YDHS Annual Report 2006 (2.4Mb pdf) - GHA Central
YDHS Annual Report 2006 (2.4Mb pdf) - GHA Central
YDHS Annual Report 2006 (2.4Mb pdf) - GHA Central
Create successful ePaper yourself
Turn your PDF publications into a flip-book with our unique Google optimized e-Paper software.
Incorporating the<br />
90th <strong>Annual</strong> <strong>Report</strong><br />
of the Yarram and District Hospital<br />
2005-06<br />
<strong>Annual</strong> <strong>Report</strong><br />
Contents<br />
Organisational Objectives<br />
Introduction<br />
Organisational Structure<br />
Yarram and District Health Service <strong>Annual</strong> <strong>Report</strong> <strong>2006</strong><br />
Board President and Executive Director’s <strong>Report</strong><br />
Highlights<br />
Governing Body, Auditor and Senior Officers<br />
Reward and Recognition Program<br />
<strong>Report</strong> on Operations<br />
■ Clinical Services<br />
■ Community Services<br />
■ Corporate Services<br />
Statutory Requirements<br />
Donations, Past Presidents<br />
Services<br />
Staff<br />
Yarram and District Health Service<br />
Main Campus: 85-91 Commercial Road, Yarram, Vic. 3971<br />
Baker’s Community Service Centre: 121 Commercial Road,<br />
Yarram, Vic. 3971<br />
Edgar House: 20 Nicol Street, Yarram, Vic. 3971<br />
Postal Address<br />
PO Box 61, Yarram, Vic. 3971<br />
Telephone: 03 5182 0222<br />
Facsimile: 03 5182 6081<br />
Email: yarram.health@ydhs.com.au<br />
www.rural-health.org.au www.yarramhealth.org.au<br />
1
Organisational Objectives<br />
Mission Statement<br />
The Yarram and District Health Service seeks to maintain and<br />
enhance the health of the community through the provision of<br />
quality care that is cost effective, efficient, equitable and<br />
consumer focussed.<br />
Vision<br />
The vision for the Yarram and District Health Service is to be<br />
an effective, community based service.<br />
Core Values<br />
The Yarram and District Health Service regards caring,<br />
integrity, quality, professionalism and cost effectiveness as<br />
being its core values.<br />
Objectives<br />
■<br />
■<br />
■<br />
■<br />
■<br />
To provide health care services capable of delivering a<br />
continuum of care to our community<br />
To continually improve quality service delivery<br />
To provide services that promote health improvement and<br />
prevention of illness<br />
To respond to the health care needs of the community<br />
through the ongoing process of consultation and planning<br />
To communicate all services to our community<br />
Introduction<br />
The Yarram and District Health Service is located 220<br />
kilometres south east of Melbourne on the South Gippsland<br />
Highway in Wellington Shire, approximately one hour’s drive<br />
time south west of Sale and 50 minutes drive time south east<br />
of Traralgon.<br />
The township of Yarram is the principal service centre of the<br />
area and services an area of approximately 1840 square<br />
kilometres with a catchment population of 5,580.<br />
The Health Service originally commenced operation as the<br />
Yarram and District Hospital, which was inaugurated on 1<br />
January 1912 and admitted its first patient in January 1917. In<br />
1993, the hospital name was changed to the Yarram and<br />
District Health Service to reflect its evolution into a multi<br />
purpose service, more appropriately positioned to meet the<br />
needs of the wider community.<br />
The Yarram and District Health Service now operates under<br />
the DHS Small Rural Health Services program and provides a<br />
comprehensive range of primary care services. Following<br />
extensive expansion and refurbishment during 2003 and<br />
officially opened in April 2004, it also now accommodates 20<br />
acute beds and 15 high and 15 low aged care beds.<br />
In 2004 Yarram and District Health Service assumed<br />
management of a 30 bed aged care hostel, Crossley House,<br />
adjacent to the Health Service.<br />
2<br />
Yarram and District Health Service <strong>Annual</strong> <strong>Report</strong> <strong>2006</strong>
YARRAM & DISTRICT HEALTH SERVICE ORGANISATIONAL STRUCTURE<br />
Board of Management<br />
Quality Improvement Sub<br />
Committee<br />
Executive Internal Audit Sub Commitee<br />
Combined Sub Committee<br />
Executive Director<br />
Director Medical Services<br />
Deputy Executive Director<br />
(Vacant)<br />
Director Corporate Services Contracted Services<br />
Director Community<br />
Services<br />
Director Clinical Services<br />
Alberton Consulting<br />
Crossley House<br />
Hostel<br />
Yarram Medical<br />
Centre<br />
■ Administrative Services<br />
■ Maintenance Services<br />
■ Food Services<br />
■ Stores and Supply<br />
■ Human Resources<br />
■ Occupational Health and Safety<br />
■ Contracted Services<br />
■ Finance/Payroll<br />
■ Crossley House Payroll & Finance<br />
■ Residential Aged Care Administration<br />
Youth and Family<br />
Services Co-ordinator<br />
Allied Health<br />
Co-ordinator<br />
Quality<br />
Co-ordinator<br />
Care<br />
Co-ordinators<br />
■ PDRSS<br />
■ Housing & Welfare Services<br />
■ Family Services<br />
■ Social Work<br />
■ Dietetics<br />
■ Occupational Therapy<br />
■ Physiotherapy<br />
■ Speech Pathology<br />
■ Podiatry<br />
■ Staff Training & Development<br />
■ Risk Management<br />
Home Care<br />
Co-ordinator<br />
Community Health<br />
Services<br />
Yarram and District Health Service <strong>Annual</strong> <strong>Report</strong> <strong>2006</strong><br />
■ Home Care<br />
■ Personal Care<br />
■ Respite<br />
■ Volunteers<br />
■ Food Services<br />
■ Property Maintenance<br />
■ ADASS<br />
■ Psychology<br />
■ Health Promotion<br />
■ Community Health<br />
■ Diabetes Education<br />
■ Direct Care Staff<br />
■ Inpatients/Residents<br />
■ Non Admitted Patient Services<br />
■ Postnatal Services<br />
■ Medical Services<br />
■ Dialysis Services<br />
■ Accident and Emergency<br />
■ Graduate Nurse Program<br />
■ In Service Education<br />
■ Residential Activities<br />
■ Infection Control<br />
■ Clinical Support Services<br />
Client Services Officer<br />
Community Nurse<br />
Co-ordinator<br />
■ Client Intake<br />
■ Direct Care Staff<br />
■ Maternity Support<br />
■ Maternal & Child Health<br />
3
Board President and Executive<br />
Director’s <strong>Report</strong><br />
It is with pleasure that we present this 90th report in what has<br />
been a year of achievement and celebration.<br />
Our long history is testament to the strength of our team including<br />
staff, volunteers and the wider community. These strengths<br />
continue to be demonstrated as the health service successfully<br />
responds to the changing health requirements of the local<br />
community.<br />
In the second year of Peter Craighead’s secondment as<br />
administrator to <strong>Central</strong> Gippsland Health Service, we congratulate<br />
everyone at Yarram and District Health Service who has embraced<br />
new opportunities and met challenges with creativity, enthusiasm<br />
and dedication.<br />
Quality Improvement<br />
Yarram and District Health Service participates in various quality<br />
processes that seek to measure performance and provide<br />
direction for the improvement of service. These activities<br />
demonstrate to our clients and the wider community that in the<br />
pursuit of best practice and within a culture of continuous<br />
improvement we are consistently meeting client targets and high<br />
quality standards.<br />
The successful site audit by the Aged Care Standards and<br />
Accreditation Agency of St. Elmo’s in May <strong>2006</strong> indicated that<br />
Yarram and District Health Service was compliant in all 44<br />
standards and was subsequently awarded the maximum three<br />
year accreditation.<br />
The Health Service has completed self assessment documentation<br />
as part of its application for Accreditation by the Australian Council<br />
of Healthcare Services (ACHS) under the EquIP Program. This<br />
organisation-wide review involves all departments and validates all<br />
activities by providing evidence of improvements in areas<br />
including Administration, Allied Health, Community Nursing, Food<br />
Services, Maintenance and Health Promotion.<br />
Community Participation<br />
The Yarram and District Health Service continued its very active<br />
involvement in community projects. During 2005/6 these included:<br />
■<br />
■<br />
■<br />
Sponsorship of the Rotary Art Show during the Tarra Festival,<br />
Easter <strong>2006</strong> including the good health message “Keeping<br />
yourself healthy can be a work of Art!” – Keep Active, Eat Well.<br />
PitStop Men’s Health screening program at the Yarram Show<br />
in November 2005, where 35 men and 7 women were<br />
screened using the PitStop program.<br />
Consultation with Wellington Shire on its<br />
“Positive Ageing” strategy.<br />
<strong>YDHS</strong> working with the Yarram Community:<br />
Left to right John Rojo, Melanie Mitchell <strong>YDHS</strong> Youth Worker,<br />
Anthony Rodaughan Principal Yarram Secondary College,<br />
Shane Ponsford Outreach Co-ordinator East Gippsland TAFE,<br />
Jenny Chatfield Co-ordinator Victorian Certificate<br />
of Applied Learning (VCAL),<br />
Wendy Major Project Officer Local Learning and<br />
Employment Network (LLEN),<br />
Dana Dunstan C-oordinator Yarram Community Learning Centre (YCLC)<br />
Service Delivery<br />
The Board’s strategic direction, ratified in 2004/5 in a five year<br />
Business Plan, commits to provision of timely and effective<br />
planning and decision making to contribute to the organisation’s<br />
goals. It also aims to lead, develop and deploy all resources to<br />
work in the best interests of the organisation.<br />
Work has continued with the Crossley House Committee of<br />
Management towards service integration. The process of due<br />
diligence has been completed with no outstanding issues raised<br />
outside the future liability of the facility and a target date for<br />
integration has been set for 1 September <strong>2006</strong>. A project<br />
management group has been established to oversee the transition<br />
process, with staff, residents and their families able to provide<br />
direct input to a change management work group responsible for<br />
the integration activities.<br />
Yarram and District Health Service, under its management<br />
contract, worked with the Crossley House staff to achieve<br />
Accreditation for three years from July 2005.<br />
■<br />
Mental Health Week program of activities.<br />
Other service initiatives for 2005/6 included:<br />
■<br />
Membership of the Community Advisory Group for the<br />
development of Wulgunggo Ngalu Learning Place, a culturally<br />
appropriate learning place for indigenous adult male offenders<br />
to be built on the former Won Wron Prison site.<br />
■<br />
■<br />
Appointment of Dr Zafar, General Practitioner<br />
Ongoing building program including opening of the new<br />
rehabilitation gym and completion of the new<br />
radiology department<br />
■<br />
Quality of Care <strong>Report</strong> seeking feedback from Yarram and<br />
District community.<br />
■<br />
The recent opening of Dr A Abraham’s new Dental Practice<br />
within the Yarram Medical Centre<br />
4<br />
Yarram and District Health Service <strong>Annual</strong> <strong>Report</strong> <strong>2006</strong>
Board President and Executive<br />
Director’s <strong>Report</strong><br />
The recruitment and retention of appropriately skilled staff is<br />
critical to the strategic aims of the Health Service. This is achieved<br />
initially by selection of quality personnel and continued by<br />
supporting the professional development aspirations of those<br />
personnel.<br />
Opportunities to enhance skills are available through Department<br />
of Human Service’s funded projects and through organisation<br />
directed learning, funded by the Yarram and District Health<br />
Service Education Fund. The Health Service sponsored 27<br />
applicants during 2005/6.<br />
It also participated in the Small Rural Health Service Human<br />
Resource Strategic Planning Project, a Department of Human<br />
Services-funded project that assisted rural agencies develop the<br />
tools to strategically plan for a sustainable workforce.<br />
Business Management<br />
Yarram and District Health Service has returned an operating<br />
surplus of $546,289 for the 2005-<strong>2006</strong> financial year. This surplus<br />
is a solid foundation for the expanded responsibilities in aged care<br />
services that will follow the integration of the Crossley House<br />
Hostel and also to support service development anticipated as a<br />
result from service planning scheduled for <strong>2006</strong>-2007.<br />
An opportunity to attend an education program for Board<br />
members and CEOs of rural health agencies was taken up. The<br />
Rural Health Boards of Management Development Program was<br />
designed to help Board members become more accomplished.<br />
The program aims to:<br />
■<br />
■<br />
■<br />
Clarify the roles and responsibilities of Board members<br />
Strengthen the capacity of Boards to operate as high<br />
performing teams<br />
Improve how Boards work with management teams.<br />
Board members learn from health, leadership and governance<br />
experts from both the private and public sectors and have the<br />
opportunity to share ideas and practices with Board members and<br />
CEOs from other health agencies across the State.<br />
The program included highly relevant case studies, practical<br />
activities to explore contentious issues and develop ideas, and the<br />
opportunity to network with fellow Board members from other<br />
agencies. The program was informative, rich in theory and<br />
practice, highly interactive and hugely rewarding.<br />
The Health Service Board and management look forward to<br />
implementing many of the ideas.<br />
Reward & Recognition Program<br />
In November 2005, 35 staff and medical officers celebrated a<br />
combined total of 688 years of service, with each person<br />
presented with a certificate of service recognition.<br />
Long serving Board Member Warwick Boddy was delighted to see<br />
his annual “Service Recognition Program” initiative inaugurated at<br />
the awards ceremony.<br />
The event was an opportunity for the Board to express its<br />
appreciation to, and recognition of, the commitment of staff to the<br />
local health service. The many successes Yarram and District<br />
Health Service has had over the years are testament to the<br />
strength gained from a team that holds good organisational<br />
knowledge and has ownership and pride in the work they do and<br />
in the Health Service.<br />
We take this opportunity to recognise the enormous contribution<br />
made by the members of our Auxiliary and by our wonderful<br />
volunteers. Their dedication and enthusiasm is sincerely<br />
appreciated. We would like to extend our thanks to the<br />
management team for their effort and support and to all the<br />
Yarram and District Health Service staff who have worked hard<br />
and with such good spirit to deliver another successful year’s<br />
result.<br />
Jenni Clarke<br />
Board President<br />
Colleen Boag<br />
Executive Director (Acting)<br />
From left to right:<br />
(standing): Jenni Clarke,<br />
Penny Earle, Sheryl Saynor,<br />
Debra Cerasa,<br />
Megan Houchen,<br />
Peter Craighead, Brian Lee<br />
The Board of<br />
Management<br />
(Seated): Frank Baggaley,<br />
Warwick Boddy,<br />
Bill Bodman, David Hill<br />
Yarram and District Health Service <strong>Annual</strong> <strong>Report</strong> <strong>2006</strong><br />
5
Governing Body, Auditor and Senior Officers<br />
Board of Management<br />
Mrs. J. Clarke<br />
Mr. W. Bodman<br />
Mr. D. Hill<br />
Mr. F. Baggaley<br />
Mrs. P. Earle<br />
Mrs. S. Saynor<br />
Mr. B. Lee<br />
Mr. J. Speed<br />
Mr. W. Boddy<br />
Ms. M. Houchen<br />
Ms. D. Cerasa<br />
President<br />
Senior Vice President<br />
Junior Vice President<br />
Treasurer<br />
Executive Director (Acting)<br />
Ms. C. Boag<br />
SRN, B. Health Science (Nsg), B. Nursing,<br />
Grad Dip Health Science (Comm. Health)<br />
Director of Community Services<br />
Mr. S. Elvy, BSc (Human Movement), BAppSc (Phty), Grad Dip.<br />
HSM<br />
Ms. E. Williams, B.P & O, Grad. Dip Bus. Mgt<br />
Director of Clinical Services<br />
Mrs. M. Brosche, SRN, B. Nursing<br />
Director of Corporate Services<br />
Ms. L. Duncombe, Grad Dip Case Mgmt, Grad Dip Health<br />
Admin<br />
From left:<br />
Responsible Ministers<br />
The Honourable Bronwyn Pike MLA Minister for Health<br />
The Honourable Gavin Jennings MLC Minister of Aged Care<br />
The Honourable Sherryl Garbutt MLA Minister for<br />
Community Services<br />
The Honourable Candy Broad MLC Minister for Housing<br />
The Honourable Tony Abbott MHR Minister for Health &<br />
Ageing<br />
Auditor<br />
Auditor General of Victoria<br />
Agent Armitage Downie, Sale<br />
Medical Adviser<br />
Dr. C. Winter, MB BS, GMQ, MBA, FACEM<br />
Visiting Medical Officers<br />
Dr. I. McConachie, MB BS<br />
Dr. L. Testro, MB BS<br />
Dr. C.J.P. Luiz, MB BS<br />
Dr. R.K. Nandha, MB CHB<br />
Dr. C. Wong, MB BS<br />
Dr. J. Tseng, MBBS GP Registrar<br />
Dr. M. Vujovesic<br />
The Executive Team<br />
Steven Elvy Director<br />
Community Services.<br />
Colleen Boag Acting<br />
Executive Director.<br />
Louise Duncombe Director<br />
Corporate Services.<br />
and Marj Brosche Director<br />
Clinical Services.<br />
Highlights<br />
St. Elmo’s Nursing Home earns the maximum three year<br />
accreditation following an audit by the Aged Care Standards<br />
and Accreditation Agency, which found the Home complied<br />
with all 44 standards.<br />
Dr A Abraham’s dental practice opens in the Yarram Medical<br />
Centre and a new General Practitioner, Dr Zafar, is appointed.<br />
The Quality Department introduces telephone-based<br />
satisfaction surveys for discharged inpatients.<br />
A joint education project between Yarram and District Health<br />
Service, Latrobe Regional Hospital and <strong>Central</strong> Gippsland<br />
Health Service was implemented to provide mandatory<br />
education in Basic Life Support, Medication Administration,<br />
Manual Handling and Fire Safety for nurses in the three<br />
facilities.<br />
The Youth and Family Service Department is restructured as a<br />
result of being awarded the Wellington Shire Family Support<br />
Innovations Project “Wellington Working Together with<br />
Families.” Funding provides community based family support<br />
to families at risk of becoming involved with child protection<br />
and also funds a new Family Support Worker position.<br />
The Yarram Toy Library secures funding support from the<br />
Wellington Shire Council Community Grants Program and the<br />
Yarram Apex and Yarram Lions Clubs, leading to an extensive<br />
update of the toy collection.<br />
Maintenance staff undertake two large restructuring projects,<br />
the new Rehabilitation gym and the Radiology area relocated<br />
in the X-ray department.<br />
The Health Service continues gains excellent results in internal<br />
and external cleaning audits. It earned an overall hospital score<br />
of 95.46% with the internal results 96.43%.<br />
6<br />
Yarram and District Health Service <strong>Annual</strong> <strong>Report</strong> <strong>2006</strong>
<strong>Report</strong> on Operations<br />
Clinical Services<br />
The Clinical Services Division comprises all patient care<br />
departments including direct care, postnatal and medical<br />
services, accident and emergency and residential activities.<br />
Clinical Services Division is also responsible for Quality<br />
Improvement and staff training and development activities.<br />
Highlights during 2005/6 include:<br />
■<br />
Participation in the Pressure Ulcer Point Prevalence Survey<br />
(PUPPS) 3. This was undertaken by staff trained to assess<br />
patients at risk of developing pressure ulcers. The survey<br />
was a follow up to last year’s PUPPS2 and as a result<br />
strategies have been put in place to assess patients’ skin<br />
integrity more closely on admission.<br />
■<br />
■<br />
■<br />
The Nursing Home welcomed new staff and continues to<br />
enjoy the support and assistance from a great band of<br />
volunteers who regularly visit residents and help with<br />
activities. St Elmo’s also participates in the Friends for Older<br />
People program facilitated by the St John Ambulance.<br />
Excellent support has come from the Waratah Hospital<br />
Auxiliary and the local RSL branch with donations for<br />
equipment such as the tilt wheelchair.<br />
Staff continue to update and increase their skills and<br />
knowledge base by attending education sessions both<br />
internally and externally.<br />
■<br />
■<br />
The Falls Risk Prevention Program was implemented. The<br />
focus of this program for Clinical Services is to reduce the<br />
number of falls for inpatients and residents.<br />
Implementation of the National Inpatient Medication Charts<br />
in June. Following education for Medical Officers and<br />
Division 1 Nurses, the medication chart was introduced for<br />
use at Yarram and District Health Service. This is a<br />
Government initiative to standardise medication charts in<br />
Victorian Public hospitals with the aim of reducing the<br />
number of medication errors.<br />
Jo-Anne Rash, Quality<br />
Co-ordinator, pictured<br />
with the third annual<br />
Quality of Care<br />
brochure<br />
■<br />
Setting up of a Palliative Care Room. This project has been<br />
funded by the Palliative Care Fundraisers, a room has been<br />
furnished to be used by palliative care patients and their<br />
families.<br />
Highlights at St Elmo’s Nursing Home during 2005/6 include:<br />
■<br />
■<br />
Accreditation visit in May <strong>2006</strong>, which was rewarded with<br />
success in all 44 standards, thanks to the hard work and<br />
ongoing commitment by all staff to providing quality care<br />
for residents.<br />
Activities staff have offered residents a wide range of<br />
activities incorporating many special events such as the<br />
Commonwealth Games, ANZAC Day, the Tarra Festival and<br />
Australia Day, to name but a few. The use of the bus at the<br />
weekends has also added to the variety of outings in which<br />
residents can participate.<br />
Quality Improvement<br />
Yarram and District Health Service is preparing for<br />
organisation wide accreditation with the Australian Council on<br />
Healthcare Standards (ACHS), with assessment to take place in<br />
August <strong>2006</strong>, following successful accreditation of St. Elmo’s<br />
Nursing Home in May <strong>2006</strong>.<br />
The nursing home was compliant in all 44 standards and<br />
subsequently awarded the maximum three year accreditation.<br />
This demonstrates to residents, their loved ones and the wider<br />
community, the commitment to providing high quality care and<br />
a safe and happy home environment.<br />
Representatives from the Aged Care Standards and<br />
Accreditation Agency will visit St. Elmo’s regularly over the next<br />
three years to ensure the same high standards demonstrated<br />
at site audit are maintained and practices continuously<br />
improved.<br />
Preparation for organisation wide survey began during the<br />
reporting period. This event will determine if Yarram and<br />
District Health Service has met all the standards as laid down<br />
by Australian Council on Healthcare Standards and determines<br />
the period of accreditation. The last organisation wide survey<br />
was in 2002 and the maximum four year accreditation<br />
awarded.<br />
While accreditation for St. Elmo’s is necessary to comply with<br />
the Aged Care Act, health service accreditation with the ACHS<br />
is a voluntary process. Many hospitals participate to instil a<br />
sense of confidence in their consumers that their health<br />
service is a quality and safety focussed organisation.<br />
Health Promotions officer, Clare McHugh (centre), combines<br />
fitness with self defence with the help of Tae Kwon Do<br />
Academy techers Heather Naylor (left)<br />
and Pam Summers (right)<br />
Yarram and District Health Service <strong>Annual</strong> <strong>Report</strong> <strong>2006</strong><br />
7
<strong>Report</strong> on Operations<br />
Some activities undertaken by the Quality Department this past<br />
year include:<br />
■<br />
Launch of the Client Information Guide which replaced six<br />
individual brochures.<br />
Yarram and District Health Service has a part time Clinical<br />
Support Nurse whose role is to provide clinical staff with<br />
education, support and mentoring. The Clinical Support Nurse<br />
position is also designed to encourage innovative practices to<br />
improve the quality of health care delivery.<br />
■<br />
■<br />
■<br />
Introduction of telephone-based satisfaction surveys for<br />
discharged inpatients.<br />
Review of Consumer Participation at Yarram and District<br />
Health Service.<br />
Conduct of a staff education and training needs<br />
analysis survey<br />
An annual education program is developed, based on staff and<br />
organisation needs, and delivered on a monthly basis in a<br />
group setting. Education packages are developed to support<br />
the delivery of some topics and include a written assessment<br />
to measure staff learning and program effectiveness.<br />
Individuals are supported in a practical way on an ‘as-needs’<br />
basis. Staff have indicated that they are pleased to have this<br />
extra layer of support and expertise available to them.<br />
■ Publication of the Quality of Care <strong>Report</strong> 2005.<br />
■<br />
■<br />
Review of resident and staff orientation processes and<br />
documentation for Crossley House.<br />
Revision of the Crossley House Resident Handbook.<br />
The Education Fund, established by the Board of Management<br />
eight years ago, continues to support individual staff<br />
applications to attend conferences and seminars. The Fund is<br />
administered by the Education Committee, made up of<br />
representatives from several departments and approved 27<br />
applications this financial year.<br />
■<br />
■<br />
■<br />
■<br />
■<br />
Review of the annual training program for staff.<br />
Launch and management of the newly implemented<br />
electronic legislative compliance monitoring system.<br />
Review of risk management plans, procedures and tools.<br />
Introduction of a “suggestion” box, sited in the foyer of<br />
Yarram and District Health Service. Consumers and staff<br />
return, for example, surveys and compliments<br />
and complaints.<br />
Review of the complaints management system.<br />
Staff supported by the Education Fund are required to share<br />
their learning experience with colleagues by conducting an inservice<br />
education activity or by provision of a written report<br />
that is posted on the computer network for all staff to access.<br />
A new initiative implemented in August 2005 was a joint<br />
education project between Yarram and District Health Service,<br />
Latrobe Regional Hospital and <strong>Central</strong> Gippsland Health<br />
Service. It was agreed that mandatory education in Basic Life<br />
Support; Medication Administration; Manual Handling and Fire<br />
Safety would be undertaken annually by nurses in the three<br />
facilities.<br />
This is theoretical competency based education provided on<br />
line and designed to complement the practical education<br />
taking place in each facility. In 2005, 86% of staff completed<br />
this training and participation is expected to be higher in in<br />
<strong>2006</strong>.<br />
Yarram and District Health Service continues to offer<br />
traineeships to young people and has supported trainees in<br />
Nursing and Food Services this year. Clinical placement for<br />
tertiary students and work experience for secondary school<br />
aged students continue to be supported.<br />
Nurses Tim Waugh and Jenny Donaldson working<br />
towards better medical treatment under a pilot project<br />
aimed at promoting medical recruitment in country areas.<br />
Staff Development and Training<br />
Staff continue to maintain and enhance their skills through the<br />
many learning opportunities available to them. The Health<br />
Service’s <strong>Annual</strong> Training Program provides all staff with the<br />
opportunity to maintain their skills in areas such as basic life<br />
support, manual handling/no lift, fire emergency/evacuation<br />
and fire equipment use.<br />
An extensive range of infection prevention and control topics is<br />
also offered and includes, for example, staff immunisation,<br />
hand hygiene, personal protective equipment and waste<br />
management. All are designed to minimise harm to clients and<br />
staff.<br />
Work experience students were placed in Nursing and Food<br />
Services and Speech Pathology and Community Nursing<br />
hosted tertiary student placements. Two students studying for<br />
the Certificate III in Aged Care were provided with supervision<br />
to complete the 100 hour practical component of their course.<br />
In total, students were hosted for approximately 25 weeks over<br />
the year.<br />
The Health Service is pleased to offer these learning<br />
experiences to students and proud of the way staff go about<br />
supporting the program.<br />
A staff education and training needs analysis survey was<br />
conducted during the year, which will inform the development<br />
of a two year training plan.<br />
8<br />
Yarram and District Health Service <strong>Annual</strong> <strong>Report</strong> <strong>2006</strong>
Community Services<br />
Yarram and District Health Service Community Services is<br />
committed to the provision of quality service provision to<br />
ensure the ongoing wellbeing of the local community. The<br />
improvements made during the financial year 2005-06 have<br />
highlighted this commitment.<br />
The Community Service Client Intake process has continued to<br />
be the cornerstone of assessment and screening of<br />
community clients, ensuring services needed by clients are<br />
provided in a timely, efficient and effective manner.<br />
During the year approximately 250 people received a needs<br />
based assessment and referral to community services. Further<br />
development of the Client Intake service will occur in coming<br />
years as the Initial Needs Identification process changes and<br />
regional referral becomes electronic.<br />
The Youth and Family Service Department has been<br />
restructured as a result of being awarded the Wellington Shire<br />
Family Support Innovations Project “Wellington Working<br />
Together with Families.” This funding was provided to the<br />
Wellington Working Together with Families partnership of<br />
Kilmany UnitingCare, Ramahyuck Aboriginal Corporation and<br />
Yarram and District Health Service.<br />
The purpose of the funding is to provide community based<br />
family support to families at risk of becoming involved with<br />
child protection and has funded the addition of a new Family<br />
Support Worker. This new worker raises the Family Support<br />
staffing to 1.0 FTE from 0.3 FTE.<br />
The financial year also saw the addition of Maternal and Child<br />
Health service to the suite of Community Services. This service<br />
assesses the health and wellbeing of children up to the age of<br />
4 years old.<br />
The continued professional development of Health Service staff<br />
is essential to the success of many programs delivered from<br />
this area. This year community services staff have been<br />
supported in their skill development, attending short courses<br />
and seminars on ageing and sensory loss, Huntington’s<br />
Disease, Motivational Interviewing, Risk Management, Falls<br />
Prevention, Needle exchange and Oxygen Equipment and<br />
safety issues.<br />
<strong>Report</strong> on Operations<br />
During the year, client outcomes for several exercise programs<br />
were reviewed, including balance and mobility, cardiac<br />
rehabilitation and pulmonary rehabilitation. Positive results and<br />
feedback were noted for most clients, in all aspects of health<br />
(emotional, social and physical).<br />
Australian Therapy Outcome Measures (AusTOMS) have been<br />
introduced and completed for selected clients of<br />
Physiotherapy, Occupational Therapy and Speech Pathology<br />
services, which will assist with the review of client outcomes<br />
and therapy techniques. Care plans are also being conducted<br />
with all clients, to ensure client consent and participation in<br />
their therapy goals and treatment.<br />
A service coordination model was introduced for paediatric<br />
clients, in order to ensure that their needs are being met by all<br />
services. In this model, family meetings and case coordination<br />
meetings are held between the Maternal and Child Health<br />
Nurse, Family Support workers and Allied Health therapists.<br />
A multidisciplinary project is being completed to better<br />
manage inpatients with dysphagia (swallowing) difficulties. It<br />
involves Speech Pathology, Dietetics, Catering and Nursing<br />
staff and the focus to date has been on menu plans,<br />
documentation and client communication.<br />
The equipment loan system has been reviewed and<br />
improvements made to the storage and maintenance of<br />
equipment. Equipment loans are now recorded electronically,<br />
increasing the efficiency and effectiveness of tracking loan<br />
equipment.<br />
The podiatry and occupational therapy services are currently<br />
(<strong>2006</strong>-07) under review, in order to provide an increased<br />
service to clients in need. Policies and procedures continue to<br />
be developed and reviewed throughout the department, to<br />
provide standardised and quality care to all clients.<br />
Staff members are regularly completing professional<br />
development and training. Monthly in-services have been<br />
introduced, with each staff member responsible for providing<br />
an in-service once or twice per year.<br />
Allied Health<br />
During the year, the Allied Health team has continued to<br />
provide the following services to residents of the local<br />
community:<br />
■<br />
■<br />
■<br />
■<br />
■<br />
■<br />
physiotherapy,<br />
occupational therapy,<br />
speech pathology,<br />
dietetics,<br />
podiatry and<br />
personal alarm assessment<br />
These services are provided to residents of St Elmo’s Nursing<br />
Home and Crossley House; acute, rehabilitation, and geriatric<br />
evaluation and management inpatients, and community clients,<br />
of varying ages and abilities.<br />
Practicing our listening and fine motor skills, in the Early<br />
Years Language Group pictured with Gabrielle Diplock,<br />
Speech Pathologist.<br />
Yarram and District Health Service <strong>Annual</strong> <strong>Report</strong> <strong>2006</strong><br />
9
<strong>Report</strong> on Operations<br />
Community Care<br />
Community Care includes Community Nursing, Home and<br />
Community Care Service, Client Services, Client Intake,<br />
Maternity Support Service and Palliative Care.<br />
The Community Care team has continued to maintain a focus<br />
on providing improved outcomes for its clients through<br />
multidisciplinary meetings within the health service including<br />
acute and other service providers.<br />
Community Care receives funding through State and Federal<br />
grants. Support from Wellington Shire through annual grants<br />
and services purchased by the Department of Veterans Affairs<br />
all contribute significantly to extending the level of services<br />
provided to the community.<br />
Community Nursing has had pleasing results in audits<br />
conducted on improved documentation and care planning.<br />
Staff have attended education in the areas of wound care,<br />
palliative care and foot care, with a view to offering an<br />
expanded service in these areas.<br />
Admission and Discharge statistics remain the same as the<br />
previous financial year but there has been an increase in post<br />
acute care referrals to the service.<br />
Volunteers<br />
More than 40 active volunteers have provided many hours of<br />
service to enrich the lives of Yarram and District Health Service<br />
residents and community clients. Activities have ranged from<br />
friendly visits in the home, assisting with ADASS activities and<br />
programs, delivering frozen ‘Meals on Wheels’ to clients who<br />
live in outlying areas and providing transport support to enable<br />
clients to participate in planned programs such as the Prime<br />
Movers Exercise Group.<br />
Volunteers are also pivotal in the social support (shopping)<br />
program that assists aged and disabled clients to access the<br />
Yarram business area on a regular basis. Volunteers also<br />
enrich the lives of our St Elmo’s residents with their regular<br />
visits, wheelchair walks and assistance with special days and<br />
outings.<br />
Yarram and District Health Service also recognises the<br />
ongoing support of Yarram’s various community services,<br />
schools, churches, sporting and social clubs for their<br />
assistance with ‘Meals on Wheels’. This support enables the<br />
service to reach all clients, and for many, the visits are a<br />
highlight of the day.<br />
Staff held a barbecue during the year to express appreciation<br />
to the volunteers. Their commitment and enthusiasm towards<br />
programs and clients makes a huge difference in the way<br />
Yarram and District Health Service is able to efficiently and<br />
effectively deliver services. This enormous contribution is<br />
recognised throughout the Health Service and to all support<br />
people, a sincere thank you.<br />
Mary Willis discusses the benefits of physical activity to<br />
overall health with Olive Rottenberry, Val Henderson,<br />
Julie Anne Walters and Helen Gardiner.<br />
The Community Nurse Coordinator now manages the<br />
Maternity Support program, which offers antenatal education<br />
and postnatal care to parents and infants. It works closely with<br />
maternal and child health and maternity enhancement to<br />
provide care and support for families.<br />
Home and Community Care has continued to reach targets<br />
across all services, including Food Services (Meals on Wheels),<br />
Personal Care, Home Care, Home Respite Care, Property<br />
Maintenance and Adult Day Activity Support Service. There has<br />
been a continued focus on documentation and information for<br />
clients and staff with a review of assessment tools for Personal<br />
Carers and updating of home folders for clients and families.<br />
The Adult Day Activity Support Service provides opportunities<br />
for socially isolated clients and respite for carers. Programs<br />
are tailored to client’s interests and abilities and include regular<br />
outings. New program ideas were introduced this year,<br />
including visits to areas around Yarram which have been well<br />
received.<br />
Community Health nurse Ann Kay presents Women’s<br />
Health Education literature.<br />
Community Health<br />
It has been another busy and rewarding year in Community<br />
Health, with the delivery of many successful programs.<br />
Physical Activity and Nutrition continued to be the two main<br />
health promotion priority areas, with resources also allocated<br />
to Mental Wellbeing and Social Connectedness.<br />
As a result of the involvement with the South Coast Health<br />
Service Consortium’s Primary Care Partnership, and funding<br />
from the Healthy and Active Living Seniors Grant and the Go<br />
for Your Life Community Walking Grant, two physical activity<br />
projects have been implemented.<br />
10<br />
Yarram and District Health Service <strong>Annual</strong> <strong>Report</strong> <strong>2006</strong>
<strong>Report</strong> on Operations<br />
Four local residents are being subsidised in their studies in<br />
Certificate 3 in Fitness and Module 4 Older People. Once their<br />
training is completed, a greater variety and number of physical<br />
activity programs will be available to the community. Walking<br />
Leader Training was also conducted in Yarram, with the<br />
consequent establishment of a Parents with Prams walking<br />
group.<br />
Two very successful National Stroke Foundation Strokesafe<br />
Seminars were conducted in the community. Following the<br />
success of these seminars, a similar seminar that focuses on<br />
Heart Health was developed and delivered. This program will<br />
now be presented to other groups in the community.<br />
In partnership with Gippsland Women’s Health and GippSport,<br />
a very successful Women and Physical Activity Forum was<br />
held in October 2005. Forty-five women enjoyed a fun and<br />
informative evening, which included a discussion on the<br />
barriers in the path of women seeking to be physically active,<br />
as well as an opportunity to try activities such as self defence,<br />
tae kwon do, strength training, line dancing and rock and roll<br />
dancing.<br />
Work with the local primary schools continued, with practical<br />
Nutrition Education sessions provided to all classes at Yarram<br />
and Woodside primary schools. The dietician provided<br />
Nutrition Education program to parents, as well as to other<br />
community groups. Asthma education continues to be<br />
provided to schools to enable them to maintain their Asthma<br />
Friendly School status.<br />
<strong>YDHS</strong> Health Promotion Officer Clare McHugh<br />
discusses healthy eating classes for parents.<br />
Yarram Medical Centre<br />
The Yarram Medical Centre is accredited with Australian<br />
General Practice Accreditation Ltd (AGPAL), which identified<br />
the strengths of the practice such as the clinical care, medical<br />
records management, practice administration, commitment to<br />
the area of health promotion and disease prevention and<br />
continuity of care with patients’ rights and needs well<br />
respected.<br />
A fully electronic practice, the Medical Centre implemented a<br />
significant upgrade to the software system. The new system<br />
provides full data migration and extensive staff training, and<br />
delivers improved management of both clinical and financial<br />
data and online Medicare claims to the Health Insurance<br />
Commission.<br />
Participation in the getGP general practitioner registrar training<br />
program continues to provide supervised practice for trained<br />
doctors entering general practice. The program offers a<br />
structured program of clinical study, support and onsite<br />
supervision by an experienced general practitioner for<br />
registrars, who remain an important part of the medical<br />
workforce.<br />
Jim Calman, using the Pallative Care chair, TV, DVD<br />
and the cabinet for which he helped raise funds for<br />
Many other programs were delivered, including the Well<br />
Women’s Clinics, Pit Stop Men’s Health Screening Program,<br />
Lung Clinic, Walk and Talk, Support Groups, Needle Exchange<br />
Program, Better Health Self Management Course, and the Quit<br />
Fresh Start Course.<br />
A new initiative in June <strong>2006</strong> was an inaugural Health<br />
Promotion Information and Planning Meeting, which was open<br />
to all staff. The information gathered will form the <strong>2006</strong> – 2009<br />
Organisation-wide Health Promotion Plan.<br />
Consultations with community groups are also planned,<br />
ensuring that next year will prove to be another productive and<br />
responsive year for Community Health and Health Promotion.<br />
Servicing the District: Yarram & District Health Service<br />
Community nurses Rebecca Tyler, Julie Graske, Marg Barlow<br />
and Jenny Finlay.<br />
Yarram and District Health Service <strong>Annual</strong> <strong>Report</strong> <strong>2006</strong><br />
11
<strong>Report</strong> on Operations<br />
Youth and Family Services<br />
The Youth and Family Services team at Bakers Community Centre<br />
has expanded service areas to provide a range of essential<br />
services to the local community.<br />
There are now two Yarram and District Health Service Family<br />
Support Workers who provide support to families experiencing<br />
difficulties with relationship breakdown, domestic violence,<br />
parenting issues and isolation. The workers also facilitate<br />
mediation, reconciliation and support for families who have<br />
children with special needs.<br />
Demand for housing assistance continues to be high as new<br />
people move into the district while rental properties remain limited.<br />
The housing sector as a whole has undergone an accreditation<br />
process, reviewing how support is provided to single people within<br />
the Gippsland region. This is a significant issue for all areas<br />
including Yarram.<br />
The Health Service continues to support people in the community<br />
who are experiencing a crisis,by the distribution of Emergency<br />
Relief vouchers. This assistance can cover items such as food<br />
and prescriptions.<br />
The Youth and Family Services team also works closely with Saint<br />
Vincent de Paul Society, whose volunteers provide a wonderful<br />
service with food parcels, assistance with telephone bills, school<br />
uniforms, and some furniture and bedding.<br />
Yarram Toy Library<br />
The Yarram Toy Library secured funding support from the<br />
Wellington Shire Council Community Grants Program and the<br />
Yarram Apex and Yarram Lions Clubs, which has supported<br />
insurance renewal costs and an extensive update of the toy<br />
collection.<br />
The Toy Library continues to provide an important community<br />
service. Families of children up to school age are able to access a<br />
wide range of toys, games and puzzles at a minimal cost. Contact<br />
with other young families is also facilitated.<br />
The Yarram and District Health Service Allied Health staff also<br />
benefit greatly from being able to access the toy collection. A wide<br />
range of motivating and educational resources make therapy<br />
sessions much more fun!<br />
Once again the Toy Library thanks Yarram and District Health<br />
Service for its generous support, providing accommodation and<br />
administrative support.<br />
The Corporate Services Division incorporates Administration,<br />
Maintenance, Stores and Supply, Food Services and<br />
Environmental Services and Human Resources. The Director of<br />
Corporate Services is the chair of the Occupational Health and<br />
Safety (OHS) committee and Policy committee.<br />
The Psychiatric Disability Rehabilitation Support Service had two<br />
new staff and remains unique as the only seven day service in<br />
Victoria. The program is also undergoing an accreditation<br />
process with the Department of Human Services and has<br />
expanded from home based outreach to include planned respite<br />
for participants.<br />
The Youth and Family Services team appointed a part time youth<br />
worker whose role is to support any young person aged 12 – 25<br />
who may be experiencing difficulties in their life. The worker began<br />
investigating the employment, education and training opportunities<br />
for young people with the end goal of implementing appropriate<br />
best practice programs in Yarram.<br />
The Social Worker has also now joined the Youth and Family<br />
Services team, which allows the team to provide a more holistic<br />
approach to services for the Yarram community.<br />
Exercise in the Balance and Mobility group. Pictured<br />
with Kaylene Mason, Allied Health Assistant, in the new<br />
Rehabilitation Gym.<br />
Youth Worker Melanie Mitchell takes the time to consider<br />
issues faced by young people and to reach a solution.<br />
12<br />
Yarram and District Health Service <strong>Annual</strong> <strong>Report</strong> <strong>2006</strong>
<strong>Report</strong> on Operations<br />
Corporate Services<br />
Finance Department<br />
It has been quite a year for the Finance Department. We have<br />
farewelled long serving staff and welcomed new people who have<br />
brought lots of fresh ideas for Yarram and District Health Service<br />
to consider and trial. Of significance during the year was the<br />
implementation of MYOB finance software.<br />
Whilst this has resulted in the development of financial policies<br />
and procedures to meet legislative requirements, it has enabled<br />
the upskilling of staff giving them greater confidence in financial<br />
management.<br />
All staff are to be congratulated for their efforts.<br />
Administration<br />
In keeping with the theme of redeveloping processes and<br />
procedures, Administration staff also updated their skills with the<br />
introduction of the MYOB finance software. This has resulted in a<br />
change to invoicing processes, allowing all services to appear on<br />
the one invoice rather than have some services pay on the day<br />
and others invoiced monthly.<br />
We have also worked hard on streamlining documentation. New<br />
forms have been introduced and changes made to several other<br />
forms to ensure that information is documented appropriately. For<br />
example, changes have been made to the Baby Capsule Hire form<br />
to reflect the differences between the old baby capsule and the<br />
recently purchased capsules.<br />
A defined format for admitting patients has been introduced to<br />
ensure each patient is provided with the same information. A new<br />
email address and timeline for Medical Records’ requests and<br />
retrieval has also been created to ensure patient records are<br />
delivered as efficiently as possible.<br />
Again, it was a year of many changes and administration staff<br />
were up to the challenge.<br />
Environmental Services<br />
Yarram and District Health Service continues to gain exceptionally<br />
high results in internal and in particular, external cleaning audits,<br />
due in part to continual education for staff on the importance of<br />
infection control and the cleaning standards of Victoria.<br />
This year’s external audit results were particularly pleasing as the<br />
auditors are becoming much stricter. Yarram and District Health<br />
Service gained an overall hospital score of 95.46% and the internal<br />
results for the year were 96.43%.<br />
The high cleaning standards at Yarram and District Health Service<br />
supports the health and well being of residents and patients.<br />
The new laundry system commenced in September 2004 and has<br />
continued to improve cost effectiveness of its operations and<br />
decrease linen degradation. Since its inception, the laundry costs<br />
have decreased while still returning good results in microbial<br />
behaviour. The linen is as good as it was when first purchased,<br />
with no colour fading.<br />
compliments from residents and staff. The response was amazing<br />
and a very rewarding outcome.<br />
The Health Service has purchased a new ‘Hako’ mop machine,<br />
which is considerably lighter than the old machine, a new buffer<br />
machine and more OH&S orientated mop buckets.<br />
The purchase of smaller and lighter linen trolleys has seen major<br />
improvements with staff safety, as they have better manoeuvrability<br />
and are lighter to push.<br />
The team looks forward to the year ahead, with continued focus<br />
on quality improvement and the well being of patients and<br />
residents.<br />
Maintenance<br />
Maintenance staff have enjoyed another big year, with two large<br />
restructuring projects completed as well as their usual planned<br />
and ad hoc maintenance work. The projects included the new<br />
Rehabilitation gym, with Gary Admiraal and his team completing<br />
work on this new area late in 2005. It is a wonderful addition to the<br />
health service.<br />
Those attending for X-ray will have noticed some serious<br />
construction work being carried out, with the Radiology area<br />
relocated. This should result in a far more comfortable experience<br />
for those people accessing the service.<br />
Maintenance staff have also reorganised their work area with a<br />
purpose built welding area and increased storage space. This<br />
ensures they comply with the Occupational Health and Safety<br />
(OH&S) Act.<br />
Food Services<br />
As we all know, the reputation of hospital food can be somewhat<br />
negative! Thankfully at <strong>YDHS</strong> we have a dedicated team, well lead<br />
by Christine Honey. Food Services caters for all patients and<br />
residents of Yarram and District Health Service, Crossley House<br />
Hostel, Meals on Wheels and various functions held within the<br />
service.<br />
Again it has been a big year. Food Services continue to liaise with<br />
the Dietician, Speech Pathologist, clients and staff, to maintain the<br />
quality of service to residents and patients. The team has achieved<br />
excellent results in a formal Food Safety Audit both within the<br />
health services and Crossley House and is proud to display the<br />
certificates.<br />
In the 2005-<strong>2006</strong> year the department:<br />
■<br />
■<br />
■<br />
■<br />
Made 81,000 meals, which includes Meals on Meals and<br />
catering for functions.<br />
Used 3,650 loaves of bread.<br />
Prepared 365 kg of fruit.<br />
Handled 3,285 bags of potatoes.<br />
In March <strong>2006</strong> St. Elmo’s residents’ clothing has been ironed on a<br />
regular basis, which has resulted in an over whelming flood of<br />
■<br />
Used approx 3,650 kg of meat, keeping in mind that all of the<br />
meals are not necessarily meat dishes!<br />
Yarram and District Health Service <strong>Annual</strong> <strong>Report</strong> <strong>2006</strong><br />
13
14<br />
Yarram and District Health Service <strong>Annual</strong> <strong>Report</strong> <strong>2006</strong>
Yarram and District Health Service <strong>Annual</strong> <strong>Report</strong> <strong>2006</strong><br />
15
<strong>Report</strong> on Operations<br />
Human Resources<br />
Human Resources embarked on a number of initiatives to improve<br />
and increase the effectiveness of its function.<br />
These include:<br />
A quick glance at the quantity of items used this year.<br />
■ 14000 aluminium meals on wheels containers.<br />
■ Our patients have breakfasted on 9792 weet bix .<br />
■<br />
Development of a general orientation program, including a<br />
comprehensive checklist to provide new staff with a smooth<br />
transition when joining the Health Service.<br />
■<br />
■<br />
Washed them down with 3744 litres of fruit juice.<br />
60,000 latex gloves have been used.<br />
■<br />
Ongoing monitoring and updating of employee Performance<br />
Appraisal function.<br />
■<br />
3,400 Adaptic dressings have been used.<br />
■<br />
■<br />
■<br />
Development and implementation of ‘Request from a Third<br />
Party for Information’ policy.<br />
Implementation of ‘Consent to Provide Information to a Third<br />
Party’ form.<br />
Development and implementation of an exit interview process,<br />
including an exit questionnaire.<br />
■ Investigation into pay point progression of RN Division 2<br />
Nurses and implementation of a monitoring system to enable<br />
pay point assessment<br />
Futher activities are focusing on workforce strategies, which will<br />
encompass the ageing workforce and the retention of staff.<br />
Stores<br />
The year has seen the full establishment and utilisation of the<br />
State Government’s Health Purchasing Victoria (HPV) ordering<br />
system.<br />
The new system is designed to save money for public hospitals by<br />
using the combined purchasing power of the State’s health<br />
services to provide incentive for suppliers to reduce tender prices<br />
on main stream items and pass savings onto the consumer.<br />
Other improvements that have occurred in the supply department<br />
include:<br />
■ Testing of a walk behind pallet shifter to assist with the<br />
unloading of heavy items to prevent injuries to staff through<br />
manually handling.<br />
■<br />
A number of accreditations have come and gone again this<br />
year and the supply department has received excellent feed<br />
back from the people who have inspected the stores area.<br />
Occupational Health and Safety<br />
The Occupational Health and Safety (OH&S) committee meet<br />
monthly throughout the year and continue to work towards<br />
ensuring a safe work environment for all staff.<br />
The Committee commissioned an OH&S audit by an external<br />
auditor in January <strong>2006</strong>. The purpose of the audit was to ensure<br />
Yarram and District Health Service was meeting its requirements<br />
under the revised Act and the Service achieved a 74% compliance<br />
rating. An action plan has since been developed and all priority<br />
one tasks were completed by June <strong>2006</strong>.<br />
Membership of the OH&S committee was reviewed and expanded<br />
to include all the designated workgroups and OH&S committee<br />
members were surveyed to ascertain their thoughts on the<br />
structure and frequency of meetings. The exercise resulted in<br />
consensus on the frequency of meetings and enhanced<br />
participation in the committee.<br />
From early <strong>2006</strong>, all OH&S minutes and agenda’s were made<br />
available online under “OH&S Information for Staff”.<br />
The Committee was involved in the “Manual Handling in Hospitals<br />
Project”, conducted by Worksafe. No notices were issued to<br />
Yarram and District Health Service.<br />
The Committee investigated 20 hazard reports, revised the<br />
Emergency Management Manuals.<br />
It also liaised with Yarram’s Emergency Services, for example, SES,<br />
CFA and the Police, providing a tour of the health service and<br />
copies of Emergency Manuals so that staff residents, visitors and<br />
patients will be protected in case of an emergency. Deanmac<br />
Emergency Management Consultants provided Fire Equipment<br />
and Emergency Management Training to staff at Yarram and<br />
District Health Service. They also updated all the emergency<br />
management manuals.<br />
16<br />
Yarram and District Health Service <strong>Annual</strong> <strong>Report</strong> <strong>2006</strong>
Performance Indicators<br />
Workforce 2005-<strong>2006</strong> 2004-2005 2003-2004<br />
$ EFT $ EFT $ EFT<br />
Administration 599751 10.3 443597 8.4 387021 8.07<br />
Maintenance 168463 2.57 124647 3.8 128252 2.59<br />
Hotel & Allied 392987 12.12 424975 14.8 511434 10.20<br />
Acute 1162054 16.1 1282061 17.2 922796 12.42<br />
Nursing Home 849628 17.53 808337 10.8 497960 12.27<br />
Community 838211 17.1 888898 17.6 820243 19.00<br />
Allied Health 320918 5.7 226716 4.9 232628 5.57<br />
Yarram Medical Centre 871992 7.5 796253 8.9 747106 8.57<br />
Total 5204004 88.92 4995484 86.40 4247441 78.70<br />
Yarram and District Health Service <strong>Annual</strong> <strong>Report</strong> <strong>2006</strong><br />
17
Statutory Requirements<br />
Building Act 1993<br />
All buildings of the Health Service comply with the Building Act,<br />
1993. The Health Service has a policy of consulting architects and<br />
engaging registered builders when renovating existing buildings or<br />
constructing new facilities. Plans are submitted to local<br />
government for approval and building permits issued prior to<br />
commencement.<br />
Competitive Neutrality<br />
It is Government policy that the costing policies of publicly funded<br />
organisations should reflect any competitive advantage not<br />
available to the private sector. The Yarram and District Health<br />
Service supports this policy and meets requirements. A number<br />
of services are already outsourced on a competitive basis<br />
including pathology, radiology, security, accounting, pharmacy and<br />
grounds maintenance.<br />
Consultancies<br />
The Yarram and District Health Service has engaged the following<br />
consultants in the 2005/06 financial year:<br />
John Fowler Architects<br />
Masterpiece Consulting<br />
The Health Service has provided the following contracted services:<br />
Whistleblowers Protection Act 2001<br />
The Yarram and District Health Service is committed to the aims<br />
and objectives of the Whistleblowers Protection Act 2001. It does<br />
not tolerate improper conduct by its employees, officers or<br />
members, nor the taking of reprisals against those who come<br />
forward to disclose such conduct.<br />
Yarram and District Health Service recognises the value of<br />
transparency and accountability in its administrative and<br />
management practices and supports the making of disclosures<br />
that reveal corrupt conduct, conduct involving a substantial<br />
mismanagement of public resources, or conduct involving a<br />
substantial risk to public health and safety or the environment.<br />
Yarram and District Health Service will take all reasonable steps to<br />
protect people who make such disclosures from any detrimental<br />
action in reprisal for making the disclosure. It will also afford<br />
natural justice to the person who is the subject of the disclosure.<br />
In line with this, the Yarram and District Health Service has in<br />
place a corporate policy and procedure which comply with the<br />
Act. Since the introduction of the policy the Yarram and District<br />
Health Service has received nil disclosures and has no knowledge<br />
of any disclosures which may/may not have been reported to the<br />
Ombudsman.<br />
■<br />
■<br />
■<br />
■<br />
■<br />
■<br />
Management Services to Crossley House.<br />
Maintenance, linen, food services, stores, community nursing,<br />
allied health and infection control to Crossley House Hostel.<br />
School support services to Yarram and district schools.<br />
Maintenance services to Nightingale Park Society Elderly<br />
Person’s Units, Yarram.<br />
Speech Pathology services to Cooinda Hill Adult Training<br />
Centre, Traralgon.<br />
Speech Pathology Services to St. Mary’s Primary<br />
School, Yarram.<br />
Equal Opportunity Act 1995<br />
The Health Service is subject to the requirements of the Equal<br />
Opportunity Act 1995 and applies appropriate merit and equity<br />
principles in its management of staff. The Health Service expects<br />
all staff to take responsibility for fair, non-discriminatory behaviour.<br />
Freedom of Information Act 1982<br />
The Freedom of Information Officer is the Office Co-ordinator and<br />
together with the Director of Corporate Services has responsibility<br />
for Health Information Management at the Yarram and District<br />
Health Service. During the 2004/05 financial year two requests for<br />
information were received under the Freedom of Information Act<br />
1982. All clients were provided with information.<br />
In addition to requests under the Freedom of Information Act<br />
1982, the Health Service recognises requests for “release of<br />
information” where information is sent directly to a designated<br />
Medical Practitioner for ongoing care. There was one such<br />
request for release of information this year.<br />
18<br />
Yarram and District Health Service <strong>Annual</strong> <strong>Report</strong> <strong>2006</strong>
Other Information<br />
Donations<br />
The Yarram and District Health Service gratefully<br />
acknowledges the support of individuals, families and<br />
organisations who gave donations of cash or equipment<br />
during the past year.<br />
John Nicol Charitable Trust<br />
Jacobus Wiebenga<br />
Mr. & Mrs. Faulks<br />
Lions Club of Yarram<br />
Farstad Shipping<br />
Rotary Barrel<br />
Town Bus<br />
St Elmo’s Activities Raffles<br />
Donations of Cash and Wheelchair Donated by Waratah<br />
Hospital Auxillary<br />
Yarram Camp Draft<br />
Past Presidents<br />
1916- 1918 Mr. A.H. Moore<br />
1918- 1920 Mr. C.J. Stockwell<br />
1920- 1921 Mr. T.G. McKenzie<br />
1921- 1923 Mr. A.H. Moore<br />
1923- 1928 Mr. W.L. Moore<br />
1928- 1929 Mr. E. Skinner<br />
1929- 1938 Mr. A.H. Moore<br />
1938- 1941 Mr. W. L. Moore<br />
1941- 1954 Mr. A.H. Moore<br />
1954- 1962 Mr. D. McLeod<br />
1962- 1968 Mr. A.R. Anderson<br />
1968- 1970 Mr. M.J. Pearson<br />
1970- 1973 Mr. W.J. Moore<br />
1973- 1984 Mr. S. B. Walpole<br />
1984- 1986 Mr. A. P. Moore<br />
1986- 1989 Mr. W.J. Boddy<br />
1989- 1999 Mr. W.T. Bodman<br />
2000- 2001 Mrs. F. W. Dawson<br />
2001- 2001 Mr. W.T. Bodman<br />
2001- Mrs. J.L. Clarke<br />
Services<br />
The Yarram and District Health Service provides and supports<br />
the provision of a range of services that are designed to meet<br />
the needs of individuals and groups within its catchment<br />
population of approximately 5580 people.<br />
Acute Services<br />
20 bed facility<br />
Medical, Post Surgical and Inpatient rehabilitation<br />
Accident and Emergency Services<br />
Respite care<br />
Maintenance Dialysis<br />
Psychiatric care<br />
Geriatric and Evaluation Management Program<br />
Pre and Post Natal care<br />
Residential Services<br />
St. Elmo’s Nursing Home -15 dementia specific low care beds<br />
and 15 high care beds<br />
Respite<br />
Ancillary Services<br />
Pathology<br />
Visiting Radiology<br />
Pharmacy<br />
Regional Aged Care Assessment Service<br />
Allied Health Services<br />
Balance and Mobility<br />
Cardiac Rehabilitation<br />
Community Rehabilitation<br />
Dietetics<br />
Inpatient Rehabilitation<br />
Occupational Therapy<br />
Personal Alert Victoria<br />
Physiotherapy<br />
Podiatry (Gippsland Foot clinic Pty Ltd)<br />
Prime Movers Exercise Group<br />
Pulmonary Rehabilitation<br />
Social Skills<br />
Speech Pathology<br />
Community Service<br />
Adult Day Activity Support Service (ADASS)<br />
Community Health<br />
Community Nursing<br />
Continence Advisory Service<br />
Commonwealth Emergency Relief Program<br />
Diabetes education<br />
Drug and alcohol Counselling<br />
Falls and Balance Clinic<br />
Family Counselling<br />
Food Services<br />
Health Promotion<br />
Home Care<br />
Home Respite Care<br />
Housing Services<br />
Lung Clinic<br />
Maternity Support<br />
Needle Syringe Exchange Program<br />
Personal Care<br />
Property Maintenance<br />
Psychiatric Disability Rehabilitation and<br />
Support Service (PDRSS)<br />
Psychology<br />
Social Work<br />
Volunteer co-ordination<br />
Welfare Services<br />
Well Women’s Clinic<br />
Community Mental Health Services<br />
Gippsland Psychiatric Services –Co-located service with<br />
Latrobe Regional Hospital.<br />
Self Help/Support Groups<br />
Cardiac, Respiratory and Stroke (CARDS) combined support<br />
group<br />
Arthritis<br />
Cancer<br />
Carers<br />
Diabetes<br />
Yarram and District Health Service <strong>Annual</strong> <strong>Report</strong> <strong>2006</strong><br />
19
Personel<br />
Management<br />
Ms. C. Boag - Executive Director (Acting)<br />
Mrs. S. Robertson Executive Assistant<br />
Clinical Services<br />
Director<br />
Mrs. M. Brosche<br />
Clinical Service Administration Support<br />
Mrs. D. Nandha<br />
Quality Co-ordinator<br />
Ms. J. Rash<br />
Staff Development and Training Officer<br />
Ms. J. Rash<br />
Care Co-ordinators<br />
Mrs. M. Ford<br />
Mrs. M. Garland<br />
Mrs. A. Worboys<br />
Infection Control Practitioner &<br />
Clinical Support Nurse<br />
Mrs. K. Hurrell<br />
Registered Nurses Division One<br />
Ms. N. Audrians<br />
Mrs. M. Avery-Sproul<br />
Mrs. J. Barlow<br />
Mrs. L. Blackshaw<br />
Mrs. C. Brown<br />
Mrs. G. Cayzer<br />
Miss J. Chippindall<br />
Mrs. G. Christison<br />
Mrs. D. Cooper<br />
Ms. E. Dielenberg<br />
Ms. M. Elson<br />
Ms. T. Ford<br />
Ms. E. Hopkins<br />
Ms. J. Hugo<br />
Mrs. D. Hunter<br />
Mrs. M. Jacobson<br />
Ms. J. Lawrence<br />
Miss A. Lucas<br />
Mrs. N. Platt<br />
Mrs. S. Stainer<br />
Miss L. Staley<br />
Mr. T. Waugh<br />
Mrs. G. Wilson<br />
Ms. S Trevaskis<br />
Registered Nurses Division Two<br />
Ms. S. Austin<br />
Mrs. L. Braun<br />
Mrs. J. Clarke<br />
Miss J. Clarke<br />
Ms. K. Corn<br />
Ms. J. Donaldson<br />
Mrs. L. Duthie<br />
Mrs. J. Florey<br />
Mrs. M. Kerr<br />
Ms. L. Lloyd<br />
Mrs. L. Lowther<br />
Ms. D. McAlpine<br />
Mrs. C. Mills<br />
Mrs. G. Newton<br />
Miss K. O’Mara<br />
Mrs. R. Packham<br />
Mrs. A. Riches<br />
Mr. I. Sproul<br />
Mr. A. Thomas<br />
Mrs. L. Thunder<br />
Mrs. H. Westwood<br />
Mrs. M. Willis<br />
Personal Care Attendants<br />
Mrs. L. Bennett<br />
Mr. C. Bryant<br />
Ms. A. Holman<br />
Ms. N. Houchen<br />
Mrs. L. Jackson<br />
Mrs. A. Jung<br />
Ms. T. Kovacik<br />
Mrs. T. Kranen<br />
Mrs. J. Lee<br />
Ms. K. Millar<br />
Mrs. B. McAlpine<br />
Mr. R. McLean<br />
Ms. P. O’Neill<br />
Mrs. S. Taylor<br />
Ms. T. Withall<br />
Activities Staff<br />
Ms. J. Bond<br />
Ms. H. Fox<br />
Ms. J. Ishmakovich<br />
Ms. T. Kovacik<br />
Ms. L. O’Neill<br />
Mrs. R. Walker<br />
Director<br />
Mr. S Elvy<br />
Ms E. Williams<br />
20<br />
Yarram and District Health Service <strong>Annual</strong> <strong>Report</strong> <strong>2006</strong>
Personel<br />
Adult Day Activity Support Services<br />
Ms. L.. O’Neill<br />
Ms. H. Fox<br />
Miss A. Holman<br />
Allied Health<br />
Mr. S. Elvy<br />
Mrs. J. Walters<br />
Clinical Staff<br />
Ms. L. Bland<br />
Miss J. Chippindall<br />
Miss G. Diplock<br />
Mrs. J. Graske<br />
Mrs. S. Hinkley<br />
Miss K. Kaur<br />
Mrs. B. Lynch<br />
Mrs. K. Mason<br />
Miss S. Shepherd<br />
Ms. J. Travers<br />
Mrs. J. Walters<br />
Community Nursing<br />
Mrs. K. Craighead<br />
Registered Nurses Division One<br />
Mrs. M. Barlow<br />
Mrs. J. Finlay<br />
Miss S. Trevaskis<br />
Miss R. Tyler<br />
Registered Nurses Division Two<br />
Mrs. J. Graske<br />
Home and Community Care Services<br />
Mrs. I. Zygarlicki<br />
Direct Care Staff<br />
Mrs. P. Bland<br />
Mrs. L. Bowden<br />
Mrs. S. Cole<br />
Mrs. J. Cook<br />
Mrs. K. Foat<br />
Ms. R. Francis<br />
Mrs. H. Gardiner<br />
Mrs. S. Hinkley<br />
Miss A. Holman<br />
Mrs. B. Knibbs<br />
Mrs. P. McLachlan<br />
Mrs. E. McLeish<br />
Ms M. O’Connor<br />
Mrs. G. Parry<br />
Mrs. V. Porter<br />
Mrs. C. White<br />
Client Services Officer<br />
Ms M. Veneman<br />
Diabetes Education Services<br />
Mrs. M. Barlow<br />
Health Promotion Services<br />
Ms C. McHugh<br />
Community Health<br />
Mrs. A. Kay<br />
Miss R. Tyler<br />
Social Work<br />
Ms. A. Payne<br />
Ms. N. Elswyk<br />
Maternity Support Services<br />
Ms. K. Foat<br />
Mrs. A. Stefani<br />
Maternal & Child Health<br />
Miss J. Chippindall<br />
Youth and Family Services<br />
Ms. J. Coolidge<br />
Mrs. M. Lowa<br />
Staff<br />
Ms N. Anderson<br />
Mr. S. Burgoyne<br />
Ms. K. Disney<br />
Mrs. M. Fraser<br />
Miss. M. Mitchell<br />
Ms D. Owens<br />
Ms. M. Rose<br />
Yarram Medical Centre (Joint Venture)<br />
Medical Officers<br />
Dr. C.P.J. Luiz<br />
Dr. R.K. Nandha<br />
Dr. L.J. Testro<br />
Dr. J. Tseng<br />
Dr. C. Wong<br />
Dr. M. Vujosevic<br />
Practice Manager<br />
Ms. C. Boag<br />
Registered Nurses Division One<br />
Ms K. Foat<br />
Ms. Mary Hopkins<br />
Mrs. K. Norman<br />
Miss R. Tyler<br />
Administrative Staff<br />
Mrs. J. Cunningham<br />
Mrs. J. Moore<br />
Mrs. E. Ripper<br />
Mrs. A. Terhorst<br />
Director<br />
Ms. L. Duncombe<br />
Yarram and District Health Service <strong>Annual</strong> <strong>Report</strong> <strong>2006</strong><br />
21
Personel<br />
Office Co-ordinator<br />
Mrs. M. Barnes<br />
Administration Staff<br />
Mrs. S Abernethy<br />
Ms. S Bland<br />
Miss S. Coles<br />
Mrs. J. Cunningham<br />
Ms. M. Seton<br />
Finance and Payroll<br />
Ms. M. Hodgson<br />
Mr. G. Kipps<br />
Ms. M. Rose<br />
Occupational Health and Safety<br />
Mrs. M. Ford<br />
Project Workers<br />
Ms. K. Hansen<br />
Ms. L. Renfree<br />
Youth Enterprise Project<br />
Mr. G. Barnes<br />
Medical Adviser<br />
Dr. C. Winter, MB BS, GMQ, MBA, FACEM<br />
Human Resources/Administration<br />
Ms. L. Forbes<br />
Food and Environmental Services<br />
Mrs. C. Honey<br />
Mrs. A. Smith<br />
Food and Environmental Services Staff<br />
Ms. J. Albert<br />
Mrs. J. Badham<br />
Mrs. N. Barlow<br />
Mr. T. Barlow<br />
Mrs. G. Batson<br />
Ms. M Becker<br />
Mrs. C. Bergervoet<br />
Mrs. V. Bilston<br />
Mr. S. Burgoyne<br />
Mrs. M. Darby<br />
Ms M. Gardner<br />
Ms. M. Galt<br />
Ms. N. Houchen<br />
Mrs. S. Leggett<br />
Mr. N. Merrett<br />
Ms. K. Palling<br />
Mrs. C. Parker<br />
Mr. S. Parker<br />
Mr. T. Peterson<br />
Mrs. V. Ramsay<br />
Mrs. C. Roberts<br />
Mrs. P. Selzer<br />
Mrs. C. Thomas<br />
Ms. J. Travers<br />
Mrs. M. Triantafyllou<br />
Stores Officer<br />
Mr. T. Barlow<br />
Mr. R. Thomas<br />
Engineering and Maintenance Supervisor<br />
Mr. G. Admiraal<br />
Maintenance Staff<br />
Mr. J. Gleeson<br />
Mr. T. Leenen<br />
Mr. E. Smith<br />
Mr. G. Young<br />
22<br />
Yarram and District Health Service <strong>Annual</strong> <strong>Report</strong> <strong>2006</strong>
Contract Services<br />
Podiatry<br />
Gippsland Foot Clinic Ltd<br />
Dietetics<br />
<strong>Central</strong> Gippsland Health Service<br />
Ms. K. Inglis Dietitian<br />
Psychology<br />
Murrindindi Counselling<br />
Mr. G. Brewer<br />
Grounds Maintenance<br />
Wellington Shire Council<br />
Medical Records<br />
Gippsland Southern Health Service<br />
Pathology<br />
Gippsland Pathology Service<br />
Mrs. C. Mills<br />
Ms.K. Bretherton<br />
Mrs. S. Brown<br />
Pharmacy<br />
<strong>Central</strong> Gippsland Health Service<br />
Radiology<br />
Gippsland Diagnostic Service<br />
Mr. M. Coleman, MIR Chief Radiographer<br />
Radiologists<br />
Dr. R. Bain, MBBS FRACR<br />
Dr. D. Black, MBBS FRACR<br />
Dr. R. Brownlee, MBBS FRACR<br />
Dr. K. Stribley, MBBS FRACR<br />
IT Support<br />
Sage Technology<br />
Security<br />
Premier Security Service<br />
Mr. S. Smale<br />
Co-Located Services<br />
Alcohol and Drug Counselling<br />
Latrobe Community Health Alcohol & Drug Service<br />
Community Mental Health Team<br />
Gippsland Psychiatric Services<br />
Mrs. P. Handley<br />
Mrs. M. Treverton<br />
Mrs. N. Sidebottom<br />
Continence Adviser<br />
Dianne Jones<br />
Consumer Affairs<br />
Consumer Affairs Victoria<br />
Yarram and District Health Service <strong>Annual</strong> <strong>Report</strong> <strong>2006</strong><br />
23
24<br />
Yarram and District Health Service <strong>Annual</strong> <strong>Report</strong> <strong>2006</strong>
Notes<br />
Yarram and District Health Service <strong>Annual</strong> <strong>Report</strong> <strong>2006</strong><br />
25
26<br />
Yarram and District Health Service <strong>Annual</strong> <strong>Report</strong> <strong>2006</strong>