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

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Risk ManagementThe purpose of risk management within theDepartment is to support better decision makingthrough a good understanding of risks and theirlikely impact. The aim is not to eliminate risk, butto consolidate the culture, systems and processesrequired to manage the risks involved in our activitiesand as a result to maximise opportunities andminimise negative outcomes.Two enterprise models: one for corporate risk and theother for client risk were implemented during the year,consolidating previous models. The consolidationwill lead to greater consistency and clarity of riskexposures across the organisation. RiskMansoftware has been implemented in the hospitalsduring 2009-10 and will spread over the rest of theDepartment in 2010-11.analysis, evaluation, assignment, registration and thedevelopment of mitigation plans for risk reduction arebeing incorporated into key departmental systemsand processes to increase the prevalence of riskbased decision making. Management is responsiblefor implementing the risk management models withintheir respective areas of responsibility.The outcomes of these activities will both informand be informed by the Department’s planningand performance management processes. TheDepartment’s Executive and the Audit Committeeplay a monitoring role in relation to the organisationalImprovements to the linkages between the riskmanagement initiatives and the Department’s internalaudit function were realised with the implementationof an integrated Risk and Assurance Framework. TheFramework brings about a more risk based approachto internal audit planning and reporting and is set outin the Department’s Internal Audit Manual.AuditA number of reviews, evaluations and audits wereundertaken in 2009-10. The outcomes of these arereported to the Audit Committee who undertakeon behalf of the Chief Executive to monitor theimplementation of key recommendations.On 25 February 2010 Alice Springs Hospital staffbecame aware that a person employed as a medicalintern (the ‘intern’) working at the Hospital hadallegedly fraudulent documentation and was not 2010 the following reviews were commissioned: the Department of Health and Families The objective of the consultancy was to reviewthe adequacy and effectiveness of the systemsand processes in place relating to credentialing formedical practitioners in the Department of Healththe processes followed in the appointment of theintern to Alice Springs Hospital were in line withnormal junior medical staff recruitment practice, itto assist hospitals through the provision of morerobust policy on the credentialing and appointmentof medical practitioners in the Northern TerritoryHospital Network. Medical Board Systems and Processes The objective of the consultancy was to assess theMedical Board’s compliance with its documentedsystems and processes and their alignmentwith national standards/ best practice for theregistration of medical practitioners in the NorthernThe review found that the Board’s processesfor the registration of medical practitioners werecomparable with processes in other jurisdictionsin Australia and that there was a high degree ofcompliance with the stipulated processes andprocedures in the processing of applications forregistration.The Internal Audit function commissioned a numberof internal audits/reviews during 2009-10.82Department Health and Families
Royal Darwin Hospital Medical Evacuations The objective of this audit was to review the extentof compliance with the policies and proceduresregarding medical evacuations at RDH. A number recommendations made on a new guidelineand form and investigating alternatives usingcommercial aircraft.Alice Springs Hospital Compliance AuditThe objective of this audit was to review policies and rostering and staff utilisation. Minor issues areas reviewed.Remote Staff Safety Review The objective of this review was to considerthe adequacy and effectiveness of the systemsand processes in place to manage the safety ofDepartmental staff working in remote locations.In the opinion of the auditor these systems andprocesses were not adequate, despite somegood guidelines in individual programs. TheDepartment is in the process of respondingto this audit’s recommendations, creatingconsistent Departmental policies and processesand addressing other safety concerns throughits Occupational Health and Safety Unit andSteering Committee. As recommended, it isalso considering a risk assessment of relevantDepartmental facilities.Probity AuditsThe Department has a procurement policy whichrequires probity audits to be undertaken based onprobity audits were conducted and/or are in progress the auditors.Katherine Hospital Compliance AuditThe objective of this audit was to review policiesand recommendations made for improvement.The following audits were conducted by the Northern End of Year Review 2008-09The objective of this audit was to review the year controls over reporting, accounting andaccounting and material transactions and balanceswith the primary purpose of providing supportto the audit of the Treasurer’s Annual FinancialStatement for year ending 30 June 2009. No during the audit and the accounting and controlprocedures examined in relation to the end of year satisfactory.Rights of Private Practice at Royal Darwin HospitalThree Year Compliance Audits Government hospitals within the Northern Territorybegan in 2009-10. It was conducted in accordancewith the protocols and processes detailed in a threeyear Strategic Internal Audit Plan for Acute CareServices. The following audits were conducted:Royal Darwin Hospital Compliance AuditThe objective of this audit was to review and resources. The audit made a number ofrecommendations for improvement in these areas.The objective of the review was to review rightsof private practice at the Royal Darwin Hospital.The audit highlighted a number of shortcomingswith the overall administration of private practicearrangements at the Hospital and recommendedthat the Department strengthen its controls overthe management of these arrangements.Pensioner and Carer Concession SchemeThe objective of the audit was to assess the internalcontrols of the Agency over the managementof the Northern Territory Pensioner and CarersConcession Scheme (NTPCCS). In general theinternal controls over the NTPCCS were foundto provide reasonable assurance that there iscompliance with prescribed requirements.Department Health and Families 83
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Visit the department’s website at
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Chief Executive ForewordChief Execu
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10Department Health and Families
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Dr Barbara PatersonCorporate Plan P
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Peter BeirneCorporate Plan Priority
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In comparing data between 1994-98 a
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Aboriginal Health and FamiliesProf.
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Corporate Plan 2009 - 2012Vision, M
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to detect, monitor, report and eval
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PRIORITY ACTION AREA 2Healthy Child
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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 and 42: PRIORITY ACTION AREA 5Safety, Quali
Page 43 and 44: essential to make sure that, wherev
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: NT Family & ChildrenAdvisory Counci
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
Page 97 and 98: NT Families and ChildrenDepartment
Page 99 and 100: Key Achievementsfurther increases i
Page 101 and 102: Key AchievementsAdditional funds of
Page 103 and 104: The Youth Triage Team was formed in
Page 105 and 106: Youth ServicesThe Northern Territor
Page 107 and 108: Performance Measure2008-09Actual200
Page 109 and 110: Acute CareDepartment Health and Fam
Page 111 and 112: 1. “Due to remoteness, the disper
Page 113 and 114: Figure 5 - Weighted Separations by
Page 115 and 116: There are three types of treatment
Page 117 and 118: 1.2.3.4.Due to remoteness, the disp
Page 119 and 120: HospitalsAlice Springs HospitalTota
Page 121 and 122: Audiologist (visits from Darwin) Ce
Page 123 and 124: Patients requiring services that ar
Page 125 and 126: Health and Wellbeing ServicesDepart
Page 127 and 128: in remote communities. Children are
Page 129 and 130: Key AchievementsMore than 70 facili
Page 131 and 132: 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
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146Department Health and Families
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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
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Cash Flow StatementNOTE2010$’0002
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1. Objectives and fundingThe Depart
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c) Agency and Territory Itemsand eq
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Revenue in respect of Appropriation
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o) ReceivablesReceivables include a
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t) Employee Benefitsmeasured at pre
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3. Comrehensive operating statement
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2010$'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
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Australian Manufacturing Workers’
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Members of the Council who left in2
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Meetings:The Committee met in July
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Appendix VEmployment InstructionsDe
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Employment Instruction No.5Medical
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Appendix VIAcronymsAASAustralian Ac
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DHFDepartment of Health andFamilies
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MHSMental Health ServicesMJDMachado
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TBCTBCHTuberculosis CommunityHealth
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