs
Academic Health Science Centre
promote excellence in health and medical research where clinical care
is provided
encourage collaboration between researchers on these campuses
promote the uptake of research into improving clinical practice
develop innovative models of care
ensure efficient use of research facilities on the campus;
foster increased training in research of health care professionals; and
provide national leadership in excellence in research translation, to
provide “flagship” examples to the whole health care system.