19th Annual Report 19th Annual Report

77 Pages·2012·14.19 MB·English

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Hospital Street, Inglewood VIC. 3517
Telephone: [phone] Fax: [phone]
Email: [email protected]
ABN 59289 296 574

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24 Wilson Street, Wedderburn Vic. 3518
Page No. Table of Content

2 Objects, Vision, Mission, Values & Commitments

3 Incorporation, Historical Background

4-5 Services Provided

6 Board of Management & Principle Officers

7 Organisational Chart

8-11 Report of Operations—President and Chief Executive Officer

12 Report of Operations—Treasurers Report

13-16 Statement of Priorities.

17-19 Director of Nursing and Community Services Report

20 List of Staff

21 List of Life Governors

22-23 Disclosure Index

24 Statutory Reporting

25 Additional Information

26 Administrative Information

27 An Appeal for Assistance

Attached Financial Pages and Explanatory Notes (at back)

Service, Activity & Efficiency Measures, Revenue Indicators,
Inpatient Debtors, Five Year Summary

Addit Quality of Care Report 2013/2014 available on request

19TH ANNUAL REPORT 2014
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Objects
To operate the business of a public hospital as authorised by or under the Health Services Act 1988(Vic);
To provide aged care services ensuring that at all times these services comply with the Charter of Residents'
Rights and Responsibilities provided in the Aged Care Act 1997 (Commonwealth);
To provide community based ancillary health, aged care, primary care and children's services;
To conduct any other business that may be relevant to the business of a public hospital, nursing home, a
hostel or community health service, or calculated to make more profitable any of the Service's assets or
activities; and;
To do all things that are incidental or conducive to the attainment of the objects of the Service.

Vision Statement
Excellence in Health Care now and the future.

Mission Statement
Providing quality Health Services, supporting and enhancing community wellbeing.

Values

CHERISH
Caring : Sensitive and responsive care.
Honesty: Open, truthful and trustworthy in all matters.
Equity : Fair and impartial decision.
Respect : Display respect, dignity and courtesy.
Integrity: Ethical, confidential and accountable.
Safety & Quality : In pursuit of excellence.
Harmony : Harmonious and happy workplace and living environment.

Commitments
We encourage and assist our clients to achieve life-long health and wellbeing.
We respect each individual's rights, needs and choices including the right to refuse treatment.
We provide equality of access to services.
We support the broad definition of health which includes meeting social, emotional, physical, cultural
and spiritual needs through a multi-disciplinary approach.
We seek to achieve quality health outcomes.
We provide a safe and supportive environment for staff and others.
We encourage the personal and professional development of staff.
We encourage participation by all members of the community in planning, implementing and evaluating
service delivery.
We facilitate partnerships with other service providers.
We support and encourage a culture of Continuous Improvement across the organisation.

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The Inglewood & Districts Health Service is a public hospital incorporated under section 65 of the Health
Services Act 1988 and listed in Schedule 1 of the Health Services Act 1988. The health service was formed on
the 1st January 1996, by the amalgamation of The Inglewood Hospital (1863) and the Inglewood and
Districts Community Health Centre Inc (1977).

The responsible Minister is the Honorable David Davis M.P.

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The Inglewood & Districts Health Service is situated in the Loddon Shire, approximately 50 kilometres from
Bendigo with the catchment area being the southern half of the Loddon Shire which has a population of
approximately 4,770 (Loddon Shire, 2013).

The Health Service is located in Inglewood. The town was established around 1860 and is part of the Golden
Triangle tourist region. Agriculture is the main economic activity in the area. We also provide community
services from a second site in Wedderburn. Towns in our catchment also include Bridgewater, Serpentine,
Tarnagulla and Korong Vale.

The health service has seen many changes. The first hospital was established in Inglewood in 1863. This two
storey building had new wings added in 1874, in 1937 it was remodeled to a single storey structure. In
1978 the hospital was partly remodeled to accommodate Nursing Home Residents. The kitchen was rebuilt
in 1982 and a new Hostel added in 1994.

Following amalgamation in 1996 the Community Health Services were relocated to the hospital site. In 1998
a new administration area and front entrance were built. A new Nursing Home, and refurbished Acute
Wards and Accident and Emergency department were completed in 2001. The vacated nursing home was
refurbished as office space for community health staff. As well, in 2001 a new building for the Inglewood
Medical Practice was completed.

In 2005 the Wedderburn service moved to the Wedderburn Community Centre, a refurbished
multipurpose site at the old Primary School. A wide range of services is provided from this site in
conjunction with other co-located services.

More than 15 years since amalgamation, the health service continues to grow and change to meet commu-
nity needs. In 2006 the previous Inglewood doctors surgery was remodeled for use as a Community Health
and Wellbeing Centre, it is here the strength training exercise program is located. New residence’s have been
built to house a Medical Practitioner and most recently a new Doctors Clinic has been built in Wedderburn
and opened in December 2012.

Building upgrades provide modern functional facilities to accommodate this dynamic and progressive
health service. This small rural health service offers a diverse range of services including acute and urgent
care, residential aged care, district and community health nursing, welfare and social work services, youth
support, mental health, alcohol & other drugs and community development workers, planned activity
groups and social support.

Inglewood & Districts Health Service, 1980’s

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The Inglewood & Districts Health Service provides a diverse and comprehensive range of services including
acute inpatient and urgent care services, residential services for the frail aged and disabled and community
based services.

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Acute Hospital.
8 beds are available for acute inpatient medical services as well as Transition Care which is provided for
longer term rehabilitation and transition to home. Urgent Care medical services are provided by two private
Medical Practitioners who charge a fee for service.

Nursing Home and Hostel.
Accommodation is provided for frail aged and disabled persons unable to be cared for in their own homes.
Fifteen Nursing Home beds are provided for residents with high care needs requiring nursing care. Twenty
Hostel beds are available for low care residents who require some assistance with activities of daily living.

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District Nurses.
The District Nursing Service aims to maintain their clients’ independence, assisting them to remain in the
community. Services include: post hospital care, clinical treatments (e.g. wound management and dressings),
diabetes monitoring & education, palliative care, counseling, individual and family support.

Community Health Nursing.
The Community Health Nurses are concerned with the promotion of health and prevention of injury, illness
and disability. They adhere to the principles of the Social Model of health acknowledging that health is
affected by the total environment. Services include health promotion and education to individuals and groups
on issues such as: injury/falls prevention, nutrition, cancer prevention, communicable diseases and chronic
conditions e.g. asthma, diabetes and heart disease. They also provide cardiac rehabilitation programs, school
health programs, men’s and women’s health programs, and health screening clinics including pap tests, and
support groups. One priority is promoting physical activity, this includes providing Strength Training, Tai
Chi and other programs. Prior to its cessation in 2012 the several Sustainable Farming Families programs have
been completed with impressive outcomes . The Diabetes program has been enhanced with the successful
implementation of the LIFE PROGRAM and our membership of DILAG. Cardiac rehabilitation is running
continuously on a weekly basis.

Physical Activity
A Physical Activity Coordinator offers a Strength Training exercise program twice per week in Inglewood,
Wedderburn, Korong Vale (weekly) and Tarnagulla where Tai Chi is also offered. Everyone (young or old) is
welcome to attend, age is no barrier. Other opportunities for the community to be active are being explored
such as a Heart Moves program and Dance Your Way to Health.

Community Development.
The generalist Community Development position is providing some youth support with funding from the
ENGAGE Program and a collaboration with the Loddon Learning Education Network (LLEN) further
supports youth. The focus of these program is leadership and individual and community capacity building.
Personal development programs are also held in schools and the community.

Social Support Program.
The Social Support Program provides a Volunteer Visiting Program to elderly or disabled people in their
homes. There is also a Volunteer Transport Service to assist with access to specialist medical appointments.

Planned Activity Groups (PAG).
The PAGs provides social contact and relief for carers through individual and group therapy in Day Centres
to assist aged and/or disabled people to remain in the community. PAGs are conducted at Bridgewater,
Korong Vale, Inglewood and Wedderburn, as well there are some weekend and holiday programs.

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19TH ANNUAL REPORT 2014
Alcohol and Other Drugs.
The Alcohol and Other Drugs worker provides individual and family counseling, as well as support and
education to those experiencing problems as a result of the misuse of alcohol and other drugs. Community and
school education programs have been provided enhancing the knowledge and understanding for people of all
ages around these issues.

Mental Health.
The community Mental Health Nurse provides clinical intervention, individual and family counseling and
support and education to those with mental health problems. The nurse liaises with the regional community,
acute and aged psychiatric services and GPs. Support and advice is also provided to community organizations
such as the Healthy Minds Network when requested.

Social Welfare.
The Social Welfare team provides comprehensive individual and family counseling services, including income,
social security and accommodation inquiries. As well there is support and counseling for family breakdown,
relationship issues, grief & bereavement, depression, anxiety and conflict, as well as referrals, advocacy and
liaison with other services.

Flood Recovery Support Program.
This program funded by DHS ceased in September 2012. It provided much needed support for those in crises
and assistance continues to be provided where required by IDHS Welfare staff .

Other Services
A Physiotherapy service is offered in both Inglewood and Wedderburn.

Visiting Services
These services include Bendigo Psychiatric Services, Podiatry, Dietetics, Speech Therapy services and the Rural
Allied Health and Aged Care Assessment Teams.

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PPPPRRRREEEESSSSIIIIDDDDEEEENNNNTTTT:::: Mr P. Moore
SSSSEEEENNNNIIIIOOOORRRR VVVVIIIICCCCEEEE PPPPRRRREEEESSSSIIIIDDDDEEEENNNNTTTT:::: Ms A. Canfield
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TTTTRRRREEEEAAAASSSSUUUURRRREEEERRRR:::: Mrs B. Mason, OAM
BBBBOOOOAAAARRRRDDDD MMMMEEEEMMMMBBBBEEEERRRRSSSS:::: Mrs C. Norman
Mrs C. Gibbins
Mr A. Brownbill
Mr P. Norman

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VVVViiiissssiiiittttiiiinnnngggg MMMMeeeeddddiiiiccccaaaallll OOOOffffffffiiiicccceeeerrrrssss Dr M.C. Higgs MBBS, FACRRM

Dr S. Issa MBChB, MOHS, PGDip
R&RM, FRACGP, FACRRM, FACTM,
MACNEM, AFFTM

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AAAAuuuuddddiiiittttoooorrrrssss Victorian Auditor Generals Office
Accounting and Audit Solutions
Bendigo (AASB)

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We have great pleasure in presenting the Nineteenth Annual Report on behalf of the Board of Management of

the Inglewood and Districts Health Service. This year has necessitated a long hard look at who we are and

where we are going. The Department of Health has worked with hospitals in the region to develop strategies
for “Sustainable Hospitals”. To this end, we have partnered with other hospitals to look closely at operations

that lend themselves to shared resources and/or efficiencies.
A small group of rural hospitals has formed a strategic alliance known as the Victorian Rural Health Services
Alliance. Our aim is to identify areas of commonality and through the use of benchmarking, innovation and
resource sharing, drive efficiencies.

Additionally, IDHS is an active member of a number of collaborative organisations and networks such as:
•
The Loddon Mallee Health Alliance for the provision of ICT.
• The Bendigo Loddon Primary Care Partnership.
•
The Central Murray Health Services Forum.
•
The Loddon Service Providers Network.

Each of these enables us to build on our knowledge base and to improve service delivery.

Following is a quick overview of the projects completed this last year:
•
Ten National Standards Accreditation.
•
Development of a new laundry.
•
Redevelopment of our Wedderburn Offices and Treatment Rooms.
•
Expansion of our electronic patient safety monitoring.
•
TCP wing redevelopment.
•
Ceiling Tracking in Acute Rooms.
•
Replaced carpet in aged care.
•
Purchased new Mattresses.
•
Purchased dementia specific aids and program.
•
This year we have participated in a project aimed at maximising ACFI funding for aged care. This has been
a useful project which should ensure that we show improvement to revenue.
The health service was very fortunate to host a Blue Ribbon Foundation Memorial Dedication to Constable
Charles Hornibrook. The Transition Care Unit development was funded by the foundation in memory of
constable Hornibrook who died while on duty in this area.
A spectacular and very moving ceremony was attended by constable Hornibrook’s family. The ceremony was
conducted by the Victorian Police, with a Police Honour Guard and the Assistant Chief Commissioner, Jack
Blayney dedicating the memorial.
The funding resulted from the John Forbes 20-20 Cricket match held in Bendigo and an Inside Story pres-
entation held in Inglewood by the Blue Ribbon Foundation. The TCP Unit is a wonderful addition to our ser-
vices.

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19TH ANNUAL REPORT 2014
Board of Management
The Board’s mandate is as follows:

•
The Board of Management has the responsibility for the strategic direction of IDHS, clinical, financial and
general risk management & policies, patient safety and legislative compliance.

•
The Board participates in regular educational activities and also receives detailed reports of practitioner
activities. This ensures that the service we provide is patient focused and of high quality.
•
There is an emphasis on processes and procedures that have the health, wellbeing and social welfare of
the individual patient and resident as the main objectives.
•
The Board works together with management to ensure that there is a seamless transition from strategy
through operational activities (which remain the responsibility of management).

Both the Board and management are committed to continuous quality improvement which is borne out by the
various surveys we undertake throughout the year and also by the plethora of anecdotal evidence provided
through resident and community feedback mechanisms.

The Board and management is always keen for the community to attend and have input to our planning and
community events. To this end, the Board has established a Community Advisory Committee as a
sub-committee reporting to the Board. The Board is keen to ensure that opinions and suggestions are given
ample thought and discussion. IDHS belongs to the community and as community members, the Board is
passionate about delivering high quality services in a sustainable manner.

Medical Services
This year we have appointed Dr Craig Winter as our Director Medical Services and warmly welcome him. Dr
Winter has worked in both Medical Administration and Emergency Medicine for many years and graduated in
1984 from Sydney University. After undertaking training in anaesthetics he turned to Emergency Medicine and
completed his fellowship in Emergency Medicine in 2000. He has held many senior roles in emergency medicine
and is currently the Emergency Physician with St Vincent’s Hospital. Dr Winter also has an MBA (Uni NSW &
Sydney) and also serves as the Director of Medical Services at health services such as Heathcote Health,
Kyabram & District Health Service, Upper Murray Health & Community Services, Gippsland Southern Health
Service amongst others.

Dr Max Higgs has for many years provided the Director Medical Services role and we thank him for his service
and commitment to this role.

Both Dr Max Higgs and Dr Shakker Issa continue to provide valuable service to IDHS and therefore the
community of the South Loddon region. They provide urgent care at Inglewood campus. Please note that the
arrangements between GPs and patients after hours are regarded as private consultations and the Doctors are
entitled to charge accordingly. Our thanks go to both doctors for their contribution to the community and the
health service.

Staff
Staff continues to be the major asset of this organisation. Clearly, good staff means a good organisation. The
social club is very active and organised events are well received, with the finale being the year end Christmas
party.

We also have a year end Christmas lunch where staff and residents are able to mix together in a relaxed social
atmosphere. It really is wonderful to see the strong bonds that exist.

Management is grateful & cognitive of the time & effort individuals contribute to the running of IDHS – for that
we thank you sincerely.

Volunteers
Without volunteers our service would not be able to provide all the services we offer. They are the unsung he-
roes of today’s health system, working together to ensure that we have a legacy to build our next generation on.
Our heartfelt thanks goes to each and every one who volunteers in whatever capacity to assist the health service
and to make the lives of patients and residents that little bit more comfortable.

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19TH ANNUAL REPORT 2014
Management
We have recently been accredited under the 10 National Standards and we were steered through this process
by Mrs Merran Gibson, Quality Manager and Ms Paula Richards, Health, Safety & Environment co-ordinator.
Our thanks go to them for pulling the organisation together into a system driven organism. All credit to those
instrumental in ensuring we continue to thrive in a difficult environment. At the time of accreditation, it is
worth noting that IDHS was included in an elite minority of 44% of hospitals which passed at first attempt.

Following accreditation, Mrs Gibson has left the quality team to pursue her passion for patient care. She has
left the quality team in good shape and the position has been slightly restructured and is now occupied by Ms
Paula Richards who carries the aged care portfolio along with responsibility for ACFI optimisation and HSE
and Mrs Rebekah Ryan who has picked up Acute and HACC quality management as well as Infection Control.
The management team does a great job to ensure that resident, patient and staff needs have high quality
outcomes and are delivered in a balanced and sustainable manner. This involves a number of committees to all
work together to ensure quality solutions are available for IDHS patients and residents.

Our Quality Working Group which meets to develop strategies and improvements to the organisation consists
of the Director of Nursing and Community Services (Mrs. Mary Evans), the Quality Team (Ms Paula Richards
& Mrs Rebekah Ryan), Director Corporate Services (Mr Geoffrey Vendy) and the Chief Executive Officer (Mr.
Mike Parker) is invaluable to the organisation and its day to day operations.

General
•
The State Wide Patient Satisfaction Survey has once again ratified our commitment to quality and
excellence in patient care as have our own internal patient and resident satisfaction surveys which indi-
cate a high level of general satisfaction.
•
We continue to support and to take an executive role with the Bendigo Loddon Primary Care
Partnership. The BLPCP has proven to be a valuable partnership for both this organisation and the
community and we support and sit on many of the sub-committees and working groups operating
across the Loddon Shire and City of Greater Bendigo. The Chair of the BLPCP is Mr Parker and he is also
the Regional Chair and represents the Region on the State-wide Chairs Committee.
•
We have an executive role with the Loddon Mallee Rural Health Alliance which continues to provide
advice and services for the ICT strategies and needs for this hospital and also the region. The Alliance
continues to search out new opportunities for technology to improve productivity. Mr Parker is also a
Director of the LMHA LTD Company.
•
The Cafe is now a focal part of resident and family life and is run by volunteers who do a great job
making life a little more interesting for residents. Staff are also finding the café to be useful for that well
earned cuppa!
•
Our Men’s Shed is going well and is providing activities in conjunction with the local primary school and
hosts regular disability services with the help of specialist case workers.

Appreciation
The Inglewood and Districts Health Service continues to receive great support from individuals and
organisations throughout the year. Without this support, our ability to respond to health needs would be
significantly reduced. We value greatly the efforts and commitment of all those individuals and organisations
that have helped in any way, especially the following;
•
Rheola Charity Carnival Committee for their continued support and for their very generous donation
each year.
•
Councillors and officers of Loddon Shire for their collaborative approach to the Inglewood and Districts
Health Service.
•
Senior Citizens Clubs of Inglewood and Wedderburn for their continued support with shared facilities.
•
Lions Club for their continued support and collaborative approach to the development of aged
accommodation units for Inglewood and their collaborative approach to the needs of the community.
•
Inglewood Rural Fire Brigade, local Police and Ambulance Officers for the continued support, dedication
and cooperation.

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