Eastern Health provides a comprehensive range of high-quality acute, sub-acute, palliative care ...

114 Pages·2013·6.35 MB·English

Annual Report
2012-2013
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1
OUR MISSION
To provide positive health experiences
for people and communities in the east
OUR VISION
Great health and wellbeing
EASTERN HEALTH CATCHMENTS
Glenburn Buxton
Woods Point
Kinglake Marysville
Cambarville
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Steel Creek
Chum Creek
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Centre Hoddles Creek
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OOlliinnddaa Powelltown
Emerald
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Mulgrave
Rowville
Lysterfield Localities
Gembrook
Eastern Health Campuses
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Secondary Catchment
Garfield
Eastern Health’s Annual Report 2011-12 received Bronze at the 2013 Australasian Reporting Awards.
Primarily a benchmarking activity, the awards recognise organisations that are able to satisfy the ARA criteria
after a comprehensive review by an expert panel of accounting, legal and communications professionals.
Eastern Health provides a comprehensive range
of high-quality acute, sub-acute, palliative care,
mental health, drug and alcohol, residential
care and community health services to people
and communities that are diverse in culture,
age, socio-economic status, population and
healthcare needs.
CONTENTS
Our Annual Report 2012-13 provides information about
our sites, services, staff and operational achievements
and challenges during this financial year.
This report should be read in conjunction with Eastern
Health’s other annual publications: 2 Our Chair and Chief Executive
4 Our Board Finance Committee Chair and
• Quality of Care Report 2013, which details Eastern
Chief Finance Officer
Health’s progress and achievements in many clinical areas
• Research Report 2013, which highlights research 5 About us
undertaken by our clinicians and other health
6 Eastern Health organisational profile
professionals
7 Our clinical programs and services
• Sustainability Report 2013, which outlines our
performance in the area of environmental and 9 Our performance
economic stainability
10 Our corporate performance
• Turning Point 2013, which showcases the centre’s
10 Performance excellence framework
myriad work in alcohol, other drugs and gambling
14 Our operational performance
research, treatment and education.
16 Our operational performance – Activity
Our publications are available on Eastern Health’s website
17 Our operational performance – Access
at www.easternhealth.org.au. A limited number of printed
copies can be obtained by telephoning 03 9895 4879. 19 Our performance against strategic priorities
The Annual Report 2012-13 has been prepared in 27 Our governance
accordance with Victorian Government guidelines and the
28 Our board of directors
directions of the Minister for Finance. It will be presented
30 Our board committees
to the public at Eastern Health’s annual meeting on
5 December 2013.
33 Our people
34 Working at Eastern Health
Manner of establishment
35 Staff reward and recognition
As a public health service established under section 181 of 36 Our organisational structure
the Victorian Health Services Act 1988, Eastern Health reports
38 Our Executive
to the Victorian Minister for Health, the Honourable David
39 Occupational health and safety
Davis MP. The functions of a public health service Board of
Directors are outlined in the Act and include establishing, 40 Developing our healthcare professionals
maintaining and monitoring the performance of systems to 41 Workforce data
ensure the health service meets community needs.
43 Recruitment
Our role 45 Our foundation
Since forming in 2000, we have played a key role in the 47 Disclosure index
provision of public health services in Melbourne’s eastern
suburbs. We work with community healthcare providers, 49 Our financial statements 2012-2013
such as general practitioners, community health services 106 VAGO statement
and affiliated healthcare agencies. Geographically,
108 Glossary
we cover the municipalities of Boroondara, Knox,
Manningham, Maroondah, Whitehorse and Yarra Ranges. 110 Index
111 Contact us
11
OUR CHAIR AND
CHIEF EXECUTIVE
Eastern Health has had a
very successful 12 months.
We are confident that we
have extended and improved
access to the many services
we provide.
Dr Joanna Flynn AM Alan Lilly
Chair Chief Executive
Eastern Health Board of Directors Eastern Health
We have responded to increasing Eastern Health is the second largest This major change initiative under
demand and at the same time, provider of elective surgery in Victoria the umbrella of “Great Care
continued to develop and evolve and has a 100 per cent track record Everywhere” is widely recognised
our models of care to make them in treating urgent patients (those as an innovative approach to
more patient and family centred. classified as needing surgery within improving healthcare and is based on
30 days) on time. Following a major the rapid improvement methodology
This past year has been characterised
service improvement initiative this of our partner NHS organisation, the
by funding challenges, new access
year, Eastern Health plans to undertake Bolton NHS Foundation Trust in the
targets, ever-increasing demand,
even more elective surgery in 2013-14. United Kingdom.
greater consumer involvement and an
organisation growing in its capacity We have also experienced an increase At Eastern Health, we have also
to respond to these challenges. in the number of people presenting improved our continuing care,
The sudden and unprecedented to our three emergency departments community, mental health, outpatient,
Commonwealth withdrawal of funding and an increasing number of patients residential care and ambulatory (in the
in the middle of the financial year arriving by ambulance. In response home) programs. With improved care
caused great concern and required a to this and to the Commonwealth and better support after discharge,
swift change to service delivery plans requirement to treat, admit or patients are able to return to their
in 2012-13. discharge patients within four hours, homes more quickly. This is better
Eastern Health embarked on a major for them and their families and also
However, with the later reinstatement
improvement project. helps create capacity to treat the
of funding, Eastern Health was able
increasing number of patients arriving
to meet all of our elective surgery This involved changing the way
for elective surgery or emergency care.
commitments, as originally planned. patients are assessed and treated in
In fact, Eastern Health performed more the emergency department, changing
elective surgeries than planned and the way patients are treated in our
decreased our elective surgery waiting inpatient units and changing the
list below the target set for this year. way we staff those areas with junior
and senior doctors, nurses and allied
health professionals.
2 Eastern Health Annual Report 2012-2013
“We are proud to recognise those staff and
volunteers who exemplify our organisation’s
values of Accountability, Collaboration, Compassion,
Excellence, Respect, Teamwork and Integrity.”
A significant achievement this year This program is preparing Eastern We were also pleased to receive a
was the release of Eastern Health’s Health for the next 50 years and Minister for Health Volunteer Award
first 10-year Strategic Clinical Service includes the new clinical services for our Volunteer Program as a result
Plan, known as Eastern Health 2022. building at Box Hill Hospital, a of the program’s innovative work to
We undertook comprehensive staff redevelopment of Yarra Valley prevent falls at the Peter James Centre.
and community consultation on this Community Health and Healesville
exciting plan as it developed and & District Hospital, a major critical Not withstanding the challenges
it now provides a blueprint for our care and sub-acute service expansion of the past year, we are pleased
services over the next decade. at Maroondah Hospital and new to report that Eastern Health
education and simulation centres delivered a surplus operating budget
Following extensive feedback from at Wantirna Health and Healesville result of $1.8 million, meeting our
the Healesville community, we & District Hospital. commitment to live within our means.
implemented changes in the final plan As the Chair and Chief Executive
to ensure surgical services continue As well as being a leader in the of Eastern Health, we are proud of
at Healesville & District Hospital. implementation of the electronic our achievements over the past
medical record, Eastern Health is 12 months, made possible through
Our commitment to Closing the a lead agency working with the years of good work building solid
Health Gap and reducing inequality Inner East Medicare Local on the foundations.
in healthcare status and outcomes Commonwealth initiative to make
between Aboriginal and Torres Strait Personally Controlled Electronic Health One of Eastern Health’s major
Islander peoples and non-indigenous Records available to all Australians. strengths is the excellent leadership,
Australians was strengthened. service delivery and care provided at
More than 9000 people work as all levels of the organisation, from the
We signed a Statement of Intent staff and volunteers at Eastern Health. ward through to the Board. We would
with the Victorian Minister for Health We continued our commitment to like to thank the Board Directors,
and the statement was co-signed by celebrating their contribution through the Executive Management Team,
Aboriginal elders at our inaugural the annual reward and recognition Senior Leadership Team, our Board
breakfast meeting of the Board, initiative across all sites and programs, Committee and Community Advisory
Executive and Aboriginal community leading to our third Eastern Health Committee members and all the
in August 2012. Feedback suggests Aspire to Inspire (A2i) Awards in staff and volunteers who deliver or
this approach is working. April 2013. support care and services across our
health service.
Our strengthening relationship was We are proud to recognise those staff
illustrated by a Community Sports and volunteers who exemplify our We would also like to specifically
Day in Healesville in March 2013, with organisation’s values of Accountability, acknowledge the wonderful
football and netball teams fielded by Collaboration, Compassion, contributions of Janet Compton
the Aboriginal community and Eastern Excellence, Respect, Teamwork and (former Executive Director, Acute
Health. Our second annual breakfast Integrity, as well as those staff who Health) who was appointed Chief
meeting is scheduled in August 2013. provide long and distinguished service Executive at Northern Health in May
and those who help us realise our 2013 and former Board Directors
We also observed growth in our
vision of Great Health and Wellbeing. Martin Botros and Jeanette Ward, who
capital and information technology
concluded their Board appointments
program with a major investment of During the year, we were delighted
on 30 June 2013.
$479.3 million from the Commonwealth to receive external recognition at the
and state governments. Victorian Public Healthcare Awards As 2013-14 gets underway, there is
for our Patient Experience of Care a real sense of optimism in the air
program In the Patient’s Shoes, which and it is with great pleasure that we
received a High Commendation, and commend Eastern Health’s 2012-13
our integrated Diabetes Program with Annual Report to you.
Whitehorse Community Health Service,
which received a Silver Medal.
3
OUR BOARD FINANCE COMMITTEE CHAIR
AND CHIEF FINANCE OFFICER
The Financial Statements for
2012-13 reflect a year of great
development and delivery on
planned outcomes.
Stuart Alford Peter Hutchinson
Chair Chief Finance Officer
Board Finance Committee Eastern Health
The net result before capital and A key to the plan was the continuation The ongoing close monitoring of
specific items is an operating surplus of of growth in revenues that over the year employee provisions has continued
$1.777 million. This is a better outcome increased by 3.6 per cent. In particular, to deliver good outcomes with annual
than the target of $0.5 million forecast the rise in private fees of 5.8 per cent leave and accrued days off remaining
at the beginning of the year. was a major element. constant in value. Overall, this ensures
financial benefits as well as supporting
The overall total comprehensive result Containing staffing costs is always a “great health and wellbeing” for
for Eastern Health was an entity surplus challenge with escalating demand our staff.
of $79.496 million which includes the across our catchment. Overall staffing
The Management Accounting team is
indirect contribution of revenue from numbers remained constant during
commended on their consistent and
government for capital projects and, the course of the year with total labour
timely reporting of results throughout
in particular, the Box Hill Hospital costs rising by 2.6 per cent, which
the year. This assisted the directorates
redevelopment. aligns to government wages policy.
to deliver on their objectives. They are
A detailed plan was established at The close monitoring of supplies and well supported by the tireless efforts
the beginning of the financial year consumables has also limited the of the Decision Support Services area
for delivering an operating surplus of growth in costs to only 2.5 per cent. which provides a wealth of information
$0.5 million. The operating budget Reviews of contract pricing and stock to health service managers to monitor
program was supported by detailed levels have resulted in significant and improve outcomes.
economic sustainability strategies and gains over the year. We are pleased to present 2012-13
a bed management plan to achieve
financial statements as part of Eastern
the forecast outcomes. It is pleasing to report the reduction
Health’s Annual Report and thank the
in current asset receivables of
financial accounting team for meeting
This was interrupted during the year
$1.6 million whilst fees increased
the reporting deadline requirements.
with the withdrawal and subsequent
considerably. This enabled the overall
reinstatement some months later cash balance to remain similar to The statements provide a strong
of Commonwealth funds totalling the previous year and is reported foundation for achieving our goals for
$8.3 million. Notwithstanding this at $23.6 million. 2013-14 which we expect will include a
interruption, it is pleasing to report new set of challenges for consideration
that overall services delivered to the as we strive to provide positive
community exceeded the 100 per cent health experiences for people
targets in all major programs. and communities in the east.
4 Eastern Health Annual Report 2012-2013
ABOUT US
• Caring for more than 750,000 people
• More than 65 sites across 29 locations
• Services located across 2816 square kilometres
• More than 9000 staff and volunteers
• More than 800,000 episodes of patient care each year
Acute Stroke Nurse, Skye Coote, speaking to stroke survivor, John Benson.
55
EASTERN HEALTH ORGANISATIONAL PROFILE
Larger sites Corporate functions
• Angliss Hospital • Access and Patient Support Services
• Box Hill Hospital • Corporate Projects and Sustainability
• Healesville & District Hospital • Finance, Procurement and Information Services
• Maroondah Hospital • Fundraising, Legal Counsel and Clinical Governance
• Peter James Centre • Human Resources and Communications
• Turning Point Alcohol & Drug Centre
• Quality, Planning and Innovation
• Wantirna Health
• Research
• Yarra Ranges Health
• Yarra Valley Community Health
Life Enhancement Co-ordinator, Kerry Loe and Registered Nurse, Maria Lucero work at Mooroolbark Nursing Home, one of
four residential aged care facilities at Eastern Health.
6 Eastern Health Annual Report 2012-2013 About us
OUR CLINICAL PROGRAMS AND SERVICES
Directorate Clinical Program Clinical Service Group Clinical Support
Acute Health Emergency and 1 General medicine
General Medicine 2 Emergency services
3 Intensive care services
Women and 4 Gynaecology
Children 5 Maternity services
6 Neonatology
7 Paediatric services
(includes paediatric medicine, paediatric
surgery)
Specialty Medicine 8 Cardiology (includes interventional cardiology)
9 Dermatology
10 Endocrinology
11 Endoscopy services
12 Gastroenterology
13 Haematology
14 Infectious diseases
15 Neurology
(includes acute stroke and multiple sclerosis
services)
Clinical Support
16 Oncology, chemotherapy and radiotherapy Services
17 Renal medicine and dialysis
(Includes, but
18 Respiratory medicine
not limited
19 Rheumatology
to, pathology,
medical imaging,
Surgery 20 Breast and endocrine surgery
pharmacy,
21 Colorectal surgery allied health,
22 Ear, nose and throat surgery anaesthetics,
23 General surgery biomedical
engineering,
24 Ophthalmology
health information
25 Orthopaedic surgery
services)
26 Plastic surgery
27 Thoracic surgery
28 Upper gastro-intestinal surgery
(includes bariatric surgery)
29 Urology
30 Vascular surgery
Continuing Care, Mental Health 31 Adult mental health
Community and 32 Aged persons’ mental health
Mental Health
33 Child and youth mental health services
Continuing Care 34 Geriatric evaluation and management
35 Residential aged care
36 Palliative care
37 Rehabilitation
Ambulatory and 38 Ambulatory services
Community Health 39 Transition care program
40 Community health
Statewide Services 41 Turning Point
42 Spectrum
7
Above: Yarra Valley Community Health’s “Mums’ Day Out” program.
Below: Patient Jen Connelly receives care in her own home from oncology nurses Maree Lennon and Jacinta MacCormack.
8 Eastern Health Annual Report 2012-2013 About us