welcome to perth's newest hospital • leaders in care
TRANSCRIPT
• WELCOME TO PERTH’S NEWEST HOSPITAL • LEADERS IN CARE •
ADVERTISING SUPPLEMENTPublished: October 3, 2014
WA’s newest hospital has been named after eminent child health researcher Professor Fiona Stanley AC.
AN HONOUR WORTHY OF ITS NAMESAKE
Phase 1 State Rehabilitation Service. Pathology, pharmacy and medical imaging providing support as required. Some intensive care capability October 4, 2014
Phase 22A General medicine. General surgical. Orthopaedics. Anaesthetics November 17, 2014
2B Obstetrics. Gynaecology. Neonates December 2, 2014
Phase 3 Emergency Department (7am). Majority of all other specialities. Outpatient services. Burns February 3, 2015
Phase 4 Heart and lung transplant services March 23, 2015
FIONA STANLEY HOSPITAL OPENING SCHEDULE
The exact dates listed above may change in accordance with clinical requirements for the safe movement of patients.
Following a public poll it was announced that the new fl agship tertiary hospital for Perth would be named after Professor Fiona Stanley AC, the eminent WA child health researcher and 2003 Australian of the Year.
She heard the news in January 2005 while on holidays on the south coast of Western Australia.
An honour usually only bestowed posthumously and on royalty, Professor Stanley said: “My fi rst reaction was ‘I’m not dead yet’!”
Now, as Professor Stanley prepares to be the guest of honour at the opening of the fi rst phase of the hospital today, she recalls that she had suggested to the government that a Noongar name or a WA wildfl ower would be more appropriate.
“I thought about it deeply and sought advice from respected friends and colleagues and fi nally accepted this as a great honour, which acknowledged the work done by all the people in health who have worked with me over the years,” she said.
Professor Stanley has visited the site of the hospital several times since the project started. Her last visit was to view the completed construction just before its fi rst stage of opening in October.
“I have been very impressed with the outstanding level of work in the buildings, the attention to detail and the patient-focused approaches,” she said.
“The whole atmosphere is one of a big caring community with a commitment to excellence in medicine, health services and research.
“I also like the outlook of lovely bush and the fact that there was a commitment to ensuring that any environmental damage was minimal with preservation of fl ora and fauna.
“Research has shown that patients get better faster if they have a pleasant outlook when they are in hospital.”
There’s an irony about WA’s most modern and best-equipped hospital being named after an eminent epidemiologist such as Professor Stanley.
“My whole research career has been focused on prevention and keeping people out of hospital,” Professor Stanley said.
“The challenges we face in health are from what I call the ‘wicked problems’ – those with complex causation and require a whole-of-government and whole-of-community response for their prevention.
“These problems include being overweight or obese with rising rates of type 2 diabetes, mental health problems – which includes substance abuse – developmental disorders in children and youth, and the range of environmental and lifestyle diseases that start early in life.
“It goes without saying that hospitals will need the best evidence-based care to manage these conditions and to be part of the bigger solution to preventing as well as treating them.
“Hospitals of excellence like Fiona Stanley Hospital are obviously a vital part of the over-arching management of these diseases.
“Of course there are many conditions which we cannot prevent now and hospital care is vital to manage them.
“But if we are really serious about improving future public health we need to invest in changes to our lifestyles.
“Recent Swedish research suggests that more than 70 per cent of cancers are preventable by changing what we eat, how much we eat, smoking, air pollution and inactivity.
“If mental health problems are increasing so dramatically then we should look at what the major societal factors are and implement preventative strategies to reduce them.
“I’m very concerned about the excessive dependence in Australia on fossil fuel and the very negative impacts this is already having on health and wellbeing.
“Investment in public green space, bicycle lanes, good public transport and sporting facilities are not just good to reduce air pollution, reduce carbon emissions and traffi c jams, but they are really good for people’s health.”
EDITORLouise Allan DESIGNERSimone Taylor, Jodie PalmerSUBEDITORKirsten Hyam ADVERTISINGEithne Healy 9482 3559Stories and images supplied by the Department of Health.
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Premier Colin Barnett inside the main concourse of Fiona Stanley Hospital.
PREMIER’S FOREWORDA new era in Western Australian health care
When the fi rst patients are welcomed into the new State Rehabilitation Service at Fiona Stanley Hospital on October 4, a new era in Western Australian health care will begin.
The $2 billion, 783-bed Fiona Stanley Hospital is the biggest health facility in the state, and will rank among the best hospitals in Australia.
As Premier of Western Australia, it gives me great pleasure to contribute to this publication, marking the offi cial opening of phase one of what will be our state’s fl agship public hospital.
Fiona Stanley Hospital will be a leader in clinical care, research and education, offering a full suite of clinical services, including a 140-bed State Rehabilitation Service, the State Burns Service, and a 30-bed purpose-built facility for mental health.
The Fiona Stanley Hospital Emergency Department will open early next year and become the state’s busiest emergency department, with more than 90,000 people expected each year.
Structurally, the hospital spans the equivalent of four city blocks and contains more than fi ve hectares of natural bushland, landscaped parks, internal gardens, courtyards and plazas.
Its innovative design melds together cutting-edge technology with new standards in conservation and environmental management.
However, it isn’t just building dimensions and high-tech equipment that put this hospital in a class of its own.
Since the beginning of this project, countless WA Health staff and volunteers have worked tirelessly to bring this hospital to life.
Thousands of community members and consumer representatives have provided input into the hospital’s design and structure.
And many healthcare workers have put their hands up to be inaugural staff members at this great hospital.
This opening of Fiona Stanley Hospital is a result of these efforts.
On behalf of all Western Australians, I thank everyone involved for their hard work and dedication to providing quality, sustainable health care to our community.
Fiona Stanley Hospital is the centrepiece of the State Government’s $7 billion hospital building and refurbishment program – the biggest in Western Australia’s history.
It is one of more than 80 health infrastructure projects taking place throughout the state.
In the not too distant future, Western Australians will benefi t from the completion of a number of new projects, such as the new Perth Children’s Hospital, the Midland Public Hospital, and the new Busselton Health Campus.
This massive investment in health infrastructure will help meet the health needs of the state’s growing population and deliver on our commitment to provide
high-quality health care closer to where people live.
As Premier, I am proud that this truly world-class hospital will provide Western Australians with the very best health care for generations to come.
Hon Colin Barnett, MLA
Premier of Western Australia
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PathWest Laboratory Medicine WA is set to open at Fiona Stanley Hospital. As the WA Government pathology service, PathWest will provide comprehensive pathology services and become the central reference laboratory for Royal Perth, Fremantle, Armadale, Bentley and Rockingham hospitals, and many collection centres in the south metropolitan area.
PathWest has six laboratories in Perth teaching hospitals, 23 in regional areas, and 55 collection centres. Services include: biochemistry, haematology, immunology, anatomical pathology, microbiology and genomics testing.
PathWest laboratories use the most modern equipment and techniques and employ highly qualified experienced staff. It is focused on enhancing diagnostic testing as well as improving the understanding of diseases.
The PathWest Specimen Collection Centre opens on Monday 6 October 2014
PathWest services primed to open
PathWest Specimen Collection Centre
Ground Floor, Fiona Stanley HospitalBarry Marshall Parade, Murdoch 6150
Monday to Friday: 7.00am – 6.00pmSaturday: 8.00am – 12.00 noon
www.pathwest.health.wa.gov.au
In what will be the single biggest move of patients ever undertaken in Western Australia, up to 120 people will be transferred to the new State Rehabilitation Service at Fiona Stanley Hospital on Saturday October 4.
Rehabilitation patients currently being cared for at the Royal Perth Hospital Shenton Park campus will be moved to the new facility – all in one day.
Executive Director Transition Coordination Gail Milner and staff at Fiona Stanley and Royal Perth hospitals have spent many months planning the move.
“A move of patients on this scale hasn’t been done before in Western Australia,” Ms Milner said.
“We have been working closely with Fiona Stanley Hospital, RPH staff at Shenton Park, St John Ambulance, WA Police and Main Roads to ensure the day runs without incident. Of course, the safety and care of our patients has been the foremost consideration throughout.”
It will be a particularly challenging and sensitive operation as the patients being transferred are at varying stages of rehabilitation following a trauma or accident, some with spinal injuries.
The patients will be transported in a range of vehicles, according to their needs.
A total of 23 vehicles including ambulances, wheelchair accessible vehicles and even a special bus, which can carry six wheelchair patients at a time, will be used in the move.
St John Ambulance has responsibility for transporting the patients.
“There will be a St John offi cer in every vehicle so trained staff will be on hand at all times during the move,” St John Metropolitan Ambulance General Manager James Sherriff said.
“St John has put considerable planning into this move, with the health and comfort of patients the prime consideration.
“We would also like the public to know that St John’s emergency ambulance and patient transport services will continue
Courtyards have been integrated into the design of the State Rehabilitation Service, providing therapeutic outdoor areas to enhance recovery.
The state-of-the-art hydrotherapy pool is located on the basement level of the State Rehabilitation Service.
REHABILITATION SERVICE
WORLD-CLASS REHABILITATION CENTRE THE FIRST SERVICE TO OPEN
PATIENT MOVE MAKES WA HISTORY
When the new State Rehabilitation Service opens its doors tomorrow, it will offer patients world-class care.
The $255.7 million, 140-bed State Rehabilitation Service is purpose-built with all patient areas designed as therapy areas to prepare patients for their return home to normal daily activities and support further rehabilitation needs.
Therapy areas include patient rooms, lounges, kitchens and courtyards.
An onsite state-of-the-art hydrotherapy pool will also assist patients in their recovery.
Designed with patient and staff input, all bedrooms will include ceiling-mounted hoists to assist staff in lifting up to 250kg, more double rooms to allow long-term patients to offer peer-support and enjoy conversation, additional privacy features and surrounding gardens and therapeutic outdoor areas to enhance the patient experience.
Fiona Stanley Hospital Medical Co-Director Dr Hannah Seymour said that a new model of care was also being implemented within the service, with medical, nursing and allied health professionals from across the state part of
a Clinical Reference Group that examined international best practice.
“The new model of care will give patients and their families greater participation in their treatment and provide for increased collaboration between clinicians,” Dr Seymour said.
“Building on existing practices, patients and their families will have even more input into how treatment is delivered, with the State Rehabilitation Service providing specialist rehabilitation services onsite and working in close collaboration with external health providers to continue rehabilitation in the most suitable setting for patients.”
Key benefi ts for patients will include a single point of contact, early assessment and commencement of rehabilitation needs, formal treatment plans and access to therapy six days a week.
Patients from across WA will be eligible for referral to the State Rehabilitation Service, which will be capable of treating the most complex conditions on the one site, including spinal cord injuries, acquired brain injuries, neurological conditions, amputations and multi-trauma conditions.
St John Ambulance WA will be transporting patients from Royal Perth Hospital Shenton Park to the new State Rehabilitation Service on Saturday October 4.
7 KGS OF SEED
was collected from 31 different species of plants on the site.The seeds were used to rehabilitate degraded land within the Beeliar Regional Park.
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as normal on this day, so if you have to call triple zero for an ambulance, an ambulance will be sent.”
Main Roads will also assist by ‘green-lighting’ the transport route through Nedlands to the Kwinana freeway.
The move has been scheduled for a Saturday to have the least impact on
the clinical care of the patients and to minimise disruption to traffi c and the general public.
It is anticipated that the fi rst patients will be on board the vehicles and ready to leave Shenton Park at 8am and the aim is to have the last patients arriving at Fiona Stanley Hospital by early afternoon.
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Executive Director Commissioning Liz MacLeod and Chief Executive Dr David Russell-Weisz.
PATIENT SAFETY PARAMOUNT FOR COMMISSIONING CHIEFS Less than two years ago, they sat in steel-capped boots surrounded by construction workers. Now as the fi rst phase of Fiona Stanley Hospital opens its doors, Chief Executive Dr David Russell-Weisz and Executive Director Commissioning Liz MacLeod, refl ect on the work that had been done to achieve this amazing outcome.
For the pair that has led the commissioning team since November 2012, delivering a safe hospital that cares for people at all stages of life – from newborn to old age – has been no small feat.
“When we joined the project from our previous posts in the North Metropolitan Health Service, a signifi cant amount of crucial foundation work had been done, and the onus for us was to really get stuck into the complex commissioning detail and prepare the hospital for opening,” Dr Russell-Weisz said.
“It has been a challenging journey but this is really a once in a lifetime opportunity
for all of us to contribute to a new tertiary hospital in Perth, and one that will deliver exemplary care to its patients,” he said.
Liz MacLeod wholeheartedly agreed with the sentiment. “You don’t tend to work in this type of role unless you are really passionate about delivering a new type of health care for patients,” she said.
“From my perspective, the priority has always been about developing high quality services for patients that are safe, effective and sustainable in a rapidly changing healthcare environment.”
“Our team, and many more before us, have worked so hard to get to this point and it is so exciting to know that we are ready to open this fantastic hospital and receive the fi rst patients from Royal Perth Hospital’s Shenton Park Campus,” Mrs MacLeod said.
“We have been extraordinarily privileged to have been supported by an incredibly dedicated team who continue to work tirelessly to bring this hospital to the
people of Western Australia,” Dr Russell-Weisz added.
“It is thanks to the countless hours of work and the absolute dedication of the staff here and across the system that we have brought this hospital to life – but there won’t be much time for refl ection, as we will all be busy preparing for the next phase of the opening!
“The hospital’s vision is to be Leaders in Care and as the biggest and most complex public tertiary health facility ever to be built in Western Australia, it is on target to be just that.”
including frogs, snakes and lizards, were successfully relocated to Beeliar Regional Park.
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The opening of Fiona Stanley Hospital will be a signifi cant milestone for health and medical research in Western Australia with the creation of a new research hub for Perth’s southern suburbs.
The new hub will be centred on Perkins South, a dedicated research facility located within the hospital’s Murdoch grounds. It will bring together researchers from a broad spectrum of disciplines, all with the common goal of pursuing projects with the potential to save lives and improve the health and wellbeing of Western Australians.
Built at a cost of around $63.5 million – contributed by the State and Commonwealth governments and the University of Western Australia (UWA) – the six-storey building is fi tted with world-class amenities including research consulting rooms, auditoriums, computer labs and bioresource, cryogenic and video-conferencing facilities.
Chief Medical Offi cer Professor Gary Geelhoed said establishment of the new hub was an important milestone for research in WA that would strengthen the state’s research base and create exciting
opportunities for researchers and clinicians.
“Being near to the coalface of the state’s premier health facility will enable researchers to work closely with one another, clinicians and patients,” Professor Geelhoed said.
“It will help us to create the sort of environment we need to attract and retain quality researchers to Western Australia.”
The Perkins South building is already home to around 100 researchers and will have the capacity to accommodate up to 400 researchers by the time it is fully up and running, likely to be around May next year.
Perkins South tenants will include researchers from the Harry Perkins Institute of Medical Research (formerly the Western Australian Institute for Medical Research), the Department of Health, UWA’s schools of Medicine and Pharmacology, and Surgery and the recently launched Warren Jones Institute for Community Health and Medical Research.
The Warren Jones Institute was established in July 2012 as a health promotion charity
to support clinical research at Fiona Stanley Hospital.
The Institute will conduct research of its own as well as award scholarships and provide funding for research education and visiting fellows and orators.
The Institute’s Chairman, David Rowe, said it would also raise funds for research and provide a vehicle for philanthropic individuals and organisations to donate to health and medical research.
Mr Rowe said the Institute would have a strong focus on collaborative, multi-disciplinary projects and a soft spot for early-career researchers and clinicians.
He said the Institute had already announced the creation of two scholarships for PhD research into youth mental health and perinatal mental health.
The bulk of researchers at the new hub will be from the Perkins Institute, which also
has a strong research community north of the river at its Nedlands-based facility in the grounds of QEII medical centre.
“We’re very excited to be part of the stunning new Fiona Stanley Hospital complex in Murdoch,” the Institute’s Director Professor Peter Leedman said.
“Our focus at the Institute will be the same across both our buildings to fi nd new treatments – and hopefully cures – for cancer, cardiovascular disease and diabetes as well as many other serious diseases.
“Researchers at the Harry Perkins Institute of Medical Research now have the space to get on with achieving our mission which is to conduct, enable and translate internationally recognised medical research that improves the health of the community.
“We expect to be extremely productive in integrating clinical research with discovery science.”
HUB MARKS NEW HORIZON FOR HEALTH AND MEDICAL RESEARCH
Perkins South is at the heart of Fiona Stanley Hospital’s growing health research precinct.
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CITY PLANNING TACTICS HELP IMPROVE HOSPITAL NAVIGATION It’s the size of a small city but visitors to Fiona Stanley Hospital should have no trouble fi nding their way around the new health facility.
George Raffa, who headed the team of Silver Thomas Hanley health planning architects responsible for WA’s new fl agship hospital, said by applying principles of city planning and evidence-based design it would be easier for visitors to the hospital to navigate their way around the site.
“With a site equivalent in area to four city blocks, the issue of fi nding your way round the place had the potential to be horrendous,” Mr Raffa said.
Mr Raffa said the navigational challenge was overcome by developing an east-west concourse, a central spine off which everything — from the pathology and education building to the State Rehabilitation Service and mental health buildings — fl ows and connects.
Comparable in size to Perth’s Hay Street Mall, the central spine forms the main
entry point to the hospital and the heart of the new health precinct.
Mr Raffa is a director of specialist design and health planning architectural practice Silver Thomas Hanley, one of three practices which formed the Fiona Stanley Hospital Design Collaboration.
The other two local practices were Hames Sharley and Hassell.
Mr Raffa said single room accommodation for patients was a clear part of the design brief for the hospital.
“In a public hospital in the past you would expect a combination of two-bed rooms, four-bed rooms and many years ago even six-bed rooms but very few single rooms,” he said.
“But at Fiona Stanley Hospital, 83 per cent of inpatient accommodation will be in single rooms.”
Mr Raffa said such an approach was not only progressive but also a huge paradigm shift and one that would have an impact on the patients’ healing and recovery
journey, their comfort, privacy and ability to communicate with staff.
“We worked extremely hard to create a health environment that would be conducive to recovery by applying into our design as many of the key principles of evidence-based design as possible,” Mr Raffa said.
The architects and landscape architects consulted extensively with representatives of the Aboriginal community and their infl uence on the design is evident; from the abundance of
meeting places, to internal meeting areas as well as external courtyards, plazas and areas of natural bushland.
Mr Raffa said the process of designing a health facility was far more complex than designing other sorts of buildings because it was informed by very complex functional requirements of departments both horizontally and vertically.
“On a project the size of Fiona Stanley, it’s like you’re working on a giant three-dimensional jigsaw puzzle — only without the picture to guide you,” he said.
George Raffa, Director from specialist design and health planning practice Silver Thomas Hanley, led the Fiona Stanley Hospital Design Collaboration with Hames Sharley and Hassell.
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In a fi rst for Western Australia, the Fiona Stanley Hospital (FSH) emergency department (ED) will separate adult and paediatric patients.
When the emergency department opens its doors in February 2015 it will have separate entries, triage and treatment areas for children and adults, offering numerous benefi ts for both patients and staff.
With more than 90,000 people expected to visit the each year, the FSH ED will be the busiest department in the state.
FSH Head of Emergency Medicine Dr Mark Monaghan said separate entries for adults and children would likely help to reduce waiting times for patients to be triaged and registered and would create a more comfortable environment for families with young children.
“It will also simplify decision making for triage nurses in terms of how to fl ow patients into the department,” Dr Monaghan said.
“Patients will arrive at the emergency department by air, ambulance or via the child or adult entrances on the lower ground level.
The adult assessment area will consist of 51 beds, including acute assessment and ambulatory care, with the capability to manage paediatric and neonatal presentations within the trauma and resuscitation area.
The child assessment area will have 14 beds, plus a procedure and plaster room.
“Nursing, allied health and junior medical staff will work across both areas,” Dr Monaghan said.
“There will however be a core of paediatric nursing and senior paediatric medical staff dedicated to the children’s emergency department.”
The emergency department will feature patient entertainment systems which will aid in distraction therapy particularly for children.
In addition the children’s section will have toys, and child-friendly artwork designed by local high school students.
The emergency department will be closely located with other critical services, such as operating theatres and intensive care.
EMERGENCY DEPARTMENT INTRODUCES A DIFFERENT APPROACH
INTENSIVE CARE UNIT OFFERS INDOOR AND OUTDOOR INGENUITY
When it opens in February 2015 Fiona Stanley Hospital Emergency Department is expected to become the busiest ED in the state.
The children’s playground, donated by hospital managing contractors Brookfi eld Multiplex, is a colourful feature of FSH’s paediatric facilities.
Dr Simon Towler in the ICU courtyard.
When the Intensive Care Unit opens at Fiona Stanley Hospital it will utilise the latest in innovative technology to provide the best care to critically ill patients.
The 40-bed unit will be home to Western Australia’s fi rst indoor/outdoor ICU. All clinical areas have natural light and many of the patient areas look out onto the nature reservation. But the truly revolutionary change is the two open-air courtyards within the intensive care unit itself.
Fiona Stanley Hospital Medical Co-Director Dr Simon Towler said that for intensive care patients, many of whom are at risk of being confused or delirious, the new facility would allow them to be quickly and safely transferred and fully-supported while outdoors.
“Weather permitting, this would allow patients to enjoy the open air and sunshine and provide an ideal environment for family visits,” Dr Towler said.
“Research in intensive care has shown that patients are more settled and better orientated when the patient rooms have
windows to the outside and the patients are better able to appreciate the regular change from day and night,” he said.
“The patient rooms in ICU also have ‘smart glass’ which can be instantly switched from clear to opaque at the touch of a button. Privacy is guaranteed quickly and effectively.”
“For intensive care patients, some of the sickest patients in the hospital, “smart glass” provides the real benefi ts of single patient rooms but with improved ease of observation and better infection control – a true win-win outcome,” Dr Towler said.
The ICU also has two overnight rooms for the use of relatives and carers. These rooms will have access to facilities including a toilet, shower, as well as waiting and quiet rooms.
“We are well aware that for families with a loved one in intensive care the experience can be confronting and stressful. Family support is an important part of the therapeutic approach and we hope to support them as well.”
The Fiona Stanley Hospital
EMERGENCYDEPARTMENT
will open from 7am February 3, 2015.
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Dr Gargeswari Sunanda, who heads Fiona Stanley Hospital’s Obstetrics and Gynaecology department, says patients can expect world-class treatment when her department opens in December this year and reaches its full potential in 2015.
Dr Sunanda is keen for the department to become a centre of excellence in women’s health and said it would grow to provide a full suite of tertiary care to pregnant women including those experiencing medical disorders in pregnancy, perinatal mental health or drug/alcohol dependency issues. Continuity of care will also be a priority for the department which will have a midwifery service extending care to women discharged from hospital after childbirth.
Patients will also benefi t from outpatient antenatal clinics, a lactation service to assist with breastfeeding, a fetal assessment area, birthing suite, obstetric theatre for emergency operations and a 35-bed inpatient ward.
Gynaecology services will include gynaecology outpatient clinics, colposcopy clinics, a day-procedures unit for simple gynaecological operations, acute gynaecology clinics for the management of early pregnancy and gynaecological emergencies and operating facilities for a variety of gynaecological conditions.
Dr Sunanda previously headed Rockingham General Hospital’s Obstetrics and Gynaecology Department and was a consultant obstetrician and gynaecologist and Associate Director for Safety and Quality at Heart of England Foundation Trust in the United Kingdom.
STUDENT ART PLAYS PART IN PATIENT RECOVERY
MATERNITY CARE AT FIONA STANLEY HOSPITAL
Dr Gargeswari Sunanda leads the hospital’s obstetrics and gynaecology department, which opens in December 2014.
Art students from eight high schools local to Fiona Stanley Hospital (FSH) have worked hard to produce relevant and original artwork for the inaugural Student Art Competition.
The students’ winning artwork will be transposed onto wallpaper and installed on the walls of the children’s areas at FSH.
The art will serve not only to aid in distraction from pain, anxiety or discomfort but will also assist in healing recovery for young patients.
For more than 30 students at Applecross Senior High School the project was integrated in their course work meaning that their submissions will also make up 50 per cent of their Semester 2 grade.
Although they were given some guidelines for their designs, the students said that they thought about how a young patient would be feeling in hospital and tried to create artwork that would stimulate their
imagination and transport them away from feelings of pain or discomfort.
Finalist’s creations were exhibited in the FSH main concourse where a group of primary school students were invited to vote on their favourite artwork, with 13 winning artworks announced at an offi cial event on September 16.
Participating schools were All Saints College, Applecross Senior High School, Atwell College, Canning Vale College, Hamilton Senior High School, Lynwood Senior High School, Melville Senior High School and North Lake Senior Campus.
Applecross Senior High School student Tina Han with the artwork she created for the inaugural Student Art Competition.
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SPECIALIST SOLUTIONS
As the state’s most technologically advanced public tertiary hospital, Fiona Stanley Hospital (FSH) has adopted world-class high-tech solutions in service delivery such as the use of Automatic Guided Vehicles (AGV).
Eighteen AGVs will be used by Serco as part of their internal logistics service at FSH.
The hospital’s Internal Logistics Manager Andre Diaz said the motorised vehicles were designed to lift special trolleys to transport food, linen, waste, sterilised instruments and supplies.
“These vehicles will reduce the heavy lifting for staff by moving a range of heavy and regularly used supplies throughout the hospital,” he said.
“They will also be capable of delivering more than 700 meals to 24 wards in just 45 minutes.”
AGVs will improve effi ciency at the hospital because they can be programmed to make deliveries at the most appropriate times for individual wards and areas.
The vehicles will use separate lifts and corridors which means patients and visitors will not see them.
Serco Transition Director Joe Boyle said AGVs would run on the hospital’s wireless network.
“This innovation allows the AGVs to perform tasks such as calling lifts and sending SMS messages to the ward housekeepers to advise them that they have made a delivery,” he said.
“They can receive and respond to requests directly from the hospital’s helpdesk.
“AGVs are a great example of how technology is supporting staff at Fiona Stanley Hospital to deliver more effi cient services to patients.”
Patients at Fiona Stanley Hospital will experience a fi rst for Perth’s public hospitals with access to new high-tech patient entertainment systems.
Patients will have their own touch-screen bedside entertainment systems which can be easily and conveniently accessed by patients and their treating clinicians.
Available in all inpatient rooms and many short stay areas, patients will have access to the entertainment system 24 hours a day, seven days a week.
Through the system, patients will have access to paid-for content including TV, current movies, music, games, and telephone and internet access along with web-based hospital information.
They will also be able to order food closer to meal times and view photos of menu options specifi cally catered to their personal dietary requirements.
Serco’s Facilities Management Director for Fiona Stanley Hospital Bill Cotter
said the patient entertainment system would be an important lifeline for many patients, providing them with entertainment, access to menus and health information – a welcome distraction from their hospital stay.
“Patients will be able to video chat with their family members,” he said.
For many patients, including those in the country, this will provide a signifi cant change in the way they feel during their stay.”
Through the entertainment system, clinicians will have easy and instant access to a variety of patient information and medical records, such as X-rays and scans.
Skilled technicians will be available to provide onsite assistance between 6.30am and 6.30pm on business days and ward housekeepers will provide support every day to people who need help using the advanced systems.
HIGH-TECH ENTERTAINMENT FOR PATIENTS
Patients will be able to access TV, current movies, music, games, telephone and internet through touch-screen bedside entertainment systems.
ROBOTICS PAVE THE WAY TO INNOVATION IN SERVICE DELIVERY
Automated Guided Vehicles (AGVs) are among the high-tech solutions at Fiona Stanley Hospital.
Serco’s Transition Director, Joe Boyle says that technology is supporting staff at Fiona Stanley Hospital to deliver more effi cient services to patients.
REVOLUTIONISING ALLIED HEALTH CAREFiona Stanley Hospital (FSH) is spearheading major changes in the delivery of allied health services with a dynamic new model of care that is vastly different to that of any other WA hospital.
This contemporary model offers staff more opportunities and ensures that the best possible care is delivered to patients undergoing physiotherapy, occupational therapy, clinical psychology, acute rehabilitation and other allied health services offered at FSH.
No stranger to redesigning clinical services, FSH Allied Health Director Shae Seymour was part of the WA Health Health Service Improvement Unit working on the Four Hour Rule project prior to working at Fiona Stanley Hospital.
Ms Seymour, who is also an experienced physiotherapist, said the new approach to delivering allied health care at FSH was
necessary to provide a high standard of patient-centred care.
“This is the fi rst time in 50 years that a hospital of this size in Western Australia has opened and since then the professions within allied health have made signifi cant clinical advances,” Ms Seymour said.
“At FSH we needed to develop a way of working that capitalised on those advances to integrate the allied health workforce into one team and ensure the provision of high-quality care.
“We are really proud of the result and the opportunities it presents for both patients and staff.
“Our allied health professionals will provide a range of services to support the care and rehabilitation of patients in our hospital, and also help them prepare for their return home.”
of natural bushland, landscaped parks, internal gardens, courtyards and plazas have been integrated into the hospital grounds.
FIVE HECTARES
THAT’S TWO AND A HALF AFL FOOTBALL FIELDS.
fact
10
Young people aged 16 to 24 years will, for the fi rst time, have access to a dedicated youth mental health unit as part of the new mental health service at Fiona Stanley Hospital.
Identifi ed as a much-needed resource within Western Australia, the dedicated youth unit – YoU – will provide care in a supportive environment designed specifi cally for young people.
The Mental Health Unit’s Co-Director Paula Chatfi eld said that mental health disorders might start to emerge in young
people, as it was a challenging stage of life with many being confronted by a range of new life experiences.
“The unit will be staffed by clinicians who have been specially trained in evidence-based, best practice interventions and age-appropriate therapies,” Ms Chatfi eld said.
“Having specialist skills and a solid understanding of the developmental journey of young people will allow for early intervention and more positive outcomes,
not only for the young people, but also for their families and the community.”
Community-based youth services and consumers worked with hospital staff to develop the new service, which will involve collaboration between health providers to help young people get back on track sooner.
The youth mental health service and broader mental health services will come online in phase three of the opening of the hospital, with the fi rst patients being admitted in February 2015.
DEDICATED MENTAL HEALTH UNIT FOR YOUNG PEOPLE
The mental health service,
which has been designed to
create a healing, safe and
comfortable environment for
patients and their families,
will include:
• an eight-bed mother and baby unit
• the youth mental health unit (YoU) which can provide care for up to 14 young people at any one time
• assessment and treatment for patients who present to ED and short-term inpatient care (eight beds) for patients who need further assessment prior to discharge or transfer to another mental health facility
• tele-psychiatry services for rural and remote areas
• partnerships with community based services
• a consultation liaison service to support patients throughout the hospital who have mental health disorders in addition to their presenting complaint.
11
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Head of Anaesthesia and Pain Medicine Dr Alex Swann says that safety has been his top focus in his new role.
It is a medical emergency that remains fi rmly etched in the mind of Dr Alex Swann, the Head of the Department of Anaesthesia and Pain Medicine at Fiona Stanley Hospital.
It happened many years ago when he was called to a cardiac arrest as a very junior doctor working in the UK.
Although he can’t quite place the circumstances surrounding the patient’s admission, he recalls clearly the tension in the room as medical ward staff worked frantically to keep the patient alive.
But most vivid in the young medico’s memory was the arrival of a scruffy-haired guy, wearing theatre scrubs and munching on an apple who, despite the fraught atmosphere in the room, strolled casually up to the patient and, after making a brief assessment, began helping by organising and directing everybody around him into clear roles.
“He was perfectly calm and in control,” Dr Swann recalls.
“When he walked in, there was a sense that the patient would survive and the collective relief in that room was palpable, I knew then that I wanted to try to be that guy.”
By the end of that shift Dr Swann had abandoned his ambition of becoming a cardiologist and set his sights on following
the “scruffy-haired guy” into a career in anaesthesia.
Dr Swann said anaesthesia was a branch of medicine that was not well understood and often under-recognised.
“Most people don’t even realise anaesthetists are doctors,” he said.
“They think all we do is put them to sleep when they have surgery and then walk away.
“But in anaesthesia, not only do we stay with patients throughout their operation, we keep people alive – we can take over the functions of their body for them, intubate them, keep them breathing and manage their pain.
“We can give them medicine that will cause a drop in their blood pressure and change their physiology almost immediately.
“We work across all areas of the hospital and provide care in a range of highly-charged clinical environments – from operating theatres, emergency department and intensive care, to complex pain management and obstetrics.”
As such, Dr Swann said there was a huge culture of teamwork and safety around anaesthesia.
“We practise constantly so we can be prepared for when things go wrong because
PATIENT SAFETY DRIVES HEAD OF ANAESTHESIA AND PAIN MEDICINE
FOCUS ON HOSPITAL ART ICONS
Artworks created by Western Australian artists are a prominent feature at Fiona Stanley Hospital.
The works, which draw inspiration from the natural environment, have been integrated into the hospital grounds to create a vibrant healing environment for patients and visitors.
More than 10 works have been commissioned as part of the Department of Culture and the Arts ‘Percent for Art’ program, and includes large and small scale sculptures, Aboriginal art designs on glass, wall installations and large iconic pieces for way-fi nding.
1. ‘In between and all around’ a sculpture by WA artist Stuart Green is the colourful centrepiece of the hospital’s main concourse.
2. ‘Sound of an orchid fl ower opening’ by Anne Neil. Made out of aluminium and located in the main courtyard of the hospital.
3. ‘Fold’ by Tony Jones. A 15-metre painted tower made of mild steel with a 2-metre stainless steel tip and located at Lake Park.
4. ‘Plant remedies’ by Mark Datodi. Perforated and screenprinted steel panels located inside the education building.
4.
1. 2. 3.
if something goes wrong, it can go wrong quickly – and in our work it can be life-threatening.”
Dr Swann said safety had been his top focus at Fiona Stanley Hospital.
“We’ll be there from day one so we have had to be rigorous in our preparation,” he said.
Dr Swann is looking forward to the continuing challenges of his new role, half of which will be clinical and the other half, administrative.
“I realised that you couldn’t do that as a pure clinician – you needed to get involved in, and understand, management,” he said.
But Dr Swann continues to treasure the clinical side of his work.
“We deal with people at their most vulnerable,” he said.
was donated by the hospital to support community conservation programs for Carnaby’s Black Cockatoos – an endangered species living in the environment around the hospital.
$75,000fact
“Sometimes this is in horrendous circumstances, but sharing time with people at their time of greatest need is a real privilege and extremely rewarding.”
12
Ms Taylor Carter, pictured second from right, with Minister for Health Kim Hames, aims to combine passionate patient-centric care with evidence-based practice as Director of Nursing and Midwifery.
PATIENTS CAN EXPECT CLINICAL YET COMPASSIONATE CARE Contemporary, clinical care may seem at odds with the caring, compassionate role with which nurses have traditionally been associated but Fiona Stanley Hospital’s (FSH) Director of Nursing and Midwifery Taylor Carter said patients at the state’s fl agship health facility could expect both.
Ms Carter said that supporting the hospital’s nursing staff to combine compassionate patient-centric care with the latest evidence-based practices would be a key part of her new role.
While both staff and patients would benefi t from the hospital’s world-class facilities and state-of-the art equipment, these assets would complement but not replace the personal care that patients could expect from staff.
“Healthcare is a partnership between the patient, their family and the clinical staff,” she said.
“Nurses need enough time to be with the patients in the room to discuss their care, to fi nd out how the patient is responding
to the care, to fi nd out the needs of the family and to educate.
“So, one of the things for me will be to make sure that the nursing time we have is spent nursing – not doing non-nursing work.”
Ms Carter describes nurses as the custodians of care, saying their role is fundamental to patient outcomes and the functioning of the hospital.
But while patients at FSH can expect nursing staff to treat them with respect, dignity and compassion, they can also be assured they will be receiving dynamic, contemporary, evidence-based care.
Ms Carter began her nursing career in New Zealand, in paediatric intensive care.
Later she worked as a respiratory clinical nurse specialist where she helped children with Cystic Fibrosis to transition to adult health services.
Nursing has taken Ms Carter around the world, including to the United Arab Emirates where she worked in tertiary
hospitals that served as regional centres for specialised medical care and national and referral centres for oncology, burns and cardiac services.
Prior to her FSH appointment, Ms Carter worked for Johns Hopkins Medicine’s
International Division as a chief nursing offi cer at one of the hospitals under its management.
Ms Carter’s areas of special interest include the development of cultures that support patient safety, risk management and team development.
13
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ACUTE MEDICINE UNIT LEADS TO FASTER DIAGNOSIS FOR PATIENTSAt the helm of Acute and General Medicine at Fiona Stanley Hospital (FSH) and Fremantle Hospital, is nephrologist and consultant physician Dr Steve Wright.
Dr Wright is responsible for streamlining unplanned medical admissions for patients who are acutely unwell, complex or undiagnosed.
Alongside a team of more than 20 consultants, 16 registrars, 23 resident medical offi cers and 13 interns, he will be in charge of FSH’s Acute Medicine Unit.
When up and running, this 50-bed unit spread over two wards, will care for patients who have been assessed in the emergency department as needing admission but do not require immediate care on sub-specialty wards.
“Our patients tend to have conditions such as pneumonia, chest pain or they may present with illnesses that have not yet been diagnosed,” Dr Wright said.
Patients in the Acute Medicine Unit (AMU) will receive early assessment by senior
medical consultants with rapid diagnostic testing, enabling treatment to start quickly.
Dr Wright said that where necessary, secondary input was also sought from other specialty areas.
Prior to his current role Dr Wright headed Royal Perth Hospital’s equivalent unit – the AMU – where he oversaw signifi cant change, including a signifi cant increase in bed numbers leading to reduced waiting times and improved care for patients.
Dr Wright said one of the attractions that lured him to his current post was the chance to plan and develop a new AMU from the ground up.
He said that while the concept of an AMU was nothing new and that most Australian hospitals had such units, few would be as developed and well-equipped as the FSH facility.
A major feature of the new unit is the High Acuity Care Area.
This area has been designed to enable seriously unwell AMU patients to receive
closer nursing monitoring and more intensive treatment.
Dr Wright said he was looking forward to seeing the new unit up and running as part of phase three in February 2015.
Prior to this, during phase two in November 2014, he will also commission FSH’s general medicine ward.
Initially patients requiring an extended medical inpatient stay will be transferred from Fremantle Hospital, but from phase three the general medicine ward will care for patients with more complex conditions.
“I have a great team and it will be an exciting and challenging time,” Dr Wright said.
Dr Steve Wright is leading the hospital’s 50-bed Acute Medicine Unit, opening in February 2015, which streamlines care for unwell, complex or undiagnosed patients.
14
Recall congratulates Western Australia Department of Health on the opening
Hospital.
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Three years ago, Serco was selected to provide non-clinical services at Fiona Stanley Hospital.
Since then, our expert team has worked tirelessly with the State of Western
Australia to prepare and set up the hospital, as well as design and deliver 26
world-class services; bringing your new public hospital to life.
We are proud to be part of the team at Fiona Stanley Hospital.
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CLOSING MESSAGE Building upon a tradition of quality careThe opening of Fiona Stanley Hospital is an exciting event for Western Australia.
This new, modern facility will be the major public hospital in the south metropolitan area, offering a high standard of health services to communities south of Perth and across the state.
For patients, this hospital will provide the very best in patient care in an environment specifi cally designed to promote healing and rehabilitation.
Staff will have access to state-of-the-art healthcare facilities and the latest medical equipment, and will be surrounded by leading centres for health, education and research – such as the Harry Perkins Institute for Medical Research.
Even those Western Australians who never walk through the doors of Fiona Stanley Hospital will benefi t from the role it will play in increasing the capacity of our health system.
WA Health already provides fi rst-class health care to nearly three million people
across an area of almost 2.5 million square kilometres.
The addition of Fiona Stanley Hospital builds upon this tradition of quality care – and further strengthens our ability to meet the demands of a growing and ageing population.
In the coming years, this new hospital will be joined by others in the metropolitan area – such as the Perth Children’s Hospital and the Midland Public Hospital – as we lay the foundation for the future of health care in our state.
Of course, as these newer and more modern doors open, others will need to close.
Some health services will be redefi ned.
Health professionals, patients and the community alike will be asked to embrace a certain level of change – so that we can transform Western Australia’s health system into one that will be strong, viable and able to meet our state’s growing needs.
To this end, I would like to make special mention of the staff and patients of Shenton Park Campus – who on October 4 will become the fi rst to experience Fiona Stanley Hospital when they move to the ultramodern State Rehabilitation Service.
It is fi tting that a health service, that has had to transform and adapt to so many challenges in its colourful history, has been chosen to lead the way into our state’s new fl agship hospital.
For people who do not know, Shenton Park Campus began as a series of bush tents to isolate people affected by smallpox 121 years ago.
It was also the base for treating those affected by the Spanish Infl uenza outbreak in 1918 and the polio outbreaks in 1937 and 1956.
Shenton Park Campus went on to become the Infectious Disease Branch of the WA Health Department, and in more recent times, transformed into one of Australia’s most reputable rehabilitation facilities
under the leadership of Sir George Bedbrook OBE.
Today, with the dedication and enthusiasm that has defi ned it throughout its history, Shenton Park Campus has again led the way in embracing change for the betterment of health care in our community.
I encourage all Western Australians to join me and the new State Rehabilitation Service team in welcoming our state’s newest and most advanced healthcare facility - Fiona Stanley Hospital.
Professor Bryant Stokes
Acting Director GeneralDepartment of Health
Professor Bryant Stokes, Acting Director General, Department of Health.
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Roll up your sleeves and give blood. Call 13 95 96 or visit donateblood.com.au
Jean-PierreJean-Pierre needed plasma
transfusions to treat his
severe burns after a
motorbike accident. He has
fully recovered and looks
forward to when he can give
blood again.
The Australian Red Cross Blood Service looks forward to
working with the Fiona Stanley Hospital and continuing
to support Western Australians like Jean-Pierre.
