2014 Mercy Hospital | ANNUAL REPORT 2014 1 Vision The vision reflects the overall ambition of Mercy University Hospital. The vision serves as the basis from which the Hospital’s

Compassion Excellence Justice Respect Team Spirit

2014Annual Report

Compassion | Excellence | Justice | Respect | Team Spirit

1The Mercy Hospital | ANNUAL REPORT 2014

Vision

The vision reflects the overall ambition of Mercy University Hospital. The vision serves as the basis from which the Hospital’s strategy is developed:

Our Vision: • MUHisacentreofexcellencefordiagnostic,medicalandsurgicalservicesin linewith the changing needs of patientswithin the South / SouthWest HospitalGroupencompassingMUH’sMissionandValues.• MUH’sstaffaremotivatedandsupportedinreachingtheirfullpotential.• MUHdeliversserviceinnovationthroughhighstandardeducation,training and research in an academic healthcare centre. • MUHhastheoperationalandfinancialcapabilitytocontributetothefuture healthcareneedsoftheSouth/SouthWestHospitalGroup.

Mission Statement In the spirit of the Sisters of Mercy we provide excellent patient services to maintain and improve the health and wellbeing of those we serve

Our Mission explained ThemissionconfirmsMercyUniversityHospital’scommitmenttoensuringthatpatients across the South / SouthWest Hospital Group receive the higheststandardofcare.However,itisnecessarytostresstheimportanceofremainingtruetothefoundingprinciplesoftheCongregationoftheSistersofMercy,whomitisrecognisedremaintheultimatedecision-makersinregardstotheethosandvaluesespousedanddisplayedinMUHbothnowandinthefuture.TheHospitalhasadoptedtheprotectionandextensionoftheethosoftheCongregationoftheSistersofMercyasacoreobjectiveandanexerciseconductedbystaffhasidentifiedtheMercyvaluesas:

Respect – a recognition of the dignity of each person at all times Justice–honouringtherightsandresponsibilitiesofeachpersoninlightofthecommon good Compassion–callingustoempathisewiththeotheraswetrytounderstandhis/hersufferingExcellence–givingofourverybestwithintheresourcesavailabletousTeam Spirit–workingtogethertoachieveourcommonpurpose

Vision, Mission and Values

2 The Mercy Hospital | ANNUAL REPORT 2014

TheMercyUniversityHospitalwasfoundedin1857bytheSistersofMercyandhas expanded substantially since its opening. Mercy University Hospital is apublicCatholicvoluntaryhospitalownedbySistersofMercyandwassubsumedintoalimitedCompanyin2003.Thehospitalisaregisteredcharityandoperatesasanotforprofitentity.MercyUniversityHospitalemploysapproximately1,000staffandhasanannualoperatingbudgetofcirca€90m.

TheMercyUniversityHospitaloffersthefollowingservicesasaModel3hospital:

Medical

• 24/7EmergencyMedicine • InfectiousDiseases• Anaesthetics • Neurology• BloodBank • Oncology• ClinicalPharmacology • RespiratoryMedicine• GeneralMedicine • Microbiology• Cardiology&CoronaryCare • Ophthalmology• Paediatrics(inclPaediatricLeukaemia) • Endocrinology• PainMedicine • Gastroenterology• PalliativeCare • Gerontology• Psychiatry • Haematology• RadiologyandImaging • Hepatology• Rheumatology • IntensiveCare

Surgery

• Colo-RectalSurgery • MinimallyInvasiveSurgery• GeneralSurgery • OesophagealSurgery• Genito/UrinarySurgery/ • VascularSurgery ServicesforErectileDisfunction• HepatobiliarySurgery

Allied Health Services

• Biochemistry • OccupationalTherapy• ClinicalNeurophysiologyService • PastoralCareandChaplaincy• ClinicalNutrition • Pharmacy• EchocardiographyandHolterMonitoring • Phlebotomy• Endoscopy • Physiotherapy• GITherapeutics • PulmonaryFunctionUnit• Haematology • SocialWorkService• Microbiology • SpeechandLanguageTherapy

About the Hospital


Table of Contents

Chairman’sReport .................................................................................................................4

BoardofGovernors ...............................................................................................................6

RoleandStructure .........................................................................................................6

Governors-2014 ............................................................................................................7

AttendanceatBoardMeetings-2014 .........................................................................9

ReportsoftheBoardCommittees .............................................................................. 10

Audit ................................................................................................................................... 10

ClinicalEthics ...................................................................................................................11

ClinicalOversight ...........................................................................................................11

CorporateGovernance ...............................................................................................12

Finance ...............................................................................................................................12

HumanResources ........................................................................................................ 13

Nominations .................................................................................................................... 13

ManagementStructure ..................................................................................................... 14

CommitteeStructure ..........................................................................................................15

ProfileofExecutiveManagementTeam ................................................................... 16

ChiefExecutiveOfficer’sReport .................................................................................. 19

ClinicalDirector’sReport ................................................................................................20

DirectorofNursing’sReport............................................................................................21

QualityandRiskManagementReport ..................................................................... 22

QualityKeyPerformanceIndicators ..........................................................................24

ExtractsfromFinancialStatements2014 ................................................................27

PatientActivity .....................................................................................................................29

Highlightsof2014 ................................................................................................................ 31

MercyUniversityHospitalFoundation .....................................................................38


I am pleased to present the 2014 Annual Report.

Duringtheyear,thehospitaltreatedthehighestevernumberofpatientspresenting for treatment and admissions throughourEmergencyDepartment.Patientspresentedwithincreasedlevelsofacuityandasaresultthehospitalwassignificantlychallengedtodeliveritsscheduledcareprogramme.However,thesepressureswerealsoexperiencedacrossthetotalityoftheacutehospitalsectoralbeitthatModel3hospitalssuchasMercyUniversityHospitalwereparticularlyaffected.

Iwishtoparticularlyacknowledgethededicationofourstaffinrespondingtotheincreaseddemandonourserviceastheycontinueintheirunstintingcommitment in maintaining high standardsofcareforourpatients.

TheBoardcontinuestoseektoimprovethe operating environment and is engagingwiththeLeadershipTeamoftheSouth/SouthWestHospitalGroup(SSWHG)andtheHSE.

Onapositivenote,2014sawfurtherincreases in activity levels in the UrgentCareCentreonStMarysHealthCampus,whichisoperatingtoefficiencylevelsinexcessoftargetandinlinewithnational models of care. The Urgent CareCentreisaverygoodexampleofanewinitiativewhichhasservedourpatients well.

MercyUniversityHospitalwillcontinueto be a proactive player in facilitating

change in the delivery of hospital services,aimedatachievingbetterstandardsofcareandoutcomesatlowercost.Itisacknowledgedthatrealstructuralchangesinthemodelofservicedelivery,acrosshospitalgroups,arerequiredtopromotethisagenda.AdvancingcrosscityandSSWHGstrategiesincludingsharedserviceinitiativesarekey.Inthatcontexttheboardarecommittedtoproactive engagement with those in leadershippositionsintheNationalClinicalProgrammesandwithintheSouth/SouthWestHospitalGroup.Theboard,inconjunctionwiththeexecutive,completeditsreviewofhowweinMercycanbestcontributetothisprocessandaccordinglypublishedourrefreshedstrategydocument“MUH-DeliveringbetteroutcomesinSouth/SouthWestHospitalGroup2014-2016”.

In2014theboardprioritisedthequality,riskandpatientsafetyagendaandinitiativesundertakenduringtheyearareoutlinedintheQualityandRiskManagementReport.TheboardiscommittedtothefullimplementationoftheHIQANationalStandardsforSaferBetterHealthcareandinthatregard,thehospitalcompleteditsfirstselfassessmentprocessin2014.

Lookingforwardto2015theBoardofGovernorswillfocusonthefollowing:

• Acontinuedemphasisonbest practice corporate and clinical governance.

• Ongoingimprovementstothe

Chairman’s Report


clinical governance of the EmergencyDepartment(ED)in addition to other initiatives aimed atimprovingpatientexperience times.

• Overseeingimplementationofthe initiativesidentifiedinourrefreshed strategydocumentandsupporting theeffortsoftheCEOandherteam in that regard.

• EngagingwithSouth/SouthWest HospitalgroupChairandCEOin mappingoutarelevantandvalue addedroleforMercyinthecontext ofthestrategicplanfortheSouth/ SouthWestgroupwhichisdueto befinalisedinearly2016.

• Continuingtofosterstrongerlinks withtheUCCandinparticularthe research agenda.

• SupportingtheCEOandallstaffin thedeliveryofacostefficient servicewithexcellentlevelsof patient care and operate within the NationalAssuranceFrameworkin anenvironmentwherefinancial resourcescontinuetobescarce.

Acknowledgements:

Firstly,Iwouldliketothankmyfellowboardmembersfortheircommitment,insightsandworkatbothboardand committeelevel,inguidingandgoverningMercyduringthisperiodofconsiderablechange,allofwhichisdoneonavoluntarybasis.

IwouldparticularlyliketothankthemanagementandstaffofMercyUniversityHospitalfortheirhardworkanddedicationinseekingtomaintainand improve patient care standards in whatisachallengingenvironment.InparticularIwouldliketothankourCEOMsSandraDalyforthevibrancyshebrings to the challenging leadership role she has in Mercy.

IwouldliketopubliclyplaceonrecordourappreciationfortheworkdoneinsupportingthehospitalbyallthoseintheMercyFoundationandtotheirChairman,MrJerryO’FlynnandCEOMichealSheridanandalloftheirstaffandvolunteers,wesaythanksforthehugelyimportantfinancialsupporttoourworkinthehospital.

IwouldliketothankthestaffofHSEandtheprivatehealthinsurersandthenewlyappointedChairandCEOoftheSouth/SouthWestHospitalGroupfortheircontinuedsupportinentrustingsignificantareasofserviceprovisiontoMUHin2014.

FinallycanIwishSrMiriamKerriskandherSouthernProvinceleadershipteamfortheirunstintingsupportoftheboardandmanagementthroughout2014.

Michael A. O’Sullivan Chairman


Role and Structure:

The governance of the hospital isdevolvedtoanon-executive

BoardwhoareappointedbytheMem-bersoftheCompany.TheprimaryroleoftheBoardofGovernorsistosettheorganisation’sstrategicaims,havingregardtothefinancialandhumanresourcesavailabletoMercyUniversityHospitaltomeetitsobjectives,andtoconductoversightofmanagementper-formancewhilstupholdingthevaluesofthehospital.Itdoessowithinaframe-workofprudentandeffectivecontrolswhichenablesrisktobeassessed,miti-gated,andmanaged.TheBoardofGov-ernors is also responsible for overseeing Mercy University Hospital’s corporate governanceframework.

TheBoardcomprisesuptofourteennon-executiveGovernorsandcurrentlythere are twelve members. The term of officeforeachGovernoristhreeyearsand a Governor may be appointed for twofurthertermsofthreeyears(Chair-manislimitedtoonefurtherterm).Governors are nominated and appointed annuallyattheAnnualGeneralMeeting(AGM)andtypicallyremaininofficeforasixyearperiod.ThetermofofficeoftheBoardChairpersonandViceChair-person is set by the Members of the CompanyattheAGM.

Boardmembershipisbasedonskills, experience,knowledgeandindependencesupportedbytherecommendationsoftheNominations

Committee.Governorsareexpectedtohavetherequisitecorporategovernancecompetenciessuchasanappropriaterangeofskills,experienceandexpertiseinthegovernanceofCorporateentities,agoodunderstandingof,andcompetencetodealwith,currentandemergingissuesrelatingtoethosandmission of Mercy University Hospital andanabilitytoeffectivelyconductoversight of the performance of managementandexerciseindependentjudgement.

AnumberofcommitteesoftheBoardwere established in accordance with thehospital’sArticlesofAssociationandcompanylawgenerally,inordertodelegate the consideration of certain issuesandfunctionsinmoredetail.Eachcommitteehasresponsibilitytoformulatepolicyandconductoversightofitsmandateasdefinedbyits terms of reference approved by the BoardofGovernors.Nodecisionorrecommendation of any committees isdeemedvaliduntilapprovedbytheBoardofGovernorsasawhole.Thefollowing committees are in place with definedtermsofreference:Audit,ClinicalEthics,ClinicalOversight,CorporateGovernance,Finance,HumanResourcesandNominations.

The Governors of Mercy University Hospitalgivetheirtimevoluntarilytothe hospital and do not receive any remunerationfortheirrole.

Board of Governors


Governors 2014

Professor Colin Bradley

Ms Margaret Lane

Mr. John Buttimer

Mr. Mortimer Kelleher Mr. Tim McCarthy

Ms Irene O’Donovan Dr. Michele Dillon

Mr. Joe O’Shea Professor Mary Hogan

Mr. Michael O’Sullivan

Sr. Veronica Mangan

Nr. Neil O’Carroll


Mr. Michael O’Sullivan – Chairman

MichaelisaCivilEngineer,CharteredManagementAccountantandholdsanMBAfromUCC.WithsignificantexperienceatExecutiveDirectorlevelinavarietyofFinance,RegulationandBusinessPlanningroles,heispresentlythenonexecutiveDirectorofanumberofcompaniesandtrustsandprovidesconsultancyadvicetoclientsintheUtilitiessector.MichaelwasformerlytheGroupCommercialDirectorofBordGaisEireann.

Prof. Colin Bradley – Vice Chairman

ColingraduatedfromTrinityCollegeDublinwithdegreesinMedicineandPhysiology.In1997hewasappointedasthefirstprofessorofgeneralpracticeinUCCMedicalSchool.Healsoworkspart-timeasaGPinthemedicalpracticeofDrPaulMcDonaldinCobh.HewasformerlyaseniorlectureringeneralpracticeintheUniversityofBirminghamandalectureringeneralpractice in the University of Manchester. His doctoral researchthesiswasondecisionmakingofGPsaboutprescribing medicines and this has remained a major theme in his research. His department also has a major research interest in the primary care aspects of chronicdiseasesparticularlydiabetesmellitus.ColinisChairoftheClinicalOversightCommittee.

Mr. Mortimer Kelleher

MortimerisaBCLgraduateoftheNationalUniversityofIrelandandpractisesasaSolicitorinCorkCityinthefirmofBarryTurnbull&Co.In2008/2009heservedasPresidentoftheSouthernLawAssociationandhasbeenaCouncilmemberoftheLawSocietyofIrelandservingonitsRegulationofPracticeCommittee.InrecentyearshehasbecomeaCEDR-accreditedMediatorandamemberoftheLawSocietyofEnglandandWales.MortimeralsoholdsaDiplomainPropertyTaxfromtheLawSociety.

Mr. Tim McCarthy

Timworkedfor36yearsinbankingandfinance.HesubsequentlyworkedasalecturerinpoliticsinUniversityCollegeCork.InadditiontoqualificationsinaccountancyandfinanceheholdsaB.Sc.ingovernmentandpublicpolicyandaPh.Dinpoliticalscienceforhisthesisontheroleofideasineffectinginstitutionalchangeinpublicpolicy.TimischairoftheCorporateGovernanceSubCommittee.

Sr. Veronica Mangan

Sr.VeronicaenteredtheSistersofMercyinDungarvanwithadreamofworkingontheMissioninNigeria.FollowingherinitialreligiousformationshetrainedasgeneralnurseinMercyHospitalCorkandmidwifeinOurLadyofLourdesDroghedabeforeleavingtoworkinanoutstationclinicinNigeria.Havingworkedtherefortwoandahalfyears,Sr.VeronicathenreturnedtoIrelandandretrainedasanaddictioncounsellorandworkedinAiseiriAddictionCentreforadultsbeforesettinguptheAislinnAdolescentAddictionTreatmentCentreinBallyragget.Awarethatourlivesaremappedoutforus,Sr.VeronicaansweredanewcallsixyearsagoandsincethenhasservedasamemberoftheMercyProvincialLeadershipTeamintheSouthernProvince.SrVeronicaischairoftheNominationsCommittee.

Ms. Margaret Lane

MargaretisGroupHRDirectorforErvia.AnaccountantbyprofessionMargarethasbeenamemberoftheMUHboardsince2008andisthechairoftheHRCommittee.

Ms. Irene O’Donovan

IreneisaPartnerwithO’FlynnExhams,whereherprimaryfocusisCorporate/CommercialLaw,withparticularexpertiseinadvisingenergyandnaturalresourcecompaniesonmergers,acquisitionsanddisposals,jointventures,stockexchangelistings,financingsandregulatoryaffairs.IreneisagraduateofUCCandisChairoftheClinicalEthicsCommittee.

Dr. Michelle Dillon

MichelleisaUCCgraduate,whoqualifiedfrommedicinein1994andfollowedacareerinGeneralPractice.ShehasbeenworkingasaGPinBishopstownsince1999.

Mr. Neil O’Carroll

Neilhasover40yearsexperienceintheoilindustryandwasresponsibleformanagingtheIrishbusinessofPhillips66,WhitegateRefineryandBantryBaystorageterminal.HecurrentlychairstheEnergyPolicy CommitteeofIBEC(IrishBusinessEmployers’Confederation),isChairmanofEnergyCorkandisalsoaCommitteememberoftheEnergyInstitute.HeholdsadegreeinChemicalEngineeringfromUCD


andisaFellowoftheInstituteofEngineersinIreland.NeilalsoholdsaDiplomainCorporateManagementandDirectionfromUCC.SinceretirementNeilhasjoinedtheBoardofGovernorsofMercyUniversityHospital,Cork,wherehealsochairstheBoardFinanceCommittee.

Cllr. John Buttimer

JohnisaSeniorClinicalPsychologistwithCOPEFoundation.HehasservedontheDiplomaManagementCommitteeofthePsychologicalSocietyofIreland(PSI)aswellasholdingvariouspositionswiththePSILearningDisabilitySpecialInterestGroup.JohnisaDirectoroftheBishopstownCommunityAssociationandhasaninterestindevelopingcommunityadvocacyandinclusion.InadditionJohnisaDirectoroftheTogherFamilyCentre.JohnisanelectedmemberofCorkCityCouncilwasamemberoftheHSESouthRegionalHealthForumfrom2007-2014.JohnservedasLordMayorofCork2012-2013.

Mr. Joe O’Shea

JoeisaCharteredAccountantandworkedfor37yearswithPricewaterhouseCoopers(PwC)untilhisretirementfromthefirmin2012.HebecameapartnerinPwCin1990andwasManagingPartnerofthefirm’sCorkofficefrom1995to2012.JoeiscurrentlyaparttimelecturerinAccountancyandAuditingatUCCandisadirectorofanumberofvoluntaryorganizationsandprivatecompanies.JoechairstheAuditCommittee

Prof. Mary Horgan

MaryistheDeanoftheSchoolofMedicineatUniversityCollegeCork.Aspecialistininfectiousdiseases,sheisagraduateofUniversityCollegeDublin(UCD)andundertookherspecialisttrainingatWashingtonUniversitySchoolofMedicineinStLouis,US.Sheassumesherthree-yearroleasDeanhavingbeenoverseeingtheGraduateEntryProgramme,whichsawitsfirstgraduatesin2012.

Attendance at Board Meetings - 2014

Name No. of Meetings No. of meetings qualifiedtoattendin2014 attendedin2014

MichaelAO’Sullivan(Chair) 11 11

ProfessorColinBradley(ViceChair) 11 10

MrJohnButtimer 11 5

DrMicheleDillon 11 9

ProfessorMaryHorgan 11 7

MrMortimerKelleher 11 11

MsMargaretLane 11 5

SrVeronicaMangan 11 9

MrTimMcCarthy 11 11

MrNeilO’Carroll 11 9

MsIreneO’Donovan 11 11

MrJoeO’Shea 11 11

*AttendanceatBoardCommitteemeetingsisnotincludedintheabovetable.


Audit

Purpose

TheAuditCommittee(“theCommittee“)isresponsible for monitoring the integrity of the company’sfinancialstatementsasrequiredbylawandtheHSE.Thisinvolvestheconsiderationoffinancialaccountingpoliciesandreviewingsignificantaccountingestimatesandcomplexareasofjudgement.ThecompanysupportstheBoardinensuringthatstrongfinancialcontrolsarein place within the organisation and reviewing the effectivenessofinternalauditactivities.

TheCommitteeengageswiththeexternal auditorsinconnectionwiththeannualauditprocessandreviewswiththemthefindingsoftheannualaudit.OnanannualbasistheCommitteeevaluatestheperformanceoftheexternalauditorsandtheeffectivenessoftheexternalauditprocess.

Membership

JoeO’Shea(Chair)RayCosgrave(Extern)MargaretLaneTimMcCarthy

Meetings

TheAuditCommitteemetonthreeoccasionsduring2014.Thefollowingwerethemainissuesaddressed:

• Approvalofupdatedtermsofreferenceforthe Committee

• Reviewedplansfortheannualexternalaudit includingconsiderationoftheexternalauditors’ riskassessments,auditmaterialityandareasof auditfocus.

• Considerationofsignificantaccountingestimates andjudgements.

• Discussionswiththeexternalauditorsconcerning mattersidentifiedbytheexternalauditprocess includingfinancialstatementdisclosures.

• DevelopedrecommendationsfortheBoardin connectionwiththeapprovaloftheannual financialstatements

• Boardrecommendationonthereappointmentof theexternalauditorsandrelatedremuneration arrangements.

• Findingsfrominternalauditactivities.

• Financialandreputationimplicationsofsignificant businessrisks

Joe O’Shea Chairman

Reports of the Board Committees


Clinical Ethics Purpose

TheClinicalEthicsCommittee(“theCommittee”)isto assisttheBoardinfulfillingitsresponsibilitiesbyensuringthedevelopmentofpolicestobeobservedby Mercy University Hospital with respect to clinical ethicstoensuretheavailabilityofassistanceandGuidelinesforthestaffinvolvedinpatientcare.

TheCommitteeistoserveasafocalpointforcommunicationbetweenotherBoardMembersandMercyUniversityHospitalManagementandStaffinrelationtoissuewhichmayariseasregardsclinicalethicsandanyothermatterstheBoarddeemsnecessary.

Membership

IreneO’Donovan(Chair)Sr.VeronicaManganProfessorColinBradley

Meetings

ClinicalEthicsCommitteeheldtwomeetingsduring2014.Thefollowingwerethemainissuesdealtwith:

• Establishaprocessforthereviewofand commencereviewofexistingpolicy documentationhavingregardtotheapplicable HSEProcedure;

• Identificationofnewpoliciestoincludeanopen disclosurepolicy;

• NotificationtotheBoardofapolicyinResearch Ethicswhichisoutsideoftheremitofthe Committee.

• Establishingthenecessityforanescalation procedureandadvisorypanel;

• Identifyandformsuitablyqualifiedworkinggroup to progress policy review.

Irene O’Donovan Chairman

Clinical Oversight

Purpose

TheClinicalOversightCommittee(“theCommittee”)isresponsibleforassistingtheBoardinfulfillingitsresponsibilities by providing an independent review oftheClinicalStructureandFunctionwithintheMercyUniversityHospital,bysatisfyingitselfastotheeffectivenessofMercyUniversityHospital’sinternalandexternalclinicalcontrolsandensuringthattheproperclinicalpoliciesandproceduresareinplace.

TheCommitteeistoserveasafocalpointforcommunicationbetweenotherBoardMembersandMercyUniversityHospitalmanagementastheirdutiesrelatetoclinicaloversight,qualitysafetyassurance,missioneffectivenessandanyotherclinicalmatterstheBoarddeemsnecessary.

Membership

ProfessorColinBradley(Chair)ProfessorMaryHorganDrMicheleDillonMrJohnButtimer

Meetings

Thecommitteemetthreetimesduring2014. Thefollowingweretheprincipalitemsconsidered:-

• AccidentandEmergencyServices

• Impactofincreasingworkloadsandhospitalwide escalation

• RiskRegister

• HIQAcompliance

• NCCPStrategyandimplicationsforMUH

• OversightofClinicalGovernanceCommitteeand actions arising

• Reconfigurationofservicesgenerally

• Serviceplanfor2015

Colin Bradley Chairman


Corporate Governance

Purpose

TheGovernanceCommittee(“theCommittee”)istoassisttheBoardinfulfillingitsgovernanceobligationsby providing an independent review of its legal and regulatoryresponsibilitiesthroughtheprovisionofadequatepoliciesandprocedures,recruitmentandtrainingprogrammes,andreviewingcompliancewiththeCodeofGovernancethroughoutMercyUniversityHospital.

TheCommitteeistoserveasafocalpointforcommunicationbetweenotherBoardmembers,theCompanySecretary,theSolicitorsandMercyUniversity Hospital Management in relation to governancemattersandensure,asfaraspossible,compliance with good corporate governance practiceandanyrelevantgovernanceguidelinesfromgovernment,HSE,HiQAorotherrelevantbodies.

Membership

TimMcCarthy(Chair)Sr.VeronicaManganIreneO’DonovanMichaelO’Sullivan

Meetings

TheGovernanceCommitteeheldsixmeetingsduring2014.Thefollowingwerethemainissuesdealtwith:

• AmendmentstotheMemorandum&Articlesof AssociationforapprovalattheAnnualGeneral meetingofMercyUniversityHospital;

• CompletionoftheCodeofGovernance,including TermsofReferenceforeachoftheBoard Committees,andobtainingapprovaloftheBoard;

• EnsuringcompliancewithHSEcorporate governancerequirementsforS.38bodiesin receiptofpublicfunding;

• Reviewingvariousgeneralreportsissuedby HiQAonhospitalgovernanceandensuring,where applicable,compliancewithsame;

• Ensuring,asfaraspossible,compliancewithgood general corporate governance practices.

Tim McCarthy Chairman

Finance

Purpose

TheFinanceCommittee(“theCommittee”)functionistoassisttheBoardinfulfillingitsobligationsbyproviding an independent review of the principal financialmattersimpactingthecompanythroughtheprovisionofappropriatepoliciesandprocedureandeffectiveoversightthroughoutMercyUniversityHospital.

TheCommitteeconsidersmattersrelatingtotheannualoperatingandcapitalbudgetsforthehospital,monitoringspend,evaluatingfinancialrisksandseekstoensurethatappropriatefinancialandprocurementpoliciesareinplaceandoperatingeffectively.

Membership

NeilO’Carroll(Chair)JoeO’SheaMichaelO’SullivanProfessorMaryHorgan

Meetings

TheCommitteeheldsevenmeetingsduring2014.Thefollowingwerethemainissuesdealtwith:

• Considerationoftheannualbudgetandservice planandmakingrecommendationstoboardre approvals of same

• MonitoringoperatingspendvbudgetandHSE allocationandcommunicationofprogressto boardandHSE

• Monitoringofprogressandspendoncapital projects

• Ensuringcomplianceinpoliciesandinpractice,as faraspossible,withfinanceandprocurement governancerequirementsforS.38bodiesin receiptofpublicfunding

• Reviewofthepropertyportfolioofthecompany and associated leases and liens

• Reviewoffinancialrisksandmitigatingactions

• ReviewofITfunction,itsstrategicfocusand principal initiatives.

Neil O’Carroll Chairman


Human Resources

Purpose

TheHumanResources(HR)Committee(“theCommittee”)istoassisttheBoardofGovernorsinfulfillingitsresponsibilitiesbyadvisingtheBoardontheeffectiveimplementationandapplicationofsoundhumanresourcespoliciesandproceduresthat are aligned to the Mercy University Hospital’s Values,VisionandMission.ThecommitteeguidesthereviewoftheannualobjectivesfortheCEOandleadstheannualevaluationthereofandwillcarryoutanyrelated initiatives as may be necessary or desirable to enhanceBoardperformanceincludingbutnotlimitedtoBoardLearningandDevelopment.

Membership

MargaretLane(Chair)MichaelO’SullivanMortimerKelleher

Meetings

TheHumanResourcesCommitteeheldfourmeetingsduring2014.Thefollowingwerethemainissuesdealtwith: • SettheannualperformancetargetsfortheCEO andreviewedCEO’sperformance• ReviewofHRpoliciestoensurebestpracticeand alignmentwithMercyUniversityHospital’svalues andHSE’spolicy• EnsuringcompliancewiththeEuropeanWorking TimeDirective• ReviewedtheverificationprocessofMercy UniversityHospital’sHaddingtonRoadsavings• EnsuringcompliancewithHSEcircularsonHR matters

Margaret Lane Chairman

Nominations

Purpose

TheappointmentofnewGovernorstotheBoardisafunctionreservedtotheMembersoftheCompany.TheBoardwishestoprovideassistancetotheMembersinidentifyingsuitablecandidateswithrequisiteskillsforconsiderationbytheMembersforappointmenttotheBoard.TheNominationsCommitteewillaccordinglyendeavortoidentifysuitablecandidates.TheCommitteewillrecommendcandidatestotheMembersandtakealeadershiproleinshapingtheCorporateGovernanceoftheCompany.

InconjunctionwiththeGovernanceCommitteeoftheCompany,andwhereappropriateidentifythenecessaryskills,experienceandotherattributesthatareneededforaneffectiveBoard.

• Assesstheskillbaseavailablefromwithinthe membersoftheBoardfromtimetotime;

• Seektoidentifysuitablecandidateswhomightbe recommended to the Members having regard to theselectioncriteriaannexedandinorderto:

• ensureadequatesuccessionplanningforthe Board

• ensureabalanceofknowledgeisretainedwiththe Board

Membership

SrVeronicaMangan(Chair)MichaelO’SullivanIreneO’Donovan

Meetings

TheNominationsCommitteemettwotimesduringtheyear2014

The following items were addressed:

• ReviewoftheTermsofreference

• ReviewtheskillmixcurrentlyontheBoardof Governors

• SuccessionPlanning

• ConsiderationofNominees

• MaderecommendationstotheMembersofthe companyrelationtotheNominees

• Appointment/Re-AppointmentofGovernors

Sr. Veronica Mangan (Chair)

On behalf of nominations Committtee


CEO

DCEOClinical Director Director of Nursing

Project Co-ordinator

HR Manager

Quality & Risk Manager

Consultant Body

Chief Finance &Operational

Services Manager

Nursing Department

ProjectsCapital -

DevelopmentMinor- Capital

RecruitmentTraining

Manpower- Planning

Medical-StaffingPensions

HR PoliciesIndustrial- Relations

Quality Assurance

Risk ManagementRisk Register

Health & SafetyComplaints

Medico-LegalFOI

Management- Accounts

Payroll & SalariesProcurement

General -LedgerIncomeTreasury

ICTSt Michael’s

Liaison

Support Services - Non Clinical

Household Services

Engineering & maintenance

Security

Management Structure

Support Services- Clinical

Physiotherapy

Occupational Therapy

Radiography Services

Dietetics & Nutrition

Speech & Lang. Therapy

Clinical Psychology

Laboratory Medicine

Support Services- Non Clinical & Administration

Administration

Medical Records

Catering

Portering


CEO

Board of Governors

DCEOExecutive

Management Board

Clinical Governance Committee

HIQA Standards Steering

committee

National Clinical

ProgrammesInc. Acute Medicine

Emergency Medicine

Drugs & Therapeutics

Inc. Antimicrobial Stewardship

End of Life Care

Discharge Planning

Hospital Transfusion

Hygiene Committee

Service Review

Committee

Clinical Oversight committee

Clinical Ethics committee

Finance committee

Capital Portfolio

Governance committee

HR committee

Nominations committee

Audit committee

HygieneCommittee

Healthcare Records

Policies Approval

Committee

OPE

RA

TIO

NA

L R

ESPO

NSI

BIL

ITY

Infection Control

Radiation Safety

Nutritional Care

Committee

Environmental Monitoring

Health & Safety inc.

Fire precautions

Committee Structure


Ms Sandra Daly - Chief Executive Officer

SandraDalybeganhercareerinhealthcareasaradiographerandworkedintheBlackrockClinicandHSEhospitals,primarilyCorkUniversityHospital

(CUH).In2003SandramadethetransitiontohealthcaremanagementwithintheCUHgroupandundertookaMastersofBusinessAdministrationinHealthServicesManagementintheMichaelSmurfitGraduateSchoolofBusiness.

SandrathenmovedtotheHSE,wheresheheldanumberofpositionsincludingGeneralManagerintheNetworkManager/CorkAreaManager’sOffice,HSESouth.SandratookuphercurrentpostastheChiefExecutiveOfficerofMercyUniversityHospitalinJanuary2012.

Mr. Jim Corbett - Deputy Chief Executive Officer

JimwasappointedtotheMercyin2002followingavariedcareerinpublicandprivatehealthcareintheUK.Heisthehospital’sprincipaloperational

managerandleadsthehospital’sStrategicImplementationandHygieneQualityprocesses.

Mr Maurice Spillane – Chief Finance and Operational Services Manager

MrMauriceSpillanejoinedMercyUniversityHospitalasChiefFinanceOfficer,takingonanewrolewhichincludedmanagingtheFinance,Procurement

andICTdepartmentsinAugust2011.Thisrolewasexpandedtoencompassresponsibilityforanumberofoperationalserviceswithinthehospital.Priortothis,Mauricespent23yearsworkingforLogitech.Logitech,whichisapubliclyquotedcompany,has7,000employeesworldwideandisaleaderinthedesign,manufactureandmarketingofcomputeraccessoriesandvideoconferencingsolutions.MauricejoinedLogitechasFinancialControllerofitsIrishoperationin1988.HespentanumberofyearsinSwitzerlandasEuropeanController.HeassumedtheroleofGeneralManagerofLogitech’sIrishsubsidiaryin1996andheldthatpositionuntiljoiningMercyUniversityHospital.

Profile of Executive Management Team


Professor David Kerins, M.D., FAHA, FACC, FASE, FESC – Clinical Director

DavidKerins,receivedaBScinPhysiologyin1981,andanMB,BAO,BChfromUniversityCollegeCorkin1984.Hecompletedsequential

fellowshipsinClinicalPharmacologyandinClinicalCardiologyatVanderbiltUniversity,NashvilleTN.DuringhisFellowshipinClinicalPharmacologyhewasawardedaMerckSharpandDohmeInternationalFellowshipinClinicalPharmacology.UponcompletionoffellowshiptraininghewasappointedtothefacultyofVanderbiltUniversityMedicalCentrewherehewasultimatelyappointedasanAssociateProfessorofMedicineandChiefoftheCardiologySectionatNashvilleVA.HewasappointedasProfessorofTherapeuticsatUniversityCollegeCorkandConsultantPhysicianatMercyUniversityHospitalin2006,andservedasDeanoftheMedicalSchool,UCCfrom2007-2010.HewasappointedasClinicalDirectoratMercyUniversityHospitalin2012.HewasawardedaDiplomainLeadershipinQualityandHealthcarein2013.Hehasresearchinterestsinanti-plateletandanti-thrombotictherapy,vascularbiologywithaparticularfocusontherenin-angiotensinandfibrinolyticpathways,andnon-invasivecardiacimaging.Hehascompletedadvancedtraininginnon-invasivecardiacimaging,withaparticularfocusonEchocardiography,CardiacMRIandCardiacCTImaging.ProfessorKerinsisafellowoftheAmericanHeartAssociation,theAmericanCollegeofCardiology,theEuropeanSocietyofCardiologyandtheAmericanSocietyofEchocardiography.

Ms Margaret McKiernan – Interim Director of Nursing RGN,DipICU/CCU,BSc,MSc,Doctoralstudent

MargarethasovertwentyyearsofexperienceintheacutehospitalsettinginIrelandandtheUK.Thisincludesclinicalandmanagerialnursingroles

inintensivecareandmorerecentlyasanassistantdirectorofnursingwitha focusonnursingpracticedevelopment.Sheiscommittedtoprovidingprofessionalclinicalnursingleadershiptoensurethedeliveryofsafequalityperson centred care. She is the clinical lead for the implementation of the NationalEarlyWarningScoreandSepsisGuidelinesinMUH.Margarethasaparticularinterestinendoflifecareinacutehospitalsandisthechairoftheend of life steering committee in MUH.

Ms Mary Deasy – Quality & Risk Manager

MaryDeasyistheQuality&RiskManagerattheMUH,withover15yearsexperienceintheareaofQualityandRiskManagement.Sheisaqualified

RGNwithpostregistrationqualificationsinEmergencyNursingandTraumaCare.SincequalifyinginnursingshehasattainedadditionalqualificationsinQuality&RiskManagementfromUniversityCollegeDublinandHealth&Safety&WelfareatWorkHDipfromUniversityCollegeCork.Operationally,Maryleadsthehealthcaregovernanceandrisk,qualityandpatientsafetyagendaacrossthe organisation and manages its implementation.


Ms Deirdre Casey - Human Resources Manager

DeirdrejoinedMUHin2006asHRManager.HercareerinhospitalbasedHRbeganin1986andsheworkedinCorkUniversityHospitalandKerry

GeneralHospitalpriortojoiningMUH.DeirdrehasalsoworkedinEmployeeRelations,HSESouthbasedinCorkFarmCentreandshewastheDecisionMakerforallofthepensionqueriesforthatareaforaperiodofyears.Deirdreisatrainedmediatorsince2004andisaCertifiedMemberoftheMediator’sInstituteofIreland.ShehasalsobeenaFellowoftheCharteredInstituteofPersonnelDevelopment(CIPD)since2007.

Ms Lorraine O’Sullivan – Project Coordinator

LorraineleadsDevelopmentinMUHwhichincludesallMajorCapital(>€500K),MinorCapitalandCapitalEquipmentReplacementprojects.Havingjoined

theDepartmentofDevelopmentin1997,LorraineattainedaBachelorofBusinessStudiesin2005andaMastersinHealthServicesManagementin2008andholdsadditionalqualificationsinProjectManagementandinProcurement.Shehas been involved in all aspects of planning and development in the intervening yearsbringingprojectsfrominitiationstagethroughtofundingapproval,projectconstructionandprojectcompletionstage.


IamdelightedtopresenttheAnnualReportfor2014.Whilstthe environment in which the hospital was operating was very challengingparticularlyinrelationtofinancesandincreaseddemandforemergencyservices,itwasalsoayearofsignificantachievementsandover130,000patientsweretreatedbyourhospital.

InApril,thehospitalpublisheditsrefreshedthreeyearStrategicPlan‘DeliveringBetterOutcomesfortheSouth/SouthWestHospitalGroup2014–2016’.Thisplanhasidentifiedtheoutlinestrategicactions and initiatives that MUH is focussingonoverthenext3yearstoassistMUHandtheSouth/SouthWestHospitalGroupmeetitsstrategic objectives.

Iwouldliketoextendawarm‘CéadMíleFáilte’tothenewlyappointedLeadershipTeamoftheSouth/SouthWestHospitalGroupandIlookforwardtoworkingwiththem over the coming years.

During2014thehospitalfocussedonkeyobjectivessuchasclinicalservices,educationandresearch,quality,infrastructure,relationshipand alliances and organisational effectiveness.

AswemovetowardsthefurtherimplementationoftheSaferBetterHealthcareStandards,thequalityand safety agenda remains a priorityandsignificantworkwasundertakenduringtheyear.ThefirstselfassessmentincludingQualityImprovementPlansviatheQualityAssessment&ImprovementToolwascompletedinJune2014.

The capital development programme for the hospital remainsongoingandanumberof projects were completed with planningunderwayforworksduring2015.TheofficialopeningofthenewCTSuitetookplaceonFriday,4thAprilandwasperformed by the Minister for Agriculture,Marine&Food,SimonCoveneyTD.Twonewstate-of-theartToshibaAquilionCTScannersarehousedinthenewsuite.

MUHhosteditsfirstResearchConference–“CommittedtoBetterSaferHealthcare”onMarch28thwithresoundingsuccess.TheConferenceshowcasedthehighcalibreofworkbeingundertakenatMercyUniversityHospital,furthernurturingourpartnershipswiththeSouth/SouthWestHospitalGroup’sAcademicPartner–UCCandtheClinicalResearchFacility,Cork.Theacademicagendawillbeakeyfocusfor2015.

IwouldliketotaketheopportunitytohighlighttheinvaluablevoluntarycontributionmadebytheChairmanandmembersofthehospital’sBoardof Governors who give their timeandexpertisefreely.Theseare people who are leaders in their own sectors and have a rangeofdiverseskills,expertiseandexperienceinareassuchasbusiness,law,finance,medicineandacademia.Beingabletoleanonthatexpertise,freeofcharge,isinvaluableformeasaCEO.IwouldalsoliketotaketheopportunitytothanktheMercyUniversityHospitalFoundation

fortheirongoinginvaluableassistancetous.Theyhaveourthanksandgratitudeastogether,we have been able to enhance theservicesweprovidetoourpatientswiththegeneroussupportofthepublic.

Finally,Iwouldliketoexpressmyheartfeltthankstoallmembersofstafffortheirdedication,hardworkandcommitmentthroughouttheyearinprovidingthe best possible patient care and doing so in a manner that keepstheMercyValuesalive,itisabsolutelyacknowledged.Thereisnodoubtthatourstaffareoneofourgreateststrengthsasanorganisation.

Ms Sandra Daly

Chief Executive Officer

Chief Executive Officer’s Report


Mercy University Hospitalcontinuestodeliver clinical care at the highest calibre. During2014,thishasbeeninthecontextof a very challenging environmentwhere,duetoacombinationof an increase in boththenumberofpatients awaiting long

termcareandinthepresentationofpatientsrequiringemergencymedicalandsurgicalcare.Throughanactivemanagementplan,ourstaffhaverisentothechallenges.InconjunctionwiththeSpecialDeliveryUnitandNationalClinicalProgrammesarobustriskmitigationstrategywasdeveloped.Inthatregard,IwouldliketoacknowledgethesupportthatIhavereceivedfromallstaffatMercyUniversityHospitalinmyactiveroleasClinicalDirector.

AsanaffiliatedUniversityTeachinghospital,workwasongoingthroughouttheyearinimplementingtheeducationandresearchinitiativesasoutlinedinthehospital’sStrategicPlanwhichwillbeevidentin2015.IwishtohighlightthatthecontributionsoftwoofourclinicalFaculty,Drs.CarlVaughanandSeamusO’ReillywererecognizedbyUniversityCollegeCorkwiththeirappointmentasClinicalProfessors.

Akeydeliverableforthehospitalin2014wasthedeliveryoftheEuropeanWorkingTimeDirectiveandabriefsummaryof2014Activitiesinrepectofachievingcomplianceisoutlinedbelow:• WeeklymeetingswithNonConsultantHospital Doctor(NCHD)LeadandMedicalManpower Manager • EstablishmentofEuropeanWorkingTimeDirective ImplementationCommitteesinalldisciplines: Anaesthetics;Medicine,Surgery,Paediatrics• EstablishmentofanNCHDWelfareCommittee• SuccessfulImplementationofnewfullycompliant EWTDrostersfromJuly - 13hoursshiftsforallMedicalInterns,SHOs, Registrars/SpecialistRegistrars - 13hourshiftsforallSurgicalInternsand SHOs

- 24hoursshifts/homepostcallforall Paediatrics - 13hourshiftsforAnaesthetics• Implementationofahandoverformat,handover policy and handover sheet • IntroductionofaBleeppolicyandbleepfree periodsfortrainingtimeReviewofrotasto accommodatevacancies/staffing

Clinical Governance

FollowinganAssurancereviewofourstructures,therewasafullreconstitutionofthehospitalwidecommitteesreportingtotheClinicalGovernanceCommitteewiththeestablishmentofastructuredsequenceofreportingbythechairsofthevarioushospital committees.

Research

AnumberofResearchandClinicaltrialstobeundertakenintheMUHforformalapprovalbythecommitteeofwhichsomearelistedbelow.TheadultClinicalResearchFacilityislocatedwithinMUHandisunderthegovernanceofUCC.UniversityCollegeCorkhasagreedtocreateasharedpostwithMUHtosupporttheresearchactivitiesattheHospitalandtohelpcollatetheinvestigatorinformationin2015.ManyoftheundergraduateresearchprojectsatUCCaresupervisedbyMUHMedical,NursingandPharmacystaff.• LauraSahm-Safety and Accuracy Feedback

for Effective Intern Prescribing (SAFE) Intern Prescribing.• KahHoongChang-Clinical Audit evaluating

the outcome of patients undergoing carotid

endarterectomy under the care of Mr. McGreal over

the last 11.5yrs • TheBayer‘Single dose pilot study of oral

rivaroxabon in paediatric subjects with venous

thromboembolisation’ has received final approval

from the Clinical Indemnity Scheme

Finally,IwouldliketoacknowledgethesupportofmyClinicalDirectorColleaguesthroughouttheSouth/SouthWestHospitalGroupduringwhatwasaverychallenging year.

Professor David Kerins ClinicalDirector

Clinical Director’s Report


WehadmuchtocelebrateintheDepartmentofNursingin2014.

OurfocuscontinuestobeonsafequalitycareateverypartofourpatientsandtheirfamiliesontheirjourneythroughMUHservices.Thiscareisunderpinnedbythehospitalscorevaluesofcompassion,respect,justice,excellenceandteamspirit.

WehavecontinuedtoadvancenursingpracticewiththedevelopmentofadvancednursepractitionersintheEmergencyDepartment,EndoscopyandGastroenterology.

ThroughthesupportoftheGenioTrust,dementiacarewasakeyfocusin2014.Dementiaawarenesstrainingandtherecruitmentofdementiachampionsinallclinicalareaswasakeydeliverable.Thisallowedustodeveloptheclinicalskillsofnursestoprovideconsistentlyhighqualitycareforpatientswithdementiaandtheirfamilies.Aswehaveanincreasingnumberoffrailolderpatientswithcomplexneeds,strategies to enable appropriate patient care in this regardremainsahighpriorityfortheDepartmentofNursing.

Theimplementationofamultidisciplinarydailysafetyhuddlewasakeyachievementforourdepartment.

Integratingthisinitiativeintoexistingsafetypracticessuchasseniornurseclinicalroundsandthe“safetypause”framework,assistsstaffinbeingproactiveaboutthechallenges they face inprovidingsafe,highqualitycare.

In2015wewillcontinuetoreconnectwiththefundamentalsofnursingcaretoensurequalitycompassionateservicetoourpatientsandtheirfamilies.Theon-goingimplementationofrevisedset ofnursingmetricsenablesustomeasureandimprovehowwecare,withaparticularfocusonclinicalobservationsandrecordkeeping,painmanagement,nutrition,infection,preventionoffallsandpressureulcers.

Ms Margaret McKiernan InterimDirectorofNursing

Director of Nursing Report


TofutureprooftheDepartmentandtoensurethatthestructureswerecompliant with best practice,areviewofthe organisational and governancestructureswascarriedoutin2014.Thisallowedustoidentifyanypotential gaps in the

governancearrangementsthroughouttheorganisation.

Ageneralreviewofthehospitalcommitteestructurewasalsocarriedoutin2014.Thepurposeofthisreviewwastocriticallyevaluatetheexistinggovernancearrangements and reporting mechanisms in place withinthecommitteestructureoftheMUHandindoingso,provideassurancetotheBoardofGovernorsthatthecompositionandworkingsofthevariousMUHcommitteeseffectivelyenabletheidentificationandescalation,wheredeemedappropriate,ofbothstrategicandoperationalissuesfacingtheHospital.

TheQuality&RiskManagementDepartmentactivelymaintainthecorporateriskregisterfortheMUH.

ThePolicyApprovalsCommittee(PAC)wasestablishedinJanuary2014bytheQuality&RiskManager.ThepurposeofthePACCommitteeistoprovideguidancetohospitalstaffontheprocessofdevelopingandreviewinghospitalpolicydocumentsinkeepingwiththevision,valuesandmissionoftheHospital.ThePACCommitteediscusses,reviewsandapprovespolicies,procedures,protocolsandguidelines(PPPGs)hospitalwideandpresentsthesetotheExecutiveManagementBoardforfinalcommentandendorsement.AllapprovedPPPGsarelistedforstaffaccessontheMUHIntranet.Thecommitteemetseventimesin2014andapproved48hospitalpoliciesduringthattimeframe.AdministrationofthecommitteeismanagedbytheQualityCo-ordinator.

TheQuality&RiskManageristheComplaintsOfficerfor MUH and the operational management of the

complaintsprocessisassignedtotheQuality&RiskManagementDepartment.Atotalof67complaints(verbalandwritten)werereceivedatMUHin2014.AnnualcomplaintsstatisticsarepresentedatExecutiveManagementBoardandBoardofGovernorslevel.TheNationalperformancetarget(KPI)forcomplaintsmanagementfor2014wasaroundthepercentageof complaints being investigated with the legislative timeframes(acknowledgementin10workingdaysandfullinvestigationandresponsewithin30workingdays).Thenationaltargetfor2014was75%.TheMUHachieveacompliancerateof86%.

Aspartofthehospitals’commitmenttocontinuousimprovement,theQuality&RiskDepartmentcarriedoutreviewsofpublishedreportsbytheHealthInformation&QualityAuthority(HIQA)aslistedbelow.Aspartofthesereviews,theQuality&RiskDepartmentappraisesthehospitalspositioninrelationtoidentifiedservicedeficits,andfacilitatesorganisationallearningonhowbesttoimplementmeasuresdesignedtoinformserviceimprovement.Reportsreviewedin2014include:

• HIQA Report into Quality, Safety and Governance at

Tallaght Hospital, Mallow.

• General Hospital (2011) and Mid-Western Regional

Hospital, Ennis (2009).

• Review of pre-hospital emergency care services to

ensure high quality in the assessment, diagnosis,

clinical management and transporting of acutely ill

patients to appropriate healthcare facilities (Dec

2014).

• HIQA Report into Quality, Safety and Governance at

Tallaght Hospital, Mallow.

• General Hospital (2011) and Mid-Western Regional

Hospital, Ennis (2009).

• Investigation into the safety, quality and standards

of services provided by the HSE to patients including

pregnant women, at risk of clinical deterioration,

including those provided in University Hospital,

Galway, and as reflected in the care and treatment

provided to Savita Halappanavar (Oct 2013).

Quality & Risk Management Report


• Report & Review of Governance Arrangements as

reflected in the safety, quality and standards of

services at UL Hospitals (June 2014).

• All Inspection reports on HIQA’s monitoring

programme undertaken against the National

Standards, for the Prevention and Control of

Healthcare Associated Infections.

MandatoryReportingofSeriousEvents(previouslynamedNeverEvents)byallhealthcareproviders,includingthosefundedbytheHSE,wasintroducedon3rdMarch2014.Theupdatedpolicygivesguidanceonthemanagementandreportingof‘seriousreportableevents’andincludesnewguidelinesforexternalindependentexpertsgivinginputtoHSEinvestigations.AlistofSeriousReportableEventswasdistributedtoallclinicalstaffatMUHandlocalpoliciesandproceduresreviewed and amended to incorporate new direction. NoSREswerereportedbyMUHin2014.

In2014aqualityinitiativewasintroducedwhichinvolved senior management visiting clinical areas to haveconversationswithstaffandpatientsaboutqualityandsafetywiththeintentiontoprevent,detectandmitigatepatient/staffharm.TheaimsinintroducingQualityandSafetyWalk-roundsintheMUHare:

• Demonstrateseniormanagers’commitmentto qualityandsafetyforpatients,staffandthepublic;

• Increasestaffengagementanddevelopacultureof opencommunication;

• Identify,acknowledgeandsharegoodpractice;

• Supportaproactiveapproachtominimisingrisk, timelyreportingandfeedback

• Strengthencommitmentandaccountabilityfor qualityandsafety.

In2014,theBoardofGovernorsandtheExecutiveManagementBoardendorsedthehospitalscommitmenttoadaptandimplementtheHSE’sNationalOpenDisclosurePolicyacrosstheMUH.

In2014theMUHembarkedonaselfassessmentprocessagainsttheHIQANationalStandardsforSaferBetterHealthcare.TheNationalStandardsarebuiltaround8themeswhicharedesignedtoillustratehowanorganisationprovideshighquality,safeandreliablecarecentredontheserviceuser.TheQualityandRiskManagementDepartmentputaframeworkinplaceformanagingtheselfassessmentprocessin2014.TheHIQAStandardSteeringCommittee,underthechairofMsSandraDaly,CEO,wascreatedtooverseetheselfassessmentprocessand4multidisciplinaryteamswereformed to assess the hospitals’ position in relation to the NationalStandards,including:

ClinicalCare–Chairs:DirectorofNursing&ClinicalDirector

UseofResources–Chair:ChiefFinancialOfficer

UseofInformation–Chair:ChiefFinancialOfficer

Workforce–Chair:DirectorofHumanResources

Ms Mary Deasy Quality&RiskManager


Quality Key Performance Indicators

80

82

84

86

88

90

92

94

96

98

100

HSETarget

2012 2013 2014

% Compliance

0.02

0

0.04

0.06

0.08

0.1

0.12

2012 2013 2014

Rate of MRSAbloodstream infectionsper 1,000 bed days used(HSE Target <0.06)

Fig. 1 Hand Hygiene Audit Results

Fig. 2 Healthcare Associated Infections


PatientFalls

Medication Incident

Violence& aggression

TreatmentIncident

IdentificationRecords

0

50

100

150

200

250

300

297 176 118 94 71

Fig. 3 Complaints Management

Fig. 4 Top 5 Clinical incidents reported to State Clinical Indemnity Scheme 2014

Complaints Management

Complaints Jan Feb Mar Apr May Jun Jul Aug Sept Oct Nov Dec TOTAL

2013Complaints 4 4 carried forward

Totalno.ofnew 3 7 8 4 11 3 5 4 6 5 6 4 66 complaints per month

Numberofwritten 3 6 1 2 6 2 2 4 5 4 5 3 43 complaints

Numberofverbal 0 1 7 2 5 1 3 0 1 1 1 1 23 complaints

Totalnumberof 0 0 0 0 0 0 1 0 0 0 0 0 1 complaints withdrawn

Complaintsexcluded 0 0 0 0 0 0 0 0 0 0 0 0 0 underPart9ofthe HealthAct2004

0-30workingdays 3 6 7 3 9 2 5 4 6 5 4 4 58 takentoresolve Complaintspermonth

Over 30workingdays 0 1 1 1 2 1 0 0 0 0 2 0 8 takentoresolve complaints

National KPI - 86.2% numberofcomplaints investigated within 30 days - 75%

Numberofreferred 0 0 0 0 1 0 0 0 0 0 0 0 1 Complaints


JanHSE Target - 0

Feb DecNovJunMayAprMar OctJul SeptAug0

5

10

15

20

5.4 12.1 12 16.5 18.1 18.4 20.8 18.7 18.8 19.2 18.614.3

JanHSE Target - 0

Feb DecNovJunMayAprMar OctJul SeptAug0

5

10

15

20

25

30

35

40

45

8.3 9.5 11.5 5.6 12.9 16.2 27.5 28.2 41.9 29.8 24.60

HSE Target 2013 2014

% of all patients discharged or admitted within 9 hours of registration

% of all patients discharged or admitted within 6 hours of registration

50

55

60

65

70

75

80

85

90

95

100

100 95 79.9 77.866.4 62.6

Fig. 5 Waiting Times - % of adults waiting >8 months for an elective Inpatient % Daycase procedure

Fig. 6 Waiting Times - % of Children waiting >20 weeks for an elective Inpatient % Daycase procedure

Fig. 7 Patient Experience Times (PET) – Emergency Department


Fig. 6 Waiting Times - % of Children waiting >20 weeks for an elective Inpatient % Daycase procedure

Fig. 7 Patient Experience Times (PET) – Emergency Department

Summary of Income & Expenditure 2014

2014 2013

€000 €000

INCOME

PatientIncome 19476 21410

HSEFunding 65484 63738

OtherIncome 6633 8736

91593 93884

EXPENDITURE

PayrollandRelatedCosts 65767 65510

NonPayrollCosts 26954 25356

92721 90866

OPERATING (DEFICIT) SURPLUS (1128) 3018

Donated Assets 1380 66

NET GAINS FOR YEAR 252 3084

Extracts from Financial Statements 2014


Balance Sheet at 31 December 2014

2014 2013

€000 €000

TANGIBLE ASSETS 53526 52967

CURRENT ASSETS

Stocks 1997 2118

Debtors 14112 12405

Cash 22 1006

16131 15529

CREDITORS (17698) (17600)

NET CURRENT LIABILITIES (1567) (2071)

TOTAL ASSETS LESS CURRENT LIABILITIES 51959 50896

CAPTITAL GRANTS (41260) (40449)

10699 10447

SHAREHOLDER’S FUNDS 10699 10447


Patient Activity

10000 10200 10400 10600 10800 11000

HSE Target

2013

2012

2014

2014

Inpatients

10928

10886

10715

10333

19000 20000 21000 22000 23000 24000

HSE Target

2013

2012

2014

2014

Day Cases

22430

22574

23460

20602

Fig. 8 Inpatients

Fig. 9 Daycases

*Day case activity for 2014 was lower than 2013 due to the temporary closure of some day beds for upgrading work and also the temporary conversion of day beds to inpatient beds during periods of severe escalation.


0 10000 20000 30000 40000

HSE Target

2013

2012

2014

201431011

32189

15465

13614

30950

7969

29646

Urgent Care

ED Attendances

35000 40000 45000 50000

2013

2012

2014

OPD Attendances

49275

47227

41315

Fig. 10 Emergency Department Attendances

Fig. 11 Out Patient Attendances


MUH Strategic Plan:

‘Delivering Better Outcomes for the South/South West Hospital Group 2014 – 2016’.

Highlights of 2014

Followingthepublicationofthe“TheEstablishmentofHospitalGroupsasaTransitiontoIndependentHospitalTrusts”documentinMay2013,MercyUniversityHospital (MUH)undertookanexercisetoevaluateitsstrategicobjectivesinthecontextofreadyingitselftobeaproactivememberoftheSouth/SouthWesthospitalgroupandhasdevelopedarevisedstrategicplannamely ‘Delivering Better Outcomes for the South/

South West Hospital Group 2014 – 2016’.Theworkwasledbytheexecutivemanagementteam,wasfacilitatedbyProspectusConsultingandoverseenbytheBoardofGovernors.

TherationaleforundertakingthisexercisewastoenableMUHtocommunicatetheperspectivethatitisaproactivememberoftheSouth/SouthWesthospitalgroup.ThisdocumentwillformthebasisoftheMUHsubmissiontothedevelopmentofthestrategicplanfortheGroupwhichisnowanticipatedtobecompletedinlate2015/early2016.Thehospital’sstrategicplanisakeyelement in demonstrating the board’s commitment to thefutureofthehospital,itsstaffanditspatients.

Thestrategyisframedwithinthecontextofthehospital’srevisedMissionwhichconfirmsMUH’scommitmenttoensuringthatpatientsacrosstheSouth/SouthWestHospitalGroupreceivethehigheststandardofcareandthatMUHremainstruetotheethosandvaluesespousedbytheCongregationoftheSisters of Mercy. Mercy University Hospital is committed toworkingforthebenefitofpatientswithinasingleservicenetworkwithintegratedmanagementandoperatingwithinaGroupclinicaldirectoratemodel.

AspartofthestrategicplanningexerciseMUHhasidentifiedthebroadorganisationaloutcomesitbelieveswillsignificantlycontributetothesuccessfulestablishmentandoperationsoftheSouth/SouthWestHospitalGroup.SixpriorityareasforMUHwereidentified.TheprioritiesarebroadfocusareasthatsupporttherealisationofMUH’sMissionandVision,theyinclude:clinicalservices,infrastructure,partnershipsandalliances,quality,researchandeducationandorganisationaleffectiveness.MUHhasidentified14specificstrategicobjectives*(abasedonthesixpriorityareasoutlinedabove,whichtogetherdefinethefocusofMUHforthenextthreeyears.

Mercy University Hospital has a long tradition of excellentpatientcareandtheimplementationoftherevisedStrategicPlan2014–2016inconjunctionwiththesoontobecompletedStrategicPlanfortheSouth/SouthWestHospitalGroupwillhelppreparethehospitalforthechallengesandopportunitiespresentedby the environment in which MUH operates.

*AvailableontheMUHWebsitewww.muh.ie

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“Committed to better safer healthcare”

Research Conference

MUHhosteditsfirstResearchConference–“CommittedtoBetterSaferHealthcare”on

March28thwithresoundingsuccess.TherewasconsiderableinterestintheConference,whichwasopentoalldisciplinesandadvertisedexternally,andthiswasreflectedintheattendanceofupwardsof70.

ThepurposeoftheConference,wastoshowcasethehighcalibreofworkbeingundertakenatMercyUniversityHospitalbyourConsultantbody,Nursingstaff,AlliedHealthCare,PharmacyandfurthernurturingourexternalpartnershipswithUCCandtheClinicalResearchFacility.

Prof.EileenSavage,HeadofSchoolofNursing&Midwifery,UCC,chairedthemorningsession,welcomingMs.MaryDunnion,DeputyHeadofRegulation(Healthcare&Children’sServices),HIQA

whosetthetoneforandoutstandingmorningofpresentationsincluding-AModelforFrailtyAssessment,NursingQualityMetrics,DevelopmentofSubSpecialityProgrammesinUrology,MyPersonalHealthPassportetc.

Followingasuccessfulmorning,Dr.ColmHenry,ConsultantGeriatrician,MUHandNationalClinicalAdvisorandClinicalProgrammeGroupLead-AcuteHospitals,HSE,presidedovertheafternoonsessionwhichdidnotdisappoint,providinginsightintotheMedicationReconciliationProgramme,PalliativeCareresearch,FacilitatingPatientFocusedResearchetc.

Therewastremendouspositivefeedbackontheinformative presentations and the relevance to practiceofallthework.

Photo: Ms Margaret McKiernan presenting at the Conference


Study Days

Paediatrics

Endoscopy

OnSaturday12thofApril2014,thestaffoftheMUHEndoscopyUnitheldtheirinauguralEndoscopyStudyDayforNurses.ThecoursewasfacilitatedintheCentreofNurseEducation,co-ordinatedbyMs.NeasaWalsh,ClinicalNurseManager2withthehelpofallherstaffandsupportedbyBostonScientific.

TheaimofthestudydaywastofacilitateallinterdisciplinaryhealthcarestaffinvolvedinEndoscopy,enhancingtheir knowledge,practicalskills,confidenceandoverallcompetence.ThestudydaywasattendedbyNursesfromEndoscopyUnitsthroughoutMunster.

OpeningthedaywasMs.CarolHunterAssistantDirectorofNursing.Speakerswereall“homegrown”includingDr.MartinBuckley&Dr.JaneMcCarthy(ConsultantGastroenterologists),Mr.TomMurphy(ConsultantConsultantGeneralandOesophago-GastricSurgeon)andMr.MichéalÓ’Riórdáin(ConsultantConsultantGastrointestinal&GeneralSurgeon),allsharingtheirvastknowledgeonsubjectssuchashowtoOptimizeEndoscopy,TheNationalQualityAssuranceInformationSystem,Barrett’sOesophagusandAnticoagultioninEndoscopy.Thehottopicofthemonth,BowelCancerAwareness,wasdiscussedbyMs.MaryRyan,ClinicalNurseSpecialist,fromtheNationalCancerScreeningService.

ThePaediatricGroupinMercyUniversityHospitalhostedtheirfirstPaediatricStudyDayon22ndOctober2014.ThestudydaywhichhadNursing&MidwiferyBoardofIreland(NMBI)categoryoneapproval(5CEUs)focussedon:PaediatricOncology&Haematology,GeneralPaediatricsandChronicIllnessandDisability.Thedayhighlightedtheexcellentinnovativeevidencebasedpracticesbeingcarriedoutwithin paediatrics at Mercy University Hospital.


MUH introduces Radiofrequency Technology for Varicose Veins

Official Openings

TheVenefitprocedureusesradiofrequencyenergytopreciselyandeffectivelytreatpatientssufferingfromchronicvenousinsufficiency(varicoseveins)withlesspain,lessbruisingandfasterrecoverythanalternative varicose vein treatments.

CT Scanner

OnApril4thMercyUniversityHospitalwelcomedSimonCoveney,TD,MinisterforAgriculture,toopenthenewlyrefurbishedCTSuiteinourDepartmentofRadiology.ThisnewpurposebuiltfacilitywasjointlysupportedbytheHSEandMercyFoundation,whoprovidedthefundingfortwostate-of-the-artToshiba128sliceand16sliceCT(CAT)scanners.Thesereplacetheexisting4slicescannerwhichwasinstalledin2000,andwhichhadservedthehospitalwellfor13years.

Stroke Unit

TheOfficialOpeningoftherefurbishedStrokeUnittookplaceonFriday,2ndMayandwasperformedbytheMsKathleenLynch,TD,MinisterofState,DepartmentofHealthandDepartmentofJustice,Equality&DefencewithresponsibilityforDisability,OlderPeople,Equality&MentalHealth.Theunit,Corkcity’sfirstacutestrokeunitbecameoperationalinFebruary2012,intheMercyUniversityHospitalandthisfivebeddeddesignatedunitislocatedonStJoseph’sWardintheMercyUniversityHospital.ThebathroomsandshowerroomswererefurbishedthisyearandthisworkwasfundedbydonationsraisedthroughtheFoundation’sMercyMiracleAppealinconjunctionwithC103.Theopeningwaswellattended and the hospital received positive press coverage.

L-R: Mr. Gavin O’Brien, Consultant Vascular Surgeon, Dr. Marino, vascular trainee, Ms. Sinead McCluskey, Slainte Solutions

pictured at the recent introduction of the Venefit Closure-Fast technology for varicose veins to the Mercy University Hospital.

L-R: Professor Geraldine McCarthy, Chair, South/South West Hospital Group, Cllr Michael Ahern, Deputy Lord Mayor, Ms Kathleen Lynch T.D. Minister of State for Disability, Equality, Mental Health and Older People, Dr Kieran O’Connor, Consultant Physician in Geriatric Medicine and Ms Sandra Daly, CEO


Visit of management team of Mater Hospital, Nairobi

National Nurse’s week 2014

Director of Nursing, MUH

TheCEOoftheMaterHospital,Nairobi,DrJohnMuriithiandfourmembersofhismanagementteamvisitedMUHonMonday,25thAugust.Sr.LizFletcher,aMercySisterwholivedinNairobiformanyyearsaccompaniedthem.OurKenyancolleagueswereinIrelandfora‘ComeHometoCatherine’programmeinBaggotSt.andtooktheopportunitytovisitanumberofhospitalsacrossthecountry.

TheNursingandMidwiferyBoardofIrelandlaunchedNationalNurse’sWeek2014,whichtookplacefromOctober6thtoOctober10th,2014.

Thepurposeoftheweekistoraisepublicawarenessaboutthenursingprofessionandwhattoexpectfromnursescare.Theweekpresentstheperfectopportunitytoinformandeducateonthevitalroletheprofessionalnurseplaysinthehealthcareofourcitizens.

TohonorthisoccasionandtoacknowledgetheNursingandParaNursingStaffofMUH,aseriesofeventswerehostedthroughouttheweek,includingPosterPresentationsintheGlassRoom,adisplayofCNSServicesontheLinkBridgeaHealthPromotionvisitbyMs.UnaLehane,ClinicalNurseSpecialist,ChronicObstructivePulmonaryDisease– OutreachtoSt.AloysiusGirlsSecondarySchoolandaspecialMasscelebratedintheHospitalChapelforallstaff.Weweredelightedtobejoinedbymanyofourretiredcolleaguesforthisspecialoccasion.

MsBridieO’Sullivan,DirectorofNursing,MUHtookuppostasChiefDirectorofNursingandMidwifery,South/SouthWestHospitalGroupon28thOctober2014.ShewasreplacedbyMsMargaretMcKiernanwhowasanAssistantDirectorofNursingatMUHwithresponsibilityfornursepractice development and end of life care.

Our esteemed visitors included Dr. John Muriithi- CEO, Mr. Lawrence Muiga, Marketing, Dr. Rhoda Mutia, E&A,

Sr. Roseline Abwao, Director of Nursing Services and Dr. Agnes Chege, Pharmacy

Ms Bridie O’Sullivan (L) and Ms Margaret McKiernan (R)


Canteen goes cashless

Mercy Day

TheintroductionofEPOS(PointofSale)touchscreentillsincorporatingapaymentmethodforMercyStafftoregister,topupandusetheirIDcardtopay,hasprovedaresoundingsuccess.

Oneyearon,theCateringDepartmenthavenotedthefollowingimprovements:

• StaffcanavailofdiscountsasCateringwillpassonanypricesavings fromoursuppliers.

• Thequeue-timesavedatpeaktimeshasimprovedsignificantly.

• Thecomputerizationprojecthasbeenagreatsuccesswithnearly 600plusstaffalreadyregistered.

ThehospitalcelebratedMercyDayon24thSeptemberwithaspecialMassinthehospitalChapel.Thisyear,aninvitationwasextendedtootherMercyorganisationstoattendandthemusicwasprovidedbythechoirfromMountMercyCollege.

Inrecognitionofthehospital’sMission,andthedutyofcaretoprotecttheethoshandeddownbyMotherMcAuley,thefocusofMercyWeek2014wastoextendtheCircleofMercy.Inthatregard,CorkPennyDinnerswaschosenasthehospital’scommunitycharityanddonationsofnonperishablefoodandhygieneproductsfromstaffwerecollectedatanumberoflocationsaroundthehospitalandhandedovertothecharity.

Claire McCarthy & Norma Twomey using their Staff card on their morning break with Canteen Cashier Marie Cronin.

Ice Bucket challenge

MotorNeuroneDiseasetookcentrestageoverthesummer/autumnmonthsviatheinternetextravaganzathatwastheICEBucketChallenge.Theinitiativebothnurturedawarenessofthediseaseandraisedmuchimportantfundsfor the association.

Proudlyacceptingthechallenge,shouldersbackandgamefaceon,upsteppedMercyUniversityHospital!!Atotalof40participantsfromover30departmentsparticipated,resultinginadayoffun,camaraderieandlotsoflaughterandallwasrequiredjustwithafewbuckets,afairfewlitresofwater,ahandfulofchairsandawillingsprit!

Staff members Nuala Coakley, Niamh McCarthy, and Cathal O’Regan presenting the cheque to Jennifer Bonus representing IMNDA.


TheMercyStarsAwards,hostedbytheMUHFoundation,seektorecognisethoseindividuals,teamsandfundraisingvolunteerswhogotheextramileforpatientsandcolleaguesatMercyUniversityHospitalandsoitwasonasplendideveninginSeptemberthatstaffmembersandfundraisersalikewerehonoured.

ForMUHoneofthemostprestigiousawardsistheCatherineMcAuleyLifetimeAchievementAwardwhichrecognisesandacknowledgesthosewhohavecommittedmanyyearsofservicetohealthcareatMercyUniversityHospital.Thisyear,MUHdecidedtohonour2(nowretired)membersofstaff.

Joe Higgins(Porter).JoecommencedhisworkinglifeatMUHin1976asnightdutyporter(FrontHall/Reception),wherehespenthis38yearsofservice.Joeisalwaysfondlyrecalledbyallstaffwhohadthepleasureofknowingandmeetinghimandwithhispenchantforfishing;manya“catch”wasenjoyedbythestaff.Healsosubjectedmanyastudenttovariousritesofpassagebutinequalmeasurecompensatedbyturningablindeyeiftheybroketheircurfew!!Cupid’sarrowalsostruckforJoeandhemethiswifePatsyhereatMUH.

Marion O’Leary(RegisteredGeneralNursestartedherworkinglifeinMUHasanursingstudentin1976.HavingcompletedherMidwiferystudies,shereturnedtoMUHandassumedthedutiesofStaffNurseon,initially,St.Catherine’sWardandlaterPC(nowSt.Brigid’sWard).ItwasherethatMarionspenttheremainderofherdedicatedcareeruntilherretirementin2014.ManyrecallthatbeingaKerrywoman,Marion’spassionforKerryFootballwaswellespousedandhowvociferousshewaswhentheywerevictoriousbuthowverysilentwhentheywerenot!

Photo: Joe Higgins being congratulated by Deputy CEO, Jim Corbett and Asst Director of Nursing, Carol Hunter.

Mercy Stars


Mercy University Hospital Foundation

TheFoundationwasestablishedbytheCongregationof the Sisters of Mercy as a separate company from thehospitaltoundertakefundraisingactivitiesforthebenefitofthehospital.Itisacompanylimitedbyguaranteeandnothavingasharecapital.

TheFoundationisresponsiblefordevelopinggivingopportunitiesandencouragingcharitablecontributionsfromwithinthecommunitytowardstheworkbeingcarriedoutintheHospital.TheyarealsoresponsibleforensuringthatfundsraisedfortheMercyUniversityHospitalaremanagedefficientlyandallocatedinatransparent manner in line with a donors wishes and in linewiththeirCodeofEthicsandDonorBillofRights.

Bydevelopingacloseworkingrelationshipwiththehealth care professionals and management within the Mercy University Hospital as well as donors and supporterstheFoundationhelpstoprovidelifesaving,lifechangingsupport.

FundsraisedthroughtheMercyUniversityHospitalFoundationareusedtopurchasestate-of-the-artequipment,toenhanceanddevelopservicesandtohelpHospitalstaffinprovidingaworld-classserviceinaworld-classhospital.

Mission

Inspiringpeopletosupportadvancementsinresearch,diagnosis,treatmentsandcareofpatientsatTheMercyUniversity Hospital.

Vision

To respond to the changing needs of patients at The MercyUniversityHospitalthroughethical,transparentandinnovativefundraising.

Board Members 2014

TheBoardoftheMercyUniversityHospitalFoundationismadeupofmemberswhoareindependentfromtheseniormanagementorBoardofDirectorsofthehospital.AllmembersareindependentofthehospitalandtheHSE.

• Mr.JerryFlynn(Chairperson)

• Ms.ColetteTwomey(ViceChairperson)

• MrLarryO’Dwyer

• MrKevinCummins

• Sr.ElizabethMcGrath

• Dr.ConMurphy

• MrDermotHargaden

• MsEdelClancy

• MsAnnePettit

• MsYvonneBarry

• DrJohnCahill


Cork’sowncelebritydoctor,DrPixieMcKenna,whoisbestknownforherworkonChannel4’sEmbarrassingBodies,returnedhomeon20thMarch2014toofficiallylaunchTheMercyHospitalFoundation’slatestcampaignthataimstoraise€3millionforkeyareasofneedatTheMercyUniversityHospital.

Thelatestcampaignwillraisevitalfundstoenhancecardiology,strokeandcancerservices,whilealsosupportingservices for children and teenagers at The Mercy University Hospital in the coming years.

SpeakingatTheMercyUniversityFoundation’s€3millioncampaignlaunch,DrPixieMcKennasaid“I’m delighted

lend my support to this campaign which will change lives at a hospital that is so close to my own heart, having done

some of my final year training at The Mercy. The four areas that the Foundation is focussing on are very different,

but each is deserving of the public’s support and generosity as they are important areas of treatment and services

at the Hospital. I’m urging the people of Cork and Munster to dig deep and support any or all of the appeals over the

coming years – you never know when you could be affected and may need the services in your own family.”

Dr Pixie McKenna launches The Mercy Hospital Foundation’s 3 million campaign!


Compassion | Excellence | Justice | Respect | Team Spirit

2014 Annual Report

Documents

2014 Mercy Hospital | ANNUAL REPORT 2014 1 Vision The vision reflects the overall ambition of Mercy University Hospital. The vision serves as the basis from which the Hospital’s