Peninsula HealthAnnual Report 2007

Winner - 2007 Premier’s AWArd for most outstAnding metroPolitAn HeAltH service

objective of this report

This Report is produced to inform Peninsula Health’s communities, staff, partners and government of its performance for the financial year 1 July 2006 – 30 June 2007.

Peninsula Health’s vision is to provide coordinated health care and this leads to an integration of programs and patient services across a number of sites. Progress and achievements of some services are presented to demonstrate this integration.

The Annual Report should also be read in conjunction with the Quality of Care Report, which details Peninsula Health’s progress and achievements in many clinical areas and the Peninsula Health Research Report which details research undertaken by clinicians and other health professionals.

It is prepared in accordance with Victorian Government guidelines, the directions of the Minister for Finance and in line with Australasian Reporting Awards Incorporated Guidelines.

Peninsula Health is committed to benchmarking its performance against best practice.

The 2007 Annual Report will be presented to the public at Peninsula Health’s Annual General Meeting on 19 October 2007.

our vision• To be recognised as a leader in promoting and providing quality,

innovative, coordinated and personalised health services• To be recognised as an employer of choice

We believe that our Vision will be achieved by:

• Promoting health, treating illness and providing long term care• Working in partnership to coordinate health care• Managing and meeting consumer expectations• Providing teaching, training and education• Managing resources efficiently and effectively

our values

Service, Integrity, Compassion, Respect, Excellence, Professionalism

In Partnership, Building a Healthy Community.

Our Mission

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2007�Contents

2 ChairpersonandChiefExecutive’sReport

4 PeninsulaHealthProfile

5 PeninsulaHealthOverview

6 2006/07PerformanceataGlance

10 KeyPerformanceIndicators

12 BoardofDirectors

16 ExecutiveStaff

18 OrganisationalStructure

19 FrankstonHospitalExpansion

20 TheMorningtonCentre,PromotingHealthIndependence

22 MeetingDemand

32 BuildingPartnerships

38 EnhancingQuality

43 EnhancingQuality–Research

44 CaringforandSupportingOurWorkforce

47 ManagingOurResources

48 ManagingOurResources–Environment

50 ManagingRisk

52 VolunteersandAuxiliaries

53 ServiceProfile

53 Frankston Community Health Service

53 Frankston Hospital

54 Rosebud Hospital

54 Peninsula Health Psychiatric Services

55 Community & Continuing Care Services

56 SeniorStaff

60 DisclosureIndex

61 Index

BackCover MapandContacts

Front cover: Joyce Sweeting participated in Peninsula Health’s Agestrong program during the year. Agestrong is a strengthening and balance group program designed for older people. Joyce is pictured doing light weight exercises, with trainers Rebecca Rohloff and Lesley Rieveley.

Photography in the 2006/07 Annual Report features some of Peninsula Health’s award winners and highlights the Health Service’s key achievements.

In addition to this Annual Report, information on Peninsula Health and its activities can be found in the 2007 Quality of Care Report and the 2007 Research Report, which are published separately. The Annual Report, Financial Statements, Quality of Care Report and Research Report are available on Peninsula Health’s website – www.peninsulahealth.org.au

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2007 � Chairperson and Chief

Executive’s Report

PeninsulaHealthcontinuestomeetthedemandsofthegrowingpopulationinFrankstonandtheMorningtonPeninsula.Duringtheyearunderreview,PeninsulaHealthprovidedcareandserviceon365,000occasionstopeoplelivingwithinitscommunity.

Thegrowingdemandforserviceswasmetthroughdeliveringawiderangeofhighquality,effectiveandefficientprograms.

StaffacrosstheHealthServicedevelopedinnovativeprogramstomeetincreasingdemandandanumberofinitiativesresultedinimprovedpatientoutcomes.

InSeptember2007,PeninsulaHealthreceivedboththePremier’sAwardasOutstandingMetropolitanHealthServiceoftheYearandtheQualityofCareReportingAwardattheVictorianPublicHealthcareAwardspresentation.Theannouncementcameafterthisreporthadbeenfinalisedandfulldetailswillappearinthe2007/08AnnualReport.

Otherhighlightsoftheyearinclude:

The Mornington Centre, Promoting Health Independence

Stage1AofTheMorningtonCentrewascompletedandsuccessfullyopenedinSeptember2007.

The$21.8milliondevelopmentcomprises60geriatricevaluationandmanagementbedsandprovidestreatmentandcareforelderlypatients.

TheMorningtonCentrereplacesfacilitiesthatformerlyoperatedattheMountElizaCentre.

Frankston Hospital Stage 2A Redevelopment

InMay2007,theStateGovernmentannounced$45millioninfundingfortheStage2AredevelopmentofFrankstonHospital.

TheexpansiontoFrankstonHospitalwillprovidetwonewsurgicaltheatresandrefurbishmentofthefourexistingtheatres.Itwillprovideanewcentralised33-bedand7-chairrecoverysuite,andnewareasforEndoscopy,DaySurgerytheatresandCardiacAngiography.TheCentralSterileSupplyDepartmentwillalsoberefurbishedandexpanded.

TheprojectwillalsoredevelopandexpandthePharmacyDepartment.TheHealthInformationServicesDepartmentwillberelocatedtoanewarea.

ThenewoperatingtheatreswillbereadyforuseinNovember2009andwhenthetotalexpansioniscompletedin2010,PeninsulaHealthwillhavesurgicalandcriticalcarefacilitiesthatcomparewiththebestinVictoria.

ItwasabusyyearforcapitalworksprojectsacrosstheHealthService.

The$3.4mredevelopmenttotheFrankstonHospitalRadiologyDepartmentwascompletedinSeptember2006.

TheRosebudHospitalRenalDialysisandtheChemotherapyUnitswereredevelopedtomeetgrowingdemandontheMorningtonPeninsula.

FrankstonHospitalandRosebudHospitalEmergencyDepartmentswererefurbishedtoimprove

patientflowandprovidechildfriendlyareas.

Peninsula Health Maternity Services

PeninsulaHealth’sMaternityServiceswererestructuredduringtheyeartoenhancethecareandchoicesavailabletowomenontheMorningtonPeninsula.

TheHillviewBirthingUnitwassuccessfullyrelocatedfromRosebudHospitaltoFrankstonHospitalinApril2007.ThedecisiontorelocatetheunitwastheonlywaytopreservetheRosebudHospitalmidwifeledmodelofcare.

Inaddition,anexpansiontoFrankstonHospital’smaternityfacilitiesisplannedfor2008.Thiswillresultinadditionalmaternityandbirthingfacilities.

Community Participation

TheHealthServiceworkscloselywithcommunitygroupsandotherserviceproviderstoimprovetheintegrationanddeliveryofservices.

TherearetwoCommunityAdvisoryCommittees,aKooriAdvisoryGroup,aCALDAdvisoryGroupandaSHARPSAdvisoryGroup.PeninsulaHealthisindebtedtothemembersofthesecommitteesfortheirsupportoftheHealthService.

Staff Achievements

Throughouttheyear,staffandmanagementateverysitedevelopedprograms,systemsandprocessesthatprovidedcomprehensiveandexpandedserviceswithinallocatedresources.TheexcellenceofmanyprogramswasrecognisedintheVictorian

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PublicHealthcareAwards.Thesearehighlightedthroughoutthisreport.

Research Highlights

Research,anditsoutcomes,playsavitalroleintheprovisionofoptimumhealthcareandenablesPeninsulaHealthtoextenditscommunityofcarebeyondtheMorningtonPeninsula.

TheroleofresearchwasfurtherdevelopedacrosstheHealthServicewiththeestablishmentofthePeninsulaHealthResearchProgram.TheResearchProgramdrawstogetheranumberofresearchfunctionsthatwerepreviouslyadministeredseparately.

Financial Overview

Theyear-endfinancialresultisapositiveresult.Ourfinancialperformancewasstrong,withasmallsurplus(recordedbeforecapitalanddepreciation)of$1.977m,whichwillbeusedtofundcapitalexpenditureinthecurrentfinancialyear.

PeninsulaHealthachievedtheoperationaltargetasspecifiedinthe2006/07StatementofPrioritiesagreedbytheMinisterforHealth,ChairpersonandtheBoard.

Accreditation

Duringtheyearunderreview,PeninsulaHealth’sresidentialcarefacilitiesmaintainedaccreditationwiththeAgedCareStandardsandAccreditationAgency.

AnothermajorhighlightoftheyearwasthesuccessfulorganisationwideaccreditationsurveyconductedbytheAustralianCouncil

onHealthcareStandards(ACHS).Accreditationwasgrantedforafouryearperiod.TheSurveyorsawardedaModerateAchievement(MA)in21areas,anExtensiveAchievement(EA)in21areasandthetopratingofOutstandingAchievement(OA)forPeninsulaHealth’sLegalComplianceprogram.

ThereportisoneofthebestachievedbyPeninsulaHealthinanOrganisationalWideSurvey.

Immediate Challenges

Atotalof50,518patientspresentedtotheFrankstonHospitalEmergencyDepartment(anincreaseof1,187patientsor2.3%from2005/06).

AlthoughPeninsulaHealthachievedthemajorityofitstargets,thepercentageofFrankstonHospitalEmergencypatientsadmittedtoawardwithin8hourswas57%in2006/07.ThisisbelowtheDepartmentofHumanServices’targetof80%andwholeoforganisationstrategiesarebeingimplementedtoimproveperformanceinthisarea(page25-26).

PeninsulaHealthisworkingwiththeDepartmentofHumanServicestodevelopaSouthernPeninsula(PeninsulaHealth)ServicePlantomeethealthserviceneedsontheSouthernPeninsulaoverthenextfiveto10years.

PeninsulaHealthisdevelopingaMentalHealthServicePlanthatwillidentifyanticipatedneedsoverthenext10-15years.Itwillproposeanoptimalmentalhealthservicesystemintermsofbedandcommunity-basedadult,childand

adolescentandagedcarementalhealthservicesrequiredtomeettheneedsofthecatchmentarea’spopulation(page31).

The Board

On1July,DianaWard(DeputyChairperson),LizaNewby,MichaelTiernanandDianneWickhamwerereappointedforanotherthreeyearterm.TheongoingBoardDirectorsareBarryNicholls(Chairperson),JimKerriganOAM,AssociateProfessorRuthSalomandJimSwinden.ItisalsoimportanttorecognisetheserviceandcontributionofMrPeterLeRoy,whoresignedfromtheBoardduringtheyear.OnenewBoardDirector,MsNancyHogan,wasappointedfrom1July,2007forathreeyearterm.

SpecialthanksareextendedtothestaffofPeninsulaHealth,itsvolunteersandauxiliarymembers,donors,theDepartmentofHumanServices,andtheExecutivewhosecontinuingsupportwillenablePeninsulaHealthtomeetfuturechallenges.

BarryNichollsChairperson

DrShereneDevanesen ChiefExecutive

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2007 � Peninsula Health Profile

PeninsulaHealthisoneof15metropolitanpublichealthservices.PeninsulaHealthwasformallyconstitutedasapublichealthservicein2000andcarriesontheservicesoftheformerPeninsulaHealthCareNetwork,establishedin1995.

PeninsulaHealthcomprises:FrankstonandRosebudAcuteHospitals;AgedCare,Rehabilitation,PalliativeCareandResidentialservicesinChelsea,Seaford,Frankston,MountElizaandRosebud;PsychiatricservicesinFrankstonandRosebud;andaCommunityHealthServicebasedinFrankston.

PeninsulaHealthoffersacutemedical,paediatric,surgicalandmaternitycare,criticalcare,psychiatricservices,agedcare,rehabilitation,palliativecare,residentialcare,communityhealth,healtheducationandpromotion,outpatientservices,agedcareandassessment,investigativeandmedicalsupportservices,alliedhealth,clinicaltrainingandresearch.

Population

PeninsulaHealthserves300,000peoplewholiveinan853sqkmareathatincludestheCityofFrankston,theMorningtonPeninsulaShireandthesouthernpartoftheCityofKingston.

About32%ofthepopulationisundertheageof25and26%isovertheageof55.Thisproportionofolderpeople,thegrouprequiring

themosthealthservices,isoneofthehighestandfastestgrowinginVictoria.

TheestimatedresidentpopulationofthePeninsulaHealthcatchmentareaisexpectedtogrowfrom261,573in2006,toalmost313,000,in2031.

PeninsulaHealthalsorespondstotheneedsofmorethan80,000holiday-makersduringthesummermonthsandseveralmillionpeoplewhovisittheMorningtonPeninsulaeveryyear.

The2006censusshowsthereareover1,500Indigenouspeoplelivingintheservicearea.PeninsulaHealthprovidessomeservicesspecificallyfortheKooricommunity.

High Health Risks

Thetop10healthriskfactorsontheMorningtonPeninsulaaretobacco,highbloodpressure,obesity,poordiet,physicalinactivity,highcholesterol,alcohol,unsafesex,illicitdrugsandworkinjuries.

Themajorcausesofdeathanddisabilityforthispopulationarecancer,stroke,asthma,heartdisease,accidents,emphysemaanddiabetes.

TherateofdeathanddisabilityintheserviceareaisslightlylowerthantheaverageforVictoria.Womenintheserviceareapopulationcanexpecttolivetonearly83-mentonearly77yearsofage.Aboriginallifeexpectancyisbetweeneightand18yearslower

thantheVictorianaverageof84.3yearsforwomenand79.6yearsformen.

Addressing High Risk Factors

Acomprehensiveapproachistakentoallriskfactorsandprevalentmedicalconditions.Recentstrategiesinclude:

• ThePeninsulaComplexCareProgram(PCCP)isfocussedonhelpingpeoplepreventavoidablehospitaladmissionsandemergencydepartmentpresentations(seepage29-30).

• StayHealthyisanEarlyInterventioninChronicDiseaseProgramprovidedbyFrankstonCommunityHealthServicetosupportpeoplewithlongtermhealthconditions(seepage34).

• ThePaediatricDiabetesCliniccommencedinDecember2006.TheClinicaimstoprovidepatientsandtheirfamilieswithaccesstoamulti-disciplinaryteamofhealthcareprofessionals(seepage26).

• InSeptember2006,morethan1,000peopleattendedthefirstAgeingWellExpowithinformationonanumberofdifferentaspectsincludingkeepingactiveandageingwellwithchronichealthconditions(seepage36).

Sources: Australian Bureau of Statistics; Census QuickStats, 2006; Australian Bureau of Statistics, Regional Population Growth, Australia, 2004-05; Burden of Disease: Victoria 1996-2016; Southern Metropolitan Burden of Disease Study; Department of Sustainability and Environment: Victoria in Future 2004.

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Peninsula Health – Overview

PeninsulaHealthoperates21publichealthfacilitiesacross10sites.Servicesareprovidedthroughtwopublicacutehospitals,aninpatientpalliativecareunit,hospitalandcommunity-basedpsychiatricservices,inpatientanddayservicerehabilitationfacilities,residentialagedcareunits(nursinghomesandhostels)andcommunityhealthprograms.ManyservicesarealsodeliveredbyPeninsulaHealthstaffvisitingpeoples’homes.

TheHealthServiceisactiveinbothclinicaleducationandmedicalresearchandisthelargestemployeronthePeninsulawith4,210staff.Servicesareenhancedbythecontributionsof820volunteers.

Highlights for 2006/07

• FullaccreditationforafouryearperiodwasgrantedbytheAustralianCouncilonHealthcareStandards(ACHS),seepage38.

• TheexcellenceofmanyofPeninsulaHealth’sprogramswasalsorecognisedintheVictorianPublicHealthcareAwards.Theseteamsandindividualsarehighlightedinthisreport.

• PeninsulaHealthwasawardedtheNationalClinicalQualityAwardbyACHSforitspioneeringworkinusingcomputerprogramstohelpprescribemedications,seepage51.

• $45minfundingwasannouncedbytheStateGovernmentfortheStage2ARedevelopmentofFrankstonHospital,seepage19.

• WorkwascompletedonStage1AofTheMorningtonCentre,PromotingHealthIndependence,anewGeriatricEvaluationandManagementfacilityconsistingoftwo30bedwards,seepage20.

• TheHillviewBirthingUnitwassuccessfullytransferredfromRosebudHospitaltoFrankstonHospitalandmaintainsthe

RosebudMidwiferyModelofCare,seepage28.

• TheRenalDialysisandChemo-therapyUnitatRosebudHospitalwasredeveloped,seepage29.

• RefurbishmentsintheFrankstonHospitalandRosebudHospitalEmergencyDepartmentswaitingroomswerecompleted,seepage25and28.

• A$3.4mredevelopmenttotheFrankstonHospitalRadiologyDepartmentwascompleted,seepage26.

Year in Brief

Year in Brief

Financial ($000s) 2007 2006 VarianceTotalrevenue 284,173 267,702 6.15%Totalexpenditure 282,196 266,147 6.03%Operatingsurplus(beforedepreciation,capitalandabnormalitems) 1,977 1,555 27.14%Totalassets 218,746 202,155 8.21%Totalliabilities 64,725 57,333 12.89%Equity 154,021 144,822 6.35% Staff Numberofstaffemployed 4,210 4,213 -0.07%Equivalentfulltime(EFT) 1,297 2,583 -49.78% Performance Indicators Acute(FrankstonandRosebudHospitals) Inpatientstreated(separations) 60,441 58,910 2.59%Emergencypresentations 71,075 69,881 1.71% PsychiatricServices Occupiedbeddays 14,373 14,701 -2.23%Communitycontacts 118,742 113,851 4.29% CommunityandContinuingCareServices OutpatientServices-occasionsofservice 41,698 37,011 12.66% CommunityHealth OutpatientServices-occasionsofservice 69,769 56,880 22.66%

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2007 � 2006/07 Performance at a Glance

PeninsulaHealth’s2005–2008StrategicPlanhassixobjectives.Outcomesagainstthemarelistedbelow.

Goals

Provideaqualityofcaretoolderpeoplethatisinkeepingwithevidencebasedpractice.

Providehighquality,complementaryservicesfromRosebudHospital.

Workinpartnershipwithotherhealthproviderstoenhancethehealthandwellbeingofthecommunity.

Provideaflexiblerangeofresponsestotheincreasinglevelandcomplexityofdemand.

Continueandenhanceserviceandcapitalplanningacrossacute,mentalhealth,communityhealthandagedcareandrehabilitation.

Achievements

Stage1AofTheMorningtonCentre,PromotingHealthIndependence,wascompleted.

‘ImprovingCareforOlderPeople’initiativesarenowsuccessfullyembeddedwithintheinpatientsub-acuteenvironment.

PeninsulaHealthhasimplementeda‘wholeofservice’approachtofallsprevention.PeninsulaHealthwasselectedbytheDepartmentofHumanServices(DHS)astheleadmetropolitanagencyfortherolloutoffallspreventionprogramsacrossacuteservices.

TheTransitionCareProgramcommenced.

TwoDivision2nursesfromRosebudResidentialAgedCareServices,LisaDellaGattaandZoeCaspar,wonanawardattheStateNursingExcellenceAwards.

RosebudHospital’sRenalDialysisandChemotherapyUnitwasredeveloped.

TheAgestrongProgramexpandedoutintothecommunity,inpartnershipwithlocalhealthcareagenciesandcouncils.

ThePeninsulaHealthPsychiatricService,withthePsychiatricDisabilityRehabilitation&SupportServices,haveestablishedTheAllianceProject.Theaimoftheprojectistoworkwithlocalnon-governmentorganisationswhicharefundedtoproviderehabilitationandsupportservices.

RedevelopmentofEmergencyDepartmentwaitingroomsatFrankstonandRosebudHospitalswascompleted.

A15bedMedicalAssessmentandPlanningUnit(MAPU)wasestablishedatFrankstonHospital.

AsixbedEmergencyObservationWard(EOW)wasrefurbished.TheHillviewBirthingUnitwasrelocatedtoFrankstonHospital.

A$3.4mredevelopmenttotheFrankstonHospitalRadiologyDepartmentwascompleted.

Future Directions

PlanningisunderwayforthefuturestagesofTheMorningtonCentre.Thiswillcompriseanother30geriatricevaluationandmanagementbeds,30complexcarebeds,60agedcarementalhealthbeds,acommunityrehabilitationcentreandhydrotherapypoolandfacilitiesforthePeninsulaCommunityHealthService.

Serviceswillexpandtomeetfutureneed.

WorkhascommencedtodevelopaSouthernPeninsula(PeninsulaHealth)ServicePlantomeethealthserviceneedsontheSouthernPeninsulaoverthenextfiveto10years.

Moreprogramswillbeintroduced.

Workhascommencedtothe$45mStage2AredevelopmenttoFrankstonHospital(seepage19).

ExpansionofFrankstonHospitalMaternityWardin2008.

Meeting Demand (page 22)

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Goal

Fosterdevelopmentofmutuallybeneficialpartnershipstobuildahealthiercommunity.

Achievements

PeninsulaHealthheldthefirstAgeingWellExpo.

PeninsulaHealthheldthefourth“MenBehavingPositively”forum.

TheAssistanceandCareinEmergency(ACE)programhasexpandedfromFrankstonHospitaltocommenceatRosebudHospital.

Future Directions

Introducemorehealthforumsandexpos.

Smallermen’shealthworkshopswillbeheldtofollowuptheMen’sHealthForum.Theseworkshopswillcovertopicssuchasdepression.

Goal

Buildonourstrongcultureofqualityandinnovation.

Achievements

Fullaccreditationfora4yearperiodwasgrantedbytheAustralianCouncilonHealthcareStandards(ACHS).

SuccessfulACSAaccreditationgrantedforCarinyaandJeanTurnerNursingHomes,MichaelCourtandLotusLodgeHostels.

PeninsulaHealthPsychiatricServiceswasrestructuredtoimprovetheformeruseofCATServicesandCaseManagementServiceswithamoreintegratedservice.

‘AboutPsychosis’DVDwaslaunchedasaneducationaltoolforcarersandfamiliesofpeoplewhosufferfrompsychosis.

OneofthePsychiatryDepartment’sseniornurseshasbeenendorsedbytheNursesBoardofVictoriaasaMentalHealthNursePractitioner,thefirstsuchappointmentinMentalHealthinVictoria.

TheexcellenceofmanyofPeninsulaHealth’sprogramswasalsorecognisedintheinauguralVictorianHealthcareAwards.

ThePeninsulaHealthResearchProgramwasfurtherdeveloped.

Future Directions

Continuetodevelop,reviewandifnecessaryamend,enhancedpathwaysbasedonexperiencesandevidence-basedpractice.

Fosterandencourageinnovativeprogramsthatenhancethequalityofcareprovided.

FurtherimplementMentalHealthNursePractitioner’spracticesatPeninsulaHealth.

Building Partnerships (page 32)

Enhancing Quality(page 38)

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2007 � 2006/07 Performance at a Glance

Goal

PromotetheattractivenessofPeninsulaHealthasanemployerofchoice,avoidingstaffshortagesinkeyareas.

Achievements

AprogramofsupportforjuniorInternationalMedicalGraduate(IMG)staffhasbeenimplemented.

AnonlineeRecruitmentsystemtoautomateandstreamlinetheemployeerecruitmentandselectionprocesswasintroduced.

TheveryfirstStaffClimateSurveywasconducted.

Future Directions

Implementthe‘BuildingPositiveAttendanceVictoria’Program.

PeninsulaHealthwillrespondtofeedbackfromtheStaffClimateSurvey.

Opportunitiesfordepartmentalandinter-departmentalcommunications,increasedtrainingopportunitiesandprogramstoenhanceemployeeengagementwillbeintroduced.

Goals

Maintainfinancialviabilitybylivingwithinourmeans.

Plan,manageandenhancephysicalinfrastructure.

Providetimely,accurateinformationtoimproveefficiencyandpatient/clientoutcomes.

Achievements

Thefullyearfinancialoperatingsurplusof$1.977mmeetsthetargetagreedbytheBoardofDirectorsandtheMinisterforHealthintheStatementofPriorities.

TheHealthService’sconsumptionofwaterandenergyhasbeenreducedandmorewastematerialrecycled.

$45mfundingwasannouncedbytheStateGovernmentfortheStage2AredevelopmentofFrankstonHospital.

PeninsulaHealthundertookanexternalauditofitscleanlinessduring2006andtheoverallaverageresultwas97%.

PeninsulaHealthwasawardedtheNationalClinicalQualityAwardbytheAustralianCouncilonHealthcareStandards(ACHS)foritspioneeringworkinusingcomputerprogramstohelpprescribemedications.

WorkprogressedonintroducinganewPatientandClientManagementSystem(P&CMS).

Future Directions

EnergyandwaterconservationprogramsextendedandbuiltintotheexpansionofFrankstonHospital.

ConstructionworktoFrankstonHospitalStage2Aexpansiontocommencein2008.

ExpansionoftheMaternityUnitatFrankstonHospitalplannedfor2008.

ImplementandexpandthenewPatient&ClientManagementSystemtoincludeallservices.

Caring for and Supporting Our Workforce (page 44)

Managing Our Resources (page 47)

PeninsulaHealth’s2005–2008StrategicPlanhassixobjectives.Outcomesagainstthemarelistedbelow.

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Goal

Identify,analyse,treat,evaluateandmonitorkeyrisksatalllevels.

Achievements

ARiSCE(RiskIdentification,Safety,Containment,Environment)Framework(includingpolicy,proceduresandatrainingpackage)wasfinalisedandcommencedimplementation.

Auditoffinancialstatements,includingreviewofcontrolsandITprocessesfor2006/07wassignedoffbyAuditor-GeneralduringAugust2007.

ReviewandupdateofthePeninsulaHealthRiskRegisterinMay2007.PeninsulaHealth’sManagementPracticesreviewedandbenchmarkedagainstotherpublicHealthServicesbytheAuditor-GeneralandVictorianManagedInsuranceAuthority(VMIA)inNovember2006.

Future Directions

OngoingsustainabilityoftheRiSCEProgramincludesannualmandatorytrainingforallrelevantstaff.

Managing Risk (page 50)

Electronic Prescribing Peninsula Health was awarded the ACHS National Clinical Quality Award. See Page 51

Pharmacy’s “Be Aware” Campaign Won in the Category of Excellence in Safety of Care at the 2006 Victorian Public Healthcare Awards. See Page 40

Food.Kids.Play Highly commended at the 2006 Victorian Public Healthcare Awards. See Page 31

Core of Life Highly commended at the 2006 Victorian Public Healthcare Awards. See Page 28

Lisa Della Gatta and Zoe Caspar Two Division 2 nurses from Residential Aged Care Services won an award at the State Nursing Excellence Awards. See Page 24

ACHS Accreditation Full accreditation for a four year period was granted by ACHS. See Page 38

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2007 �0 Key Performance Indicators

Emergency Department PresentationsPresentationstoHospitalEmergencyDepartmentsgrewby2.4%atFrankstonHospitalandremainedsteadyatRosebudHospital.

Episodes of Hospital BypassFrankstonHospitalhad141episodesofhospitalbypass.

Elective Surgery Waiting Times (in days) by CategoryAveragewaitingtimesforelectivesurgeryofCategory3(non-urgent)andCategory2patientsdecreasedduringtheyear.TheaveragewaitingtimeforCategory1patientsremainedthesameas2005/06.

Emergency Patients with a length of stay greater than 24 hoursTherehasbeenimprovementinthenumberofpatientsstayingintheEmergencyDepartmentforgreaterthan24hours,withthe2006/07resultstandingat9compared56thepreviousyear.

Emergency Patients admitted to a ward within 8 hoursTheprioryeardataisnotcomparablebecauseitwasonthebasisofdifferentstatisticalcounting.AlthoughtheDepartmentofHumanServicestargetof80%wasnotmet,wholeoforganisationstrategiesarebeingdevelopedandimplementedtoimproveperformanceinthisarea.

Elective Surgery Patients on Waiting List as at June 30TherewasareductioninthenumberofpatientswaitingforelectivesurgeryasatJune30.

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Hospital Inpatients TreatedThenumberofinpatientstreatedfortheyearremainedsteadyatFrankstonHospital.ThenumberofinpatientstreatedatRosebudHospitalsawanincreaseof1,602(or14.95%)onthepreviousyear.

Assets/LiabilitiesTotalassetsroseby$16.6mto$218.7mduring2006/07.Liabilitiesroseby$7.4mto$64.7m.Equity,beingthedifferencebetweenassetsandliabilitiesroseby$9.2mto$154min2006/07.

ExpenditureExpenditureroseby$16.5mto$282.2min2006/07.

Operating Surplus before depreciation, capital and abnormal itemsAnoperatingsurplusof$1.977mwasachieved,reflectingthatPeninsulaHealthcovereditsoperatingcostsandwasabletocontributetowardsfundingcapitalexpenditure.

Sources of Revenue 2007Revenuefromoperationstotalled$288.7min2006/07.

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2007 �� Board of Directors

Mr Barry Nicholls (Chairperson)MEcBEc(Hons1)TPTCAppointed:1July2003FormerSeniorVictorianpublicservant,includingroleswithinDHSandnumerouspublicauthorities;Fellow,AustralianInstituteofCompanyDirectors;Fellow,InstituteofPublicAdministrationAustralia(Vic);PastPresident,EconomicSocietyofAustralia(Vic);President,RotaryClubofSorrentoInc.

Ms Diana Ward (Deputy Chairperson) MSocSc(Pol&HumServ)BA(Soc)&(Anthrop)DipArts(ProfWrit&Ed)Appointed:1July2000LicensedEstateAgent;Director,VictorianHealthcareAssociation.

Mr James Kerrigan OAM JPBHA(NSW)FACHSE(HonoraryLifeMember)Appointed:1July2002Formerco-ordinatingSurveyorandPreceptorforAustralianCouncilonHealthcareStandards;FormerStatePresidentandCouncillorACHSE;FormerStatePresidentandFederalCouncillorAustralianHospitalsAssociation;FomerCEOthreemajorteachinghospitals,PANCH,RVEEHandMaterHospitalNewcastle.

Associate Professor Ruth Salom MBBSMDBMedSci(Hons)FRCPAMIACMBAAppointed:1July2005ManagingPathologist,VictorianCytologyService;AssociateProfessorofPathology,MonashandMelbourneUniversities;FormerFacultyBoardMember,MonashUniversity;FormerBoardMember,RoyalCollegeofPathologistsAustralasia;FormerMember,MedicalServicesAdvisoryCommittee.

Ms Nancy HoganBA(Hons)PoliSci,GradDipRehabStudies,MBA,FACHSE,AAICDAppointed:1July2007ExecutiveDirector,HealthandAgedCareServiceswithGalanteBusinessSolutions;FormerBoardDirector,Hesta;FormerBoardDirector,IndustryFundsManagementAdvisoryBoard.

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Ms Liza NewbyLL.B(Hons)MAFAIMAppointed:1July2004Consultantinhealthlawandpolicy;MemberoftheVictorianQualityCouncil;CommunityMemberofVictorianMentalHealthReviewBoard;FormerVictorianHealthServicesCommissioner.

Mr Jim Swinden MAdminBEcFCHSECPAAppointed:1July2006ConsultantinHealthServicesmanagement;DirectorofAustralianRedCrossBloodService;Healthmanagementexperienceinarangeofsettingsincludingspecialist,teachingandruralhospitalsaswellaspolicydevelopmentandadvocacy;FormerVictorianBranchPresident,ACHSE.

Mr Michael TiernanLL.BAppointed:1July2004ConsultantinLegalManagementandOHS,RehabilitationandRiskManagement;MemberLawInstituteofVictoria;WorkCoverCommittee,AccidentCompensationCommittee.

Ms Dianne WickhamBBusCAMIACDAppointed:1July2001Partner,MoreyWickhamCharteredAccountantsandAdvisers.

Mr Peter LeRoy (notpictured)Appointed1July2006-resigned11January2007Assoc.DiplomaComputingManagementConsultantandAdvisoryBoardmemberwithPotterFarrellyandAssociates;MemberAustralianComputerSociety;FormerDirector,StrategicProjects,withtheDepartmentofPremier&Cabinet’sOfficeoftheChiefInformationOfficer(OCIO);FormerChiefInformationOfficerwithinvariousFederalandStatejusticeagencies.

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2007 �� Board of Directors

Board Governance

Thenine-memberBoardofDirectorsisappointedbytheGovernorinCouncilupontherecommendationoftheMinisterforHealth.Directorsareusuallyappointedforatermofthreeyearswithmemberseligibletoapplyforreappointment.TheMinisterforHealthrequirestheBoardtodevelopaStrategicPlanfortheHealthServiceandtoensureaccountableandefficientprovisionofhealthservices.

Role of the Board

TheBoardofDirectorsisresponsibleforthegovernanceandstrategicdirectionoftheHealthServiceandiscommittedtoensuringtheservicesprovidedbyPeninsulaHealthcomplywiththerequirementsoftheHealthServicesAct1988andthemission,visionandgoalsoftheservice.

TheDirectorscontributetothegovernanceofPeninsulaHealthcollectivelyasaBoardthroughattendanceatBoardmeetings.IndividualcontributionoccursthroughparticipationinthevariouscommitteesoftheBoard.DirectorsalsogivetheirtimetoattendsignificantPeninsulaHealthfunctionsandevents.

TheBoardheld11meetingsinthefinancialyear1July2006to30June2007.Atthesemeetings,membersofthePeninsulaHealthExecutiveregularlypresentreportsontheirareasofresponsibility.

Retirements

PeninsulaHealthBoardandStaffextendtheirsincereappreciationtoformerBoardDirector,MrPeterLeRoy,whoresignedfromtheBoard(asat11January2007),forhisvaluablecontribution.

New Appointments

TheappointmenttotheBoardofMsNancyHogan,wasannouncedon1July2007.MsHoganistheExecutiveDirectorHealthandAgedCareServiceswithGalanteBusinessSolutions.MsHoganhaspreviouslybeentheCEOofanumberofpublic,not-for-profitandprivatehospitalsandagedcareorganisationsandaBoardDirectorofHestaandtheIndustryFundsManagementAdvisoryBoard.

Board Committees as at 30 June 2007

NinecommitteesprovidespecialistadviceandsupporttotheBoard.ThecommitteesalsoassisttheBoardandseniormanagementtomeetallstatutory,regulatoryandoperationalrequirementsfortheHealthService.

Finance & Resources Committee

TheFinance&ResourcesCommitteereviewsallfinancialmatters,managementinformationandinternalcontrolsystemsandconsidersandmakesrecommendationstotheBoardonmajorandminorworks.Members:•DianneWickham(Chair)•JimKerriganOAM

•PeterLeRoy(until11/1/07)•JimSwinden(until31/1/07)•MichaelTiernan(from1/2/07)

Audit Committee

TheAuditCommitteemeetsquarterlyandatanyothertimeasrequestedbythePeninsulaHealthBoard,anyCommitteemember,theinternalauditorortheAuditor-General.TheCommitteeliaiseswiththeinternalandexternalauditors,reviewsandapprovesauditprogramsandevaluatestheadequacyandeffectivenessoftheoverallgovernanceframeworkoperatingwithinPeninsulaHealth.TheCommitteereceivesreportsviacompliancemonitoringframeworkandmonitorsallriskmanagementactivitiesforPeninsulaHealth.Members:•DianaWard(Chair)•BarryNicholls•DianneWickham

Quality & Clinical Governance Committee

TheQuality&ClinicalGovernanceCommitteemeetsasrequiredtomonitoroutcomesandimprovethequalityandeffectivenessofhealthservicesprovidedbyPeninsulaHealth.TheCommitteeisalsoresponsiblefortheclinicalriskmanagementactivitiesofPeninsulaHealth,whichareintegratedwithitsqualitysystems.Members:•JimKerriganOAM(Chair)•BarryNicholls•AssociateProfessorRuthSalom•MichaelTiernan

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Planning & Future Development Committee

ThePlanning&FutureDevelopmentCommitteeplansforthefuturedistributionanddeliveryofservicesandensuresfutureservicesarebasedondemonstratedcommunityneeds.Itidentifiesexistingserviceswhichrequireupgrading,extension,modificationordeletionandmakesrecommendationstotheBoardonsuggestedmethodsoffinancingproposedfutureservices.Members:•MichaelTiernan(Chair)•AssociateProfessorRuthSalom

Medical Staff Association/Board Executive

TheBoardExecutiveconsidersmattersofurgencybroughtforwardthroughtheChiefExecutivefromtheMedicalStaffAssociation(MSA).TheBoardExecutiveisempoweredtomakedecisionsonthesemattersandisrequiredtoreportonanyactionsotakentotheBoardofDirectors.Meetingsareheldasrequired,whichincludesaquarterlymeetingbetweentheBoardExecutiveandtheChairoftheMedicalStaffAssociation,withtheDeputyChairMedicalStaff

Association,theChiefExecutiveandtheExecutiveDirectorMedicalServices,PeninsulaHealth,inattendance.Members:•BarryNicholls(Chair)•DianaWard

Human Research & Ethics Committee

TheHumanResearch&EthicsCommitteeassessesallprotocolscoveringresearchinvolvingpatientsandmakesrecommendationstotheBoardastotheapprovalofprotocolsforresearchtobecarriedoutwithinPeninsulaHealth.ItmonitorsandseeksfeedbackfromresearchersinrelationtoongoingandcompletedprojectsandconsidersandreportstotheBoardonotherethicalissuesasreferredtotheCommittee.Members:•LizaNewby(Chair)•DianaWard

Community Advisory Committee

TheCommunityAdvisoryCommitteeprovidesadviceonneeds,demands,andservicedevelopmentfromacommunityperspectivewhilstalsoharnessing

communitysupportforPeninsulaHealthanditsservices.ItissupportedbytwoCommunityAdvisoryGroups,includingtheCulturallyandLinguisticallyDiverse(CALD)CommunityAdvisoryGroupandtheKooriCommunityAdvisoryGroup.Members:•JimSwinden(Chair)•LizaNewby

Primary Care & Population Health Committee

ThePrimaryCare&PopulationHealthCommitteeassistsincreatingeffectivelinkagesbetweenMetropolitanHealthServicesandPrimaryCarePartnerships.Members:•PeterLeRoy(Chair)(until11/1/07)•JimSwinden(Chair)(from1/3/07)•DianaWard(from1/3/07)

Remuneration Committee

TheRemunerationCommitteemeetsasrequiredtoreviewperformanceanddetermineremunerationofexecutivemanagement.Members:•BarryNicholls(Chair)•DianaWard•DianneWickham

Board Finance& Audit Quality Planning MSA/Board Research Community PrimaryCare Remuneration Meetings Resources &Clinical &Future Executive &Ethics Advisory &Population Governance Development Committee Health

BarryNicholls 11of11 4of11* 4of4 5of5 2of2 1of1

DianaWard 9of11 4of4 2of2 9of11 2of3* 1of1

JamesKerriganOAM 10of11 9of11 5of5

PeterLeRoy 6of11* 4of11* 1of3*

LizaNewby 10of11 9of11 4of6

RuthSalom 10of11 4of5 5of6

JimSwinden 9of11 4of11* 5of6 2of3*

MichaelTeirnan 10of11 3of11* 4of5 5of6

DianneWickham 11of11 11of11 4of4 1of1

Meeting Attendances

* Committee member for only part of the year.

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2007 �� Executive Staff Profile

Dr Sherene DevanesenChiefExecutiveMBBSDipObstRACOGFRACMAFCHSEFAIMFHKCCMAppointed:October2000Sherenehas11yearsexperienceinclinicalworkfollowedby26yearsinHealthServicemanagement.SheisamemberoftheDHSBoardofHealthInformationSystems;aMemberoftheVictorianQualityCouncil;aMemberofMonashUniversityFacultyofBusinessandEconomics,PeninsulaAdvisoryBoard;aBoardDirectorofWesleyMissionMelbourne;aformerPresidentoftheRoyalAustralasianCollegeofMedicalAdministratorsandanACHSSurveyor.

Dr Peter Bradford ExecutiveDirectorMedical,FrankstonAcuteCare,andQuality;andDeputyChiefExecutiveMBBSMPHFRACMAFCHSEAppointed:January2001PeterhasbeenwithPeninsulaHealthfor8yearsandhasworkedinseniorhealthcaremanagementrolesfor26yearsinVictoriaandtheNorthernTerritory.PeterisalsoaCouncilloroftheRoyalAustralasianCollegeofMedicalAdministrators,aCouncilMemberoftheChisholmInstituteofTAFE,anACHSCoordinatingSurveyor,andistheChairoftheVictorianStateAdvisoryCommitteeforACHS.

Dr Sara Watson ExecutiveDirectorCommunity&ContinuingCareandAlliedHealthServicesMBChBFRACMAMHA(NSW)BSc(Hons)Appointed:March2006Sarahasheldanumberofseniorexecutiveandmanagementpositionsinhealthcare.SaraisaFellowoftheAustralasianCollegeofMedicalAdministrators,anAssociateFellowoftheAustralianCollegeofHealthServiceExecutivesandanHonorarySeniorLecturerintheDepartmentofEpidemiologyandPreventiveMedicine,MonashUniversity.

Mr Chris England ExecutiveDirectorHumanResourcesandRosebudAcuteCareAHA(UK)CMAHRIAppointed:August2005Chris’scareerinhealthadministrationincludesleadingtheHumanResourcesfunctionsatBaysideHealth,PeninsulaHealthCareNetwork,TheRoyalMelbourneHospital,TheAustinHospitalandTheAlfredHospital.

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Mr Brendon GardnerExecutiveDirectorPlanning,PsychiatryandInfrastructureBAppSc(HIM)MHAUNSWAFCHSEAppointed:May2007BrendonfirstjoinedPeninsulaHealthin1997asNetworkManager,HealthInformationServices,andhasheldseveralprojectmanagement,operationalandActingExecutivepositionswithintheHealthService.HehasbeenamemberofvariousDHScommitteesonCodingandCasemix,andmorerecentlyamemberoftheSteeringCommitteeresponsibleforselectingandimplementingthenewPatientandClientManagementSystemswithintheHealthSmartprogram.

Ms Jan ChildExecutiveDirectorNursing,FrankstonEmergency&IntensiveCareandCommunityParticipationGradDip(BehaviouralSc)GradDipHlthAdminAppointed:February2007JanisaDivision1RegisteredNursewithover20yearsexperienceinthepublicandprivatesectors.ShehasheldprofessionalandoperationalrolesinarangeofpublichealthsettingsincludingCommunityHealthandPrimaryCareandhasbeenamemberofPeninsulaHealth’sOperationalandNursingExecutiveformorethanfiveyears.

Mr David AndersonExecutiveDirectorFinanceandInformationBComMCom(Finance)Appointed:October2002DavidhashadexperienceinseniormanagementrolesingovernmentincludingtheDepartmentofWaterResources,CommunityServicesVictoriaandtheDepartmentofHumanServices.PriortojoiningPeninsulaHealthhewasManager,FinancialAnalysisandFunding,intheDepartmentofHumanServices.DavidisamemberoftheAustralianHealthServicesFinancialManagementAssociationandtheVictorianHealthServiceManagementInnovationCouncil.

Ms Elaine Bennett ActingAssociateExecutiveDirectorofPsychiatryandDirectorClinicalGovernance,QualityandCustomerServicesBAJoint(Hons)CPFA(UK)MBAAFCHSEAppointed:April2007PriortocomingtoAustraliaElainewastheExecutiveDirectorofFinanceandInformationforaMentalHealthNationalHealthServiceTrustintheUKforeightyears.ElainehassinceheldseniormanagementpositionsinFinanceatbothStVincent’sHealthandWomen’sandChildren’sHealth.HerappointmentasActingAssociateExecutiveDirectorisinadditiontoherroleasDirectorofClinicalGovernance,QualityandCustomerServices.

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2007 �� Organisational Structure

NursingMs Jan Child

Allied HealthDr Sara Watson

ExecutiveDirectorMedical,Frankston

Acute Care& QualityDr Peter Bradford

BOARD

Deputy Chief Executive

Executive Directors

Dr Peter BradfordChief Executive

Dr Sherene Devanesen

PROFESSIONAL ISSUES

ExecutiveDirector

Community& Continuing

Care and AlliedHealth

Dr SaraWatson

ExecutiveDirectorHuman

Resourcesand RosebudAcute Care

Mr ChrisEngland

ExecutiveDirector

Finance andInformation

Mr David Anderson

ExecutiveDirector Nursing,

FrankstonEmergency &

Intensive Careand Community

Participation

Ms Jan Child

ExecutiveDirector

Planning,Psychiatry

andInfrastructure

ActingAssociateExecutiveDirector ofPsychiatry

Mr Brendon

Ms ElaineBennett

Gardner

LegalMs Vicky Hammond

Public RelationsMr John Jukes

MedicalDr Peter Bradford

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Medicine/CardiacServicesSurgery/OperatingServicesWomen’s/Children’s/AdolescentsOncology andPalliative CareCriticalGovernance,Quality andCustomerServicesInvestigativeServicesPharmacyMedicalGovernanceHMOCoordination/SupportMedicalEducationPatientTransportFrankston sitecoordination

Rehabilitationand Aged Care/SitesResidentialCareAllied HealthSocial Workand IntegratingCareOutpatientsHospital inthe HomeCommunityHealth ServicesResearch andEthics

HumanResourcesEmergencyResponseManagementOH&SRosebudHospital

FinancePayrollSupplyPersonal AlarmCall ServicePrintingInformationManagementInformationTechnology

FrankstonEmergencyServicesFrankstonIntensiveCare UnitNursingServices/RecruitmentNursingEducationCommunityParticipationKoori LiasonPastoral CareLibraryServicesCore of Life

PlanningCapitalProjectsPsychiatryServices/SitesInfrastructureEngineeringEnvironmentalServicesFood ServicesSecurity

As at 30 June 2007

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2007��Frankston Hospital Expansion

Initialworkonthe$45mexpansionofFrankstonHospitalhascommenced.

TheprojectwilltakethreeyearstocompleteandisasignificantmilestoneinthecontinuingdevelopmentofhealthservicesontheMorningtonPeninsula.

WhenthisnextphaseintheexpansionofFrankstonHospitalisopened,PeninsulaHealthwillhavesurgicalandcriticalcarefacilitiesthatcomparewiththebestinVictoria.

Theredevelopmentwillprovideover6,000squaremetresofnewandredevelopedareasatFrankstonHospital.

Theexpansionwillincludethedevelopmentoftwonewsurgicaltheatresandnewendoscopyanddaysurgeryfacilities.Thefourexistingtheatreswillalsoberefurbished.Thiswillbringthetotalnumberoftheatresatthehospitaltoeight.

ThedevelopmentofthetwonewsurgicaltheatreswillhelptoreducethewaitinglistforCategory2and3patientswaitingforelectivesurgery.

ThenewoperatingtheatreswillbereadyforuseinNovember2009.AnewCardiacAngiographyUnitwillbesituatedclosetothenewoperatingtheatrecomplexandwillhavebetteraccesstotheintensivecareandtheatreareas.Theredevelopmentwillalsoincludeanew13bedIntensiveCareUnit.

ThetheatresandtheAngiographyUnitwillbeservicedbyanewcentralised33-bedand7-chairrecoverysuite.TheCentralSterileSupplyDepartment,whichsterilisesalltheequipmentusedinthetheatres,willalsoberefurbishedandexpanded.

ThePharmacyDepartmentwillberedevelopedandexpanded,andtheHealthInformationServicesDepartmentwillberelocatedtoanewarea.

Neweducationfacilitiesandstaffaccommodationwillalsobebuilt,providingabetterenvironmentforstaff.

Theredevelopmentwillboostthehospital’scapacitytomeetthedemandsofthegrowingpopulationonthePeninsulabyenhancingexistingfacilitiesanddevelopingmoreservicestocaterforfuturehealthneeds.

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2007 �0 The Mornington Centre

ThenewMorningtonCentre,acentreofexcellenceforagedcare,openedinSeptember2007.

Stage1AofTheMorningtonCentrecomprises60geriatricevaluationandmanagementbedsandprovidestreatmentandcareforelderlypatients.

TheMorningtonCentre,locatedontheNepeanHighway,providesanew,dynamicperson-centredmodelofcare.

SpecialfeaturesofTheMorningtonCentreinclude:• 20doubleand20singlerooms

allwithensuites.• Liftingapparatusin12ofthe

patientroomsandensuitestoassiststaffwiththetransferofdependantpatientsfrombedtochairorbedtobathroom.

• Anumberofconsultationroomsoneachfloorforone-on-oneorgrouptherapyasrequired.

• Grouproomsdesignedformultiplepurposesincludingpatientandstaffactivities.

• Securelandscapedmobilityandsensorygardenareasaroundthebuilding,andathirdgardenforvisitors.

ThedesignofTheMorningtonCentreincorporatesfeatureswhichhelptoreduceriskoffallsandminimisecognitivedecline.

InpatientsfromtheMtElizaCentrewererelocatedtoTheMorningtonCentreinSeptember2007.

TheMorningtonCentrewilltreatabout1,500elderlypatientseveryyear.Theaveragelengthofstayisexpectedtobe23days.

PeninsulaHealthisworkingwiththeDepartmentofHumanServicesonplanningforthefuturestagesofTheMorningtonCentre.Thiswillcompriseanother30geriatricevaluationandmanagementbeds,30complexcarebeds,60agedcarementalhealthbeds,acommunityrehabilitationcentreandhydrotherapypoolandfacilitiesforthePeninsulaCommunityHealthService.

The new Mornington Centre, a centre of excellence for aged care, opened in September 2007.

Mornington Development Project Manager, Judi McKee, and Site Engineer, Guy Chipperfield, view plans as

construction of the centre nears completion.

Judi McKee & Guy Chipperfield

Improving Care for Older People

OlderpeoplearesignificantusersofPeninsulaHealthservices.Whenadmittedtohospitaltheyoftenpresentwithmultipleandcomplexneeds.In2006/07,peopleover65accountedfor47%ofalladmissions.Inseveralnonsub-acuteunits,bedsbeingoccupied

byolderpeoplerangedbetween46-82%.

In2005,theDepartmentofHumanServices(DHS)grantedfundingtoPeninsulaHealthand14othermetropolitanandruralHealthServices,toensureHealthServicescontinuetorespondtotheoftencomplexneedsofolderpeopleintothefuture.

Significantprogresshasbeenmade,withinthesub-acuteservices,towardsimplementationoftheprinciplesunderpinningVictoria’s‘ImprovingCareforOlderPeople’projects.Theseinclude:• ThedevelopmentofanInpatient

FallsProgram.• Furtherdevelopmentofstaff

expertiseinallmajorclinicalriskareas,includingfallsprevention,cognition,skinintegrity,continence,diabetesandmedication.

• Agestrong-astrengthandbalancegroupprogramdeliveredinthesub-acuteinpatientsettings(includingagedpsychiatry)andinthecommunity.

• Robustprocessesforconsumerfeedback.

• AClinicalGovernancestructureforOlderpeople.

• ImplementationofanOlderPersonFriendlyenvironmentaudittoolresultingina$137,000grantbyDHSfornewchairsandbedsdesignedtoimprovecareforolderpeople.Anursecallbellsystemwasalsoupdatedtoimproveresponsivenesstopatientcallsforassistance.

Falls Prevention ProgramPeninsulaHealth’sorganisationwideFallsPreventionProgramisrecognisednationally,andinternationally,asbestpractice.Theprogramhasbeenintegratedintoroutineworkpracticeforallinpatientandresidentialcaresettings.

DHShasselectedPeninsulaHealthtobetheleadmetropolitanagencyfortherolloutofafallspreventionprogramacrossacuteservices.

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Goals•Provideaqualityofcaretoolderpeoplethatisinkeeping

withevidencebasedpractice.•Providehighquality,complementaryservicesfromRosebud

HospitalthatassistsPeninsulaHealthinmeetinggrowingdemand.

•Workinpartnershipwithotherhealthproviderstoenhancethehealthandwellbeingofthecommunity.

•Provideaflexiblerangeofresponsestotheincreasinglevelandcomplexityofdemand.

•Continueandenhanceserviceandcapitalplanningacrossacute,mentalhealth,communityhealthandagedcareandrehabilitation.

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Mornington Peninsula Shire Age Groups 70+

Dialysis Nurse, Jody Holmes, assists Renal Dialysis patient, Anthony Keep with his treatment.

Since the redevelopment of the Renal Dialysis Unit at Rosebud Hospital, it has tripled its capacity, expanding from

three chairs to nine. Now at its full capacity, it allows an extra 24 patients to receive this treatment three times each week.

Jody Holmes

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Theprogramwaslaunchedasaclinicalportfoliomodelofcareproactivelyaddressingfallsprevention.Itassistsincorrectlymanagingmedication,reducinghazardsinthehomeorinhospital,andprovidingasaferlivingenvironment.

Agestrong

Agestrongisastrengtheningandbalancegroupprogramdesignedforolderpeople,whichisbasedonresearchevidence,hasbeendevelopedbytheStrengthisforLifeNetwork-apartnershipoflocalagenciesintheFrankstonandMorningtonPeninsularegion.

In2006/07,therewere610participantsintheAgestrongprogram,whichwasconductedat10venuesacrossFrankstonandtheMorningtonPeninsula,inpartnershipwithlocalhealthcareagenciesandcouncils.Trainedleadersprovidedsessionsinsafe,supportiveenvironmentsatlowcost.Carerandchair-basedsessionswerealsoprovided.

Theprogramisnowofferedineightwardswithinin-patientandresidentialcampusesacrossPeninsulaHealth.TheAgestrongprogramprovidesdirecthealthbenefitsandsupportforthetransitiontoahealthierlifestyleuponleavingthehospitalenvironment.

Mt Eliza Personal Assistance Call Service (MEPACS)

PeninsulaHealth,throughtheMtElizaPersonalAssistanceCallService(MEPACS),providespersonalalarmsforover13,000peoplethroughouttheEasternpartofthestate.ThesealarmsenableuserstocontactMEPACSinamedicalemergencyandtoliveindependentlyintheirhomesforlonger.

Duringtheyear,MEPACSrespondedto15,659truemedicalemergencies,with97.17%ofthecallsansweredwithintwominutes.

Clientsatisfactionsurveysindicatethatover96%ofclientswereverysatisfiedwiththeirserviceatMEPACSand100%wereverysatisfiedwiththeresponsetoamedicalemergency.

Theservice,whichisbasedatMtEliza,usestelephonesystems,advancedsoftwareandbackupfacilitiestomaintaincontactwithclients.

Ambulatory Services

Allambulatoryservices,includinghomebasedcomponents,havemergedtoformoneservicedeliveredatChelsea,FrankstonandRosebudCommunityRehabilitationCentres.Thismeansthatclientscanaccesstheservicerequiredclosetoorintheirhomes.

Residential Aged Care Services

InApril2007,DrCraigClarkejoinedPeninsulaHealthasClinicalDirector,AgedCareMedicine.

TwoDivision2nursesfromRosebudResidentialAgedCareServices,LisaDellaGattaandZoeCaspar,wonanawardattheStateNursingExcellenceAwardsheldinOctober2006.

Theawardinthecategoryof‘Improvingthepatient/clientexperiencethroughinnovativenursingpractices’recognisedtheirworkinimprovingtheoralhealthcareofresidents.Therewereover80nominationsandfivewereshortlistedfortheaward.

Transition Care Program

TheTransitionCareProgramisa12weekprogram,jointlyfundedbytheCommonwealthandStateGovernment.Itprovidescareandrestorativeservicesforolderpeoplewhohavebeeninhospital.Theprogramcanbeprovidedatthepatient’shomeorinaresidentialcareservice.Theaimforthoseintheprogramistoimprovetheirfunctionalcapabilitiesandtheiroveralllevelofcare.

TheprogramcommencedinDecember2006.Itcurrentlyhas20residentialplacesataprivateresidentialcarefacility,RegisSheltonManorinFrankston,and10homebasedplaces.BotharesupportedbyPeninsulaHealthAlliedHealthstaff.

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Osteoporosis Service

PeninsulaHealthhasfundedanOsteoporosisNursetoworkwiththeFrankstonFracturePreventionProgram.TheroleoftheOsteoporosisNurseistohelppreventfuturefracturesinpatientswhohavebeentreatedforafracture.TheNurse’sroleincludes:• Organisingscreeningtests.• Ensuringfollowupappointment

withtheEndocrinologyteaminoutpatients.

• PatienteducationinrelationtoOsteoporosispreventionandtreatment.

• MaintenanceofadatabaseofOsteoporosismanagementoutcomes.

Frankston Hospital

FrankstonHospitalisthemajorproviderofacutesecondaryandtertiaryhospitalservicesontheMorningtonPeninsula.

In2006/07,FrankstonHospitaltreated48,120inpatients,adecreaseof70patientsfrom2005/06.

EachmonthatPeninsulaHealth,over1,000surgicalproceduresareperformedandnearlyhalfoftheseareelectivesurgery.Thenumberofpatientsonthewaitinglistreducedfrom2,609inJune2006to2,322asatJune302007.

Emergency DepartmentTherewere50,518presentationstotheFrankstonHospitalEmergencyDepartment,anincreaseof1,188patients(2.4%)fromthe2005/06financialyear.

The6bedEmergencyObservationWard(EOW)wasrefurbishedinSeptember2006,andisusedforpatientswhomayrequireprolongedobservation,butarelikelytothenreturnhome.FutureplansfortheEOWwillseetheinstallationofmonitorsallowingtheEmergencyDepartmenttoobservepatientsrequiringinvestigationforchestpain.

A15bedMedicalAssessmentandPlanningUnit(MAPU)wasestablishedtofacilitateaquickerflowofpatientstomedicalwardsandotherprograms,andispartoftheFrankstonHospitalEmergencyDepartment.

ThegoalofMAPUistomovetheestimated30,000patientsitwillseeeachyeartoanappropriateareaorprogramwithin48hours.Patientsaredischargedhome,transferredtoaninpatientwardbed,sub-acutefacilityortoHospitalintheHome.

Thisinitiativewillassistinmanagingtheflowofthe1,000patientstheEmergencyDepartmentseeseachweek,assistinavoidingby-passsituationsandspeedthepatient’sjourneytofurtheracuteandsub-acutecarewhenitisrequired.

InOctober2006,workontheEmergencyDepartmentwaitingareawascompleted.Thewaitingareaisenhancedthroughnaturallighting,bettertriageandmoreprivacy.

AdedicatedpaediatricwaitingareaintheEmergencyDepartmentwasalsocreated.ThisDHSfundedinitiativeimprovedtheexperienceforchildrenwhopresenttotheEmergencyDepartment.ThepaediatricwaitingareawasenhancedbythedonationofaStarlightFunCentre,whichisacolourful,high-techentertainmentunitofferingadiversionforchildrenwaitingtobeseenbyadoctor,helpingtoalleviatetheiranxiety.

IntheyearunderreviewanorganisationwideresponsetolengtheningwaitingtimesintheEmergencyDepartmentatFrankstonHospitalwasdeveloped.

SomepeoplespenttoomuchtimeintheEmergencyDepartmentwaitingtobetreated,waitingforabedinanappropriatewardorwaitingtobereferredtoaprogramofcare.

AconsultingareaforpatientslikelytobedischargedquicklywasestablishedintheadjacentMedicalImagingDepartmentandotherareas.

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Theincreasednumberofpatientsrequiringcardiacmonitoringforbetween12and36hoursresultedinsomeprolongedstaysinEmergencyDepartment.AdditionalmonitorswereorderedtoenablethesepatientstobetransferredtotheEmergencyObservationWardfreeingupbedsintheEmergencydepartmentforotherpatients.

Revisedbedmanagement,dischargemanagementandpatientflowprocesseshavebeenintroduced.Thesehavemaximisedbedavailabilitybyensuringpromptandappropriatedischargetimes;transferringidentifiedpatientsfromFrankstonHospitaltoRosebudHospital,andtobothagedcareandrehabilitationprograms.ThiswillresultinmorebedsbeingavailableduringpeaktimetoallowefficientpatientflowsfromtheEmergencyDepartmenttootherwardsandprograms.

Otherstrategiesdevelopedincludethefasttrackingofsomepatients,suchaschildrentothechildren’sward,fortreatmentandthefasttrackingofpatientslikelytobedischarged,toprocedureroomsanddischargeareas.

SuccessfulimplementationofthesestrategieswillenableFrankstonHospitaltomeetbothinternalandDHStargetsforthetimelytreatmentofpatientsintheEmergencyDepartmentandtheirdischargeortransfertootherwardsandprograms.

Radiology DepartmentThe$3.4mredevelopmenttotheFrankstonHospitalRadiologyDepartmentwascompletedinSeptember2006.ThisprojectimprovedtheRadiologyDepartment’sfacilitiestobettercopewithcurrentandfuturedemandsformedicalimaging.

Sincethecompletionofthisredevelopment,Radiologyhasseenthenumberofexaminationsincreaseto72,220from68,005inthelastfinancialyear.Thisrepresentsa6.2%growthinthenumberofexaminations.

Theredevelopmentincluded:• PlacementoftheCTscannerin

amoreaccessiblesite,closertoEmergencyandtheotherwardsanddepartments.

• DevelopmentofanadditionalGeneralX-rayroomandanInterventionalUltrasoundroom.

• Newandlargerpatientobservationareasforshort-termandlong-termstay.

• AnewwaitingroomandReceptionarea.

• ImprovedstafffacilitiesandaConferenceroom.

• Infrastructuretosupportnewimagerecordingandstoragesystems(PictureArchivingandCommunicationsSystems-PACS).

• ImprovedSpecialistRadiologistreportingareas.

AnewInterventionalAngiographySuitewasalsodevelopedtoenablepatientstohavediagnosticangiographyaswellasvascularinterventionalprocedures.

Duringtheredevelopment,MIAVictoria-theproviderofRadiologistsupportandMRIservicestotheDepartment–alsoreplacedtheirMRIscannerwithastateofart$2.5mMRIscannercapableoffasterscansequencingandwholebodyimaging.

MIAalsoreplacedtheirNuclearMedicineGammaCamerawithanewdual-headGammaCamera,atacostof$500,000.Thiswillachievefasterandmoredetailedimageacquisitionandleadtoimproveddiagnosis.TheGammaCamerawasinstalledinJune2007.

Paediatric Diabetes ClinicThePaediatricDiabetesClinichascommencedonaweeklybasisforpaediatricpatients,andtheirfamilies,whohavebeenreferredbytheirgeneralpractitioner.

TheCliniccommencedinDecember2006and,byJune2007,ithadprovided144occasionsofservice.TheClinicprovidespatientsandtheirfamilieswithaccesstoamulti-disciplinaryteamofhealthcareprofessionals.Theseincludeapaediatrician,diabeteseducator,dietitianandapsychologist.TheClinicsavesfamiliestimeandmoneyinindividuallyaccessingeachofthesehealthcareprofessionals.

In March 2007, the Hillview Birthing Unit relocated to Frankston Hospital to provide a safer clinical environment for expecting mothers. Hillview Birthing Unit, Nurse Unit

Manager, Loretta Whyte is pictured above with new mum Arlene Yeoh and baby Brandon. Brandon is one of 55 babies

born in 2006/07, at Hillview Frankston since the relocation.

Loretta Whyte

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Flexible Cystoscopy ServiceInNovember2006,PeninsulaHealthcommencedtheFlexibleCystoscopyservice.Flexiblecystoscopyallowsadoctortoexamineapatient’sbladderusingathin,flexible,tube-liketelescopecalledacystoscopeandassistsindiagnosisofbladderconditions.

Thecystoscopyprocedurewaspreviouslyperformedwitharigidcystoscopeundergeneralanaesthesia.Nowitisamuchshorterprocedureperformedwithaflexiblecystoscopeunderlocalanaesthesia,increasingpatientcomfortandsafety.Theenhancedserviceislessinvasiveandreducestheimpactonlifestyleforthepatient.

Peninsula Health Maternity Services

In2006/07,therewere2,584birthsatFrankstonandRosebudHospitals.

PeninsulaHealthhasrestructuredbirthingservicestooffertheRosebudlowrisk‘Hillview’MidwifeLedModelofCareandboththeFrankstonHospitalMidwifeandMedicalModelsofCare,whichincludeshigherriskcases,atFrankstonHospital.

InApril2007,theHillviewBirthingUnitwasrelocatedtoFrankstonHospital.

ThedecisiontorelocatetheHillviewBirthingUnitwasmadefollowingreviewsmadebyProfessorEuanWallace,ProfessorofObstetrics,MonashUniversity,andDrCampbellMiller.BothrecommendedthepreservationoftheRosebudMidwiferyModelofCareatFrankstonHospital.

RosebudHospitalcontinuedtoofferprenatalandpostnatalservices,includingbookingclinics,midwivesclinic,postnatalcare,homevisitingservice,MotherBabyUnitandSleepclinics.

TherelocationoftheHillviewBirthingUnitprovidestheopportunityforwomentochoosethemodelofcaretheypreferwithreadyaccesstomedicalexpertiseifitisrequired.

AnexpansiontoFrankstonHospital’smaternityfacilitiesisplannedfor2008andwillresultinadditionalmaternityandbirthingfacilities.

Core of Life

CoreofLifehasexpandednationally.Thisunique,‘handson’lifeeducationprogrampresentsmaleandfemaleadolescentswithinformationonpregnancy,givingbirthandparentinganewborn.In2006/07,theprogramwasdeliveredto15,000youthatapproximately240secondaryschoolsand50communitysettings.Bytheendof2007,theprogramwillhavereachedover38,000youngpeopleacrossAustralia.

TheprogramwaspresentedtohundredsofIndigenousyoungpeopleinruralandremoteareas.CoreofLifeworkedinpartnershipwithseveralAboriginalandTorresStraitIslanderhealthorganisationstodevelopmodifiedresourcesforAustralia’sIndigenouscommunity.SeveralIndigenouscommunitieswereencouragedtocontributeimages,artworkandlanguagetofurtherdeveloptheprogram’seducationalresources.

InrecognitionofthesuccessfulworkofCoreofLife,theprogramwashighlycommendedintheExcellenceinPreventionandEarlyInterventionCategoryofthe2006VictorianPublicHealthcareAwards.

Rosebud Hospital

In2006/07,RosebudHospitaltreated12,322inpatients,anincreaseof1,602patientsfrom2005/06.

AtRosebudHospital,severalnewserviceswereintroducedandotherswereexpandedandenhanced.

Emergency DepartmentTheEmergencyDepartment’sTriageAreahasbeenexpandedtoprovideincreasedprivacyforpatients,aswellasalargerfamily-friendlywaitingenvironment.

AdedicatedtriagenurserolewasalsointroducedattheRosebudEmergencyDepartment.

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Rosebud Day Treatment CentreTheRosebudHospitalRenalDialysisandChemotherapyUnitwasredevelopedtomeetgrowingdemandontheMorningtonPeninsula.The$700,000expansionwassupportedbya$250,000grantfromtheSouthernPeninsulaCommunityFundandothercommunitydonations.

TheRenalDialysisUnithastripleditscapacity,expandingfromthreechairstonine.Nowatitsfullcapacity,itallowsanextra24patientstoreceivetreatmentthreetimeseachweek.

AninternetbookingservicefordialysispatientsholidayingonthePeninsula,hasbeenintroduced.

Thebookingserviceusesacalendar,whichcanbeaccessedfromthePeninsulaHealthwebsite.PatientswhoholidayontheMorningtonPeninsulacaneasilybookintemporarydialysistreatmentatRosebudHospital.

RosebudHospital’sfour-chairChemotherapyserviceforcancerpatientswasmovedtoanewareaadjacenttotheRenalDialysisUnit.ThecombinedareasarenowknownastheRosebudDayTreatmentCentre.

ThegraphaboveshowsthegrowthinChemotherapytreatmentin2006/07,atRosebud.

Operating TheatresRosebudHospital’soperatingtheatresessionswerereviewed,andoperatingsessionswereconsolidatedintoalldaysessionsMondaytoThursday,ratherthanhalfdaysessions.Thechangesweremadetoimproveefficiencyandoptimiseuseofresources.

Central Sterilising Supply DepartmentRosebudHospital’sCentralSterilisingSupplyDepartment(CSSD)acquiredastate-of-the-artAthertonSteriliser,valuedat$90,000.Thisequipmenthasimprovedefficiencieswithinthedepartment,whichprovidessterilisingservicesfortheSouthernPeninsulaHealthsites.

Patient Transport RosebudHospitalhasbeenabletosignificantlyimprovepatientaccesstooffsitehealthcarefacilitiesbypurchasingitsowndedicatedminibus,thankstoagenerous

donationof$50,000fromtheRosebudHospitalKioskAuxiliary.Thevehiclehasbeenspeciallyadaptedtotakeuptotwowheelchairpatients.

Complex Care Program

ThePeninsulaComplexCareProgram(PCCP)helpspreventavoidablehospitaladmissionsandemergencydepartmentpresentationsbyprovidingcarecoordinationservicesinthecommunity.

TheProgramprovidescarecoordinationacrossfivestreams-diabetes,cardiology,respiratory,drugandalcoholandagenericstream,whichincludespaediatrics.PeoplewhohaveattendedtheEmergencyDepartmentateitherFrankstonorRosebudsixormoretimeswithina12monthperiodwillbereferredtoComplexCareforfollowup.

Chemotherapy Treatments – Rosebud 2006/07

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WiththeadditionofaDietitian,PharmacistandGPLiaisonOfficer,theRosebudComplexCareTeamnowprovidesamulti-disciplinaryapproachtoclientcare.

Atotalof1,053clientsreceivedservicesin2006-07,anincreaseof242comparedtothepreviousyear.Thegraphshows1,104fewerEDpresentations,748fewerinpatientadmissionsand2,769fewerbeddaysamongstthisgroupofclientscomparingthe12monthspriortoinvolvementwithPCCPandayearafterreceivingtheservice.

TheComplexCareprogramreceived$102,000infundingfromDHSinFebruary2007toenableprogramstafftoparticipateinapilotofthe“InterRAIHomeCareAssessmentForm”-acomprehensiveelectronicin-homeassessment.Nineteenprogramstaffhavecompletedtrainingandaprojectworkerwasappointedtosupporttheproject.Theprogramcreatesaconsistentcomprehensiveassessmentwhichcanbeusedandunderstoodbyawiderangeofclinicians.

Community Health

CommunityHealthServicesatPeninsulaHealthpromotewellnessandencouragepeopletoshareintheresponsibilityfortheirownhealthandwellbeing.

In2006/07,CommunityHealthServicesprovided69,769occasionsofserviceattheFrankstonIntegratedHealthCentreandatotherPeninsulalocations.

Introduction of Single Session TherapyWaitinglistsforindividualandfamilycounsellinghavereducedsignificantly.

TheCounsellingteamhasdesignedandimplementednewgroupprogramsinresponsetotrendsinone-on-oneconsultationsandclientfeedback.Theseallowaccesstosupport,informationandtreatmentforcommonproblemssuchasanxiety,depression,grief,separationandageing.

ThecombinationofSingleSessionWorkandtheGroupProgramsgivesclientsdifferentmediumsinwhichtoworkthroughtheirissueseffectively.

In2006/07,thenumberofclientsreferredtogroupprogramshasincreasedfrom55to140.

Food.Kids.PlayFood.Kids.Play(formerlyFood.Com.Play)isafamilybasedinterventionforchildhoodobesity,whichisacollaborationbetweenFrankstonHospitalPaediatricstaffandCommunityHealthstaff.

Total 12 month Pre and Post Hospital Utilisation Data for Peninsula Complex Care Program

Food.Kids.Playisasix-weekfamilygroupprogramwhichaimstoimprovehealthoutcomesoffamilieswithpre-pubescentchildren,whohaveweightandselfesteemissues.Itencouragesthewholefamilytomakechangesinnutrition,physicalactivityandlifestyleinordertomaximisethefamily’shealth.

In2006/07,30childrenfrom21familiescompletedtheprogram.Theresultshavebeenpositivewithparentsurveysindicatingthattheirchildren’sselfesteemhasimproved.Overall,childrenparticipatingintheprogramhavereducedtheirhoursofTVviewingby29%andhaveincreasedtheirhoursofphysicalactivityby31%.

Food.Kids.PlaywashighlycommendedintheExcellenceinContinuityofCareCategoryofthe2006VictorianPublicHealthcareAwards.

Psychiatric Services

In2006/07,PeninsulaHealthPsychiatricService(PHPS)had118,742communitycontacts,anincreaseof4,891(or4.3%)from2005/06,Ithad14,373occupiedbeddays,whichisadecreaseof328beddaysfrom2005/06.Thenumberofseparationsremaunedsteadyat1,056.

PHPScontinuetoworkonimprovingallaspectsofpsychiatricservicedeliverytoFrankstonandtheMorningtonPeninsula,andhavedevelopedanimprovedmodelofcare.

PsychiatricServicesintroducedfourmulti-disciplinarycommunity-basedadultteamsthatworkcloselywithlocalgeneralpractitionersandotherhealthcareprovidersaswellascollaborativelyworkingwithclientsandtheirfamiliesorothercarers.

ThenewmodelreplacestheformeruseofCATServicesandCaseManagementServiceswithamoreintegratedservice.

PHPShasreviewedanddevelopedservicestohelpensurethatpatientswhopresentwithapsychiatricproblemdonothavetowaitintheEmergencyDepartmentatFrankstonorRosebudHospitalsforanylongerthanisnecessary.

Thenumberofpatientsplacedinalow-stimulusenvironmentdecreasedin2006/07.Thecurrentmonthlyrateofseclusionis7.6%ofalladmissions,comparedwith16.44%lastyear.TheACHSbenchmarkofseclusionis20%.

OtherdevelopmentsoverthelastyearincludetheacquisitionofaleaseonabuildingnexttothecommunitymentalhealthserviceinDaveySt.ThisenabledPHPStoexpandservicesinanimprovedenvironment.

Mental Health Service PlanPeninsulaHealthisdevelopingaMentalHealthServicePlanthatwillidentifyanticipatedneedsoverthenext10-15years.Itwillproposeanoptimalmentalhealthservicesystemintermsofbedandcommunity-basedadult,childandadolescentandagedcaremental

healthservicesrequiredtomeettheneedsofthecatchmentarea’spopulation.

TheServicePlanwillidentifyamodelwhichwillincorporatetheservicecomponentsofemergency,community,residentialandacuteinpatientandnewservicemodelssuchaspreventionandrecoverycare(PARC),aswellaspsychiatricdisability,rehabilitationandsupportservices(PDRSS)providedbythenongovernmentsector.Inaddition,relationshipswithdrugandalcoholservices,primarymentalhealthteams,generalpractitioners,housing,hospitals,privatementalhealthservices,consultationliaisonandsupportservices,andacademicinstitutionswillalsobeconsidered.TheServicePlanwilltakeintoconsiderationDepartmentofHumanServices’policydirections,planningundertakentodatebyPeninsulaHealthandSouthernMentalHealthServices,aswellasrecommendationsoftheproposedSouthernPeninsula(PeninsulaHealth)ServicePlan.

Intern Positions

DHShasfundedtwoadditionalInternpositionsforPeninsulaHealthtomeetextrapatientdemand.ThesepositionsincluderotationsindepartmentsincludingPsychiatry,Surgery,RosebudHospital’sGeneralMedicineandEmergencyDepartment.

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PeninsulaHealthworkscloselywithcommunitygroupsandotherserviceproviderstoimprovetheintegrationanddeliveryofservices.

Community Advisory Committee

TheCommunityAdvisoryCommittee(CAC),anditssubcommittees,meetregularlyandprovidefeedback,perspective,ideasandinformationtotheBoardandStaff.Advisorycommitteesandgroupsaremadeupofcommunitymemberswhoseinterestsandactivitiesgivethemaccesstopublicopinion.Inselectingmembersforthecommittees,PeninsulaHealthalsotriestoensurethatthesemembersrepresentthegroupsinthecommunity.

ThedevelopmentoftheCommunityParticipationPlanwasundertakeninconjunctionwithCACmembersandhasresultedinastrongframeworkforbuildingcommunityparticipationacrosstheHealthService.

CACmember,MarilynRowe,wassponsoredbytheVictorianQualityCouncil(VQC)toattendtheAustralasianConferenceofSafetyandQualityinHealthcareheldinMelbourneinAugust2006.PeninsulaHealthsupportedthe‘ParticipateinHealth’ConferenceheldinFebruary2007.CACMember,GusDeGrootledthegroupdiscussingMedicationSafetyIssues.Culturally and Linguistically Diverse Groups

PeninsulaHealthtriestoinvolveconsumersinallaspectsofitsprogramandservicedevelopmentfromserviceplanningthroughtoevaluation.Particularattentionispaidtoculturallyandlinguisticallydiversegroups.

Goal•Fosterdevelopmentofmutuallybeneficialpartnershipsto

buildahealthiercommunity.

ACulturallyandLinguisticallyDiverse(CALD)CommunityAdvisoryGroupwasestablished.Thegroup’sinauguralmeetinginNovember2006waswellattendedbymembersoftheCALDcommunityandCALDServiceproviders.

TheCALDCommunityAdvisoryGrouphasendorsedPeninsulaHealth’sCALDPlan.PeninsulaHealth’sCALDPlanfocusesonactivitiessuchastrainingofPeninsulaHealthstafftoappropriateuseoflanguageservices,undertakingcommunityengagementactivitieswithlocalmigrantresourcecentresandethniccommunitygroups,implementingtheVictorian‘interpretersymbol’acrossallsitesandestablishingaCulturalDiversityCommitteetooverseetheseinitiatives.

TheCALDCommunityAdvisoryGrouphasrepresentativesfromlocalGreek,Russian,DutchandItaliancommunityorganisations.

Throughout2006/07,anaverageof60interpreterbookingsweremadeeachmonth.ThemainlanguagesrequestedwereGreek,Italian,Auslan(signlanguageforhearingimpaired),Mandarin,Croatian,Dari,CantoneseandArabic.

Koori

TheKooriCommunityAdvisoryGrouphasincreaseditsmembershipfromfourto10members.

PeninsulaHealthstaffcontinuetoparticipateinarangeofworkshopsconductedbytheVictorian

Frankston Hospital’s Ward 5GN Volunteer Brian Whitlow, explains rights and responsibilities

to patient Wilma Kneebone, as part of Peninsula Health’s Rights and Responsibilities Program.

Brian Whitlow

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AboriginalCommunityControlledHealthOrganisation.Trainingincludesprogramevaluation,workroles,AboriginalhealthpromotionandIndigenousculturalrespecttraining.

PeninsulaHealthpresentedattheDHS‘ParticipationandHealth’conferenceheldinFebruary2007.Apresentationwasmadeabouttheformation,successesandlearningsoftheKooriCommunityAdvisoryGroup.

The Aboriginal Health Promotion and Chronic Care Program (AHPACC)

Thereareover1,500IndigenouspeoplelivingontheMorningtonPeninsula.

TwostaffhavejoinedtheAboriginalHealthPromotionandChronicCareProgramtoensurethatcommunityhealthservicesareculturallyresponsivetothechronichealthneedsofthelocalIndigenouspopulation.ThegeographiccatchmentforthisprojectwillbethelocalgovernmentareasofFrankstonCityandMorningtonPeninsulaShire.

ThetopfiveAmbulatoryCareSensitiveConditionsfortheFrankston/MorningtonPeninsulaareaarediabetescomplications,chronicobstructivepulmonarydisease,dehydrationandgastroenteritis,anginaanddentalconditions.AlloftheseoccurinIndigenouspeople,atrateshigher

thanthegeneralcommunityandVictorianaverage.ThechronicdiseaseprioritiesforAHPACCwillbediabetes,dentalconditions,mentalhealthanddrug/alcoholuse.Targetpopulationswillbethosepeoplealreadyexhibitingsymptomsandproblemsaswellasthoseatriskoftheseconditions.

ACommunityAccessworkerhasbeenappointedtoworkwithlocalIndigenouspeopletosupportandencouragetheuseofmainstreamhealthservices.AhealthpromotionworkerhasalsobeenappointedtoidentifylongtermriskfactorsandchronicillnessamongstthelocalAboriginalcommunityandensurethatPeninsulaHealthservicesareculturallysensitiveandappropriate.

Stay HealthyStayHealthyisanearlyinterventioninchronicdiseaseprogramprovidedbyFrankstonCommunityHealthServicetosupportpeoplewithlongtermhealthconditions.

TheprogramalsoprovidesadditionalsupporttoGeneralPractitioners(GPs)caringforpeoplewithchronicconditions.

Theservicewillparticularlybenefitpeoplenewlydiagnosedwithdiabetes,cardiovasculardiseaseorchronicrespiratorydisease(COPD)-forexampleasthmaoremphysema.

In2006/07,321peoplereceivedalliedhealthandnursingservices.Thisnumberexcludesclientswhoattendedgroupsessions.ThefullcareplanningrolecommencedatthebeginningofFebruary2007.

Theprogramencouragespeopletoselfmanagetheirlongtermillnessandofferseducation,onetooneconsultationandtheopportunitytoattendgroupprograms.Clientsarefollowedupatsixand12monthlyintervalstosupportandencouragelongtermmanagement.

Community Health Partnerships

Local CouncilsThetwoCouncilsonthePeninsulacontinuetoworkwithPeninsulaHealthonarangeofprojects.

PeninsulaHealth’sFrankstonCommunityHealthServiceisworkingwithFrankstonCityCounciltodeliverPre-SchoolOralHealthservicestothecommunity.

Oralhealthpromotionandeducationareprovidedtochildrenandtheirparentsincomfortablesettings.Thesecanalsobeincorporatedwithindividualscreeningtocheckoralhealth/conditionofteethwhereparent/guardianconsentisgiven.

In2006/07,26Pre-Schoolswerevisitedwithatotalof47ScreeningSessionsconductedwhere925pre-schoolchildrenwerescreened.Fromthescreeningprocess,530ofthesechildrenreceiveddirecttreatment.

FrankstonCommunityHealthServicecompletedthe2PICprojectinpartnershipwiththeMorningtonPeninsulaShireCouncil.Aspartoftheproject,twoshortfilms(threeminutes)“Adrift”and

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“EverywhereYouGo”werewrittenandproducedbyyoungpeoplefromtheSouthernandWesternportregionsofthePeninsula.Thefilmsaboutyoungpeople,friendshipandalcoholwerelaunchedinNovember2006atRosebudCinemawhere280peopleattendedthepremiere.Theprojectgaveyoungpeoplethechancetobecomeinvolvedinthefilmmakingprocess.

The2PICfilmprojectwaspresentedattheWorldHealthPromotionConferenceinVancouver,CanadainJune2007.

Community Kitchens ProjectFrankstonCommunityHealthServicecurrentlyconducts13CommunityKitchens.TheconceptofCommunityKitchenshastakenoffacrossVictoriawith28establishedkitchensandmoreintheplanningphase.

CommunityHealthhasdevelopedaresourcekitwhichincludesamanual,promotionalDVD/videoandabudgetingpocketbook

ACommunityKitchenswebsitewasalsoestablishedandlaunchedinApril2006andhashad3,100uniquevisitorswith6,000visits.

CommunityKitchenswasshortlistedforaPrimaryHealthAwardinthecategoryofResearchandEvaluation.

TheFrankstonCommunityKitchensProjectisfundedforthreeyearsaspartoftheStrongerFamiliesandCommunities–LocalAnswersGrants,andsupportedbytheBrotherhoodofSt.Laurence,

MahoganyNeighbourhoodHouseandtheGroupforEmotionalandMentalSupport(GEMS).

Peninsula Community Health ServiceCommunityHealthServicesonthePeninsulaaredeliveredbytwoorganisations-PeninsulaHealth’sFrankstonCommunityHealthServiceandPeninsulaCommunityHealthService(PCHS).ThetwoCommunityHealthServicescontinuetoworktogethertodeliverprogramsonthePeninsulaincluding‘OpenUP’,whichisajointhealthpromotionprojectaimedatimprovingtheoralhealthofdrugusers,particularlyfocusingontheconditionknownasXerostomia,or“DryMouth”.

Posters,acartoonbrochureand1,000healthpackscontainingtoothpaste,toothbrush,sugarfreechewinggumanddrinkbottlewereproducedwithsignificantsupportofcorporatedonors.Atleast1,000FrankstonandMorningtonPeninsulabaseddrugusersandpharmacotherapyclientsreceived‘OpenUP’packsand120healthworkers,drugandalcoholworkers,GPsandPharmacistsweretrainedtopromoteharmreductionstrategiestothetargetgroup.

TheAustralianDrugFoundationisnowdistributingthe‘OpenUP’posterandbrochurenationally.

The‘OpenUP’projectwaspresentedatseveralconferencesincludingtheAustralasianAmphetamineConferenceinSydneyinSeptember2006,

theVictorianAlcoholandDrugAssociationConferenceinMelbourneinFebruary2007,andtheWorldHealthPromotionConferenceinVancouver,CanadainJune2007.

The‘OpenUP’projectwasshortlistedforanawardattheVictorianPrimaryHealthCareAwardinthecategoryofInnovationandExcellenceinHealthPromotioninMay2007.

SHARPSTheSouthernHIV/HEPResourceandPreventionService(SHARPS)distributed387,933syringesandhad389,812returnedintheyear.Thereturnrateforneedleandsyringeswas100.4%.

TheroleofaprojectnursewasintroducedatSHARPSinFebruary2006inrecognitionofthenumberofpreventableinfectionsandinjuriesoccurringamongstthisclientpopulation.Initiallya12monthappointment,thesuccessoftheprojectinpreventingillnessandreducingunnecessaryhospitalpresentationshasledtorolebecomingpermanent.In2006/07,theprojectnurseprovided462occasionsofservice.

Forthefourthyear,SHARPSheldaceremonyinFrankstontomarktheNationalOverdoseAwarenessDay.Thedayoffersanopportunitytoincreaseawarenessaboutoverdoseissuesandthedangersofinjectingdrugs.

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DrugandalcoholtrainingforumsweredevelopedanddeliveredtoimproveandincreasethecapacityofgeneralistworkforcesandvolunteerswithinFrankstonandtheMorningtonPeninsularegiontoengageandsupportdrug-usingclients.

Working with Schools

National Archery in Schools Program AustraliaMorethan700studentsbenefitedfromthepilotprojectoftheNationalArcheryintheSchoolsProgramAustralia(NASPA).

TheFrankstonSchoolFocusedYouthService(FSFYS,aFrankstonCommunityHealthServiceProgram)providedfundingof$31,650toenable10localPrimarySchoolstoparticipateinthepilotproject.

TheNASPAprogramteachesthepracticalandtheoreticalskillsofarchery,enablesstudentstodevelopcriticallifeskills,andbenefitsstudentswhoarenotparticularlyathletic.VictoriaPoliceandParksVictoriasupportedthepilotproject.

Linking and Learning Festival 2006InJune2006,217welfareandeducationsectorworkersattendedthefirsteverLinkingandLearningFestival.

Thefestival,organisedbytheFrankstonSchoolFocusedYouthService(FSFYS),aFrankstonCommunityHealthServiceProgram,wasdesignedtoenhancelinksbetweenschoolsandlocallybasedagenciesandtoincreaseawarenessofcommunitybasedservicessupportingchildrenandtheirfamilies.

Therewereexhibitsby42communitysupportgroupsandperformancesbyanumberoflocalschoolsthroughouttheday.

Duetothesuccessoftheday,theLinkingandLearningFestivalhasbecomeabi-annualevent.

Community Forums & Exhibitions

Ageing Well ExpoInSeptember2006,morethan1,000peopleattendedthefirstAgeingWellExpo.TheExpowasheldinpartnershipwithMorningtonPeninsulaShireCouncil,FrankstonCommunityHealthService,BrotherhoodofStLaurence,Over50sAssociation,PeninsulaCommunityHealthServiceandtheMorningtonPeninsulaDivisionGeneralPractice.

TheExpo,heldinMornington,gaveolderpeopleachancetoexplorewaysinwhichtheycanleadahealthyandactivelife.Therewere42stallswithinformationonanumberofdifferentaspectsofageingwellincludingkeeping

active,lookingafteryourhealth,keepinginvolved,stayingsafe,ageingwellwithchronichealthconditions,andkeepinginformed.

TheExpowasopenedbytheMinisterforAgedCareGavinJennings.

AnotherAgeingWellExpowasplannedforSeptember2007.

Men Behaving Positively Health ForumInJune2007,morethan800peopleattendedthefourth“MenBehavingPositively”publichealthforum.

Theforumfocusedonmen’shealthissueswithanemphasisonpositivementalhealthandwell-being,worklifebalanceandfamilyrelationships.

The“MenBehavingPositively”programexpandedtoincludea“BreakfastintheVineyard”,whichwasattendedby100peopleandaseriesoffourweekendworkshopswhichwillbeheldlaterin2007.

TheforumwasagainsupportedbyawiderangeofcommunityorganisationsincludingtheRotaryclubsofFrankstonandLongIslandandbothFrankstonCityandMorningtonShireCouncils.

Volunteers & Auxiliaries

VolunteersandauxiliariesareanintegralpartofPeninsulaHealth,enhancingcarethroughthemanyactivitiestheyperform.In2006/07,therewere820volunteerswhosupportPeninsulaHealth.

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TheAssistanceandCareinEmergency(ACE)programexpandedfromFrankstonHospital,commencingatRosebudHospitalinDecember2006.TheACEprograminvolvesninevolunteersrotatingthroughtwoshifts,threedaysaweek.

TheintroductionoftheACEvolunteerscoincidedwiththecompletionoftheRosebudEmergencyDepartmentWaitingRoomredevelopment.

InOctober2006,ThePinkLadiesGroupTeamLeaderssupportedthePatient’sRightsandResponsibilitiesProgram.AtrialwasimplementedandreviewedpriortoNovember2006.Therewaspositivefeedbackfromallinvolved,includingpatients,staffandPinkLadies.

ThePsychiatricServicehasaVolunteerGroup,consistingofconsumersandcarers,whichinvolvesapproximately7volunteers.Thesevolunteersworkinthecommunityandcanbecalledontohelpwhereneeded.Othersconvenesupportgroupsorworkwithcarers’groups.

CommunityHealthvolunteershaveattendedcoursesofferedbytheEmploymentLearningandDevelopmentUnitand22volunteershavecompletedasix-sessiondrugandalcoholcourse.

FormoreinformationabouttheessentialroleofVolunteersandAuxiliaries,refertopage52.

Psychiatric Partnerships

ThePHPS(PeninsulaHealthPsychiatricServices)andPsychiatricDisabilityRehabilitation&SupportServiceshaveestablishedtheAllianceProject.Theaimoftheprojectistoworkwithlocalnon-governmentorganisationswhicharefundedtoproviderehabilitationandsupportservices,aswellasassistancewithaccommodation.

PHPSisamemberoftheSouthernConsortiumandbeganmanaginganIntegratedandRecoveryCareServiceProject.Theprojectwillprovidesupportandaccommodationtoasmallnumberofindividualswithmultiplecomplexneeds,manyofwhomarecurrentlyresidinginsecurefacilities.

Department of Human Services

PeninsulaHealthreceivesstrongsupportfromtheDepartmentofHumanServices(DHS).

TheDepartmentfundscoreacute,sub-acuteandagedcareservices,whilealsofundinginnovativeservicesbasedonsubmissions.

FundinghasalsoenabledthehealthservicetoenhancethecapitalfabricofmanyareasandservicesincludingEmergencyDepartmentsinbothFrankstonandRosebudHospitals,RosebudHospitalChemotherapyDepartmentandDialysisUnit,

FrankstonHospitalMedicalImagingDepartment,TheMorningtonCentreandtheplanned$45mexpansiontoFrankstonHospital.

Monash University

LinkswithMonashUniversitycontinuedduringtheyearwiththeestablishmentofanAlliedHealthPhysiotherapyClinicalSchool.DiscussionscontinuewithMonashUniversityregardingtheSchoolofOccupationalTherapy,andearlydiscussionshavecommencedwithMonashUniversityregardingadietetics/nutritionclinicalschool.

OtherlinkageswiththeSchoolofHealthSciencesandCommunityHealthwereestablishedwithaparticularfocusonhealthpromotionandtraining.

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TheindependentnationalbodyforqualityandsafetyinhealthcareinAustraliaistheAustralianCouncilonHealthcareStandards(ACHS).ItconductedanOrganisationWideSurveyforPeninsula

Goal•Buildonourstrongcultureofqualityandinnovation.

HealthinNovember2006.ThereportandratingoftheHealthServicewasthebesteverreceived.ThenextfullOrganisationWideSurveyisscheduledforNovember2010.

PeninsulaHealthwasassessedagainst43criteria,including19mandatorycriteria.Inthe19mandatorycriteria,theSurveyorsawardedaModerateAchievement(MA)insevenareas,anExtensiveAchievement(EA)in11areasandthetopratingofOutstandingAchievement(OA)fortheHealthService’sLegalComplianceprogram.

Eachofthemandatorycriteriareceivesoneofthefollowingratings:• LA=littleachievement;

awarenessandknowledgeoffundamentalrequirements;systemsforbasicrequirementsareinplace.

• SA=someachievement;systemshavebeendevelopedandareimplemented.

• MA=moderateachievement;performancedataiscollected;systemsareevaluated;improvementsaremade.

• EA=extensiveachievement;internalandexternalbenchmarkingoccursthroughcomparisonsofsystemsandresults;systemsareimproved.

• OA=outstandingachievement;anindustryleaderinsystemsandoutcomes.

ThediagramatleftoutlineshowtheHealthServiceratedagainsteachofthe19mandatorycriteria.

TheresultsoftheSurveyreflecttheHealthService’scommitmenttoprovidingsafehighqualityhealthcare.

ACHS – 19 Mandatory Criteria Rating1. Continuum of Care 1.2.1. Theassessmentsystemensuresconsumer/patientneeds

areidentifiedbycompetentprofessionals MA1.3.1. Careisplannedanddeliveredinpartnershipwiththeconsumer/patient

andwhenrelevant,thecarer,toachievethebestpossibleresults. EA1.4.1. Processfordischarge/transferaddresstheneedsoftheconsumer/patient

forongoingcare EA

2. Leadership & Management 2.1.2. Careandservicesareprovidedinaccordancewithlegislativerequirements. OA2.1.5. Documentedcorporate,operationalandclinicalpoliciesassistthe

organisationtoprovidequality,safeandefficientcareandservice. MA2.2.1. Anorganisation-wideriskmanagementpolicyensuresthatsafetyis

consideredinallactivities. EA2.3.1. Theorganisationdevelopsacontinuousqualityimprovementsystem

todemonstrateitscommitmenttoimprovingperformanceincareandservicedelivery. EA

2.4.2. Informationisreadilyavailableforconsumers/patientssotheyareinformedontheirrightsandresponsibilities. MA

3. Human Resource Management 3.1.2. Therecruitment,selecting,appointmentandcontinuingemployment

systemensuresthattheskillmixandcompetencyofstaffsupportsafepracticeandtheprovisionofqualitycareandservice. EA

4. Information Management 4.1.1. Consumer/patienthealthrecordsareaprimarysourceofinformation

tosupportconsumer/patientcareandsafety,improvingperformanceandformanagingtheorganisation. EA

5. Safe Practice & Environment 5.1.1. Thereisasystemthatidentifiesandmanageshealthandsafetyrisksto

ensurethewellbeingofallemployees,consumers/patientsandvisitors. EA5.1.2. Buildings,plant,equipment,utilities,consumablesandsuppliesare

managedandoperatedtosupportsafepracticeandasafeenvironment. MA5.1.3. Theinfectioncontrolsystemsupportssafepracticeandasafeenvironment. EA5.1.4. Theemergencymanagementsystemsupportssafepracticeandasafe

environment. MA5.1.5. Themanagementofmanualhandlingriskssupportssafepracticeand

asafeenvironment. EA5.1.6. Securitymanagementsupportssafepracticeandasafeenvironment. EA5.1.7. Themanagementofdangerousgoodsandhazardoussubstances

supportssafepracticeandasafeenvironment. MA5.1.8. Theradiationsafetymanagementsystemsupportssafepracticeand

asafeenvironment. EA5.1.9. Thewastemanagementsystemsupportssafepracticeandasafe

environment. MA

The ‘Be Aware’ campaign was launched to improve the treatment of patients with warfarin over-

anticoagulation who were actively bleeding or potentially at risk of bleeding. Peninsula Health received a Victorian Healthcare Award in the category of Excellence in Safety

of Care for the campaign. Dr Barry Chan, Emergency Physician in the Emergency Department at Frankston

Hospital, discusses the guidelines with Dr Winnie Nogti.

Dr Barry Chan

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Residential Care

TheAgedCareStandardsandAccreditationAgency(ACSA)isthebodyresponsibleformanagingtheaccreditationandongoingsupervisionofAustralianGovernmentfundedagedcarehomes.

AllfourofPeninsulaHealth’sResidentialAgedCarefacilitiesmaintainedfullACSAaccreditation.Positivefeedbackwasalsoreceivedfromunannouncedsupportvisits,whichaimtomonitorfacilitiesonanongoingbasistoensureresidentscontinuetoreceiveahighlevelofcareandthatallstandardscontinuetobemet.

JeanTurnerNursingHomeandLotusLodgeHostelreceivedunannouncedsupportvisitsfromACSAandinFebruary2007werefoundcompliantinallareas.

InNovember2006,therewasanunannouncedsupportcontactvisittoMichaelCourtHostel.Feedbackfromthevisit,whichscrutinisedincidentreportingindepth,wasverypositiveandnotedthatnofurthercontactvisitswerenecessarywithina12monthperiod.

Interdisciplinary Care Practices

Interdisciplinarycarepracticeshavebeenfurtherdevelopedacrossthesub-acutewards.Ratherthananindividualclinicianworkingwiththepatientinisolationfromothers,allmembersofthecareteamnowassessthepatient.Thismeansthatpatientsreceivebettercoordinatedandmorefocusedcare.

Clinical Development Unit

Portfolioholdersareinplaceformajorriskareasoneachsub-acuteward.ClinicalNurseConsultants/expertclinicianshavebeenappointedforeachportfolioarea.ThemodelisbeingextendedtocommunityresidentialfacilitiesthroughROSS(ResidentialOutreachSupportService)fallspreventiontraining.PeninsulaHealthcontinuestointegrateportfoliorolesthroughtheClinicalDevelopmentUnit.

Pharmacy

Themajorcomplicationofwarfarin,a“bloodthinner”,istheriskofmajorbleeding.The‘BeAware’campaignwaslaunchedattheendof2004toimprovethetreatmentofpatientswithwarfarinover-anticoagulationwhowereactivelybleedingorpotentiallyatriskofbleeding.Theimprovementachievedwassignificantandmoreimportantlysustainableasdemonstratedbyamonthlycompliancerateof83–88%fromSeptember2005toJune2006.

InJune2006,thePharmacyDepartmentlaunchedthe‘WarfarinDose-GetItJustRight’campaigntointroduceacompletesetofguidelinesontheprescribingofwarfarin.

Thecampaignresultedinthepercentageofpatientswiththecorrectbloodlevelsincreasingfrom30%inJune2006to72%inMarch2005.

ADVDwasalsoproducedtobeusedasanaidtoensuretimely,consistentandaccuratemedicationinformationisprovidedtowarfarinpatients.Inanaudit,patientswhowatchedtheDVDandreceivedpharmacistcounsellingweremorelikelytocommunicateeffectivelywiththeirdoctor,helpingtoensurethatpatientsreceivemoreaccuratedoselevelsofwarfarinthanthosewhoreceivedpharmacistcounsellingonly.

The‘BeAware’campaignwonanawardforExcellenceinSafetyofCareattheVictorianPublicHealthcareAwardshostedbythePremierinOctober2006.

Clinical Skills Centre

TheClinicalSkillsCentre,adedicatededucationfacilityforclinicalstaff,wasofficiallyopenedinApril2007.Itisequippedwiththelatesttechnologyincluding‘SimMAN’,anadvancedtrainingsimulator.SimMANisoneofseveralsimulatedpatientdevicesintheClinicalSkillsCentre.

ClinicalstafffromAlliedHealth,NursingandMedicinecannowbeeducatedasaclinicalteamratherthanasindividualswithintheirdisciplines.SimMANisaneffectiveeducationaltool,inthatitprovideshighlyrealisticpatientsimulationtrainingexperiences,andthispromotesteamwork,leadershipandcommunicationskills.

TheClinicalSkillsCentreisavailablefortrainingtoPeninsulaHealthstaff,localGeneralPractitionersandPrivateHospitals.

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FundingprovidedbyDHS,theDanksTrustandPeninsulaHealthenabledtherefurbishmentandequippingoftheClinicalSkillsCentre,whichislocatedattheMountElizaCentre.

Psychiatry

PeninsulaHealthPsychiatricService(PHPS)hasimplementedanumberofsuccessfultraininginitiatives.TheseincludetheimplementationoftheRiskIdentification,Safety,Containment,Environment(RiSCE)trainingpackage.TheyincludethedevelopmentofaCognitiveBehaviourTherapytrainingprogram,whichhasnowbeenaccreditedasthefirstadvancedtrainingcourseinCognitiveBehaviourTherapybytheRoyalAustralian&NewZealandCollegeofPsychiatrists.

PHPS’scommitmenttodevelopPeninsulaHealthasapreferredhospitalforpsychiatrictrainingcontinues.DrLucindaSmith,oneoftheDepartment’sRegistrars,hasnowcompletedallofherbasicandadvancedtraininginpsychiatrywithinPeninsulaHealth,thefirstdoctortodoso.DrSmithisoneofthefirstpsychiatristsinAustraliaorNewZealandtobecertificatedasaspecialistinadultpsychiatry.

OneofthePsychiatryDepartment’sseniornurses,CayteHoppner,hasbeenendorsedbytheNursesBoardofVictoriaasaMentalHealthNursePractitionerthefirstsuchappointmentinMentalHealthinVictoria.

PHPShasalsoworkedcloselywithcommunitycarersandconsumerrepresentativestodevelopaDVDcalled“AboutPsychosis”.ThisisthefirstsuchDVDinAustraliawhichprovidesinformationforcarersandpatientsonthesubjectofschizophreniaandrelatedillnesses.TheDVDwaslaunchedattheBi-nationalCongressoftheRoyalAustralianandNewZealandCollegeofPsychiatristsandwillbepresentedattheMentalHealthServicesConferencelaterintheyear.

Southern Melbourne Integrated Cancer Service

SMICSisajointinitiativebetweenPeninsulaHealth,BaysideHealthandSouthernHealth,whichhasbeenestablishedtofacilitatetheimplementationoftheCancerServicesFrameworkforVictoria.SMICSisdevelopingpartnershipswithconsumers/carers,privatehospitals,communityandprimarycareservicestodeliverseamless,multidisciplinarycarethatimprovesthepatientjourneyandoutcomesforpeopleaffectedbycancerinthesouthernMelbournemetropolitanregion.

PeninsulaHealthcontinuestocontributetotheworkofSMICSthroughPeninsulaHealthrepresentatives’involvementonalllocalcollaboratingtumourstreamgroups,managementandexecutivecommittees.PeninsulaHealthisalsoactivelyinvolvedinseveralqualityimprovementprojectsandprojectsrelatingtoengagementofconsumersandgeneralpractitionersincancerservicereform.

Victorian Public Healthcare Awards

OneteamfromPeninsulaHealthreceivedanawardattheVictorianPublicHealthcareAwardsfunctionhostedbythePremierinOctober2006.

• Pharmacy’s‘BeAware’campaignwoninthecategoryofExcellenceinSafetyofCare,seepage40.

TwoPeninsulaHealthprogramswerehighlycommendedandteammembersalsoreceivedawards.

• TheCoreofLifeprogramwashighlycommendedinExcellenceinPreventionandEarlyInterventioncategoryoftheAwards,seepage28.

• Food.Kids.Play,(formerlyFood.Com.Play)afamilybasedinterventionforchildhoodobesity,washighlycommendedintheExcellenceinContinuityofCarecategoryoftheAwards,seepage33-31.

Primary Health Care Awards

ThreeofPeninsulaHealth’sCommunityHealthProgramswereshortlistedinthe2007AwardsforInnovationandExcellenceinPrimaryHealthCare:

• Food.Kids.PlaywasshortlistedinthecategoryInnovationandExcellenceinServiceDelivery,seepage31.

• CommunityKitchens–Stage2wasshortlistedinthecategoryInnovationandExcellenceinResearchandEvaluation,seepage35.

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• OpenUpwasshortlistedinthecategoryInnovationandExcellenceinServiceDelivery,seepage35.

Nursing Awards

TheVictorianNurseExcellenceAwardsrecogniseandacknowledgeoutstandingachievementsbynurseswithinthepublichealthsystem.Theseawardsalsorecognisecontributionsofnursestotheirpatients/clientsthroughinnovativenursingpractice.

LisaDellaGattaandZoeCaspar,Division2nursesatRosebudResidentialAgedCarewereannouncedthewinnersofthecategory‘Improvingthepatient/clientexperiencethroughinnovativenursingpractices’(seepage24).

HelenHutchins,theNurseManagerofthePaediatricUnit,wasrecognisedinthecategoryof‘Outstandingclinicalnursingleadership’.Helenwasnominatedforhercommitmenttochildrenandthecommunity.Helenhasledtheintroductionofmodelsofcareforchildrenthatresultinnurseinitiatedmanagementanddischargeinanenvironmentoflearningandtrust.

JudithHoult,Division3NurseinWard2West,wasrecognisedinthecategoryof‘MakingaDifferencetotheworkinglivesofnurses’.Judithimplementedandsoughtsponsorshipforatrial‘StaffWellBeingProgram’,whichgave

psychiatricnursingstaffthechancetoenjoysomemuchneededtime-outintheformofmassage,aromatherapyandReikitherapy.

TracySmith,oneoftheProgramManagersfromCoreofLife,wasrecognisedatthe2007HESTAAustralianNursingAwards,anationalawardsprogramrecognisingAustralia’smostremarkablenurses.

TracywastheVictorianfinalistinthecategoryofNurseoftheYear.

TheseoutstandingachievementsbyPeninsulaHealthconfirmPeninsulaHealth’scommitmenttoexcellenceandprofessionalisminprovidingqualityhealthservicestoourcommunity.

Compliments and Concerns

PeninsulaHealthrecognisesthevalueofcomplaintsasanimportantsourceoffeedbackfromconsumersintheplanning,deliveryandevaluationofservices.

Thisyear,theHealthServicereceived522complaints,whichisaslightdecreasefrom529receivedin2005/06.

Anewstrategytoseekfeedbackfrompatientswasimplementedduringtheyear.FeedbackcardslikethoseusedinmotelsarenowavailableforallpatientsacrosstheRehabilitation,AgedandPalliativeCareServicesandRosebudHospital.

Thisprovidesopportunityforstafftobeacknowledgedforprovidinghighqualitycarebutalsotoidentifyareasforimprovement.

FulldetailsofPeninsulaHealth’squalityactivitiesin2006/07areprovidedinthePeninsulaHealthQualityofCareReport2007.CopiesareavailablefromPeninsulaHealth(PublicRelationsUnit,POBox52,Frankston3199,ortelephone97847821)orfromthewebsite–www.peninsulahealth.org.au.

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Research

Research,anditsoutcomes,playsavitalroleintheprovisionofoptimumhealthcareandenablesPeninsulaHealthtoextenditscommunityofcarebeyondtheMorningtonPeninsula.Througharticlesinprofessionaljournals,presentationstonationalandinternationalconferencesandcontributionstotexts,PeninsulaHealth’sresearchersarecontributingtoandenhancingtheexistingbodyofknowledgeinmanyareasofmedicine,nursingandalliedhealth.

In2006/07,thePeninsulaHealthResearchProgramwasestablished.ItdrawstogetheranumberofresearchfunctionsandtheportfoliowillbeoverseenbyDrSaraWatson,ExecutiveDirectorCommunityandContinuingCareandAlliedHealth.

ThePeninsulaHealthHumanResearchandEthicsCommitteemeetsmonthlytoconsiderresearchtrials,studiesandprojectspresentedbymedical,nursingandalliedhealthprofessionalsandtoconsideranyethicalissuesthatarise.

Duringthe2006/07year,theHumanResearchandEthicsCommitteeconsidered54projectsrelatingtoresearchatPeninsulaHealth.

Goal•Establishandmaintainastronganddynamicresearchfunction

forclinical,strategicandsocialresearch.

TheResearchDevelopmentCommitteewelcomedAssociateProfessorChrisGilfillantothepositionofChair,followingProfessorJonathanSerpell’sappointmentasProfessorandDirectorofGeneralSurgeryatTheAlfred.

TheResearchDevelopmentFund,administeredbytheResearchDevelopmentCommittee,awardsalimitednumberofsmallgrantsupto$5,000tosupportandencouragehome-grownresearchatPeninsulaHealth.

EightsmallgrantsforMedicalResearchwerefunded.Thecombinedtotalofgrantmoniesawardedfortheseeightresearchprojectswasmorethan$33,000.

Thistakesthetotalnumberofresearchprojectsawardedfundingsince2005,bythePeninsulaHealthResearchDevelopmentCommittee,to11.

ResearchWeek,anannualinitiativeoftheResearchDevelopmentCommittee,wasagainheldinNovember2006.

TheRegistrarResearchPrizewaswonbyDrBradleySkinner,anAnaestheticRegistrar,forhisproject“TheAdditionofaKetamineInfusiontoTramadolforPostoperativeAnalgesia.ADouble-Blind,PlaceboControlledRandomisedTrialAfterAbdominalSurgery”.

TheAlliedHealthandNursingResearchSymposiumdemonstratedthestrongresearchcultureamongstAlliedHealthandNursingstaffwith16participantscontendingtheAlliedHealthandNursingResearchPrizes.

MsLisaSchneiderwontheAlliedHealthResearchPrizeforthepresentationofherproject“Nutrition/Post-ColorectalSurgery”.

MsFionaButlerwontheNursingResearchPrizeforthepresentationofherproject“SkinTearManagementatPeninsulaHealth”.

ProfessorDaviddeKretser,AO,GovernorofVictoria,wastheOratoratthe2006ResearchDinnerandJeremyAndersonOration.ProfessordeKretserspokeonMen’sHealth:Challengesforthe21stCentury.

ThedinnercommemoratesProfessorJeremyAndersonwhowasanesteemedacademic,doctor,researcherandadvocateforhighquality,evidence-basedmedicine.HewasappointedtotheBoardofDirectorsofthenewlyformedPeninsulaHealthCareNetworkin1995andservedontheBoardforsevenyears.ProfessorAndersonpassedawayinFebruary2005.

FulldetailsofPeninsulaHealth’sresearchactivitiesin2006/07areprovidedinthePeninsulaHealthResearchReport2007.CopiesareavailablefromPeninsulaHealth(PublicRelationsUnit,POBox52,Frankston3199,ortelephone97847821)orfromthewebsite–www.peninsulahealth.org.au

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our Workforce

Medical Education

UndergraduateeducationisprovidedformedicalstudentsthroughPeninsulaHealth’saffiliationwithMonashUniversity.During2006/07,217medicalstudentsparticipatedinmedicalrotationsthatincludedemergencymedicine,psychiatricmedicine,paediatrics,obstetricsandgynaecology,surgery,medicine,andintensivecare.PeninsulaHealthtrained13yearthreestudents,94yearfourstudents,whocompletedpaediatric,obstetricandgynaecologyrotations,and89studentsinyearfive(final)yearof

Goal•PromotetheattractivenessofPeninsulaHealthasan

employerofchoice,avoidingstaffshortagesinkeyareas.

Labour Categories in EFT 2007 2006

Allied Health Female 760.23 749.97 Male 191.31 185.32 Total 951.54 935.29

Managers Female 97.95 88.89 Male 52.26 49.68 Total 150.21 138.57

Medical Female 108.85 110.42 Male 213.96 183.83 Total 322.81 294.25

Nursing Female 945.34 932.03 Male 80.29 75.52 Total 1025.63 1007.55

Trades Person Female 0 0 Male 13 13 Total 13 13

Psychiatric Services Female 150.7 146.8 Male 48.37 47.74 Total 199.07 194.54

Misc Female 0.05 0.07 Male 0.06 0.07 Total 0.11 0.14

Casual 43.94 50.59Full Time 1297 1258Part Time 1321.62 1274.62

Grand Total 2662.56 2583.21

undergraduatestudy.Therewerealso10electiveoverseasmedicalstudentscompletinga4weekrotationatPeninsulaHealthduring2006/07.

PostgraduatemedicaltrainingisprovidedthroughPeninsulaHealthforits173interns,residentsandregistrars.ThisyearPeninsulaHealthrecruited28interns.

AprogramofsupportforjuniorInternationalMedicalGraduate(IMG)staffhasbeenimplemented.TheprogramincludesEnglishlanguageassistance,communicationtraining(offered

onaone-to-onebasis),smallgroupclinicalskillstraining,regularweeklymedicaleducationsessions,six‘oncall’clinicalmentorslocatedthroughoutthePeninsula,regularweeklyAustralianMedicalCouncilexampreparationsessionsandculturallysensitivesimulationtraining.Alltheseprogramsaretailoredspecificallytotheneedsofthegraduates.

ThisprogramhasresultedinahighpassrateintheAustralianMedicalCouncilexams,favourableendofrotationappraisalsofIMGHouseMedicalOfficersandpositivefeedbackbyIMGsoftheirworkexperienceatPeninsulaHealth.

Nurse Education

PeninsulaHealthhadapproximately1,850nursesemployedinitsservices.Anoverseasrecruitmentdrivesaw46nursesfromoverseascommenceemploymentwithPeninsulaHealth.

In2006/07,16Division1nursesregainedtheirregistrationorwereregisteredinVictoriaforthefirsttime,asaresultofcompletingoneofthreeSupervisedPracticeProgramsconductedbytheNurseEducationDepartment.

During2006/07approximately650individualClinicalPlacementsforstudentnurses,fromfiveUniversitiesandTAFEColleges,enabledbothDivisionOneandTwonursingstudentstoparticipateinclinicalexperienceatPeninsulaHealth.

In2006,34firstyeargraduatenursescompletedtheGraduateNurseProgram.Ofthese,32were

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successfulingainingpositionsatPeninsulaHealth.In2007,35newgraduatescommencedtheGraduateYearProgram,31ingeneralacuteand4inPsychiatricServices.

In2006,19studentscompletedpostgraduatediplomas/certificatesintheirareaofspecialtyincludingcriticalcare(7),mentalhealth(7),emergencynursing(1),midwifery(1),andperioperativenursing(3).

Atotalof413staffdevelopmentsessionswereconductedthroughoutPeninsulaHealth,recordingatotalof4,459nursingstaffattendances.Additionaleducationwasalsoprovidedinspecialityareasonaregularbasis.

Shortcoursesandstudydays,offeringin-depthtrainingonspecialisttopics,wereprovidedon99occasionsand1,357nursingattendanceswererecorded.

Employee Learning and Development

PeninsulaHealthstaffareabletoaccessalargenumberofin-servicecoursesledbyHumanResourcestrainersandspecialistsfromwithintheHealthService.Morethan1,300staffmembersparticipatedinover150sessionsconductedduring2006ontopicsrangingfromTimeManagementSkillstoBusinessReportWritingtoPerformanceReviewProcesses.

ThreeManagementDevelopmentProgramswereconductedforatotalof40AssociateNurseUnitManagersacrosssitesin2006.

eRecruitment

InOctober2006,PeninsulaHealthintroducedanonlineeRecruitmentsystemwhichhashelpedtoautomateandstreamlinetheemployeerecruitmentandselectionprocess.

FromitsimplementationinOctober2006toJune2007,374successfulplacementsweremadeacrossalldisciplines.

PeninsulaHealth’swebsiteispopularwithjobseekersand70%ofvisitorssoughtinformationonemployment.

Building Positive Attendance Victoria

PeninsulaHealthhascommencedimplementationofthe‘BuildingPositiveAttendanceProgram’.Thisisastate-wideinitiativesupportedbytheVictorianHealthServiceManagementInnovationCouncil.ItwasimplementedinresponsetothetraditionallyhighlevelofunplannedleaveevidentwithintheAustralianhealthcareindustry,relativetootherindustrysectors.Inthe2005/06financialyear,PeninsulaHealth’sunplannedabsencerate(excludingWorkCover)was4.6%anditisestimatedthatthiscosttheHealthServicemorethan$7million(includingthedirectcostofpaidleaveaswellasthecostofreplacementstaff).

‘BuildingPositiveAttendance’supportsworkersandtheirmanagersinthecreationofapositiveworkenvironmentwhichencouragestheeffectivemanagementandappropriate

utilisationofbothplannedandunplannedleave.

Duringtheyear,morethan60line-managersreceivedtrainingintheprogram.

Equal Employment Opportunity

PeninsulaHealthiscommittedtoensuringthatstaffareselectedonmerit,i.e.thebestpersonforthepositionbasedonthe“inherentrequirementsoftheposition”.Tomeetthisobjectivestaffwhoareinvolvedintheinterviewandselectionprocessareofferedatrainingprogramtogainthenecessaryskillsandknowledgeontheselectionandinterviewprocess.

Occupational Health & Safety

PeninsulaHealthhascomprehensiveoccupationalhealthandsafety(OH&S)systemsinplace.

TheOH&SUnitintroducedaneLearningmoduletoassiststaffatPeninsulaHealthwiththeirannualrefresherfiretraining.Anonlinereportisnowavailableadvisingmanagersastowhichstaffhavecompletedtrainingandwhichareoverdue.

Duringtheyear:• 2,860employeesparticipated

inGeneralFireTraining(face-to-facetrainingsystemandonlineeLearningmodules).

• 69EmergencyControlTrainingsessionswereconductedand713employeesparticipated.

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• 45MockEmergencyExerciseswereheldand651employeesparticipated.

• 3HazardousSubstancesandDangerousGoodsTrainingsessionswereconductedand42employeesparticipated.

OH&Sperformanceagainstall15DHSSafetyManagementSystemelementswasreviewedinordertoevaluatetheeffectivenessofthesystemandtoidentifyopportunitiesforimprovement.

WorkCover

TheappointmentofafulltimeWorkCoverManagerhasenhancedthesupportavailabletobothmanagersandemployeesandfacilitatedimprovedreturntoworkfrominjuryorillnessintoasafeworkingenvironmentassoonaspossible.

Whilstoverallclaimnumbersreducedby9%comparedtothepreviousyeartherewere22%moreclaimswhichbecame‘standardlosttime’injuries.

PeninsulaHealthisimplementingamajorinitiativetoimprovesafetyacrosstheorganisation.In2007/08,anumberofeducationalactivitieswillbeimplementedformanagersandstaffincludinga“mockcourt”experienceforManagerstopromoteawarenessoftheirresponsibilitiesundertheOH&SAct2004inanovel,interestingmanner.

Youth Employment Scheme (YES) Traineeships

PeninsulaHealthcontinuestobenefitfromthecontributionsofenthusiasticandwillingworkersthroughaYouthEmploymentScheme(YES)programthatoffersyoungpeoplejobandtrainingopportunities.

PeninsulaHealthhasofferedentrylevelpositionsinadministrationandalliedhealthassistancetoyoungadultswhothenhavetheopportunitytoacquirespecialskills,experienceandqualifications.

TheDepartmentofHumanServicesandtheCommonwealthDepartmentofEducation,ScienceandTraininghavesubsidisedtrainingpositionsatPeninsulaHealthannuallysince2001.

Atotalof60traineeshavesuccessfullycompletedtheprogram,earningnationally-recognisedLevelThreeCertificatesineitherBusinessAdministrationorAlliedHealth.

Service Recognition Awards

In2007,aServiceRecognitionCeremonywasheldtorecognisetheachievementsoflong-servingstaffmembers.Over90staffmemberswererecognisedfortheirachievementof10,15,20,25,30and35yearsofemployment.

Employee Support

PeninsulaHealthstaffandtheirimmediatefamiliescontinuetobenefitfromtheEmployeeAssistanceprogram.Itprovidesindependent,confidentialand

professionalassistancetoindividualswhoareexperiencingpersonalorwork-relateddifficulties.TheprogramisfundedbyPeninsulaHealthatnocosttotheindividualemployee.

Inthe2006/07,atotalof124employeesandfamilymembersaccessedtheservice.Duringthisperiod,over250hoursofcounsellingsupportwereprovidedtoemployees.

Staff Climate Survey

PeninsulaHealthconducteditsfirstStaffOrganisationalClimateSurveyduringtheyear.Staffwereabletoprovidefeedbackonawiderangeofissuesassociatedwiththeirworkandworkingenvironment.Nearly1,000staffcompletedtheSurveyandthefeedbackhasprovidedawealthofinformationonperceptionsofworkinglifeatPeninsulaHealth.Staffrespondedverypositivelytothevastmajorityofissues,withparticularlycomplimentarycommentsonthequalityandsafetyofcarePeninsulaHealthprovides,thestrong‘clientfocus’acrosstheHealthServiceandtheoverallworkenvironment.

Suggestionsforimprovementmainlycentredaroundcommunicationprocessesandthepressuresassociatedwithheavyworkloads.Asaresult,PeninsulaHealthwillimplementarangeofstrategies.Theseincludecreatingmoreopportunitiesfordepartmentalandinter-departmentalcommunications,increasingtrainingopportunitiesandimplementingnewschemestoenhanceemployeeengagement.

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Full Year Financial Performance 2006/07

Thefullyearfinancialoperatingsurplusof$1.977misapleasingresultandmeetsthetargetagreedbytheBoardofDirectorsandtheMinisterforHealthasoutlinedintheStatementofPriorities.

Theachievementisduetocarefulmanagementofexpenditurebudgetsbyallstaff,clinicalefficiencyandagrowthinrevenuefromnewactivities.

Thesurplusassiststhepurchaseofequipmentandothercapitalitemsacrosstheorganisation.

Mt Eliza Centre

PeninsulaHealthislookingatoptionstoconsolidatetheMountElizaCentresite.TheMountElizaCentredatesfromthe1930sandceasedtohaveinpatientswhenthewardsmovedtoTheMorningtonCentreinSeptember2007.

Aspartofthe$45mprojecttoredevelopFrankstonHospital,severalareasoftheHospitalwillbedemolished.Approximately100staffmemberswillberelocatedfromFrankstonHospitaltotheMtElizaCentreuntiltheredevelopmentprojectiscomplete.

Goals•Maintainfinancialviabilitybylivingwithinourmeans.•Plan,manageandenhancephysicalinfrastructure.•Providetimely,accurateinformationtoimproveefficiency

andpatient/clientoutcomes.

FMIS/Oracle

FMIS/Oracleistheorganisation’sFinanceandSupplyManagementInformationSystem.PeninsulaHealthwasthesecondagencytointroducetheFMIS/OracleimplementationinJuly2005.

ThesystemisfullyfunctionalandworkisprogressingonoutstandingissuesincludingtheinterfacewithStocca(pharmacysystem),andtheabilitytoproduceoutstandingreporting.

Patient and Client Management System

PeninsulaHealthisimplementinganewcomputerbasedpatientmanagementsystem,iPatientManager(iPM),aspartof“HealthSMART”,whichistheStateGovernment’swhole-of-healthinformationandcommunitytechnology(ICT)strategy.

Acomputer-basedPatientandClientManagementSystems(P&CMS)isusedtosupportallfunctionsassociatedwiththeadministrationandmanagementofpatientsandclients.

Duringtheyear,workwascompletedonpre-implementationstagesforthenewsystem.Theseincludedinterfacedevelopment,datamigrationanduseracceptancetesting.

ItisestimatedfullimplementationoftheP&CMSproductacrossPeninsulaHealthwilltaketwoyears,withapproximately3,000usersrequiringtraining.

Picture Archiving and Communications System (PACS)

PeninsulaHealthisoneofnineVictorianPublicHealthAgenciesimplementingPACS.

DHShascommittedtofundingapproximately$1.25mfortheimplementationofPACSatPeninsulaHealth.ItwillbeintroducedintheRadiologyDepartmentinearly2008.

PACSisasystemwhichwillenabledigitalcommunication,archiving,processingandviewingofimagesandimage-relatedinformation,andwillreplacethetraditionalfilm-basedsystems.Cleaning audits

CleaningauditsassessPeninsulaHealth’scleaningagainsttheVictorianHospitalCleaningStandardsoutcomebenchmarkof85%.

PeninsulaHealthundertookanexternalauditofitscleanlinessduring2006.Theoverallaverageresultwas97%.Thishasincreasedfromthepreviousoverallaverageof93.6%,whichisanexcellentresultandwellabovethebenchmarkexpectedbyDHS.

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Environment

ProgramshavebeenintroducedtoreducetheHealthService’sconsumptionofwaterandenergyandtorecycleandreusewastematerials,aspartofacomprehensiveenvironmentalmanagementplan.

Water Management

Anumberofwatersavinginitiativeshavebeenprogressivelyimplementedandsavedapproximately9,000kiloliters(kL)forthe2006/07financialyear.ThisisroughlyequivalenttothreeOlympicsizeswimmingpools.

ItisexpectedthatPeninsulaHealthwillsave20,000kLinthe2007/08financialyear.

The Frankston Hospital Water Management PlanFrankstonHospital’saveragewaterconsumptionis70,680kLperannum,andrepresents57%ofthetotalconsumptionof124,600kLforthewholeHealthService.

SeveralinitiativestoconservewaterhavebeenimplementedatFrankstonHospital,including:• Preventativemaintenancewas

undertakentoreduceleakageoroverflow.

• RecycledwaterisusedinPeninsulaHealth’scarwashfacilityreducingwaterconsumptionby104kLperannum.

• Waterflowrestrictiondeviceshavebeeninstalledinsevenwards,deliveringwatersavingsestimatedat11,400kLperannum.

• Aprojecttoreducedialysisbackwashwaterlossthroughswitchingredesignwillsaveanestimated2700kLofwaterperannum.

Energy Management

Improvedenergyefficiencyhasbeenachievedthroughtheinstallationof‘SmartLightingLogic’controllers.InitsinitialtrialinPathology,therewasa27%reductioninenergyusage.Thissavingisenoughtopower21homesforayear(basedoneachhomeusinganaverageof6000kWeachperyear).

Otherinitiativesdirectedtowardsimprovedenergyefficiencyinclude:• Theuseofgas-poweredchillers

forairconditioningunitsandsteam-basedheatingpoweredbygasboilersresultsinenergyefficienciesandreducedgreenhousegasemissions.

• Ice,generatedviauseofoffpeakelectricity,isproducedviaaheatexchangeprocesstogeneratecoolingcapacityduringhighertariffperiods.

• Energysavingfluorescentlightbulbshavebeenusedtoreplacelessefficientincandescentbulbsinsomeresidentialfacilities.

Capital Developments

Energyandwaterefficientfixtureswillbeusedforallnewinstallations,capitalandminorworksatPeninsulaHealth.

ThedesignoftheMorningtonsiteincludesdesignatedwastemanagementareasofan

appropriatesizeforthecollectionofgeneralwaste,clinicalwasteandcomminglerecycling.Thisimprovescompliancewithwastesegregationandfacilitatesrecyclingopportunities.

InitiativesdesignedintoFrankstonStage2include:• Theuseofwater-efficient

plumbinginensuitesandtoilets.• Theinstallationofwatertanks

foruseinflushingtoilets.• Theuseofdouble-glazed

windows,predominantlyonthewestsideofthebuilding.Thisreducestheamountofheatenteringthebuildingandthereforetheamountofenergyrequiredforcooling.

• Theinstallationofasolarpre-heathotwaterservice;and

• Theuseofhigh-energy,heatreflectivematerialforthenewbuildingfacade.

Waste Minimisation and Recycling

AdetailedexternalwasteauditconcludedthatPeninsulaHealthdemonstratesimprovedwastesegregation.FrankstonHospitalgenerates4.75kgoftotalwasteperoccupiedbedday(OBD),whichisatthelowerendoftherange(2.58kgto10.98kgperOBD)whenbenchmarkedwithotherHealthServices.

A number of water saving initiatives were progressively implemented in 2006/07 and saved

approximately 9,000 kilolitres per annum, roughly equivalent to three Olympic size swimming pools.

Eugene Nogueira, Senior Engineer, and Lynne Winterburn, Manager Support Services, discuss

reconnecting Y2K water tanks, like this one located at the Golf Links Road site – one of the environmental

initiatives which will be implemented in 2007/08.

Eugene Nogueira & Lynne Winterburn

Managing Risk

PeninsulaHealthhasacoordinated,service-wideapproachtoriskmanagement.

PeninsulaHealthconsidersthatitcanimproveconsumeroutcomesthroughacoordinatedapproachtotheidentification,analysesandmanagementoffactorsimpactingonrisk.ItskeypolicyisbasedonAustralianStandardsandprovidesaframeworkforRiskManagementwhichexplicitlyrecognisesthediversenatureofrisks,whichahealthserviceneedstoimprove.ThisincludesClinicalGovernance,CorporateGovernance,FinancialRisk,BuildingandInfrastructure,Reputation,DisasterPlanning,OccupationalHealthandSafetyandSecurity.

BoardofDirectorsandseniorstaffareresponsibleforimplementingproceduresandmanagingrelevantrisksintheirareasofresponsibility.

AreviewandupdateofthePeninsulaHealthRiskRegisterwasheldinMay2007.PeninsulaHealth’sManagementPracticeswerereviewed,andfairedwellwhenbenchmarkedagainstotherpublicHealthServices,bytheAuditor-GeneralandVictorianManagedInsuranceAuthority(VMIA)inNovember2006.

Goal•Identify,analyse,treat,evaluateandmonitorkeyrisks

atalllevels.

RiSCE

TheRiSCE(RiskIdentification,Safety,Containment,Environment)ProgramisacomprehensivetrainingprogramdesignedtoimprovethemanagementofoccupationalviolenceandaggressionwithintheHealthService.Itprovidesstaffwiththeappropriateknowledge,attitudesandskillsdeemedvitaltomitigaterisk.

TheRiSCEProgramconducted16twodaytrainingsessionsinpsychiatryandatotalof258staffattended.Oftheattendeeswhowereevaluated,67%ofstaffconsideredthetrainingworkshopveryusefulforlearningskillstohelpreducetheriskofoccupationalviolenceandaggression.

TheprogramcontinuestobeimplementedacrossPeninsulaHealth.

Respond Brown Plan

ChangeshaveoccurredtothewayPeninsulaHealthrespondstoanexternalemergencyincidentofmassproportions(forexample,amajorchemicalleakatalocalfactory).KnownastheRespondBrownPlan,thesechangesreflectthenewDHSrecommended

organisationalframework,knownastheIncidentControlSystem(ICS).ThismeansthatthenumberofcoordinatorsimplementingtheRespondBrownplanhasincreasedfromone(formerlyknownasanEmergencyController)tofour,whichincludesaHospitalIncidentCommander(HIC),PlanningManager,OperationsManagerandLogisticsManager.

SeveralinformationsessionshavebeenheldtoexplainhowthisnewstructureappliestoPeninsulaHealth’sRespondBrownPlan.PeninsulaHealthstaffhaveundertakentrainingtoensurethattheyarepreparedinthecaseofanexternalemergencyandtoundertaketheproceduresrequiredtocarryoutanefficientresponse.

Medication Safety Program

PeninsulaHealthprovidesinformationaboutthesafeuseofmedicationsthroughpublichealthforums,guidancefrompharmacistswhenpatientsaredischargedfromhospital,seminarsforhealthprovidersandassistanceathomewithmedicationqueries.

WithinPeninsulaHealthfacilities,acomprehensiveprogramofmedicationsafetyimpactsonallclinicalfunctionsandprograms.Atthestartof2006,theMedicationSafetyProgramwasfurtherextendedbybeingintroducedwithintherehabilitation,agedcareandpalliativecareunits.

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Theprogramhasimplementedaprocesstostandardisedrugsupplyacrossallofthewards.Drugstorageareasandmedicationtrolleyswerestandardisedwiththesameappearance.Acompulsorytrainingprogramwasestablishedfornursingstaff.Bysimulatingreal-lifesituationsandlearningaboutadditionalsafetychecks,allnursesweretrainedandassessedonthesafestwaytogivemedicationsothattheriskofanerrorcanbereduced.

e-Prescribing

PeninsulaHealthwasawardedtheNationalClinicalQualityAwardbytheAustralianCouncilonHealthcareStandards(ACHS)foritspioneeringworkinusingcomputerprogramstohelpprescribedischargemedications.

TheprojectallowsdoctorstoprepareprescriptionsusingacomputerprogramthatnotonlylistsdetailsofanydruginFrankstonHospital’sformulary,butalsoaidsinreducingpotentialerrors.

ElectronicdischargeprescribingisusedthroughoutPeninsulaHealth,andaninpatientelectronicprescribing(e-prescribing)systemisnowinusethroughoutPeninsulaHealth’sacuteandrehabilitationserviceswith88%ofdoctorsusinge-prescribingregularly.

InMarch2003,1,948prescriptionsweregeneratedelectronicallyandinJune2007thatnumberreached12,001prescriptions.

Security

Auditorscompletedaninternalsecurityassessmentandidentifiedseveralopportunitiestofurtherimprovesecurityofpatients,staffandvisitors.Asaresultofrecommendationsmadebytheaudit,improvedsecuritymeasureswereimplementedincludingenhancingtheprotectionwindowatthepharmacystore,increasingstaffavailabilityduringCodeGreyalerts(responsetoincidentsofunarmedviolence)andimplementingapermanentsecuritypresenceatFrankstonHospitalEmergencyDepartment.

Fire Safety Standards

PeninsulaHealthcontinuestomaintainfullcompliancewithrelevantFireSafetyStandards.AFireSafetyAuditwascompletedbyexternalconsultantsin2006.AllworkthatresultedfromtheauditwascompletedandsignedoffinNovember2006.RegulartestingofPeninsulaHealthFiresystemsareconductedbyfireservicecontractorsandFacilitiesManagementstaff.

Food Safety Standards

AllPeninsulaHealthsitesweresubjecttoexternalauditsandallappropriatestaffhaveundergoneannualrefresherFoodSafetyTraining.

Asresultoftheaudit,anewDiningRoomattheMtElizaCentrewillopenin2008.AllothersiteshavepassedtheFoodSafetyAuditsforthelastfouryearsandhaveagainreceivedre-registration.Ahighcomplianceratewasnotedacrossallcampuses.

Audit Processes

Anauditoffinancialstatements,includingreviewofcontrolsandITprocessesfor2006/07,wassignedoffbytheAuditor-GeneralduringAugust2007withnoqualifications.Financialstatementsfor2006/07includeimpactsoftheInternationalFinancialReportingStandardsasrequired.

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Volunteers

Therewere820volunteerandauxiliarymemberssupportingPeninsulaHealthat1July2007.Theyreadilygavetheirtimetosupportpatientsandstaffandtoraisefunds.TheirtirelesseffortsmadeanenormousdifferencetoboththequalityandeffectivenessoftheHealthService.

Theirenthusiasmanddedicationisreflectedintheirsupporttopatientsandstaff,residentsinagedcareandrehabilitationfacilitiesandintheirassistancetofamiliesandvisitors.Theyprovidehandandfootmassagestochemotherapypatients,assistinactivitiesforrehabilitationandagedcareresidentsandsupportpatientsinfamiliesinthePsychiatricandEmergencyDepartment.Theyoperatedapatientlibraryserviceandkiosksandsupportarangeofcommunityhealthservices.

TheBoardhostedaVolunteerAppreciationLuncheon,whichwasattendedby470people,attheMorningtonRacecourseinMay2007.

Auxiliaries and Volunteer Groups

Servingmultiplesites–• OperationSmallChange

–fundraisingbarrels• PastoralCareVolunteers.

FrankstonHospital• K.I.D.SAuxiliary• FrankstonHospitalMen’s

Auxiliary• FrankstonHospitalPink

LadiesAuxiliary

Volunteers and Auxiliaries

• PsychiatryServiceVolunteers• CarrumAuxiliary• PatientFreeLibraryService• Ward5GNVolunteers• RedCrossACEprogram

–AssistanceandCareinEmergency.

RosebudHospital• RosebudHospitalGardenGroup• RosebudHospitalPinkLady

Group• RosebudHospitalKioskAuxiliary• RosebudAuxiliary• WestRosebud/Tootgarook

Auxiliary• RyeAuxiliary• BlairgowrieAuxiliary• Sorrento/PortseaAuxiliary• RosebudHospitalRehabilitation

andAgedCareOpportunityShopGroup

• RedCrossACEprogram–AssistanceandCareinEmergency.

Community&ContinuingCare• FrankstonCommunityHealth

Volunteers• ChelseaCommunity

RehabilitationServiceVolunteers• FrankstonCommunity

RehabilitationServiceVolunteers• RosebudCommunity

RehabilitationServiceVolunteers• RosebudRehabilitationUnit

Volunteers• JeanTurnerNursingHome

Volunteers• LotusLodgeHostelVolunteers• FrankstonRehabilitation

Volunteers• FriendsofCarinyaAuxiliary• MichaelCourtVolunteers• MtElizaCentreVolunteers• RosewoodHouseVolunteers• CarinyaVolunteers• PalliativeCareVolunteers.

Fundraising and DonationsThroughouttheyearmanycommunityorganisationssupplementtheworkoftheAuxiliaries,donatingmedicalequipmentandhelpingtofundprograms.

ThesecommunitydonationsaddtothesignificantgiftsthatPeninsulaHealth’sAuxiliariescontributeeveryyear.In2006/07,donationsfromAuxiliarygroupsenabledPeninsulaHealthtopurchase-• Aspecialisedpatienttransport

busforRosebudHospital.• Abariatricoperatingtablefor

patientswithmorbidobesity.• Recliningchairsforfamily

membersstayingwithlovedonesinPalliativeCare.

• MonitorsforMaternityServicesandemergencyventilationequipmentforcriticallyillchildren.

• ManyitemsofequipmentfortheIntensiveCareUnit.

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Frankston Community Health Service

Main Site:FrankstonIntegratedHealthCentre,HastingsRoad.ServicesacrossFrankstonandtheMorningtonPeninsula

Key Services and Facilities:Healthpromotion(Men’sShed,CommunityKitchens)Children’sServices(SchoolReadiness,HealthyFutures),PrimaryHealth(Counselling,Dietetics,ServiceCoordination),diseaseeducationandhealtheducationprogramsincludingCardiacRehabilitationProgram,diabeteseducation,YouthSupport,SchoolFocussedYouthService,PeninsulaDrugandAlcoholProgram,Pharmacotherapy,Optometry,CommunityDental,ChronicDiseaseselfmanagement,ComplexCare,GPsinCommunityHealthproject,GamblersHelp.

Fast Facts:

Outpatientoccasionsofservice: 69,769

Numberofstaff: 170

EFT: 116.38

Major Achievements / Highlights:• TheComplexCareandStay

HealthyprogramscombinedwiththeMorningtonPeninsulaDivisionofGeneralPracticetoemployafulltimeGPLiaisonworkerwhohasmetwithmanystakeholders,producedpromotionalmaterialsandincreasedtheGPreferralstotheCommunityHealthServiceforclientswithaChronicIllness.

Service Profile

• FundswerereceivedinconjunctionwithPeninsulaCommunityHealthServicetodevelopGPservicesfordisadvantagedandcomplexclientsintheFrankstonandHastingsarea.

• HospitalAdmissionsRiskProgram(HARP)fundswereusedtoprovideaprimaryhealthnurseintotheSHARPSNeedleSyringeExchangetoaddresshealthneedsofinjectingdrugusersandtheirfamilies.

• TheAboriginalHealthPromotionandChronicCareprogramexpanded.

• Anafterhourshydrotherapyprogramwasestablishedforclientswithworkingcarers/partners,toprovidebetteraccesstoclientsunabletoattenddaytimesessions.

• Additionalfundingof$125,000wasreceivedfortheChildren’sServicesProgram,whichisdesignedtoassistchildrenwithmildtomoderatedevelopmentaldelays.

• In2006,Food.Kids.Play,afamilybasedinterventionforchildhoodobesity,washighlycommendedintheVictorianPublicHealthCareAwardsinthecategoryofExcellenceinContinuityofCare

• A“2PIC”filmprojectwasdevelopedinconjunctionwithMorningtonPeninsulaShireCouncil.

Frankston Hospital

Location:HastingsRoad,Frankston.

Key Services and Facilities: EmergencyDepartment,Outpatients,MedicalImaging,Pathology,CoronaryCare,Cardiacandnon-cardiacAngiography,CardiacInvestigations,IntensiveCare,Chemotherapy,RenalDialysis,generalandspecialtymedicalandsurgicalservices,HospitalintheHome,MaternityandPaediatricServices,includingaSpecialCareNursery,OperatingTheatres,andEndoscopy.

Fast Facts:

Numberofbeds: 336

Numberofstaff: 2487

EFT 1511.26

Separations: 48,120

SurgicalProcedures: 9,253

Births: 2,383

EmergencyPresentations: 50,518

Major Achievements / Highlights:• InSeptember2006,the$3.4

millionredevelopmenttotheFrankstonHospitalRadiologyDepartmentwascompleted.Thefour-stageprojecthasimprovedtheRadiologyDepartment’sfacilitiestobettercopewithdemandforimagingservices.Seepage26.

• InOctober2006,workstotheFrankstonHospitalEmergencyDepartmentwerecompleted.Thisincludedasixbedobservationward,waitingareaandpaediatricwaitingarea.

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• FlexiblecystoscopyservicesforurologypatientscommencedinNovember2006.

• ThePaediatricDiabetesCliniccommencedinDecember2006.

• InApril2007,theHillviewBirthingUnitwasrelocatedtoFrankstonHospital.A$3millionexpansiontoFrankstonHospital’smaternityfacilitiesisplannedfor2008andthiswillresultinadditionalmaternityandbirthingfacilities.Seepage28.

• InMay2007,FrankstonHospitalreceived$45millioninfundingtoexpanditssurgicalandintensivecarefacilities.Seepage19.

• AssociateProfessorappointmentsweremadeinAnaestheticsandWomen’s,Children’sandAdolescentHealth.

Rosebud Hospital

Location:1527PointNepeanRoad,Rosebud

KeyServicesandFacilities:Emergencyservices,surgery,Mother/babyprogram,feedingandsleepingdifficultiesclinics,psychiatricoutpatients,HospitalintheHome(HITH),renaldialysisandchemotherapy.

Fast Facts:

Numberofbeds: 79

Numberofstaff: 343

EFT 198.27

EmergencyPresentations: 20,557

Separations: 12,322

SurgicalProcedures: 962

Births: 201

Major Achievements / Highlights:• RedevelopmentofEmergency

Departmentwaitingroomwascompleted.

• TheRedCrossACEVolunteerprogramcommencedatRosebudinNovember2006.

• AdedicatedtriagenurserolewasintroducedatRosebudEmergencyDepartment.

• RedevelopmentofRosebudHospitalDayTreatmentCentrewascompleted.

• AClinicalNurseEducatorwasappointedtoworkonsiteatRosebudHospital.

• TheRosebudHospitalTransitServicecommenced–operating5daysprovidingnonacutepatienttransport,facilitatingpatientflow.

• CSSDwasenhancedwithinstallationofnew$90,000Sterilizer.

Peninsula Health Psychiatric Services

Location: AcrossFrankstonandtheMorningtonPeninsula

Key Services and Facilities: Servicesareprovidedintwocontinuumsofcare,AdultandAged,acrosssixsitesandincludeassessment,acutetreatmentandcareincommunityandinpatientsettings,crisisintervention,casemanagementandresidentialrehabilitationandcare.Allservicesareprovidedbyarangeofmultidisciplinaryteams.

Fast Facts:

Numberofbeds: 64 (29Adult, 15Aged, 20Community Careunitbeds)

Numberofstaff: 290

EFT 223.79

CommunityContacts: 118,742

OccupiedBedDays: 14,373

Separations: 1,056

Major Achievements / Highlights:• Serviceswererestructuredto

replacetheformeruseofCATServicesandCaseManagementServiceswithamoreintegratedserviceinvolvingfourmulti-disciplinarycommunity-basedadultteams.

• TheAdultInpatientUnitcontinuedtolookatalternativewaystoreducetherateofseclusion.Theseclusionratehasreducedfromanaverageof10.5%in2004/05to7%in2006/07.

Service Profile

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• ADVDentitled‘AboutPsychosis’waslaunchedasaneducationaltoolforcarersandfamiliesofpeoplewhosufferfrompsychosis.

• CayteHoppnerwasappointedVictoria’sfirstNursePractitionerforMentalHealth.

• DrLucindaSmithcompletedallbasicandadvancedtraininginpsychiatrywithinPeninsulaHealth.SheisoneofthefirstpsychiatristsinAustraliaorNewZealandtobecertifiedasaspecialistinadultpsychiatry.

• InJune2007,over800peopleattendedthefourth“MenBehavingPositively”forum,whichwasheldattheFrankstonArtsCentre.

Community & Continuing Care Services

Location:AcrossFrankstonandMorningtonPeninsula

Key Services and Facilities: ACCESSreferralservice,AgedCareAssessmentService,GeriatricEvaluationandManagement,ResidentialAgedCarefacilities,homemodification,PersonalAssistanceCallService,ResidentialOutreachSupportService(ROSS),respiteandcarersupport,interimcare,inpatientpalliativecareservices,palliativecareconsultancyservice,inpatientandcommunityrehabilitation,fallspreventionservice,Agestrong,MovementDisorder’sClinic.

Fast Facts:

Numberofbeds: 317 (60NursingHome, 30TransitionCare, 90Rehabilitation, 15PalliativeCare, 60GeriatricEvaluation &Management 62Hostelbeds)

Numberofstaff: 920

EFT 613.83

Outpatientoccasionsofservice: 41,698

TotalBedDays: 103,025

Separations: 3,797

Major Achievements / Highlights:• TheFallsPreventionProgram

wasselectedbyDHSastheleadmetropolitanagencyfortherolloutoffallspreventionprogramsacrossacuteservices.

• TheTransitionCareProgramcommencedinDecember2006.

• CarinyaandJeanTurnerNursinghomesandMichaelCourtandLotusLodgeHostelsearnedACSAAccreditation.

• LisaDellaGattaandZoeCasper,Division2nursesfromRosebudResidentialAgedCareservicesreceivedawardsatthe2006StateNursingExcellenceAwardsinthecategory‘Improvingthepatient/clientexperiencethroughinnovativenursingpractises’fortheirworkinimprovingoralhealthcareofresidents.

• Morethan1,000peopleattendedtheAgeingWellExpo.

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The structure listed below reflects senior staff membership at 30 June 2007.

CHIEF EXECUTIVEDr S Devanesen MB BS Dip Obst RACOG FRACMA FCHSE FAIM FHKCCM

EXECUTIVE DIRECTOR MEDICAL, FRANKSTON ACUTE CARE, and QUALITY; and DEPUTY CHIEF EXECUTIVEDr P Bradford MB BS MPH FRACMA FCHSE

FRANKSTON HOSPITALChief Nursing Officer Frankston HospitalMs S Jones RN RM BNsg Cert AdvCertMgt Cert Adv EmergOperations Director Major ProjectsMr C McCarthy RN Crit Care

MEDICINE, CANCER AND PALLIATIVE CARE SERVICESOperations Director and Principal NurseMedical Specialties and Medical Inpatients Ms B Williamson RN BNsg CCU RN

NURSE UNIT MANAGERSCardiac Angiography Mr R Templin RN GradCert Oncology UnitMs L Taylor-Lovett BA Adv Cert Chemotherapy AdminRadiology NursingMs A Donnelly RNHaemodialysisMs H Hinrichsen RN BScN Dip Psych Nsg Grad Cert CC Grad Cert RenalWard 5FNMs L Walsh RNWard 5GSMs H Lack RN RM Dip N Ed BEd

MEDICINEDirector of MedicineAssociate Professor D Langton MB BS(Hons) FCCP FRACP FJFICMDirector of Endocrinology and Director Academic General MedicineAssociate Professor C Gilfillan MB BS (Melb) PhD FRACPDirector of Clinical Practice ImprovementDr G Braun MB BS FRACP

Medical Staff CardiologyDr P Carrillo MB BCh FRACP (Director)Dr A Arunothayaraj MB BS MRCP (UK) FRACPDr R Lew MB BS FRACPDr G Szto MBBS FRACPDr R Teperman MB BS (Hons) FRACP FCSANZ DDUDr G Toogood MB BS FRACPDr B Wood MB BS FRACPMedical Staff EndocrinologyAssociate Professor C Gilfillan MB BS (Melb) PhD FRACP (Director)Dr D Dutta MB BS PhD FRACPDr S Morris MB ChB (AUK) FRACPMedical Staff Infectious DiseasesDr P Vinton MB BS (Hons) FRACP (Head of Unit)Dr M Ananda-Rajah MB BS FRACPDr S Broughton MB ChB MRCP(UK) FRCPathDr C Harangozo MB BS FRACPDr C Marshall MB BS FRACPMedical Staff GastroenterologyDr D Badov MB BS FRACP (Head of Unit)Dr R Chen MB BS FRACP MDDr R Herrmann MB BS FRACPDr M Merrett MB BS (Hons) FRACPDr A Thornton MB BS FRACPMedical Staff General Medicine Dr P Fiddes MB BS FRACP (Head of Unit)Dr S Morris MB ChB FRACPDr P Nayagam MB BS(Hons) MRCP (UK) FRACPDr M O’Ryan MRCP(UK) FRACPDr B Pathik MB BS FRACP MD(Melb) Medical Staff RenalDr G Perry MB BS FRACP (Head of Unit)Medical Staff Pain ManagementDr A Prendergast MB BS FFARACS FANZCADr M Taverner MB BS FRCA FANZCA FFANZCE DipPainMgtMedical Staff RheumatologyDr E Thevathasan MB BS(Hons) FRACPMedical Staff General Practice Medicine FrankstonDr A Gunesekera MB BS DipObst DipRACOG (Head of Unit)Dr Z Barr MB BS FRACGPDr M Cross MB BS FRACGPDr R Cuthbertson MB BS BSc BMedSci FRACGP DRANZCODr R Lewis BSc MB BS DCH DRCOG FRACGPDr M Porter MB BS

Medical Staff NeurologyAssociate Professor E Butler MB BS FRACP (Head of Unit)Dr S Raghav MB BS MD DM (Neuro) FRACPMedical Staff Respiratory MedicineAssociate Professor D Langton MB BS(Hons) FRACP (Head of Unit)Dr G Braun MB BS FRACPDr N Manolitsas MB BS(Hons) FRACP

CANCER SERVICES AND PALLIATIVE CAREDirector of Palliative Care Medicine and Acting Director of Cancer ServicesDr B McDonald MBChB MRCGP(UK) FAChPM MScNurse Unit Manager Palliative Care UnitMs H Wearne RN MScMedical Staff Radiotherapy, Oncology & HaematologyDr D Blakey MB BS FRANZCRDr J Catalano MB BS FRACP FRCPADr V Ganju MB BS FRACP Dr N Potasz MB BS FRACPDr J Ruben MB BCh FCRadOnc FRANZCRDr R Srivastava MB BS (Hons) FRACPDr J Thomson MB BS FRACPMedical Staff Palliative CareDr B McDonald MB ChB FChPM MScDr R Lewis BSc MBBS DRCOG DCH FRACGP

SURGERY AND WOMEN’S, CHILDREN’S & ADOLESCENT HEALTH (WCAH)Operations Director/Principal Nurse Surgery and AnaestheticsMr E Dunn BN Grad Cert HSM RN

NURSE UNIT MANAGERSClinical Sterile Supply DepartmentMr B Button RN PeriOp Cert (RMH) Inf Control Cert Mgt Cert (Mayfield)Endoscopy Unit Ms J Robertson RNDay Surgery UnitMs G Richards RN BNsg MRCNAOperating SuiteMs S Maxwell RN PeriOp Grad DipWard 2GNMs E Weir RN CCRNWard 4GNMs G Walters RN Dip Hosp Nsg/Ward Admin FCNAWard 4GSMs J Stephens RN BNsg CCCert MRCNA

Ward 5GNMr J Aylward BNsg, Dip Crit Care NsgSurgical Unit 5Ms J Emmanuel RN BNsg Dip Front Mgt

SURGERYDirector of SurgeryAssociate Professor C Russell MB ChB MS FRACS GradDipBus MRACMAMedical Staff Ear Nose and ThroatMr N Vallance MB BS FRACS (ENT) (Head of Unit) Mr D Diamantaris MB BS FRACSMr W Hurst MB BS FRCS(Edin) FRCS(Eng) FRACSMr J Redman MB BS FRACS LDS BDScMedical Staff General Surgery and Upper GIAssociate Professor C Russell MB ChB MS FRACS Grad Dip Bus MRACMA (Head of Unit)Mr G Draper MBBS FRACSMr P Evans MB BS FRACSMr I Wheatley MB BS(Melb) FRACS BAppSc MComp FACS LLB (Hons)Medical Staff Gastro IntestinalMr S Skinner MB BS PhD FRACS Senior Lecturer (Head of Unit)Mr P Gray MB BS(Melb) FRCS(Edin) FRCS(Eng) FRACSMr R McIntyre MB BS DPhil(Oxon) FRACSMr E Torey MB BS(Hons) FRACSMedical Staff Endocrine / BreastProfessor J Serpell MB BS(Melb) MD FRACS FACS (Head of Unit) Ms B Brown MB BS FRACSMr R Ferguson MBBS FRACSMs M Walker MB BS FRACS (Surgical Education and Training Supervisor)Medical Staff OphthalmologyMr H Baig MB BS FRCS(Edin) FRACS FRACOMedical Staff Orthopaedic SurgeryMr P Brydon MB BS FRACS (Orth) (Chairman) Mr G Bourke MB BS FRACS (Orth)Mr N Broughton MB ChB (Hons) FRCS (Ed) FRCS (Eng) FRACSMr P Hamilton MB BS FRACSMr P McCombe MB BS FRACSMr J Rehfisch MB BS FRACSMr A Weber MB BS FRACSMr R Wuttke MB BS FRACSMedical Staff Paediatric SurgeryMr R Stunden MB ChB(Edin) DA FRCS FRACS(Paed Surg)

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Medical Staff Plastic / Maxillofacial SurgeryDr P Terrill MB BS FRACS (Head of Unit)Mr D Hunter-Smith MB BS(Hons) FRACSMr T Robbins MB BS FRACS FRCS(Ed) FRCSMr D Ross MB BS FRACS (Plast)Dr M Rostek MB BS FRACSMedical Staff Thoracic SurgeryMr P Cole MB BS FRACS FRCS Ed (Card/Thor) FACS FCCP STS (Head of Unit)Medical Staff UrologyMr C Cham MB BS MD FRCS FRACS (Head of Unit)Mr C Chang MB BS (Melb) FRACS (Urol)Dr K McKertich MB BS FRACS (Urology)Mr A Tan MB BS(Melb) FRACS Medical Staff Vascular SurgeryMr G Somjen MS FRACS FRCS(Ed) DDU (Head of Unit)Mr C Last MB BS(Hons) FRACS (Vasc)Mr Wai-Leng Chue MBBS FRACS (Vasc)

ANAESTHETICSDirector of AnaesthesiaDr J Copland MB BS FFARACS FANZCADeputy Director of AnaesthesiaDr C Bowden MB BS FANZCADirector of Anaesthetic Research & TrainingAssociate Professor T Loughnan MB BS FANRACS FFARACS FANZCAMedical Staff - AnaestheticsDr P Brown MB BS BSc(Hons) DA(UK) FANZCADr J Campbell MB BS DipAnaes(UK) FRCA FANZCADr M Chen MB BS FANZCADr T Crofts MB BS FANZCADr M Diacon MB BS FANZCADr T Ding MB BS FANZCADr T Edgley MB BS FANZCADr E Gunasekera MB ChB FRCADr D Henry MB BS DA FFARACSDr H Kolawole BMedSci MClinEd MB BS FANZCA MRACMADr S Leong MB BS FANZCADr J Marxsen MB BS FANZCADr G McKenzie MB BS FFARACS FANZCADr A McLaughlin BM DCH FRCADr A Prendergast MB BS FFARACSDr N Roberts MB BS FANZCADr E Rubinstein MB BS DA FFARCS FFARACS FANZCA

Dr T Stambe MB BS FANZCADr J Tang MB BS FANZCADr A Vulcan MB BS FANZCADr A Webb MB BS FANZCA

WOMEN’S, CHILDREN’S AND ADOLESCENT HEALTH (WCAH)Operations Director/Principal Nurse Women’s Children’s & Adolescent HealthMs S Jones RN RM BNsg Cert AdvCertMgt Cert Adv Emerg

NURSE UNIT MANAGERSWomen’s ServicesMs D Attwood RN RM IBCLCChild and Adolescent UnitMs H Hutchins RNMaternity Inpatient Services Ms S Sewell (Acting) RN RM BNsg Grad Cert Adol HealthSpecial Care NurseryMs D MacFarlane RN RM IWC Neonatal Paed Cert BAppSci (N.Admin) MRCNAHillview Maternity (Rosebud and Frankston)Ms L Whyte RN RMProject OfficerMs K Brown (Acting) RN RM Grad Cert CNP MNsg Director of Women’s, Children’s & Adolescent HealthAssociate Professor A Trivedi MBBS (Hon) Dip Obs FRANZCOG DDUMedical Staff Obstetrics & GynaecologyMr G Baker MB BS FRANZCOG FRCOG FRCS (Edin)Mr A Griffiths MB BS MRACOG FRANZCOGMr R Guirguis MB BS FRCOG FRANZCOGMr K How MB BS FRANZCOG MRCOGMr T Jobling FRCOG FRANZCOG CGO MDMr D Johnson MB BS FRANZCOG FRCOGMr D Luiz MB Bch FCOG (SA) MRCOG FRANZCOGDr P Porter MB BS FRANZCOGMr R Vasant MB BS FRANZCOG FRCOG (UK)Clinical Head PaediatricsDr P Francis MB BS FRACPMedical Staff Paediatrics FrankstonDr Y Anderson MD (Germany) FRACPDr S Blair MB BS FRACP MRCPCHDr H Kelso MB BS FRACPDr E Lowther MB ChB DCH FRACPDr A O’Neill MB BS FRACP

MEDICAL PROFESSIONAL, INVESTIGATIVE AND PHARMACY SERVICES

MEDICAL STAFF COUNCILChairman, Medical Staff CouncilDr J Copland MB BS FFARACS FANZCADeputy Chairman, Medical Staff CouncilMr R Stunden MB ChB(Edin) DA FRCS FRACS(Paed Surg)Honorary TreasurerDr J Copland MB BS FFARACS FANZCAHonorary SecretaryDr R Ward MB BS (Hons) MIFSMExecutive Director Medical ServicesDr P Bradford MB BS MPH FRACMA FCHSEChairman, Division of AnaestheticsDr J Campbell MB BS DipAnaes (UK) FRCAChairman, Division of Obstetrics & GynaecologyDr P Porter MB BS FRANZCOGChairman, Division of OrthopaedicsMr P Brydon MB BS FRACS (Orth)Chairman, Division of PaediatricsDr P Francis MB BS FRACPClinical Head PaediatricsDr P Francis MB BS FRACPChairman, Division of General PracticeDr J Siemienowicz MB BS DRACOG FRACGP DipCompChairman, Division of SurgeryMr R Stunden MB ChB(Edin) DA FRCS FRACS(Paed Surg)Chairman, Division of MedicineDr G Szto MB BS FRACPDirector of Medicine Associate Professor D Langton MB BS(Hons) FCCP FRACPDirector of Women’s, Children’s & Adolescent HealthAssociate Professor A Trivedi MBBS (Hon) Dip Obs FRANZCOG DDUDirector, Aged Care MedicineDr C Clarke MBBS (Melb) FRACPDirector, RadiologyDr C O’Donnell MBBS FRANZCR MMedDirector, SurgeryAssociate Professor C Russell MB ChB MS FRACS GradDipBus MRACMAClinical Director Rosebud Hospital Dr R Ward (Acting) MB BS (Hons) MIFSM

Director, Emergency MedicineAssociate Professor J Wassertheil C StJ MB MS (Monash) MClinEd (USNW) FACEM MRACMA MACLM Cert IV Train&AssessClinical Director PsychiatryAssociate Professor R Newton FRANZCP MRCPsych MB ChB (Edin)Medical Director Patient Safety and MedicolegalDr C Wellington MB BS FRACMA Director Clinical Training/Supervisor Intern TrainingDr D Haji MB ChB FACEM

HMO SUPPORT UNITManager HMO Support Unit & Business and Resourcing Support to Clinical DirectorsMr P Naughton Dip App Sc Grad Dip App Sc Sen Sys Mgmt Dip Naut St Grad Cert Mgmt Cor AIMM AFACHSE JPHMO MentorsDr J Downes-Brydon MBBS Dip RACOGDr D Haji MB ChB FACEMDr B MacDonald MB ChB FChPM MScDr S Macfarlane MB BS (Hons) MPM FRANZCPDr R Ward MB BS (Hons) MIFSM

MEDICAL EDUCATIONDirector Clinical Training/Supervisor Intern TrainingDr D Haji MB ChB FACEMClinical Dean Dr J Botha MB ChB MMed FCP(SA) FRACP FJFICM Dip Neph(London) Dip Echo (Melbourne) Medical Clinical Educator Associate Professor J Wassertheil C StJ MB MS (Monash) MClinEd (USNW) FACEM MRACMA MACLM Cert IV Train&Assess

INVESTIGATIVE SERVICESManager Investigative Services and ContractsMr B Thorbecke Dip Med Radiog GDU

PATHOLOGY (Symbion Dorevitch)Manager Pathology Ms J Couper BSc (Hons) MBADirectorDr P Kostos MBBS FRCPA MIACAnatomical PathologyDr P Kostos MBBS FRCPA MIACDr C McTigue MBBS FRCPADr J Pollard MBBS FRCPA MIAC PhC

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2007 �� Senior Staff

HaematologyDr J Catalano MBBS FRACP FRCPADr M Levin MBBS FRACP FRCPADr J Metz MD DSc(Med) FRCPath FACP FRCPAMicrobiologyDr S Broughton MBChB MRCP(UK) FRCPathDr C Perera MBBS PhD Dp Bact MD FRCPADr C Reed MBBS MRCPath FRCPADr G Wood BSc(Hons) MBBS FRACP FRCPABiochemistryDr A McNeil MBBS FRACP FRCPA PhD

MEDICAL IMAGING SERVICESDirector of RadiologyDr C O’Donnell MBBS FRANZCR MMedRadiologistsDr T Anderson MBBS FRANZCRDr M Bartlett MBBS FRANZCRDr A Dulimov MBBS FRACR DRACRDr A McKenzie MBBS FRANZCRDr S Morley MBBS FRANZCRDr J Waugh MB ChB FRANZCR RCRL

PHARMACYDirector of PharmacyMr S Lam BPharm FSHPA Accredited Consultant Pharmacist

CLINICAL GOVERNANCE, QUALITY AND CUSTOMER SERVICES

Director Clinical Governance, Quality and Customer Services Ms E Bennett BA (Hons) CPFA (UK) MBA AFCHSEMedical Director Medicolegal and Patient SafetyDr C Wellington MB BS FRACMA

EXECUTIVE DIRECTOR COMMUNITY & CONTINUING CARE and ALLIED HEALTH SERVICESDr S Watson MBChB FRACMA MHA (NSW) BSc (Hons)Operations Director Sub-acute Care, Principal Nurse CCC & Chief Nursing Officer and Site Manager Mt ElizaMs J Jukes RN BNsg MBus (HR Mgmt)Operations Director Continuing CareMs L Jamieson BAppSci(SpPath) MSPAA Grad Dip PGSS (Oxford)

Director Social Work & Integrating CareMs S Goonan BSW DipMgt AdvCertMgtDirector of Physiotherapy and Sub-acute Ambulatory CareMs J Roberts (Acting) BPhysio (Hons) MPH AFCHSE MAPA MCSP (UK)Director of Occupational TherapyMs A Closter BAppSc (Occ Therapy)Director of Speech PathologyMs J Collins BSpPath CPSPDirector Nutrition and DieteticsMs H Nikolas MPHC AFCHSE APDClinical Director Aged Care MedicineDr C Clarke MBBS (Melb) FRACPDirector of Rehabilitation MedicineDr S Mudaliar AMC FAFRM(RACP) MRACMA

MEDICAL STAFF - CCCProfessor Aged Care MedicineProfessor J Ibrahim MBBS Grad Cert HE PhD MRACMA FAFPHM FRACPGeriatriciansDr Ah-Choy Chan MBBS FRACPDr S Denton MB BS DGM DipPallMedDr S Kumar MB BS FRACGP D G M GradDipHlthAdmin DipPallMedPhysicians in Rehabilitation MedicineDr M Leach MB BS(Hons) FRACGP FAFRMDr J Rubenis MB BS DGM FAFRM(RACP)Dr R Thavarajah MB BS FRACP

SITE & SERVICE MANAGERSChief Nursing Officer and Site Manager Golf Links Road siteMr J Arrebola (Acting) Dip AppSci(Nsg) BNsg GradDip Gerontology NsgChief Nursing Officer/Site Manager Rosebud Residential Aged Care Services (incorporating Jean Turner Nursing Home and Lotus Lodge Hostel)Mr D Baulch (Acting) RN Div 1 BNsgChief Nursing Officer & Site Manager Rosebud Rehabilitation Services and CCC Budget Project ManagerMs K Murphy RN RM B App Sci (Nsg Admin) Dip App Sci (Community Health) Master Health Service Mgt Dip Health and Community Services

Carinya Residential Aged Care Unit Ms C Graham RN Div 1Golf Links Rd Rehabilitation Unit 1Ms L Chapman BNsgGolf Links Rd Rehabilitation Unit 2Ms L Clark RN Div 1 Ward 4 Mount Eliza CentreMs A Goodrich DipNsg Grad Dip GerontologyWard 5 Mount Eliza CentreMs R Gersdahl RNJean Turner Community Nursing HomeMs K Mackenzie RN BNsgLotus Lodge HostelMr J Alexander (Acting) RN Div 1Michael Court HostelMs W Hellier RN RM Gr Cert Psych Nsg Gr Dip Geron MNRosebud Rehabilitation UnitMr A Saliba (Acting) RN BSc Health Sciences Community Rehabilitation CentresMr J Arrebola Dip AppSci(Nsg) BNsg GradDip Gerontology NsgOutpatients DepartmentMs B Connolly RN BNsg

RESEARCH & ETHICS COMMITTEEExecutive SponsorDr S Watson MBChB FRACMA MHA (NSW) BSc (Hons)

COMMUNITY HEALTH SERVICESGeneral Manager Community Health Services, Chief Operating Officer, Frankston Integrated Health CentreMr R Macindoe BA GDRec GDBus MAppSc AFCHSE CHE

EXECUTIVE DIRECTOR PLANNING, PSYCHIATRY & INFRASTRUCTUREMr B Gardner B App Sc (HIM) MHA UNSW AFCHSE

Acting Associate Executive Director PsychiatryMs E Bennett BA (Hons) CPFA (UK) MBA AFCHSE

PSYCHIATRIC SERVICESClinical DirectorAssociate Professor R Newton FRANZCP MRCPsych MB ChB(Edin)Director of Community & Aged PsychiatryDr S Macfarlane MB BS (Hons) MPM FRANZCP

Director of Adult Hospital Based ServicesDr M Lee MB BS B Sc FRANZCPOperations DirectorMs B Keeble-Devlin (Acting) RN RPN BAppSci DipAppSciPsychNurse Med MANZCMHN FRCNAChief Nursing OfficerMs B Keeble-Devlin RN RPN BAppSci DipAppSciPsychNurse Med MANZCMHN FRCNASenior Medical Staff PsychiatryDr S Chambers MB ChB FRANZCPDr C Etulain FRANZCPDr R Kruk MD FRANZCPDr P Manawadu MD(Hons) PGDIP(Psy) MDPsychAssociate Professor P Mazumdar MBBS FRANZCPDr D O’Loughlin MB BS DipRACOG MPM FRANZCPDr J Selman FRANZCP MRCPsych MB ChB(Liv)Dr L Smith MBBS MPSYCH FRANZCPDr J Stone MB BS (Hons) MPM FRANZCPDr M Tsanglis MB BS MPSYCH FRANZCPDr P Tolan MB BS FRANZCPProgram Manager Aged Acute Assessment & Treatment ProgramDr Steve Macfarlane MB BS (Hons) MPM FRANZCPProgram Manager Adult Acute Services ProgramMs A Hamden RPN RN BN Grad Dip (Gerontics) MANZCMHNProgram Manager Adult Community Psychiatric Services ProgramMr K Joseph RPNNurse Unit Manager Community Care Unit (CCU)Mr A Merrett RN Div 3Nurse Unit Manager Aged Psychiatry Inpatient Unit (1WA)Mr R Bakey RN Div 1 & 3Nurse Unit Manager Adult Psychiatry Inpatient Unit (2W)Mr S John RN RPN PGDip Adv Clin Nursing (Mental Health)Quality ManagerMs R Cantley-Smith RN RPN MANZCMHN

INFRASTRUCTURE SERVICES FACILITIES MANAGEMENT DEPARTMENTDirector of Engineering ServicesMr G De Campo BBus Grad Dip Mgt MB

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2007��

EXECUTIVE DIRECTOR HUMAN RESOURCES and ROSEBUD ACUTE CAREMr C England AHA(UK) CMAHRIRosebud Hospital Operations Director, Site Manager & Chief Nursing OfficerMs S White RN RM Grad Dip Clinical Nsg (Emergency) MNurs

MEDICAL STAFF - ROSEBUDClinical DirectorDr R Ward (Acting) MB BS (Hons) MIFSMGeneral Medicine RosebudDr S Morris MB BS FRACPDr P Nayagam MB BS FRACP MRCP(UK)Renal MedicineDr G Perry MB BS FRACPGeneral Practice RosebudDr C Amarasinghe BSc MBCHB DipObstDr M Coffey MB BS BSc(Hons)Dr R Duff MB BS Dip RACOGDr S Fifield MB BS DRACOGDr D Flanagan MB BS DipObst RACOGDr M McLean MB BS DRACOG FRACGP DipRGPDr S Pilbrow MB BS PhD FRACGPEmergency MedicineDr B Chan MBBS FACEMGeneral Surgery RosebudMr G Draper MBBS FRACSAssociate Professor C Russell MB ChB MS FRACS GradDipBus MRACMAMr E Torey MBBS(Hons) FRACSMr I Wheatley MB BS FRACSVascular Surgery RosebudMr Wai-Leng Chue MBBS FRACS(Vasc)Mr C Last MBBS (Hons)FRACS(Vasc)Mr G Somjen MS FRACS (Ed) FRACS DDUObstetrics & Gynaecology RosebudMr A Griffiths MB BS MRACOG FRANZCOGMr K How MB BS FRANZCOG MRCOGMr D Johnson MB BS FRANZCOG FRCOGMr R Vasant MB BS FRANZCOG FRCOG (UK)OncologyDr V Ganju MB BS FRACPOrthopaedic Surgery RosebudMr P Hamilton MBBS(Hons) FRACS(Orth)Mr P McCombe MB BS FRACSPaediatrics RosebudDr E Lowther MB ChB DCH FRACPDr A O’Neill MBBS FRACPPalliative CareDr B McDonald MB ChB FChPM MSc

Plastic Surgery RosebudMr D Hunter-Smith MBBS (Hons) FRACS

NURSE UNIT MANAGERSEmergency DepartmentMr G Matthews BSc DipApSc (Nsg) BN MNU ICU Certificate Operating Suite Mrs S Lambert BSc(Nsg) Cert Peri Op Dip MgtSouthern Wing Ms S Netherwood RN RM AdvCertMgt Walker Wing Ms L Goodwin RN BNsg(Post reg) Grad Cert Diabetes EducationChemotherapy/Renal DialysisMs C O’Kane RN

EXECUTIVE DIRECTOR FINANCE and INFORMATIONMr D Anderson BCom MCom (Finance) Director of Financial Services Mr D O’Connor-Price BBus(Acc) CPA Manager Computer ServicesMr E Aspinall HND Bus Studies MACS

EXECUTIVE DIRECTOR NURSING, FRANKSTON EMERGENCY & INTENSIVE CARE and COMMUNITY PARTICIPATIONMs J Child RN GradDip(Behavioural Sc) GradDipHlthAdmin

NURSING SERVICES EXECUTIVEActing Operations Director/Principal Nurse Emergency, ICU and Consumer Participation Ms K Heriot RN Chief Nursing Officer and Operations Director/Principal Nurse Women’s, Children’s and Adolescent Health and Surgical Inpatients Ms S Jones RN RM BNsg MNsg AdvCertMgt Cert Adv EmergOperations Director/Principal Nurse Medical Specialties and Medical InpatientsMs B Williamson RN BNsg CCU RNOperations Director/Principal Nurse Major Projects and Perioperative ServicesMr C McCarthy RN Crit Care Rosebud Hospital Chief Nursing Officer & Principal NurseMs S White (Acting) RN RM Grad Dip Clinical Nsg (Emergency) MNurs

Psychiatry Chief Nursing OfficerMs B Keeble-Devlin RN RPN AppSciDipAppSciPsychNurse Master Ed St MANZCMHN FRCNARehabilitation, Aged & Palliative Care ServicesPrincipal Nursing Officer CCC & Chief Nursing Officer Jacksons RoadMs J Jukes RN BNsg MBus (HR Mgmt)Chief Nursing Officer Golf Links RoadMs R Digby RN Div1 BA Cert Diab Ed Grad Cert GerontologyChief Nursing Officer / Site Manager Rosebud Residential Aged Care Services (incorporating Jean Turner Nursing Home and Lotus Lodge Hostel)Ms M Cook RN BAppSc Nsg Mr D Baulch (Acting) RN (BNur) Chief Nursing Officer Rosebud Community Rehabilitation Centre & Rosebud Rehabilitation UnitMrs K Murphy RN RM BAppSc (Nsg Admin) Diploma AppSc (Community Health) Dip Health/Community Services Master Health Service MgmtNurse Unit Manager Medical Assessment & Planning UnitMs A Lindsay RN (Div 1) BNsg MNsg Crit Care Cert AdvCertMgt Dip Frontline MgtManager Nursing Recruitment & Allocations Ms K Story RN BNsg Grad Cert ICU Grad Cert Health Services MgmtSenior Manager, Nurse Education & DevelopmentMrs M Habner RN RM BAppSci(AdvNsg)Ed MHA Cert IV WT&A MRCNAAFCHSE

EMERGENCYDirector of Emergency MedicineAssociate Professor J Wassertheil C StJ MB MS (Monash) MClinEd (USNW) FACEM MRACMA MACLM Cert IV Train&Assess Clinical Director Frankston Emergency Department Dr L Goh MB BS (Melb) FACEM Director of Emergency Medicine TrainingDr M Smith MB MS (Monash) BMedSci Hons (Monash) FACEM Emergency Physicians / CliniciansDr V Amarasinghe MB BS (Colombo) FACEMDr T Baker MB BS Hons (Monash) BMedSci Hons (Monash) FACEM

Dr K Bristow MB ChB (Otago) FACEMDr B Chan MB BS (Melbourne) FACEMDr D Haji MB ChB (Mosul) FACEM Emergency PaediatricianDr P Francis MB BS FRACPGeneral PractitionersDr M Jackson MB BS (Melb) BMedSci (Melb) DipObs RACOG FRACGPDr G Macaulay MB BS (Melb) DipObs RCOG ACCAMDr R Ward MB BS Hons (Melb) FISMS Nurse Unit Manager Emergency DepartmentMr A Browne RN RSCN (Lon) Critical Cert ICU BA (Hons)Project OfficerMs N Parker GradDipAppNur BA MA Grad Dip CritCareEN Grad Cert Health ProfEd GradCert Health PromNurse Unit Manager Medical Assessment and Planning UnitMs C Stevens (Acting) BN

INTENSIVE CAREDirector Intensive Care UnitDr J Botha MB ChB MMed FCP(SA) FRACP FJFICM Dip Neph(London) Dip Echo (Melbourne) Deputy Director Intensive Care UnitDr I Carney B Sc MB.BS(Hons) FRACP MPH&TM FJFICM Dip Echo (Melbourne)Nurse Unit Manager Intensive Care UnitMr P Taylor RN Dip HE (UK) Cert ICU Cert HDU CertMgtStaff IntensivistsDr S Arora MD FRACP FJFICM Dip Echo (Melbourne)Dr H Gangopadhyay MB BS (India) MD FFARCS(IRE) FJFICM

LEGAL COUNSELMs V Hammond LLB (Hons) LLM (Hons)

PUBLIC RELATIONS & MARKETINGDirector Public Relations & MarketingMr J Jukes BA Grad Dip Mktg

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2007 �0 Disclosure Index

TheAnnualReportofPeninsulaHealthispreparedinaccordancewithallVictorianlegislation.Thisindexhasbeenpreparedtofacilitateidentificationofcompliancewithstatutorydisclosurerequirements.

Legislation Requirement Page

Report of Operations

Charter and purpose

FRD 22A MannerofestablishmentandtherelevantMinisters 4,14

FRD 22A Objectives,functions,powersandduties Insidefrontcover

FRD 22A Natureandrangeofservicesprovided 4-5,53-55

Management and structure

FRD 22A Organisationalstructure. 18

Financial and other information

FRD 22A Operationalandbudgetaryobjectivesandperformanceagainstobjectives FinancialStatements

FRD 22A Statementofmeritandequity FinancialStatements

FRD 22A WorkforceDataDisclosures 44

FRD 22A Occupationalhealthandsafety FinancialStatements

FRD 22A Summaryofthefinancialresultsfortheyear 5,11,FinancialStatements

FRD 22A Significantchangesinfinancialpositionduringtheyear FinancialStatements

FRD 22A Majorchangesorfactorsaffectingperformance FinancialStatements

FRD 22A Subsequentevents FinancialStatements

FRD 22A ApplicationandoperationofFreedom of Information Act 1982 FinancialStatements

FRD 22A CompliancewithbuildingandmaintenanceprovisionsofBuilding Act 1993 FinancialStatements

FRD 25 VictorianIndustryParticipationPolicydisclosures FinancialStatements

FRD 22A StatementonNationalCompetitionPolicy FinancialStatements

FRD 22A ApplicationandoperationoftheWhistleblowers Protection Act 2001 FinancialStatements

FRD 22A Detailsofconsultanciesover$100,000 FinancialStatements

FRD 22A Detailsofconsultanciesunder$100,000 FinancialStatements

FRD 22A Statementofavailabilityofotherinformation FinancialStatements

FRD 10 Disclosureindex 60

FRD 11 Disclosureofex-gratiapayments FinancialStatements

FRD 21A Responsiblepersonandexecutiveofficerdisclosures FinancialStatements

Financial statements required under Part 7 of the FMA

SD 4.2(b) OperatingStatement FinancialStatements

SD 4.2(b) BalanceSheet FinancialStatements

SD 4.2(a) StatementofChangesinEquity FinancialStatements

SD 4.2(b) CashflowStatement FinancialStatements

SD 4.2(c) Accountableofficer’sdeclaration FinancialStatements

SD 4.2(c) CompliancewithAustralianaccountingstandardsandother authoritivepronouncements FinancialStatements

SD 4.2(c) CompliancewithMinisterialDirections FinancialStatements

SD 4.2(c) Roundingofamounts FinancialStatements

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200761Index

Subject PageNo.

Accreditation 38

Aged care 24, 40

Australasian Reporting Awards Inside Front Cover

Auxiliaries 52

Board Committees 14 - 15

Board of Directors 12 - 13

Building Partnerships 32 - 37

Caring for and Supporting our Workforce 44 - 46

Catchment area 4 - 5

Chemotherapy 29

Cleaning Audit and Standards 47

Community Advisory Committees 32

Community Health 30 - 31

Community Participation 32

Community Rehabilitation Centres 24

Department of Human Services 37

Disclosure Index 60

Education 44 - 45

Elective Surgery 25

Emergency Departments 25, 28

Enhancing Quality 38 – 42

Environment 48

Executive Staff 16 - 17

Facilities 53 - 55

Falls Prevention Service 22

Financial Performance 5, 11

Forums 36

Frankston Hospital 25 - 28

Frankston Hospital Expansion 19

Fundraising 52

General Practitioners 34

Key Performance Indicators 10 – 11

Koori Advisory Group 32

Subject PageNo.

Location map Back Cover

Managing Our Resources 47

Managing Risk 50 - 51

Medical Assessment and Planning Unit (MAPU) 25

Meeting Demand 22 - 31

Mission statement Inside Front Cover

Monash University 37

Mornington Centre 20

Nursing 44 - 45

Objective of Report Inside Front Cover

Occupational Health and Safety 45 - 46

Organisational structure 18

Organisational Wide Survey 46

Peninsula Complex Care Program 29 - 30

Profile 4

Psychiatric Services 31

Radiology Department 26

Renal Dialysis 29

Research 43

Research Week 43

Residential care 40

Role of Board of Directors 14

Rosebud Hospital 28 - 29

Senior staff listing 56 - 59

Services 53 - 55

Staff Training 45

Strategic Plan 6 - 9

Victorian Public Healthcare Awards 53

Vision Inside Front Cover

Volunteers 52

Waiting list 10

WorkCover 46

Youth Employment Scheme (YES) traineeships 46

HASTINGS ROAD (PO BOX 52) FRANKSTON, VICTORIA 3199PH: (03) 9784 7777For those outside the Melbourne Metropolitan Area PH: 1800 858 727www.peninsulahealth.org.au

CARINyA ReSIDeNTIAl AGeD CARe UNIT125 Golf links Road Frankston Vic 3199Tel: (03) 9783 7277 Fax: (03) 9783 7515

CHelSeA COMMUNITy ReHABIlITATION CeNTRe8 edithvale Road edithvale Vic 3196Tel: (03) 9772 6099 Fax: (03) 9772 3042

COMMUNITy CARe UNIT4 Spray Street Frankston Vic 3199Tel: (03) 9781 4288 Fax: (03) 9781 4393

FRANKSTON COMMUNITy ReHABIlITATION CeNTRe125 Golf links Road Frankston Vic 3199Tel: (03) 9783 7288 Fax: (03) 9770 5459

FRANKSTON HOSPITAlHastings Road (PO Box 52) Frankston Vic 3199Tel: (03) 9784 7777

FRANKSTON ReHABIlITATION UNIT125 Golf links Road Frankston Vic 3199Tel: (03) 9784 8666 Fax: (03) 9784 8662

FRANKSTON INTeGRATeD HeAlTH CeNTRe12-32 Hastings Road Frankston Vic 3199Tel: (03) 9784 8100

Community Health ServiceTel: (03) 9784 8100 Fax: (03) 9784 8149

MICHAel COURT ReSIDeNTIAl AGeD CARe UNIT32 Michael Court Seaford Vic 3198Tel: (03) 9785 3744 Tel: (03) 9785 3739Fax: (03) 9782 4434

ROSeBUD COMMUNITy ReHABIlITATION SeRVICe288 eastbourne Road Rosebud Vic 3939

Community Rehabilitation CentreTel: (03) 5986 3344 Fax: (03) 5981 2267

Inpatient UnitTel: (03) 5981 2166 Fax: (03) 5982 2110

ROSeBUD HOSPITAl1527 Pt. Nepean Road Rosebud Vic 3939Tel: (03) 5986 0666 Fax: (03) 5986 7589

ROSeBUD ReSIDeNTIAl AGeD CARe SeRVICeS1497 Pt. Nepean Road Rosebud Vic 3939

Jean Turner Community Nursing HomeTel: (03) 5986 2222 Fax: (03) 5982 2762

Lotus Lodge HostelTel: (03) 5986 1011 Fax: (03) 5982 2762

S.H.A.R.P.S.35-39 Ross Smith Avenue Frankston Vic 3199Tel: (03) 9781 1622 Fax: (03) 9781 3669

TATTeRSAllS PeNINSUlA PAllIATIVe CARe UNIT125 Golf links Road Frankston Vic 3199Tel: (03) 9784 8600 Fax: (03) 9784 8674

THe MORNINGTON CeNTReCnr Tyalla Grove and Separation Street Mornington Vic 3931Tel: (03) 5976 9000 Fax: (03) 5976 9136

MOUNT elIzA CeNTReJacksons Road (PO Box 192) Mount eliza Vic 3930Tel: (03) 9788 1200 Fax: (03) 9787 9954

PeNINSUlA COMMUNITy MeNTAl HeAlTH SeRVICe15-17 Davey Street Frankston Vic 3199Tel: (03) 9784 6999 Fax: (03) 9784 6900

PeNINSUlA DRUG & AlCOHOl PROGRAMRosebud Officec/o Southern Peninsula Support & Information Centre878 Nepean Road Rosebud Vic 3939Tel: (03) 5986 0709 Fax: (03) 5982 2601

Hastings Officec/o Peninsula Community Health ServicesCnr Cool Stores Road and Victoria StreetHastings 3915Tel: (03) 5979 2894 Fax: (03) 5979 4735

PeNINSUlA HeAlTH PSyCHIATRIC SeRVICeHastings Road (PO Box 52)Frankston Vic 3199Tel: 1300 792 977 Fax: (03) 9784 7192

Portsea

Sorrento Rosebud

Dromana

Flinders

Hastings

Mornington

Baxter

Mount Eliza

Frankston

Seaford

Carrum

Chelsea

Cranbourne