diversity in practiceplan 2011–2016 6 robinvale district health services annual report 2016 2016...

DIVERSITY IN PRACTICE

ANNUAL REPORT 2016

Responsible Bodies Declaration

In accordance with the Financial Management Act 1994, I am pleased to present the Report of Operations for Robinvale District Health Services for the year ending 30th June 2016.

Mr Peter CampisiChairman

Robinvale1st July 2016

Robinvale District Health Services

128 Latje Road Robinvale Victoria 3549Telephone +61 3 5051 8111 Facsimile +61 3 5051 8100Email [email protected] 58 413 230 512

Annual Report

Robinvale District Health Service reports on its annual performance in two separate documents. This Annual Report of Operations fulfi ls the statutory reporting requirements to Government and the Quality of Care Report reports on quality, risk management and performance improvement matters. Both documents are distributed to the community.

These reports are available on our website: www.rdhs.com.au

The Hon. Jill Hennessy MP Minister for HealthThe Hon. Martin Foley MP Minister for Mental Health Minister for Housing, Disability and AgeingThe Hon. Jenny Mikakos MLC Minister for Families and Children

The responsible Ministers during the reporting period were:

CON-TENTS

1Robinvale District Health Services Annual Report 2016

About Us 2

Our Vision, Our Statement of Purpose, Our Commitment 4

2015–2016 Health Service Snapshot 5

Strategic Plan 2011–2016 6

Chairman and Chief Executive Officer’s Report 8

Director Reports 12

People and Culture 18

Primary Care Services 20

Environmental Performance 22

Performance 24

Quality and Risk Management 32

Management 34

The Board of Management (Including Statutory Reporting) 36

Disclosure Index 41

Index 42

Glossary of Terms 43

Robinvale District Health Services Annual Report 20162

About us

Robinvale District Health Services (RDHS) is a Multi-Purpose Service (MPS) that provides a diverse range of services to communities across a catchment area of approximately 60,000 square kilometres.

In addition to service delivery in its immediate area, RDHS provides outreach services to the communities of Ouyen, Boundary Bend and Manangatang in Victoria and Dareton, Wentworth and Balranald in New South Wales. We have a proud history of growth through innovation, investment in our staff and working in partnership with a broad range of stakeholders.

Denotes RDHS Service Area

Nyah

RobinvaleEuston

Ivan

hoe

Pooncarie

Dareton

Murray R

iver

Wentworth

Red Cliffs

Ouyen

WemenBoundary Bend

ManangatangPiangil

Woorinen

Lake BogaMurrabit

KoondrookKerang

Nyah West

Balranald

Vic

NSWMildura

Melbourne

Swan Hill

Denotes RDHS Service Area

Nyah

RobinvaleEuston

Ivan

hoe

Pooncarie

Dareton

Murray R

iver

Wentworth

Red Cliffs

Ouyen

WemenBoundary Bend

ManangatangPiangil

Woorinen

Lake BogaMurrabit

KoondrookKerang

Nyah West

Balranald

Vic

NSWMildura

Melbourne

Swan Hill

Robinvale District Health Services Annual Report 2016 3

OUR SERVICESHospital (acute)

• 20acutemedicalbeds• Stabilisationandresuscitation• UrgentCareCentre• MaternityProgram-AnteandPostNatalCare

• MaternalChildHealthNursing• Palliativecare• PostAcuteCare• MedicalImaging• RenalDialysis

Aged Care

• RiversideHostel-30LowCareAgedResidentialCarebeds

• MainMPSsite-14HighCareAgedResidentialCareBeds

• ManangatangCampus–10HighCareAgedResidentialCareBeds

• RespiteCare• AdultDayActivityandSupportService

Primary Care Services

• AboriginalHospitalLiaisonOfficer• Access&SupportWorker• EarlyYearsprogram• AgedandDisabilitySupport• AsthmaEducation• ContinenceManagement• Counselling• DiabetesEducation• HealthPromotion/Education• ImmunisationProgram• Men’sPrograms• NutritionandDietetics• OccupationalTherapy• PapSmearScreening/Women’sHealth

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

Home Nursing Service

• VisitingNurseService• PalliativeCareNursing/Volunteers• PostAcuteCare

Support Services

• Administration• CustomerServices• ClinicalEducatorservicesto agenciesinManangatangandOuyen

• EmployerTrainingPrograms• GraduateNurseProgram• HospitalityandFacilities ManagementServices• InformationTechnology• MealsonWheels• OccupationalHealthandSafety• PublicRelations• Supply• RDHSLinenService• VolunteerServices

Services operating from or in association with RDHS:

• AgedCareAssessmentTeam• Agedpsychiatricnursingservice• Audiologyservices• Cancersupport• MeninSheds• Playgroup• Psychiatriccommunitynursing• RuralAmbulanceServiceVictoria• SelfHelparthritisgroup• SeniorsinSchoolsProgram• SexualAssaultTeam

RDHSoperates20acutebeds,55residentialagedcareplacesand providesUrgentCareservicestoboththeRobinvaleandManangatangcommunities.ThemaincampusatRobinvalesupportsacomprehensive rangeofservicesthatincludesRenalDialysis,Radiology,Midwifery,Visiting NursingandCommunityHealthNursing Services.AlsobasedatRobinvaleisanAlliedHealthteamfundedbyTheWesternHealthAllianceLtd.AndTheMurrayPrimaryHealthNetworktoprovidePrimaryCareServicesacrosstheregion.

RDHSemploys154staffandhasanoperatingbudgetofapproximately14milliondollars.Wearefortunatetohaveahighperformingmanagementteamthattakesprideinachievingexceptionalbusinessoutcomes.RDHSmaintainsaclearfocusonservicedevelopmentanddeliveryprioritiesandleveragesoffstrongfinancialperformancetomakebestuseoftheresourcesavailabletothecommunity.

RDHShasachieved“Wholeof Business”certificationtothe internationallyrecognisedstandards ofAS/NZS/ISO9001:2008,AS4801:2001andtheenvironmentalstandardAS/NZS/ISO14001:2004.RDHSwasthefirsthealthserviceinAustraliatoachievethisstandard.

RDHSwashonouredatthe2010VictorianHealthCareAwardstobepresentedwiththe“2010RuralHealthServiceoftheYear”bythePremierofVictoria,MrJohnBrumby.RDHSachievedthesameawardin2007andwasthefirstVictorianruralhealthservicetohavereceivedthisawardtwice.

In July 2009 the Manangatang & District Hospital and RDHS merged to ensure the sustainability and development of health care services for the Manangatang community. During 2010 RDHS was also successful in having the Manangatang location incorporated into an MPS funding agreement.

4

Cultural DiversityIndividualsareentitledtocarethatisattentive,respectful,andresponsivetotheirneeds.Weunderstandthevalueofculturaldiversityandwillstrivetoengagewithallmembersofthecommunityandotherstakeholders.

CollaborationCollectivelywecanachievebetteroutcomes.Workingcollaborativelywithotheragenciesweseektoreduceservicefragmentationandgeneratingresourceefficiencies.

CommunityIndividualhealth,wellbeingandqualityoflifeiscloselyconnectedtocommunity.Wearecommittedtothesocialdeterminantsofhealthmodelandwillworktoassistindividualstoachievetheirpotentialandtobuildcommunitycapacity.

Quality, Safety and Environment Providingthebestpossiblecareandensuringasafeandhealthyenvironment.Weworktocontinuouslyimproveourservices,identify,eliminateorminimiserisksandminimiseourenvironmentalfootprint.

Innovation/LeadershipInnovationandleadershipisvaluedandencouraged.Wearecommittedtoasupportiveenvironmentthatencouragesnewideasandcreativityandwillactivelyseekopportunitiestodevelopandimproveservicesavailabletothecommunity.

Professional IntegrityAtalltimeswewillactethicallyandwithintegrity.Wewillobserveresponsiblebusinesspractices,makingbestuseofresourcesavailabletotheorganisationandthecommunity

WorkforceStaffwillbetreatedfairly,consistentlyandwithhonesty.Wewillinvestinthedevelopmentofaskilledworkforcethatismotivatedbycollaboration,strivingforexcellenceandachievingoutcomesforclientsandthecommunity.

OUR COMMITMENT

Robinvale District Health Services is an acknowledged leader and innovator in the provision of rural health services. We aim to build sustainable healthy communities by improving the health, wellbeing and quality of life of all of our community members. We will achieve this by being accessible, building strong relationships, understanding and meeting people’s needs and using resources wisely.

OUR STATEMENT OF PURPOSE

Through leadership and innovation Robinvale District Health Services will strive to improve the health, wellbeing and strength of our communities.

OUR VISION



2015–2016 HEALTH SERVICE SNAPSHOT

147STAFF

2,260PRESENTATIONS TO THE

URGENT CARE CENTRE

7,000ATTENDED

GROUP ACTIVITIES

50WOMEN AT ANY GIVEN

TIME ARE RECEIVING PRE-NATAL CARE

2,500MEALS PREPARED

AT RDHS AND DELIVERED BY VOLUNTEERS

OVER1/2

OF ALL 4 AND 5 YEAR OLD CHILDREN

IN ROBINVALE AND SURROUNDS,

PARTICIPATE IN THE 2 YEAR HIPPY PROGRAM

(Home Interaction Program for Parents

and Youngsters)

1,027ACUTE ADMISSIONS

RADIOLOGY EXAMINATIONSPERFORMED

2,200+

PROGRAM

HIPPY

STRATEGIC PLAN 2011–2016


2016 brings Robinvale District Health Services’ to the fi nal year of its 5-year Strategic Plan. The RDHS Strategic Plan outlined our vision and goals. It assisted us to acknowledge and respond to the many infl uences and demands placed on our organisation.

In October 2014 the RDHS Board of Management, Senior Management team and staff collectively reviewed the Strategic Plan. Revised planned actions were established against each strategic pillar. The outcome of the review refocused the organisations efforts in continuing to invest in the health services being delivered to the community. During the life of the plan strong progress has been made against all pillars. Examples of the current year’s achievements are noted below.

RDHS’ next Strategic Plan will be developed to align with the health priorities of both federal and state governments and will be consolidated by the RDHS Multi-Purpose Service; Service and Business Plan.


STRENGTHENING OUR COMMUNITY

• Anewpositiontitled‘CommunityWellbeingOfficer’wasintroducedinmid-2015andanappointmentwasmadeinDecember2015.Thispositionhasastrongfocusonimprovingthewellbeingofourcommunity.

• RDHShostedanumberofcommunityeventssuchasNeighbourDay–acelebrationofcommunityrelationships.NeighbourDaywascelebratedatboththeManangatangandRobinvalecampuses.NAIDOCweekisalsocelebratedannuallyattheRobinvalemaincampus.

• TheRippleEffectofEthnicities(TREE)Project;acommunityventurecommencedplanningandconsultingwiththecommunityinJanuary2016.TheprojectishostedbyRobinvaleDistrictHealthServiceswiththeaimtoprovideasafe,comfortableandmeaningfulplatformforpeoplefromdifferentculturalgroupstoparticipateandengageintheRobinvalecommunity.

• LaunchingofanewRDHSWebsite.Thewebsiteiseasy-touse,makingitsimplerandfastertolocateinformationandengagewiththecommunity.

USING RESOURCES RESPONSIBLY

• RDHShascontinuedtomaintainabalancedbudget.• ‘InFlow’inventorymanagementsystemintroducedandembeddedintheprocurement/supplydepartment.

• Newairconditioningsystems(providingforpersonalcomfortlevels)tothemaincampushospitalandnursinghome.

• 100KilowattSolarEnergysystem(allowingustobelessreliantonnon-greenenergysources)atthemaincampus.

• PhillipsUltrasoundmachinepurchasedtoreplacethedatedunit.

INVESTING IN AN OUTSTANDING WORKFORCE

• TheWorkplaceAchievementProgramhasbeenimplementedacrosstheorganisation.TheprogramisaninitiativeofHealthyTogetherVictoriaandsupportsahealthyworkplaceenvironment.

• 2xAlliedHealthAssistantTraineeshipswereintroducedandfilledinDecember2015.

• BoardofManagementcontinuetosupportlocal’sstudentswishingtoundertaketertiarystudiesintheHealth\Sciencefieldwiththeannualboardscholarships.

BUILDING ORGANISATIONAL CAPACITY

• ThehealthservicewideAuditconductedinAugust2015demonstratedahighlevelofachievementagainstall10NationalSafetyandQualityHealthServiceStandards(NSQHSS)andindeedwewereawarded3“metwithmerit”inourGovernanceandPartnershiparrangements.

• RiversideresidentialagedcarecampusachievedfullcomplianceagainsttheAustralianAgedCareQualityAgencyStandards(AACQA).

• RDHSEnvironmentalManagementSystemsrecertifiedtoInternationalStandardISO14001:2004.

• BoardofManagementundertookGovernanceevaluationandtraining.• Kronostimeandattendanceandrosteringembeddedwithintheorganisation.

DELIVERING PERSON CENTRED SERVICES

• VisitingserviceshaveexpandedtoincludeOphthalmology,MentalHealth,Psychology,Nephrology,Gynaecology,ObstetricsandAudiologyfrom3differentserviceproviders.

• Preventivehealthgroupshaveexpandedtoincludegroupssuchaswarmwaterexerciseclasses,communitywalkinggroups,Strength&Balance,HEALandmonthlydiabeteseducationsessionsforthosewithType2Diabetes.

• RegularmeetingswiththeRobinvale“Elders”todiscusscurrentissuesrelatingtotheindigenouscommunity.


CHAIRMAN AND CHIEF EXECUTIVE OFFICER'S REPORT

Welcome to our 2015/2016 Annual Report. It is pleasing to report that Robinvale District Health Services has again had a successful and rewarding year, operating within agreed budgets, increasing the range and diversity of services and meeting the set targets for service delivery required of a Multi-Purpose Service. The reputation of RDHS continues to grow as a leader in the delivery of Rural Health Services with a strong focus and commitment to improving the health and well-being of the communities we service.


threetiersofgovernment,localbusinessandcommunityorganisationstofocusondeliveringlongtermbenefitsforourchildren,youthanddisadvantagedgroupsbyimprovingsustainableeconomicdevelopmentandinvestmentforthecommunity.OnbehalfoftheBoardandcommunitywewouldliketothankGlennforhistirelesswork.

Itisalsopleasingtoreportthatexistingpartnershipsandnewpartnershipsarebeingdeveloped.Someexamplesare;

• TheMemorandumofUnderstandingfortheRenalDialysisServicewhichexpiredon30thJune2016hasbeenrenewedwithMelbourneHealth.

• Fundingagreementsignedforthe16/17yearwiththeMurrayPrimaryHealthNetworkfortheprovisionofalliedHealthservicestothecommunitiesofRobinvale,ManangatangandOuyen

• Fundingagreementsignedforthe16/17yearwiththeWesternNewSouthWalesPrimaryHealthNetworkfortheprovisionofalliedhealthservicestothecommunitiesofWentworth,Dareton&Balranald

• ContinuedfundingforafurthertwoyearsfortheHomeInteractionProgramforParentsandYoungsters(HIPPY)whichisaverysuccessfulEarlyYearsinitiative.

• 3yearfundinggrantfundingundertheCommonwealthHomeSupportProgramme

• 3year(2016–2019)Multi-PurposeServiceTripartiteAgreementsignedbetweentheDepartmentofHealth&HumanServicesandtheCommonwealthDepartmentofHealth.

InDecember2015weintroducedthepositionofCommunityWellbeingOfficertothePrimaryCareTeam.Thispositionhasbeendesignedtofocusonthementalwell-beingofourcommunity.SueWatsonhasbeenengagedandapproachedtherolewithmuchenthusiasm.Suehasastrongbackgroundinmentalhealthandsocialwork.

Cont’d...

SERVICE AND PARTNERSHIPThe5-yearServicePlanwhichunderpinstheTripartiteMPSAgreementexpireson30thJune2017.Theplancontinuestosteerdecisionmakingandhasenabledachievementofsignificantchangesandbenefitsforthehealthserviceandcommunity.

The2011-2016StrategicPlaninitsfinalyear,hasrequiredRDHStobeinnovativeandstrategicinourapproachtomeettheneedsofthecommunitiesweservice.Wehaveconsideredthebroadrangeofinfluencesonthewellbeingofindividualsandtheircommunitieswhendesigninganddeliveringourservicesandwehaveacknowledgedourimportantroleofbuildingcommunitycapacityandresilience.InmeetingtheFivepillarsoftheStrategicPlan,RDHShas:

- Delivered Person Centred Services- Strengthened our Communitythroughcommunitycapacitydevelopment,investinginthe“EarlyYears”andmeetingthechanginghealthandagedcareneedsofourcommunity

- Used Resources Responsibly bymaintainingeffectivefinancialcontrolsandaligningcapitaldevelopmentandimprovementwithservicepriorities.

- Invested in an Outstanding Workforcebyensuringthatwehaveahighlyflexibleandhighlyskilledworkforceandapositiveandhealthyworkenvironment

- Built Organisational Capacitybyensuringthatservicesareevaluated,areofahighqualityandthatwemanagetowardsouraccountabilities.

2015/6sawthefinalyearoftheRobinvaleAdvancingCountryTownsProjectwhichwasauspicedbyRDHS.TheAdvancingCountryTownsInitiativebuiltkeypartnershipsandinitiativesaroundserviceintegrationinareassuchasearlyyears,schoolaspiration,studenttransitionandemployment.GlennStewartastheStrategicProjectManagerworkedwiththeSteeringCommitteeGroup,

Our Board of Management, Executive, Staff, Visiting Medical Offi cers and Volunteers have a common goal of improving the health and well-being of our community.

OurpartnershipwiththeIndigenouscommunitycontinuestostrengthenandisrecognisedbyeventssuchasourannual NAIDOCcelebration.ThisyeartheEldersprepared “JohnnyCakes”foralltoshare.Wehavealsobeensuccessful inobtainingfundingfromDHHStoestablishAboriginalArtworkatthemaincampus,RobinvaleCollegeand MurrayValleyAboriginalCo-operative.Theartworkwillconnectallagencies.TheEldersoftheRobinvaleandDistrictAboriginalcommunitywillassistustobrokerthisprojecttoasuccessfuloutcome.

NeighbourDaywascelebratedinMarch2016atboththeManangatangandRobinvalecampuseswithguestspeakers andrefreshments.InRobinvalewecelebratedwithalunchtime“Hangi”cookedbythePolynesiancommunityandthethemeforthedaywas“multiculturalexperiences”.Itwasanexcellenteventandweenjoyedaverygood patronagefromthecommunityandfrommany representativegroups.OurFederalMemberforMalleeAndrewBroadwasalsoinattendance.

TheRippleEffectofEthnicities(TREE)Projectisa communityventurewhichcommencedplanningand consultingwiththecommunityfromJanuary2016hostedbyRobinvaleDistrictHealthServiceswiththeaimtoprovideasafe,comfortableandmeaningfulplatformforpeoplefromdifferentculturalgroupstoparticipateandengageintheRobinvalecommunity.

ThiswillbeasoftentrypointtoaddressingmentalhealthinthecommunityinadditiontoincreasinginterculturalawarenessandunderstandingintheRobinvaleand surroundingcommunities.Thisistobeachievedthrough 3phasesthatincludes-Aculturalskillsexchangeprogramforpeopleovertheageof45years;amuralbythe RobinvaleCollegestudentsonthecommunityradiostation caravanandfinallytheRobinvaleMulticulturalFestival.Afocusgroupwasheldonthe3rdofMaytointroducetheTREEProjecttothecommunity.Thisfocusgroupwasattendedby31communityrepresentativesfromover15differentcultures.ThisprojectisexpectedtotakeplacethroughoutthisyearuptoNovember2016

SUPPORT SYSTEMS & SERVICESOursoundfinancialfoundationallowedustoundertakeanumberofkeycapitalprojectsacrossthe3campusesandinclude:

• newairconditioningsystems(providingforpersonalcomfortlevels)tothemaincampushospitalandnursinghome

• 100KilowattSolarEnergysystem(allowingustobelessreliantonnon-greenenergysources)atthemaincampus

• anewPhillipsUltrasoundmachinetoreplacethedatedunit

• Refurbishmentoftheagedcarecourtyardatthemaincampustomakeamore“userfriendly”forour Residents,patients,theirFamiliesandStafftoenjoy theoutdoors.

Thisupgradehasbeenmadepossiblethroughthe fundraisingeffortsoftheMurraytoMoynelocalbikeriders, speciallongtimepartnersofRDHS.WeareindebtedtothemfortheirongoingcommitmenttoRDHSandtheirgenerosityandenthusiasmforthisprojectwhichbenefitsallwhowork,visitorresidehere.

TheManangatangcampushadworkundertakentoremodelthefrontpatioareatomakeitsafe,secureandweatherproof.Thisprojecthasprovidedalovelysettingforourresidentstorelaxoutdoorswithfamilyandfriendsorwhencelebratingaspecialoccasion.

Anumberofothercapitalimprovementshavebeenmadeacrosstheorganisation,thesearelistedintheDirectorCorporateServicesreport.

Ourhealthservicewideaccreditationhasexceededourpastperformance.ThehealthservicewideAuditconducted inAugust2015demonstratedahighlevelofachievement againstall10NationalSafetyandQualityHealthServiceStandards(NSQHSS)andindeedwewereawarded3“metwithmerit”inourGovernanceandPartnershiparrangements. RiversidealsohaditsmajorAuditagainsttheAustralianAgedCareQualityAgencyStandards(AACQA)thisyearandcontinuedthesuccessstory.AttheexitinterviewtheAuditorsmadecommentaboutthesignificantshiftin culturewithinRDHSandthatStaffhadobviouslyembraced anenvironmentofcontinuousqualityimprovement.ThankyoutoallStaffandinparticulartheQualityteamofRDHS,GayleNicholsandConnieChirchigliaandwhokeepusonawellguidedpathoflearningandimprovement!

WealsomaintainedouraccreditationstatusforISOQuality, SafetyandEnvironmentalsystems.

RDHSlaunchedanew-easy-tousewebsiteduringtheyear,makingitsimplerandfastertolocateinformationandengagewiththecommunity.

Thesearesignificantachievementsandourmanagementandstaffaretobecongratulatedforthecommitmentandgoodworkinthisarea.

OUR PEOPLERDHScontinuestostrivetoenhanceourreputationasanemployerofchoiceprovidingtheopportunityforpeopletoworkinasafe,positiveandrewardingenvironmentwithastrongcultureofteamworkandparticipation.

AfterfouryearsatRDHS,MaraRichardsresignedasCEOtojoinAlexandraDistrictHealth.WecongratulateMara onherappointmentandthankherforhercontributionandleadershipduringhertermasCEO.UnderMara’sleadershipRDHShascontinuedtogrowanddevelopandsheleavesRDHSinexcellentshapeandwellpositionedtomeetthechallengesthatlayahead.

DuringthetransitionperiodfromMaratothenewlyrecruited CEO,RDHSwasunderinterimleadershipfromtheRDHSDirectorofCorporateServices–VickiShawcrossRDHSwelcomedtotheteamJudyShawyerasDirectorofNursing


Chairman and chief executive officer's REPORT

oftheManangatangCampusinDecember2015This appointmenthasprovidedstabilitytotheManangatangCampus.

RDHSalsowelcomedRayGentletothemaincampustofillthenewlycreatedpositionofManagerPeople&CultureandGailRobinsontotheRiversideCampusasNurseUnitManager.KerrynMoroneyhasbeenappointedasNurseUnitManagerattheRobinvalecampustorelieveBinuJoywhocommencedmaternityleaveinJune2016.LaceyWestgarthwasalsoawelcomeadditiontoourCorporateteamasourManagementAccountant.

RDHSfarewelledJulieanneLoy,HumanResources Coordinator,ClaudiaHunter-DirectorofNursing– ManangatangCampus,MarySeymour–MaternalChildHealthNurseandRajNair-FinanceOfficer.RDHS recogniseandthankthemfortheirservicetoRDHS

RDHShascontinuedonitsquesttoengagetheservicesofaDirectorofMedicalServices,unfortunatelythispositionremainsvacant.

WesaythankyouandfarewelltotwoVisitingMedical Officers;DrJoseOmotoseandDrSvitlanaKelada.DrSamerShaikhisapleasingadditiontotheVMOteamandwe embracehisservicetoourcommunity.WewouldliketothankDrLuigiLuccaforhiscontinuedsupport.

Wearealsothankfulandappreciativeofthemany organisationsandindividualsfromourcommunitywhichdonatetoRDHSandassurethemthatthosegiftsand donationsarespentonhealthdeliverytoourlocalcommunity.

GOVERNANCETheBoardofManagementprovidescleardirectionforRDHS,monitorsorganisationalperformanceensuringgoodgovernance,givingtheirtimeasunpaidMembersoftheBoard.TheleadershipandcommitmentprovidedbytheBoardisappreciated.

NewBoardmemberswelcomedthisyearwereLisa MurrayandTeneilleFollettinJuly2015andAlisonBlackwhotookupherappointmenttotheBoardinApril2016.ShirleyIrvingdidnotseekre-electionwhenhertermexpiredinJune2015after16years’serviceandwewouldliketoacknowledgeShirley’sinvaluablecontributionandstewardshiptoourhealthservice.

DesmondRyanandMaryanneLesliealsodidnotseekre-electionwhentheirtermsexpiredinJune2015andwealsothankthemfortheircontribution.

ACKNOWLEDGEMENTSTheongoingsuccessofRDHSisaresultofacommittedandhardworkingteam.OurBoardofManagement, Executive,staff,VisitingMedicalOfficersandvolunteershaveacommongoalofimprovingthehealthand well-beingofourcommunity.

WeexpressoursincereappreciationtoourManagementTeam,Staff,VisitingMedicalOfficers’volunteersand communitysupporters,yourdedication,enthusiasmandsupportmakesawonderfulcontributiontothelifeofRDHS.Thankyou.

Wewouldalsoliketoexpressourappreciationtothe CommonwealthDepartmentofHealthandDepartment ofHealth&HumanServicesatStateandRegionallevelfortheirhardwork,dedication,professionalismandcontinuedsupportoftheorganisationoverthepastyear.Thesupport fromourlocalPoliticians,Mr.PeterWalsh,MemberforSwanHill,Mr.AndrewBroad,FederalMemberforMalleeandPeterCrisp–MPMilduraandtheSwanHillRuralCityCouncilisacknowledgedandappreciated.

EachYearpresentsnewchallengesandopportunitiesfortheBoardandStaff.RDHSiswellpositionedtoaddressthesechallengesandmaximisetheopportunitiesastheypresentduetothepositivecultureandstrongcommitment ofallinvolvedatRDHS.

PeterCampisiChairman

VickiShawcrossInterimCEO

Robinvale District Health Services AnnualReport2015 11Robinvale District Health Services Annual Report 2016 11


DIRECTOR REPORTS

Innovation and leadership is valued and encouraged. We are committed to a supportive environment that encourages new ideas and creativity and will actively seek opportunities to develop and improve services available to the community.


ACUTERDHSsuccessfullyattainedaccreditationtoall10NationalStandardsinAugust2015andcontinuestoentrenchtheprinciplesoftheStandardsintopracticetoensureoptimalcaretoourpatients.Thenewworkpracticesarepromotedtodevelopbetteroutcomesandinvolvethepatientintheircare.

ThenewlyrenovatedDialysisunitprovidesexceptionaltreatmentwithtwoshiftsoperatingthreetimesperweek.Stafftraininghasbeenmaintainedtoensuretheserviceisavailabletoourcommunityandalsotooffertreatmenttopatientsholidayinginourregion.TheunitissupportedbyMelbourneHealthasasatelliteservice.Therehasbeenadecreasenotedinoccasionsofservicethispastyear.

TheRIPERN(RuralIsolatedPracticeEndorsedRegisteredNurse)staffarepreparingtoembedtheprograminourclinicalservicedelivery.ThisprogramisenvisagedtoprovidesupporttotheUrgentCareCentres(UCC).ThisprogramwillnotreplacetheneedforVisitingMedicalOfficers(VMO)butrathersupporttheDoctors’andsustainmedicalexaminationstoahighstandard.TheprogramiswellreceivedasthePrimaryCareClinicalManualisavaluableresourceforallstaff.Welookforwardtomorestafftakingontheenhancedtrainingintothefuture.

RDHSdidnothostaGraduateNurseprogramin2016andremainhopefulofattractingasuitablecandidatefor2017.DuetocurriculumchangesfortheEnrolledNurse(EN)program,TAFEdidnotoffertheopportunityforustocontinueEnrolledNursetraineeshipsin2016.Welookforwardtothetraineeshipresumingin2017.Thecurrent

2015traineeshouldcompletethecoursebytheendof2016.RDHSseesthisasanexcellentopportunityto“grow”ourownstafffromourowncommunity.

TheVisitingNurseService(VNS)hasprovidedcaretomanypatientswithintheirownhomewithspecialisttraininginareassuchaswoundcare,beingsuccessfullyutilised.Thisspecialisttrainingisalsoawelcomesupporttotheacuteandagedcaresectors.

TheMedicalImagingdepartmentpurchasedanewPhillipsUltrasoundmachinewhichisabletoproduceimagesofgreaterclarity.3Dimagesarealsoofferedtopregnantwomenasanon-diagnosticexamination.RDHSisveryproudtocontinuetooffermedicalimagingtothecommunityasthisassistsmanydiagnosticoccasionswithoutthepatienthavingtoaccessservicesoutoftown.BendigoRadiologysupportsuswithexcellentreportingturnaroundtimes.

InfectionControlremainsanimportantStandard(3)andRDHScontinuestodemonstrateexcellentoutcomesincleaningandhandhygieneaudits.ThecommitmenttomaintainingahighstandardisreflectedinthelowinfectionratesreportedforRDHS.Theincreaseinthestaffinfluenzaimmunisationratewasalsoverypleasingfor2015.

TheClinicalRiskManagementCommitteewelcomedtwoBoardofManagementmemberstostrengthenourcommitmenttoclinicalgovernance.ThiscommitteeappreciatesthesupportofDrLuigiLucca,JohnPisasale,

DIRECTOR OF CLINICAL SERVICES REPORT

Cont’d...

Our aim is to improve the health and wellbeing of all patients through promoting wellness and caring for illness effi ciently, effectively, compassionately and without discrimination.


localcommunityPharmacistandFayePerry,ManagerofBarratt&SmithPathology.TheseprofessionalsgivetheirtimetooverseeclinicalaspectsofRDHSpracticetoassistinappropriateclinicaldecisionmakingandmeetingtherequirementsoftheNationalandindustryStandards.AntimicrobialStewardshipremainstopicalwithRDHSmaintainingmonitoringprocessestopromotetheproperuseofantibiotics.

AGED CARERobinvaleDistrictHealthServicesAgedCarecampusesarehometo54agedcareresidents.Riversidecampusprovidescareforresidentswithlowcareneedsonapermanentorrespitebasis.RobinvaleandManangatangofferResidentialAgedCaretoclientswithhighcareneeds. Riversideoccupancylevelshavefluctuatedthroughouttheyearwithoveralloccupancyslightlyhigherthanthepreviousyear.RobinvaleandManangatangcontinuetoruntocapacitywithcontinuousprovisionofNursingHomeTypeservicesintheacutesectorwhererequired.ClientServicesOfficerMandyHoldsworthassiststomanagewaitinglistsfortheRobinvaleandManangatangsitesandisavaluableresourceforfamilies.

Staffaimtoprovideahomelikeenvironmentfortheresidentsandofferarangeofactivitiesfortheirenjoyment.Wewereluckytosecurefundingwhichhasenabledthepurchaseof4AppleiPad’sforouragedcarecampuses.Thisnewtechnologyhasallowedresidentstoaccessgames,readnewsandskypewithfamilyorfriends.Communityengagementremainsanimportantaspectforimprovingtheoutlookofourresidentsandwearethankfulforthemanyvolunteerswhoassistinmaintainingthatcommunitylinkforresidents.Theeldersinparticularenjoyvisitsfromschoolchildrenanditispleasingtoseethepositivegenerationalinteractions.

Theagedcaresectorappreciatestheservicesprovidedbythealliedhealthteam,allowingthemtimelyinterventionthatcanenhancetheirwellbeing.Theseincludephysiotherapy,occupationaltherapy,podiatry,speechpathologyanddietetics.

RobinvalenursinghomeandManangatangcampushavebothreceivedimprovementstoenhancethespacetheresidentsareabletoenjoy.WearethankfultotheMurraytoMoyneteamfortheircontinuedsupportwhichhasallowedustoimprovetheagedcarecourtyardattheRobinvalecampus.Thecourtyardisnowhometoafamilyofbudgies,wehavenewseating,alargesensorygardenandadditionalshade.Residentsarenowabletoenjoytheoutdoorswiththeirfamilies.Newair-conditioninghasbeeninstalledatRobinvaleandRiversideandanewoutdoorverandahasbeenconstructedatManangatang.Thiswillallowresidentstoenjoyoutdoorsinallweather.

Wearegratefulfordonationsandfundingfromthedepartmentthathasallowedpurchasestoassistincaringforandenhancingoutcomesforourpatientsandresidents.

Staffingturnovershavebeenhigherthispastyearwithexpectedattritionandmaternityleavebeingsignificant.WewelcomedJudyShawyer,DirectorofNursingtoManangatangcampusandKerrynMoroney,NurseUnitManagertocovermaternityleaveatRobinvale.

ThispastyearwefarewelledDrSvitlanaKeladafromManangatang.WewelcomedDrSameerShaikhtoMVACandwithVMOprivilegestoRDHS.AppreciationisextendedtoDrLuigiLuccawhoremainsaconstantsupporttotheoncallneedsofRDHSincludingourManangatangcampusresidentsinagedcare.

DIRECTOR REPORTS


MIDWIFERYAnotherbusyyearhasbeenexperiencedinprovidingmidwiferycaretothecommunity.Manyexpectantmothersfromtheregionwereabletoreceiveappropriatecarewithoutunduestressoftravellingoutoftown.

Achievements• Regularchildbirth/parentingclassesthroughouttheyearwithsomeparentstravellingfromasfarasBalranaldtoattend

• PurchaseofanExaminationCouchspecificallydesignedforGynaecology&Obstetricsclients

• VisitingGPObstetrician/GynaecologistfromMilduraBaseHospitalonaweeklybasis

• OnlineclaimingforMedicare16400(Midwifeantenatalattendances)nowoperational

Challenges• ClientsineligibleforMedicare.23%ofallmidwiferypatientsattendingtheclinicdonothaveMedicarebenefits.Thisprovideschallengesforboththepatientandthemidwifeasthecostoftestsandhospitalcarecanbegreat,whichcanoftenleadtodelaysintreatmentandcomplications.Reducedfeesandpaymentplanscanbenegotiated,anddoassist,howeverareferraltoSocialWorkandotherexternalagenciesforfinancialassistanceisoftenrequired.

• Alargeproportionofourlocalpregnantpopulationareconsideredtohavecomplicated(high-risk)pregnancies,meaningthatthereisariskthattheirhealthmightbeaffectedbythepregnancyorthattheirbabywillbeborntooearly.Requiringextracare,investigations&referraltoTertiarycenters.

• DiscontinuationofthePEHP-PerinatalEmotionalHealthProgram(PEHP).Sadly,fundingforthisprogramwaswithdrawnin2015andthereisnolongeradedicatedfreeserviceforpregnantandpostnatalwomeninourarea.

Future directions• Explorefurthertelehealthtypeconsultationstoavoidclientstravellingfarfromhometoattendspecialists

• Revampchildbirtheducationclasses

MATERNAL CHILD HEALTHAnotherbusyyearwithparentssourcingthesupportoftheMaternal&ChildHealthNurse(MCHN).

Servicesinclude;• Participationinchildbirthandparentingclasses• Domiciliaryvisits• KeyAges&Stagescheckstomonitorbaby’sprogress• Supporttoparentswithallaspectsofbabycare• Initiatereferralswhereidentified,includingmentalwellbeingissues

• ParticipatinginPositiveParentingProgram• ArrangingFirstAidclassesforparents,grandparentsandcarers’

• ReferringfamiliesandinteractingwiththeEarlyYearsprogramsandPlayGroups

• Assistingwiththe0to5immunisationprogramatRDHS• Maintainingrecordstomeetdepartmentalrequirements

TheMCHNhasworkedveryhardtodeveloprelationshipswiththefamiliesofourregiontoensureappropriateengagementforthewelfareofthechildren.AnopensessionisofferedonaTuesdaytoallowparentstovisitwithoutfirstmakinganappointment.AnotherachievementhasbeenimprovingaccessforthefamiliesofManangatang.

RDHShasdevelopedwonderfulcohesiverelationshipstoassistfamiliesfrom0to5yearswhichinturnseesourchildrentobemore“schoolready”.Thiscreatesabetteropportunityforlearningandreducesthosemorelikelytoslipthroughthegaps.


FINANCERDHSremainsinastrongfinancialposition.Wehavecontinuedtomaintainourrevenuebaseandcontrolledexpenditurewithinparameterssetbythebudget.PleaserefertotheattachedFinancialStatementsforfurtherinformation.

TheFinanceTeamunderwentanumberofpersonnelchangesin2015/16,withtheresignationofRajNairintheFinanceOfficerpositionandtheintroductionofanewposition–ManagementAccountant.WewelcomeLaceyWestgarthtotheteam.

Audit&RiskSolutionsPty.Ltd.(ARS)provideInternalAuditservices.

Arobustinternalauditprocesswasundertakenin2015/16.Areasauditedinclude:

• Payroll• FraudRiskAssessment• AgedCarebillingandtransactions• MonthlyFinancials• FinancialBudget• Patient\ResidentTrustAccounts• 2014-15FBTreturn• CreditCardtransactions• PayrollTesting/TimeSheets/Overtime

TheinternalauditorverifiedtheeffectivenessofRDHS’sinternalcontrolandriskmanagementsystem.TheydidreportthatRDHShasmadesignificantimprovementsintheirFinancialandGovernanceprocessesandtheybelievethatthecurrentcontrolsinplacearesound.

Furtherreinforcementoftheseprocessesandcontrolsweresuggestedtoimprovethisposition.Anumberofrecommendationshavebeenmadethroughouttheyearwhichwillfurtherstrengthenandimprovetheexistingframework.

FundingInadditiontooperationalfundingfromtheDepartment ofHealthandHumanServicesVictoriaandthe CommonwealthDepartmentofHealth,RDHSisproud tosecuresupplementarygrantsfromStateand CommonwealthGovernmentandotheragenciestosupport theRobinvalecommunitythroughvariousprograms.ProgramssuchasBestStart,EarlyYears;HIPPY(HomeInteractionProgramforParentsandYoungsters);RuralPrimaryHealthFlexiblefundingviatheMurrayPrimaryCareNetworkandtheWesternNewSouthWalesPrimaryCareNetwork.

Community Initiative ActivitiesAscommunitycapacitybuildinginitiativesRDHScontinues tomanagetheoperationsoftheRobinvale/EustonTourist InformationCentreandtheRobinvaleOutofSchoolHours(OOSH)programtosupportthecommunity.Thesustainability ofnon-healthcommunityunitsisreviewedannuallytoensurecontinuousservicestothecommunity.

FACILITIES / INFRASTRUCTURE / ASSETSAvarietyofbuildingworkswereconductedthisyear,withtheassistanceofthemaintenancestaff.Theseinclude:

• Commissioningoftheair-conditioningsysteminthemaincampusacuteandnursinghomebuilding

• Installationofa100Kwsolarrenewableenergysystematthemaincampus

• Refurbishmentoffrontoutdoorpatioareaatthe ManangatangCampus

• Installationofashadesail,birdaviary,newbbqandseatingtothenursinghomecourtyardatthemaincampus

• 2ndstageofinternalpaintingcompletedatthe ManangatangCampus.Thehospitalbuildinghasnowbeenfullyrepaintedinternally.

AspecialthankstoPeterRickardandthemaintenanceteamfortheircontributionstotheinfrastructureprojectsandtoallstaffatthe3campuseswhoputupwithdisruption totheirenvironmentduringthebuilding/refurbishmentworks.

DIRECTOR OF CORPORATE SERVICESCorporate Services comprises departments staffed by people with a wide range of skills and expertise in business analysis, budget and finance, food, environmental and linen, human resources, information communications and technology, supply and maintenance services.

These departments support direct patient care and ensure Robinvale District Health Services functions effectively and efficiently. These departments participate in management decision-making for the entire organisation, in particular the interpretation of government policy, the implementation of changes required for compliance with statutory obligations and the management of resources necessary for the delivery of clinical services.

DIRECTOR REPORTS


Investmentwasmadein:• Phillipsultrasoundmachinewascommissionedin August2015• FireSafetyauditconductedacrossallcampuses.• arangeofminorinfrastructuremaintenanceprojects

FOOD SERVICESOurCateringdepartmentandRiversideandManangatangkitchenscontinuedtheirqualityworkinthepastyear.Theteamofapproximately20staffprovidesmorethan60,000mealseachyeartopatients,residents,visitorsandstaff,including2,500+MealsonWheelswhichservicetheRobinvaleandManangatangcommunities.

LINEN SERVICESThelaundrystaffcontinuetoprovideahighlevelofservicetoexternalcustomersatBalranald,Ouyen,localmedicalclinicandmotel.RDHSalsosupplieslinentoallthreeRDHScampuses.

Residentpersonallaundryismanagedfromthelinen servicewithdelicateprecision.

HOTEL SERVICESThecleaningstaffofapproximately8continuedtheir qualityworkdeliveringexcellentresults.

Compliancewasachievedwiththerelevantlegislativecleaningstandards,aspertheexternalreviewprocessesconductedthroughouttheyear.Thecleanstateofthephysicalenvironmentisatoppriorityasiteffectivelysupports theprovisionofhighqualityandsafepatientcare.

SUPPLYOurSupplydepartmentcontinuestomeetthehighdemandsacrossallcampuses.Asmallteamof1.2peopleworktirelesslytocollatepurchaseorders,placeordersandreceiveanddispatchmaterialstoallareas.Thisyearweestablishedadrygoodstoresothatweareabletopurchasefooddrygoodsinamoreunifiedapproachacrossallcampusesandcantakeadvantageofbulk purchasingpricing.

Thebarcodingsystemimplementationwascompletedthisyearandwearenowabletoaccuratelyrecordstockusageandchargebacktotheappropriatecostcentre.

ACCOMMODATIONFindingaccommodationinasmallruralcommunityisoftenhardtoobtainthereforeasarecruitmentandretentionincentiveRDHSdoeshaveavailableanumber

ofRDHSownedfullyfurnishedhousesandunitsinbothRobinvaleandManangatang.Theseareavailabletostaffonanovernightorshorttermbasis.

In2015/16wehadatotalof62individualsaccessingaccommodation.Ofthese,24wereuniversitystudentsundertakingplacementintheareasofAlliedHealthandNursing,23werestaffmembersneedingovernightorshorttermaccommodation,11wereagencynursesand theremaining4consistedoflocumprofessionals.

INFORMATION TECHNOLOGYIthasbeenanotherbusyyearfortheITDepartmentwith anumberofprojectsonthego.

AnewwebsitewastolaunchedinSeptember2015.Thewebsiteisconsumerfocussedandinteractive,providingconsumersandexternalstakeholderswithcurrentandinformativedata.

InformationTechnologySupportisresponsibleforproviding usersupportservicesforRobinvaleDistrictHealthServices informationtechnologysystemsandinfrastructure.ThekeydeliverymechanismforthisserviceisviaexternalcompanyProAdvance.

RDHSisalsoamemberoftheLoddonMalleeRural HealthAlliance(LMRHA).ICTdevelopmentandsoftwareimplementationsupportisprovidedbyLMRHA.


People AND Culture

In 2015 the Human Resources Department was rebranded and is now recognised with a modern title of People & Culture. Ray Gentle was appointed as the manager of this department and is supported by the People & Culture Offi cer.

The role is to support the health service through cultural change by creating, implementing and managing change and supporting the Management team in leadership development through performance management systems and constructive feedback.

The People & Culture department is responsible for overseeing industrial matters, recruitment and retention, professional development, employee support and payroll.

In 2014/15 RDHS implemented KRONOS; an electronic Time & Attendance system which replaces manual timesheet processes. In 2015/16 we continued to fi ne tune the KRONOS Time & Attendance system and rolled out the Employee Self Service module which allows employees to manage a majority of leave. Staff are now receiving payslips electronically on the day of payroll processing which is a vast improvement on the former arrangement of receiving paper copies 3-4 days later.


RECRUITMENTRDHScontinuestoexperiencedifficultiesintherecruitment ofRegisteredandEnrolledNursesandsomedisciplines withinAlliedHealth.Itisstillincreasinglydifficultforsmallruralcommunitiestoattracthealthprofessionals;however, wehaveimplementedanongoingstrategytoseeksuitablecandidatesthroughouttheyear.

EMPLOYMENT & CONDUCT PRINCIPLESRDHSiscommittedtoapplyingmeritandequityprincipleswhenappointingstaff.

Theselectionprocessesensurethatapplicantsareassessedandevaluatedfairlyandequitablyonthebasisofthekeyselectioncriteriaandotheraccountabilitieswithoutdiscrimination.

AllagreementsthatRobinvaleDistrictHealthServicesisarespondentarecurrentlybeingnegotiatedthroughVHIA.

EMPLOYEE REMUNERATION & BENEFITSRDHScontractwithAccessPaycontinues.Mostemployees continuetosalarypackageapercentageoftheirwagesinthemanagementofwagesforregularpaymentsorsavings. RDHSadoptsthepolicysetbyGovernmentSectorExecutive RemunerationPanelthatisalsoendorsedbytheDepartment ofHealth&HumanServices.

STAFF CREDENTIALINGRDHSverifiesthecredentialsofallregisteredpractitionersannuallythoughAustralianHealthPractitionersRegulation Agency(AHPRA)publicaccesswebsiteordirectlywithpresentationofrenewedregistration.

CLINICAL PLACEMENT2015/16wasabusyyearforplacementstudents.Placementswereundertakenby:

• 9AlliedHealthStudents• 22RegisteredNurseStudents(Acutesetting)• 1EnrolledNurseStudent(RiversideResidentialAgedCare)

• 1EnrolledNurseStudent(VisitingNurseService)

WORK EXPERIENCERDHSaccepted10workexperiencestudentsfromtheRobinvaleCollegeinanumberofareasandlevelsof experience.WorkexperiencewasprovidedtostudentsintheareasofAlliedHealth,Hospitality,MaintenanceandAgedCare.Studentsspent1dayperweekfor5to10weeksintheirchosenareaofinterestandexperiencingtheworkplacewhilebeingsupervisedandbeingprovidedwithguidancebyqualifiedstaff.

TRAINEESHIPSWecurrentlyhave4employeesundergoingatraineeship.OnecontinuesinaCertificateIIIinParksandGardens.TwohavecommencedCertificateIIIinAlliedHealthandonehascommencedaCertificateIIIinHealthAdministration.

Thetableabove*(currentmonthFTE)representsallemployeesthatwerepaidinthemonthofJuneandtheirFTEforcalculationforthatmonth.**(YTDFTE)meansallemployeesemployedthroughoutthefinancialyeari.e.thesumofeachmonthFTEdividedby12.

NursingAdministrationandClericalMedicalSupportHotelandAlliedServicesAncillaryStaff(AlliedHealth)

46.3720.91

1.1234.26

22.77

46.3220.64

1.0134.06

22.13

47.5421.30

1.1936.23

27.26

46.7820.85

1.1434.65

23.11

JUNECurrent Month FTE*

JUNEYTD FTE**Labour Category

2015 2016 2015 2016

Thegraphsaboverepresentthoseemployeeswhohaveworked inthepayperiodofthemonthofJune.Itdoesnotincludethoseemployeespaidonthepaidparentalleaveschemeandcasualsthatdidnotworkinthelastpayperiodofthemonth.

As at 30th June 2016 RDHS had 147 employees or 115.53 full time equivalent employees.

FTE

Hea

d Co

unt

Administration and ClericalAncillary Support ServicesHotel and Allied Services

Medical Support ServicesNursing ServicesGrand Total

115.53

2.0040.18

33.7121.52

18.12

147.00

2.0046.00

51.0028.00

20.00

0 20 40 60 80 100 120 140 160

FTE

Hea

d Co

unt

Administration and ClericalAncillary Support ServicesHotel and Allied Services

Medical Support ServicesNursing ServicesGrand Total

0 40 80 120 160 200

154

254

4927

22

117.55

1.1644.56

32.3120.2619.26

Primary Care Services

RDHS continues to provide high quality Primary Care Services in a model that is responsive and refl ects the ever changing needs of our diverse community. Highly skilled clinicians provide service including but not limited to Dietetics, Physiotherapy, Women’s Health, Diabetes Education, Podiatry, Social Work, Speech Pathology and Occupational Therapy.


Manysuccessfulprogramsaretheresultofvariouscliniciansworkingtogethertoensurethebestpossibleservicedeliveryforourcommunity,forexampleSpeechPathologyandOccupationalTherapyworkingtogetherintheEarlyYearsenvironment.Theco-locationofservicesalongsidethePrimaryCareDepartmentsuchasx-ray,ultrasound,midwiferyandpathologyprovideaconvenientuserfriendlyservice.InadditiontothisthecommunitycontinuestobenefitfromvisitingspecialistservicesoperatingfromRDHSPrimaryCare,offeringabroadrangeofhealthcareoptionsinoneconvenientlocation.

Achievements• EfficientandeffectivedeliveryofAlliedHealthservices,providingtimelytreatmenttowholeofcommunitywhileensuringthosemostatriskareabletoaccessappropriateservices.Continuedcommitmentinbothpreventingthedevelopmentandassistingpeopleintheirmanagementofpre-existingchronicillness,suchasdiabetesinanefforttoimprovehealthandminimiseavoidablehospitaladmissions.

• Buildingcommunitycapacityandprovidingrelevanteducation.InDecember2015RDHSimplementedanewposition(CommunityWellbeingOfficer).Thispositionhasastrongfocusonprovidingeducationandbuildingcommunitycapacityinareasrecognisedaspriorityissuessuchasthoseimpactingonmentalhealth.

• Numerousgroupprojectscomplimenttheindividualservicesoffered.Theseinclude:Carer’sSupportGroup,HealthyEatingActivityandLifestyle(HEAL)andpartnershipprogramssuchasthoseofferedbyMaternalChildHealthNurse,EarlyYearsandSpeechPathologyinthePositiveParentingProgram.

• RDHSPrimaryCareTeamacknowledgethevalueofprogramswhichassistcommunitytomodifylifestylebehaviourriskfactors(forexampleinactivity).Byassistingclientstomodifytheirlifestylebehaviourswhichplacethematriskofdevelopingchronicillnessandsomediseaseconditions,weareabletoworkinatrulypreventativehealthmodel.ThisyearwehaveseenthesuccessfulexpansionofourwarmwaterAqua


peoplewillbefundedbytheCommonwealthGovernmentandservicesforyoungerpeoplewillbefundedandmanaged bytheVictorianGovernmentuntiltheNationalDisability InsuranceScheme(NDIS)isfullyoperational.Both VictorianandCommonwealthGovernmentsareworking togethertoensurethebenefitsofthecurrentHACC servicecontinue.

EARLY YEARSChallenges• Recruitmentofstaffwithadequatequalifications/ requirementsofthefundingbodiesieHIPPYtutorsshouldbeemployedfromthegroupofHIPPYparents(asthisgroupoftenhaveyoungchildrenandchildcare withinthecommunityisanongoingissue)thisis extremelydifficultandwesometimesneedtoworkwiththefundingbodiestoexplaintheseissuesandseek permissiontogooutsidetheseboundariesonceallavenueshavebeenexhausted

• Buildingandcontinuingrelationshipswithalliedhealthservices,MCHNandotherserviceproviderstoensurewemeettheindividualneedofallofthefamilieswhouseourservices

• WorkingtowardsmeetingthechildsafestandardsforEarlyYearsandthewiderhealthservice

Achievements • RobinvaleEarlyYearsNetwork(REYN)continuestosupportprogramsdeliveredwithinthecommunity.AllserviceprovidersaregiventheopportunitytopromotetheiractivitiesaswellasshareprofessionalknowledgewithotherEarlyYearsservices.

• CollaborationwithMobileVisitingPlayProgram(MVPP),MaternalChildHealthandAlliedHealthstafftobettermeettheneedsofthechildrenandfamilieswhorequiremultipleservices.

• OngoingsupportfromAlliedHealthstaffandHealthPromotionOfficeratplaygroups,familyfundays,out ofschoolhours’programsandEarlyYears’eventstoreinforcetheimportanceofhealthyeatingandgoodhealth.

• Successfulco-facilitationwithMaternalChildHealthandSpeechPathologytodelivertheTriplePparentingprogram

• ShortlistedinVictoria’splaygroupagencyoftheyearawardsforPlaygroupprogramsdeliveredbytheEarlyYearsteam.

Future Directions • Traininganddevelopmenttoensurestaffarefully qualifiedintheBestStartprogram.

• DeliveryofparentingprogramssuchasTriplePand TuningintoKids.

• Supportandeducationforparentswithinthecommunity.• Provideawarenessinchilddevelopmentandeducationtosupportfuturegrowthoftheearlyyearsinour community

Program,asaresultofapartnershipwithRobinvaleCollege.Thisexpansionhasallowedtheprogramtocontinuethroughoutthewintermonths,offeringthecommunityalowimpactenjoyablemodeofactivity.

• Strongpartnershipswithlocalandsurroundingserviceprovidersbothinhealthandotherareas.Partnershipssupportthedevelopmentofconceptsandmakesbestuseofresourcesandideas.Manysuccessfulprogramsaretheresultoforganisationsbeingopenandreceptivetoworkingwithothersforthebenefitoflocalcommunity, forexampletheCommunityGarden.

Challenges• Recruitmentandretention-RDHShasbeenefficientinthemethodofrecruitmentoverthepastyear.Forthemostpartwehavebeenabletoprovideafullquotaofstafftoserviceclientdemand.Howeverevenwithsoundrecruitmentstrategiesinplace,therehavebeenshortperiodsoftimewhereafullstaffquotahasnotbeenachieved.

Future Directions• ContinuetoprovidemainstreamAlliedHealthservicesinacosteffectiveandefficientmodel,reviewingcurrentservicedeliverymodelstoensurewearestillprovidingserviceinawaythatisrelevanttotheneedsofthe communityandinlinewithgovernmentpriorities.

• Identifyopportunitiesforpartnershipswhichbetterutilisefundingandsupportthebenefitsofawholeofcommunitydirection.

• Implementprogramswhichencourageandsupportthemulti-culturalcommunitytoaccesscareandhealtheducation.

• Accessopportunitiestoprovidepreventativehealth programswhichalignwiththemodelofamulti-disciplinary approach.

HACC (Home and Community Care)

Providessupportandmaintenanceservicesforolderfrailpeoplelivingathomeinadditiontoyoungerpeoplewithdisabilitiesandtheircarers’.Thissupportisprovidedtoenablepeopletocontinuelivingathomeandavoid inappropriateorprematureadmissiontoresidentialcare.

ProgramscurrentlydeliveredundertheHACCprogram:

• AccessandSupportWorker-assistsHACCeligible peopletoaccessappropriateservices

• PlannedActivityGroup(PAG)–OperatestwiceweeklyfromthetownviewroomatRiversideCampus,providing opportunityforsocialisationandstimulatingactivities.Longtermbenefitsofsocialinclusionandactivitieswhichstimulateourmindshavebeenmuchdiscussedandendorsedinrecenttimes.

FromJuly12016theHACCprogramwillalterfromits currentform.Thesechangeswillmeanservicesforolder


ENVIRONMENTAL Performance

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


RDHShasbeenaccreditedtoISO14001:2004Environmental ManagementSystemsfor5years,whichshowsour commitmenttotheenvironmentbypollutionpreventionpractices,wasteminimization,energyusageandelimination ofenvironmentallyunfriendlyproducts.Thesystemisauditedannuallybyathirdpartycertificationbody

TheRDHSStrategicPlanalsoincludesourcommitmenttoprovidingthebestpossiblecarewhilstensuringasafeandhealthyenvironment.

RDHShasidentifiedsignificantenvironmentalimpactsandthesearecontrolledasfaraspracticable.Reductionscontinuetobemadewherepossibleinfoodwaste,energyconsumptionandwaterusage.

Arenewableenergysolutionhasbeeninstalledonthemaincampus.The100kWsolutionconsistsof400solarpanelsinstalledontheroofstructure.Thepanelswillgenerate162,416kWhperyear(approximately30%ofouroverallenergyrequirements),resultinginelectricity savingsofapproximately$34,000inthefirstyear. SavingstoJune2016haveexceededestimations.Initiativesthatimprovetheenvironmentalperformance ofourserviceinclude:

• Installationofa100kWPVSolarsystematthemaincampus

• Installationofmodernair-conditioningsysteminthemaincampusHospital/NursingHome

• Replacementofresidentindividualroomair-conditioners atRiversidecampus

• ExternalbindsfittedtoWestfacingwindowsofthemaincampushospitalandnursinghome

• InternalwindowfurnishingsreplacedattheRiversidecampustobetterinsulaterooms

• PurchasemanyproductsthroughHealthPurchasingVictoria(HPV).HPVdohaveanenvironmentalpolicy

• Energyefficientglobesusedthroughoutthehealthservice

• Ozonewatertreatmentprocessusedinthelaundryeliminatingtheneedtousehotwaterandprovides bettermonitoringandcontrolofchemicals.

• Gardensmulchedandprogrammablecontrolleddrippersysteminstalledtoreducewaterrequirements

• Wastecardboardandpaperisseparatedandrecycled

• UseofSteamCleanerswhichhasresultedinareductionofharshchemicalsandwaterby90%.

• Batteryrecyclingservice

• HealthandWell-beingCentre-100%carbonneutralfurniture,increaseuseofnaturallightanddoubleglazewindowstodecreaseenergyusage.

Thegraphsbelowoutline:Energy and Water Usageacrossourcampusbuildings.Vehicle Usageacrossourcampuses.

2015/16 Energy and Water Usage 2015/16 Vehicle Usage

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RDHS ENERGY USE

GOALEnhance Renal Dialysis Capability to meet future demand

GOAL Support and maintain the existing maternity service model

OUTCOME• RenewedMOUwithMelbourneHealthtocontinueRenalDialysisasasatelliteprogram.

• 3additionalstafftrainedin15/16

OUTCOME• ParticipationintheMaternityConnectprogram.Thisprogramisutilisedtomaintaintheskillsetoflocalmidwives.

RENAL DIALYSIS

MATERNITY SERVICES


Part A Service Plan Key Achievements

1 CONSOLIDATING ACUTE CARE AND RESIDENTIAL AGED CARE PROVISION

Review of the RDHS Service Plan commenced in October 2015, further review occurred in May 2016 by senior managers and tabled at the Board of Management for discussion.

Duringthenextfinancialyear,theintentionofRDHSistoimproveourstrategicplanningprocessestoensurebothStateandFederalGovernmenthealthprioritiesunderpinallplanningdocuments.

TheRDHSServicePlanisnowacondensedversionfortheremainingterm(2017)identifyingpriorityactionsasnotedbelow:

Below are the key achievements against the Service Plan for the 2015-16 period.

PERFORMANCE

• Review of aged care service delivery models by an external consultant

• Secure the appointment of a Director Medical Services for Acute services

• Create a position for a “Community Wellbeing” officer• Ensure clear protocols for accessing mental

health services are available for staff

• Document RDHS model for chronic disease management; identifying opportunities for enhance service integration.

• Continue to support/develop the RIPERN nurse model in urgent care centre and acute care.


2 ENHANCING COMMUNITY BASED HEALTH SERVICES

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

GOALEnhance the capacity and availability of local GPs

GOALImprove service delivery outcomes through collaboration and partnerships

OUTCOME• VisitingserviceshaveexpandedtoincludeOphthalmology,MentalHealth,Psychology,Nephrology,Gynaecology,ObstetricsandAudiologyfrom3differentserviceproviders.

• ResidentialcarecontinuestobesupportedbythePsychiatricGeriatricianservicesoutofMilduraBaseHospital.

• EndocrinologyappointmentsareconductedviaSkypeforpatientswithGestationalDiabetes.ThisservicecomplimentsthemodelofcarefromtheMidwifeandDiabeticEducator.

• ContinuedsupportprovidedtothevisitingContinenceService

OUTCOME• MurrayValleyAboriginalCooperative(MVAC)welcomedanewGPwhohasprovidedRDHSwithVMOsupport.

• DrSvitlanaKeladaprovidesGPsupportthroughaprivatepracticetoboththeManangatangcommunityandResidentialAgedCareResidentsfortheperiodJuly2015–April2016.

• RDHScontinuestoexploreopportunitiestosupportlocalGPworkload.

OUTCOME• RDHScontinuestosupportMentalHealthvisitingservicesoutofMilduraBaseHospital.

• Supportinitiativessuchasthe“OutoftheBlue”and“CallmeDad”providedtothecommunitywiththeaimtodecreasethestigmaofmentalhealthandincreaseawarenessofissuesthatimpactonmentalhealthandwellbeing.

• MentalHealthtriageeducationsessionswereprovidedtoRDHSstaffviaMilduraMentalHealthServices

• 2RDHSstaffscheduledtoattendMentalHealthFirstAidInstructortraininginlate2016• ImplementationoftheTREE(TheRippleEffectofEthnicity)project-aimedatincreasingsocialinclusionandparticipation

SPECIALIST MEDICAL SERVICES

PRIMARY & COMMUNITY HEALTH - GENERAL PRACTITIONERS

COMMUNITY MENTAL HEALTH – COLLABORATION AND INTEGRATION

GOALEnhance the existing urgent care capability

OUTCOME• RuralIsolatedPracticeEndorsedRegisteredNurse(RIPERN)trainingcontinuestobeofferedtostaffatRDHStoenhanceskillsandcaredeliverytoourdistrict,includingManangatang.

URGENT CARE

GOALEnhance the service capability for AOD services

OUTCOME• NeedleSyringeProgramcontinuestooperatefromtheHealth&WellbeingCentretosupportcommunityneed.

• AlcoholandDrugServicesdeliveredbyexternalprovidersissupportedbytheprovisionofconsultingroomsbyRDHS

PRIMARY & COMMUNITY HEALTH – ALCOHOL AND OTHER DRUGS


GOALDevelop a Service Framework that improves CDM service delivery

OUTCOME• TheWorkplaceAchievementProgramhasbeenimplementedacrosstheorganisation.TheprogramisaninitiativeofHealthyTogetherVictoriaandsupportsahealthyworkplaceenvironment.Localsupplierswillbeencouragedtoparticipateintheprogram.

• PersonCentred/GoalDirectedCarePlanningprocessembedded.• SupportvisitingNephrologyservicesfromRoyalMelbourneHospitaltoreachcommunitymembersatpre-dialysisstage.

• Preventivehealthgroupshaveexpandedtoincludegroupssuchaswarmwaterexerciseclasses,Strength&Balance,HEALandmonthlydiabeteseducationsessionsforthosewithType2Diabetes.

• RegularmeetingswiththeRobinvale“Elders”todiscusscurrentissuesrelatingtotheindigenouscommunity.

PRIMARY & COMMUNITY HEALTH – CHRONIC DISEASE MANAGEMENT

GOALImprove service integration within RDHS and between service providers

GOALConsolidate and incrementally improve a range of community based services

OUTCOME• Promotepolicytobettermanagetheinternalreferralprocess.• Provideaforumforserviceproviderstomeetandestablishrelationshipstobettercoordinatecaredelivery.

• Embedinitiativestoenhancetheadmission/dischargeprocess.

OUTCOME• Preventivehealthgroupshaveexpandedtoincludegroupssuchaswarmwaterexerciseclasses,Strength&Balance,HEAL,monthlydiabeteseducationsessionsforthosewithType2Diabetes,walkinggroupsandmoderateintensityexercisegroupswhichrespondtotheneedsofthecommunity.

• AppointmentofCommunityWellbeingOfficerinDecember2015.Thispositionhasastrongemphasisonmentalhealthawarenessandcommunitywellbeing.

• ChronicDiseaseManagement/PreventionProgramsaredeliveredafterhourstoencourageparticipation

• “SpeechintheSchools”introducedlocally.Thisserviceisprovidedtochildrenofprimaryschoolage.

• SpeechandOccupationalTherapyhavepartneredtoreintroducetheSPOT(SpeechPathologyandOccupationalTherapy)program.Thisisaprogramisamulti-disciplinaryapproachforpre-schoolagedchildren.

PRIMARY & COMMUNITY HEALTH – OTHER SERVICES

PRIMARY & COMMUNITY HEALTH – INTEGRATION

3 ACHIEVING SUSTAINABILITY

GOALMaintain the Commonwealth Flexible Funding ( under Primary Health Network)

OUTCOME• ContractswiththeWesternNewSouthWalesPHNandtheMurrayPHNhavebeenrenewedfortheperiod1/7/16–30/6/17.ThesecontractswillensurecontinuationofalliedhealthservicestoRobinvale,ManangatangandOuyeninVictoriaandDareton,WentworthandBalranaldinNewSouthWales.

SUSTAINABILITY – RURAL PRIMARY HEALTH SERVICE PROGRAM

PERFORMANCE


4 ENHANCING PERFORMANCE MANAGEMENT

5 DEVELOPING PARTNERSHIPS

GOALEnsure a robust basis for performance monitoring

GOALFocus on the development of priority partnerships and alliances

OUTCOME• ContractedexternalaccountantcontinuestoprovidetheBoMwithinformativeadviceandmonthlyfinancialreports.Improvedreportingensuresarobustbasisforperformancemonitoring.

• Internal/externalauditorsperformquarterlyauditstoreviewRDHSbusinessfunctionsandcompliancewiththeFinancialManagementAct.

OUTCOME• Murray Valley Aboriginal Cooperative-Continuetopromoterelationshipsandagreedpracticestobetterengagewiththeindigenouscommunity.

• AstrongpartnershipcontinueswiththeAboriginalEldersandSeniorManagementstaff.TheAboriginalHealthLiaisonOfficercoordinatestheseconversationsasrequired.AperiodicmeetinghasalsobeenestablishedbetweenMVACseniorstaffandRDHSseniorstaff.

• Mildura Base Hospital –ContinuetopromotedialoguetoenhancethereferraltoanddischargefromMBHprocesses.

• RelationshipwiththeMBHDialysisUnitestablishedtopromoteactivesupporttoeachother.

• GP’s –SupportthecapacityforGPstoprovideurgentcareon-callservicesatRobinvaleandManangatangwiththeRIPERN(RuralIsolatedPracticeEndorsedRegisteredNurse)staff.

• Robinvale College–newpartnershipestablishedtoexpandservicedelivery.RDHSnowpartnerswiththecollegetoutiliseheatedpoolfacilitiessothatwaterexerciseclassescanberunallyearround.

ENHANCING PERFORMANCE MANAGEMENT - MONITORING AND REPORTING

PARTNERSHIPS AND ALLIANCES

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

OUTCOME• AcomprehensiveBudgetdevelopedforservicesprovidedundertheCommonwealthFlexibleFunding(PHN)programforthe2016/17period.

• DepartmentalandOrganisationBudgetisannuallydevelopedforeachservicestream.In2016/17RDHSwillundertakeananalysisofeachservicetypetoenableanaccurateunderstandingofthefullservicecostperresident/patientperday.

• Thesoftwarebudgetingtool‘Powerbudget’willbeenhancedtoenableManagerstobettermanagetheirdepartmentbudgets.

SUSTAINABILITY – FINANCIAL MANAGEMENT


6 ENABLING PEOPLE

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

OUTCOME• AppointmentofaManagerPeople&Culture.Thispositionwascreatedtosupportthehealthservicethroughculturalchangebycreating,implementingandmanagingchangeandsupportingtheManagementteaminleadershipdevelopmentthroughperformancemanagementsystemsandconstructivefeedback.

• RIPERN(RuralIsolatedPracticeEndorsedRegisteredNurse)trainingcontinuestobeofferedtostaffatRDHStoenhanceskillsandcaredeliverytoourdistrict,includingManangatang.

• RDHSunabletooffertheEnrolledNurseTraineeshipin2016asthetrainingcurriculumwasnotavailablenationally.

• AppointmentofCommunityWellbeingOfficer.Thispositionhasastrongemphasisonmentalhealthawarenessandcommunitywellbeing.

• AppointmentofadditionalAlliedHealthtraineestosupportofalliedhealthclinicians.• ContinuetosupportAlliedHealthProfessionalstogainrecognitionofqualificationsforfullregistrationintheirareaofskill

ENABLING PEOPLE – INNOVATIVE WORKFORCE MODELS

GOALFurther develop effective staff engagement

OUTCOME• RDHScontinuestoassistwiththecostofprofessionaldevelopmentforallstaff,ensuringthatskillsaremaintained.

• StafftrainingcontinueswithmanymodulesnowpresentedbytheManagerPeople&Culture.Additionaltrainingisprovidedthroughthee-learningmodules.

• TheWorkplaceAchievementProgramhasbeenimplementedacrosstheorganisation.TheprogramisaninitiativeofHealthyTogetherVictoriaandsupportsahealthyworkplaceenvironment

• Traineeshipsinmanydisciplinesareofferedacrosstheorganisation.

ENABLING PEOPLE – STAFF ENGAGEMENT

7 SUPPORTING QUALITY

GOALDevelop and sustain a comprehensive clinical governance framework

OUTCOME• ThehealthservicewideAuditconductedinAugust2015demonstratedahighlevelofachievementagainstall10NationalSafetyandQualityHealthServiceStandards(NSQHSS).AttheexitinterviewtheAuditorsmadecommentaboutthesignificantshiftinculturewithinRDHSandthatStaffhadobviouslyembracedanenvironmentofcontinuousqualityimprovement

• RDHSwereawarded3“metwithmerit”inourGovernanceandPartnershiparrangements.• RiversidealsohaditsmajorAuditagainsttheAustralianAgedCareQualityAgencyStandards(AACQA)thisyearandcontinuedthesuccessstory.

• Furtherenhancedtheinvolvement/presenceofthequalityteamatcommitteeanddirectcareleveloftheorganisation:

• Provideopportunityforinformalfeedback • Attendclinicalstaffmeetings• RDHSrecognisestheimportanceofstrongclinicalgovernanceacrosstheorganisationashasengagedanumberofexternalconsultantstoconductclinicalreviewsofcurrentprocesses.Thiswillcontinuein2016/17.AsaresultofthesereviewsRDHSwillcontinuouslyimproveprocesses,minimiserisks,andfosteranenvironmentofexcellenceincareforconsumers/patients/residents.

QUALITY

PERFORMANCE


8 DEVELOPING INFRASTRUCTURE

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

OUTCOME• WiFihasbeeninstalledattheManangatangCampusandadditionalunitsatthemaincampustoensurethatthereisadequateconnectivity

• NewvideoconferencingunitswereinstalledinJune2016(LMRHA).Theupgradedunitswillincreasetelehealthopportunitiestodrivepointofservicetechnology.

• In-Flowinventorysystemrolledoutinsupply/procurementdepartment• OutreachalliedhealthstaffnowhaveaccessviaVDItorealtimeappointment/clientdataandotherprograms.

• MaternityServicesnowabletoclaimviaonlinemedicare(HPOS)• RDHScontinuestoparticipateinregionalandLMRHAinitiativesincludingICTstrategicplanningfortheLoddonMalleeRegion.

QUALITY

Effective management systems, processes and support services are essential to the ongoing viability of our organisation and the quality of the services we offer to the community.


Part B Performance Priorities

GOVERNANCE, LEADERSHIP AND CULTURE PERFORMANCEKey Performance IndicatorPeopleMatterSurveyPatientSafetyCulture

Target80%

Actual94%

CampusFlexible High CareRobinvaleManangatang

Number 1410

FUNDED FLEXIBLE AGED CARE PLACESQUALITY AND SAFETY PERFORMANCEKey Performance IndicatorHealthServiceAccreditationResidentialagedcare accreditationOverallcompliancewithcleaningstandardsVeryhighrisk(CategoryA)

Highrisk(CategoryB)Moderaterisk(CategoryC)VICNISSdatacompliance*CompliancewiththeHandHygieneAustraliaProgramPercentageofhealthcareworkersimmunisedforinfluenza

TargetFullcomplianceFullcompliance

Fullcompliance

90points

85points85pointsFullcompliance80%

75%

ActualAchievedAchieved

Achieved

Notapplicable toRDHSAchievedAchievedAchieved90.0%

78.8%

*VictorianHealthcareAssociatedInfectionSurveillance

PATIENT EXPERIENCE AND OUTCOMESKey Performance IndicatorVictorianHealthExperienceSurvey–datasubmission

VictorianHealthcareExperienceSurvey–patientexperiencePercentageofwomenwithprearrangedpostnatalcare

TargetFullcompliance

95%positiveexperience100%

ActualNotAchievedduetolatesubmissionofFebruary2016dataNotapplicable toRDHS100%

OCCUPATIONAL VIOLENCEOccupational Violence Statistics1. Workcoveracceptedclaimswithanoccupational violencecauseper100FTE2.NumberofacceptedWorkcoverclaimswithlost timeinjurywithanoccupationalviolencecause per1,000,000hoursworked.3.Numberofoccupationalviolenceincidentsreported4.Numberofoccupationalviolenceincidentsreported per100FTE5.Percentageofoccupationalviolenceincidents resultinginastaffinjury,illnessorcondition

2015-20160

0

00

0

DefinitionsForthepurposesoftheabovestatisticsthefollowingdefinitionsapply.

Occupational violence-anyincidentwhereanemployeeisabused,threatenedorassaultedincircumstancesarisingoutof,orinthecourseoftheiremployment.

Incident-occupationalhealthandsafetyincidentsreportedinthehealthserviceincidentreportingsystem.CodeGreyreportingisnotincluded.

Accepted Workcover claims–AcceptedWorkcoverclaimsthatwerelodgedin2015-16.

Lost time–isdefinedasgreaterthanoneday.FTEfiguresrequiredintheabovetableshouldbecalculatedconsistentwiththeWorkforceinformationFTEcalculation(refertopage16oftheHealthServiceModelAnnualReportguidelines).Thesedonotincludecontractedstaff(e.g.Agencynurses,Fee-for-ServiceVisitingMedicalOfficers)whoarenotregardedasemployeesforthispurpose.TheabovedatashouldbeconsistentwiththeinformationprovidedintheMinimumEmployeeDataSet.

PERFORMANCE


Service

Medical inpatientsUrgentcare

Nursinghometypepatients#Non-admittedpatientsRadiologyPalliativecareVisitingNurseServiceRenalDialysis

Midwifery(pre &postnatal)*

Campus

RobinvaleManangatangRobinvaleManangatangRobinvaleManangatangRobinvale

Robinvale

RobinvaleManangatangRobinvale

Robinvale

Type of Activity

BeddaysBeddaysPresentationsPresentationsBeddaysBeddaysOccasionsofserviceNumberofclientsNumberofclientsOccasionsofserviceOccasionsofserviceOccasionsofservice

Actual Activity2015-162,423852,03322724002,117

2,284N/A1,638557857

1,207

ACUTE CARE

#anursing-hometypepatientofahospital,withinthemeaningoftheHealthInsuranceAct1973,maybeconsideredtobe‘residinginanursinghome’.

*ServiceswhicharenotfundedoronlypartfundedthroughtheMPSTripartiteAgreement

Service

SpeechPathology*

CommunityHealthNursing

OccupationalTherapy*

Dietetics*

Podiatry*

Physiotherapy*

SocialWork*

AlliedHealthAssistant*

CulturalOfficer*

HealthPromotion*PlannedActivityGroup*

EarlyYears*AccessandSupportWorker*

Activity levels (e.g. occasions/ hours of service. By campus)IndividualOccasionsofServiceGroupAttendeesIndividualOccasionsofServiceGroupAttendeesIndividualOccasionsofServiceGroupAttendeesIndividualOccasionsofServiceGroupAttendeesIndividualOccasionsofServiceGroupAttendeesIndividualOccasionsofServiceGroupAttendeesIndividualOccasionsofServiceGroupAttendeesIndividualOccasionsofServiceGroupAttendeesIndividualOccasionsofServiceGroupAttendeesGroupAttendeesNumberofGroupSessionsGroupAttendeesGroupAttendeesIndividualOccasionsofServiceGroupAttendees

PRIMARY HEALTH CARE

*ServiceswhicharenotfundedoronlypartfundedthroughtheMPSTripartiteAgreement

13,0991,9941,5959102,5011681,9233184,973613,4044961,284-5542,9005608821,4458829412,439842116

UTILISATION OF FLEXIBLE AGED CARE PLACES

CampusFlexible High Care bed daysRobinvaleManangatangRespite Care bed daysRobinvaleManangatang

Number 50333269

639116

Occupancy Level %

98%92%

YEAR IN BRIEF2015/16

1022242347%

2326.162033857

5854%17

12.61227

2014/15

12123,02959%

2389.122334975

2583%296.79310

Variance

(15.68%)(20.01%)(20.01%)(5.14%)(16.18%)(12.90%)(12.10%)

150.00%46.55%46.55%(41.38%)85.71%

(26.77%)

PERFORMANCE INDICATORS (ACUTE)

2015/16

922263990%

503398%

326911692%

2014/15

9886103290%

505599%

301524194%

Variance

(6.72%)(38.08%)0.00%

(0.44%)(1.01%)

8.42%(51.87%)(2.13%)

PERFORMANCE INDICATORS (AGED CARE)

ROBINVALE NURSING HOME

BedDaysRespiteBedDaysOccupancyRateRIVERSIDE CAMPUSBedDaysOccupancyRate

MANANGATANGCAMPUS

BedDaysRespiteBedDaysOccupancyRate

ROBINVALE ACUTE

AdmissionsBedDaysOccupancyRateAverageLengthofStayWEISUCCOutpatientsDialysisEpisodes

MANANGATANGCAMPUS

AdmissionsBedDaysOccupancyRateAverageLengthofStayWEISUCCOutpatients


QUALITY AND RISK MANAGEMENT

RDHS successfully obtained full accreditation in August 2015 for the National Safety and Quality Health Service Standards (NSQHS) with compliance for all 256 actions, (including developmental) and achieved our fi rst above standard rating; “Met with Merit” for aspects of Standard 1 – Governance for Safety and Quality in Healthcare and Standard 2 – Partnering with Consumers.


WealsomaintainedouraccreditationstatusforISOQuality, SafetyandEnvironmentalSystems.ISOaccreditationisorganisationwidecoveringacute,primarycareandagedcarecampusesatRobinvaleandManangatang.The auditorsidentifiedsomeminordiscrepancieswhichhavebeenactionedthroughoutthereportingperiodandwill becompletedpriortothenextsurveillanceauditin September2016. Theauditorsobservedsignificantchangewithinthe organisationalculturerelatingtotheunderstandingof thequalitymanagementandcontinualimprovementsystemwhichwasevidentthroughoutallsites.Duringthestaffinterviewsconductedbyauditors,staffdemonstrated theirknowledgeofimprovementsmadetothesystem andidentifiedotherongoingimprovements.This understandingbystaffconfirmstheongoingchangewithintheorganisationintermsofstaffownershipandempowermenttomakeimprovementstothesystem.

Riversideagedcareaccreditationwasmaintainedby AACQAfollowingaregulatoryunannouncedauditin October2015reviewingthecontinuousimprovementstandard.

Staffandmanagementarecommittedtocontinual improvementtoensureRDHSmaintainsitscurrent accreditationandmeetallstandardsasrequiredby

CommonwealthandStateGovernments.Insodoingwestrivetowardsprovidingthebestpossiblecaretothoseaccessingourservices,whilstmaintainingasafe environmentforstaff,visitorsandclients.

Therequiredstandardsandaccreditationframeworksarelistedbelow:• NationalSafetyandQualityHealthService(NSQHS)Standards

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

• AustralianAgedCareQualityAgencyStandards(AACQA)• CommunityCareStandards(HACC)• ChildSafeStandards(DepartmentofHumanServices)

Consumer/Community Feedback/ComplaintsTheorganisationcontinuallyseeksconsumerfeedbackthroughsurveys(internalandexternal);directcontact andourcommentsandcomplaintsprocess.Allfeedback isviewedas‘opportunitiesforimprovement’andouraimistoensureconsumersandcommunitymembershave opportunityindecisionmakingprocessesrelatingtothesafeandeffectivedeliveryofservices.

JUL AUG SEP OCT NOV DEC JAN FEB MAR APR MAY JUN

Complaints Compliments/Suggestions/Feedback

0

1

2

3

4

5

67

8

REGISTERED COMPLAINTS & COMMENTS / SUGGESTIONS / FEEDBACK


SENIOR MANAGEMENT TEAM

OUR DEPARTMENTAL MANAGERS

OUR VISITING MEDICAL OFFICERS & CONSULTANTS

Mrs Mara RichardsMBA,AFCHSM

Chief Executive Officer (to 20th May 2016)TheChiefExecutiveOfficerresponsibletotheBoardofManagementfortheefficientandeffectivemanagementofRobinvaleDistrictHealthServices.Majorresponsibilitiesincludethe developmentandimplementation ofoperationalandstrategicplanning,maximisingserviceefficiencyandqualityimprovementandminimisingrisk.

Mrs Leanne AdcockRN,BAAppMan,CertIVTAA, CertifiedInstructorIANCICI,MRCNA

Director of Clinical ServicesTheDirectorofClinicalServices managestheclinicaloperationsofRDHSincluding;AcuteNursing,ResidentialAgedCare,PrimaryCareServices,VisitingNurseServices, MaternityandMaternalHealth, ClinicalEducationandRadiology.

Mrs Vicki ShawcrossBAAppMan,AdvDipBusMan,CertificateIV WorkplaceTraining&Assessment,AFCHSM

Director Corporate ServicesTheDirectorCorporateServiceshasoperationalresponsibilityforthe majorityofcorporatesupportservicesprovidedtosupporttheorganisation.FinancialServices,HumanResources,HealthInformationSystems, InformationCommunication Technology,CapitalProjects,HospitalityServices,HotelServices,Procurement,Engineering,Maintenance,Fleet,Administration\CustomerServices,CorporateReporting&Publications,Robinvale/EustonTourist InformationCentre.Interim Chief Executive Officer (from May 2016)

Manager Primary CareMrsLisaTaggert,RN

Manager Supply & MaintenanceMrPeterRickard

Manager People & CultureMrRayGentle

Quality CoordinatorMsConnieChirchiglia

Hospitality Services CoordinatorMrsTeresaMezzatesta

Hotel Services CoordinatorMrsSusanMattschoss

Director of Nursing – Manangatang CampusMsClaudiaHunter(toOctober2015)MrsJudyShawyer,RN

Clinical Educator / Infection Control Nurse CoordinatorMrsJanetPratt, RN,CertificateIVWorkplaceTraining&Assessment

Maternity Services ManagerMissVickiBroad, RN,RM

Nurse Unit Manager - Riverside Hostel MsGailRobinson,RN

Nurse Unit Manager - Robinvale CampusMrsBinuJoy,RN(toJune2016)MsKerrynMoroney,RN

Medical TechnologistMrsAndreaMays

General Practitioners

Dr. L. LuccaMBBSTURIN1981

Dr Raj Beejadhur MB BCh BAO NationalUniversityofIreland (Ireland)1971

Dr Svitlana Kelada, MBBS (to April 2016)DonetskStateMedicalUniversity(Ukraine)

Dr Sameer Shaikh, MBBS 1998KuvempuUniversity,India

MANAGEMENT


ORGANISATIONAL STRUCTURE

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

Board ofManagement Board Committees

• Quality Systems• Quality Accreditation• Risk Management

• Allied Health Services• Primary Care• Early Years

Executive Assistant

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

QualityManagerPrimary Care

Director ofClinical Services

Director ofCorporate Services

Visiting Medical OfficerChief Executive Officer


The board of MANAGEMENT

On the 30th June 2009 Robinvale District Health Services (RDHS) and Manangatang and District Hospital were amalgamated and declared to be a ‘Multipurpose Health Service’ (the same as a ‘multipurpose service’) named Robinvale District Health Services under s115U of the Act (Special Gazette S214 p1). This Order took effect on 1 July 2009.

RDHS operates under a tripartite agreement between the Department of Health and the Australian Government Department of Social Services. The Health Service is governed by a Board of Management (BOM), appointed by the Governor in Council upon recommendation of the Minister for Health.


CAPITAL WORKS AND PROJECTSCOMMITTEE (MEETS AS REQUIRED)

MrPeterCampisi–ChairMrQuentinNorton–ViceChairMrsLisaMurray

EXECUTIVE GOVERNANCE CREDENTIALING COMMITTEE (MEETS AS REQUIRED)

MrPeterCampisi–ChairMrQuentinNorton–ViceChairMrsMerrilynGrantMrDaronHullsMrsTeneilleFollett

TheGovernorinCouncilappointsBoardMembers ontheadviceoftheMinisterforHealth.

BoardMembersofRobinvaleDistrictHealthServicesdonotreceivepaymentandareresponsibleforthe effectiveandefficientclinicalandcorporategovernance oftheserviceandensurereportingoffinancialandclinicaldataisaccurate,transparentandincompliancewithGovernmentrequirements.

RDHS BOARD OF GOVERNANCE 2015–2016Name Office Original Appointment Attendance Record 10 Meeting Held

MrPeterCampisi Chair 01.03.1999 10/10MrQuentinNorton ViceChair 01.07.2011 8/10MrsMerrilynGrant 01.11.2009 8/10MrDaronHulls 01.07.2013 5/10MrsFreuleJones 01.07.2014 9/10MrCliveBowden 01.07.2014 10/10MrsTeneilleFollett 01.07.2015 8/10MrsLisaMurray 01.07.2015 6/10MsAlisonBlack 05.04.2016 AppointedApril2016 Attended3/3meetings

BOARD OF MANAGEMENT MEMBERS 2015–2016MrPeterCampisi–ChairMrQuentinNorton–ViceChairMrCliveBowdenMrsFreuleJonesMrsMerrilynGrantMrDaronHullsMrsTeneilleFollettMrsLisaMurrayMsAlisonBlack(AppointedApril2016)

FINANCE AND RISK AUDIT COMMITTEE(MEETS QUARTERLY)

MrBruceGinn–Chair(IndependentMember)MrQuentinNortonMrPeterCampisiMrDaronHullsMrsLisaMurrayMrGlennBussell(IndependentMember)MrJohnBond(IndependentMember)


COMPLIANCE

Attestation for Compliance with Australian/New Zealand Risk Management Standard

I,PeterCampisicertifythatRobinvaleDistrictHealthServiceshasRiskManagementprocessesinplaceconsistentwith AS/NZSISO31000:2009(orequivalentdesignatedstandard)andaninternalcontrolsystemisinplacethatenablestheexecutivetounderstand,manageandsatisfactorilycontrolriskexposures.TheFinanceandAuditcommitteeverifiesthis assuranceandthattheriskprofileofRobinvaleDistrictHealthServiceshasbeencriticallyreviewedwithinthelast12months.

Mr Peter CampisiBoardChairman

Robinvale1stJuly2016

Attestation On Data Integrity

I,VickiShawcrosscertifythatRobinvaleDistrictHealthServiceshasputinplaceappropriateinternalcontrolsandprocessestoensurethatreporteddatareasonablyreflectsactualperformance.RobinvaleDistrictHealthServiceshascriticallyreviewedthesecontrolsandprocessesduringtheyear.

Mrs Vicki ShawcrossInterimChiefExecutiveOfficer


Attestation for compliance with the Ministerial Standing Direction 4.5.5 – Risk Management Framework and Processes

I,VickiShawcrosscertifythatRobinvaleDistrictHealthServiceshascompliedwithMinisterialDirection4.5.5 –RiskManagementFrameworkandProcesses.RobinvaleDistrictHealthServicesAuditCommitteehasverifiedthis.

Mrs Vicki ShawcrossInterimChiefExecutiveOfficer


THE BOARD OF MANAGEMENT


STATUTORY REQUIREMENTS

Occupational Health and Safety

RobinvaleDistrictHealth Services(RDHS)iscommittedto enthusiasticallyworkingtoprovide asafe,“environmentallyfriendly”workenvironmentforallstaffandforresidentsthatmeetregulatoryrequirements.

RDHSmonitorandmaintainthesafetyandwellbeingofstaff, patients,residents,consumers, visitorsandcontractorsthroughOccupationalHealth,SafetyandEnvironmental(OHSE)procedures.AmajorcomponenttoensureRDHSremainsasafeworkingenvironment isthroughtheOHSEcommittee.TheOHSEcommitteemeetonabi-monthlybasis(everytwomonths)toreportandresolveanyissuethatmayariseorhavearisenasaresultofOHSE.Thismeetingisminutedandavailableforviewingbyallstaff,ManagersandDirectors.

Robinvale District Health Services (RDHS) standard Work Cover claims

RDHShadatotalof2WorkCoverclaimssubmittedinthe2015-16financialyear.Onewasrejectedandthesecondwastemporarilyacceptedastheemployeewasdeemedfittoreturntofulldutiesafteranabsenceofonly2shifts.RDHShasno outstandingclaimsforWorkCover.

Freedom of Information

AccesstodocumentsandrecordsheldbyRDHSmayberequestedundertheFreedomofInformationAct1982.ConsumerswishingtoaccessdocumentsshouldapplyinwritingtotheFOIOfficeratRDHS.

Thisyear14FOIrequestswere received.Norequestsweredenied.Allrequestswereprocessedwithintherequiredtimeframes.

Competitive Neutrality

RobinvaleDistrictHealthServicescompliedwithallthegovernmentpoliciesregardingcompetitiveneutrality.

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

InaccordancewiththeBuildingRegulations2006,madeundertheBuildingAct1993,allbuildingswithintheServiceareclassifiedaccordingtotheirfunctions.

Eachcampushasaplanned preventativemaintenanceprogramtoensureongoingbuildingsafetyandcompliancewithregulations.

AnEssentialSafetyMeasuresReportispreparedannuallyforeachcampusandconfirmsthesafetyofbuildingsincludingfiresafety,entryandegress.

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

Duringthe2015-2016financialyeartherewerenomajorchangesorfactorswhichmateriallyaffectedtheachievementoftheoperationalobjectives.

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

Therewerenoeventssubsequenttobalancedatethatmayhaveasignificant effectontheoperationsoftheentityinsubsequentyears.

Victorian Industry Participation Policy Act

RobinvaleDistrictHealthServicesabidesbytheprinciplesoftheVictorian IndustryParticipationPolicy.In2015/16therewerenoprojectsundertheVictorianIndustryParticipationPolicywhichwereabovethethreshold of$1million.

Fees and Charges

AllfeesandchargeschargedbyRobinvaleDistrictHealthServicesareregulatedbytheAustralianDepartment

ofHealthandAgeingandtheHospital&Charities(Fees)Regulations1986,asamendedandasotherdeterminedbytheDepartmentofHumanServices, Victoria.

Policiesandproceduresareinplacefortheeffectivecollectionoffees owingtotheservice

Publications

PublicationssuchastheAnnualReport,QualityofCareReports,StrategicPlan2011-2016andamultiplicityofPatientInformationBrochuresareavailablefromRobinvaleDistrictHealthServices.

InformationonRobinvaleDistrictHealthServicesisalsoavailableontheWebwww.rdhs.com.au

The Protected Disclosure Act 2012

ThemainobjectoftheProtectedDisclosureAct2012istoencourageandfacilitatethemakingofdisclosureofimproperconductbypublicofficersandpublicbodiesandestablisha systemformatterstobeinvestigated.TheActprovidesprotectionfromdetrimentalactiontoanypersonaffectedbyaprotecteddisclosurewhetheritisapersonwhomakesadisclosure,awitness,orapersonwhoisthesubjectofaninvestigation.

ProtectedDisclosuresaretobe reporteddirectlyto:

Independent Broad-Based Anti-Corruption Commission (ibac)Phone1300735135Fax0386356444Street addressLevel1,NorthTower,459CollinsStreet,MelbourneVIC3000Postal addressGPOBox24234,MelbourneVIC3001Webwww.ibac.vic.gov.au/contact-us

RobinvaleDistrictHealthServicesis obligatedbylegislationtoensurethewelfareandprotectionofgenuinepersonsmakingprotecteddisclosures, againstdetrimentalaction.Any instancesofdetrimentalactionagainstapersonmakingaprotected

Cont’d...


disclosureshouldbereportedimmediatelytotheProtectedDisclosureCoordinator(PDC).ThePDCisalsoavailabletoprovideadvicerelatingtoProtectedDisclosure.

Protected Disclosure Coordinator (PDC)MrRayGentleManagerPeople&CulturePhone0350518174

Health Records Act 2001 and Information Privacy Act 2000

TheActspreservetheprivacyandconfidentialityofinformationheldbyouragency.

Allpatients,residentsandclientsreceiveabrochureexplaininghowtheirhealthinformationwillbeusedandwhowillhaveaccesstosuchinformation

Allstaffarerequiredtoundertakeprivacyandconfidentialitytrainingonaregularbasisandtherearedocumentedpolicyandprotocolsrelatingtoprivacyandconfidentialitywithinourorganisation

TheChiefExecutiveOfficeristhedesignatedPrivacyOfficeranddealswithenquiriesandcomplaintsrelatingtotheHealthRecordsandInformationPrivacyActs

In2015/16therewerenowrittencomplaintswithrespecttobreachesofprivacyorconfidentiality.

Carers Recognition Act 2012

UndertheAct,Stategovernmentdepartments,councils,andorganisationsfundedbygovernmenttoprovideprogramsorservicestopeopleincarerelationships,needtotakeallpracticablemeasuresto:• ensurestaffareawareofandunderstandtheprinciplesintheAct

• ensurestaffpromotetheprinciplestopeopleincarerelationships,sothatpeopleincarerelationshipsareawareofandunderstandtheprinciplesintheAct

• reflectthecarerelationshipprinciplesindeveloping,providingorevaluatingsupportandassistanceforthoseincarerelationships.

(g) detailsofoverseasvisits undertakenincludingasummary oftheobjectivesandoutcomes

ofeachvisit;(h) detailsofmajorpromotional, publicrelationsandmarketing activitiesundertakenbythe

HealthServicetodevelop communityawarenessofthe servicesprovidedbytheHealth Service;

(i) detailsofassessmentsand measuresundertakentoimprove theoccupationalhealthand

safetyofemployees,not otherwisedetailedinthereportof operations;

(j) ageneralstatementonindustrial relationswithintheHealthService anddetailsoftimelostthrough industrialaccidentsanddisputes, whicharenototherwisedetailed inthereportofoperations;and

(k) alistofmajorcommittees sponsoredbytheHealthService, thepurposesofeachcommittee

andtheextenttowhichthe purposeshavebeenachieved.

(l) Detailsofallconsultanciesand contractorsincludingconsultants/ contractorsengaged,services providedandexpenditure committedforeachengagement.

Acknowledgement of Support

RDHSacknowledgestheWesternNSWPrimaryHealthNetwork&theMurrayPrimaryHealthWorkasmajorfundingbodies.

RDHSdoesensurethatstaffhaveanawarenessabouttheActprinciplesandcharter,andwhattheymeanforstaff.RDHSalsohasavailableforstaffcopiesoftheprinciplesoftheActandcopiesofthecharter.TheRDHSstaffinductionpackageincludesinformationabouttheActandcharter,andwhattheActprinciplesandchartermeaninthewaystaffdotheirwork

Consultancies

In2015/16RDHSdidnotengageanyconsultantswherethetotalfeespaidwerelessthan$10,000.

In2015/16RDHSdidnotengageanyconsultantswherethetotalfeespaidweremorethan$10,000.

Additional Information (FRD 22G APPENDIX)

IncompliancewiththerequirementsIncompliancewiththerequirementsoftheStandingDirectionsoftheMinisterforFinance,detailsinrespectoftheitemslistedbelowhavebeenretainedbytheRobinvaleDistrictHealthServicesandareavailabletotherelevantministers,MembersofParliamentandthepubliconrequest(subjecttothefreedomofinformationrequirements,ifapplicable):

(a) astatementthatdeclarationsof pecuniaryinterestshavebeen dulycompletedbyallrelevant officersoftheDepartment;

(b) detailsofsharesheldbysenior officersasnomineeorheld beneficiallyinastatutory authorityorsubsidiary;

(c) detailsofpublicationsproduced bytheDepartmentaboutthe activitiesoftheHealthService

andwheretheycanbeobtained;(d) detailsofchangesinprices,fees, charges,ratesandleviescharged bytheHealthService

(e) detailsofanymajorexternal reviewscarriedoutinrespectof theoperationoftheHealthService

(f) detailsofanyotherresearchand developmentactivities undertakenbytheHealthService

thatarenototherwisecovered eitherinthereportofoperations orinadocumentwhichcontains thefinancialstatementandreport ofoperations;

THE BOARD OF MANAGEMENT


Legislation Requirement Page Reference

Ministerial Directions

Report Of Operations

Charter and PurposeFRD22G MannerofEstablishmentandthe relevantMinisters 36,IFC FRD22G Objectives,Functions,Powersand Duties 2,36FRD22G Natureandrangeofservicesprovided 3FRD22G Initiativesandkeyachievements 5,24

Management and StructureFRD22G Organisationalstructure 35 Financial and Other InformationFRD10 Disclosureindex 41FRD11A Disclosureofex-gratiapayments FSFRD21B Responsiblepersonandexecutive officerdisclosures 38,IFCFRD22G ApplicationandoperationofProtected Disclosure Act 2012 39FRD22G ApplicationandoperationofCarers Recognition Act 2012 40FRD22G ApplicationandoperationofFreedom of information Act 1982 39FRD22G Compliancewithbuildingandmaintenance provisionsofBuilding Act 1993 39FRD22G Detailsofconsultanciesover$10,000 40FRD22G Detailsofconsultanciesunder$10,000 40FRD22G Employmentandconductprinciples 19FRD22G Majorchangesorfactorsaffecting performance 39FRD22G OccupationalHealthandSafety 39FRD22G Operationalandbudgetaryobjectives andperformanceagainstobjectives FSFRD24C Reportingofoffice-basedenvironmental impacts 23FRD22G Significantchangesinfinancialposition duringtheyear FS

Legislation Requirement FRD22G Subsequentevents FSFRD22G Summaryofthefinancialresultsofthe year FS

Legislation Requirement Page Reference FRD22G WorkforceDataDisclosuresincluding astatementontheapplicationof employmentandconductprinciples 19FRD25B VictorianIndustryParticipationPolicy Disclosures 39FRD29A WorkforceDatadisclosures 19SD4.2(g) SpecificInformationrequirements FSSD4.2(j) Sign-offrequirements FSSD3.4.13 Attestationondataintegrity 38SD4.5.5 Riskmanagementcomplianceattestation 38

Financial Statements

Financial Statements required under Part 7 of the FMASD4.2(a) StatementofChangesinEquity FSSD4.2(b) ComprehensiveOperatingStatement FSSD4.2(b) BalanceSheet FSSD4.2(b) CashFlowStatement FS

Other requirements under Standing Directions 4.2 SD4.2(a) CompliancewithAustralianaccounting standardsandotherauthoritative pronouncements FSSD4.2(c) Accountableofficer’sdeclaration FSSD4.2(c) CompliancewithMinisterialDirections FSSD4.2(d) Roundingofamounts FS

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

FS-ReferstoFinancialStatementsIFC-ReferstoInsideFrontCover

The Annual Report of Robinvale District Health Services is prepared in accordance with all relevant Victorian legislation. This index has been prepared to facilitate identification of Robinvale District Health Services compliance with statutory disclosure requirements.

DISCLOSURE INDEX


AAccreditation 33AcuteCare 13AgedCare 14AttestationCompliance 38AttestationDataIntegrity 38AttestationRiskManagement 38AuditorGeneral’sReport FS

BBoardofManagement 36

CCatchmentMap 2Chairman 8-11ChiefExecutiveOfficer 8-11CorporateServices 16-17ConsumersRightsand Responsibilities 40CustomerFeedback 33,43

DDeclarationResponsibleBodies IFCDepartmentManagers 34DisclosureIndex 41

EEarlyYears 21Environmental 22-23

FFees 39FinancialManagement 16FinancialPerformance FS

GGlossaryofTerms 43Governance 36-37

HHandHygiene 13Haemodialysis 13

IInfectionControl 13InformationManagement/ Technology 17InternalAuditors 16IntegratedManagementSystems 35

LLocationMap 2

MMaternalandChildHealth 15MedicalImaging 13Midwifery 15

OOccupationalHealth&Safety 39OrganisationalStructure 35OurCommitment 4OurStatementofPurpose 4

PPartnerships 9PeopleandCulture 18-19PrimaryCareServices 20-21Profile 2-3Publications 39

QQuality 32-33

RResidentialCare 14ResponsibleOfficersDeclaration FSRiskManagement 32-33RoleofBoardofManagement 36-37

SSeniorManagers 34ServicePlan 24-29StatutoryRequirements 39-40StrategicPlan 6-7

VVision 4VMO-VisitingMedicalOfficers 34

WWorkforceComposition 19

XX-ray/Ultrasound 13

FS-ReferstoFinancialStatements

INDEX


Australian Standards-NationalStandardsdevelopedbytheStandardsAssociationofAustralia/NewZealand

Best Practice-Measuringresultsagainstthebestperformanceofothergroups

BOM-BoardofManagementRDHS

Carers-Peoplewhocareforpatients/clientswhoarenotpartofRobinvaleDistrictHealthServices

CEO-ChiefExecutiveOfficer

Client-Apersonreceivingcareand/ortreatmentfromRobinvaleDistrictHealthServices

Continuity of Care-Thecycleofcareincorporatingaccess,entry,assessment,planning,implementation,evaluation,dischargeandcommunitycare.

Corporate Governance-Effective,fair,transparentandaccountablemanagementoftherelationshipwiththecommunitywithintegritytoproduceanefficientservice

DHHS-TheDepartmentofHealthandHumanServices,Victoria

DVA-DepartmentofVeteran’sAffairs

EEO-EqualEmploymentOpportunity

FBT-FringeBenefitsTax

FTE-FullTimeEquivalentstaffingposition

HACC-Home&CommunityCare.Fundingforservicesandprogramswhichareprovidedinthehomeor community.

HIPPY-HomeInteractionProgramforParentsandYoungsters

Inpatient-ApersonwhoisadmittedtoRobinvaleDistrictHealthServicesforcareandtreatment ISO 9001:2008-AS/NZS9001:2008QualityManagementsystems-Requirement

PHN-PrimaryHealthNetwork

Medical Record-Compilationofpatientmedicaltreatmentandhistory

Multidisciplinary-Careorserviceprovidedwithinputfrommorethanonedisciplineorprofession

NSQHSS-NationalSafetyandQualityHealthServiceStandards

Occupied Bed Days-TotalnumberofpatientsRDHShasinagivenperiod

Outcome-Theresultofaserviceprovided

Patient/Client/Consumer-Apersonforwhomthisserviceacceptstheresponsibilityofcare

Quality Activities-Activitieswhichmeasureperformanceandidentifyareasforimprovementinourservice

RDHS-RobinvaleDistrictHealthServices

Separation/Discharge-Theprocesswherebycareiscompletedandthepatientleavestheorganisation

Standard-Levelofperformancetobeachieved

Statutory or legislative requirement-AnyrequirementlaiddownbyanActofParliament

The Board-TheBoardofManagementRDHS

The Service-RobinvaleDistrictHealthServices

Values-TheprinciplesandbeliefswhichguideRobinvaleDistrictHealthServices

Comments and ComplaintsRDHSinviteanycommentyoumayhaveaboutthecareorserviceprovidedbyRDHSasthisprovidesanopportunityforserviceimprovement.

CommentsorcomplaintsmaybedirectedtotheChiefExecutiveOfficeron0350518111

Ifthematterisnotresolvedtoyoursatisfaction,the HealthServicesCommissionerwhoassistswithcomplaintresolutioncanbecontactedon0396555200

For Information about Patients’ Right and ResponsibilitiesContacttheQualityCoordinatoron0350518122

To Make a Tax Deductible DonationToRobinvaleDistrictHealthServices,orifyouare consideringacontributiontohealthcareservices throughabequestpleasecontacttheChiefExecutive Officeron0350518111

To become a VolunteerContact:ManagerPeopleandCultureon0350518174

To let staff know you are pleased with the service you have receivedWritetotheQualityCoordinator POBox376, Robinvale3549 orringthemainswitchboardon0350518111.

StudentsSeekinginformationaboutstudentworkexperience,shouldringthePeopleandCultureOfficeron50518179

GLOSSARY OF TERMS


NOTES

Design, Production & Print ManagementVisual Strategy Design vsdesign.com.au

Attach Financial Statements 2015-2016.

Please email [email protected] in the event that there are no Financial Statements attached to this report.

www.rdhs.com.au

T 03 5051 8111 F 03 5051 8100E [email protected]

Latje Road, Robinvale VictoriaPO Box 376 Robinvale Victoria 3549

diversity in practiceplan 2011–2016 6 robinvale district health services annual report 2016 2016...

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