YDHS Annual Report 2007 (3.4Mb pdf) - GHA Central

Annual Report
2006/2007

Incorporating the
91st Annual Report
Annual Report
2006/2007
of the Yarram and District Health Service Annual Report 2006-7
Contents
Organisational Objectives
Preview
Organisational Structure
Board President and Executive Director’s Report
Tribute: James David “Fred” Jenkins
Governing Body, Auditor and Senior Officers
Report on Operations
Clinical Services
Community Services
Corporate Services
Organisation Wide Survey
Donations, Past Presidents
Statutory Requirements
Services
Staff
2
2
3
4
6
6
7
9
12
14
16
19
20
21
2006-7
Annual Report
Yarram and District Health Service
Main Campus: 85-91 Commercial Road, Yarram, Vic. 3971
Baker’s Community Service Centre: 121 Commercial Road,
Yarram, Vic. 3971
Edgar House: 20 Nicol Street, Yarram, Vic. 3971
Postal Address
PO Box 61, Yarram, Vic. 3971
Telephone: 03 5182 0222
Facsimile: 03 5182 6081
Email: yarram.health@ydhs.com.au
www.yarramhealth.org.au
1

Annual Report
2006/2007
Organisational Objectives
Mission Statement
The Yarram and District Health Service seeks to maintain and
enhance the health of the community through the provision of
quality care that is cost effective, efficient, equitable and
consumer focussed.
Vision
The vision for the Yarram and District Health Service is to be an
effective, community based service.
Core Values
The Yarram and District Health Service regards caring, integrity,
quality, professionalism and cost effectiveness as being its
core values.
Objectives
● To provide health care services capable of delivering a
continuum of care to our community
● To continually improve quality service delivery
● To provide services that promote health improvement and
prevention of illness
● To respond to the health care needs of the community
through the ongoing process of consultation and planning
● To communicate all services to our community.
Overview
The Yarram and District Health Service is located 220
kilometres south east of Melbourne on the South Gippsland
Highway in Wellington Shire. It is about one hour’s drive south
west of Sale and 50 minutes drive time south east of Traralgon.
The township of Yarram is the principal centre of the local
region and services an area of approximately 1,840 square
kilometres and a catchment population of 5,580.
The Health Service was originally the Yarram and District
Hospital, inaugurated on 1 January 1912, admitting its first
patient in January 1917.
In 1993, the hospital name was changed to the Yarram and
District Health Service to reflect its evolution into a multi
purpose service more appropriately positioned to meet the
needs of the wider community.
The Yarram and District Health Service now operates under the
Department of Human Services’ Small Rural Health Services
program and provides a comprehensive range of primary care
services.
Following extensive expansion and refurbishment, it also now
accommodates 20 acute beds and 15 high and 15 low aged
care beds.
More recently, a 30 bed aged care hostel adjacent to the
Health Service has come under the management structure.
Highlights
The Health Service is awarded four year accreditation by the
Australian Council on Healthcare Standards (ACHS) following
a two day organisation wide survey in August 2006. ACHS
awarded the Health Service maximum accreditation, valid until
July 2010.
Yarram and District Health Service reports an operating surplus
of $402,431 for the 2006-2007 financial year. Surplus funds
are directed to the maintenance of infrastructure, service
improvement and expansion and facility improvement.
Peter Craighead, after 17 years at Yarram and District Health
Service, formally resigns to take up the position of Chief
Executive Officer at Central Gippsland Health Service in Sale.
He had been on a two year secondment as Administrator at
Central Gippsland.
Colleen Boag is appointed as Executive Director in February
2007, after acting in the position for two years. In March
2007 Steven Elvy accepts the position of Director of
Community Services.
Mr Frank Baggaley resigns from the Board after 24 years of
service. He was awarded a Life Governorship in 2005.
Former Board member and well known local businessman
Fred Jenkins passes away in June 2007. He retired from the
Board in 1999 and was awarded Life Governorship the
following year.
The Community Services division provides drought counselling
services after receiving funding from the Department of Human
Services. The project connects farmers and their families to
much needed services to help them with the drought and the
issues it creates.
A foot clinic is developed within the Community Nursing
Department. The service screens clients to determine the most
appropriate foot care service for their needs and provides foot
care for low-risk clients. Its introduction has decreased the
waiting times for high-need clients accessing the Allied Health
Podiatry service.
The Allied Health team provides record hours of service to
community clients and inpatients during this year. The services
include physiotherapy, occupational therapy, speech
pathology, dietetics, podiatry and personal alarm assessment
services to residents of the local community.
Community Nursing increases the number of visits by 800 and
continues to see an average of 100 clients a month.
Internal and external audits to measure standards of
cleanliness and linen services show an excellent result. The
external audit resulted in an overall hospital score of 97.64
percent, while the overall result from staff audits was 96.16
percent, to the delight of Environmental Services.
2

Annual Report
2006/2007
YARRAM & DISTRICT HEALTH SERVICE ORGANISATIONAL STRUCTURE
Board of Management
Quality Improvement Sub
Committee
Executive Internal Audit Sub Committee
Combined Sub Committee
Executive Director
Director Medical Services
Deputy Executive Director
(Vacant)
Director Corporate Services Contracted Services
Director Community
Services
Director Clinical Services
Alberton Consulting
Crossley House Hostel
Yarram Medical
Centre
■ Administrative Services
■ Maintenance Services
■ Environmental Services
■ Food Services
■ Stores and Supply
■ Human Resources
■ Occupational Health and Safety
■ Contracted Services
■ Finance/Payroll
■ Crossley House Payroll & Finance
■ Residential Aged Care Administration
Youth and Family
Services Co-ordinator
■ PDRSS
■ Housing & Welfare Services
■ Family Services
■ Social Work
Home Care
Co-ordinator
Allied Health
Co-ordinator
■ Dietetics
■ Occupational Therapy
■ Physiotherapy
■ Speech Pathology
■ Podiatry
Quality
Co-ordinator
■ Staff Training & Development
■ Risk Management
■ Home Care
■ Personal Care
■ Respite
■ Volunteers
■ Food Services
■ Property Maintenance
Community Health
Services
■ Psychology
■ Health Promotion
■ Community Health
■ Drought Counselling
Care
Co-ordinators
■ Direct Care Staff
■ Inpatients/Residents
■ Non Admitted Patient Services
■ Postnatal Services
■ Medical Services
■ Dialysis Services
■ Accident and Emergency
■ Graduate Nurse Program
■ In Service Education
■ Residential Activities
■ Infection Control
■ Clinical Support Services
Community Nurse
Co-ordinator
■ Direct Care Staff
■ Maternity Support
■ Maternal & Child Health
■ Diabetes Education
Client Services Officer
■ Client Intake
3

Annual Report
2006/2007
Board President and Executive
Director’s Report
We are proud to present this 91st report to the Yarram and
district community.
A notable occurrence during the 2006/7 financial year was
the resignation of Peter Craighead, Yarram and District Health
Service Executive Director, and the subsequent appointment of
Colleen Boag as his successor.
Peter Craighead, following a two year secondment to the
Central Gippsland Health Service in Sale, has accepted the
Chief Executive Officer role there.
We commend our staff and volunteer workforce for their
professionalism and dedication, with many achievements
throughout a challenging year. The strength of our team and
the support of the wider community enables the Health Service
to successfully respond to the changing health requirements of
the local community.
Important Changes at Board and
Executive Level
At the 2005/6 Annual General Meeting in October 2006
Peter Craighead’s formal resignation as Executive Director was
announced. Congratulations were extended to Peter on his
appointment as Chief Executive Officer at Central Gippsland
Health Service, Sale along with the Board’s sincere thanks for
Peter’s work during his 17 years at Yarram and District
Health Service.
In November the Board farewelled Mr Frank Baggaley
following his resignation from the Board and extended its
appreciation for his remarkable 24 years service as a Board
Member. Frank was a worthy recipient of the Life
Governorship awarded to him in 2005. The occasion of
Frank’s departure caused many to reflect on the cumulative
years of history we share with our fellow Board colleagues and
long-term staff members.
A comprehensive orientation session for newly appointed
Board members, Mrs Fran Stephens and Mr Martin Moore,
was run in November. Fran and Martin were apprised of the
Board and organisational structure and the format of Board
meetings thoroughly explained. Current Board activities, issues
and the Board’s accountability framework were also described.
An orientation session was also arranged for Ms Susan
Hopkins who joined the Board’s Internal Audit Sub-Committee
as a Community Representative in June 2007.
In January 2007 the Board announced the appointment of
Ms Colleen Boag to the position of Executive Director.
The Department of Human Services supported the
recommendation that Colleen be appointed to the position.
The decision was well-received among Yarram and District
Health Service staff and the Yarram community.
In March 2007 Steven Elvy accepted the position of Director of
Community Services in which he had been acting for the
previous 16 months. Steven continues the development of
programs and activities on which he had been working during
this period.
We were saddened at the passing of James David “Fred”
Jenkins in June 2007. Awarded Life Governorship in 2000,
Fred retired from the Board of Management in 1999 after 25
years of service. More recently Fred had continued his support
of the Health Service as a community representative on the
Internal Audit Committee.
Dr Rakesh Nandha was farewelled in June 2007 after almost
six years serving the community as a General Practitioner at
the Yarram Medical Centre. We wish him well with his career
ambitions and family commitments.
Quality Improvement
A highlight of the year was four year accreditation by the
Australian Council on Healthcare Standards (ACHS).
In August 2006 the Board and staff hosted a two day
organisation wide survey. Staff, each department and their
processes, policies, record-keeping and initiatives were
evaluated by independent assessors appointed by the ACHS.
The Health Service was awarded the maximum four years
accreditation, valid until July 2010.
The Healthcare Standards team commented that Yarram and
District Health Service “has taken on the challenges of change,
improvements to services and demonstrated very competent
organisational and financial management, and provides a
quality and appropriate range of services to the community.”
Continuing accreditation is dependent upon our ability to
maintain the excellent standards demonstrated to the assessors
during their visit.
To this end, the Service has reviewed its Quality Action Plan in
response to recommendations made by the assessors and
signed off on the document in March 2007. Regular tracking
of progress gives us confidence that our staff will meet the
challenge and we congratulate everyone for their efforts in
achieving this outcome.
Posters demonstrating best practice that were developed for
the ACHS Survey have been shared with other health services
through various conferences and quality forums.
Community Participation
The Yarram and District Health Service continued its very active
involvement in community projects. This year these included:
● Sponsorship of the Rotary Art Show during the Tarra Festival
● A Yarram and District Health Service Float in the Tarra
Festival street procession
● Participation in the Retirement and Ageing Expo
● PitStop Men’s Health screening programs in May and
June 2007
● Mobile Breast Screen van with all appointments filled
● Sponsorship of Yarram Secondary College Psychology
Award
4

Annual Report
2006/2007
● Support of Yarram Childcare Project
● Quality of Care Report seeking feedback from Yarram and
District community
● Parents with Prams picnic in the park in May 2007
● Membership of the Community Advisory Group for the
Wulgunggo Ngalu Learning Place
● Support for the development of the Alberton Rail Trail
The high visability Breastscreen van is pictured during its two month appointment run.
Service Delivery
The Board’s commitment to the provision of timely and effective
planning and decision making continued throughout the year.
The Board has continued to work with the Crossley House
Committee of Management to progress the integration of
Crossley’s services into Yarram and District Health Service.
Although the way forward has been challenging, the Board
continues in its resolve to progress integration as it believes this
will deliver the best outcome for aged care services in the
Yarram community. A date for integration is imminent.
Other service initiatives for 2006/7 included:
● Expansion of the successful GP Training program
● Ongoing building program including the planned
refurbishment of Administration, Allied Health and
Reception offices
● The implementation of WeCare IT-based care planning
and data collection system across residential aged care.
● Development of Foot Care Clinic in Community Nursing
● Completion of Victorian Quality Council’s Hand
Hygiene Project.
Business Management
A range of reviews and actions that focus on improving
Board processes and the development of Board expertise
has occurred.
The Board has adopted a suite of tools to assist in its role
including a Corporate Governance Policy, a new financial and
compliance reporting framework and a board performance
assessment program.
The functions and terms of reference for the Internal Audit and
Quality Improvement Sub-Committees have been amended to
incorporate risk management and cultural diversity
accountability. The work of the Sub-Committees is integral to
efficient board governance and the review of the role, scope,
reporting framework and operational efficiencies will contribute
to this.
Activities for the year included a presentation to the Board by
the Australian Institute of Primary Care (AIPC) in March 2007,
attendance at the Ministerial forum hosted by Minister
Bronwyn Pike in April 2007 and participation in Victorian
Health Boards Governance Program (VHBG Program)
workshops.
Yarram and District Health Service supported regional health
innovations and development through participation in the Sub
Acute Services Review, Gippsland Health Alliance, Gippsland
Health Services Partnership, South Coast Health Service
Consortium and the Wellington Primary Care Partnership.
The Health Service also participated in five Health Smart
Business Advisory Groups that inform the development, testing
and promotion of HealthSmart, the DHS Information
technology footprint for health. HealthSmart products will be
rolled out across finance, human resources, payroll and patient
services in late 2007.
Yarram and District Health Service is pleased to report an
operating surplus of $402,431. The end of year position is
indicative of a balance between profitability, increased service
provision and sustained asset maintenance. Health Service
surplus was directed toward improvements in dialysis, medical
staff recruitment and accommodation and increased allied
health and support services.
Yarram and District Health Service works in partnership with the
State Government’s Department of Human Services, the
Federal Government Department of Health and Ageing,
Local Government and our local politicians. We express our
gratitude for these on-going and important partnerships.
Reward and Recognition Program
A further three staff have been recognised for their years of
service to Yarram and District Health Service. We congratulate
Gabriele Wilson, Veronica Ramsay and Julie Cook on
reaching the ranks of 10-year staffers.
We take this opportunity to recognise the enormous
contribution made by the members of our Auxiliary and by
our wonderful volunteers.
Their dedication and enthusiasm is sincerely appreciated. We
extend our thanks to the management team for their effort and
support and to all the Yarram and District Health Service staff
who have worked hard and with such good spirit to deliver
another successful year’s result.
Jenni Clarke
Board President
Colleen Boag
Executive Director
5

Annual Report
2006/2007
The Board of Management
Left to right standing: Sheryl Saynor, Warwick Boddy, Brian Lee,
John Speed, Martin Moore.
Left to right seated: Megan Houchen, Fran Stephens, Jenni Clarke and Bill Bodman.
Pictured below Debra Cerasa, Penny Earle and David Hill
Tribute
Fred Jenkins
11th May 1931 – 1st June 2007
Board members, management
and staff of Yarram and District
Health Service were deeply
saddened by the death of former
Board Member, Mr James David
“Fred” Jenkins.
Well known as a Yarram retail
identity, Fred’s 25 year
contribution to the Health Service
was formally recognised with his
appointment as a Life Governor in 2000. More recently Fred
continued his commitment to Yarram and District Health Service
as Community Representative on the Internal Audit
sub-Committee of the Board.
Fred’s contribution to Yarram and District Health Service was
appreciated by the rest of the Board, not least because of his
commonsense approach and business experience.
He also brought a great fellowship, sense of humour and
general good nature that made him a very popular
companion to all.
Fred’s family is proud of his community work not only with the
Health Service but as 1981/82 Lions President and his
Presidency of the Chamber of Commerce. Fred was also a
Justice of the Peace and a long-term sponsor of the Yarram
Football Club.
Fred’s passing shook the Yarram community. He will be long
remembered and greatly missed by those who knew him.
Governing Body, Auditor and
Senior Officers
Board of Management
Mrs. J. Clarke
Mr. W. Bodman
Mrs. S. Saynor
Mr. D. Hill
Mrs. P. Earle
Mr. B. Lee
Mr. J. Speed
Mr. W. Boddy
Ms. M. Houchen
Mrs. D. Cerasa
Mrs. F. Stephens
Mr. M. Moore
Mr. F. Baggaley
The Executive Team
From left:
Steven Elvy Director
Community Services.
Colleen Boag
Executive Director.
Louise Duncombe Director
Corporate Services.
and Marj Brosche Director
Clinical Services.
Executive Director
President
Senior Vice President
Junior Vice President
Treasurer
Treasurer (Retired)
Ms. C. Boag
SRN, B. Health Science, Grad Dip Health Science
(Comm. Health)
Director of Community Services
Mr. S. Elvy, B Sc (Human Movement), BAppSc (Physiotherapy),
Grad. Dip. Health Services Mgt.
Director of Clinical Services
Mrs. M. Brosche, SRN, B. Nursing
Director of Corporate Services
Ms. L. Duncombe, Grad Dip Case Mgmt, MHA.
Responsible Ministers
The Hon. Bronwyn Pike MLA, Minister for Health
The Hon.Gavin Jennings MLC, Minister Community Services
The Hon. Candy Broad MLC, Minister Housing
The Hon. Tony Abbott MHR, Federal Minister for Health &
Ageing
Auditor
Auditor General of Victoria
Medical Adviser
Dr. C. Winter, MB BS, GMQ, MBA, FACEM
Agent Armitage Downie, Sale
6
Visiting Medical Officers
Dr. I. McConachie, MB BS
Dr. C. Luiz, MB BS
Dr. C. Wong, MB BS
Dr. M. Vujovesic
Dr. L. Testro, MB BS
Dr. R. Nandha, MB CHB
Dr. Z. Zafar, MB BS
Dr. V. Ravikumar

Report on Operations
The health service/hospital is established under the Health
Services Act 1988. The responsible Minister during the
reporting period is the Hon Bronwyn Pike MP.
Clinical Services
The Clinical Services Division encompasses all patient care
departments, including direct care, postnatal and medical
services, accident and emergency and residential activities.
It is also responsible for Quality Improvement and staff
training and development activities.
The following are highlights from the year.
Accreditation
The Aged Care Standards and Accreditation Agency made an
unannounced support visit in August, and the Health Service
was up to the task.
It was successful in all 44 standards, thanks to the hard work
and ongoing commitment by all staff to providing quality care
for our residents.
Falls prevention
Another major focus this year has been on the Falls Risk
Prevention Program. The focus of this program is to reduce the
number of falls by inpatients and residents and to minimise the
risks of injuries associated with falls.
Palliative Care
The Palliative Care Room in the hospital’s Acute area has now
been fully furnished thanks to the hard work of the Palliative
Care Fundraisers. The room is used by palliative care patients
and their families, with very positive feedback about the room
and facilities.
St Elmo’s and Crossley House
In St Elmo’s Nursing Home and Crossley House, a new
computerised documentation system, named WeCare TM ,
has been introduced.
The system went “live” in May and uses a hand held device
linked to a computer so that information, such as care plans,
can be accessed at the bedside. Assessments and other
documentation can be done at the time of care, rather than
waiting until the end of the shift. This system is expected to
improve utilisation of staff time, and improve comprehensive
documentation.
Activities staff have been busy offering aged care residents
Pam Steele (L) and Raylene Calman (R)
present to YDHS Acute Care Coordinator,
Mary Garland with a painting donated to
YDHS for the Palliative Care Room.
Annual Report
2006/2007
the choice of a wide range of activities incorporating many
special events, including ANZAC Day, the Tarra Festival,
and Australia Day.
St Elmo’s also participates in the Friends for Older People
program facilitated by the St John Ambulance.
Dialysis
A third dialysis chair, jointly funded by Waratah Auxiliary and
Yarram Lions Club, was purchased. This increases capacity to
assist people who require dialysis in the local area and
occasionally those visiting the area.
Infection Control
Participation in the Victorian Quality Council Hand Hygiene
Project has delivered a remarkable result, improving the
pre-implementation compliance rate of 18.68 percent to 93.99
percent within the first nine months.
While the sample size for auditing purposes was small
the results still reflect an overall picture of hand hygiene
improvement.
Participation in the project started July 2006 and continued up
to end of June 2007. The primary aim was to implement an
intensive infection prevention program to reduce infections in
health services throughout Victoria.
The multi-interventional program included introduction of an
alcohol-chlorhexidine hand rub product in combination with
sustained education and cultural change. Other interventions
included the introduction of a credentialing program and the
formulation of hand hygiene policies and procedures to
support the program.
What was achieved was fantastic, with essentially a 75 percent
improvement rate.
The work in hand hygiene still continues as part of the
infection control program and will continue to grow as results
from this year’s program reflect the benefits for our consumers
and improve the safety and quality of health care.
The Health Service increased the annual influenza vaccination
program for health care workers. Influenza is a potentially
fatal disease that causes up to 1,500 deaths in Australia each
year. Annual immunisation of healthcare workers has been
cited as the most efficient method of minimising exposure of
vulnerable people to a potentially lethal virus strain.
Last year we recorded 48 percent participation by health care
workers and then set a goal of 60 percent for this year. That
aim was exceeded with more than 70 percent of permanent
health care workers participating.
The campaign will continue at this level with the goal of
achieving an uptake rate of at least 75 percent in our health
care facility. The annual immunisation program complements
the Victorian Health Management Plan of preparation for
Pandemic Influenza. The threat of a pandemic has been in the
world news for some time.
The aim of the Victorian Health Management Plan is to
provide an effective health response framework to minimise
7

Annual Report
2006/2007
Report on Operations
morbidity and mortality associated with influenza pandemic
and its impact on the Victorian community, health care system
and the economy.
This work will continue well into the next few months as the
greatest challenge in planning for a pandemic is predicting if
and when it will occur and how virulent the strain. It is
important that plans are in place to protect the community and
those working within the health service.
Staff Development and Training
The Education Fund, established by the Board of Management
eight years ago, continues to support individual applications
from staff to attend conferences and seminars for professional
development. This year, 19 applications were approved.
Staff supported by the Education Fund are required to share
their learning experience with colleagues by conducting an
in-service education activity or providing a written report which
is posted on the computer network for all staff to access.
The Fund is administered by the Education Committee, made
up of representatives from several Yarram and District Health
Service departments.
● Review of the complaint procedures, forms, and policy
● Embracing cultural diversity and awareness and including it
in our Staff Orientation Manual, and making it a
permanent item on our Board of Management’s Quality
Improvement Sub-Committee Agenda
● Publication of the Quality of Care Report 2006 and
organising the publication for 2007
● Continued review of risk management plans, procedures
and tools
● Continued education on quality, incident reporting, risk
management and root cause analysis as offered through
the Department of Human Services.
Yarram and District Health Service continues to offer traineeships
to young people, clinical placement for tertiary students
and work experience for secondary school aged students.
The Health Service is pleased to offer these learning
experiences to students and proud of the way staff go about
supporting the program.
Staff education and training needs are analysed on a regular
basis and the health service’s training plan reviewed according
to a scheduled review process.
Quality Improvement
Phase three of the Evaluation and Quality Improvement
Program was a major focus in the latter part of the year, and
the Self-Assessment Series 2 was completed and submitted
shortly after the end of the reporting period.
Health care organisations participate in the Quality
Improvement Program during the four year period of
membership in the Australian Council on Healthcare
Standards (ACHS).
The program consists of at least one event each year as part
of a continuous quality cycle.
The Self-Assessment is an important management tool that
assists organisations to think “what are we doing, why are we
doing it and what else must we do?”
Health Service accreditation with the ACHS is a voluntary
process but many hospitals participate to assure consumers
and the wider community that their health provider is a quality
and safety focussed organisation.
Some of the other activities undertaken by the Quality
Department this year include:
● Review of staff and student orientation process
and documentation
YDHS proved a safe temporary haven for this
bushfire refugee. While closely assessed, he
was deemed ineligible for a room at St Emo’s
8

Report on Operations
Community Services
One of the major issues of the year has been the impact
of drought.
To help address some of the issues for farmers and their
families, the Community Services Division received funding
from the Department of Human Services to provide drought
counselling services.
This has resulted in many of the farmers and their families
being connected to much needed services, based locally, to
help them with the drought and the issues it creates.
The podiatry service delivered through the Allied Health
Department and Gippsland Foot Clinic was reviewed due to
long waiting lists and extended periods between podiatry
appointments.
The result was the development of a foot clinic within the
Community Nursing Department to create a weekly service.
Staff at the clinic screen clients to determine the most appropriate
foot care service for their needs and provides foot care for
low-risk clients. Its introduction has decreased the
waiting times for high-need clients accessing the Allied Health
Podiatry service from 2-3 months to 1 month at most.
The Diabetes Education Service was also reviewed during the
year by benchmarking the service against the International
Diabetes Education Standards. The service is being developed
through initiatives from the Department of Human Services in
the areas of diabetes self management and chronic disease
management. This work will continue in the 2007/8
financial year.
The continued professional development of Health Service staff
is essential to the success of many programs. This year
community services staff have been supported in their skill
development, attending short courses and seminars on a
range of subjects including foot care, integrated family services
and mental health first aid.
Allied Health
The Allied Health team has provided a record of 11,863 hours
of service to community clients and inpatients during this year.
The services include physiotherapy, occupational therapy,
speech pathology, dietetics, podiatry and personal alarm
assessment services to residents of the local community.
The clients include residents of St Elmo’s Nursing Home and
Crossley House; acute, rehabilitation, and geriatric evaluation
and management inpatients; and community clients of varying
ages and abilities.
New groups have been formed to help provide equitable
services to all clients, with increased attendance noted in
existing groups. All groups have goal-orientated programs with
defined individual outcomes.
These groups include the SafeMoves program, an exercise
and education program designed to help reduce a client’s risk
of falling, the Prime Movers groups, to help increase the health
and fitness of clients through exercise programs and Early
Intervention groups, to assist children to learn or refine their
language, speech or motor skills.
Annual Report
2006/2007
Additional staff have joined the Allied Health team to allow an
increased range of programs and more efficient services.
A new position was created for a second full-time
Occupational Therapist in August 2006. Additional Speech
Pathology hours were also obtained to increase the range of
services offered.
Embracing Rural Health Careers – L to R: Tarlee-Ann Thurman, Catherine Hartwig and Ronak Patel
(Allied Health), Lauren Slayford (Community Nursing) and Emily O’Hara (Health Promotion Officer)
The Allied Health team has continued to provide health
education programs, such as education and screening
assessments, and to increase awareness of Allied
Health services.
One such program was ‘kinder’ screening. This involved short
assessments by the Occupational Therapist, Speech Pathologist
and Maternal and Child Health Nurse to screen
kindergarten-aged children in the areas of speech, language,
motor skills and general health. More than 60 children were
screened during the year representing almost 100% of all
children attending three and four year old kindergarten in
Yarram. The addition of the Maternal and Child Health Nurse
also provided a more efficient and accessible service, as
previously parents were required to bring their children to the
Health Service for general health screening, while
Occupational Therapy and Speech Pathology screenings were
conducted at the kindergarten.
Several other multidisciplinary projects are being conducted in
conjunction with other departments to ensure the best quality
care available. These include a project to better manage
clients with dysphagia (swallowing difficulties); a review of the
Inpatient Rehabilitation program to enable rehabilitation
clients to meet their goals more efficiently; and the Well for Life
project to provide increased opportunity for exercise and good
nutrition for Adult Day Activity Support Services (ADASS) clients.
Community Care
The Community Care team has continued to maintain, develop
and evaluate programs that ensure a seamless transition for
clients, carers and families as they move from acute care back
to the community. A major aim is to support them in their
home for as long as possible.
The services provided to do this include:
● Client Intake
● Community Nursing
● Home and Community Care Service
● Home care
9

Annual Report
2006/2007
Report on Operations
● Meals on Wheels
● Personal care
● Adult Day Activity Support Services
● Home Maintenance
● Client Services
● Maternity Support Service
● Palliative Care
● Foot Clinic
Client Intake
The Client Intake process has continued to grow since first
offered by Community Services in January 2005.
This year 452 people have undertaken a needs-based
assessment, demonstrating that client intake is an efficient
referral process that ensures the accurate collection of client
information, ease of access and referral to services.
At the start of 2007 the electronic referral service coordination
system was introduced to our intake process. This is gradually
being rolled out in agencies across the region which will have
an impact on the number of referrals received by the Client
Intake Service.
Community Nursing
Community Nursing has increased the
number of visits to clients by 800 this
year and continues to see an average
of 100 clients a month.
The Community Nursing Coordinator
continues to participate in activities of
the Palliative Care Reference Group,
which informs the Gippsland
Consortia on issues of concern and
areas of need.
Our Health Service held two very
successful workshops as part of its
participation. As well, the hard work of the participants has
seen a good representation of their work published in
“Growing Through Loss,” stories of Palliative care in Gippsland.
The book was launched in May this year.
Staff member, Rebecca Tyler RN Div I, has been successful in
completing a Post Graduate Certificate in Wound
Management and has been able to expand the scope of the
wound care nurse across the residential, acute and
community divisions.
Home and Community Services
Rebecca Tyler received the prestigious
Vivian Bullwinkel award at a
memorial service for Australian nurses
who died during World War II. The
award supports Rebecca’s graduate
studies in wound management.
Home and Community Services continues to support eligible
frail aged and disabled clients to remain in their own homes.
Our home and personal care staff delivered an average of
760 hours care per month to approximately 250 clients
throughout the financial year. These services included personal
care, in home respite and home care.
Staff have also responded to many personal alarm calls
through the Home and Community Care (HACC) response
service. Through this service, frail clients who do not have
family or friends residing in the area are able to have a carer
visit their home in response to their personal alarm.
The Well for Life Program funded ADASS to introduce an
exercise and nutrition program. Clients have been participating
in more active outings such as walks along the boardwalk at
Toora and along the beach in the warmer weather.
A nutrition and hydration pack has been developed for
distribution to all ADASS clients and launched by the Dietician
in early August.
The sport of Bocce was a welcome addition to activities and
funding has assisted in the purchase of equipment to sustain
the project into the future.
In Home Maintenance, the system of task prioritisation was
reviewed and new procedures developed to improve the
discharge process and to support clients in their home. The
Home Maintenance service assists with the installation of rails,
ramps etc after assessment of a home by Occupational
Therapists, and also performs general maintenance tasks for
eligible clients.
Volunteers
The contribution by our valued volunteers continues, with many
people giving up their time to assist others.
Volunteers have assisted the activity staff at St. Elmo’s with
many programs and residents are always delighted to see
them.
The volunteer bus drivers have been kept busy with the bus
out and about five days a week, assisting clients to allied
health programs, ADASS and social support (shopping
program). Meals on Wheels continue to be delivered 365
days a year by dedicated individual and volunteers groups.
Community Health
Community Health has focused on two priority areas in the
reporting period; mental health and wellbeing; and access to
nutritious food.
Both of these areas align with the aims of the Wellington
Primary Care Partnership and the South Coast Health Service
Consortium Primary Care Partnership.
Raising the awareness of mental health can be a challenge,
especially when seeking to reach men. However following a
successful submission for a community grant of $1500 from
Foundation 49, an organisation aiming to improve men’s
physical and mental health, Yarram and District Health Service
has been able to produce a men’s health resource kit that
helps raise awareness and provides information relevant to
men and their needs.
A well attended men’s health seminar titled ‘No more secrets’
was conducted by Freemasons and supported by Yarram and
District Health Service in October. The evening provided an
excellent opportunity for men to learn more about their health
and discuss their issues in a non judgemental environment.
Yarram Medical Centre GP, Dr Nandha and Murrindindi
10

Report on Operations
Annual Report
2006/2007
Counselling psychologist, Mr Graham Brewer were guest
speakers on the evening and the information they provided
was well accepted and appreciated. A follow up men’s health
discussion evening is
planned.
In partnership with South
Coast Health Service
Consortium Primary Care
Partnership, Community
Health and Maternal
and Child Health held a
“Celebrating Active
Communities” barbecue
at the Yarram Memorial Pictured is promotional display in the Yarram Plaza.
Park. More than 100
community members enjoyed the barbecue and entertainment
and demonstrated just how active our community is.
The ‘Kids Go For Your Life’ project continues, aiming to improve
children’s health outcomes through increased health education
on physical activity and nutrition. The project will be funded
until 2011. Alberton, Yarram, Devon North and Woodside
primary schools have all become members, which is great
news for their whole school communities.
Well Women’s Clinics, Pit Stop Men’s Health Screening
Program, Lung Clinic, Support Groups, Better Self
Management, Walk and Talk, Needle Exchange are programs
that have continued to be delivered by the Community Health
Division of Yarram and District Health Service throughout the
year reflecting and supporting the needs of our community.
Youth and Family Services
The Youth and Family Services team has consolidated service
areas to provide a range of essential services to the
local community.
Family support at Yarram and District Health Service has been
provided by two family support workers in partnership with
Kilmany Uniting Care and Ramahyuck Aboriginal Cooperative.
This program has been extremely successful with both workers
exceeding their targets and providing much needed support to
local families.
Demand for housing assistance continues to be high as new
people move into the district while rental properties remain
limited. The housing sector as a whole is continuing to
undergo an accreditation process with Yarram and District
Health Service undergoing accreditation in 2008.
The Health Service continues to support people who are
experiencing a crisis, by the distribution of Emergency Relief
vouchers. This assistance can cover items such as food and
prescriptions.
The Youth and Family Services team also works closely with St
Vincent de Paul Society, whose volunteers provide a wonderful
service with food parcels, assistance with telephone bills,
school uniforms, and some furniture and bedding.
The Psychiatric Disability Rehabilitation Support Service remains
unique as the only service in Victoria capable of delivering its
support services seven days per week. The program is also
undergoing an accreditation process with the Department of
Human Services.
The Yarram and District Health Service Social Worker has also
now joined the Youth and Family Services team, which allows
for the provision of a more holistic approach to services for the
Yarram community.
The Youth and Family Services team has been restructured
and will be expanded in the coming financial year.
Yarram Medical Centre
Yarram Medical Centre continues to meet the challenge of
attracting general practitioners in a time of global shortage by
undertaking year-round GP recruitment activities. The Medical
Centre is eligible for Government assistance packages as it is
within a District of Workforce Shortage and receives referrals
from Government agencies that assist with GP recruitment.
Drs Testro and Wong, both Fellows of the Royal Australian
College of General Practitioners, continue as the senior
practitioners following Dr Nandha’s resignation in June 2007.
Dr Nandha joined the practice in 2001 and we are grateful
for and acknowledge his dedication to the practice and the
Yarram community during his six years with us.
Dr Zafar commenced work at the practice in December 2006
and Mrs Elaine Ripper was appointed Practice Manager in
early 2007. The general practitioners have admitting rights to
Yarram and District Health Service.
Accreditation with Australian General Practice Accreditation Ltd
(AGPAL) identified the strengths of Yarram Medical Centre in
clinical care, medical records management, practice
administration, commitment to the area of health promotion
and disease prevention and continuity of care with patient’s
rights and needs well respected.
The Centre is also an accredited training practice under the
AGPAL and has hosted Registrars since January 2003.
Registrar teaching time is allocated in the schedule each week
and staff support the teaching program to make this an
enjoyable term for the registrar and supervisors.
We farewelled part-time Registrar Dr Miroslava Vujosevic in
February 2007 and welcomed GP Registrar, Dr Vijaya
Ravikumar at the same time.
Dr Adel Abrahams sub-leases the dental surgery located at
Yarram Medical Centre.
Yarram Toy Library
An important community service, the Yarram Toy Library has an
extensive range of toys which provides many hours
of enjoyment.
Supported by a committee of volunteers, the program is
located within the Yarram and District Health Service at Edgar
House and is open to parents and carers of children up to six
years of age. It is an excellent way for young families to
establish contact with each other.
The Yarram and District Health Services Allied Health staff also
benefit greatly from being able to access the toy collection. A
wide range of motivating and educational resources make
therapy sessions much more fun.
We thank Yarram and District Health Service for their generous
support, providing accommodation and administrative support.
11

Annual Report
2006/2007
Corporate Services
Corporate Services staff have been involved in many projects
and initiatives to maintain compliance with government
regulations such as the OH&S Act, Aged Care Act,
Administration Act and Financial Management Compliance,
to name a few.
The division has also implemented processes to ensure we
operate in an environmentally responsible manner, such as
outsourcing the fleet car cleaning in order to comply with EPA
regulations.
Testament to the continued dedication and hard work of
Corporate Services teams, Food Services and Environmental
services staff in the reporting period achieved outstanding
results in client satisfaction surveys.
The Corporate Services Division manages:
● Administration
● Maintenance
● Stores and Supply
● Food Services
● Environmental Services
● Human Resources
● Finance
● Payroll
● Crossley House payroll and finance
● Residential Aged Care Administration
● Contracted services
● Occupational Health and Safety
The Director of Corporate Services chairs the Occupational
Health and Safety (OHS) Committee, the health service Policy
Committee and participates in adhoc Project Management
activities.
Administration, Finance and Payroll
Administration, finance and payroll staff were this year involved
in the “Healthsmart” project, a Department of Human Services,
state-wide initiative whereby all public health services will use
the same computer-based systems. Existing systems will be
upgraded and new systems introduced.
Yarram and District Health Service will be involved in the
implementation of new:
● Finance and supply system
● Human Resources and Payroll systems; and
● an upgraded patient management system.
Staff have participated in the initial development phase of
these systems by attending briefings and advisory sessions
across Gippsland. Implementation begins in December 2007,
with final rollout of the finance and supply system
due next year.
Maintenance
The Maintenance Department has this year further improved
the Preventative Maintenance Program (PMP) with all
equipment, electrical and plant maintained to Australian
Standards and meeting OH&S requirements.
Checks occur yearly, quarterly or monthly and encompass
items such as kitchen thermometers, wheelchairs, oxygen,
hospital beds, loan equipment such as crutches and
walker frames.
Maintenance staff have also completed many planning
exercises for projects and work to be implemented in the
coming months, such as staff car park resurfacing and
redevelopment of the ‘old x-ray’ department.
Other major works completed by the maintenance department
have included
● Renovations to one of the Crossley House sitting rooms
● Replacing the Health Service kitchen dishwasher and
refurbishment of that area
● Data cabling throughout the ‘Bakers’ facility
● Relocation and redevelopment of Clinical Services offices
Environmental Services
Our dedicated Environmental Services Team has enjoyed an
excellent response to internal and external audits that measure
standards of cleanliness and linen services.
Participation in the yearly Department of Human Services
external audit resulted in the overall hospital score, including
St. Elmo’s Nursing Home, of 97.64 percent, while the overall
results from internal audits was 96.16 percent.
Manual Handling risk assessments identified a need to review
some work practices which has resulted in a better and safer
working environment for employees.
The Environmental Services team continues to liaise and
benchmark with Latrobe Regional Hospital (LRH), which has
promoted continuous quality improvement.
Other key activities this year included:
● The commencement of ironing of resident’s clothes. There
has been no negative feedback on residents’ clothing
since its inception.
● The purchase of linen trolley covers to ensure linen is kept
dust free
● A new labelling system introduced for residents’ clothing,
which ensures residents names are clearly visible and
quick to spot for easy identification.
Food Services
In order to continually monitor and improve the service a
‘Meal Feedback Form’ was developed this year. The form asks
patients of the hospital various questions relating to their meals
including:
● Did you receive the meal you ordered?
● Was the size of the meals adequate?
● Was the choice adequate?
Report on Operations
● Did Food Services staff explain the menu options in a
helpful and friendly manner?
● Were your dietary requirements met?
12

Report on Operations
Annual Report
2006/2007
Thankfully patients are happy to respond, providing valuable
feedback thereby helping to continue to provide and maintain
the highest standard of service.
The Food Service Team achieved excellent results in a formal
Food Safety Audit, both within the health service and at
Crossley House. These are important controls as the Food
Services team served up approximately 72,000 meals during
the year. It caters for all patients, staff and residents of Yarram
and District Health Service, Crossley House Hostel, Meals on
Wheels recipients and various functions held within the service.
The department liaises with the Dietician and Speech
Pathologist, to maintain the quality of service to residents
and patients.
This year Food Services completed a menu survey that aimed
to provide an opportunity for residents of St Elmo’s and
Crossley House to participate in menu planning for their meals.
A survey listing the current menu items was developed and
residents were asked to complete the survey and note
comments or suggestions.
One hundred surveys were issued, with 74 returned.
These included:
● Edgar House – 20 issued and 11 returned – 55%
● Meals on Wheels – 20 issued and 16 returned – 80%
● St Elmo’s – 30 issued and 25 returned – 83%
● Crossley House – 30 issued and 22 returned – 73%
Residents were asked to tick items they disliked or were unable
to eat. If the number of ticks against any item reached double
figures then that item was considered for removal from
the menu.
The survey helped to confirm what was being heard
anecdotally with regard to menu items and a number were
considered for removal.
The survey will be conducted again next year so that residents
can continue to contribute to their own menu planning.
Human Resources
This year the Human Resources Department has focused on
bedding down the initiatives of the last two years and ensuring
compliance with legislative changes as they occurred.
For example, The Minister for Ageing finalised the
amendments to the Aged Care Principles and, effective 1
March 2007, all staff, volunteers and contractors were required
to undergo a compulsory police record check and assessment
for suitability for working in aged care. Yarram and District
Health Service therefore established policies and procedures
which included:
● Development and implementation of police record check
policy and procedures
● Development of a database to enable ongoing monitoring
of police record checks to ensure three year renewal
● Compliance with the police certificate requirements,
including record keeping, privacy considerations and
assessment of police certificates.
The implementation of police record checks aims to further
improve the quality of aged care and ensure the protection of
care recipients.
Other Human Resource activities have included:
a review and update of the orientation manual for new
employees; implementation of a task monitoring system, (under
certain Awards) to ensure service margins are remunerated;
and introduction of signed position descriptions.
This ensures employees acknowledge and understand the
roles they are expected to perform and are provided with a
copy of their position description upon commencement and at
performance appraisal.
Human Resources seeks to be a focal point for staff and
provides a strong customer focus that anticipates and responds
to the needs of all staff.
Stores
A major initiative for the Stores area was the purchase of a
walk behind pallet lifter to assist with the unloading of heavy
items to prevent manual handling injuries.
A few interesting statistics have come out of the Stores
information this year, including;
● 11,700 portion control jams were consumed
● The nursing staff used 4,640 dressing packs
● 11,000 teapot bags were used to make 24,200 litres
of tea
● A quarter of a million (265,000) sheets of hand towel
were used
● 3,912 litres (or 21,516 servings) of fruit juice were poured
Occupational Health and Safety
A particular focus this year has been emergency
management practices.
Legislative requirements meant that fire equipment training
could only be performed by accredited personnel and
Deanmac Emergency Management Consultants were
engaged to provide fire equipment and emergency
management training for staff.
Working closely with the Occupational Health and Safety
representatives, emergency management manuals were
updated and extensive training held in managing
evacuations, performing fire drills and conducting
debriefing sessions.
The OH&S representatives found these training sessions
invaluable and ensured they were well equipped to handle
any emergencies that may arise.
The activities were part of the commitment to the safety of all
residents, patients, staff and visitors.
The Occupational Health and Safety committee meets every
month to ensure a safe environment is maintained. Normal
operations of the committee include responding to and
investigating reported hazards, monitoring inspection reports
and ensuring continuing education of its members.
13

Our Accreditation Process
Overview
The Yarram and District Health Service Youth & Family
Services team is made up of a number of community
programs aimed at assisting those people in the
community who are vulnerable, marginalised or require
emergency assistance. The programs which make up the
Youth & Family Services team are: Supported
Accommodation Assistance Program; Family Services
Program; Psychiatric Disability Rehabilitation Support
Service; Youth Services; Commonwealth Emergency Relief
Program; Housing Establishment Fund; Community Health
Counselling – general; No Interest Loan Scheme.
The Youth & Family Services team are located at the
Baker’s Community Service Centre where a number of
visiting services also provide for people in the
Yarram community.
Future Implementations
Data collection and analysis of falls data collected
with falls incident report.
Review tools and reporting structure.
Identify areas of non-compliance or improve practice.
14

Report on Operations
Annual Report
2006/2007
Other activities included:
● Designated smoking areas introduced in keeping with
government regulations
● An outworker safety plan developed for staff working in
the community
● Fire drills regularly performed
● Monthly workplace inspections conducted for each area
throughout the Health Service
● Staff questionnaires to ascertain OH&S knowledge gaps
and develop education sessions around the gap areas
● Manual Handling training sessions for staff
● Security audit completed and a gap analysis performed
Organisation achieves maximum accreditation
The Yarram and District Health Service has achieved the
maximum four year accreditation awarded by the Australian
Council on Healthcare Standards (ACHS).
The formal advice came through in November 2006, but the
process of achieving accreditation is a lengthy one.
The following outlines the process from the first visit by the
ACHS surveyors.
The first steps in the process occurred in May 2006, when
YDHS received a detailed explanatory letter and an extensive
set of guidelines to assist in making the most of the assessors’
site visit. Six weeks prior to the August survey, YDHS submitted
its organisational Pre-Survey Assessment and a range of
supporting documentation.
The stated aims of the Organisation Wide Survey are to:
● Review progress on addressing the ongoing
recommendations from the last Periodic Review/Alignment
● Review improvements and outcomes for the EQuIP functions
and make recommendations where appropriate
● Make a recommendation on accreditation status
● Provide advice on the way forward.
In preparation for the two day survey, Yarram and District
Health Service was instructed to update the Quality Action
Plan and respond to progress on recommendations from the
previous survey; update member details on the specialist software
provided; and update our self-assessment data in
respect of all criteria.
On 23 and 24 August 2006, the Health Service welcomed
two surveyors appointed by the ACHS to conduct the onsite
review.
In addition to viewing a massive array of hard-copy
documentation from across all department of the health
service, the assessors interviewed 15 health service staff in
private sessions.
Board members, special invitees and staff attended the
opening presentation session in the Multipurpose Centre.
Executive Director Ms Colleen Boag, Board President Mrs Jenni
Clarke and key staff highlighted Yarram and District Health
Service innovations, achievements and future goals in their
presentations. The opening presentation jointly made by Ms
Boag and Mrs Clarke centred on the Leadership and
Management criteria demonstrating performance and
achievement in the areas of;
● Governance
● Planning and development and a proactive response
to challenge
● Risk management
● Compliance with legislation and standards
● Quality both in policy and process; and
● Consumer participation.
The presentation acknowledged the “ongoing challenge to
ensure work is meaningful, that it has impact, shows results
and that there is a balance between innovation and ‘rubber
on the road.’ This is what drives us toward improving
performance.” The assessors were addressed directly with a
closing statement from Ms Boag.
She said the ability of Yarram and District Health Service to
respond to challenge has been demonstrated, at a strategic
and operational level, over the years of our development as
an integrated health service.
Assessors and all attendees were invited to view the
presentation posters which had been prepared by YDHS staff
and displayed around the room.
Following completion of the on-site survey, assessors provided
a preliminary report offering the opportunity to respond to the
comments and the conclusions, if appropriate.
In November 2006 YDHS received formal advice that ACHS
had awarded the maximum four year accreditation which is
valid until July 2010.
The large body of work required to achieve accreditation was
expertly pulled together under the careful planning and
coordination of then Quality Co-ordinator Jo-Anne Rash.
Many staff had a role in providing details of activities that
made up the presentation, reporting targets and deadlines
required for a successful validation. Everyone is thanked and
congratulated for their cooperation, support and participation.
15

Annual Report
2006/2007
Donations
The Yarram and District Health Service gratefully acknowledges
the support of individuals, families and organisations who
gave donations of cash or equipment during the past year.
● Estate of the Late Eric Erikson
● Edan Paterson
● Woodside Community Fundraising
● Proceeds St Elmo’s recipe book
● Better Health Group
● Barry Beach marine Terminal Fund
● M and M Wools
● Cancer Council Victoria
● Peter O’Shannassy
● Mr C Pettitt
● John Nicol Charitable Trust
● Cherryskin P/L
● A Sarkar P/L
● Bus Money
● Rotary Barrell
● Waratah Auxiliary
● Yarram Lions Club
● Palliative Care Fundraisers
Past Presidents
1916 - 1918 Mr. A.H. Moore
1918 - 1920 Mr. C.J. Stockwell
1920 - 1921 Mr. T.G. McKenzie
1921 - 1923 Mr. A.H. Moore
1923 - 1928 Mr. W.L. Moore
1928 - 1929 Mr. E. Skinner
1929 - 1938 Mr. A.H. Moore
1938 - 1941 Mr. W. L. Moore
1941 - 1954 Mr. A.H. Moore
1954 - 1962 Mr. D. McLeod
1962 - 1968 Mr. A.R. Anderson
1968 - 1970 Mr. M.J. Pearson
1970 - 1973 Mr. W.J. Moore
1973 - 1984 Mr. S. B. Walpole
1984 - 1986 Mr. A. P. Moore
1986 - 1989 Mr. W.J. Boddy
1989 - 1999 Mr. W.T. Bodman
2000 - 2001 Mrs. F. W. Dawson
2001 - 2001 Mr. W.T. Bodman
2001 - Mrs. J.L. Clarke
Rose Walker, St Elmo’s Activities Staff member
co-ordinated authentic Australia Day Celebrations
Vision Australia representatives prepare for visitors
to the Yarram and District Health Service multi
purpose center.
16

Annual Report
2006/2007
Performance Indicators
Performance Indicators
Workforce 2006 -2007 2005-2006 2004-2005 2003-2004
Administration
Maintenance
Hotel & Allied
Acute
Nursing Home
Community
Allied Health
Yarram Medical Centre
Total
$ EFT $ EFT $ EFT $ EFT
673,679 11.75 599,751 10.3 443,597 8.4 387,021 8.07
182,709 3.95 168,463 2.57 124,647 3.8 128,252 2.59
446,319 11.30 392,987 12.12 424,975 14.8 511,434 10.20
1,265,073 18.07 1,162,054 16.1 1,282,061 17.2 922,796 12.42
812,563 15.10 849,628 17.53 808,337 10.8 497,960 12.27
928,879 18.53 838,211 17.1 888,898 17.6 820,243 19.00
331,419 6.81 320,918 5.7 226,716 4.9 232,628 5.57
789,859 8.25 871,992 7.5 796,253 8.9 747,106 8.57
5,430,500 93.76 5,204,004 88.92 4,995,484 86.40 4,247,441 78.70
Workforce
Nursing Home
Administraion
Yarram Medical Centre
Maintenance
Allied Health
Hotel and Allied
Community
Acute
$10,000,000
$8,000,000
$6,000,000
$8,755,165
$8,575,684
$8,180,571
$7,509,343
$7,804,286 $7,866,104
$6,464,433
$7,154,432
$6,385,284
$5,909,731
$8,695,693
$7,977,488
$4,000,000
2001-02 2002-03 2003-04 2004-05 2005-06 2006-07
Total Expenses Total Revenue 2001-07
Summary of revenue and expenses 2001-02 to 2006-07
17

Annual Report
2006/2007
Units 2006-2007 2005-2006 2004-2005
Clinical Services
Separations 826 833 680
WIES 456.01 454.1 356.19
WIES DVA
Inpatient avg. length of stay Days 6.29 5.4 8.37
Births 0 0 0
Dialysis 307 286 269
Inpatient Rehabilitation Separations 12 18 24
Patient Days
Acute 4277 3495 3200
Nursing Home Type 0 0 31
Geriatric Evaluation & Management 721 667 560
St Elmo’s Nursing Home 10534 10125 8857
Emergency Medical Treatment Contacts 1778 1740 1446
Radiology Contacts 1203 1515 1623
Community Services
Activity Programs Hours 2773 2703 3001
Community Nursing Contacts 6925 5830 6079
Community Health Contacts 642 416 676
Counselling and Casework Contacts 1606 907 1610
Diabetes Education Contacts 291 298 364
Dietetics Contacts 230 241 257
Health Promotion Contacts 1586 1691 2583
Home Care Hours 5519 5665 5164
Housing Contacts 245 121 133
Maternal and Child Health Contacts 960 88 80
(Data collection and reporting changed in the period)
Meals on Wheels Meals 10604 9717 12493
Occupational Therapy Contacts 3123 1429 1320
Personal Care Hours 1208 1164 877
Physiotherapy Contacts 5216 3411 3467
Podiatry Contacts 267 363 374
Property Maintenance Hours 375 200 422
Psychiatric Disability Support Service Contacts 509 961 1568
Respite Care Hours 904 883 860
Social Support Hours 2409 1769 1500
Speech Therapy Contacts 1402 832 895
Youth Services Contacts 332 454 329
2006-2007 2005-2006 2004-2005 2003-2004 2002-2003
$ $ $ $ $
Total Expenses 7,977,488 7,866,104 7,804,286 7,154,432 6,385,284
Total Revenue 8,695,693 8,755,165 8,575,684 8,180,571 7,509,343
Operating Surplus
After abnormal items 402,431 546,289 677,640 1,077,994 1,164,685
Retained Earnings
(Accumulated losses) 5,208,322 4,805,892 4,259,603 1,201,653 1,164,685
Total Assets 17,095,384 16,431,009 15,399,267 14,784,518 13,412,886
Total Liabilities 2,527,891 2,265,946 1,813,475 1,876,364 1,706,385
Total Equity 14,567,493 14,165,063 13,585,792 12,908,154 11,706,501
18

Annual Report
2006/2007
Statutory Requirements
Building Act 1993
All buildings of the Health Service comply with the Building
Act, 1993. The Health Service has a policy of consulting
architects and engaging registered builders when renovating
existing buildings or constructing new facilities. Plans are
submitted to local government for approval and building
permits issued prior to commencement.
Competitive Neutrality
It is Government policy that the costing policies of publicly
funded organisations should reflect any competitive advantage
not available to the private sector. The Yarram and District
Health Service supports this policy and meets requirements.
A number of services are already outsourced on a competitive
basis including pathology, radiology, security, accounting,
pharmacy and grounds maintenance.
Consultancies
The Yarram and District Health Service has engaged the
following consultants in the 2006/07 financial year:
● Masterpiece Consulting for MYOB software
● Deanmac Emergency Management Consultants for Fire
Equipment and Emergency Management training for staff
● Michael J. Allen Chartered Accountant for
financial reporting
The Health Service has provided the following
contracted services:
● Management Services to Crossley House
● Maintenance, linen, food services, stores, community
nursing, allied health and infection control to Crossley
House Hostel
● School support services to Yarram and district schools
● Maintenance services to Nightingale Park Society Elderly
Person’s Units, Yarram
● Speech Pathology services to Cooinda Hill Adult Training
Centre, Traralgon
● Speech Pathology Services to St. Mary’s Primary
School, Yarram
Act 1982. All clients were provided with information.
In addition to requests under the Freedom of Information Act
1982, the Health Service recognises requests for “release of
information” where information is sent directly to a designated
Medical Practitioner for ongoing care. There were no such
requests for release of information this year.
Whistleblowers Protection Act 2001
The Yarram and District Health Service is committed to the aims
and objectives of the Whistleblowers Protection Act 2001.
It does not tolerate improper conduct by its employees, officers
or members, nor the taking of reprisals against those who
come forward to disclose such conduct.
Yarram and District Health Service recognises the value of
transparency and accountability in its administrative and
management practices and supports the making of disclosures
that reveal corrupt conduct, conduct involving a substantial
mismanagement of public resources, or conduct involving a
substantial risk to public health and safety or the environment.
Yarram and District Health Service will take all reasonable
steps to protect people who make such disclosures from any
detrimental action in reprisal for making the disclosure. It will
also afford natural justice to the person who is the subject of
the disclosure. In line with this, the Yarram and District Health
Service has in place a corporate policy and procedure which
comply with the Act. Since the introduction of the policy the
Yarram and District Health Service has received nil disclosures
and has no knowledge of any disclosures which may/may not
have been reported to the Ombudsman.
Equal Opportunity Act 1995
The Health Service is subject to the requirements of the Equal
Opportunity Act 1995 and applies appropriate merit and
equity principles in its management of staff. The Health
Service expects all staff to take responsibility for fair,
non-discriminatory behaviour.
Freedom of Information Act 1982
The nominated Freedom of Information Officer is an
Administration Officer and together with the Director of
Corporate Services has responsibility for Health Information
Management at the Yarram and District Health Service.
During the 2006/07 financial year five requests for
information were received under the Freedom of Information
19

Annual Report
2006/2007
Services
The Yarram and District Health Service provides and supports
the provision of a range of services that are designed to meet
the needs of individuals and groups within its catchment
population of approximately 5580 people.
Acute Services
● 20 bed facility
● Medical, Post Surgical and Inpatient rehabilitation
● Accident and Emergency Services
● Respite care
● Maintenance Dialysis
● Psychiatric care
● Geriatric and Evaluation Management Program
● Pre and Post Natal care
● Palliative Care
Residential Services
● St. Elmo’s Nursing Home -15 dementia specific low care
beds and 15 high care beds
● Respite
Ancillary Services
● Pathology
● Visiting Radiology
● Pharmacy
● Regional Aged Care Assessment Service
Allied Health Services
● Balance and Mobility
● Cardiac Rehabilitation
● Community Rehabilitation
● Dietetics
● Inpatient Rehabilitation
● Occupational Therapy
● Personal Alert Victoria
● Physiotherapy
● Podiatry (Gippsland Foot Clinic Pty Ltd)
● Prime Movers Exercise Group
● Pulmonary Rehabilitation
● Social Skills
● Speech Pathology
● Continence Advisory Service
● Commonwealth Emergency Relief Program
● Diabetes education
● Drug and alcohol Counselling
● Drought Counselling
● Falls and Balance Clinic
● Family Counselling
● Food Services
● Foot Clinic
● Health Promotion
● Home Care
● Home Respite Care
● Housing Services
● Lung Clinic
● Maternity Support
● Needle Syringe Exchange Program
● Personal Care
● Property Maintenance
● Psychiatric Disability Rehabilitation and Support
Service (PDRSS)
● Psychology
● Social Work
● Volunteer co-ordination
● Welfare Services
● Well Women’s Clinic
Community Mental Health Services
● Gippsland Psychiatric Services –
Co-located service with Latrobe Regional Hospital.
Self Help/Support Groups
● Cardiac, Respiratory and Stroke (CARDS) combined
support group
● Arthritis
● Cancer
● Carers
● Diabetes
Community Services
● Adult Day Activity Support Service (ADASS)
● Community Health
● Community Nursing
20

Annual Report
2006/2007
Management
Ms. C. Boag, Executive Director
Mr. P. Craighead, Executive Director
Mrs. S. Robertson, Executive Assistant
Ms. K. Hansen, Executive Assistant
Clinical Services
Director
Mrs. M. Brosche
Clinical Service Administration Support
Mrs. D. Nandha
Quality Co-ordinator
Ms. J. Rash
Ms. D. Eldridge
Staff Development and Training Officer
Ms. J. Rash
Ms. D. Eldridge
Care Co-ordinators
Mrs. M. Ford
Mrs. M. Garland
Mrs. A. Worboys
Infection Control Practitioner & Clinical Support Nurse
Mrs. K. Hurrell
Registered Nurses Division One
Mrs. M. Avery-Sproul
Mrs. J. Barlow
Mrs. L. Blackshaw
Mrs. G. Cayzer
Miss J. Chippindall
Mrs. G. Christison
Mrs. D. Cooper
Mrs. D. Herdman
Ms E. Hopkins
Ms. J. Hugo
Mrs. D. Hunter
Mrs. M. Jacobson
Ms. J. Lawrence
Miss A. Lucas
Ms. A. Mattern
Mrs. N. Platt
Miss L. Slayford
Mrs. S. Stainer
Miss L. Staley
Mrs. K. Vuksinic
Mr. T. Waugh
Mrs. G. Wilson
Ms. S Trevaskis
Mrs. M. Wigg
Registered Nurses Division Two
Ms S. Austin
Ms L. Lloyd
Mrs. L. Braun Mrs. L. Lowther
Mrs. J. Clarke Mrs. C. Mills
Miss J. Clarke Miss. K. O’Mara
Ms K. Corn
Mrs. R. Packham
Ms J. Donaldson Miss. B. Shea
Mrs. L. Duthie Mr. I. Sproul
Mrs J. Florey Mrs. L. Thunder
Miss S. Groves Mrs. H. Westwood
Mr. B. Herdman Mrs. M. Willis
Mrs. M. Kerr
Personal Care Attendants
Mrs L. Bennett
Mrs. R. Boulton
Mr. C. Bryant
Ms. A. Holman
Ms. N. Houchen
Mrs. L. Jackson
Mrs. A. Jung
Ms T. Kovacik
Mrs. T. Kranen
Activities Staff
Ms. J. Bond
Ms. H. Fox
Ms. J. Ishmakovich
Ms T. Kovacik
Community Services
Director
Mr. S. Elvy
Adult Day Activity Support Services
Ms. L. O’Neill
Ms. T. Kovacik
Allied Health
Mrs. J. Walters
Clinical Staff
Ms. L. Bland
Mr. A. Chan
Miss G. Diplock
Miss. S. Groves
Miss C. Hartwig
Mrs S. Hinkley
Community Nursing
Mrs. K. Craighead
Mrs. J. Lee
Ms. K. Millar
Mrs. B. McAlpine
Mr. R. McLean
Ms. P. O’Neill
Mrs. S. Taylor
Mrs L. Thunder
Ms. T. Withall
Registered Nurses Division One
Mrs. M. Barlow
Mrs. J. Finlay
Mrs. M. Paterson-Dick
Miss S. Trevaskis
Miss R. Tyler
Registered Nurses Division Two
Mrs. L. Thunder
Mrs. J. Lee
Ms L. O’Neill (on leave)
Mrs. R. Walker
Mrs. B. Lynch
Mrs. K. Mason
Mr. R. Patel
Miss S. Shepherd
Miss T. Thurman
Ms J. Travers
Home and Community Care Services
Mrs. I. Zygarlicki
21

Annual Report
2006/2007
Direct Care Staff
Mrs. P. Bland
Mrs. R. Boulton
Mrs. L. Bowden
Mrs. S. Cole
Mrs. J. Cook
Mrs. K. Foat
Ms. R. Francis
Mrs. H. Gardiner
Client Services Officer
Ms. M. Veneman
Diabetes Education Services
Mrs. M. Barlow
Mrs. M. Paterson-Dick
Health Promotion Services
Ms. C. McHugh
Miss E. O’Hara
Community Health
Mrs. A. Kay
Miss R. Tyler
Social Work
Ms. A. Payne
Ms. N. Elswyk
Maternity Support Services
Mrs. K. Foat
Mrs A. Kay
Maternal & Child Health
Miss. J. Chippindall
Mrs. W. Cartledge
Mrs. C. Lade
Youth and Family Services
Ms. J. Coolidge
Mr. G. Brewer
Staff
Ms. K. Disney
Mrs. M. Fraser
Mrs. K. Lewandowski
Miss. M. Mitchell
Yarram Medical Centre (Joint Venture)
Medical Officers
Dr. C. Luiz
Dr. R. Nandha
Dr. V. Ravikumar
Dr. L.Testro
Practice Manager
Ms. C. Boag
Mrs. E. Ripper
Registered Nurses Division One
Mrs. K. Foat
Mrs. S. Hinkley
Miss A. Holman
Mrs. B. Knibbs
Mrs. P. McLachlan
Miss K. McLeish
Mrs. E. McLeish
Ms. M. O’Connor
Mrs. C. White
Ms. D. Owens
Mrs. D. Robinson
Ms. M. Rose
Dr. M. Vujosevic
Dr. C. Wong
Dr. Z. Zafar
Mrs. K. Norman
Ms. E. Hopkins
Administrative Staff
Mrs. S. Bland
Mrs. J. Cunningham
Mrs. J. Moore
Mrs. E. Ripper
Mrs. A. Terhorst
Corporate Services
Director
Ms. L. Duncombe
Administration Staff
Mrs. S. Abernethy
Mrs. S. Bland
Miss. S. Coles
Mrs. J. Cunningham
Ms. M. Seton
Finance and Payroll
Mr. G. Kipps
Ms. M. Rose
Human Resources/Administration
Ms. L. Forbes
Food and Environmental Services
Mrs. C. Honey
Mrs. A. Smith
Food and Environmental Services Staff
Ms. J. Albert
Mrs. J. Badham
Mrs. N. Barlow
Mr. T. Barlow
Mrs. G. Batson
Ms. M. Becker
Mrs. C. Bergervoet
Mrs. V. Bilston
Mrs. M. Darby
Ms. M. Gardner
Stores Officer
Mr. S. Parker
Mr. R. Thomas
Engineering and Maintenance Supervisor
Mr. G. Admiraal
27
Maintenance Staff
Mr. E. Smith
Mr. G. Young
Mr. P. Wilson
Occupational Health and Safety
Mrs. M. Ford
Youth Enterprise Project
Mr. G. Barnes
Ms. N. Houchen
Mr. N. Merrett
Ms. K. Palling
Mrs. C. Parker
Mr. S. Parker
Mrs. V. Ramsay
Mrs. P. Selzer
Mrs. C. Thomas
Ms. J. Travers
Mrs. M. Triantafyllou
22

Annual Report
2006/2007
Contracted Services
Podiatry
Gippsland Foot Clinic Pty Ltd
Francie Feet Foot Care
Dietetics
Central Gippsland Health Service
Psychology
Murrindindi Counselling
Mr. G. Brewer
Grounds Maintenance
Wellington Shire Council
Medical Records
Central Gippsland Health Service
Pathology
Gippsland Pathology Service
Pharmacy
Central Gippsland Health Service
Radiology
Gippsland Diagnostic Service
Mr. M. Coleman, MIR Chief Radiographer
Radiologists
Dr. R. Bain, MBBS FRACR
Dr. R. Brownlee, MBBS FRACR
Dr. K. Stribley, MBBS FRACR
Rural Counselling
Rural Family Resources
IT Support
Sage Technology
Security
Premier Security Service
Mr. S. Smale
Co-Located Services
Alcohol and Drug Counselling
Latrobe Community Health Alcohol & Drug Service
Community Mental Health Team
Gippsland Psychiatric Services
Mrs. P. Handley
Mrs. M. Treverton
Mrs. N. Sidebottom
Continence Adviser
Dianne Jones
Consumer Affairs
Consumer Affairs Victoria
23

Annual Report
2006/2007
E MERICAL CENTRE
MEDICAL CENTRE
E
D
MULTI - PURPOSE
CENTRE &
MATERNAL &
CHILD HEALTH
CLINIC ENTRANCE
COMMERCIAL ROAD (South Gippsland Hwy)
D
MULTI-PURPOSE CENTRE
MATERNAL &
CHILD HEALTH CLINIC
ADMINISTRARION ENTRANCE
NICOL STREET
- No access to casualty
- No after hours access
For Administration, Billing enquiries
Pathology, Radiology, Allied Health
C
Hours of access
8.00 am - 5.30 pm, Monday - Friday
(formerly main entrance)
Off Commerical Road
B
C
ADMINISTATION
ENTRANCE
CASUALTY &
AFTER HOURS
Ring bell hard and pull door to enter
After Hours - ring bell and wait.
A nurse will come from the wards
to assist you as soon as possible.
A
MAIN
ENTRANCE
Hours of access
8.00 am - 5.00 pm, 7 day a week
Off Nicol Street
CHURCH
ROAD
DEVON STREET
ENTRY TO
CARPARK VISTOR
CARPARK
EVELYN STREET
B
CASUALTY & AFTER
HOURS ACCESS
ENTRANCE
For Acute Services, Nursing Home.
Hours of access
8.00 am - 8.00 pm, 7 day a week
Off Commercial Road
A
MAIN ENTRANCE Via
VISITORS CAR PARK
ACCESS POINTS
TO THE MAIN BUILDING OF YARRAM AND DISTRICT HEALTH SERVICE
24