annual report & financial statements 2011 - 2012 · 2018. 11. 17. · 8 djerriwarrh health...

DJERRIWARRH HEALTH SERVICESAnnual Report & Financial Statements

2011 - 2012

2 Djerriwarrh Health Services Annaul Report & Financial Statements 2011-2012

3Djerriwarrh Health Services Annaul Report & Financial Statements 2011-2012

RESPONSIBLE BODIES DECLARATION

In accordance with the Financial Management Act 1994, I am pleased to present the Report of Operations for Djerriwarrh Health Services for the year ending 30 June 2012.

__________________________

Michael Tudball, AFSM

President of the BoardBacchus Marsh

17th August 2012

Report of Operations


ATTESTATION FOR COMPLIANCE WITH AUSTRALIAN / NEW ZEALAND RISK MANAGEMENT STANDARD

I, Michael Tudball, certify that Djerriwarrh Health Services has risk management processes in place consistent with the Australian / New Zealand Risk Management Standard and an internal control system is in place that enables the executives to understand, manage and satisfactorily control risk exposures. The Risk Review Committee verifi es this assurance and that the risk profi le of Djerriwarrh Health Services has been critically reviewed within the last 12 months.

_____________________________


President of the Board Bacchus Marsh 17th August 2012

ATTESTATION ON DATA INTEGRITY

I, Bruce Marshall, certify that Djerriwarrh Health Services has put in place appropriate internal controls and processes to ensure that the reported datareasonably refl ects actual performance. Djerriwarrh Health Services has critically reviewed these controls and processes during the year.

_____________________________

Bruce Marshall, OAM

Chief Executive Bacchus Marsh 17th August 2012

Report of Operations


COMPLIANCE DISCLOSURE INDEXThe Annual Report of Djerriwarrh Health Services (DjHS) is prepared in accordance with all relevant Victorian legislation. This index has been prepared to facilitate identifi cation of the Health Service’s compliance with statutory disclosure requirements.

Ministerial Directions Report of Operations

Legislation Requirement Page ReferenceCharter and Purpose

FRD 22C Manner of establishment and the relevant Ministers 13FRD 22C Objectives, functions, powers and duties 7,14-15FRD 22C Nature and range of services provided 20-21

Management and structureFRD 22C Organisational structure 9

Financial and other informationFRD 10 Disclosure index 5FRD 15B Executive Offi cer Disclosures 8 - 10FRD 21B Responsible person and executive offi cer disclosures 8FRD 22C Application and operation of Freedom of Information Act 1982 22FRD 22C Application and operation of Whistleblowers Protection Act 2001 21

FRD 22C Compliance with building and maintenance provisions of Building Act 1993 21FRD 22C Details of consultancies over $10,000 29FRD 22C Details of consultancies under $10,000 29FRD 22C Major changes or factors affecting performance 26FRD 22C Occupational Health and Safety 22FRD 22C Operational and budgetary objectives and performance against objectives 26FRD 22C Signifi cant changes in fi nancial position during the year 26FRD 22C Statement of availability of other information 6FRD 22C Statement on National Competition Policy 21FRD 22C Subsequent events 29FRD 22C Summary of the fi nancial results for the year 24, 25FRD 22C Workforce Data Disclosures including a statement on the application of employment and conduct principles 21, 22, 29FRD 25 Victorian Industry Participation Policy disclosures 21SD 4.2.(j) Sign-off requirements 3SD 3.4.13 Attestation on Data Integrity 4SD 4.5.5. Attestation on Compliance with Australian/New Zealand Risk Management Standard 4

Financial Statements Financial statements required under Part 7 of the FMAnancial statements required under Part 7 of the FMASD 4.2(a) Statement of Changes in Equity 3SD 4.2(b) Comprehensive Operating Statement 1SD 4.2(b) Balance Sheet 2SD 4.2(b) Cash Flow Statement 4 Other requirements under Standing Directions 4.2.

SD 4.2(c) Compliance with Australian accounting standards and other authoritative pronouncements 6SD 4.2(c) Accountable offi cer’s declaration inside coverSD 4.2(c) Compliance with Ministerial Directions 6SD 4.2(d) Rounding of amounts 17

FRD 11 Disclosure of ex-gratia payments 28

Index


COMPLIANCE DISCLOSURE INDEX CONTINUED

Legislation

Freedom of Information Act 1982 22Whistleblowers Protection Act 2001 21Victorian Industry Participation Policy Act 2003 21Building Act 1993 21Financial Management Act 1994 24

Additional information (FRD 22C Appendix)

The following information is available upon request to the Chief Executive Offi cer by relevant Ministers, Members of Parliament and the public, subject to the provisions of the Freedom of Information Act:

• a statement that declarations of pecuniary interests have been duly completed by all relevant offi cers;

• details of shares held by a senior offi cer as nominee or held benefi cially in a statutory authority or subsidiary;

• details of publications produced by the entity about itself, and how these can be obtained;

• details of changes in prices, fees, charges, rates and levies charged by the entity;

• details of any major external reviews carried out on the entity;

• details of major research and development activities undertaken by the entity;

• details of overseas visits undertaken including a summary of the objectives and outcomes of each visit;

• details of major promotional, public relations and marketing activities undertaken by the entity to develop community awareness of the entity and its services;

• details of assessments and measures undertaken to improve the occupational health and safety of employees;

• a general statement on industrial relations within the entity and details of time lost through industrial accidents and disputes;

• a list of major committees sponsored by the entity, the purposes of each committee and the extent to which the purposes had been achieved; and

• details of all consultancies and contractors including:

- consultants/contractors engaged;

- services provided; and

- expenditure committed to for each engagement.

Index


MISSION STATEMENT Helping people of our community to better health and well-being

VISION STATEMENT Providing quality integrated health services within available resources to the people of our community and encouraging personal responsibility for health care

VALUES Djerriwarrh Health Services is committed to the following values which underpin the basis of our principle key objectives

• Integrity and professionalism

• Team work

• Effi cient and cost effective services

• Maximised patient/client satisfaction

• A commitment to quality outcomes

• Respect for all staff

• Management by fact

• Performance accountability

THE EIGHT (8) KEY OBJECTIVES

1. Patient/Client – Clinical Services

‘To promote core clinical services and to consider further enhancements in response to identifi ed and evaluated community needs’.

2. Staff

‘To enhance the performance of staff in an environment of change by developing and implementing appropriate training’.

3. Community 'To promote health and well-being while addressing the broader determinants of health of our community'.

4. Quality

‘To develop a quality based patient/client care system, which adheres to the principles of continuous improvement’.

5. Financial/Business/Casemix

‘To optimize the fi nancial position of DjHS by adopting a strategically planned approach to health service delivery’.

6. Management

‘To develop systems and processes to ensure effective and effi cient management outcomes that fl ow through to patient/client care’.

7. Information

‘To build and enhance the DjHS’ management information systems, to ensure management by fact’.

8. Physical/Resources

‘To upgrade/develop the physical and equipment resources of DjHS’.

Djerriwarrh Health Services


BOARD MEMBERSHIP AS AT 30TH JUNE 2012

President

Mr. Michael Tudball, AFSM, FAICD, MBA, Grad. Dip. Bus (Mgt)

Vice President

Mr. Eric Sharkey

Treasurer

Mrs. Claire Sutherland

Board Members

Mr. Salvatore Cristiano, BComp Sci (Hons), Grad. Cert Bus. Admin

Mrs. Helen Dobson, R.N. (Div.1), Cert.IV Training and Assessment

Mr. Hayden Legro, B.A., LL.B., B.Theol.

Mr. John Payne, FCPA, Dip.Acct

Ms. Sophie Ramsey

Mr. Dirk Sauer, JP; BJ

Chief Executive

Mr. Bruce Marshall, OAM, BJ; JP: B. Bus (Acct) Mgt, FCPA, MHA, AICD, AIBA, FTIA, AIIA

Corporate Governance


REPORT STRUCTURE

Board

Chief ExecutiveBruce Marshall OAM

Deputy Chief ExecutiveDavid Grace PSM

Personal AssistantTerri Drewitz

Capital Infrastructure Development, IT Services,

Clinical Service Development & Enhancement, Focus on

services located in Melton ShirePersonal AssistantShaylene Wootten

Risk Management, Quality Strategic Directions, Healthcare

Service Development, Staff Appraisal & Financial Integrity Focus on services located in

Moorabool Shire

Director Allied HealthGlenda Cairns

Director of NursingJulia Meek

Director of FinanceJames Rubeli

Director of Clinical & Quality Support Services

Elizabeth Wilson

Consultant Director of Medical Services

• A/Manager Community Health & Health Promotion/Chief Dietian Melissa Sapuppo

• Manager of HACC & Chronic Disease Kerryn Jorgensen

• Manager Counselling Services Joan Eddy

• Manager Adult Health Vida Pranskunas

• Manager Women & Children’s Health Joaquin Benedicto

• Manager Health Information Anglea Mayhew

• Manager Dental Services Cindy Sutton

• Nursing Unit Manager Women's Unit Mary Little

• Nursing Unit Manager Medical/Surgical Paul Hilder

• Nursing Unit Manager Residential Care Tineke Carr

• Nursing Unit Manager Theatre Services Linda Aykens

• Nursing Unit Manager Day Medical Mandy Cullen

• Nursing Unit Manager Community Nursing Jane Cape

• Manager Clinical Nurse Education Sheryl Beech

• Manager Pharmacy Services Lisa Daly

• Assistant Directors of Nursing

(ADONS)

• Manager Finance Tony Grixti

• Manager Information Technology Colin Leggatt

• Manager Human Resources Kay Robertson

• Supply and Purchasing Doug Berry

• Marketing and Design Robin Bristow

• Fundraising

• Payroll

• VMO

• Salaried Specialists

• Career Medical Offi cers

• Administration

• Manager Food Services Archie Small

• Manager Engineering Services Brian Simpson

• Manager Environmental Services Debbie Hutchinson

• Clinicial Risk Management

• Accreditation

• Occupational Health & Safety

• VMO

• Salaried Specialists

• Career Medical Offi cers

• Dentists

• Dental Therapists

Corporate Governance


EXECUTIVE MANAGEMENT TEAMChief Executive Bruce Marshall OAM, BJ; JP: B. Bus (Acct) Mgt, FCPA, MHA, AICD, AIBA, FTIA, AIIA

Deputy Chief Executive David Grace PSM, R.N.( Div.1) ,Dip.App.Sc (Nursing), B Hlth.Sc.(Nursing), MNurs(Hon)

Director of Allied Health ServicesGlenda Cairns, MRA, Adv.Dip.Bus.Man

Director of Finance Mr. James Rubeli, B.Bus (Acct), FCPA

Consultant Medical Director Dr. Lee Gruner, BSc., MBBS, BHA, FRACMA, MBA (Exec), GAICD

Director of Nursing Julia Meek, R.N. (Div.1),Midwife, BHlthSc(Mgt), MB(HRM)

Director of Clinical and Quality Support Services Elizabeth Wilson, BApp.Sc(Physio), MCSP, P.Grad.Dip.Hlth.Admin, MAnSci (Physio)

Executive Support Offi cers Terri DrewitzShaylene Wootten

Management Teams


Assistant Directors of Nursing Jo Ballard, R.N.(Div.1), B.HlthSc.(Nurs), Midwife

Chris Braden, R.N.(Div.1), B.Nursing , Grad.Cert.S.I., MRCNA, Nurse Immuniser

Sharon Gibbens, R.N.(Div.1), Midwife, B.Nursing (Post Reg), Grad.Cert. Education, Grad. Cert. Critical Care, Cert IV Project Mgt, Cert IV Frontline Mgt

Jenny Hallam, R.N. (Div.1), Midwife

Jenny Vanderpoel, R.N. (Div 1), Midwife

Colleen O’Sullivan, R.N. (Div 1)

Mgr. Adult Health/Chief Physiotherapist Vida Pranskunas, BApp Sc (Physio) .Grad. Dip. Hlth.Ser.Mgmt

Mgr. Clinical Nurse Educator Sheryl Beech, R.N.(Div.1), .BHlthSc.(Nurs), Grad.Cert. Nurse Mgt; Cert.IV Training and Assess., Cert IV Frontline Mgt, Cert IV Project Mgt,

Mgr. Community Health/Health Promotion/Chief DietitianJoy Blackburn, B.App.Sc(HM), MND, AN, APD (resigned July 2011)

Melissa Sappupo, B.Sc., BND (appointed September 2011)

Mgr. Community Nursing Services Jane Cape, R.N. (Div 1)

Mgr. Counselling Services/Social Work Joan Eddy, B.A. (Psych), B.S.W.

Mgr. Day Medical Mandy Cullen, RN (Div 1), BHlthSc. (Nursing), Grad.Cert Hlth.Ser.Mmt

Mgr. Dental Services Cindy Sutton, Dip.Bus(Frontline Mgt), Ass.Dip.Soc.Sci.(Child Care),CertIV Training/Assess.

Mgr. Engineering Services Brian Simpson, Lic.SEC Vic, Cert.SIC, MIHEA

Mgr. Environmental Services Debbie Hutchinson

Mgr. HACC and Chronic Disease/Chief Speech Pathologist Jenelle McHugh, B.Sp.,MSPAA,CPSP, Dip(Frontline Mgmt) –(Maternity Leave November 2011)

Kerryn Jorgensen,BSc (Occ.Th), (Acting Mgr. HACC and Chronic Disease from November 2011)

Mgr. Health Information

Andrea Cochrane, BHlthInfoManagement(resigned December 2011)

Angela Mayhew, BHlthInfoManagement(appointed January 2012)

Mgr. Food Services Archie Small, Dip.Bus(Frontline) Mgt,Cert IV Assessment/Training)

Mgr. Human Resources Kay Robertson, B.Adv.Mgt, Adv.Dip.Bus.HRM

Mgr. Information Technology Colin Leggatt, Assoc.Dip.Bus

Mgr. Maternity ServicesMary Little, R.N. (Div 1), Midwife , B.HlthSc. (Nursing)

Mgr. Medical/Surgical ServicesPaul Hilder, R.N.(Div.1).,B.HlthSc.(Nursing), Grad.Dip(Occ Hazard) Mgmt

Mgr. Pharmacy ServicesLisa Daly, BPharm

Mgr. Residential Care Services Tineke Carr, (Div 1), BHlthSc. (Nursing), Grad. Dip.Hlth Services Mgmt.

Mgr. Theatre Services/Infection Control CoordinatorLinda Aykens, R.N. (Div.1)., Midwife, Grad.Cert.S.I.C., MACN

Mgr. Women and Childrens’ Health /Chief Occupational Therapist Joaquin Benedicto, PhD , M.O.T.(Prac). M.A.Ed-SpEd, BSc.OT, OTR/L,OTRP, Reg OT(Aus)

Mgr. Finance Tony Grixti, B.Bus (Econ.Acct), CPA

SENIOR MANAGEMENT TEAM

Management Teams

Minister of Health and AgeingHon. David Davis MLC

Bankers Westpac Banking CorporationCommonwealth Bank

Auditors (external) AASB Accounting and Audit Solutions

Auditors (internal)MGR Accountants

Solicitors(1) Health Legal (2) Legro lawyers


Anaesthetists Dr. Mathew Bowman

Dr. Mathew Hayhoe

Dr. Mohammad ali Rahmati

Dr. Fiona Tesarsch

Cardiologist Dr. Quentin Forrest

Dermatologist Dr. Josie Yeatman

Ear, Nose & Throat Surgeons Dr. Perry Burstin

Mr. Avdo Zahirovic

Endocrinologist Dr. Leo Rando

General Physicians Dr. Peter McCarthy

Dr. Susheel Sharma

Dr. Poroor Vikraman(resigned January 2012)

General Surgeons Miss Ruth Bollard

Mr. Ian Faragher

Mr. Ananth Nagesh

Mr. Hugh Roberton

Nephrologist Dr.Christoph Gadztka

Obstetricians/Gynaecologists Dr, Michael Bardsley

Mr. Claude Calandra

Dr. Russell Dalton

Mr. Surinder Parhar

Dr. Sadaf Rizwan

Oncologists Dr. Rodney Bond

Dr. Shing Tung Fan

Oral Surgeon Mr. Graeme Fowler

Orthopaedic Surgeon Mr. Ishfaq Hussaini

Mr. Russell Miller

Palliative Care Physician Dr. David Brumley

Paediatrician Dr. Nigel Hocking

Dr. Zoe McCallum

Dr. Riju Mittall

Respiratory Physician Dr. Simon Frenkel(resigned April 2012)

Urologist Mr. David Cook

Vascular Surgeon Mr. Gary Frydman

Dr.Rakhi Basu

Dr. Jocelyn Benedicto

Dr.Chris Irwin

Dr. Vlad Maksoutov

Dr. Darra Murphy

Dr. David Poustie

Dr. Stephanie Tan

Dr. Richard Yang

Medical Offi cers 2011 -2012

CAREER MEDICAL OFFICERS

SPECIALISTS

VISITING MEDICAL OFFICERSDr. Santino Bronchinetti

Dr. Greg Coates

Dr. Robert Hosking

Dr. Niresh Madhanpall

Dr. Anne Peterson(resigned January 2012)

Dr. Valerie Peers

Dr. Mark Robson

Dr. Ravin Sadhai

Dr. Peter Schlesinger

Dr. Sivinand Sooknandan

Dr. Damien Strangio

Dr. Quentin Tibballs

Dr. Marcus Watson

Dr. Paul Williams

Dr. Woodrow Wu

Dr. Noor Zannat


THE GOVERNING BODYDjerriwarrh Health Services was incorporated under the Health Services Act 1988 Part 3 on the 1st April, 1998 by the Governor-in-Council, acting on the recommendation the Minister for Health made after receiving advice from the Secretary of the Department of Human Services, under Section 64A of the Health Services Act 49/1988, and acting under Section 65 of the Act.

Djerriwarrh Health Services is accountable, through its Board, to the Minister for Health and Ageing, the Hon. David Davis MLC.

In accordance with the Health Services Act 1988, Division 4, Section 33, the Board has affi rmed that the Chief Executive and Staff will carry out the policies and procedures of Djerriwarrh Health Services with due diligence. The Board, in compliance with the Health Services Act 1988, Section 25 has appointed a Chief Executive, approved by the Secretary of the Department (Sec 25(s)).

The nine Board members who represent the community are recommended to the Minister and appointed by the Governor in Council. The term of appointment for a member of the Board is usually a three year term.

In accordance with the Health Services Act 1988, the function of the Board is to oversee and strategically govern Djerriwarrh Health Services and to ensure that the services provided comply with the requirements of the Act and the objectives of Djerriwarrh Health Services. The role of the Board is pivotal in successful strategic planning and implementation of policies that set the agenda for the future. Good leadership and corporate governance not only encourage professional standards of care but also establish the structures by which the key objectives can be set and performance standards measured.

President's and Chief Executive's Report


BOARD COMMITTEESThe Board relies on their supporting Committees to provide strategic direction and advice for the organisation. Minutes of these meetings are agended at Board meetings. Involvement of the local Community is an integral part of this process. The Committee which directly involves community members, aside from the Board members, is the Strategic Health Forum.

Strategic Health ForumThe Strategic Health Forum’s membership consists of the Chief Executive Offi cers and Councillors/Board Members from the Moorabool Shire Council, the Shire of Melton and Djerriwarrh Health Services. The membership is reviewed and/or changed once a year. The purpose of the Forum is to share information which enables the three organisations to collectively pursue appropriate health service enhancement to our communities as well as to identify strategic actions to instigate new initiatives and address service delivery gaps. During the past year the Forum met on three occasions. At these meetings, the strategic objectives of the Board’s key areas are discussed. During this year discussions have taken place around the General Practitioner Workforce issues. The cessation of Water Supply Fluoridation was another topic of discussion; with the signifi cant regional population of young persons the discontinuance of fl uoridation is of considerable concern and impact in terms of dental health for our community .

Remuneration CommitteeIt is the policy of Djerriwarrh Health Services to operate in full compliance with the Government Sector Executive Remuneration Panel (GSERP) and acknowledge that GSERP establishes the Government Policy on executive remuneration for Government Business Enterprises and Statutory Authorities.

The Remuneration Committee of Djerriwarrh Health Services comprises the Board Offi ce Bearers (President, Vice President and Treasurer) and meets on a scheduled basis to review the performance of the Chief Executive against his Performance Management Plan and also to review the $ Total Remuneration Package paid to the Chief Executive within guidelines of the GSERP provision. In addition, individual Executive Directors of the organisation attend these meetings on a scheduled basis to explain how their performance links into the Performance Management Plan of the Chief Executive. In keeping with the policy of the Health Service, all Minutes of the Remuneration Committee are included in the full Board agenda papers to ensure that all Board Members are fully informed.

Finance/Audit Review CommitteeThe Finance/Audit Review Committee assists the Board in overseeing the fi nancial performance and fi nancial reporting processes of the organisation, including the annual fi nancial statements. The Committee also ensures an internal audit program is in place and ratifi es the engagement and dismissal by management of any internal audit provider (A 3 year Internal audit plan was approved in 2011-12). The Finance/Audit Review Committee considers fi nancial risk management reports from management as well as reporting fi nancial risks to the Risk Review Committee. The Finance/Audit Committee reviews and ratifi es all fi nancial policies. The Committee comprises four Board members, with the Chief Executive and Director of Finance attending meetings but not having any voting rights. During 2011-2012, this Committee met on nine occasions.

Risk Review CommitteeCommittee membership comprises Board representation as well as all the Executive team. This Committee met on three occasions during the year. Among the ‘risks’ discussed during the year was the ‘Impact of Population Growth’. This is considered a high risk to the Health Service, with possibly the greatest risk to the Health Service being that the demand to deliver services exceeds our capacity to deliver them. The growth in population and service delivery is also impacting on our capacity to provide adequate facilities to house services and accommodate the number of appointments, admissions, operations, consultations and other services required for the general public. Capital infrastructure requirements in both Melton and Bacchus Marsh are being considered within both the Metropolitan and Rural Health Plan. Djerriwarrh Health Services will work with the Department of Health to address its priorities within the context of the broader statewide Health Care Priorities. In addition, the changing diversity of the population is also placing new challenges in front of the Health Service. There is now a considerable proportion of the population growth resulting from direct migration to the area, while many of the other new members of the community are moving to the area from the inner western suburbs where they have migrated to within the past ten years. This represents a challenge to our Health Service to enable services to be culturally appropriate as well as having adequate interpreter services and resources in other languages available. Many of the risks associated with population growth are managed through operational implementation of the Board’s Strategic Directions. These directions focus on ensuring adequate recurrent and capital resources are secured to meet the demand as well as identifying areas for service enhancement to meet the specifi c health needs of our growing population.

Attendance at Board, Committee and Strategic Forum Meetings

Name AGM (1)

Board Meetings (10)

Finance/Audit Review Committee (9)

Remuneration Committee (1)

Strategic Health Forum (2)

Risk Review Committee (3)

Salvatore Cristiano 1 8/10 9/9 - - -

Helen Dobson 1 9/10 - - - 3/3

Hayden Legro 1 9/10 - - 1/1 -

John Payne 1 10/10 9/9 - - -

Sophie Ramsey - 9/10 - - 2/2 -

Dirk Sauer 1 10/10 - - - -

Claire Sutherland 1 10/10 9/9 1/1 - -

Eric Sharkey 1 10/10 9/9 1/1 - 3/3Michael Tudball 1 10/10 - 1/1 2/2 -



EXECUTIVE TEAMThe Executive Team consists of the Chief Executive, Deputy Chief Executive, Director of Allied Health Services, Director of Finance, Director of Nursing, Director of Clinical and Quality Support Services, together with the Consultant Medical Director who attends the Health Service as requested. The Board has full confi dence in the members of the Executive to implement their strategic directions policy through day to day delegation. The Board receives monthly performance indicators from the Executive against key result areas and objectives. These indicators include complaints received, staff incidents noted, activity performance, waiting list times and fi nancial performance. The Executive team discuss strategic, fi nancial and operational matters of the organisation. Examples of major issues discussed by the Executive during the year included:

• Medicare Locals

• Continuing advocacy for a new Melton Community Health Centre facility or re-location of current facility

• Maternity Forecast 2012-2017

• National Broadband Network (NBN) Enabled Telehealth Pilots Program

STRATEGIC DIRECTIONS 2011-2012Djerriwarrh Health Services is a major healthcare provider to the rapidly expanding communities within the western growth corridor. The Health Service is responsible for providing a comprehensive range of Acute, Residential, Ambulatory and Primary Care services to the communities of Melton and Moorabool (Bacchus Marsh and Ballan). These services are provided from the following sites – Bacchus Marsh and Melton Regional Hospital (Acute), Grant Lodge (Residential), Melton Health (Ambulatory), Bacchus Marsh Community Health Centre, Melton Community Health Centre and Caroline Springs Community Health Centre (Primary).

The Health Service must place itself in a position to be able to provide services to meet the forecasted population growth, rising from 102,230 in 2006 to 152,986 predicted for 2016, and 255,262 for 2031, which is an increase of 150%.

Djerriwarrh Health Services Strategic Plan 2010 – 2013 can be read at www.djhs.org.au.

2011-12 Statement of Priorities Progress Report

One of the ways in which the Health Service can demonstrate it is placing itself in a position to provide these services in an equitable manner, is through the Statement of Priorities, which was introduced in 2011-2012 and is an agreement between the Department of Health and Djerriwarrh Health Services. This Statement of Priorities outlines seven priority areas, laid down by the Victoria Government and outlined in the Victorian Health Priorities Framework 2012-2022. These priorities are:

• Develop a system that is responsive to people’s needs

• Improving every Victorian’s health status and experiences

• Work collaborative with other service providers and agencies such as Western Health

• Expanding service, workforce and system capacity

• Increasing the system’s fi nancial sustainability and productivity

• Implementing continuous improvements and innovation

• Increasing accountability and transparency

• Utilising e-health and communications technology

• Increasing accountability and transparency



Develop a system that is responsive to people’s needs.

Ensure health care is provided in the most clinically effective and cost effective environments.

Reduce and prevent unnecessary hospital admissions by promoting the provision of care in community settings where appropriate.

Improve care planning and coordination of care for patients with chronic and complex conditions.

Enhance individuals and families ability to make decisions that improve their health status and reduce their risk of ill health by improving health literacy.

Develop an Integrated Health Promotion Plan for 2012-2015 that focuses on local needs and priority issues.

Strengthen and foster the relationship with other external service providers in Melton East to enhance referral networks.

Identify and implement strategies to provide hub and spoke Community Health services to enable equitable Community Health delivery across the catchment.

Take advantage of alternative funding sources such as ‘enhanced Primary Care’ and ‘More Allied Health Services’ to maximise service delivery.

Encourage a culture of service innovation Develop innovative service models to maximise access to grant funding and other alternative resources to sustain service delivery.

• Revised Referral Guide distributed in July 2011• Clinician’s Newsletter distributed Aug 2011, Oct 2011, Dec 2011, Feb 2012, and April 2012

• Diabetes Prevention & Management team established which works across health --promotion, community, ambulatory, acute and HACC services

• Additional Diabetes Nurse Educator position fi lled and funded by HACC for frail aged and --people with disabilities

• “Big Range of Service” Melton Leader, 23rd August 2011, Page 8• “Support Network has the Right Moves”, Moorabool Leader 6th September 2011• “Health Program Shifted”, Melton Weekly, 6th September 2011, page 8• “Important Boost to Breast Cancer Nurse Service”, Melton Leader, 20th September 2011, ---page 3• “Freshness Key to a Better Kind of Food”, Moorabool Leader, 11th October 2011• “Hospital Backs Baby Boom”, Moorabool Weekly, 18th October 2011• “Rising Epidemic”, Melton Leader, 8th November 2011, page 7• “Diabetes a Rising Epidemic”, Melton Weekly, 15th November 2011, page 3• “Emergency Care on Tap”, Melton Leader, 6th December 2011, page 8• “Whooping Cough”, Melton Weekly, 6th December 2011, page 3• “Moorabool Water to be Fluoridate”, The Courier, 24th December 2011, page 7• “Fluoride Uproar”, Melton Leader, 10th January 2012, page 5• “Push for diet, exercise” Melton Leader, 14th February 2012, page 12

• Integrated Health Promotion Plan submitted to DH in November 2011• DH has advised DjHS to extend the existing plan for 12 months to better align with --Municipal Public Health Planning (state-wide directive)

• Network meeting held on 17th August 2011, 16th November 2011, and 16th May 2012 • Participating in Healthwest Health promotion initiatives promoting relationship strengthening• Establish links with new Healthwest HACC Service Project Manager for the “Ageing in --Growth Corridors”

• Self-suffi ciency rates: - Caroline Springs Community Health Centre = 86% - Melton Community Health Centre = 74% - Bacchus Marsh Community Health Centre = 74%• Physiotherapy Service commenced at Caroline Springs Community Health Centre in --February 2012

• Plans are progressing to commence more group programs including extension of the --Gentle Exercise to Music Program at Bacchus Marsh and Caroline Springs as well as --commencing a Healthy Active Ageing Program at all Community Health Centres

• Increase the number of student nurse placements from 3,000 in 2011 to 3,375 for 2012• Appointed a Clinical Support Nurse to assist with student nurse placement in 2012 funded by Health Workforce Australia• 6 staff completed student Supervision Training Program• Commenced providing a Graduate Nurse training position in Jan 2012 • 3 staff undertaking post-graduate studies in priority areas being targeted by DH• Funding for purpose-built student accommodation secured from Health Workforce Australia in September 2011• Currently exploring options for building Accommodation• Appropriate block of land identifi ed and plans for the building have been drawn up and reviewed

Victoria Health Priorities

Framework priority areas

Djerriwarrh Health Services Strategies Achievements

Strategic Priorities for 2011-12


Improving every Victorian’s Health status and experiences.

Expand and enhance the delivery of HACC services in the local community including the delivery of more diabetes services for the HACC target group.

Work collaboratively with other service providers and agencies such as Western Health and Healthwest to provide healthcare solutions for the Western Metropolitan growth corridor.

• New positions made available through 2011 HACC growth funding fi lled in October 2011 --(Diabetes Nurse Educator) and August 2011 (Occupational Therapist)

• Final draft of the Better Health Plan for the West completed in November 2011

• Participated on the Medicare Local establishment Reference Group

Expanding service, workforce and system capacity.

Position the organisation to facilitate the establishment of registrar positions in specialities supporting high levels of healthcare activity (e.g. Maternity).

Maintain the functionality for service delivery of the Bacchus Marsh site through capital upgrades.

• Meetings have commenced with Western Health to discuss the establishment of an --Obstetrics Register position

• Capital upgrades to the Women’s Unit (Maternity) and Medical/Surgical Unit were --completed by the due date

• Application lodged for funding in the Regional Priority Round One with the Health & Hospital --Fund in December 2010 – application unsuccessful

• Application lodged for funding in the Regional Priority Round Two with the Health & Hospital --Fund in October 2011 – awaiting outcome

Increasing the system’s fi nancial sustainability and productivity.

Review service models to optimise effi ciency and effectiveness.

Collate Emergency Services data and undertake specialist outpatient clinic mapping for the National Activity Based Funding Project.

• Non-VACS costing study completed ready for submission in February 2012 for DH signoff

• Emergency Service and Outpatient Clinic data submitted by the due date

Implementing continuous improvements and innovations.

Ensure that the Risk Register is maintained.

• Risk Review met on the 15th August 2011,21st November 2011, 20th February 2012, and --21st May 2012

Utilising e-health and communications technology.

Expand on the organisation’s capacity to collect and analyse meaningful data and information from all Community Health Centre sites.

• All extracts have been provided to the Department in accordance with the reporting --schedule


Increasing accountability and transparency.

Promote further community involvement within the organisation.

Preparation for transition to National Accreditation Standards.

• Community Advisory Committee reviews and refreshed

• New process reviewed by Accreditors and rated as “EA” as part of the accreditation survey

• “Maternity Services ", 3APL, June 2011

• “Theatre Services” 3APL, July 2011

• “District Nursing”, 3APL, August 2011

• “Friendly Visiting Program”, 3APL, September 2011

• “National Nutrition Week”, 3APL, October 2011

• “Counselling Services”, 3APL, February 2012

• Board Meeting open to the public held on the 29th November 2011

• Participated in Strategic Health Forum in September 2011, December 2011, and March --2012

• Board Strategic Day held on the 12th November 2011

• Clinician Newsletters distributed August 2011, October 2011, December 2011, and February --2012

• “Big Range of Service” Melton Leader, 23rd August 2011, Page 8

• “Support Network has the Right Moves”, Moorabool Leader 6th September 2011

• “Health Program Shifted”, Melton Weekly, 6th September 2011, page 8

• “Important Boost to Breast Cancer Nurse Service”, Melton Leader, 20th September 2011, ---page 3

• “Freshness Key to a Better Kind of Food”, Moorabool Leader, 11th October 2011

• “Hospital Backs Baby Boom”, Moorabool Weekly, 18th October 2011

• “Rising Epidemic”, Melton Leader, 8th November 2011, page 7

• “Diabetes a Rising Epidemic”, Melton Weekly, 15th November 2011, page 3

• “Emergency Care on Tap”, Melton Leader, 6th December 2011, page 8

• “Whooping Cough”, Melton Weekly, 6th December 2011, page 3

• “Moorabool Water to be Fluoridate”, The Courier, 24th December 2011, page 7

• “Fluoride Uproar”, Melton Leader, 10th January 2012, Page 5

• “Hospital Backs Baby Boom”, Moorabool Weekly, 18th October 2011

• New standards have been received and introduced to staff throughout the Organisation

• Working parties have been established to review the Organisations compliance against --standards

Operating Result Target 2011-12 Actuals

Annual operating result ($m) 0 0.272

Performance Priorities for 2011-12

Financial Performance.

Cash Management / Liquidity Target 2011-12 Actuals

Creditors < 60 days 30Debtors < 60 days 22


WIES activity performance Target 2011-12 actualsPercentage of WIES (public & private) performance to target WIES is Weighted Inlier Equivalent Separation

98% - 102% 101.2%

Service Performance.

Quality and Safety Target 2011-12 actualsHealth service accreditation Full compliance Full complianceResidential aged care accreditation Full compliance Full complianceCleaning standards Achieved AchievedSubmission of data to VICNISS (1) Full compliance Full complianceHand Hygiene Program compliance rate 65% 82%Victorian Patient Satisfaction Monitor: (OCI) (2) 73% 83%Consumer Participation Indicator (3) 75% 84%Residential Aged Care Services Organisational Readiness Tool Full compliance Full compliance(1) VICNISS is the Victorian Hospital Acquired Infection Surveillance System(2) The Target for the Victorian Patient Satisfaction Monitor is the Overall Care Index (OCI) which comprises six categories(3) The Consumer Participation Indicator is a category of the Victorian Patient Satisfaction Monitor

Maternity Target 2011-12 actualsPercentage of women with prearranged postnatal home care 100% 98%

ActivityWeighted Inlier Equivalent Separations (WIES)

2011-12 Activity Achievement

WIES Public 3,107WIES Private 233Total WIES (Public and Private) 3,340WIES Rural Patient Initiative 20WIES Renal 393WIES DVA 36WIES TAC 21WIES TOTAL 3,810Subacute impatientPalliative Care Public 484Palliative Care Private 118Palliative Care DVA 34AmbulatoryVACS – Allied Health 13,084

VACS – Variable 14,340SACS 4,089

SACS DVA 0

Aged CareResidential Aged Care 10,700Community Health / Primary CareCommunity Health – Direct Care 16,763

Activity and Funding for 2011-12


President's and Chief Executive's ReportPartnershipsDjerriwarrh Health Services greatly respects and values the opportunity to partner with other agencies in providing health care services to the Melton and Moorabool Shires. Over the past 12 months, Djerriwarrh Health Services has participated in a number of partnerships to promote better health and well-being in the community. The organisation regularly partners with both Melton Shire Council and Moorabool Shire Council in the provision of Home and Community Care as well as other health projects. Djerriwarrh Health Services is also an active member of the Heathwest Primary Care Partnership. Healthwest is a strategic alliance of over 25 healthcare providers in the Western Suburbs of Melbourne to promote coordinated service system approaches as well as to collectively input into public health policy, prevention, early intervention and chronic disease initiatives. Our involvement in the partnership is extremely valuable to ensure that we are ‘part of the solution’.

In 2011-2012, Djerriwarrh Health Services was also actively involved in the development of the “Better Health Plan for the West”. This Plan is a historic agreement amongst local health services in the west of Melbourne to collectively work on a set of key health issues and broad directions for future service delivery. There are 20 signatories to the Plan which identifi es mental health, lifestyle issues (cardiovascular disease, obesity, diabetes), and cancer as high priority issues. The selection of the priority issues was based on evidence presented in the Plan which aligns well with the health issues for the specifi c community that we serve. We look forward to collaborating with our partners in the implementation of the Plan to address these key health issues.

Working closely with other partners in the provision of health care services for the Moorabool and Melton Shires helps strengthen the capacity of the health care system and capitalises on the synergies that can only be achieved through better integration and co-ordination of services.

RANGE OF SERVICESAcute Services.Bacchus Marsh and Melton Regional Hospital continues to provide a range of acute services including Midwifery, Medical and Surgical inpatients and Urgent Care Services. In addition, our Melton Health site provides acute care services in Urgent Care, Renal Dialysis and Oncology.

In 2011/12, a record 914 new babies kept our Midwifery staff busy being an 18% increase over the 774 births in the previous year. In February, our busiest month, 100 babies arrived. The length of stay for normal deliveries is now only 2.4 days with many mothers opting for discharge on the day of delivery with increased at home and domiciliary support.

Our busy Urgent Care at Bacchus Marsh and Melton Health saw 18,700 patients. All Urgent Care patients were seen within the clinically recommended time frames.

Theatre Services performed 3,270 procedures this year, compared to 3,122 in the previous year. Our surgical procedures include general surgery, gynaecology, orthopaedics, vascular, dental and Ear Nose and Throat (ENT) surgery.

Community Nursing continues to provide a very valuable service to the local community. There is no waiting list for District Nursing services in either the Moorabool or Melton shires. In addition to general home nursing, we also provide palliative care nursing care and continence nurses. We also have access to the Grampians Region wound care specialist.

Residential CareGrant Lodge, our 30 bed high care residential care facility located adjacent to the Bacchus Marsh and Melton Regional Hospital continues to provide a very high standard of care which is well recognised by the community.

During the year, the long awaited renovations to the bathrooms were completed. This has resulted in a much more pleasant and modern personal hygiene areas for both residents and our staff to work in. In addition, funding was received to upgrade the outdoor area of the facility to provide a sensory and dementia friendly focus. A very pleasant sitting and garden area has been provided which should be a popular area for residents and visitors during the warmer months.

Primary CarePrimary Care is often the fi rst ‘point-of-call’ for members of our community that are experiencing health issues. Many of our Primary Care services can be accessed directly by the public, whereas most ambulatory and acute services require a referral from a doctor or other healthcare professional.

Primary Care is provided by Djerriwarrh Health Services from Bacchus Marsh Community Health Centre, Melton Community Health Centre, and Caroline Springs Community Health Centre. Djerriwarrh Health Services endeavours to match the extent of service provision provided from each of these sites with the level of demand, within the resources available. The Health Services’ philosophy is to provide services as close as possible to the patient’s home. In fact, many of the services provided for the frail aged and people with disabilities are provided by visiting clinicians in the patient’s home.

Our Primary Care services include alcohol and other drug counselling, general counselling, fi nancial counselling, district nursing, diabetes education, dietetics, fall assessment & prevention, health coaching, healthy mothers-healthy babies, needle and syringe program, occupational therapy, community based palliative care, continence care, physiotherapy, podiatry, speech pathology, young pregnant and parents and group, and family violence prevention.

During the 2011-2012 fi nancial year over 33,000 individual episodes of care were provided to members of the community through our Primary Care Services. Over the past 12 months there has been an increase in demand for Primary Care resulting from the rapid growth in the population we serve. It is pleasing to note that Djerriwarrh Health Services received some growth funding during the fi nancial year from the Department to assist with meeting this demand.

Another important facet of Primary Care is health promotion. Our Health Promotion team have done an excellent job in ensuring that ‘health promotion’ is integrated into all services we provide. Areas of particular focus for health promotion over the past 12 months have included increasing the Health Services’ capacity to provide health promotion, promoting access to nutritious foods, sexual and reproductive health, and mental health and well-being. Other areas of activity include alcohol and other drugs, cultural diversity (health literacy) and physical activity. In addition, with the appointment of a new Cultural Diversity project offi cer during the year, there has been a greater focus and networking on working with diverse communities within our catchment.

Ambulatory CareAmbulatory Care involves the provision of hospital-like services within the community. The service aims to treat people before they require extensive treatment and lengthy stays in hospital. Indeed, Ambulatory Care is a glimpse of what hospital care will look like in the future as treatments and procedures become more effi cient, effective and less time consuming for patients.


Most of the Ambulatory Care Service provided by Djerriwarrh Health Services are offered from Melton Health, located in Barries Road, Melton West, while some services are offered from Bacchus Marsh and Melton Regional Hospital. All services are fully integrated with our primary care, acute and aged care services to ensure that patients receive continuity when moving between these service streams.

Services offered from Melton Health include antenatal care, audiology, breast care support, chemotherapy, childbirth education, chronic disease management, counselling, day rehabilitation, dental, diabetes education, endocrinology, gastroenterology, general medicine, gynaecology, lymphodema management, nephrology, oncology, paediatrics, renal dialysis, stomal therapy, and urgent care.

Between all services offered from Melton Health, over 65,000 individual episodes of care were provided to members of our community during the 2011-2012 fi nancial year. Demand for services is high and many services have waiting lists that the Organisation actively manages to keep waiting times for an appointment as short as possible, within the resources available. Melton Health also has a state-of-the-art queue management system which effectively allows the Health Service to manage waiting times once the patient enters the building and registers their attendance until they are seen by the clinician. In 2011-2012, the average waiting time was eight minutes past the scheduled appointment time.

During 2011-2012, Djerriwarrh Health Services introduced a number of new ambulatory care services to compliment its existing extensive range of services available. New services included a Medicare funded Audiology service which allowed Djerriwarrh Health Services to signifi cantly increase the numbers of patients, including children, who could be assessed for hearing loss as well as a day rehabilitation service. The Organisation now employs a speech pathologist and an occupational therapist as part of the Day Rehabilitation team as well as an additional physiotherapist which allows the Organisation to treat more patients with neurological disorders.

Medical ServicesDjerriwarrh Health Services is very fortunate to have the continuing support of many medical offi cers, with 75 listed on our data base as either being employed by DjHS or under contract. These include our employed Career Medical Offi cers, visiting General Practitioners, Specialists and Anaesthetists as well as some medical services which are contracted from other agencies.

We have a core group of Career Medical Offi cers employed by the health service who have been with the health service for a number of years now and are a vital part of our organisation’s growth. We continue to receive excellent support from local General Practitioners – both in Bacchus Marsh and Melton – for which we are most appreciative. During the year we were fortunate to be able to recruit an additional Obstetrician/Gynaecologist to the Health Service, as well as an additional Paediatrician. This means that we are well placed to be able to manage the anticipated increase in demand for medical services in our maternity and paediatric programs. We have also been in a position to expand our orthopaedic, endocrinology and general physician consulting times at Melton Health, thereby allowing our waiting list to decrease.

It is recognized that our Health Service is providing a high quality and unique Paediatric Service to the West, particularly in the assessment of children with autism spectrum disorder. It was agreed that we had some valuable training to offer to newly qualifi ed doctors. We, therefore, initiated discussions during the year with Western Health and the University of Melbourne Medical School (Sunshine) to offer a rotational position in paediatrics to a junior doctor. This is in place for 2012 and it is hoped that we will receive future funding to allow it to continue. In addition, we have been involved with one of our local General Practitioner clinics in offering

a clinical training position to a postgraduate medical offi cer through Deakin University Medical School.

Supporting ServicesOur support services provide a necessary, valued and high quality role to all areas of the organisation. These teams include Finance, Human Resources, Information Technology, Health Information, Environmental, Engineering, Administration and Food Services.

Further details of service provision by Djerriwarrh Health Services can be viewed at www.djhs.org.au

STATUTORY REQUIREMENTSUnder the Directions for the Minister for Finance, part 9.1.3 (iv) it is mandatory for Djerriwarrh Health Services to report on Statutory requirements, including legislative changes that have had an impact on the operations of Djerriwarrh Health Services. Djerriwarrh Health Services has fully complied with all statutory disclosures and other requirements.

Djerriwarrh Health Services is compliant with the Whistleblower’s Protection Act 2001. No disclosures have been made since the commencement of the Act in January 2002. Djerriwarrh Health Services continues to be actively committed to complying with the Public Authorities Equal Opportunity Act 1970. Djerriwarrh Health Services is also compliant with the building and maintenance provisions of the Building Act 1993. Stringent fi re prevention measures are in place with annual smoke door checks undertaken by external contractors and regular checks of smoke detectors and sprinklers are undertaken through the year. We have an annual meeting with Country Fire Authority and State Emergency Service team members to ensure they are familiar with our buildings and emergency procedure management. Mandatory emergency training sessions are conducted for all staff.

We are also compliant with the Victorian Industry Participation Policy Act 2003. During this year, there has not been a requirement to tender for services for construction or building works, given any activity of such has not reached the reportable values. Djerriwarrh Health Services is compliant with the National Competition's Policy and has met the requirements of the Competitive Neutrality Policy Victoria.

In order to meet infection control standards, we have an Infection Control Coordinator in place who monitors all our processes in this area. An annual education program is in place for nursing and other clinical areas. Audits are undertaken annually in all areas which are then benchmarked against other like sized health services e.g. Australian Standard 4187 audit of sterilisation areas. During the year a working party was put in place for our Dental Services – Dental Clinical Risk – which reviews any infection control issues which are particular to the dental unit. External audits are undertaken both in our Food Services Department as well as Environmental Services. In 2012 our Food Services was assessed by an external Food Safety Auditor and we demonstrated 100% compliance with the Victorian Food Act 1984. With regard to Environmental, or cleaning, standards the Department of Health issued an External Cleaning Standards Audit report for August 2010-August 2011. In August 2011, we achieved 98% for the High Risk category, which was the second highest in the local rural health services group. We also achieved 100% for the Moderate Risk Category, one of only two health services to achieve this rating.

Other legislative requirements met during the year include compliance with the Commonwealth Department of Health and Ageing’s requirements for mandatory police checks for staff and volunteers employed in residential aged care homes and community aged care services funded under the Aged Care Act 1997. All staff (including contracted staff) and volunteers



have a current police check in place. In addition, we are compliant with the Working with Children Act 2005 by ensuring that all staff at Djerriwarrh Health Services, who are involved with working with children, have a positive Working with Children check in place.

To ensure that risks are being managed in a consistent manner, Djerriwarrh Health Services has a risk management process in place which is consistent with the Australian/New Zealand Risk Management Standard 4360/2004. The Risk Review Committee is the responsible body for ensuring that all risks, including clinical and corporate, are controlled to a satisfactory level. To ensure that all areas of risk are monitored, there are other organisational committees in place including the Clinical Risk Committee and Infection Control Committee. During the year no sentinel events were recorded, with 22 adverse events received. This is an increase from 8 in the previous year. However, we have expanded the categorisation for reporting adverse events and now include some clinical events which had previously not been recorded under this heading. All adverse events have a Root Cause Analysis conducted which may lead to changes being made to processes, minimising the risk of further events occurring.

Freedom of InformationDjerriwarrh Health Services is an agency subject to the Freedom of Information Act (Victoria) 1982. As required under the Act, Djerriwarrh Health Services has nominated Robert Bruce Marshall as the Principal Offi cer and Angela Mayhew as the Freedom of Information Offi cer. A legislated fee of $20 per application applies and 20 cents a page.

Freedom of Information Requests received

The number of Freedom of Information (FOI) requests received comprised 79 for the Bacchus Marsh and Melton Regional Hospital, compared to 53 in the previous year, and 37 for Melton Health, compared to 27 in the previous year. In addition to the FOI requests, we received 16 requests for Medico-legal reports from the Courts, Police and other offi cial bodies.

Health and SafetyDjerriwarrh Health Services is committed to providing a healthy and safe working environment for all staff according to the Occupational Health and Safety Act 2004. There is a Health and Safety Committee in place which reports to the Patient Client Care Committee. The incident reporting mechanism monitors and assesses any trending in health and safety issues. The table below shows the number and categories of staff incidents received during the last year compared to previous three years:

The reporting of incidents relating to staff is at a fi ve year low, which is pleasing. It is noted that the reported aggressive incidents towards staff has dropped considerably. This maybe related to increased staff training in how to deal with aggressive behaviours as well general information around ‘zero tolerance’ to such behaviours being well placed throughout the organisation. We are constantly reinforcing with our staff that we have ‘zero tolerance’ of aggression towards them and they are actively encouraged to report any such incident.

Workcover management is an important part of ensuring that staff feel supported during their injury time and we do have an active ‘Return to Work’ Program in place for staff who receive an injury while at work. Although there has been an increase in the number of staff, this is not refl ected by an increase in Workcover claims with 6 new Workcover claims received for the year compared to 7 in the previous year. The number of active claims per month was around the same as the previous year, being 2.25 per month compared to 2 per month in the previous year. We had no major claims during the year.

Industrial RelationsDjerriwarrh Health Services endeavours to maintain a good relationship with Industrial Relations bodies by being open and transparent. During the year no time was lost due to industrial disputes.

Complaints ManagementFormal complaints are received by the Chief Executive. A member of the Executive team is appointed as the ‘investigating offi cer’ with the objective of being able to respond to the complainant within seven days with an outcome of their investigation. During 2011/2012 we received 54 complaints compared to 57 in the previous year. There was no obvious trending of complaints. All our complaints are categorised according to the Seriousness Assessment Matrix (SAM), which was developed to enable health care providers to implement effective and consistent risk minimisation strategies. Using this scale, 47 complaints were categorised as minor, six (6) as moderate and one (1) as major. Two complaints were referred to the Health Services Commissioner.


Incident 2007/2008

2008/2009

2009/2010

2010/2011

2011/2012

Needlestick injuries 2 5 9 18 13Back Sprains 8 8 5 5 4Other strains/injuries 36 27 27 20 20Aggression towards staff 32 25 54 69 23Injury from equipment 3 1 1 0 0TOTAL 81 66 96 112 60

2007/2008 2008/2009 2009/2010 2010/2011 2011/2012

28 55 78 80 116


AccreditationDjerriwarrh Health Services is currently accredited by the Australian Council on Healthcare Standards (ACHS) for four years, with this term expiring in mid 2015. As a result of the Organisational Wide Survey (OWS) conducted by ACHS in May 2011 the following eleven recommendations were made, none of which were high priority:

• that an appropriate formal system is established for the identifi cation and management of deteriorating patients across the inpatient units at Bacchus Marsh and Melton Regional Hospital • review systems to evaluate the effectiveness of clinical care with more of a focus on outcomes measures rather than output measures • establish for inpatient services more formalised systems, processes and protocols for effective multidisciplinary clinical handover that can be assessed and evaluated • develop mechanisms to ensure that all potential medication errors, near misses and pharmacy interventions are collected and reported so that trends might inform practice improvement • determine which nursing staff require competency and training in pressure care and would management • ensure that all members of the surgical team participate in the team time out procedure • implement a system to prioritise resources for necessary quality improvement activities • review the human resource function to identify opportunities for improving people management practices • ensure that all letters of offer to new staff are vetted by the Human Resources Department prior to being send • ensure that the pathology provider staff enter the patient identifi er in the correct location on the e-document when reports are returned electronically • review and tighten up the security around cash handling

Progress against these recommendations will be assessed when we are visited by ACHS at a Periodic Review in mid 2013.

Djerriwarrh Health Services is currently focusing on our current position with the new National Safety and Quality Health Services Standards against which we will be measured in our next accreditation cycle. We have identifi ed that there is work to be undertaken under the ‘Clinical Handover’ and ‘Recognising and Responding to Clinical Deterioration in Acute Health Care’ Standards and we now have working parties in place to ensure that do meet the requirements by 2013.In early 2012, our residential care unit, Grant Lodge, underwent an Accreditation Review with the Aged Care Standards Agency and we were pleased to be awarded a further three years of accreditation to 2015 by meeting all 44 expected outcomes. Some suggestions for improvement were made which will be followed through during 2012-2013.


ACKNOWLEDGEMENTSWe would like to extend our sincere thanks and appreciation to all our staff. We recognise that we have a tremendous asset in our staff. We must thank all our Visiting Medical Offi cers and Specialists who provide the high level of support needed for our organisation to function.

We also recognise the value of all our volunteers in the various capacities they fi ll – whether it be working in the Ladies’ Auxiliary Opportunity Shop, delivering Meals on Wheels, helping in the Hospital Kiosk, driving people to medical appointments, reading to residents in Grant Lodge, helping patients attending Melton Health, or supporting our palliative care clients.

The communities of Melton and Moorabool are fortunate to have the combined dedication of the Executive staff, service managers, staff, medical practitioners and volunteers to ensure that Djerriwarrh Health Services achieves and maintains a high quality of care to our community.

Bruce Marshall, OAM

Chief ExecutiveBacchus Marsh

17th August 2012


President Bacchus Marsh

17th August 2012


TREASURER’S REPORTWe are pleased to present a summary of the fi nancial results for the 2011/12 fi nancial year which have been prepared in accordance with the Financial Management Act 1994, Australian Accounting Standards, Australian Accounting Interpretations and other mandatory professional reporting requirements.

Djerriwarrh Health Services Comprehensive Operating Statement

For the Year Ended 30 June 2012

2012 2011

$’000 $’000

Revenue from Operating Activities 45,835 38,512

Revenue from Non-Operating Activities 472 403

Employee Expenses (31,109) (26,612)

Non Salary Labour Costs (4,021) (3,593)

Supplies & Consumables (5,063) (4,422)

Administration Expenses (3,904) (2,627)

Other Expenses From Continuing Operations (1,938) (1,836)

Net Result Before Capital & Specifi c Items 272 (175)

Capital Purpose Income 926 3,971

Depreciation and Amortisation (2,665) (2,386)

Expenditure Using Capital Purpose Income (5) -

NET RESULT FOR THE YEAR (1,472) 1,410

Other Comprehensive Income

Net fair value revaluation on Non Financial Assets - 735

COMPREHENSIVE RESULT FOR THE YEAR (1,472) 2,145

Treasurer’s Report


Djerriwarrh Health Services Balance Sheet

As at 30 June 2012

2012 2011

$’000 $’000

Current Assets

Cash and Cash Equivalents 690 1,087

Receivables 1,141 1,323

Investments and other Financial Assets 4,467 3,166

Inventories 261 218

Other Current Assets 166 205

Total Current Assets 6,725 5,999

Non-Current Assets

Receivables 911 790

Property, Plant & Equipment 32,320 33,566

Intangible Assets 427 654

Investment Properties 160 -

Total Non-Current Assets 33,818 35,010

TOTAL ASSETS 40,543 41,009

Current Liabilities

Payables 2,266 3,157

Provisions 7,642 6,243

Other Liabilities 339 227

Total Current Liabilities 10,247 9,627

Non-Current Liabilities

Provisions 1,340 954

Total Non-Current Liabilities 1,340 954

TOTAL LIABILITIES 11,587 10,581

NET ASSETS 28,956 30,428

EQUITY

Property, Plant and Equipment Revaluation Surplus 12,310 12,310

Restricted Specifi c Purpose Surplus 644 606

Contributed Capital 7,193 7,193

Accumulated Surpluses 8,809 10,319

TOTAL EQUITY 28,956 30,428



Net Result Before Capital & Specifi c Items.The Net Result Before Capital & Specifi c items is the measurement of operating performance used by the Department of Health (DH). In the 2011/12 fi nancial year Djerriwarrh Health Services has recorded an operating surplus of $272k. Total Operating revenue for the 2011/12 fi nancial year was $46.307m. Total Operating expenditure for the 2011/12 fi nancial year was $46.035m.

The operating budget for the 2011/12 fi nancial year was an operational surplus of $1. The budget was achieved due to:

• A saving strategy implemented over the 2011/12 fi nancial year.

• A favourable timing variance for the Palliative Care Consortium.

• HACC growth funding.

The Board, Chief Executive, Executive Offi cers and Departmental Managers understand the importance of establishing a balance between operating results and service delivery and are very conscious of achieving fi nancial integrity and also of achieving our obligations.

Every effort was made in 2011/12 fi nancial year to operate at an operational breakeven position, including the implementation of a number of cost minimisation measures which created challenges throughout the organisation.

The challenge that is faced by Djerriwarrh Health Services is to meet the increasing health needs of the communities that we serve, whilst at the same time trying to achieve a breakeven operational result.

The Board and the Chief Executive will seek to secure additional resources which will enable further expansion of the health services available to the community with the aim of meeting the needs of one of the fastest growing urban corridors in Australia.

Revenue from Operating Activities and Operational Expenditure increased in the 2011/12 fi nancial year. The increase was due to:

• Additional programs/services (e.g. HACC growth funding)

• Increased Acute, Community Health and HACC activity

• Full year operation of the 12 chair public dental facility

• General indexation.

The major source of Djerriwarrh Health Services Revenue from Operating Activities in the 2011/12 fi nancial year was Government funding totalling $42.3m (State funding $40.111m and Commonwealth funding of $2.189m). Djerriwarrh Health Services is very appreciative of the funding that it receives. The health service will work closely with the Department of Health, to pursue the implementation of the Metropolitan and Rural Health Plan, which will better coordinate recurrent funding priorities that are aimed at achieving improved health care provision for our rapidily expanding population.

Employee benefi ts expenditure was $31.109m in 2011/12 and formed 68% of our operational expenditure. Given the efforts and commitment of our staff we are able to provide high quality health services.

Visiting Medical Offi cers form the majority of the $4.021m Non-Salary Labour costs in 2011/12. The continuing loyalty of our attending Specialists and GP’s ensures that all patients are treated in a professional and competent manner.

Capital & Specifi c Items.Capital Purpose Income totalled $926k in 2011/12. Djerriwarrh Health Services is very thankful for the fi nancial support it receives from the community. Donations are used to purchase much needed medical equipment. A special thank you is extended to the members of the Bacchus Marsh Ladies Auxiliary for their continued service.

We would like to thank those members of the community who have attended/supported our annual fundraising events, specifi cally the David Calleja Memorial Car Show and the Longest Lunch. Not only do these events raise funds for much needed medical equipment, they also allow Djerriwarrh Health Services to showcase its services.



YEAR IN BRIEF 2011/2012

The following tables summarize the Financial Performance of DjHS.

Financial Performance

07/08$’000

08/09$’000

09/10$’000

10/11$’000

11/12$’000

Operating Revenue(Before Capital Items) 31,938 34,244 36,710 38,915 46,307

Operating Expenditure(Before Capital Items) 31,954 33,799 36,694 39,090 46,035

Operating Surplus/(Defi cit)(Before Capital Items) (16) 445 16 (175) 272

Total Assets 27,021 36,873 36,562 41,009 40,543Total Liabilities 7,128 8,192 8,279 10,581 11,587Total Equity 19,893 28,681 28,283 30,428 28,956

600

500

400

300

200

100

0

-100

-200

-300

Operating Surplus/Defi cit

2007/08

2008/09

2009/10

Current Assest Ratio

1.20

1.00

.80

.60

.40

.20

-2007/08 2008/09 2009/10 2010/11 2011/12

$’000


2011/12

2010/11


2007/08 2008/09 2009/10 2010/11 2011/12

50,000

45,000

40,000

35,000

30,000

25,000

20,000

15,000

10,000

5,000

-

Revenue IndicatorsFees are charged in accordance with the directives issued by the Department of Health and the Commonwealth Department of Health and Ageing.

Average Collection Days

Private2011/12 2010/11

41 34Other Compensable 28 26Residential Aged Care 5 6

Debtors at 30th June 2011

Under 30 days$’000

31-60days$’000

61-90 days$’000

Over 90 days$’000

Total 30/06/12$’000

Total 30/06/11$’000

Private 51 6 7 3 67 61Other Compensable 124 - 2 - 126 244Residential Aged Care 6 1 1 1 9 2Total 181 7 10 4 202 307

$’000


07/08$’000

08/09$’000

09/10$’000

10/11$’000

11/12$’000

Current Assets 3,298 5,095 4,777 5,999 6,725Current Liabilities 6,451 7,442 7,336 9,627 10,247Current Asset Ratio 0.51 0.68 0.65 0.62 0.66

Total Operating RevenueIn 2011/12 Djerriwarrh Health Services spent $46.307 million of operating revenue on service delivery to our community. The graph below shows that ourservice delivery has increased in line with demand for our services. Further demand pressure will need to be absorbed into the current funding models.



Workforce Data

The table below shows the Full time equivalent (FTE) employee numbers as at 30 June 2012.

Labour Category JUNE Current Month FTE JUNE 2011 YTD FTE

2011 2012 2011 2012

Nursing 146.79 158.87 140.25 153.78Administration and Clerical 72.45 76.78 70.25 74.26Medical Support 26.92 32.03 24.25 28.36Hotel and Allied Services 33.63 34.03 33.25 34.12Medical Offi cers 1.08 1.07 1.08 1.11Hospital Medical Offi cers 6.63 9.73 6.44 8.24Sessional Clinicians 0.50 0.94 0.48 0.63Ancillary Staff (Allied Health) 50.74 55.7 47.67 50.34

ConsultanciesIn 2011/12 total consultancy expenditure was $174,170.

Individual Consultancies over $10,000 for the 2011-12 fi nancial year:

Name Reason Amount ($)

Provider Assist Pty Ltd ACFI Consultant 25,490Bizdata Pty Ltd IT Consultant 35,000Austbrokers Phillips Pty Ltd Workcover Review 10,851Health Recruitment Specialists Pty Ltd Recruitment Consultant 27,729 McGregor Health Pty Ltd Patient Management System Consultant 17,670

There was also 17 other consultants used (expenditure per consultant was under $10,000) within the 2011-12 fi nancial year.

Events subsequent to Balance DateThere has been no event subsequent to balance date that may have a signifi cant effect on the operations of the entity in subsequent years.

Going ForwardThe Board and the Chief Executive will actively pursue funding streams for all Acute, Primary and Residential Services which will enable further expansion of our health services in an attempt to meet the health needs of one of the fastest growing urban corridors in Australia. Djerriwarrh Health Services will continue to work with the Department of Health and other Health Care providers to benefi t the community we serve.

Bruce Marshall, OAM

Chief ExecutiveBacchus Marsh

17th August 2012

Claire Sutherland

Treasurer Bacchus Marsh

17th August 2012


ACKNOWLEDGING OUR VOLUNTEERS Our volunteers are gratefully acknowledged for the hard work and support they give Djerriwarrh Health Services during the year. Our volunteers help in many areas of the organisation which include Meals of Wheels, Melton Health, Melton Community Health, Grant Lodge, Consumer Transport, Friendly Visiting, Hospital Auxiliary, Palliative Care and the Hospital Kiosk. Without our volunteers it would be extremely diffi cult to provide the services to our community in the way that we do.

Barbara Atkin

Janet Austin

Pamela Bailey

Tess Baker

Gillian Barker

Jennifer Barrie

Greta Beale

Vivienne Bearne

Anne Bennett

Margaret Bennet

Carmel Berry

Maureen Bird

Iris Blythe

Peter Blythe

Margaret Boylan

Linda Bracksley

Jill Braithwaite

Judith Bridges

Kevin Bridges

Betty Bridgewood

Wilma Brittain

Pamela Broad

Joe Broad

Anne Brown

Joan Brown

Marlene Burvill

Sandra Butler

Anthony Buxton

Muriel Buxton

Barbara-Anne Caisley

Norman Carboon

Jean Carboon

James Cattlin

Betty Charge

Danielle Cherbakof

Chris Christie

Nola Closter

Emily Comensoli

Lorraine Costa

Heather Crouch

Glenys Currie

Elizabeth Davie

Kathryn Davies

Gillian Davis

Barbara Day

Barry Dean

Gina Delaportas

Matthew DeLeon

Barbara Di Collalto

Val Dickson

Alma Dowsett

Celestine Drake

Sue Drury

Cristal D’Souza

Lili Eggleston

Liza Elphick

Ada Melissa Espinoza-Verde

Dorothy Estlick

Mary Evans

Janice Farmelo

Lynne Farrer

Marilyn Fernandez

Gwenda Ferry

Aileen Finn

Veronica Fitzgerald

Helen Fleming

Anne Maree Gatt

Carol Glass

Peter Glass

Robyn Goodman

Gino Governi

Agnes Governi

Carol Griffi ths

Alice Grounds

Keith Gundry

Robyn Gunn

Ann Hall

Elva Hannah

John Hannah

Bill Hansford

Kaye Harbridge

Mandy Harrington

Gerald Harris

Valerie Hawken

Andrew Heal

Nanette Hein

Petronella Heston

Community and Staff


Community and Staff

Lynette Hewat

Pamela Hill

Kaye Holland

Nana Holmes

Dorothy Hornbuckle

Greg Hose

Marg Hose

Keith Howard

Kathleen Hughes

Albert Hutchinson

Emmy Jansink

Herman Jansink

Harriett Jarman

Janet Jenks

Judy Jensz

Donald Johnson

Julie Johnson

Wayne Johnson

Gloria Jones

Pieter Jongkryg

Jess Kearney

Barry Keohane

Lynette Kinder

Cheryl King

Patrick Kirwan

Julie Maree Klooger

Eileen Knight

Patricia Kohler

Margaret Lay

Jennifer Leach

Robyn Lee

Brenda Lee

Wendy Lesko

Faye Lidgett

Jillian Lidgett

Bernice Light

Ruth Limmer

Heather Linsdell

John Linsdell

Patricia Liversidge

Janette Lowe

Peter Lowe

Elizabeth Lummis

Jean Lycette

Denise Lynch

Helen Lyne

Trevor Lyne

Elspeth Mackay

Ian Malloy

Thelma Manly

Wendy Mannix

Judith Martin

Sherryl Maslak

Carmel Matthews

Jean Maxwell

Christine McCarter

Bev Mc Court

Pauline McDonald

Jan McGuiness

Chloe McKenzie

Cathryn Merry

Robyn Millar

David Millar

Margaret Miller

Patricia Miller

Susan Miller

Bertha Missen

Elizabeth Mitchell

Karen Morce

Beryl Morgan

Alexander Moroz

Merryn Morris

Francie Muccignat

Dorothy Myers

Betty Nelson

Lyn Newland

Lorna Newman

James Oakley

Evelyn Oakley

Susan O’Dwyer

Carolyn Olthof

Kate Orchard

Sylvia Palmer

Barbara Palmer

Mary Pengelly

John Pengelly

Marie Perry


Community and Staff

ACKNOWLEDGING OUR VOLUNTEERS continued

Helen Pike

Joan Pinder

Ken Polmear

Laura Porter

Muriel Price

Isolde Reid

Nola Roberts

Christine Rookas

Winsome Rose

Kathleen Rowan

Carolyn Seagar

Ray Selley

Dianne Simboro

Lauraine Slater

Yvonne Spargo

Audrey Stanaway

Wayne Stanton

Melita Stephenson

Graeme Stewart

Lorraine Stewart

Nancy Stewart

Kath Stone

Valerie Stracey

Rona Sweet

Lorraine Symons

Olive Tait

Glenda Tanner

Jeanette Thomas

Mandy Thomas

Margaret Thompson

Karen Thompson

Pamela Thorne

Jill Thorneycroft

Raymond Thorneycroft

Jean Tobin

Alice Trask

June Trask

John Trask

Norma Trotter

Gil Tudball

Brigid Vallance

Rosemary Van Alkemade

Gerry Van Baast

Dorothy Van Zuylen

Peter Van Zuylen

Cheryl Vicars

Wal Voss

Paivi Voss

David Wall

Betty Wallington

Anna Watson

Glenys Watson

Helga Weiss

Denise Werner

Lillian Werner

Joan Wesley

Keith Wesley

Jean Weybury

Lucille Wheelahan

Bob Whitefi eld

Marian Whitson

Derek Williamson

Margaret Wilson

Mary Winfi eld

Thelma Young

Lynette Young

Diana Zilm

John Zilm

Catharina Ziola


MILESTONES OF STAFF SERVICEThe following staff reached service milestones during the year. The Board extends its congratulations to the following staff:

Community and Staff

30YearsColleen O'SULLIVAN

20Years Joanne BALLARD

Jillian GRINSTEIN

Colin LEGGATT

Kathleen WILLIAMSON

15Years Colleen ADAMS

Catherine CRAIG

Leanne OAKLEY

Tracey SHARPLES

Edward SMALL

Helen SPENCER

10Years Tarryn ARGUS-BRISTOW

Maree BELL

Nadine BERRY

Irene CANTY

Catherine CARR

Karyn COXALL

Karen HEWAT

Mary HOPKINS

Faye NANCE

Sharon PEARCE

Tara SEELENMEYER

Steve SHERRY

Mary WHITEFIELD

25Years Monica WHITE


DONATIONSDjerriwarrh Health Services raised an amount of $340,629 through its fundraising activities in 2011/12. Within this amount, donations totalled $247,695. Djerriwarrh Health Services is very grateful to those who have made donations during the fi nancial year. Particular recognition must once again be given to the Bacchus Marsh Ladies Auxiliary who continue to work so hard on our behalf and make a signifi cant contribution to our donations

The list below lists donations received of $500 and above.

Allpress Printing and Signs

Bacchus Marsh Ladies’ Auxiliary

Bacchus Marsh Foodworks

Calleja Group of Companies

Commonwealth Bank (Bacchus Marsh)

Shane Cook Homes

Stephen John Costa

Devenny Payne Taxation and Business Services

Diana Gibson

Estate of Edward Keith Porter

H & K Auto Electrical

Harbour Town

Trevor Holland

In memory of Elise McMillan

In memory of Ken Rogers

Rachel Laurie

Hayden Legro

Marsh Classic Restorations

Frances Marturauo

Melton Autobarn

Melton Thoroughbred CWA

Offi ce Choice

Rapid Falls

Regional Tyre Service

Rustel Earthmoving Pty Ltd.

Dr. Peter and Robyn Schlesinger

Shannons

Claire Sutherland

Tripod Farmers

Urban Service Solutions Pty Ltd

Helga Weiss

The William Angliss (Vic) Charitable Trust

Wilsons Hardware and Building Supplies

Community and Staff


Please contact 03 5367 2000

or email: [email protected]

if the Financial Statement is not attached here.

Bacchus Marsh & Melton Regional Hospital:

Grant Street, PO Box 330

Bacchus Marsh VIC 3340

Ph: +61 3 5367 2000

Fax: +61 3 5367 4537

Bacchus Marsh Community Health Centre:

Turner Street, PO Box 330


Ph: +61 3 5367 9674

Fax: +61 3 5367 4274

Caroline SpringsCommunity Health Centre:

Level 1, 13-15 Lake Street

Caroline Springs VIC 3023

Ph: +61 3 9361 9300

Fax: +61 3 9361 9399

Melton Community Health Centre:

Cnr. High & Yuille Street,

PO Box 3, Melton VIC 3337

Ph: +61 3 8746 1100

Fax: +61 3 9743 8640

Grant LodgeResidential Aged Care:

6 Clarinda Street, PO Box 330


Ph: +61 3 5367 9627

Fax: +61 3 5367 8023

Melton Health:

195-209 Barries Road

Melton West VIC 3337

Ph: +61 3 9747 7600

Fax: +61 3 8746 2072

annual report & financial statements 2011 - 2012 · 2018. 11. 17. · 8 djerriwarrh health...

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