DHF Annual Report 2009 - NT Health Digital Library - Northern ...

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Safety, Quality and AccountabilityOptimising safety and quality is the essentialfoundation for the effective delivery of servicestargeting the health, community wellbeing andsocial advancement of all Territorians. TheDepartment is committed to developing anddelivering a system of services that is underpinnedby cultural security, safety and quality which isaccountable in a meaningful way to the community.This applies to the whole Departmental workforceand the services they deliver, including thoseservices provided through agreements with thenon-government sector.We delivered in 2009-10We have collaborated with relevant agenciesto ensure that health and family servicesneeds are appropriately included in theplanning and implementation of TerritoryGrowth Town initiatives.Key focus areasDemonstrating our organisation’s commitment to achievingculturally secure services through implementing andmonitoring effective organisational, system-wide and staffimplemented practices.Establishing a Safety and Quality Framework consistentwith the national reform agenda, which is based on theimperative to improve care and service delivery andthereby reduce harm. The major tools of safety andquality-driven reform are derived from new understandingsof incident analysis, business improvement practice andchange management.Developing and employing research, knowledge exchangeprocesses, performance monitoring and reporting to informand continuously improve both planning and practices.Northern Territory Aboriginal Health Forum partners have developed a Framework that establishes aplatform for greater levels of community involvement and engagement in the design, development andimplementation of health services to Aboriginal Territorians.Five Regional Cultural Security Negotiation Sessions across the Department and about 50 CommunityConsultations were concluded. The information gathered is being used to build a program of reform thattackles and prioritises those issues to be integrated with our service delivery.The Department is leading a joint National Advisory Group on Aboriginal and Torres Strait Islander HealthNetwork (NATSIHON) project that will develop a consolidated set of core measures of Cultural Competencein health and wellbeing service delivery at the organisational, systemic and individual staff levels.The Department of Health and Families, the Department of Business and Employment and the Graduate‘Aboriginal Cross Cultural Training in the Northern Territory Public Service’. New training courses based onthis work have been established and offered to the Northern Territory Public Service.The draft Departmental Safety and Quality Framework is in the consultation process.The Principal Safety and Quality Committee (PSQC) with Departmental-wide Executive membership thatoperates to advise on Territory and national safety and quality initiatives has been established.The Safety and Quality Advisory Service was established to provide PSQC with technical and logisticalsupport in introducing Departmental strategies to align with national safety and quality standards.Safety and quality induction information sessions were provided to 200 clinical staff through the Department’sstaff orientation program.The Departmental Risk Management Policy has been updated and a Risk Management Frameworkdeveloped and implemented. All divisions now have a risk management assessment related to theirbusiness plans. The RiskMan software program, facilitating the recording of risks and risk management,has been implemented in most hospitals and in Mental Health and planning has commenced to introducethis program across the Department.The Northern Territory Public Hospital Network implemented the Australian Charter of HealthcareRights devised by the Australian Commission on Safety and Quality in Healthcare in 2009. The Charterdescribes the rights of patients and other people using the Australian health system. These rights are42Department Health and Families
essential to make sure that, wherever and whenever care is provided, it is of high quality and is safe.The Australian Charter of Healthcare Rights is now on display in all Northern Territory public hospitalsand pamphlets are available in clinical areas. These resources are available in many languages. The initial Report on the Implementation of the Nursing Hours Per Patient Day Management Tool for Nursing implemented at Royal Darwin Hospital. The model has had a positive impact on recruitment of nursing staffwith wards staffed to meet patient acuity. The implementation of the recommendations of the Sullivan Report on the Review of Hospital SecuritySystems, Royal Darwin Hospital has improved paediatric procedures and training, improved security The Report on the Governance of Complaint Handling and Implementation of Open Disclosure at Royal Disclosure Standard will be implemented during 2010. Implementation of the recommendations of the Independent Review of Governance Arrangements at RoyalDarwin Hospital by the Australian Council of Healthcare Standards has led to improvements to the Hospital’spolicy framework, practices supporting clinical governance and the structural relationships betweencorporate and clinical governance within the Hospital and between the Hospital and the Department ofHealth and Families. In 2009-10 the Department supported 44 new, 41 on going and 15 completed research projects at MenziesSchool of Health Research. Remote Health made a major contribution to the writing and editing of the Central Australian RuralPractitioners Association (CARPA) Standard Treatment Manual in 2009. This has now been distributed. The Best Practice Committee reviews remote clinical protocols or guidelines on an ongoing basis and 15were updated as a result of this process in 2009-10. The NT Aboriginal Health Forum Key Performance Indicators were implemented in both the Departmentand Aboriginal community controlled health centres across the Territory. In April 2010, the Living Knowledge Learning Network Workshops were piloted in Nhulunbuy, Alice Springs,Katherine, Tennant Creek and Darwin and evaluated as successfully promoting the transfer of knowledgeand research, and encouraging a proactive research agenda within the agency. Seven Living Knowledgeseminars were held in Darwin and eight Living Knowledge bulletins sharing knowledge with managers andpolicy makers were circulated. Health Library Services expanded the Clinical Practice Guideline Quality Improvement Program whichincluded the roll out of a web based document management system which provides access to over 1500clinical guidelines online. Health Library Services expanded the availability of on-line point of care resources assisting doctors,clinicians, nurses and other healthcare professionals with the best available evidence-based clinicalreference tools for their information needs. Health Library Services developedeLibGuides, assisting Departmental staffto better access online library resources inareas such as Aboriginal health, dietetics Health Library Services is modellingand developing a training and educationspace in consultation with Departmentstakeholders to provide an eLearningLibrary for the whole of the Department,supporting staff development, researchand education.Department Health and Families 43
Page 2: Visit the department’s website at
Page 8 and 9: Chief Executive ForewordChief Execu
Page 10 and 11: 10Department Health and Families
Page 12 and 13: Dr Barbara PatersonCorporate Plan P
Page 14 and 15: Peter BeirneCorporate Plan Priority
Page 16: In comparing data between 1994-98 a
Page 19 and 20: Aboriginal Health and FamiliesProf.
Page 21: Corporate Plan 2009 - 2012Vision, M
Page 25 and 26: to detect, monitor, report and eval
Page 27 and 28: PRIORITY ACTION AREA 2Healthy Child
Page 29 and 30: to parents at key ages i.e. exclusi
Page 31 and 32: PRIORITY ACTION AREA 3Targeting Smo
Page 33 and 34: the health effects of smoking from
Page 35 and 36: PRIORITY ACTION AREA 4Connecting Ca
Page 37 and 38: The Chief Minister’s Youth Round
Page 39 and 40: Created four additional positions i
Page 41: PRIORITY ACTION AREA 5Safety, Quali
Page 45 and 46: PRIORITY ACTION AREA 6Attract, Deve
Page 47 and 48: Established an Indigenous Nursing a
Page 49 and 50: Implement the Professional Practice
Page 51 and 52: The Integrated Maternity Services C
Page 53 and 54: Radiation Oncology Services
Page 55 and 56: Service Map DetailsDepartment Healt
Page 57 and 58: NT HEALTH FACILITIESDEPARTMENT OF H
Page 59 and 60: Through the East Arnhem Regionalisa
Page 61 and 62: very effective with the Alice Sprin
Page 63 and 64: Across the TerritoryDigital Regions
Page 65 and 66: Our PeopleDepartment Health and Fam
Page 67 and 68: Snapshot of our peopleFigure 1 show
Page 69 and 70: National Indigenous Cadetship Progr
Page 71 and 72: Supporting our PeopleHuman Resource
Page 73 and 74: Managing AggressionAggression Manag
Page 75 and 76: Eliminating bullying and harassment
Page 77 and 78: Graduate ProgramThe Department has
Page 79 and 80: GovernanceDepartment Health and Fam
Page 81 and 82: NT Family & ChildrenAdvisory Counci
Page 83 and 84: Royal Darwin Hospital Medical Evacu
Page 85 and 86: Coronial FindingsThe Coroners Act e
Page 87 and 88: NTFC options for a complaint outcom
Page 89 and 90: Sentinel Eventsdeath or serious har
Page 91 and 92: Human Research Ethics CommitteeThe
Page 93 and 94:
Department Health and Families 93
Page 95 and 96:
Table 16: Budget by Output groups20
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NT Families and ChildrenDepartment
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Key Achievementsfurther increases i
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Key AchievementsAdditional funds of
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The Youth Triage Team was formed in
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Youth ServicesThe Northern Territor
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Performance Measure2008-09Actual200
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Acute CareDepartment Health and Fam
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1. “Due to remoteness, the disper
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Figure 5 - Weighted Separations by
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There are three types of treatment
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1.2.3.4.Due to remoteness, the disp
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HospitalsAlice Springs HospitalTota
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Audiologist (visits from Darwin) Ce
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Patients requiring services that ar
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Health and Wellbeing ServicesDepart
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in remote communities. Children are
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Key AchievementsMore than 70 facili
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Healthy Pregnancy Healthy Baby info
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The core clinical and health promot
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School Screening Services (SSS)The
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increased access to after-hours med
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Key AchievementsImplemented the NT
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Community Support Services for Frai
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Commenced development and implement
Page 146 and 147:
146Department Health and Families
Page 148 and 149:
Public Health ServicesEnvironmental
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Key AchievementsNo Germs on MeThe
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Figure 13: NT Schedule 8 drug presc
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1. SHBBV 2009-10 data may not be co
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of on-shore detections of exotic Ae
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In July 2009 a National Coordinatio
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Tuberculosis and Leprosy Unitwith a
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1 The Alcohol and Other Drugs Progr
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other drugs nursing position is bas
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Father Flynn FellowshipThe Father F
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Sales of Goods &Services4%Other Rev
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Grants and Subsidies
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CERTIFICATION OF THE FINANCIAL STAT
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Balance SheetNOTE 2010$'0002009$'00
Page 176 and 177:
Cash Flow StatementNOTE2010$’0002
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1. Objectives and fundingThe Depart
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c) Agency and Territory Itemsand eq
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Revenue in respect of Appropriation
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o) ReceivablesReceivables include a
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t) Employee Benefitsmeasured at pre
Page 188 and 189:
3. Comrehensive operating statement
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2010$'0002009$'000Note 6 (cont)Unal
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10 PROPERTY, PLANT AND EQUIPMENT (C
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11c HERITAGE AND CULTURAL ASSETS201
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2010$’0002009$’00017. NOTES TO
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18. FINANCIAL INSTRUMENTS (continue
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18. FINANCIAL INSTRUMENTS (continue
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20. CONTINGENT LIABILITIES AND CONT
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24. SCHEDULE OF TERRITORY ITEMSThe
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Appendix IFunding to External Provi
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Appendix II2009-10 Capital and Mino
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New Works 2009-10Alice Springs Hosp
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Appendix IIILegislation Responsibil
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Appendix IVCouncils, Committees and
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7. Raise community awareness of the
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Northern Territory Family and Child
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Key areas from terms of reference:T
Page 222 and 223:
Australian Manufacturing Workers’
Page 224 and 225:
Members of the Council who left in2
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Meetings:The Committee met in July
Page 228 and 229:
Appendix VEmployment InstructionsDe
Page 230 and 231:
Employment Instruction No.5Medical
Page 232 and 233:
Appendix VIAcronymsAASAustralian Ac
Page 234 and 235:
DHFDepartment of Health andFamilies
Page 236 and 237:
MHSMental Health ServicesMJDMachado
Page 238 and 239:
TBCTBCHTuberculosis CommunityHealth
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