YDHS Annual Report 2007 (3.4Mb pdf) - GHA Central
YDHS Annual Report 2007 (3.4Mb pdf) - GHA Central
YDHS Annual Report 2007 (3.4Mb pdf) - GHA Central
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<strong>Annual</strong> <strong>Report</strong><br />
2006/<strong>2007</strong>
Incorporating the<br />
91st <strong>Annual</strong> <strong>Report</strong><br />
<strong>Annual</strong> <strong>Report</strong><br />
2006/<strong>2007</strong><br />
of the Yarram and District Health Service <strong>Annual</strong> <strong>Report</strong> 2006-7<br />
Contents<br />
Organisational Objectives<br />
Preview<br />
Organisational Structure<br />
Board President and Executive Director’s <strong>Report</strong><br />
Tribute: James David “Fred” Jenkins<br />
Governing Body, Auditor and Senior Officers<br />
<strong>Report</strong> on Operations<br />
Clinical Services<br />
Community Services<br />
Corporate Services<br />
Organisation Wide Survey<br />
Donations, Past Presidents<br />
Statutory Requirements<br />
Services<br />
Staff<br />
2<br />
2<br />
3<br />
4<br />
6<br />
6<br />
7<br />
9<br />
12<br />
14<br />
16<br />
19<br />
20<br />
21<br />
2006-7<br />
<strong>Annual</strong> <strong>Report</strong><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.yarramhealth.org.au<br />
1
<strong>Annual</strong> <strong>Report</strong><br />
2006/<strong>2007</strong><br />
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 an<br />
effective, community based service.<br />
Core Values<br />
The Yarram and District Health Service regards caring, integrity,<br />
quality, professionalism and cost effectiveness as being its<br />
core values.<br />
Objectives<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 />
Overview<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. It is about one hour’s drive south<br />
west of Sale and 50 minutes drive time south east of Traralgon.<br />
The township of Yarram is the principal centre of the local<br />
region and services an area of approximately 1,840 square<br />
kilometres and a catchment population of 5,580.<br />
The Health Service was originally the Yarram and District<br />
Hospital, inaugurated on 1 January 1912, admitting its first<br />
patient in January 1917.<br />
In 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 the<br />
Department of Human Services’ Small Rural Health Services<br />
program and provides a comprehensive range of primary care<br />
services.<br />
Following extensive expansion and refurbishment, it also now<br />
accommodates 20 acute beds and 15 high and 15 low aged<br />
care beds.<br />
More recently, a 30 bed aged care hostel adjacent to the<br />
Health Service has come under the management structure.<br />
Highlights<br />
The Health Service is awarded four year accreditation by the<br />
Australian Council on Healthcare Standards (ACHS) following<br />
a two day organisation wide survey in August 2006. ACHS<br />
awarded the Health Service maximum accreditation, valid until<br />
July 2010.<br />
Yarram and District Health Service reports an operating surplus<br />
of $402,431 for the 2006-<strong>2007</strong> financial year. Surplus funds<br />
are directed to the maintenance of infrastructure, service<br />
improvement and expansion and facility improvement.<br />
Peter Craighead, after 17 years at Yarram and District Health<br />
Service, formally resigns to take up the position of Chief<br />
Executive Officer at <strong>Central</strong> Gippsland Health Service in Sale.<br />
He had been on a two year secondment as Administrator at<br />
<strong>Central</strong> Gippsland.<br />
Colleen Boag is appointed as Executive Director in February<br />
<strong>2007</strong>, after acting in the position for two years. In March<br />
<strong>2007</strong> Steven Elvy accepts the position of Director of<br />
Community Services.<br />
Mr Frank Baggaley resigns from the Board after 24 years of<br />
service. He was awarded a Life Governorship in 2005.<br />
Former Board member and well known local businessman<br />
Fred Jenkins passes away in June <strong>2007</strong>. He retired from the<br />
Board in 1999 and was awarded Life Governorship the<br />
following year.<br />
The Community Services division provides drought counselling<br />
services after receiving funding from the Department of Human<br />
Services. The project connects farmers and their families to<br />
much needed services to help them with the drought and the<br />
issues it creates.<br />
A foot clinic is developed within the Community Nursing<br />
Department. The service screens clients to determine the most<br />
appropriate foot care service for their needs and provides foot<br />
care for low-risk clients. Its introduction has decreased the<br />
waiting times for high-need clients accessing the Allied Health<br />
Podiatry service.<br />
The Allied Health team provides record hours of service to<br />
community clients and inpatients during this year. The services<br />
include physiotherapy, occupational therapy, speech<br />
pathology, dietetics, podiatry and personal alarm assessment<br />
services to residents of the local community.<br />
Community Nursing increases the number of visits by 800 and<br />
continues to see an average of 100 clients a month.<br />
Internal and external audits to measure standards of<br />
cleanliness and linen services show an excellent result. The<br />
external audit resulted in an overall hospital score of 97.64<br />
percent, while the overall result from staff audits was 96.16<br />
percent, to the delight of Environmental Services.<br />
2
<strong>Annual</strong> <strong>Report</strong><br />
2006/<strong>2007</strong><br />
YARRAM & DISTRICT HEALTH SERVICE ORGANISATIONAL STRUCTURE<br />
Board of Management<br />
Quality Improvement Sub<br />
Committee<br />
Executive Internal Audit Sub Committee<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 Hostel<br />
Yarram Medical<br />
Centre<br />
■ Administrative Services<br />
■ Maintenance Services<br />
■ Environmental 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 />
■ PDRSS<br />
■ Housing & Welfare Services<br />
■ Family Services<br />
■ Social Work<br />
Home Care<br />
Co-ordinator<br />
Allied Health<br />
Co-ordinator<br />
■ Dietetics<br />
■ Occupational Therapy<br />
■ Physiotherapy<br />
■ Speech Pathology<br />
■ Podiatry<br />
Quality<br />
Co-ordinator<br />
■ Staff Training & Development<br />
■ Risk Management<br />
■ Home Care<br />
■ Personal Care<br />
■ Respite<br />
■ Volunteers<br />
■ Food Services<br />
■ Property Maintenance<br />
Community Health<br />
Services<br />
■ Psychology<br />
■ Health Promotion<br />
■ Community Health<br />
■ Drought Counselling<br />
Care<br />
Co-ordinators<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 />
Community Nurse<br />
Co-ordinator<br />
■ Direct Care Staff<br />
■ Maternity Support<br />
■ Maternal & Child Health<br />
■ Diabetes Education<br />
Client Services Officer<br />
■ Client Intake<br />
3
<strong>Annual</strong> <strong>Report</strong><br />
2006/<strong>2007</strong><br />
Board President and Executive<br />
Director’s <strong>Report</strong><br />
We are proud to present this 91st report to the Yarram and<br />
district community.<br />
A notable occurrence during the 2006/7 financial year was<br />
the resignation of Peter Craighead, Yarram and District Health<br />
Service Executive Director, and the subsequent appointment of<br />
Colleen Boag as his successor.<br />
Peter Craighead, following a two year secondment to the<br />
<strong>Central</strong> Gippsland Health Service in Sale, has accepted the<br />
Chief Executive Officer role there.<br />
We commend our staff and volunteer workforce for their<br />
professionalism and dedication, with many achievements<br />
throughout a challenging year. The strength of our team and<br />
the support of the wider community enables the Health Service<br />
to successfully respond to the changing health requirements of<br />
the local community.<br />
Important Changes at Board and<br />
Executive Level<br />
At the 2005/6 <strong>Annual</strong> General Meeting in October 2006<br />
Peter Craighead’s formal resignation as Executive Director was<br />
announced. Congratulations were extended to Peter on his<br />
appointment as Chief Executive Officer at <strong>Central</strong> Gippsland<br />
Health Service, Sale along with the Board’s sincere thanks for<br />
Peter’s work during his 17 years at Yarram and District<br />
Health Service.<br />
In November the Board farewelled Mr Frank Baggaley<br />
following his resignation from the Board and extended its<br />
appreciation for his remarkable 24 years service as a Board<br />
Member. Frank was a worthy recipient of the Life<br />
Governorship awarded to him in 2005. The occasion of<br />
Frank’s departure caused many to reflect on the cumulative<br />
years of history we share with our fellow Board colleagues and<br />
long-term staff members.<br />
A comprehensive orientation session for newly appointed<br />
Board members, Mrs Fran Stephens and Mr Martin Moore,<br />
was run in November. Fran and Martin were apprised of the<br />
Board and organisational structure and the format of Board<br />
meetings thoroughly explained. Current Board activities, issues<br />
and the Board’s accountability framework were also described.<br />
An orientation session was also arranged for Ms Susan<br />
Hopkins who joined the Board’s Internal Audit Sub-Committee<br />
as a Community Representative in June <strong>2007</strong>.<br />
In January <strong>2007</strong> the Board announced the appointment of<br />
Ms Colleen Boag to the position of Executive Director.<br />
The Department of Human Services supported the<br />
recommendation that Colleen be appointed to the position.<br />
The decision was well-received among Yarram and District<br />
Health Service staff and the Yarram community.<br />
In March <strong>2007</strong> Steven Elvy accepted the position of Director of<br />
Community Services in which he had been acting for the<br />
previous 16 months. Steven continues the development of<br />
programs and activities on which he had been working during<br />
this period.<br />
We were saddened at the passing of James David “Fred”<br />
Jenkins in June <strong>2007</strong>. Awarded Life Governorship in 2000,<br />
Fred retired from the Board of Management in 1999 after 25<br />
years of service. More recently Fred had continued his support<br />
of the Health Service as a community representative on the<br />
Internal Audit Committee.<br />
Dr Rakesh Nandha was farewelled in June <strong>2007</strong> after almost<br />
six years serving the community as a General Practitioner at<br />
the Yarram Medical Centre. We wish him well with his career<br />
ambitions and family commitments.<br />
Quality Improvement<br />
A highlight of the year was four year accreditation by the<br />
Australian Council on Healthcare Standards (ACHS).<br />
In August 2006 the Board and staff hosted a two day<br />
organisation wide survey. Staff, each department and their<br />
processes, policies, record-keeping and initiatives were<br />
evaluated by independent assessors appointed by the ACHS.<br />
The Health Service was awarded the maximum four years<br />
accreditation, valid until July 2010.<br />
The Healthcare Standards team commented that Yarram and<br />
District Health Service “has taken on the challenges of change,<br />
improvements to services and demonstrated very competent<br />
organisational and financial management, and provides a<br />
quality and appropriate range of services to the community.”<br />
Continuing accreditation is dependent upon our ability to<br />
maintain the excellent standards demonstrated to the assessors<br />
during their visit.<br />
To this end, the Service has reviewed its Quality Action Plan in<br />
response to recommendations made by the assessors and<br />
signed off on the document in March <strong>2007</strong>. Regular tracking<br />
of progress gives us confidence that our staff will meet the<br />
challenge and we congratulate everyone for their efforts in<br />
achieving this outcome.<br />
Posters demonstrating best practice that were developed for<br />
the ACHS Survey have been shared with other health services<br />
through various conferences and quality forums.<br />
Community Participation<br />
The Yarram and District Health Service continued its very active<br />
involvement in community projects. This year these included:<br />
● Sponsorship of the Rotary Art Show during the Tarra Festival<br />
● A Yarram and District Health Service Float in the Tarra<br />
Festival street procession<br />
● Participation in the Retirement and Ageing Expo<br />
● PitStop Men’s Health screening programs in May and<br />
June <strong>2007</strong><br />
● Mobile Breast Screen van with all appointments filled<br />
● Sponsorship of Yarram Secondary College Psychology<br />
Award<br />
4
<strong>Annual</strong> <strong>Report</strong><br />
2006/<strong>2007</strong><br />
● Support of Yarram Childcare Project<br />
● Quality of Care <strong>Report</strong> seeking feedback from Yarram and<br />
District community<br />
● Parents with Prams picnic in the park in May <strong>2007</strong><br />
● Membership of the Community Advisory Group for the<br />
Wulgunggo Ngalu Learning Place<br />
● Support for the development of the Alberton Rail Trail<br />
The high visability Breastscreen van is pictured during its two month appointment run.<br />
Service Delivery<br />
The Board’s commitment to the provision of timely and effective<br />
planning and decision making continued throughout the year.<br />
The Board has continued to work with the Crossley House<br />
Committee of Management to progress the integration of<br />
Crossley’s services into Yarram and District Health Service.<br />
Although the way forward has been challenging, the Board<br />
continues in its resolve to progress integration as it believes this<br />
will deliver the best outcome for aged care services in the<br />
Yarram community. A date for integration is imminent.<br />
Other service initiatives for 2006/7 included:<br />
● Expansion of the successful GP Training program<br />
● Ongoing building program including the planned<br />
refurbishment of Administration, Allied Health and<br />
Reception offices<br />
● The implementation of WeCare IT-based care planning<br />
and data collection system across residential aged care.<br />
● Development of Foot Care Clinic in Community Nursing<br />
● Completion of Victorian Quality Council’s Hand<br />
Hygiene Project.<br />
Business Management<br />
A range of reviews and actions that focus on improving<br />
Board processes and the development of Board expertise<br />
has occurred.<br />
The Board has adopted a suite of tools to assist in its role<br />
including a Corporate Governance Policy, a new financial and<br />
compliance reporting framework and a board performance<br />
assessment program.<br />
The functions and terms of reference for the Internal Audit and<br />
Quality Improvement Sub-Committees have been amended to<br />
incorporate risk management and cultural diversity<br />
accountability. The work of the Sub-Committees is integral to<br />
efficient board governance and the review of the role, scope,<br />
reporting framework and operational efficiencies will contribute<br />
to this.<br />
Activities for the year included a presentation to the Board by<br />
the Australian Institute of Primary Care (AIPC) in March <strong>2007</strong>,<br />
attendance at the Ministerial forum hosted by Minister<br />
Bronwyn Pike in April <strong>2007</strong> and participation in Victorian<br />
Health Boards Governance Program (VHBG Program)<br />
workshops.<br />
Yarram and District Health Service supported regional health<br />
innovations and development through participation in the Sub<br />
Acute Services Review, Gippsland Health Alliance, Gippsland<br />
Health Services Partnership, South Coast Health Service<br />
Consortium and the Wellington Primary Care Partnership.<br />
The Health Service also participated in five Health Smart<br />
Business Advisory Groups that inform the development, testing<br />
and promotion of HealthSmart, the DHS Information<br />
technology footprint for health. HealthSmart products will be<br />
rolled out across finance, human resources, payroll and patient<br />
services in late <strong>2007</strong>.<br />
Yarram and District Health Service is pleased to report an<br />
operating surplus of $402,431. The end of year position is<br />
indicative of a balance between profitability, increased service<br />
provision and sustained asset maintenance. Health Service<br />
surplus was directed toward improvements in dialysis, medical<br />
staff recruitment and accommodation and increased allied<br />
health and support services.<br />
Yarram and District Health Service works in partnership with the<br />
State Government’s Department of Human Services, the<br />
Federal Government Department of Health and Ageing,<br />
Local Government and our local politicians. We express our<br />
gratitude for these on-going and important partnerships.<br />
Reward and Recognition Program<br />
A further three staff have been recognised for their years of<br />
service to Yarram and District Health Service. We congratulate<br />
Gabriele Wilson, Veronica Ramsay and Julie Cook on<br />
reaching the ranks of 10-year staffers.<br />
We take this opportunity to recognise the enormous<br />
contribution made by the members of our Auxiliary and by<br />
our wonderful volunteers.<br />
Their dedication and enthusiasm is sincerely appreciated. We<br />
extend our thanks to the management team for their effort and<br />
support and to all the Yarram and District Health Service staff<br />
who have worked hard and with such good spirit to deliver<br />
another successful year’s result.<br />
Jenni Clarke<br />
Board President<br />
Colleen Boag<br />
Executive Director<br />
5
<strong>Annual</strong> <strong>Report</strong><br />
2006/<strong>2007</strong><br />
The Board of Management<br />
Left to right standing: Sheryl Saynor, Warwick Boddy, Brian Lee,<br />
John Speed, Martin Moore.<br />
Left to right seated: Megan Houchen, Fran Stephens, Jenni Clarke and Bill Bodman.<br />
Pictured below Debra Cerasa, Penny Earle and David Hill<br />
Tribute<br />
Fred Jenkins<br />
11th May 1931 – 1st June <strong>2007</strong><br />
Board members, management<br />
and staff of Yarram and District<br />
Health Service were deeply<br />
saddened by the death of former<br />
Board Member, Mr James David<br />
“Fred” Jenkins.<br />
Well known as a Yarram retail<br />
identity, Fred’s 25 year<br />
contribution to the Health Service<br />
was formally recognised with his<br />
appointment as a Life Governor in 2000. More recently Fred<br />
continued his commitment to Yarram and District Health Service<br />
as Community Representative on the Internal Audit<br />
sub-Committee of the Board.<br />
Fred’s contribution to Yarram and District Health Service was<br />
appreciated by the rest of the Board, not least because of his<br />
commonsense approach and business experience.<br />
He also brought a great fellowship, sense of humour and<br />
general good nature that made him a very popular<br />
companion to all.<br />
Fred’s family is proud of his community work not only with the<br />
Health Service but as 1981/82 Lions President and his<br />
Presidency of the Chamber of Commerce. Fred was also a<br />
Justice of the Peace and a long-term sponsor of the Yarram<br />
Football Club.<br />
Fred’s passing shook the Yarram community. He will be long<br />
remembered and greatly missed by those who knew him.<br />
Governing Body, Auditor and<br />
Senior Officers<br />
Board of Management<br />
Mrs. J. Clarke<br />
Mr. W. Bodman<br />
Mrs. S. Saynor<br />
Mr. D. Hill<br />
Mrs. P. Earle<br />
Mr. B. Lee<br />
Mr. J. Speed<br />
Mr. W. Boddy<br />
Ms. M. Houchen<br />
Mrs. D. Cerasa<br />
Mrs. F. Stephens<br />
Mr. M. Moore<br />
Mr. F. Baggaley<br />
The Executive Team<br />
From left:<br />
Steven Elvy Director<br />
Community Services.<br />
Colleen Boag<br />
Executive Director.<br />
Louise Duncombe Director<br />
Corporate Services.<br />
and Marj Brosche Director<br />
Clinical Services.<br />
Executive Director<br />
President<br />
Senior Vice President<br />
Junior Vice President<br />
Treasurer<br />
Treasurer (Retired)<br />
Ms. C. Boag<br />
SRN, B. Health Science, Grad Dip Health Science<br />
(Comm. Health)<br />
Director of Community Services<br />
Mr. S. Elvy, B Sc (Human Movement), BAppSc (Physiotherapy),<br />
Grad. Dip. Health Services 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, MHA.<br />
Responsible Ministers<br />
The Hon. Bronwyn Pike MLA, Minister for Health<br />
The Hon.Gavin Jennings MLC, Minister Community Services<br />
The Hon. Candy Broad MLC, Minister Housing<br />
The Hon. Tony Abbott MHR, Federal Minister for Health &<br />
Ageing<br />
Auditor<br />
Auditor General of Victoria<br />
Medical Adviser<br />
Dr. C. Winter, MB BS, GMQ, MBA, FACEM<br />
Agent Armitage Downie, Sale<br />
6<br />
Visiting Medical Officers<br />
Dr. I. McConachie, MB BS<br />
Dr. C. Luiz, MB BS<br />
Dr. C. Wong, MB BS<br />
Dr. M. Vujovesic<br />
Dr. L. Testro, MB BS<br />
Dr. R. Nandha, MB CHB<br />
Dr. Z. Zafar, MB BS<br />
Dr. V. Ravikumar
<strong>Report</strong> on Operations<br />
The health service/hospital is established under the Health<br />
Services Act 1988. The responsible Minister during the<br />
reporting period is the Hon Bronwyn Pike MP.<br />
Clinical Services<br />
The Clinical Services Division encompasses all patient care<br />
departments, including direct care, postnatal and medical<br />
services, accident and emergency and residential activities.<br />
It is also responsible for Quality Improvement and staff<br />
training and development activities.<br />
The following are highlights from the year.<br />
Accreditation<br />
The Aged Care Standards and Accreditation Agency made an<br />
unannounced support visit in August, and the Health Service<br />
was up to the task.<br />
It was successful in all 44 standards, thanks to the hard work<br />
and ongoing commitment by all staff to providing quality care<br />
for our residents.<br />
Falls prevention<br />
Another major focus this year has been on the Falls Risk<br />
Prevention Program. The focus of this program is to reduce the<br />
number of falls by inpatients and residents and to minimise the<br />
risks of injuries associated with falls.<br />
Palliative Care<br />
The Palliative Care Room in the hospital’s Acute area has now<br />
been fully furnished thanks to the hard work of the Palliative<br />
Care Fundraisers. The room is used by palliative care patients<br />
and their families, with very positive feedback about the room<br />
and facilities.<br />
St Elmo’s and Crossley House<br />
In St Elmo’s Nursing Home and Crossley House, a new<br />
computerised documentation system, named WeCare TM ,<br />
has been introduced.<br />
The system went “live” in May and uses a hand held device<br />
linked to a computer so that information, such as care plans,<br />
can be accessed at the bedside. Assessments and other<br />
documentation can be done at the time of care, rather than<br />
waiting until the end of the shift. This system is expected to<br />
improve utilisation of staff time, and improve comprehensive<br />
documentation.<br />
Activities staff have been busy offering aged care residents<br />
Pam Steele (L) and Raylene Calman (R)<br />
present to <strong>YDHS</strong> Acute Care Coordinator,<br />
Mary Garland with a painting donated to<br />
<strong>YDHS</strong> for the Palliative Care Room.<br />
<strong>Annual</strong> <strong>Report</strong><br />
2006/<strong>2007</strong><br />
the choice of a wide range of activities incorporating many<br />
special events, including ANZAC Day, the Tarra Festival,<br />
and Australia Day.<br />
St Elmo’s also participates in the Friends for Older People<br />
program facilitated by the St John Ambulance.<br />
Dialysis<br />
A third dialysis chair, jointly funded by Waratah Auxiliary and<br />
Yarram Lions Club, was purchased. This increases capacity to<br />
assist people who require dialysis in the local area and<br />
occasionally those visiting the area.<br />
Infection Control<br />
Participation in the Victorian Quality Council Hand Hygiene<br />
Project has delivered a remarkable result, improving the<br />
pre-implementation compliance rate of 18.68 percent to 93.99<br />
percent within the first nine months.<br />
While the sample size for auditing purposes was small<br />
the results still reflect an overall picture of hand hygiene<br />
improvement.<br />
Participation in the project started July 2006 and continued up<br />
to end of June <strong>2007</strong>. The primary aim was to implement an<br />
intensive infection prevention program to reduce infections in<br />
health services throughout Victoria.<br />
The multi-interventional program included introduction of an<br />
alcohol-chlorhexidine hand rub product in combination with<br />
sustained education and cultural change. Other interventions<br />
included the introduction of a credentialing program and the<br />
formulation of hand hygiene policies and procedures to<br />
support the program.<br />
What was achieved was fantastic, with essentially a 75 percent<br />
improvement rate.<br />
The work in hand hygiene still continues as part of the<br />
infection control program and will continue to grow as results<br />
from this year’s program reflect the benefits for our consumers<br />
and improve the safety and quality of health care.<br />
The Health Service increased the annual influenza vaccination<br />
program for health care workers. Influenza is a potentially<br />
fatal disease that causes up to 1,500 deaths in Australia each<br />
year. <strong>Annual</strong> immunisation of healthcare workers has been<br />
cited as the most efficient method of minimising exposure of<br />
vulnerable people to a potentially lethal virus strain.<br />
Last year we recorded 48 percent participation by health care<br />
workers and then set a goal of 60 percent for this year. That<br />
aim was exceeded with more than 70 percent of permanent<br />
health care workers participating.<br />
The campaign will continue at this level with the goal of<br />
achieving an uptake rate of at least 75 percent in our health<br />
care facility. The annual immunisation program complements<br />
the Victorian Health Management Plan of preparation for<br />
Pandemic Influenza. The threat of a pandemic has been in the<br />
world news for some time.<br />
The aim of the Victorian Health Management Plan is to<br />
provide an effective health response framework to minimise<br />
7
<strong>Annual</strong> <strong>Report</strong><br />
2006/<strong>2007</strong><br />
<strong>Report</strong> on Operations<br />
morbidity and mortality associated with influenza pandemic<br />
and its impact on the Victorian community, health care system<br />
and the economy.<br />
This work will continue well into the next few months as the<br />
greatest challenge in planning for a pandemic is predicting if<br />
and when it will occur and how virulent the strain. It is<br />
important that plans are in place to protect the community and<br />
those working within the health service.<br />
Staff Development and Training<br />
The Education Fund, established by the Board of Management<br />
eight years ago, continues to support individual applications<br />
from staff to attend conferences and seminars for professional<br />
development. This year, 19 applications were approved.<br />
Staff supported by the Education Fund are required to share<br />
their learning experience with colleagues by conducting an<br />
in-service education activity or providing a written report which<br />
is posted on the computer network for all staff to access.<br />
The Fund is administered by the Education Committee, made<br />
up of representatives from several Yarram and District Health<br />
Service departments.<br />
● Review of the complaint procedures, forms, and policy<br />
● Embracing cultural diversity and awareness and including it<br />
in our Staff Orientation Manual, and making it a<br />
permanent item on our Board of Management’s Quality<br />
Improvement Sub-Committee Agenda<br />
● Publication of the Quality of Care <strong>Report</strong> 2006 and<br />
organising the publication for <strong>2007</strong><br />
● Continued review of risk management plans, procedures<br />
and tools<br />
● Continued education on quality, incident reporting, risk<br />
management and root cause analysis as offered through<br />
the Department of Human Services.<br />
Yarram and District Health Service continues to offer traineeships<br />
to young people, clinical placement for tertiary students<br />
and work experience for secondary school aged students.<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 />
Staff education and training needs are analysed on a regular<br />
basis and the health service’s training plan reviewed according<br />
to a scheduled review process.<br />
Quality Improvement<br />
Phase three of the Evaluation and Quality Improvement<br />
Program was a major focus in the latter part of the year, and<br />
the Self-Assessment Series 2 was completed and submitted<br />
shortly after the end of the reporting period.<br />
Health care organisations participate in the Quality<br />
Improvement Program during the four year period of<br />
membership in the Australian Council on Healthcare<br />
Standards (ACHS).<br />
The program consists of at least one event each year as part<br />
of a continuous quality cycle.<br />
The Self-Assessment is an important management tool that<br />
assists organisations to think “what are we doing, why are we<br />
doing it and what else must we do?”<br />
Health Service accreditation with the ACHS is a voluntary<br />
process but many hospitals participate to assure consumers<br />
and the wider community that their health provider is a quality<br />
and safety focussed organisation.<br />
Some of the other activities undertaken by the Quality<br />
Department this year include:<br />
● Review of staff and student orientation process<br />
and documentation<br />
<strong>YDHS</strong> proved a safe temporary haven for this<br />
bushfire refugee. While closely assessed, he<br />
was deemed ineligible for a room at St Emo’s<br />
8
<strong>Report</strong> on Operations<br />
Community Services<br />
One of the major issues of the year has been the impact<br />
of drought.<br />
To help address some of the issues for farmers and their<br />
families, the Community Services Division received funding<br />
from the Department of Human Services to provide drought<br />
counselling services.<br />
This has resulted in many of the farmers and their families<br />
being connected to much needed services, based locally, to<br />
help them with the drought and the issues it creates.<br />
The podiatry service delivered through the Allied Health<br />
Department and Gippsland Foot Clinic was reviewed due to<br />
long waiting lists and extended periods between podiatry<br />
appointments.<br />
The result was the development of a foot clinic within the<br />
Community Nursing Department to create a weekly service.<br />
Staff at the clinic screen clients to determine the most appropriate<br />
foot care service for their needs and provides foot care for<br />
low-risk clients. Its introduction has decreased the<br />
waiting times for high-need clients accessing the Allied Health<br />
Podiatry service from 2-3 months to 1 month at most.<br />
The Diabetes Education Service was also reviewed during the<br />
year by benchmarking the service against the International<br />
Diabetes Education Standards. The service is being developed<br />
through initiatives from the Department of Human Services in<br />
the areas of diabetes self management and chronic disease<br />
management. This work will continue in the <strong>2007</strong>/8<br />
financial year.<br />
The continued professional development of Health Service staff<br />
is essential to the success of many programs. This year<br />
community services staff have been supported in their skill<br />
development, attending short courses and seminars on a<br />
range of subjects including foot care, integrated family services<br />
and mental health first aid.<br />
Allied Health<br />
The Allied Health team has provided a record of 11,863 hours<br />
of service to community clients and inpatients during this year.<br />
The services include physiotherapy, occupational therapy,<br />
speech pathology, dietetics, podiatry and personal alarm<br />
assessment services to residents of the local community.<br />
The clients include residents of St Elmo’s Nursing Home and<br />
Crossley House; acute, rehabilitation, and geriatric evaluation<br />
and management inpatients; and community clients of varying<br />
ages and abilities.<br />
New groups have been formed to help provide equitable<br />
services to all clients, with increased attendance noted in<br />
existing groups. All groups have goal-orientated programs with<br />
defined individual outcomes.<br />
These groups include the SafeMoves program, an exercise<br />
and education program designed to help reduce a client’s risk<br />
of falling, the Prime Movers groups, to help increase the health<br />
and fitness of clients through exercise programs and Early<br />
Intervention groups, to assist children to learn or refine their<br />
language, speech or motor skills.<br />
<strong>Annual</strong> <strong>Report</strong><br />
2006/<strong>2007</strong><br />
Additional staff have joined the Allied Health team to allow an<br />
increased range of programs and more efficient services.<br />
A new position was created for a second full-time<br />
Occupational Therapist in August 2006. Additional Speech<br />
Pathology hours were also obtained to increase the range of<br />
services offered.<br />
Embracing Rural Health Careers – L to R: Tarlee-Ann Thurman, Catherine Hartwig and Ronak Patel<br />
(Allied Health), Lauren Slayford (Community Nursing) and Emily O’Hara (Health Promotion Officer)<br />
The Allied Health team has continued to provide health<br />
education programs, such as education and screening<br />
assessments, and to increase awareness of Allied<br />
Health services.<br />
One such program was ‘kinder’ screening. This involved short<br />
assessments by the Occupational Therapist, Speech Pathologist<br />
and Maternal and Child Health Nurse to screen<br />
kindergarten-aged children in the areas of speech, language,<br />
motor skills and general health. More than 60 children were<br />
screened during the year representing almost 100% of all<br />
children attending three and four year old kindergarten in<br />
Yarram. The addition of the Maternal and Child Health Nurse<br />
also provided a more efficient and accessible service, as<br />
previously parents were required to bring their children to the<br />
Health Service for general health screening, while<br />
Occupational Therapy and Speech Pathology screenings were<br />
conducted at the kindergarten.<br />
Several other multidisciplinary projects are being conducted in<br />
conjunction with other departments to ensure the best quality<br />
care available. These include a project to better manage<br />
clients with dysphagia (swallowing difficulties); a review of the<br />
Inpatient Rehabilitation program to enable rehabilitation<br />
clients to meet their goals more efficiently; and the Well for Life<br />
project to provide increased opportunity for exercise and good<br />
nutrition for Adult Day Activity Support Services (ADASS) clients.<br />
Community Care<br />
The Community Care team has continued to maintain, develop<br />
and evaluate programs that ensure a seamless transition for<br />
clients, carers and families as they move from acute care back<br />
to the community. A major aim is to support them in their<br />
home for as long as possible.<br />
The services provided to do this include:<br />
● Client Intake<br />
● Community Nursing<br />
● Home and Community Care Service<br />
● Home care<br />
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<strong>Report</strong> on Operations<br />
● Meals on Wheels<br />
● Personal care<br />
● Adult Day Activity Support Services<br />
● Home Maintenance<br />
● Client Services<br />
● Maternity Support Service<br />
● Palliative Care<br />
● Foot Clinic<br />
Client Intake<br />
The Client Intake process has continued to grow since first<br />
offered by Community Services in January 2005.<br />
This year 452 people have undertaken a needs-based<br />
assessment, demonstrating that client intake is an efficient<br />
referral process that ensures the accurate collection of client<br />
information, ease of access and referral to services.<br />
At the start of <strong>2007</strong> the electronic referral service coordination<br />
system was introduced to our intake process. This is gradually<br />
being rolled out in agencies across the region which will have<br />
an impact on the number of referrals received by the Client<br />
Intake Service.<br />
Community Nursing<br />
Community Nursing has increased the<br />
number of visits to clients by 800 this<br />
year and continues to see an average<br />
of 100 clients a month.<br />
The Community Nursing Coordinator<br />
continues to participate in activities of<br />
the Palliative Care Reference Group,<br />
which informs the Gippsland<br />
Consortia on issues of concern and<br />
areas of need.<br />
Our Health Service held two very<br />
successful workshops as part of its<br />
participation. As well, the hard work of the participants has<br />
seen a good representation of their work published in<br />
“Growing Through Loss,” stories of Palliative care in Gippsland.<br />
The book was launched in May this year.<br />
Staff member, Rebecca Tyler RN Div I, has been successful in<br />
completing a Post Graduate Certificate in Wound<br />
Management and has been able to expand the scope of the<br />
wound care nurse across the residential, acute and<br />
community divisions.<br />
Home and Community Services<br />
Rebecca Tyler received the prestigious<br />
Vivian Bullwinkel award at a<br />
memorial service for Australian nurses<br />
who died during World War II. The<br />
award supports Rebecca’s graduate<br />
studies in wound management.<br />
Home and Community Services continues to support eligible<br />
frail aged and disabled clients to remain in their own homes.<br />
Our home and personal care staff delivered an average of<br />
760 hours care per month to approximately 250 clients<br />
throughout the financial year. These services included personal<br />
care, in home respite and home care.<br />
Staff have also responded to many personal alarm calls<br />
through the Home and Community Care (HACC) response<br />
service. Through this service, frail clients who do not have<br />
family or friends residing in the area are able to have a carer<br />
visit their home in response to their personal alarm.<br />
The Well for Life Program funded ADASS to introduce an<br />
exercise and nutrition program. Clients have been participating<br />
in more active outings such as walks along the boardwalk at<br />
Toora and along the beach in the warmer weather.<br />
A nutrition and hydration pack has been developed for<br />
distribution to all ADASS clients and launched by the Dietician<br />
in early August.<br />
The sport of Bocce was a welcome addition to activities and<br />
funding has assisted in the purchase of equipment to sustain<br />
the project into the future.<br />
In Home Maintenance, the system of task prioritisation was<br />
reviewed and new procedures developed to improve the<br />
discharge process and to support clients in their home. The<br />
Home Maintenance service assists with the installation of rails,<br />
ramps etc after assessment of a home by Occupational<br />
Therapists, and also performs general maintenance tasks for<br />
eligible clients.<br />
Volunteers<br />
The contribution by our valued volunteers continues, with many<br />
people giving up their time to assist others.<br />
Volunteers have assisted the activity staff at St. Elmo’s with<br />
many programs and residents are always delighted to see<br />
them.<br />
The volunteer bus drivers have been kept busy with the bus<br />
out and about five days a week, assisting clients to allied<br />
health programs, ADASS and social support (shopping<br />
program). Meals on Wheels continue to be delivered 365<br />
days a year by dedicated individual and volunteers groups.<br />
Community Health<br />
Community Health has focused on two priority areas in the<br />
reporting period; mental health and wellbeing; and access to<br />
nutritious food.<br />
Both of these areas align with the aims of the Wellington<br />
Primary Care Partnership and the South Coast Health Service<br />
Consortium Primary Care Partnership.<br />
Raising the awareness of mental health can be a challenge,<br />
especially when seeking to reach men. However following a<br />
successful submission for a community grant of $1500 from<br />
Foundation 49, an organisation aiming to improve men’s<br />
physical and mental health, Yarram and District Health Service<br />
has been able to produce a men’s health resource kit that<br />
helps raise awareness and provides information relevant to<br />
men and their needs.<br />
A well attended men’s health seminar titled ‘No more secrets’<br />
was conducted by Freemasons and supported by Yarram and<br />
District Health Service in October. The evening provided an<br />
excellent opportunity for men to learn more about their health<br />
and discuss their issues in a non judgemental environment.<br />
Yarram Medical Centre GP, Dr Nandha and Murrindindi<br />
10
<strong>Report</strong> on Operations<br />
<strong>Annual</strong> <strong>Report</strong><br />
2006/<strong>2007</strong><br />
Counselling psychologist, Mr Graham Brewer were guest<br />
speakers on the evening and the information they provided<br />
was well accepted and appreciated. A follow up men’s health<br />
discussion evening is<br />
planned.<br />
In partnership with South<br />
Coast Health Service<br />
Consortium Primary Care<br />
Partnership, Community<br />
Health and Maternal<br />
and Child Health held a<br />
“Celebrating Active<br />
Communities” barbecue<br />
at the Yarram Memorial Pictured is promotional display in the Yarram Plaza.<br />
Park. More than 100<br />
community members enjoyed the barbecue and entertainment<br />
and demonstrated just how active our community is.<br />
The ‘Kids Go For Your Life’ project continues, aiming to improve<br />
children’s health outcomes through increased health education<br />
on physical activity and nutrition. The project will be funded<br />
until 2011. Alberton, Yarram, Devon North and Woodside<br />
primary schools have all become members, which is great<br />
news for their whole school communities.<br />
Well Women’s Clinics, Pit Stop Men’s Health Screening<br />
Program, Lung Clinic, Support Groups, Better Self<br />
Management, Walk and Talk, Needle Exchange are programs<br />
that have continued to be delivered by the Community Health<br />
Division of Yarram and District Health Service throughout the<br />
year reflecting and supporting the needs of our community.<br />
Youth and Family Services<br />
The Youth and Family Services team has consolidated service<br />
areas to provide a range of essential services to the<br />
local community.<br />
Family support at Yarram and District Health Service has been<br />
provided by two family support workers in partnership with<br />
Kilmany Uniting Care and Ramahyuck Aboriginal Cooperative.<br />
This program has been extremely successful with both workers<br />
exceeding their targets and providing much needed support to<br />
local families.<br />
Demand for housing assistance continues to be high as new<br />
people move into the district while rental properties remain<br />
limited. The housing sector as a whole is continuing to<br />
undergo an accreditation process with Yarram and District<br />
Health Service undergoing accreditation in 2008.<br />
The Health Service continues to support people who are<br />
experiencing a crisis, by the distribution of Emergency Relief<br />
vouchers. This assistance can cover items such as food and<br />
prescriptions.<br />
The Youth and Family Services team also works closely with St<br />
Vincent de Paul Society, whose volunteers provide a wonderful<br />
service with food parcels, assistance with telephone bills,<br />
school uniforms, and some furniture and bedding.<br />
The Psychiatric Disability Rehabilitation Support Service remains<br />
unique as the only service in Victoria capable of delivering its<br />
support services seven days per week. The program is also<br />
undergoing an accreditation process with the Department of<br />
Human Services.<br />
The Yarram and District Health Service Social Worker has also<br />
now joined the Youth and Family Services team, which allows<br />
for the provision of a more holistic approach to services for the<br />
Yarram community.<br />
The Youth and Family Services team has been restructured<br />
and will be expanded in the coming financial year.<br />
Yarram Medical Centre<br />
Yarram Medical Centre continues to meet the challenge of<br />
attracting general practitioners in a time of global shortage by<br />
undertaking year-round GP recruitment activities. The Medical<br />
Centre is eligible for Government assistance packages as it is<br />
within a District of Workforce Shortage and receives referrals<br />
from Government agencies that assist with GP recruitment.<br />
Drs Testro and Wong, both Fellows of the Royal Australian<br />
College of General Practitioners, continue as the senior<br />
practitioners following Dr Nandha’s resignation in June <strong>2007</strong>.<br />
Dr Nandha joined the practice in 2001 and we are grateful<br />
for and acknowledge his dedication to the practice and the<br />
Yarram community during his six years with us.<br />
Dr Zafar commenced work at the practice in December 2006<br />
and Mrs Elaine Ripper was appointed Practice Manager in<br />
early <strong>2007</strong>. The general practitioners have admitting rights to<br />
Yarram and District Health Service.<br />
Accreditation with Australian General Practice Accreditation Ltd<br />
(AGPAL) identified the strengths of Yarram Medical Centre in<br />
clinical care, medical records management, practice<br />
administration, commitment to the area of health promotion<br />
and disease prevention and continuity of care with patient’s<br />
rights and needs well respected.<br />
The Centre is also an accredited training practice under the<br />
AGPAL and has hosted Registrars since January 2003.<br />
Registrar teaching time is allocated in the schedule each week<br />
and staff support the teaching program to make this an<br />
enjoyable term for the registrar and supervisors.<br />
We farewelled part-time Registrar Dr Miroslava Vujosevic in<br />
February <strong>2007</strong> and welcomed GP Registrar, Dr Vijaya<br />
Ravikumar at the same time.<br />
Dr Adel Abrahams sub-leases the dental surgery located at<br />
Yarram Medical Centre.<br />
Yarram Toy Library<br />
An important community service, the Yarram Toy Library has an<br />
extensive range of toys which provides many hours<br />
of enjoyment.<br />
Supported by a committee of volunteers, the program is<br />
located within the Yarram and District Health Service at Edgar<br />
House and is open to parents and carers of children up to six<br />
years of age. It is an excellent way for young families to<br />
establish contact with each other.<br />
The Yarram and District Health Services Allied Health staff also<br />
benefit greatly from being able to access the toy collection. A<br />
wide range of motivating and educational resources make<br />
therapy sessions much more fun.<br />
We thank Yarram and District Health Service for their generous<br />
support, providing accommodation and administrative support.<br />
11
<strong>Annual</strong> <strong>Report</strong><br />
2006/<strong>2007</strong><br />
Corporate Services<br />
Corporate Services staff have been involved in many projects<br />
and initiatives to maintain compliance with government<br />
regulations such as the OH&S Act, Aged Care Act,<br />
Administration Act and Financial Management Compliance,<br />
to name a few.<br />
The division has also implemented processes to ensure we<br />
operate in an environmentally responsible manner, such as<br />
outsourcing the fleet car cleaning in order to comply with EPA<br />
regulations.<br />
Testament to the continued dedication and hard work of<br />
Corporate Services teams, Food Services and Environmental<br />
services staff in the reporting period achieved outstanding<br />
results in client satisfaction surveys.<br />
The Corporate Services Division manages:<br />
● Administration<br />
● Maintenance<br />
● Stores and Supply<br />
● Food Services<br />
● Environmental Services<br />
● Human Resources<br />
● Finance<br />
● Payroll<br />
● Crossley House payroll and finance<br />
● Residential Aged Care Administration<br />
● Contracted services<br />
● Occupational Health and Safety<br />
The Director of Corporate Services chairs the Occupational<br />
Health and Safety (OHS) Committee, the health service Policy<br />
Committee and participates in adhoc Project Management<br />
activities.<br />
Administration, Finance and Payroll<br />
Administration, finance and payroll staff were this year involved<br />
in the “Healthsmart” project, a Department of Human Services,<br />
state-wide initiative whereby all public health services will use<br />
the same computer-based systems. Existing systems will be<br />
upgraded and new systems introduced.<br />
Yarram and District Health Service will be involved in the<br />
implementation of new:<br />
● Finance and supply system<br />
● Human Resources and Payroll systems; and<br />
● an upgraded patient management system.<br />
Staff have participated in the initial development phase of<br />
these systems by attending briefings and advisory sessions<br />
across Gippsland. Implementation begins in December <strong>2007</strong>,<br />
with final rollout of the finance and supply system<br />
due next year.<br />
Maintenance<br />
The Maintenance Department has this year further improved<br />
the Preventative Maintenance Program (PMP) with all<br />
equipment, electrical and plant maintained to Australian<br />
Standards and meeting OH&S requirements.<br />
Checks occur yearly, quarterly or monthly and encompass<br />
items such as kitchen thermometers, wheelchairs, oxygen,<br />
hospital beds, loan equipment such as crutches and<br />
walker frames.<br />
Maintenance staff have also completed many planning<br />
exercises for projects and work to be implemented in the<br />
coming months, such as staff car park resurfacing and<br />
redevelopment of the ‘old x-ray’ department.<br />
Other major works completed by the maintenance department<br />
have included<br />
● Renovations to one of the Crossley House sitting rooms<br />
● Replacing the Health Service kitchen dishwasher and<br />
refurbishment of that area<br />
● Data cabling throughout the ‘Bakers’ facility<br />
● Relocation and redevelopment of Clinical Services offices<br />
Environmental Services<br />
Our dedicated Environmental Services Team has enjoyed an<br />
excellent response to internal and external audits that measure<br />
standards of cleanliness and linen services.<br />
Participation in the yearly Department of Human Services<br />
external audit resulted in the overall hospital score, including<br />
St. Elmo’s Nursing Home, of 97.64 percent, while the overall<br />
results from internal audits was 96.16 percent.<br />
Manual Handling risk assessments identified a need to review<br />
some work practices which has resulted in a better and safer<br />
working environment for employees.<br />
The Environmental Services team continues to liaise and<br />
benchmark with Latrobe Regional Hospital (LRH), which has<br />
promoted continuous quality improvement.<br />
Other key activities this year included:<br />
● The commencement of ironing of resident’s clothes. There<br />
has been no negative feedback on residents’ clothing<br />
since its inception.<br />
● The purchase of linen trolley covers to ensure linen is kept<br />
dust free<br />
● A new labelling system introduced for residents’ clothing,<br />
which ensures residents names are clearly visible and<br />
quick to spot for easy identification.<br />
Food Services<br />
In order to continually monitor and improve the service a<br />
‘Meal Feedback Form’ was developed this year. The form asks<br />
patients of the hospital various questions relating to their meals<br />
including:<br />
● Did you receive the meal you ordered?<br />
● Was the size of the meals adequate?<br />
● Was the choice adequate?<br />
<strong>Report</strong> on Operations<br />
● Did Food Services staff explain the menu options in a<br />
helpful and friendly manner?<br />
● Were your dietary requirements met?<br />
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<strong>Report</strong> on Operations<br />
<strong>Annual</strong> <strong>Report</strong><br />
2006/<strong>2007</strong><br />
Thankfully patients are happy to respond, providing valuable<br />
feedback thereby helping to continue to provide and maintain<br />
the highest standard of service.<br />
The Food Service Team achieved excellent results in a formal<br />
Food Safety Audit, both within the health service and at<br />
Crossley House. These are important controls as the Food<br />
Services team served up approximately 72,000 meals during<br />
the year. It caters for all patients, staff and residents of Yarram<br />
and District Health Service, Crossley House Hostel, Meals on<br />
Wheels recipients and various functions held within the service.<br />
The department liaises with the Dietician and Speech<br />
Pathologist, to maintain the quality of service to residents<br />
and patients.<br />
This year Food Services completed a menu survey that aimed<br />
to provide an opportunity for residents of St Elmo’s and<br />
Crossley House to participate in menu planning for their meals.<br />
A survey listing the current menu items was developed and<br />
residents were asked to complete the survey and note<br />
comments or suggestions.<br />
One hundred surveys were issued, with 74 returned.<br />
These included:<br />
● Edgar House – 20 issued and 11 returned – 55%<br />
● Meals on Wheels – 20 issued and 16 returned – 80%<br />
● St Elmo’s – 30 issued and 25 returned – 83%<br />
● Crossley House – 30 issued and 22 returned – 73%<br />
Residents were asked to tick items they disliked or were unable<br />
to eat. If the number of ticks against any item reached double<br />
figures then that item was considered for removal from<br />
the menu.<br />
The survey helped to confirm what was being heard<br />
anecdotally with regard to menu items and a number were<br />
considered for removal.<br />
The survey will be conducted again next year so that residents<br />
can continue to contribute to their own menu planning.<br />
Human Resources<br />
This year the Human Resources Department has focused on<br />
bedding down the initiatives of the last two years and ensuring<br />
compliance with legislative changes as they occurred.<br />
For example, The Minister for Ageing finalised the<br />
amendments to the Aged Care Principles and, effective 1<br />
March <strong>2007</strong>, all staff, volunteers and contractors were required<br />
to undergo a compulsory police record check and assessment<br />
for suitability for working in aged care. Yarram and District<br />
Health Service therefore established policies and procedures<br />
which included:<br />
● Development and implementation of police record check<br />
policy and procedures<br />
● Development of a database to enable ongoing monitoring<br />
of police record checks to ensure three year renewal<br />
● Compliance with the police certificate requirements,<br />
including record keeping, privacy considerations and<br />
assessment of police certificates.<br />
The implementation of police record checks aims to further<br />
improve the quality of aged care and ensure the protection of<br />
care recipients.<br />
Other Human Resource activities have included:<br />
a review and update of the orientation manual for new<br />
employees; implementation of a task monitoring system, (under<br />
certain Awards) to ensure service margins are remunerated;<br />
and introduction of signed position descriptions.<br />
This ensures employees acknowledge and understand the<br />
roles they are expected to perform and are provided with a<br />
copy of their position description upon commencement and at<br />
performance appraisal.<br />
Human Resources seeks to be a focal point for staff and<br />
provides a strong customer focus that anticipates and responds<br />
to the needs of all staff.<br />
Stores<br />
A major initiative for the Stores area was the purchase of a<br />
walk behind pallet lifter to assist with the unloading of heavy<br />
items to prevent manual handling injuries.<br />
A few interesting statistics have come out of the Stores<br />
information this year, including;<br />
● 11,700 portion control jams were consumed<br />
● The nursing staff used 4,640 dressing packs<br />
● 11,000 teapot bags were used to make 24,200 litres<br />
of tea<br />
● A quarter of a million (265,000) sheets of hand towel<br />
were used<br />
● 3,912 litres (or 21,516 servings) of fruit juice were poured<br />
Occupational Health and Safety<br />
A particular focus this year has been emergency<br />
management practices.<br />
Legislative requirements meant that fire equipment training<br />
could only be performed by accredited personnel and<br />
Deanmac Emergency Management Consultants were<br />
engaged to provide fire equipment and emergency<br />
management training for staff.<br />
Working closely with the Occupational Health and Safety<br />
representatives, emergency management manuals were<br />
updated and extensive training held in managing<br />
evacuations, performing fire drills and conducting<br />
debriefing sessions.<br />
The OH&S representatives found these training sessions<br />
invaluable and ensured they were well equipped to handle<br />
any emergencies that may arise.<br />
The activities were part of the commitment to the safety of all<br />
residents, patients, staff and visitors.<br />
The Occupational Health and Safety committee meets every<br />
month to ensure a safe environment is maintained. Normal<br />
operations of the committee include responding to and<br />
investigating reported hazards, monitoring inspection reports<br />
and ensuring continuing education of its members.<br />
13
Our Accreditation Process<br />
Overview<br />
The Yarram and District Health Service Youth & Family<br />
Services team is made up of a number of community<br />
programs aimed at assisting those people in the<br />
community who are vulnerable, marginalised or require<br />
emergency assistance. The programs which make up the<br />
Youth & Family Services team are: Supported<br />
Accommodation Assistance Program; Family Services<br />
Program; Psychiatric Disability Rehabilitation Support<br />
Service; Youth Services; Commonwealth Emergency Relief<br />
Program; Housing Establishment Fund; Community Health<br />
Counselling – general; No Interest Loan Scheme.<br />
The Youth & Family Services team are located at the<br />
Baker’s Community Service Centre where a number of<br />
visiting services also provide for people in the<br />
Yarram community.<br />
Future Implementations<br />
Data collection and analysis of falls data collected<br />
with falls incident report.<br />
Review tools and reporting structure.<br />
Identify areas of non-compliance or improve practice.<br />
14
<strong>Report</strong> on Operations<br />
<strong>Annual</strong> <strong>Report</strong><br />
2006/<strong>2007</strong><br />
Other activities included:<br />
● Designated smoking areas introduced in keeping with<br />
government regulations<br />
● An outworker safety plan developed for staff working in<br />
the community<br />
● Fire drills regularly performed<br />
● Monthly workplace inspections conducted for each area<br />
throughout the Health Service<br />
● Staff questionnaires to ascertain OH&S knowledge gaps<br />
and develop education sessions around the gap areas<br />
● Manual Handling training sessions for staff<br />
● Security audit completed and a gap analysis performed<br />
Organisation achieves maximum accreditation<br />
The Yarram and District Health Service has achieved the<br />
maximum four year accreditation awarded by the Australian<br />
Council on Healthcare Standards (ACHS).<br />
The formal advice came through in November 2006, but the<br />
process of achieving accreditation is a lengthy one.<br />
The following outlines the process from the first visit by the<br />
ACHS surveyors.<br />
The first steps in the process occurred in May 2006, when<br />
<strong>YDHS</strong> received a detailed explanatory letter and an extensive<br />
set of guidelines to assist in making the most of the assessors’<br />
site visit. Six weeks prior to the August survey, <strong>YDHS</strong> submitted<br />
its organisational Pre-Survey Assessment and a range of<br />
supporting documentation.<br />
The stated aims of the Organisation Wide Survey are to:<br />
● Review progress on addressing the ongoing<br />
recommendations from the last Periodic Review/Alignment<br />
● Review improvements and outcomes for the EQuIP functions<br />
and make recommendations where appropriate<br />
● Make a recommendation on accreditation status<br />
● Provide advice on the way forward.<br />
In preparation for the two day survey, Yarram and District<br />
Health Service was instructed to update the Quality Action<br />
Plan and respond to progress on recommendations from the<br />
previous survey; update member details on the specialist software<br />
provided; and update our self-assessment data in<br />
respect of all criteria.<br />
On 23 and 24 August 2006, the Health Service welcomed<br />
two surveyors appointed by the ACHS to conduct the onsite<br />
review.<br />
In addition to viewing a massive array of hard-copy<br />
documentation from across all department of the health<br />
service, the assessors interviewed 15 health service staff in<br />
private sessions.<br />
Board members, special invitees and staff attended the<br />
opening presentation session in the Multipurpose Centre.<br />
Executive Director Ms Colleen Boag, Board President Mrs Jenni<br />
Clarke and key staff highlighted Yarram and District Health<br />
Service innovations, achievements and future goals in their<br />
presentations. The opening presentation jointly made by Ms<br />
Boag and Mrs Clarke centred on the Leadership and<br />
Management criteria demonstrating performance and<br />
achievement in the areas of;<br />
● Governance<br />
● Planning and development and a proactive response<br />
to challenge<br />
● Risk management<br />
● Compliance with legislation and standards<br />
● Quality both in policy and process; and<br />
● Consumer participation.<br />
The presentation acknowledged the “ongoing challenge to<br />
ensure work is meaningful, that it has impact, shows results<br />
and that there is a balance between innovation and ‘rubber<br />
on the road.’ This is what drives us toward improving<br />
performance.” The assessors were addressed directly with a<br />
closing statement from Ms Boag.<br />
She said the ability of Yarram and District Health Service to<br />
respond to challenge has been demonstrated, at a strategic<br />
and operational level, over the years of our development as<br />
an integrated health service.<br />
Assessors and all attendees were invited to view the<br />
presentation posters which had been prepared by <strong>YDHS</strong> staff<br />
and displayed around the room.<br />
Following completion of the on-site survey, assessors provided<br />
a preliminary report offering the opportunity to respond to the<br />
comments and the conclusions, if appropriate.<br />
In November 2006 <strong>YDHS</strong> received formal advice that ACHS<br />
had awarded the maximum four year accreditation which is<br />
valid until July 2010.<br />
The large body of work required to achieve accreditation was<br />
expertly pulled together under the careful planning and<br />
coordination of then Quality Co-ordinator Jo-Anne Rash.<br />
Many staff had a role in providing details of activities that<br />
made up the presentation, reporting targets and deadlines<br />
required for a successful validation. Everyone is thanked and<br />
congratulated for their cooperation, support and participation.<br />
15
<strong>Annual</strong> <strong>Report</strong><br />
2006/<strong>2007</strong><br />
Donations<br />
The Yarram and District Health Service gratefully acknowledges<br />
the support of individuals, families and organisations who<br />
gave donations of cash or equipment during the past year.<br />
● Estate of the Late Eric Erikson<br />
● Edan Paterson<br />
● Woodside Community Fundraising<br />
● Proceeds St Elmo’s recipe book<br />
● Better Health Group<br />
● Barry Beach marine Terminal Fund<br />
● M and M Wools<br />
● Cancer Council Victoria<br />
● Peter O’Shannassy<br />
● Mr C Pettitt<br />
● John Nicol Charitable Trust<br />
● Cherryskin P/L<br />
● A Sarkar P/L<br />
● Bus Money<br />
● Rotary Barrell<br />
● Waratah Auxiliary<br />
● Yarram Lions Club<br />
● Palliative Care Fundraisers<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 />
Rose Walker, St Elmo’s Activities Staff member<br />
co-ordinated authentic Australia Day Celebrations<br />
Vision Australia representatives prepare for visitors<br />
to the Yarram and District Health Service multi<br />
purpose center.<br />
16
<strong>Annual</strong> <strong>Report</strong><br />
2006/<strong>2007</strong><br />
Performance Indicators<br />
Performance Indicators<br />
Workforce 2006 -<strong>2007</strong> 2005-2006 2004-2005 2003-2004<br />
Administration<br />
Maintenance<br />
Hotel & Allied<br />
Acute<br />
Nursing Home<br />
Community<br />
Allied Health<br />
Yarram Medical Centre<br />
Total<br />
$ EFT $ EFT $ EFT $ EFT<br />
673,679 11.75 599,751 10.3 443,597 8.4 387,021 8.07<br />
182,709 3.95 168,463 2.57 124,647 3.8 128,252 2.59<br />
446,319 11.30 392,987 12.12 424,975 14.8 511,434 10.20<br />
1,265,073 18.07 1,162,054 16.1 1,282,061 17.2 922,796 12.42<br />
812,563 15.10 849,628 17.53 808,337 10.8 497,960 12.27<br />
928,879 18.53 838,211 17.1 888,898 17.6 820,243 19.00<br />
331,419 6.81 320,918 5.7 226,716 4.9 232,628 5.57<br />
789,859 8.25 871,992 7.5 796,253 8.9 747,106 8.57<br />
5,430,500 93.76 5,204,004 88.92 4,995,484 86.40 4,247,441 78.70<br />
Workforce<br />
Nursing Home<br />
Administraion<br />
Yarram Medical Centre<br />
Maintenance<br />
Allied Health<br />
Hotel and Allied<br />
Community<br />
Acute<br />
$10,000,000<br />
$8,000,000<br />
$6,000,000<br />
$8,755,165<br />
$8,575,684<br />
$8,180,571<br />
$7,509,343<br />
$7,804,286 $7,866,104<br />
$6,464,433<br />
$7,154,432<br />
$6,385,284<br />
$5,909,731<br />
$8,695,693<br />
$7,977,488<br />
$4,000,000<br />
2001-02 2002-03 2003-04 2004-05 2005-06 2006-07<br />
Total Expenses Total Revenue 2001-07<br />
Summary of revenue and expenses 2001-02 to 2006-07<br />
17
<strong>Annual</strong> <strong>Report</strong><br />
2006/<strong>2007</strong><br />
Units 2006-<strong>2007</strong> 2005-2006 2004-2005<br />
Clinical Services<br />
Separations 826 833 680<br />
WIES 456.01 454.1 356.19<br />
WIES DVA<br />
Inpatient avg. length of stay Days 6.29 5.4 8.37<br />
Births 0 0 0<br />
Dialysis 307 286 269<br />
Inpatient Rehabilitation Separations 12 18 24<br />
Patient Days<br />
Acute 4277 3495 3200<br />
Nursing Home Type 0 0 31<br />
Geriatric Evaluation & Management 721 667 560<br />
St Elmo’s Nursing Home 10534 10125 8857<br />
Emergency Medical Treatment Contacts 1778 1740 1446<br />
Radiology Contacts 1203 1515 1623<br />
Community Services<br />
Activity Programs Hours 2773 2703 3001<br />
Community Nursing Contacts 6925 5830 6079<br />
Community Health Contacts 642 416 676<br />
Counselling and Casework Contacts 1606 907 1610<br />
Diabetes Education Contacts 291 298 364<br />
Dietetics Contacts 230 241 257<br />
Health Promotion Contacts 1586 1691 2583<br />
Home Care Hours 5519 5665 5164<br />
Housing Contacts 245 121 133<br />
Maternal and Child Health Contacts 960 88 80<br />
(Data collection and reporting changed in the period)<br />
Meals on Wheels Meals 10604 9717 12493<br />
Occupational Therapy Contacts 3123 1429 1320<br />
Personal Care Hours 1208 1164 877<br />
Physiotherapy Contacts 5216 3411 3467<br />
Podiatry Contacts 267 363 374<br />
Property Maintenance Hours 375 200 422<br />
Psychiatric Disability Support Service Contacts 509 961 1568<br />
Respite Care Hours 904 883 860<br />
Social Support Hours 2409 1769 1500<br />
Speech Therapy Contacts 1402 832 895<br />
Youth Services Contacts 332 454 329<br />
2006-<strong>2007</strong> 2005-2006 2004-2005 2003-2004 2002-2003<br />
$ $ $ $ $<br />
Total Expenses 7,977,488 7,866,104 7,804,286 7,154,432 6,385,284<br />
Total Revenue 8,695,693 8,755,165 8,575,684 8,180,571 7,509,343<br />
Operating Surplus<br />
After abnormal items 402,431 546,289 677,640 1,077,994 1,164,685<br />
Retained Earnings<br />
(Accumulated losses) 5,208,322 4,805,892 4,259,603 1,201,653 1,164,685<br />
Total Assets 17,095,384 16,431,009 15,399,267 14,784,518 13,412,886<br />
Total Liabilities 2,527,891 2,265,946 1,813,475 1,876,364 1,706,385<br />
Total Equity 14,567,493 14,165,063 13,585,792 12,908,154 11,706,501<br />
18
<strong>Annual</strong> <strong>Report</strong><br />
2006/<strong>2007</strong><br />
Statutory Requirements<br />
Building Act 1993<br />
All buildings of the Health Service comply with the Building<br />
Act, 1993. The Health Service has a policy of consulting<br />
architects and engaging registered builders when renovating<br />
existing buildings or constructing new facilities. Plans are<br />
submitted to local government for approval and building<br />
permits issued prior to commencement.<br />
Competitive Neutrality<br />
It is Government policy that the costing policies of publicly<br />
funded organisations should reflect any competitive advantage<br />
not available to the private sector. The Yarram and District<br />
Health Service supports this policy and meets requirements.<br />
A number of services are already outsourced on a competitive<br />
basis including pathology, radiology, security, accounting,<br />
pharmacy and grounds maintenance.<br />
Consultancies<br />
The Yarram and District Health Service has engaged the<br />
following consultants in the 2006/07 financial year:<br />
● Masterpiece Consulting for MYOB software<br />
● Deanmac Emergency Management Consultants for Fire<br />
Equipment and Emergency Management training for staff<br />
● Michael J. Allen Chartered Accountant for<br />
financial reporting<br />
The Health Service has provided the following<br />
contracted services:<br />
● Management Services to Crossley House<br />
● Maintenance, linen, food services, stores, community<br />
nursing, allied health and infection control to Crossley<br />
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 />
Act 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 were no such<br />
requests for release of information this year.<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.<br />
It does not tolerate improper conduct by its employees, officers<br />
or members, nor the taking of reprisals against those who<br />
come 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<br />
steps to protect people who make such disclosures from any<br />
detrimental action in reprisal for making the disclosure. It will<br />
also afford natural justice to the person who is the subject of<br />
the disclosure. In line with this, the Yarram and District Health<br />
Service has in place a corporate policy and procedure which<br />
comply with the Act. Since the introduction of the policy the<br />
Yarram and District Health Service has received nil disclosures<br />
and has no knowledge of any disclosures which may/may not<br />
have been reported to the Ombudsman.<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<br />
equity principles in its management of staff. The Health<br />
Service expects all staff to take responsibility for fair,<br />
non-discriminatory behaviour.<br />
Freedom of Information Act 1982<br />
The nominated Freedom of Information Officer is an<br />
Administration Officer and together with the Director of<br />
Corporate Services has responsibility for Health Information<br />
Management at the Yarram and District Health Service.<br />
During the 2006/07 financial year five requests for<br />
information were received under the Freedom of Information<br />
19
<strong>Annual</strong> <strong>Report</strong><br />
2006/<strong>2007</strong><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 />
● Palliative Care<br />
Residential Services<br />
● St. Elmo’s Nursing Home -15 dementia specific low care<br />
beds 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 />
● Continence Advisory Service<br />
● Commonwealth Emergency Relief Program<br />
● Diabetes education<br />
● Drug and alcohol Counselling<br />
● Drought Counselling<br />
● Falls and Balance Clinic<br />
● Family Counselling<br />
● Food Services<br />
● Foot Clinic<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 Support<br />
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 –<br />
Co-located service with Latrobe Regional Hospital.<br />
Self Help/Support Groups<br />
● Cardiac, Respiratory and Stroke (CARDS) combined<br />
support group<br />
● Arthritis<br />
● Cancer<br />
● Carers<br />
● Diabetes<br />
Community Services<br />
● Adult Day Activity Support Service (ADASS)<br />
● Community Health<br />
● Community Nursing<br />
20
<strong>Annual</strong> <strong>Report</strong><br />
2006/<strong>2007</strong><br />
Management<br />
Ms. C. Boag, Executive Director<br />
Mr. P. Craighead, Executive Director<br />
Mrs. S. Robertson, Executive Assistant<br />
Ms. K. Hansen, 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 />
Ms. D. Eldridge<br />
Staff Development and Training Officer<br />
Ms. J. Rash<br />
Ms. D. Eldridge<br />
Care Co-ordinators<br />
Mrs. M. Ford<br />
Mrs. M. Garland<br />
Mrs. A. Worboys<br />
Infection Control Practitioner & Clinical Support Nurse<br />
Mrs. K. Hurrell<br />
Registered Nurses Division One<br />
Mrs. M. Avery-Sproul<br />
Mrs. J. Barlow<br />
Mrs. L. Blackshaw<br />
Mrs. G. Cayzer<br />
Miss J. Chippindall<br />
Mrs. G. Christison<br />
Mrs. D. Cooper<br />
Mrs. D. Herdman<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 />
Ms. A. Mattern<br />
Mrs. N. Platt<br />
Miss L. Slayford<br />
Mrs. S. Stainer<br />
Miss L. Staley<br />
Mrs. K. Vuksinic<br />
Mr. T. Waugh<br />
Mrs. G. Wilson<br />
Ms. S Trevaskis<br />
Mrs. M. Wigg<br />
Registered Nurses Division Two<br />
Ms S. Austin<br />
Ms L. Lloyd<br />
Mrs. L. Braun Mrs. L. Lowther<br />
Mrs. J. Clarke Mrs. C. Mills<br />
Miss J. Clarke Miss. K. O’Mara<br />
Ms K. Corn<br />
Mrs. R. Packham<br />
Ms J. Donaldson Miss. B. Shea<br />
Mrs. L. Duthie Mr. I. Sproul<br />
Mrs J. Florey Mrs. L. Thunder<br />
Miss S. Groves Mrs. H. Westwood<br />
Mr. B. Herdman Mrs. M. Willis<br />
Mrs. M. Kerr<br />
Personal Care Attendants<br />
Mrs L. Bennett<br />
Mrs. R. Boulton<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 />
Activities Staff<br />
Ms. J. Bond<br />
Ms. H. Fox<br />
Ms. J. Ishmakovich<br />
Ms T. Kovacik<br />
Community Services<br />
Director<br />
Mr. S. Elvy<br />
Adult Day Activity Support Services<br />
Ms. L. O’Neill<br />
Ms. T. Kovacik<br />
Allied Health<br />
Mrs. J. Walters<br />
Clinical Staff<br />
Ms. L. Bland<br />
Mr. A. Chan<br />
Miss G. Diplock<br />
Miss. S. Groves<br />
Miss C. Hartwig<br />
Mrs S. Hinkley<br />
Community Nursing<br />
Mrs. K. Craighead<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 />
Mrs L. Thunder<br />
Ms. T. Withall<br />
Registered Nurses Division One<br />
Mrs. M. Barlow<br />
Mrs. J. Finlay<br />
Mrs. M. Paterson-Dick<br />
Miss S. Trevaskis<br />
Miss R. Tyler<br />
Registered Nurses Division Two<br />
Mrs. L. Thunder<br />
Mrs. J. Lee<br />
Ms L. O’Neill (on leave)<br />
Mrs. R. Walker<br />
Mrs. B. Lynch<br />
Mrs. K. Mason<br />
Mr. R. Patel<br />
Miss S. Shepherd<br />
Miss T. Thurman<br />
Ms J. Travers<br />
Home and Community Care Services<br />
Mrs. I. Zygarlicki<br />
21
<strong>Annual</strong> <strong>Report</strong><br />
2006/<strong>2007</strong><br />
Direct Care Staff<br />
Mrs. P. Bland<br />
Mrs. R. Boulton<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 />
Client Services Officer<br />
Ms. M. Veneman<br />
Diabetes Education Services<br />
Mrs. M. Barlow<br />
Mrs. M. Paterson-Dick<br />
Health Promotion Services<br />
Ms. C. McHugh<br />
Miss E. O’Hara<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 />
Mrs. K. Foat<br />
Mrs A. Kay<br />
Maternal & Child Health<br />
Miss. J. Chippindall<br />
Mrs. W. Cartledge<br />
Mrs. C. Lade<br />
Youth and Family Services<br />
Ms. J. Coolidge<br />
Mr. G. Brewer<br />
Staff<br />
Ms. K. Disney<br />
Mrs. M. Fraser<br />
Mrs. K. Lewandowski<br />
Miss. M. Mitchell<br />
Yarram Medical Centre (Joint Venture)<br />
Medical Officers<br />
Dr. C. Luiz<br />
Dr. R. Nandha<br />
Dr. V. Ravikumar<br />
Dr. L.Testro<br />
Practice Manager<br />
Ms. C. Boag<br />
Mrs. E. Ripper<br />
Registered Nurses Division One<br />
Mrs. K. Foat<br />
Mrs. S. Hinkley<br />
Miss A. Holman<br />
Mrs. B. Knibbs<br />
Mrs. P. McLachlan<br />
Miss K. McLeish<br />
Mrs. E. McLeish<br />
Ms. M. O’Connor<br />
Mrs. C. White<br />
Ms. D. Owens<br />
Mrs. D. Robinson<br />
Ms. M. Rose<br />
Dr. M. Vujosevic<br />
Dr. C. Wong<br />
Dr. Z. Zafar<br />
Mrs. K. Norman<br />
Ms. E. Hopkins<br />
Administrative Staff<br />
Mrs. S. Bland<br />
Mrs. J. Cunningham<br />
Mrs. J. Moore<br />
Mrs. E. Ripper<br />
Mrs. A. Terhorst<br />
Corporate Services<br />
Director<br />
Ms. L. Duncombe<br />
Administration Staff<br />
Mrs. S. Abernethy<br />
Mrs. S. Bland<br />
Miss. S. Coles<br />
Mrs. J. Cunningham<br />
Ms. M. Seton<br />
Finance and Payroll<br />
Mr. G. Kipps<br />
Ms. M. Rose<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 />
Mrs. M. Darby<br />
Ms. M. Gardner<br />
Stores Officer<br />
Mr. S. Parker<br />
Mr. R. Thomas<br />
Engineering and Maintenance Supervisor<br />
Mr. G. Admiraal<br />
27<br />
Maintenance Staff<br />
Mr. E. Smith<br />
Mr. G. Young<br />
Mr. P. Wilson<br />
Occupational Health and Safety<br />
Mrs. M. Ford<br />
Youth Enterprise Project<br />
Mr. G. Barnes<br />
Ms. N. Houchen<br />
Mr. N. Merrett<br />
Ms. K. Palling<br />
Mrs. C. Parker<br />
Mr. S. Parker<br />
Mrs. V. Ramsay<br />
Mrs. P. Selzer<br />
Mrs. C. Thomas<br />
Ms. J. Travers<br />
Mrs. M. Triantafyllou<br />
22
<strong>Annual</strong> <strong>Report</strong><br />
2006/<strong>2007</strong><br />
Contracted Services<br />
Podiatry<br />
Gippsland Foot Clinic Pty Ltd<br />
Francie Feet Foot Care<br />
Dietetics<br />
<strong>Central</strong> Gippsland Health Service<br />
Psychology<br />
Murrindindi Counselling<br />
Mr. G. Brewer<br />
Grounds Maintenance<br />
Wellington Shire Council<br />
Medical Records<br />
<strong>Central</strong> Gippsland Health Service<br />
Pathology<br />
Gippsland Pathology Service<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. R. Brownlee, MBBS FRACR<br />
Dr. K. Stribley, MBBS FRACR<br />
Rural Counselling<br />
Rural Family Resources<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 />
23
<strong>Annual</strong> <strong>Report</strong><br />
2006/<strong>2007</strong><br />
E MERICAL CENTRE<br />
MEDICAL CENTRE<br />
E<br />
D<br />
MULTI - PURPOSE<br />
CENTRE &<br />
MATERNAL &<br />
CHILD HEALTH<br />
CLINIC ENTRANCE<br />
COMMERCIAL ROAD (South Gippsland Hwy)<br />
D<br />
MULTI-PURPOSE CENTRE<br />
MATERNAL &<br />
CHILD HEALTH CLINIC<br />
ADMINISTRARION ENTRANCE<br />
NICOL STREET<br />
- No access to casualty<br />
- No after hours access<br />
For Administration, Billing enquiries<br />
Pathology, Radiology, Allied Health<br />
C<br />
Hours of access<br />
8.00 am - 5.30 pm, Monday - Friday<br />
(formerly main entrance)<br />
Off Commerical Road<br />
B<br />
C<br />
ADMINISTATION<br />
ENTRANCE<br />
CASUALTY &<br />
AFTER HOURS<br />
Ring bell hard and pull door to enter<br />
After Hours - ring bell and wait.<br />
A nurse will come from the wards<br />
to assist you as soon as possible.<br />
A<br />
MAIN<br />
ENTRANCE<br />
Hours of access<br />
8.00 am - 5.00 pm, 7 day a week<br />
Off Nicol Street<br />
CHURCH<br />
ROAD<br />
DEVON STREET<br />
ENTRY TO<br />
CARPARK VISTOR<br />
CARPARK<br />
EVELYN STREET<br />
B<br />
CASUALTY & AFTER<br />
HOURS ACCESS<br />
ENTRANCE<br />
For Acute Services, Nursing Home.<br />
Hours of access<br />
8.00 am - 8.00 pm, 7 day a week<br />
Off Commercial Road<br />
A<br />
MAIN ENTRANCE Via<br />
VISITORS CAR PARK<br />
ACCESS POINTS<br />
TO THE MAIN BUILDING OF YARRAM AND DISTRICT HEALTH SERVICE<br />
24