Annual Financial

NATHALIA

DISTRICTHOSPITAL

ANNUAL FINANCIAL

AND

PERFORMANCE REPORT 2009-10

NATHALIADISTRICTHOSPITAL

NathaliaDistrict Hospital
Annual Financial and Performance Report 2009-2010 1

VISION

To provide our Community with quality health services in a pleasant, caring and safe environment.

MISSION

The Vision of Nathalia District Hospital is to be an effective and creative provider of a caring and quality focused health care service.

STATEMENT OF OBJECTIVES

NathaliaDistrictHospital is committed to:

Maintaining Leadership and Management strategies to comply with all relevant standards and statutory requirements
Encouraging an environment which promotes personal and professional development
Responding to the needs of an ever-changing environment within our community
Ensuring the Continuum of Care by maintaining and improving services in a safe and caring environment
Continuing to build on Community awareness and support through the process of consultation and planning

CONTACT DETAILS

NathaliaDistrictHospital

36-44 McDonell Street

Nathalia Victoria 3638

Telephone: 03 58669444

Facsimile: 03 58662042

Email:

Website:

PUBLICATIONS

The following publication is a public document and may be obtained by contacting the Chief Executive Officer at the address listed above - Annual Report 2009/2010 of the Nathalia District Hospital.

NathaliaDistrict Hospital
Annual Financial and Performance Report 2009-2010 1

In accordance with the Financial Management Act 1994, I am pleased to present the Report of Operations for NathaliaDistrictHospital for the year ended 30 June 2010.

NathaliaDistrictHospital reports on its annual performance in two separate documents. This Annual Financial and Performance Report fulfills the statutory reporting requirements to Government by way of an Annual Report and the Quality of Care Report reports on quality, risk management and performance improvement matters. Both documents are presented to the Annual General Meeting and then distributed to the community.

BOARD OF MANAGEMENT

CHAIR REPORT

What a privilege and pleasure to be able to present this report following our move to the new site. This is the most significant of many important achievements during my time as a Board of Management member.

To Leigh Giffard, Tim Elrington, Kris Andrews, Peter Poon, John Drenen, the respective staff teams at the Hospital, Hume Health, GV Health, Nathalia Medical Clinic, the Board, and everyone who worked so tirelessly, I offer “Congratulations”, and “Thanks” from the community.

We thought the move would be challenging. I don’t think we really suspected how much late night, early morning and “days off” work was needed to achieve the smooth shift. The way it was executed and the settled feeling of the new place so soon after was a tributeto the planning and skill of our devoted team.

The new arrangements weren’t without some downsides and difficulties. I thank everyone for the way these were handled and the quick move forward.

After a few months in the new Nursing Home, a long-term resident and friend took me aside and said emphatically, “I love it here!”. A few weeks later, another resident and past Board member celebrated his 80th birthday with his family and friends in the Harbison Centre. To me, that’s all that anyone involved in improving the service can wish to hear and be part of.

Despite the turmoil of the shift, the usual round of accreditation and inspection has continued. I’m pleased to once again report on and thank staff for the high results gained. The community has come to expect us to be leaders in providing our services in the Acute and Aged Care sections. The new Medical Clinic has also been given high praise for a fledgling business. Well done to everyone.

As satisfying as the new building and services mix is, we can’t sit back and just let it all move past us however. The challenges of attracting staff remain, as does the job of providing a relevant and responsive service for our community.

I hope we remain up to the task.

I have great pleasure in commending this report to you.

Yours sincerely,

ALAN SAGE

CHAIR

BOARD OF MANAGEMENT

NathaliaDistrict Hospital
Annual Financial and Performance Report 2009-2010 1

RELEVANT MINSTER

NathaliaDistrictHospital is established under the Health Services Act 1988. the responsible Minister during the reporting period is the Hon. Daniel Andrews MP, Minister for Health.

OBJECTIVES FUNCTIONS, POWERS AND DUTIES

Objectives, Function, Powers and Duties of Nathalia District Hospital are described in Operational Practices and By-Laws of the organization.

NATURE AND RANGE OF SERVICES PROVIDED

NathaliaDistrictHospital continues to operate under the Department of Health Small Rural Health Services funding model. This model gives the hospital flexibility to tailor services to meet the changing needs of our community. These programs are reviewed annually in consultation with our community.

The Hospital services the residents of Nathalia and District, which encompasses the small townships and districts of Waaia, Barmah, Picola, Kotupna, Bearii and Yalca. It provides a 24 hour emergency service with a medical practitioner on call, and a range of services within the acute care unit to cater for adults and children. Outpatient services are conducted in Radiology, Pathology, Physiotherapy, Speech Pathology, Occupational Therapy, Dietetics, and Generalist Counselling. Community Health staff and District Nurses provide a wide range of health promotion and domiciliary programs to our community.

Nathalia Medical Clinic

NathaliaDistrictHospital commenced management of the Nathalia Medical Clinic on 1st March 2010. A practice manager has been appointed to ensure the administration of the practice runs smoothly. In addition a practice nurse has been appointed to support the doctors in their day to day work. The Nathalia Medical Clinic successfully passed AGPAL accreditation in June 2010.

Emergency Department

The Hospital runs an Emergency Department which operates twenty-four hours a day seven days a week. Following the redevelopment of the hospital, facilitieshave been extended and our emergency department has grown to a three bed unit. In the year 2009/2010, 193patients were seen in Emergency, with 13% patients admitted to our Hospital and 12% transferred to Goulburn Valley Health as our primary referral hospital. Statistically 64% of patients presenting were seen by a Medical Officer within 10 minutes of arrival. Considering there is no resident medical officer and most presentations are after hours, this figure is an excellent result.

Acute Care

Dr Poon and Dr Drenen have continued to provide a dedicated service to NathaliaDistrictHospital and the local community. Over the last year we have been fortunate to continue the service provided by Dr Wann and attract Dr Huang to the medical team.

Discharge Planning processes are continually monitored and reviewed to ensure our patients receive the best available care to optimize their health outcomes. Regular discharge planning meetings identify appropriate referrals for individual patients to get them well and home as soon as possible. In 2009-2010 only 3 patients were readmitted within 28 days of their previous presentation.

Palliative Care

Our new Palliative Care Suite has been fitted out using the very generous donations received from our building fund. The area has a kitchenette, fold out bed and its own garden; this allows families to stay with their loved ones during an acute episode or terminal stages of a patient’s illness if the patient chooses a Hospital admission. The District Nursing Service provides the majority of palliative care services to clients in their own home, with support from the Hume Region Palliative Care Service.

Residential Aged Care

Our residential aged care bed numbers were expanded in November 2009 to 20 beds. The brand new state of the art nursing home has all single room accommodation for our residents together with specialized support equipment such as overhead tracking for lifting residents, piped oxygen and data cabling to every room.

Banawah continues to move with the times, and is doing the majority of its residential documentation on computer using the Management Advantage Program.

Immediately after the relocation to McDonell Street, the Aged Care Standards and Accreditation Agency paid a support visit to our residents and families to check on their progress. Thank you to our residents and families who took the time to speak with the assessors during their visit. During the year we received one spot visit to monitor the care we provide to our residents and all visits had positive results.

Our Music Therapy and Massage Programs continue to encourage resident’s sensory awareness. Resident’s enjoy playing the musical instruments purchased for the music therapy program, having a massage and being involved in the sensory therapy sound and light program.

The Resident Activity Program has been reviewed andis currently undergoing some changes. An activities coordinator has been appointed who identifies suitable for each resident. Every resident will have an activity profile developed in conjunction with them and their family. An individual program will be recommended to ensure that the residents all get to participate in activities of their choice. Following on from the Sensory Therapy project last year, all residents are given the opportunity to participate in sensory therapy. Activities staff are looking forward to having a designated Activity Room in the new facility.

Throughout the year there have been varied speakers and presentations at the resident meetings and morning teas. Residents and families are encouraged to participate in the daily activities of the Nursing Home. A monthly residents meeting is held and with the support of family, volunteers and staff, areas identified for improvement or any current issues are discussed. Regular family morning teas and a resident newsletter keep everyone informed about changes that may affect them.

We sincerely thank the volunteers who assist our residents throughout the year. They continue to provide much needed support and companionship to our residents. The community is reminded of the display of items in the foyer for sale with proceeds funding the activities program.

Community Health

Our Community Health Team have provided a wide range of health promotion and health prevention programs across all ages. Programs run in 2009/2010include:

Women's Health clinics including pap tests / cervical screening
Health screening for local businesses and a presence at the local Nathalia Show and the Easter Bushman’s Bash
Programs to assist clients to manage chronic conditions (includes Asthma, Diabetes, QUIT, anaphylaxis management) and school health programs.

Our Strength Training Program has been highly successful and is suitable for people of all ages, even those with chronic health problems. Participating in regular Strength Training has enabled participants to do physical activities more easily in a supported environment. These programs have run all year on Monday and Thursdays.

Our District Nurse team has continued to deliver high care to both our people community and hospital in the home patients. This vital service supports people to remain in their homes and have much needed care provided by trained and caring staff.This service operates seven days a week.

EARLY INTERVENTION in CHRONIC DISEASE (EIiCD) INITIATIVE

In early January 2009 five healthcare organisations within Moira Shire lodged a joint funding submission for the EIiCD initiatives being offered across the state.

This partnership included:

Cobram District Health
NathaliaDistrictHospital
Numurkah District Health Service
Moira Healthcare Alliance
Yarrawonga District Health Service

This submission was successful and these organisations are now developing and delivering EIiCD services from each site.

What is EIiCD?

EIiCD focuses upon community based early intervention services for people with chronic diseases. The initiative invests in both Community Health Services and Primary Care Partnerships.

The following principles underpin the initiative:

Health care is person-centred care
Consumers are active partners in the management of their chronic disease
Consumers have increased choice and control
The right care is provided at the right place and the right time
Good health is proactively promoted
Population subgroups of greatest need are targeted
A whole of service system response is developed

There is a shift towards early intervention, via prevention, and self management principles for clients with one or multiple chronic conditions. Rather than waiting for signs and symptoms to become evident, or for an acute episode of illness, learning about ways to understand, accept and manage a condition/s is the goal of early intervention services.

Staff across these organisations, (generally allied health practitioners), have undergone training with Health Coaching Australia. Health Coaching is a practice in which health practitioners guide clients to change health behavior and provides techniques to assist them to follow through with different treatment and lifestyle recommendations, so that clients can achieve better health outcomes.

All health services are working together in a coordinated approach, endeavoring to provide the same range of services, but perhaps from a slightly different perspective. Practitioners will ask you to become involved in decisions concerning your health and management, giving some ownership to those who have to live with this condition/s.

Allied Health

NathaliaDistrictHospital has been fortunate to be able to provide a wide range of allied health services to enhance our care. The following Allied Health Services have been provided in 2009/2010 through the Department of Health Small Rural health Service funding initiative:

Physiotherapy
Dietetics
Speech Pathology
Occupational Therapy
Generalist Counseling

Support Services

The organization has been well supported in 2009/10 by a dedicated team of environmental service, catering and maintenance staff

Education

NathaliaDistrictHospital has supported ongoing professional development for many of its staff over the 2009/2010 financial year.

The organisation has taken work experience students and VCAL students from NathaliaSecondaryCollege and St Mary of the Angel’s SecondaryCollege. It also has two students complete their community service for the Duke of Edinburgh Award.

Staff have mentored Registered Nurses Division 1 and 2 students, Medical students and taken placement of Registered Nurses Division 2 completing their medication endorsement and Certificate III students in Aged Care

During 2009/10 two of our Registered Nurses Division 1 successfully participated in the Department of Health Advanced Practice Certificate to assist the organization to manage patient presentations in Emergency Department when there is no doctor on call.

In addition we have four trainees undertaking Certificate IV in Health (Nursing) and continue to support the upskill to Registered Nurse Division 1 through a partnership with CharlesSturtUniversity.

Community Involvement

NathaliaDistrictHospital was fortunate to have had two community representatives involved in the capital redevelopment program, Mr William Kelly who took ownership of the arts program, and Mrs Bev Pell as a community representative.

The open day several weeks before the move was well attended by our community, with over 600 people taking the opportunity to look over the new building before we moved in.

The official opening of the new NathaliaDistrictHospital took place on the 5th February 2010, when the Honorable Daniel Andrew opened the new hospital in front of residents of our nursing home, their families and more than 300 community members.

Volunteers

Volunteers play a valuable role at NathaliaDistrictHospital and help with a wide range of programs. Banawah is fortunate to have an active group of dedicated ladies who offer their time and expertise to support our residents and bring “home” into Banawah. The Planned Activities Program relies on its volunteers to support participants on numerous adventures to make a difference to their lives. Regular volunteer education were held during the year as

well as a thank you day to recognise the valuable contribution they make to our organisation.

GOVERNING BOARD

The Board of Management is responsible for the overall management and direction of the Hospital and Nursing Home, and meetings are held on the last Thursday of each month.

OFFICE BEARERS

President:
Mr. Alan Sage

Senior Vice President:
Mr. Trevor Andrews (until March 2010)

Junior Vice President:
Ms. Sue Logie

Treasurer:
Mr. David Vaughan

OTHER MEMBERS:

Mr. Kevin Pell
Mrs Merrin Prictor

Mrs Bernadette Brooks
Mr David McKenzie

Executive Staff

Goulburn Valley Health’s Chief Executive Officer fulfills the role of Chief Executive Officer of Nathalia District Hospital and in that capacity is responsible to the Board of Management for administration of our Hospital. The Director of Nursing is responsible for the day to day operations of the Hospital with the support of the Associate Director of Nursing.

Chief Executive Officer

Ms. Kerryn Healy, B Bus, CPA, AFCHSE, CHE, FHFM

Director of Nursing/Manager

Mrs. Leigh Giffard, RN, RM, BN, Grad Dip Advanced Nursing (Management), Master of Health Service Management, MRCNA

Associate Director of Nursing

Mrs. Kristine Andrews; RN, BaHSc (Nursing), Grad Dip Rural Health, Master of Rural Health, MRCNA

Administrative Support

Administrator: Mr. Tim Elrington, Cert Bus, GDB IR, AFCHSE, Cert IV Quality

Director of Medical Services

Dr. Bruce Warton, RFD, MBBS, BHA, Grad Dip Health & Medical Law, DTM&H, AFCHSE, CHE, FRCSEd, FRCOG, FRANZCOG, FRACMA

Director of Finance & Corporate Services

Mr. Shaun Eldridge; B.Bus (Acc) M.B.A, C.P.A.

Visiting Medical Officers

Dr. Peter Poon

B Med. Sc., MB.BS

Dr. John Drenen

MB.BS, Dip RACOG

Dr. Kyi Wann

MB.BS

Dr Jian Xuan Huang

MB.BS

NathaliaDistrict Hospital
Annual Financial and Performance Report 2009-2010 1

ORGANISATIONAL CHART