annual report 2006/07 - ballarat health...
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ANNUAL REPORT2006/07
VisionLeadership and Excellence in Healthcare.
MissionTo deliver an accessible, inclusive and fully integratedregional health service which maximises care,compassion, individual choice and quality outcomesfor all clients and patients in an environment thatencourages and supports ongoing education, trainingand research.
ValuesOur services and staff embrace the following values:
Client focus (includes individuals, families,communities, service providers and staff).We work towards improving the health and wellbeing of our patients, clients and community, andemphasise care and treatment options and informedchoice based on adequate information. We arecommitted to improving access for all patients/clientsand ensuring the care and services are delivered in aculturally appropriate manner.
Professional integrityWe treat all people with honesty, dignity, fairness andwith respect for their rights.
Safety and qualityWe are committed to providing high quality services,and a culture of continuous improvement.
Collaborative relationshipsWe seek to co-operate further with other humanservices providers to ensure better integration ofservices.
AccountabilityWe are accountable to Government and thecommunity for quality, effectiveness and efficiencythrough public awareness and reporting, communityparticipation and professional responsibility, includingfinancial management.
Staff and volunteersWe recognise that the quality of service provided isdependent upon the way in which staff andvolunteers perform their respective roles. It istherefore necessary to attract, retain, recognise anddevelop high quality staff and volunteers, and toensure their continued motivation and accountability.
Knowledge and innovationWe recognise the importance of encouraging andsupporting the ongoing development, education andresearch for our staff to ensure continued involvementand collaborative efforts promote innovation andimproved care and services are delivered for ourcommunity.
ContentsPresident and Chief Executive Officer’sReport Pages 2 - 11
Ballarat Health ServicesBoard of Management Page 12
Executive Staff Council Page 13
Organisational Structure Page 15
Senior Staff Pages 16 - 17
Year in Review Page 18
Admitted Patients Page 19
Revenue Indicators 2006/07 Page 20
Workforce Data Page 20
Caring for the Environment Page 21
Research, Ethics and Publications Pages 22 - 24
Statutory Requirments Page 24
Building Standards and Condition Page 25
Accountable Officer’s, Chief Finance Officer’s andmembers of Responsible Body’s Declaration Page 26
Victorian Auditor-General’s Report Pages 27 & 28
Financial Statements for the yearended 30 June 2007 Pages 29 - 32
Notes to and forming part of the financial statementsfor the year ended 30 June 2007 Pages 33 - 65
Ballarat Health Services Specialtiesand Services Page 66
ANNUAL REPORT 2006 - 2007B
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Medical technology and health serviceshave come along way since the BaseHospital was opened 150 years ago.Jay Bourke, Ballarat Health ServicesRadiology Department, looks oversome of the modern advancementsin medical imaging.
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2OverviewThe year 2006/07 was a remarkable one for BallaratHealth Services with the 150th anniversary of theBase Hospital a highlight.
The foundation stone of the original Miners' Hospitalwas laid one year after Eureka Stockade on ChristmasDay 1855.
In November 2007 the Queen Elizabeth Centre willcelebrate its 150th anniversary and planning isunderway to commemorate this significant milestone.
Patient activity continued to reach record levels duringthe year. A total of 30,309 inpatients were treatedrepresenting an increase of 5.52 per cent or anadditional 1585 patients. Significant factors behindthe increase can be attributed to same day electivesurgery procedures, emergency cases and births.
Emphasis continued on enhancing quality systems atBallarat Health Services with significant effort devotedto the organisational wide accreditation survey held inOctober, 2006.
The Australian Council on Healthcare Standards(ACUS) survey team was particularly impressed withthe quality and safety of care the service provides andacknowledged the hard work and commitment of thestaff.
Ballarat Health Services received an outstanding 23Extensive Achievements and four years ACHSaccreditation and the challenge will now be to upholdthe standard and further improve the organisation sowe continue as a leader across the state.
During June 2007 Eureka Village underwentaccreditation conducted by the Aged Care StandardsAuthority. The facility successfully achieved fullaccreditation status meeting all 44 outcomestandards, recognising the commitment of staff tomaximising the quality of care to residents.
The sixth operating theatre was commissioned duringthe year thanks to generous community support andState Government funding. Redevelopments of theCentral Sterile Supply Department is expected to becompleted in late 2007.
A successful fundraising appeal raised more than $1million for the necessary equipment to fit out thetheatre and enable a 15 per cent increase in surgicalcases to be performed.
As an on-going initiative to continually improvepsychiatric services, a critical evaluation wasconducted against National and State Mental HealthPlans as well as quality aspects of the VictorianStrategy for Quality and Safety in Public MentalHealth Services.
The findings mirrored public opinion that the existingstructure did not deliver optimal client services.
A new integrated structure was implemented in April2006 and has proven its sustainability throughimproved staff morale, professionalism and staffdevelopment opportunities.
The new structure has also ensured Ballarat PsychiatricServices is user-friendly for clients and their familiesand carers and puts Ballarat Health Services in strongposition to continue to meet the needs of thecommunity.
Increased patient demands created financial pressuresthroughout the year. However, stringent financialcontrols enabled Ballarat Health Services to record asurplus of $276,000. These funds will be invested innew facilities, service development and equipment.
In September 2006 the Board of Managementadopted the Strategic Services Plan and Model ofCare final report outlining the key directions andstrategic priorities over the next five years.
The next stage of the strategic service plan and modelof care is a master planning process which willcommence in September 2007.
Ballarat Health Services informed residents, carers andstaff of Pleasant Homes in May 2007 of the decisionto decommission the facility.
The move to relocate residents from the low carefacility is part of a program of reform for residentialaged care services, identified in Ballarat HealthServices' five-year Strategic Service Plan and Model ofCare report.
During the year Ballarat Health Services implementeda number of water saving strategies that havesignificantly reduced water usage throughout theorganisation.
The organisation is continuing to work closely withCentral Highlands Water and consultants to identifyfurther measures to conserve water.
Ballarat Health Services has commenced a strategicpublic awareness campaign advocating for thebenefits of fluoridated water.
Fluoridation of the water supply is an effective way todeliver fluoride to all members of the community,regardless of age, socioeconomic status and theavailability of dental care.
Ballarat Health Services will continue to inform thecommunity of the benefits of fluoridated water andthe positive impact it will have on the health ofresidents throughout the Ballarat district.
The Aboriginal Health Taskforce developed to overseethe implementation of initiatives of the partnershipagreement between Ballarat and District AboriginalCooperative (BADAC) and Ballarat Health Servicescelebrated significant achievements in its first year.
The partnership agreement aims to reduce barriers toaccess health services for Aboriginal people living inBallarat and surrounding districts.
A major success of the partnership has been theimproved communication and dialogue betweenBADAC, Ballarat Health Service and the Indigenouscommunity.
Ballarat Health Services has exciting and challengingtimes ahead and will continue to improve communityengagement and constantly strive to enhance thequality of care provided.
The year 2006/07 was extremely positive and adetailed outline of the specific achievements andissues confronted follows.
PRESIDENT AND CHIEF EXECUTIVE OFFICER’S REPORT
Australian Council ofHealthcare StandardsaccreditationThe hard work and commitment of staff from acrossBallarat Health Services has been acknowledged bythe Australian Council on Healthcare Standards withthe service receiving four years accreditation.
This significant result follows the Organisational WideReview held in October 2006.
The review survey team indicated that the systems wehave developed are effective and that Ballarat HealthServices continues to improve the quality and safetyof services provided.
The surveyors commented on the strong collegialapproach among managers and staff, reflecting theleadership which emanates from the Board andExecutive Management team.
This achievement sends a clear message to thecommunity that Ballarat Health Services is committedto excellence in health care with a strong andcontinuing focus on safety, quality and performance.
The challenge will now be to uphold theachievements and to further improve services soBallarat Health Services continues as a leader acrossthe state in line with our Vision - Leadership andExcellence in Healthcare.
FluoridationBallarat Health Services has commenced a strategicpublic awareness campaign advocating for thebenefits of fluoridated water.
Fluoride plays a crucial role in the prevention of dentaldecay.
Fluoridated water supplies have long been recognisedas an effective method of preventing dental diseasewith the overwhelming weight of scientific evidencesupporting the safety and effectiveness of waterfluoridation.
Ballarat Health Services has been an advocate for thefluoridation of Ballarat’s water supply for some timeand is concerned about the significant public dentalwaiting lists and poor oral health within theGrampians Region.
The Primary Care and Population Health AdvisoryCommittee, a sub-committee of the Ballarat HealthServices Board, includes representatives from the Cityof Ballarat, Ballarat Community Health Centre,Central Highlands Primary Care Partnership, theBallarat and District Division of General Practice andthe Department of Human Services.
This committee has identified the need to improve theoral health of the community as its first priorityincluding advocating for fluoridation of Ballarat’swater supply.
Melbourne’s water supply has been fluoridated for 30years and as a result the incidence of dental decay in12 year old children living in Melbourne is about 40per cent less than 12 year olds in the GrampiansRegion.
The public dental waiting list in Ballarat is increasing -a routine dental check-up is almost a five-year wait.There are currently 80 preschool aged childrenwaiting for a general anaesthetic to treat dentaldecay, due to the severity and complexity of theirdental need. Many of these children will require theextraction of multiple teeth and may also requireantibiotics to manage infection and pain whilst theywait.
Fluoridation of the water supply is an effective way todeliver fluoride to all members of the community,regardless of age, socioeconomic status and theavailability of dental care.
Ballarat Health Services will continue to inform thecommunity of the benefits of fluoridated water andthe positive impact it will have on the health ofresidents throughout the Ballarat district.
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Mel Harris, Radiology Clerk and Claire Thompson,Clerical Assistant, are part of the BHS team which iscommitted to safety, quality and performance.
Base Hospital celebrates150 years serviceAn historic event occurred for Ballarat Health Servicesin September 2006 with the Base Hospital celebratingits 150th anniversary.
The foundation stone of the original Miners’ Hospitalwas laid one year after Eureka Stockade on ChristmasDay 1855.
On that day 7000 people, being one quarter of thepopulation of Ballarat, marched up the Sturt Streethill behind a Masonic band and witnessed theWarden of the Court of Mines and Chairman of thehospital committee, James Daly JP, lay the foundationstone.
The community worked for the next nine months toraise funds to build a hospital and for the next 150years the people of Ballarat followed this lead andtheir support has been instrumental in establishing ahealth service that we can well be proud of.
The hospital started from humble beginnings. Theoriginal Miners’ Hospital admitted 1033 patients inthe first year, paid their surgeon 400 pounds and theirmatron 100 pounds per annum.
Professor Geoffrey Blainey, one of Australia's mostsignificant and popular historians was guest ofhonour at a dinner to mark this auspicious occasion.
Professor Blainey spoke of the importance the BaseHospital had in Ballarat’s history and the significance ithas on the Grampians region today.
Ballarat Health Services has exciting and challengingtimes ahead and will continue to improve communityengagement and constantly strive to enhance thequality of care provided.
In November 2007 the Queen Elizabeth Centre willcelebrate its 150th anniversary and planning isunderway to commemorate this significant milestone.
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At the Base Hospital’s 150th AnniversaryDinner is Board member Dr Brian Hassett,Professor Geoffrey Blainey andDr David Morton.
Board President Lynne McLennan and CEO AndrewRowe cut the 150th Anniversary cake.
Patient ThroughputBallarat Health Services treated a total of 30,309patients in 2006/07 representing an increase of 5.52per cent or an additional 1585 patients compared tothe previous year.
Significant factors behind the increase can beattributed to same day elective procedures,emergency cases and births. Birth numbers continueto grow at Ballarat Health Services with the numberincreasing to 1199 representing an increase of 6.39per cent or an additional 72 babies compared to theprevious year.
Comparing the number of births this year with thoserecorded five years ago we have seen an increase of37.5 per cent or an additional 327 births a year.
A total of 72,444 bed days was achieved during2006/07 representing an increase of 0.34 per cent or248 bed days compared to the previous year. Theincrease in patient numbers together with theminimal increase in bed days highlights an increase insame day separations and improvements in averagelength of stay.
The average length of stay for hospital inpatientscontinued to decline in 2006/07. The trend over thepast five years can be demonstrated as follows:
YEAR DAYS2002/03 2.862003/04 2.722004/05 2.592005/06 2.512006/07 2.39
The continued decline in average length of stay wasmainly due to the increase in patients undergoingsame day surgery with preparatory tests andanaesthetic assessment being undertaken in thepre-admission clinic.
Demands on the Emergency Department saw a slightdecline in the number of patients treated; however,there have been an increase in the complexity ofcases seen. The total number of attendancesachieved 40,027 representing a 0.09 per cent or 35patients less than the previous year.
A majority of the shortfall occurred in category fourand five patients, however, category two and threepatient numbers increased, highlighting an increase inurgency and complexity of patients seen.
Ballarat Health Services Residential Aged Careremained at 100 per cent capacity for the 2006/07Financial Year. Ballarat Health Services is the largestprovider of residential aged care in the SouthernHemisphere with 535 beds.
A total of 722 patients were admitted to the AcutePsychiatric Unit representing a 0.42 per cent or threemore patients than the previous year.
Financial resultsBallarat Health Services reported an operating surplusfor the 2006/07 year of $276,000 compared to anexpected break even operating result.
The operating surplus achieved was another strongresult particularly in context of increasing demandsacross the service.
The ability for Ballarat Health Services to continue toachieve an operating surplus helps underpin ourfinancial viability and allows for the continuedinvestment in new technology and facilities.
Ballarat Health Services plays a major role as anemployer and purchaser of goods and services in theGrampians Region with $149 million paid toemployees during the year and $81 million of goodsand services purchased.
Specific financial and operational initiatives havepositively enabled Ballarat Health Services to continueto achieve our expected budgetary results.
These initiatives include the ongoing monitoring ofactivity to maximise throughput revenue andperformance bonus funding, effective leavemanagement, private consulting and diagnosticrevenue, administrative cost reviews and rostering andreviews of staffing costs.
These initiatives and their status are regularlymonitored to maintain the focus on achieving desiredbudgetary outcomes.
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South African born Orthopedic Surgeon HansLombard moved to Ballarat with his family in June2007 to work at Ballarat Health Services.
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6Capital improvementsA number of capital projects commenced during theyear. Topping the list was $3 million of electricalinfrastructure upgrades at the Base Hospital andQueen Elizabeth Centre.
The upgrades are vital for Ballarat Health Services asthe current power supply is at full capacity duringpeak periods, leaving limited room for serviceimprovements or future growth.
New high voltage cabling and main electricalswitchboard have been installed and a second mainelectrical feeder line will provide power to the BaseHospital, while at the Queen Elizabeth Centre a largeremergency generator has been installed and a rangeof other works have taken place.
In May 2007 the then Minister for Health, BronwynPike, announced $4.5m funding to reduce emergencydepartment waiting times and elective surgery waitinglists.
The significant capital funding injection ensured thatthe sixth operating theatre was commissioned andredevelopment of the Central Sterile SupplyDepartment (CSSD) will be completed. The sixththeatre and additional works in CSSD will provide anadditional 15 per cent surgical capacity. The CSSD isexpected to be completed by late 2007.
A medi-hotel will be fitted out within the hospital toprovide for patients travelling long distances forsurgery and will have the benefit of freeing uphospital beds. The planning process for establishmentof a short stay unit adjacent to the EmergencyDepartment has commenced and it is expected to bebuilt within the 2008/09 Financial Year.
During the year $156,000 was allocated to redevelopthe Emergency Department. The project has seensignificant renovations undertaken on the physicallayout of the waiting room, the entrance foyer onMair Street, improved communication systems,signage and information available to patients. TheEmergency Department waiting room receivednecessary refurbishments to ensure patient comfortand safety while waiting for treatment was assured.
Ballarat Health Services has installed new signagethroughout the Base Hospital and Queen ElizabethRehabilitation Centre sites to improve ease of accessfor all clients.
In addition, a further $68,000 has been allocated viathe Improving Care Initiative for Patients and OlderVisitors initiative to install hand rails along corridorsand additional seating at the Base Hospital andQueen Elizabeth Centre sites.
Other significant projects that have commenced thisyear include:
• Upgrades to negative pressure rooms in the Emergency Department and on each floor of the Base Hospital. Cost $594,000.
• Upgrades to the Base Hospital Cafeteria.Cost $34,000.
• Capital works at residential care facilities.Cost $500,000.
• Upgrades to piped oxygen in the inpatient rehabilitation ward at the Queen Elizabeth Rehabilitation Centre. Cost $94,000.
Decommissioning ofPleasant HomesBallarat Health Services informed residents, carers andstaff of Pleasant Homes, in May this year, that theprocess of decommissioning the facility hadcommenced.
Although Pleasant Homes currently meetsCommonwealth certification standards it is notconsidered reasonable as a long term residential agedcare option for the Ballarat community.
The move to relocate residents from the low carefacility is part of a program of reform for residentialaged care services, identified in Ballarat HealthServices’ five-year Strategic Service Plan and Model ofCare report.
BHS is commencing a master planning process, whichwill determine the optimal mix of aged care servicesand provide residents with modern and comfortablestate-of-the-art facilities consistent with theirindividual care needs.
Pleasant Homes was built in the early 1900’s and dueto its ageing infrastructure, Ballarat Health Servicesmade the decision to decommission the facility andrelocate the residents.
Existing residents were offered relocation intoalternate Ballarat Health Services residential facilities.
The future of the facility will be determined by themaster planning process.
Dr Nigel Beck, Emergency Department, Chris Lockett,Major Programs and Infrastructure Director andJos Wynen, Engineer, check out the redevelopmentsof the Base Hospital’s main entrance and EmergencyDepartment.
Smoke-free WorkplacePolicyAs part of Ballarat Health Services continuedintroduction of its smoke-free workplace strategy, allfacilities, grounds and vehicles will be totally smoke-free as of 1 September 2007.
BHS has progressively moved towards this goal overrecent years, and has worked with staff and thecommunity to progressively introduce the smoke-freepolicy.
All patients, staff, and visitors have been advised ofthe changes through a comprehensivecommunications program and the health service willcontinue to work with patients and staff during theinitial stages.
Nicotine-dependent patients will be offered nicotinereplacement therapy prescriptions, monitored fornicotine withdrawal symptoms and offered Quit packswhilst at BHS.
The Smoke-Free Workplace Policy will be introducedacross Ballarat Health Service facilities with the aim to:
• reduce the health risks associated with tobacco use by staff, patients, visitors and the community, especially through passive smoking;
• provide a clear and consistent message about the health risks of smoking;
• provide leadership to reduce the harm associated with smoking; and
• comply with Occupational Health and Safety Act regulations.
Psychiatric Services -Community BasedIntegrated TeamsBallarat Health Services - Psychiatric Services criticallyevaluated itself against National and State MentalHealth Plans and quality aspects of The VictorianStrategy for Quality and Safety in Public MentalHealth Services 2004-2008 as an on-going initiative tocontinually improve standards.
The findings mirrored public opinion that the existingstructure did not deliver optimal client services.
The previous team functions of triage; crisisassessment and treatment; continuing care; andmobile intensive support and treatment were shownto inhibit capacity to consistently deliver optimal clientservices.
As a result of the review, the organisation identifiedthat clients were receiving care from a multitude ofclinicians, creating concern that changes in theirhealth could be missed, and progress inhibited withindividual needs overlooked.
The re-organisation of the clinical workforce andprocesses to support their endeavours ensures clientsand their families/carers receive a comprehensive,seamless treatment program from the same cliniciansregardless of fluctuations in health status.
This initiative, implemented in April 2006, has provenits sustainability through improved staff morale,enhanced professionalism and staff development.Reduced acute bed occupancy and re-establishmentrates indicate that the health status of clients hasimproved overall, and that clients are more effectivelymanaging fluctuations in their health status.
The new integrated structure ensures that the serviceis user-friendly for clients, their families and carers andputs Ballarat Health Services in strong position tocontinue to meet the needs of the community.
Catering AwardA commitment towards producing a quality producteach and every time has seen Ballarat Health Services’Catering Department awarded internationallyrecognised accreditation.
Increased food safety standards, introduced by theState Government, motivated the Ballarat team of120 staff to work towards achieving the HazardAnalysis and Critical Control Point (HACCP)Accreditation.
It is believed that Ballarat Health Services Catering isthe only Victorian public hospital kitchen to havegained the accreditation, which is a recognised worldstandard of food safety management.
Ten tonnes of food is prepared in the kitchen eachweek and this award is recognition of the fantasticefforts of the catering staff who work hard to ensurethat all food and meals are of a consistently highstandard.
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Russell Hardy, Ballarat Health Services CateringManager, proudly displays the International CateringCertificate.
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8Sixth Operating TheatreThe sixth operating theatre was commissioned duringthe year thanks to generous community support andState Government.
A successful fundraising appeal raised more than $1million for the necessary equipment to fit out thetheatre.
Generous gifts and bequest were received from:
• Percy Baxter Charitable Trust ($250,000);
• Ballarat Health Services Foundation ($100,000);
• Joe White Bequest;
• Hilton White Bequest;
• Collier Charitable Fund; and
• William Angliss Charitable Trust.
Support from the community business sector andprivate individuals was outstanding.
J.G. King Homes led the way with a charity houseauction conducted by Cosgrave Real Estate.Fundraising from events conducted by the SelkirkRoosters, the Golf House Hotel and Blue Bell HotelGolf Day, the Ballarat Health Services Charity Golf Dayand fundraising by many other clubs andorganisations contributed to the operating theatreequipment purchases.
Ballarat Health Services volunteer groups, the M2MBike Riders, the Base Hospital Kiosk and the VIPFlowershop, collectively raised more than $300,000, aremarkable effort by our valued supporters.
Significantly more than 10 per cent of funds werecontributed by past donors, grateful patients andmembers of the community who had seen ourservices first hand and appreciated the need for thenew operating theatre which will be a wonderfulasset in meeting increasing demands from withinBallarat and the Grampians Region.
FoundationThe Ballarat Health Services Foundation achieved asignificant outcome during the year when it reached$1 million investment level.
The interest earned on this substantial investment isused to fund projects and equipment at BallaratHealth Services.
During the year Foundation funds have supported anumber of vital projects at both the Queen ElizabethRehabilitation Centre and the Base Hospital sitesincluding:
• $100,000 for the Sixth Operating Theatre;
• a prosthetics alignment jig to aid accurate fitting of artificial limbs;
• a patient and visitor lounge on the Oncology ward;
• optical equipment aids in the Emergency Department, and;
• resuscitation equipment across Ballarat Health Services.
Consulting and DiagnosticSuite opens for businessBallarat Health Services' $1.8 million Consulting andDiagnostic suite was officially opened in December2006. The redevelopment of the former Eildon Houseon Drummond Street North has seen the co-locationof a number of clinical services, dealt with spaceshortages and growing demand, and rejuvenated adepleted entrance to the east side of the BaseHospital.
Bringing a range of services under the one umbrellahas significantly improved conditions for specialistmedical staff and greatly improved public access tothe services.
The project began in 2005 to establish ambulatorydiagnostic services and private consulting rooms formedical staff. The opening of the facility allows theconsolidation of diagnostic services ensuring services,technicians and specialists are able to interactefficiently.
The state-of-the-art facility provides private consultingsuites, medical procedure rooms for specialists such asgastroenterology, general medicine, gynaecology anda range of diagnostictesting such as ECG,EEG and pulmonaryfunction monitoring.
Celebrating the sale of the charity house is GerardCosgrave, Cosgrave Real Estate; Joy Taylor, BHS;Andrew Rowe, BHS; John King, JG King Homes; JanMillar, Cosgrave Real Estate; Don Robinson, CuthbertsBarristers and Solicitors; and Geoff Millar, BHS.
Marion Ritchie, Private Consulting Receptionist enjoys the new surroundsin the Consulting and Diagnostic Suite.
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Aboriginal Health TaskforceThe Aboriginal Health Taskforce developed to overseethe implementation of initiatives of the partnershipagreement between Ballarat and District AboriginalCooperative (BADAC) and Ballarat Health Servicescelebrated significant achievements in its first year.
A major success of the partnership has been theimproved communication and dialogue betweenBADAC, BHS and the Indigenous community.Initiatives implemented through the partnershipagreement include:
• the Aboriginal midwife program with a midwife working from BADAC and BHS to improve the experience of Indigenous women throughout their pregnancy and post birth.
• the appointment of Aboriginal Mental Health Liaison Officer positions in Ballarat and Horsham.
• Tours and presentations from the Emergency Department, Psychiatric Services and Outpatients have assisted to improve understanding and knowledge of BHS by BADAC and the Aboriginal community.
• A ceremony to raise the Aboriginal and Australianflags to promote Aboriginal health was held at the Mair Street entrance of the Base Hospital during NAIDOC week.
• BADAC is working with BHS to provide cultural awareness training for all BHS staff and is due to commence in the near future.
The partnership agreement aims to reduce barriers toaccess health services for Aboriginal people living inBallarat and surrounding districts. These barriers canbe financial, geographic, personal or cultural.
The 17 year life expectancy gap between Aboriginaland other Australians can be attributed to the inabilityof indigenous people to access health services due tosome or all of these barriers.
The partnership also aims to raise cultural awarenessfor BHS staff to enable them to better understand theissues faced by the Aboriginal community.
Community AdvisoryCommitteeThe Community Advisory Committee (CAC), a sub-committee of the Board of Management, achievedsignificant outcomes throughout the year.
Ballarat Health Services recognises the importance oflistening to community views and consumer feedbackin order to make sure the organisation is providingsafe, quality and appropriate services.
The CAC considers priority areas and key initiatives tomore effectively strengthen community participationat all levels of the service.
Key achievements of the Community AdvisoryCommittee for the past year have included:
• Implementation of the BHS Community Participation Plan;
• Participation in the development of this 2006/07 Quality of Care Report;
• Development of the BHS Consumer Participation Policy which will underpin consumer involvement;
• Working with various BHS services on Consumer Participation Service Reviews considering how clinical teams work with patients to identify opportunities for improvement;
• Providing consumer and community perspective ofpatient information booklet, Going to hospital:A practical guide ensuring it is user friendly and helpful; and
• Development of a webpage on the BHS internet (www.bhs.org.au) for the Community Advisory Committee in order to promote the work of the committee and consumer involvement in general.
Strategic planningIn September 2006 the Board of Managementadopted the Strategic Services Plan and Model ofCare final report outlining the key directions andstrategic priorities to be pursued over the next fiveyears.
The intention of the report is to identify strategicpriorities to assist BHS to achieve its vision, at thesame time as continuing to provide and improvehealth services for the communities of Ballarat andthe broader Grampians region.
Priorities have been identified on the basis of need toaddress urgent service development needs, thepotential to positively shape the nature of theorganisation and enhance the ability of BHS toachieve its mission.
The next stage of the strategic service plan and modelof care is a master planning process. This process willoutline emerging priorities and propose a physicalinfrastructure enabling the delivery of services into thefuture. It is anticipated that master plan developmentwill commence in September 2007.
Carol Trusler, Midwife, speaks with a new mum at theBallarat and District Aboriginal Cooperative as part ofthe Aboriginal Midwife Program.
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Working hard to reducewater consumptionBallarat Health Services implemented a number ofwater saving strategies that have significantly reducedwater usage throughout the organisation.
The organisation is working closely with CentralHighlands Water and consultants to identify furthermeasures to conserve water.
Ballarat Health Services including the Base Hospitalsite, Queen Elizabeth Centre, residential facilities,kitchen and linen service use large volumes of waterin the provision of health services to the community.
The Eureka Linen Service and Base Hospital havealready adopted water saving strategies that will savetwo million litres of water per year.
The health service has worked hard on implementinga range of strategies to reduce water usage and havearranged for an engineering and plant managementexpert to provide an audit and recommendations onfuture water saving strategies.
Water saving projects completed to date include:
• Reuse of water from the CSSD to supplement a flushometer tank (water used to serve the toilet flushers) at the Base Hospital.Water saving: 1,720,000lt
• Water filtration system installed on a batch washer at Eureka Linen Service.Water saving: 221,000lt
• Modifications to batch washer at Eureka Linen.Water saving: 132,600lt
• Installation of rainwater tanks to water gardens.
• Using water from sumps to water gardens.
• Upgrades and water saving devises installed in 40 ensuites at residential facilities.
Doreen Bauer TravellingScholarshipsDoreen Bauer Travelling Scholarships are awardedannually to assist members of staff attend interstateand overseas educational programs includingconferences and attachments or visits to centres ofexcellence of a short term nature. The twoscholarships are valued at $7500 each.
The scholarships are named in recognition of theoutstanding service of the late Miss Doreen Bauerwho served the Queen Elizabeth Centre and BallaratHealth Services between 1977 and 2005.
During this period Doreen occupied the roles ofDirector of Physiotherapy, Manager of Rehabilitationand Quality Co-Ordinator.
The recipients for the Scholarship in 2006/07 were:
Board of ManagementThe Ballarat Health Services’ community has beengreatly saddened by the recent passing of Peter Duffy.
Peter was an esteemed member of the Board ofManagement for almost seven years, and hisleadership as Chair of Finance was greatly admiredand respected.
Peter’s commitment and stewardship played a vitalrole in the growth and development of Ballarat HealthServices during demanding times.
Appreciation is extended to all Board members for thevery significant commitment they demonstrate toBallarat Health Services along with the desire toprovide the best possible services to our patients.
Ms Sue Flockhart, Manager Infection Control Unit,who attended the Association ofProfessional InvestmentConsultants conference inCalifornia in June. Thisinternational conference forinfection control professionalsprovided the opportunity to learnabout infection control andprevention. She also visited theEmery Health Care Hospital inAtlanta and the Centre for DiseaseControl.
Mr Andrew Tobin is a SeniorPhysiotherapist working with subacute patients. The focus of hisscholarship was on therehabilitation of patients followingstroke. Andrew traveled to theWorld Confederation of PhysicalTherapy International Congress inVancouver in June. He also visitedcentres of excellence to reviewevidence based practice in Sydneyand in Adelaide.
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11 ValeDuring the year Ballarat Health Services was greatlysaddened by the passing of the following staff andgenerous supporters:
• Rev Ronald Traill, Life Governor and former chaplain for 19 years.
• Dr W.L. Sloss, former Board President, Chairman of the Professional Staff Group and practitioner over a period of 40 years in gynaecology and obstetric services.
• Ms June Vague, Life Governor and former volunteer at the Queen Elizabeth Centre.
• Mr Ian McIntyre, Counsellor for Alzheimer’s Association of Victoria and member of the Cognitive Dementia and Memory Service (CDAMS) team and Cognitive Identifier research project.
• Ms Beverly Hunt, Administrative Assistant, Outpatient Services.
Department ofHuman ServicesBallarat Health Services enjoys a very constructiverelationship with the Department of Human Services.Appreciation is extended to the staff of DHS for theirassistance and support.
Life GovernorsAt the 2006 Annual General Meeting the followingLife Governors were appointed in recognition ofdedicated and loyal service to Ballarat Health Services:
• Dr Therese Power
• Ms Win Menadue
• Ms Joyce Bainbridge
• Ms Marlene Fry
• Rev Ronald Traill
• Ms Emma Traill
Congratulations are extended to the recipients whohave given outstanding service to Ballarat HealthServices over many years.
ConclusionBallarat Health Services is a very large and complexorganisation which in recent years has gone throughvery significant change.
This change has been necessary to expand serviceprovision, improve responsiveness to the communityand constantly build a culture of quality andaccountability.
The achievements of Ballarat Health Services in2006/07 have been very substantial and theimprovements are evident.
A commitment exists to constantly strive to improveall aspects of our service provision.
The achievements of 2006/07 would not have beenpossible without the support of staff throughoutBallarat Health Services as well as volunteers,auxiliaries and our many supporters.
Ms. Lynne McLennanPresidentBoard of Management
Mr. Andrew R. RoweChief Executive Officer
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12Ballarat Health Services was incorporated under theHealth Services Act 1988. The Incorporation cameinto effect on 1 January,1997. Ballarat Health Servicesis accountable, through its Board of Management, tothe Hon. Daniel Andrews MLA, Minister for Health.
The Board of Management as at 30 June,2007
President: Lynne McLennanBSc MBA MAICDCEO UFS DispensariesBoard Member Since: 2000Term of Appointment: 01.11.05 - 31.10.08Committees:AuditMedical Staff Appointments (Chair)Board Executive and Human Resources (Chair)Primary Care and Population HealthSt John of God LiaisonBoard Meetings attended: 11
Vice President: Catherine LaffeyMM Med BA DipEd DipFMI JPHead of Programs, School of Human Services,University of BallaratBoard Member Since: 2000Term of Appointment: 01.11.05 - 31.10.08Committees:Audit (Chair)FinanceBoard Executive and Human ResourcesCapital Planning and WorksBoard Meetings attended: 8Leave of Absence granted: 1
Vice President: Susanne McKenzieBA DipEd LLBLawyer Board Member Since: 2004Term of Appointment: 10.08.05 - 30.06.09Committees: Quality Care (Chair)Human Research Ethics Board Executive and Human ResourcesCredentials Appeal Tribunal Aboriginal Health Taskforce Board Meetings attended: 11
Chair of Finance: Peter DuffyFCPA MAICDRetired Managing Director,Australian Timken Pty LtdBoard Member Since: 2000Term of Appointment: 01.11.03 - 30.06.09Committees:Finance (Chair)AuditCapital Planning and WorksBoard Executive and Human ResourcesBoard Meetings attended: 8Leave of Absence granted: 1
Brian HassettMBBS FRACGPMedical Practitioner Board Member Since: 1997Term of Appointment: 01.11.04 - 31.10.07Committees:Human Research Ethics (Chair)Medical Staff AppointmentsQuality CareFinanceSt John of God LiaisonBoard Meetings attended: 9Leave of Absence granted: 1
Julie RaeBACEO, Central Highlands Regional Library CorporationBoard Member Since: 2004Term of Appointment: 01.11.04 - 1.11.07Committees:Community Advisory (Co-Chair)Aboriginal Health TaskforceQuality CareBoard Meetings attended: 8Leave of Absence granted: 2
Greg HainesBA DipEd DipFrontlineMgt GradCertLdrshipDevHead of School, Human Services,University of BallaratBoard Member Since: 2004Term of Appointment: 01.11.05 - 31.10.07Committees:FinanceCapital Planning and WorksCommunity Advisory (Co-Chair)FinancePrimary Care and Population Health (Chair)Board Meetings attended: 7Leave of Absence granted: 2
Jim ElveyBA DipBusStudies (LocalGovt)Retired CEO Moorabool Shire Council and consultantBoard Member Since: 2006Term of Appointment: 07.05.06 - 31.10.08Committees:Audit Capital Planning and Works (Chair)St John of God LiaisonBoard Meetings attended: 11
Medical Staff Association Representative:Andrew LoweMBBS FRACS
There were 11 Board of Management meetings heldin 2006/07.
Members of the Board of Management are requiredto lodge declarations of pecuniary interest with thePresident. Members of the Board of Managementreceive remuneration as gazetted under the HealthServices Act 1988.
BALLARAT HEALTH SERVICES BOARD OF MANAGEMENT
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EXECUTIVE STAFF COUNCIL
Andrew RoweBHA MHA AFCHSE CHEChief Executive Officer Appointed June 2003
The Chief Executive Officer is responsible to the Boardof Management for the efficient and effectivemanagement of Ballarat Health Services. Majorresponsibilities include the development andimplementation of service and strategic planning, thepromotion of quality care, optimising financialperformance and implementation of human resourcestrategies. The Chief Executive Officer chairs theExecutive Staff Council which comprises the seniorexecutive staff of Ballarat Health Services. Heprovides leadership through collaborativemanagement with staff and consultation with thecommunity.
John GallichioMBBS FRACMA AFCHSE MBAExecutive Director - Medical Services Appointed March 2007
The Executive Director has overall responsibility formedical services including direct service provision andongoing medical education, pharmacy, medicalrecords, the library, ethics and research as well asprofessional medical issues. John ensures all medicalstaff have appropriate credentials and activelyencourages the placement of medical students atBallarat Health Services. In conjunction with all theclinical executives, he has an active role developingclinical governance frameworks, embracing clinicalrisk management and continuous qualityimprovement.
Geraldine WebsterRN BAAppScNsg BN(Mgt)GradCertGerontology FRCNA.Executive Director - Nursing Services Appointed July 2005
The Executive Director has professional and leadershipresponsibility for nursing credentialing and standardsof practice for Acute, Sub-acute and ResidentialServices. Major management responsibilities includebusiness, resource management, service planning andprovision, and quality improvement and compliance.
Wendy HubbardBAppSC(PT) MAppSc(HM) MBA AFCHSE CHEExecutive Director Allied Health Appointed March 2000
The Executive Director has responsibility for nine alliedhealth disciplines, carries executive responsibility forthe sub-acute services including rehabilitation, agedcare evaluation and palliative care, and hasresponsibility for community-based services. With aspecial interest and expertise in quality systems,Wendy has responsibility for the BHS Quality andSafety Unit, overseeing the Clinical Governancestructure and quality improvement and accreditationacross BHS.
Ken BurnettMHA BSW BA AMGC RPNExecutive Director Psychiatric ServicesAppointed December 2003
The Executive Director is responsible for the full rangeof psychiatric services provided by Ballarat HealthServices within the Grampians Region. These servicesinclude child and adolescent, adult, and aged personsmental health services both within the communityand as inpatient services. Ken has professionalresponsibility for all psychiatric staff. He has aparticular interest in the routine delivery of evidence-based ‘best practice’ treatments to clients and theircarers, in the context of a family inclusive, recoveryorientated, model of integrated mental health care.
Dale FraserMBA BBus CPA AFCHSE CHE MHSFMExecutive Director FinanceAppointed July 1997
The Executive Director has responsibility for BallaratHealth Services integrated financial services includingaccurate and timely budget reports for the Board ofManagement and staff. Dale also has operationalresponsibility for finance, information technology,radiology, supply, fleet management, the print shop,insurance and taxation systems.
Trevor OlssonBBus AIMM AFAHRIExecutive Director Human Resources Appointed October 1999
The Executive Director’s responsibilities include allaspects of strategic human resource managementincluding recruitment, organisational change anddevelopment, payroll, industrial relations, equalemployment opportunity, occupational health andsafety, security services, as well as training anddevelopment.
Steven JonesGradCertPubSecMgt AFCHSEExecutive Director Corporate ServicesAppointment May 2005
The Executive Director Corporate Services hasresponsibility for engineering and environmentalservices as well as the business units, BHS Catering,Eureka Linen, and Safety Link. Steven also hasresponsibility for service planning and capitalresources, accommodation along with facilitiesmanagement and development.
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Lynne McLennan Catherine Laffey
Susanne McKenzie Peter Duffy
Brian Hassett Julie Rae
Greg Haines Jim Elvey
BOARD OF MANAGEMENT
Andrew Rowe John Gallichio
Geraldine Webster Wendy Hubbard
Ken Burnett Dale Fraser
Trevor Olsson Steven Jones
EXECUTIVE STAFF COUNCIL
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ORGANISATIONAL STRUCTURE
Board CommitteesMedical Staff Association
• Clinical Operations Group
• Clinical Review Panel
• Quality Leadership Group
BOARD OFMANAGEMENT
CHIEF EXECUTIVEOFFICER
ExecutiveDirectorHuman
Resources
ExecutiveDirectorAlliedHealth
ExecutiveDirector
CorporateServices
ExecutiveDirectorFinance
ExecutiveDirectorMedicalServices
ExecutiveDirector
PsychiatricServices
ExecutiveDirectorNursingServices
• Chief Information Officer
• Foundation and Fundraising
• Media and Communications
• Population Health and Strategic Planning
• Human Resources
• Employee Relations
• Payroll
• Occupational Health and Safety
• Equal Opportunity
• Training and Development
• Security Services
• Service Planning and Quality
• Community Programs
• Centre Against Sexual Assault
• Physiotherapy
• Occupational Therapy
• Podiatry
• Dietetics
• Speech Pathology
• Psychology
• Social Work
• Exercise Therapy
• Prosthetics/ Orthotics
• Finance
• Information Technology
• Medical Imaging
• Contracts and Taxation
• Supply
• Casemix Analyst
• Ambulatory Diagnostics
• Medical Administration
• Senior Medical Staff (Acute and Sub-Acute)
• Registars / HMOs / Interns
• Medico Legal Services
• Pharmacy Services
• Health Information Services
• Library
• Mortuary
• Clinical Services- Psychiatry
• Ballarat Psychiatric Services
• Horsham Psychiatric Services
• Ararat / StawellPsychiatric Services
• Adult Residential Mental Health Services
• Child and Adolescent Mental Health Services (CAMHS)
• Aged Persons Mental Health Services
• Primary MentalHealth
• Education, Training and Development
• Quality and Performance
• AcuteWards/Units
• Sub Acute Wards
• Clinical Nurse Consultants
• Operating Theatres
• Outpatients
• After-hoursCo-ordinator
• Nursing Education
• Chaplains
• Residential Services
• Accommodation
• BHS Catering
• Engineering Services
• Environmental Services
• SafetyLink
• Asset and Facilities Management
• Eureka Linen
• Capital Planning and Works
• Corporate Quality
Executive Staff Council
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SENIOR STAFF
CHIEF EXECUTIVE OFFICERAndrew RoweBHA MHA AFCHSE CHE
EXECUTIVE SERVICES
Director, Foundation &FundraisingGeoff Millar BA BEd GradDipEdAdminDipTeach GradCertMgt AMFIA
Manager, Media andCommunicationsLuke Mullane BPRJourn
Manager, Population Health andStrategic PlanningTracey Wilson DipAppSci MBA
Chief Information OfficerPaul Mannix BSc(Computer)
MEDICAL SERVICES
Executive DirectorJohn GallichioMBBS FRACMA AFCHSE MBA
Deputy DirectorLinda DanversMBBS FRACGP DipRACOG
Manager Medical ResourcesDianne MayallADipBusMgt ADipComServ
Quality Co-ordinatorSusan SheaBAppSc(Pod) PhD FAAQHC
Internal Medicine Service
A/Clinical Director InternalMedicineChristoph GatzkaMBBS (Bonn) MD FRACP
Physicians
CardiologistsJack Gutman MBBS FRACP FCSANZChristopher Hengel MBBS FRACP John Stickland MBBS FRACP FRACRMJohn van den Broek MBBS FRACP
GastroenterologistsIan Hamilton BSc (Hons) MBBS MRCPMD FRCP FRACPGrant Phelps MBBS FRACP MBA FAIMMaree Pekin MBBS FRACP
General (Sub-Specialty)Michael Giles MBBS FRCP (Neurology)Christoph Gatzka MBBS (Bonn)MD FRACPJames Hurley MBBS BMedSci PhDFRACP (Infectious Diseases)Anthony Kemp MBBS FRACP(Endocrinology)Brett Knight MBBS FRACP(Respiratory)John Richmond MBBS FRACP(Nephrology)Wayne Spring MBBS FRCP FRACP(Sleep Studies/Neurology)
NeurologistJohn King MD FRACP
OncologistsGeoffrey Chong MBBS FRACPKate Hamilton MBBS FRACPStephen Vaughan MBBS FRACP
Clinical Research Co-ordinatorCarmel Goss RN
Sub-Acute Medicine
Clinical Director of Sub-AcuteMedicineMark Yates MBBS FRACP
PhysiciansSarah Abrahamson MBBS FAFRMJudith Adams MBBS DGM FRACPStephen Campbell MBBS FRACPJohn Hurley MBBS LRCP MRCS DObstRCOG MRCP FAFRMRosie Shea MBBS FRACPMichael Vagg MBBS FAFRM (RACP)
Palliative Care
Director of Palliative CareDavid Brumley MBBS FRACGP MSCFAChPM
Palliative care ClinicianKirrily Hartnell MBBS FRACGP
Surgical Services
Chairman and Clinical DirectorDavid Cook MBBS FRACS (Urol)
Clinical Supervisor AdvancedSurgical TrainingStephen Tobin MBBS FRACS
Surgeons
General:Ruth Bollard MB ChB FRCS (Gen)Lean Peng Cheah MBBS FRACS MRCS Peter Denton MBBS FRACASDavid Deutscher BSc MBBS FRACSStuart Eaton MBBS FRACSTom Fisher MBBS FRACSAndrew Lowe MBBS FRACSBruce Stewart MBBS FRACSStephen Tobin MBBS FRACS CIBGSRobert Ventura MBBS FRCS FRACS
Vascular SurgeonsMichael Condous MBBS FRACSRobert Ventura MBBS FRCS FRACS
UrologistsDavid Cook MBBS FRACSLachlan Dodds MBBS FRACS Richard McMullin MBBS FRACSDonald Moss MBBS FRACS FACS
Orthopaedic SurgeonsIstvan (Steve) Csongvay MBBS FRACSHans Lombard MB ChB FC ORTHO(SA)David Mitchell MBBS FRACSJohn Nelson MBBS FRACSJohn Patrikios MBBS FRACSPaul Plank MBBS FRACS
Oto-Rhino LaryngologistsPaul Donoghue MBBS FRCS (Otol)Mark Guirguis MBBS FRACSNiall McConchie MBBS FRACS
OphthalmologistsDavid McKnightMBBS FRACO FRACSMichael Toohey MBBS FRACO
Facio MaxilliaryGraeme Fowler MDSc FDSRCPS
Plastic SurgeonRobert Sheen MBBS FRCS FRACS
Women and Children's Services
Chairman and Clinical DirectorPaul Davey MBBS FRACOG
Gynaecological OncologistTom Jobling MBBS FRAC
Obstetricians andGynaecologistsRussell Dalton MBBS FRACOGMarilyn Fooks MBBS FRACOGDeepika Monga MBBS FRACOGAnna Rogers MBBS FRACOG
PaediatriciansMaurice Easton MBBS FRACPBrendan McCann MBBS FRACPHarry Zehnwirth MBBS FRACP
Neurologist (Paediatric)Michael Hayman MBBS FRACP
Critical Care Services
Chairman of Critical Care andDirector of EmergencyDepartmentJaycen Cruickshank MBBS FACEM
Director of AnaesthesiaFred Rosewarne MBBS FANZCA
Deputy Director of AnaesthesiaJohn Oswald MBBS FANZCA
Supervisor of Training inAnaesthesiaMichael Shaw MBBS FRCA FANZCA
AnaesthetistsBruce Christie MBBS FANZCAGraeme Clarke MBBS FANZCARob Gazzard MBBS FANZCAFFICANZCA Greg Henderson MBBS FANZCAGreg Hughes MBBS FANZCATony Keeble MBBS FANZCARoss Phillips MBBS FANZCARobert Ray MBBS FANZCAAngus Richardson MBBS FANZCASanjay Sharma MBBS MDMichael Shaw MBBS FRCA FANZCANeil Shorney MBChB FRCAPeep Toom MBBS FANZCAMark Tuck MBBS FANZCAMichael Whitehead MBBS FANZCA
Director of Intensive CareTony SutherlandMBBS FANZCA FFICANZCA
Deputy Director ofIntensive CareRob GazzardMBBS FANZCA FFICANZCA
Anaesthetists/IntensivistsBruce Christie MBBS FANZCAGreg Henderson MBBS FANZCARobert Ray MBBS FANZCA Mark Tuck MBBS FANZCACraig Mitchell MBBS FANZCA
Emergency Department
Director of Emergency MedicineJaycen Cruickshank MBBS FACEM
Deputy Director ofEmergency MedicineSteve Pincus MBBS FACEM (DEMT)Heather Crook MBBS FACEM
Emergency PhysiciansNigel Beck MBBS FACEMDavid Bruce MBBSJoanne Brown MBBS FACEM Pauline Chapman MBBS FACEMAndrew Crellin MBBS FACEMMark Harris MBBSAmanda Lishman MBBS FACEMVince Russell MBBSSpiro Tsipouras MBBS FACEMAmanda Wilkin MBBS FACEM
Senior Medical Officers(Emergency Medicine)Ahmed Alwan MBBSWaad Elias MBBS
Radiology
Director of RadiologyRobert House MBBS FRACR DDU
RadiologistsRoss Breadmore MBBS MMed FRACR AlIstair Firkin MBBS FRACRMolly House MBBS FRANZCRChien-Ping Ho MBBS FRANZCRAlex Meakin MBBS FRACRJim Mullany MBBS FRACR Ross Wilkie MBBS FRACR FRCR DMRD
Dorevitch Pathology
PathologistsAnthony Roberts MBBS FRCPA FRC(Path) MIACDavid Clift MBBS Vanaja Muthurajah MBBS FRCPA
Laboratory ManagerMichael Phyland BAppSc
Forensic AssistantCharles Harpur
Pharmacy
DirectorGeoff McCurdyBPharm GradDipBusMgt FSHP
Health Information Services
Manager Clinical InformationServicesPauline Basilio BAppSc (MRA)
Manager, LibrariesNorma Worswick AALIA
PSYCHIATRIC SERVICES
Executive Director PsychiatricServicesKen BurnettMHA BSW BA AMGC RPN
Director of Clinical ServicesAbdul Khalid (A/Prof) MBBS FRANZCPMD(Psych) CCST
Consultant PsychiatristsPraveen ThottappililMBBS MD(Psych)Rajul Tandon MBBS MD(Psych)Rajneesh Singh MBBS MD(Psych)Anupam Pokharel MBBS MD(Psych)Ram Singh MBBS MD(Psych)Manisha Mishra MBBS MD(Psych)Vinit Mathur MBBS DPM MD(Psych)Ramesh Chandra MBBS MD(Psych)Suneel Chamoli MBBS MD(Psych)Sonia Ghai MBBS DPM(Psych)DNB(Psych)David Barton MBBS(UNSW) FRANZCPMRACMARichard Kefford MBBS FRANZCPCert.Acc.Trng C&A Psychiatry (RANZCP)
Service Managers
Manager Ballarat PsychiatricServicesMichael Struth MHSM RPNGradCertHlthSci (HSM).
Manager Ballarat NorthernAdult Community PsychiatricServicesTamara Irish RN RM RPN
Manager Ballarat SouthernAdult Community PsychiatricServicesFrancis Maher RN RPNBAppSc(NsgAdmin) BNsg FRCNA
Manager Horsham PsychiatricServices (Acting)Michael Fryar RPN BAppSc (NsgAdmin)GradDip (PsychNsg)
Manager Ararat/StawellPsychiatric ServicesMichael Fryar RPN BAppSc (NsgAdmin)GradDip (PsychNsg)
Manager Child and AdolescentMental Health ServicesJoy Nicholls RN RPN BN GradDipMgtGradDipFamilyTherapy
Manager Aged Persons MentalHealth ServicesDarren Gannon Psychologist BA(Hon)MBM
Manager Primary Mental Healthand Early Intervention ServicesNiki Reeve RN RPN PGradHRMgt
Manager Education, Trainingand DevelopmentJulia Hailes RPN B.Ed Dip Ass&TrngSystems M.Ed
Manager Quality andPerformanceMario Santilli RPN GradDipPsychNsg
NURSING SERVICES
Executive Director NursingServicesGeraldine WebsterRN BAppScNsg BN(Management),GradCertGerontology FRCNA
Director Nursing Support ServicesMick Kirby RN BAppScNsg CCRN
Director Nursing Education & Practice DevelopmentDenielle BeardmoreMEd GradDipEdTGradDipAdvClinicalNsgOnc/PallCare BN DipHlthSci Cert IVAss&Tng
Service Director, Internal Medicine & Critical CareAngie Spencer RN GradDipBus(e-Bus&Mrktng)
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17 Director of OutpatientsHelen Watt RN RN MHN CertHDGradDipHM
Director of OperationsFiona Brew RN CertPeriopNsgGradDipAcuteCareNsg MBA
Nurse Unit Managers
4 South/Day Oncology:Louise Taylor RN BN CertCritCareCertHlthServicesMgt DipBus DipBus(HR)
4 North/4 West: Vicki Thomas RN BNCertHlthServicesMgt
Dialysis UnitCathy Thomas RN BN Cert HlthServicesMgt
Emergency DepartmentPhil Catterson RN BN CCRN MBA
Intensive Care UnitSue Garner RN BN CCRNGradCertTryEd MEd CertIVAss&Tng(01/07/05 to 19/02/06)Sophia Jasiowiski RN(27/03/06 to 30/06/06)
Service Director, SurgicalJoan ScarffRN GradDipAdmin(Hlth)
Clinical Nurse Consultants
Infection ControlSue Flockhart RN BNGradDipInfectnCntrl GradDipMgt RGNCMRCNA
Stomal Therapy/Breast CancerSupportLeeanne White RN RM BN,StomalTherapyCert AccredBCN MRCNA
Pain ManagementLouise Humble RNGradDipAcuteCareNsg ICU/CCUCertMRCNA GradDipSciMedicine(PainMgt)
CognitionMeredith Theobold RN RPN CRRNMRCNA GradCertNsg(MentalHlth)
Nurse Unit Managers
Medical Assessment PlanningUnit/3 NorthAnnette MacFarlane RNGradDipBusMgt GradDipHlthSrvMgt
3 South: Janine Harris RN RM EmergCertBHlthSc(Nsg) GradDipNEd GradCertMgtMN
2 North: Danelle Klein RN BN CertOrthopaedicsNonnie Tennant RN CertRehabCertMgt
Service Director,Women & ChildrenDesley Beechey RN RM BN MM GradDipMidwifery GradCertMgt JP
Bed Management/Nurse BankJon Haynes RN BN Grad Dip Periop NGrad Cert CC
After Hours Co-ordinatorsMarlene Monck RN CertCCareGradDipBusMgtRita Coad RN RMLiana Besenghi RN RM BN BA BTeachGradDipAdmin(Hlth)Cheryl Allen RN RMSofia Jasiowski RN CertCritCare &CardioThoracicNsgVal Livitsanis RN GradDipHlthSc(Ed)Jenny Wallace RN
Nurse Unit Managers
Maternity Services ClinicalServicesHelen Leonard RN RM BNGradDipMgt
Maternity Services AmbulatoryServicesSue McRae RN RM GradDipCommHlth
Paediatric & Adolescent UnitSusan Skinner RN RSCN
Perioperative ManagerJoy Taylor RN CertPerioperativeNsg GradDipMgt MRCNA
Nurse Unit Managers
Operating SuiteLeena Stephens RN Cert Periop Nsg
Perioperative and Day ProcedureUnitJill O'Flynn BN(PostReg)CertOrthopaedicNsgCertAnaesth&RcvryRmNsg GradCertMgtSusanne Lockyer RN (Maternity Leave)(01/07/06-07/02/07)Marianne Crowe RN BN (Post Reg)Certificate of Stomal Therapy(12/02/07-30/06/07)
CSSDDenise Jackson RN BN(PostReg)GradCertInfctnCntrl MRCNA
RadiologyFiona Muller RN GradDipEDGradDipBusMgt
Director of NursingQueen Elizabeth CentreDot Rogers RNDiv1 RPN CRRN BHlthSci(Nsg) GradDipAdmin(Hlth) MNS MRCNA AAIM
Nurse Unit Managers
Jim Gay Unit (GEM)Glenn Taylor RN BNPsychNsg
Talbot PlaceMarie Dell RN PBGNC
Bill Crawford LodgeBarbara Delmenico RN PPGNCCertBusMgt
Gandarra Palliative Care UnitMaree Kewish RNDiv1 BN(PostReg)
Inpatient RehabilitationLinda Govan BN MHlthAdminGradDipNsgMgt
Director of Nursing, Queen Elizabeth Village & Hailey HousePat Erwin RNDiv1 RGNC BN MRCNA GradCertMgt
Facility Managers
PS HobsonKathy Pollard RN PBGNCGradDipHlthSci(Gerontics)Shirley Madden RN PBGNC
WB MesserSue Hall RNDiv2 GradCertMgt
Hailey HouseDiane Howell CertIII CommServices &AgedCare
Director of Nursing Eureka ComplexRoss McPhersonRN RPN GradDipMgt
Facility Managers
Geoffrey Cutter Margaret Walsh RN RM BNGradDipMgt GradCertAgedCarePat Sharp RN
Eureka Village HostelLee Prentice RNDiv2
Director of Nursing SebastopolComplex and Pleasant HomesHostelChristine Sloman RN Psych NsBHlthSci(Nsg) (26/02/07-30/06/07)
Facility Managers
Pleasant HomesAllan Carter RNDiv2
Jack Lonsdale LodgeSue Paine RN RM PostGradGerionticJenny Relouw RN PostGradGeriontic
James Thomas Court and JessieGillett CourtKay Wheeler RN RMChemotherapyCert GradDipBusMgt
Pastoral Care CoordinatorBruce Eldridge BSW FC
Residential Services QualityManagerClaudio Dellore RPN RNBAppSc(NurseEd&Admin)PostGradDip(Nsg)
FINANCE
Executive DirectorDale Fraser MBA BBus CPA AFCHSECHE AHSFMA
Deputy DirectorMick Smith BCom AHSFMA ASA CPA
Medical Imaging ChiefRadiographerRichard van Dreven M.I.S.R.R.T. M.I.R.DipAppSc (Med Radiation)GradDipAdmin.
Director Information TechnologyPaul Jurman BBus PMP AAIPM
Manager SupplyRussell King MAHSPO MCIPSA
HUMAN RESOURCES
Executive DirectorTrevor Olsson BBus AIMM AFAHRI
Deputy Director/ EmployeeRelations ManagerKevin Stewart BAppSc(PT) GradDipErgAAIM
Manager, Payroll ServicesLauren Wright
Manager, Human ResourcesRod Beaumont PNIA
Manager, Occupational Healthand SafetySteve Romeo DipHlth(OHS) DipBMgt
Human Resources ConsultantMegan Ali BMgt(HR)
Recruitment and ContractsManagerFiona McMeekin BMgt(HR)
Manager, SecurityAllan McColley
ALLIED HEALTH
Executive DirectorWendy Hubbard BAppSc(PT)MAppSc(HM) MBA AFCHSE CHE
Manager, Service Planning andQualitySue Gervasoni RN RPN BN CertCritCareMBA
Coordinator Clinical GovernanceKeren Day RN BNGradDipAdvNsg/WomensHlthCertContPromotion
Coordinator, Risk ManagementLois Abraham RN MRCNGradCertOnc/PallCare DipBusMgt
Manager, Centre Against SexualAssaultShireen Gunn BSW BEd
Clinical Manager DieteticsMeredith Atkinson BAppSc(Nut)GradDipDiet MPH
Clinical Manager ExerciseTherapyKerry Walsh BEd(PE)
Clinical Manager PhysiotherapyJenny Fitzgerald BAppSci(PT)GradDipPhysio(Neuro) MBA AFACHSEAIMM
Clinical Manager PodiatryMargaret Dawson BAppSc(Pod)GradDip(Pod) MBA
Clinical Manager Prosthetics/OrthoticsMichelle Janssen BAppSc(P&O)DipBusMgt
Clinical Manager PsychologyRobert Moss DPsych BA(Psych) RPNGradDipBehavMan MAPsS CCN
Clinical Manager OccupationalTherapyMichele Pearson BAppSc(OT)GradDip(HSM)
Clinical Manager SpeechPathologyAcushla Thompson BAppSc(SP)CradCert(Mgt) MSPAA CPSP
Coordinator, Allied HealthQuality and SafetyCathy Caruso BAppSci(OT)GradDipHlthSci(HEd) MAAOT
Manager, Community ProgramsMarianne Hubbard BA(Psych)GradDip(Psych)
Business Manager, CommunityProgramsJenny Paulson Grad Dip BusinessManagement MBA
Manager, Aged Care AssessmentServicesJannine Rigby RN RPN BA(Nursing)Grad.Dip. Business Management MBA
Manager, Carer's ProgramsCheryl Hines Dip Welfare Adv. Dip.Business Management
Manager, Hospital AdmissionRisk ProgramLinda Govan RN Grad Dip (NursingManagement) Masters in HealthAdministration
Manager, LinkagesMichelle Veal RN BN Grad.Cert.(Business Admin)
Manager, Planned ActivityGroupsJan Stewart B App Sci-Phys Ed; GradDip (Health Sci)
Manager, Rehabilitation in theHomeRoslyn McIntyre RN BN post reg
Advanced Continence NurseSpecialist, Grampians RegionalContinence ServiceShirley Whitaker RN BNCertContPromotion Grad.Cert.Health
Coordinator, GrampiansRegional Palliative Care TeamJade Odgers RN Grad Dip (Pall Care)Grad Dip (Psych) Grad DipManagement Cert IV Workplace &Assessment & Training
Coordinator, Hospital In TheHomeTrish Twaits RN RM MRCNA GradDip(Management) Stomal Therapy
Coordinator, Post Acute CareHelen Jarvis RN RM BN GradCertMgtMRCNA
Allied Health Ambulatory CareCoordinatorClaire Bridson B Applied SC OT GradCert Management
Domiciliary Services CoordinatorMargaret Dawson BAppSc(Pod)GradDip(Pod) MBA
CORPORATE SERVICES
Executive DirectorSteven Jones GradCertPubSecMgtAFCHSE
Director, Major Projects &InfrastructureChris Lockett GradDipBus
Manager, Engineering ServicesRay Isaac DipMechEng GradCertMgt
Manager, BHS CateringRussell Hardy GradCertMgtCertIV(FoodTech) PTC MIHHC
General Manager, Safety LinkPeter Latchford
Manager, Eureka LinenPaul Robinson MasterDrycleanerCertMgt
Manager, EnvironmentalServicesDon Colbert GradCertMgt
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YEAR IN REVIEW
FINANCIAL 2005/06 2006/07 %change
Total Revenue 201,194 211,926 5.33%
Total Expenditure 202,332 212,744 5.15%
Total Assets 224,161 228,279 1.84%
Total Liabilities 60,389 65,211 7.98%
Performance IndicatorsInpatients treated
Acute Hospital 28,724 30,318 5.55%
Extended Care 845 907 7.34%
Psychiatric Care 719 722 0.42%
ALOS (Acute) 2.51 2.39 -4.93%
Bed Days
Acute 72,196 72,444 0.34%
Extended Care 20,672 20,766 0.45%
Psychiatric 10,666 16,896 58.41%
Non-admitted Patient Services
Medical Outpatients 37,561 35,709 -4.93%
Allied Health 11,109 11,093 -0.14%
Psychiatric Community 75,094 92,448 23.11%
ACAS 2,835 2,696 -4.90%
Community Rehabilitation 9,928 10,455 5.31%
Emergency 40,062 40,014 -0.12%
Numbers of Births 1127 1199 6.39%
Waiting List (average)
Acute 1242 1140 -8.21%
Residential 49 58 18.37%
Other
Fundraising Income 893,000 945,000 5.82%
Selene Tang Registrar Anaesthesiamonitors a patient during an operation.
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19 ADMITTED PATIENTS Acute Mental Health Aged Total
Separations
Sameday 17,018 28 6 17,052
Multiday 13,300 694 901 14,895
Total Separations 30,318 722 907 31,947
Emergency 10,957 434 4 11,395
Elective 16,373 234 851 17,458
Other inc Maternity 2,988 54 52 3,094
Total Separations 30,318 722 907 31,947
Total WIES 20,260
Total Bed Days 72,444 16,896 20,766 110,106
Source: VAED
NON ADMITTED PATIENTS Acute Mental Health Aged Total
Emergency Department Presentations 40,014 40,014
Outpatient Services - occasions of services(VACS and Non VACS clinics) 35,709 92,448 128,157
Other Services - occasions of services 11,093 11,093
Total occasions of service 86,816 92,448 179,264
Victorian Ambulatory Classification System -Number of Encounters 39,136 39,136
Source: AIMS
1. ELECTIVE SURGERY PERFORMANCE 2007 2006
Category 1 proportion of patients waiting less than 30 days % 100% 100%
Category 2 proportion of patients waiting less than 90 days % 96% 88%
Category 3 proportion of patients waiting less then 365 days % 83% 91%
Source: ESIS (Excludes PPP 500 codes)
2. EMERGENCY DEPARTMENT PERFORMANCE 2007 2006
2a. Percentage of Triage category 1 emergency patients seen immediately 100% 100%
2b. Percentage of emergency patients admitted to an inpatient bed withineight hours 83% 87%
2c. Percentage of operating time on hospital bypass N/A N/A
2d. Percentage of non-admitted emergency patients with a length of stay (LOS)of less than 4 hours 89% 90%
2e. Number of patients with an emergency department length of stay greaterthan 24 hours 0 0
Source: VEMD
ADMITTED PATIENTS
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BALLARAT HEALTH SERVICES REVENUE INDICATORS 2006/07
Under 31-60 61-90 Over Total Total Total Total30 Days Days Days 90 Days 30/06/07 30/06/06 30/06/05 30/06/04
Privates 958,633 108,020 40,122 90,074 1,196,850 1,189,339 1,072,199 1,014,471
TAC 12,363 1,542 10,831 8,109 32,846 37,729 4,466 0
VWA 77,049 5,236 11,785 18,730 112,799 38,791 35,838 56,456
Nursing Home 55,995 21,966 11,728 77,829 167,518 72,833 71,557 102,900
Total 1,104,041 136,764 74,467 194,742 1,510,014 1,338,692 1,184,061 1,173,828
Total Total Total TotalPrivate TAC W/C N/H
Average MonthlyRaisings 601,205 13,321 39,464 546,916
Debtor 1,196,850 32,846 112,799 167,518
Average Collection Days30/06/2007 60.6 75.0 86.9 9.3
Average Collection Days30/06/2006 57.5 169.1 56.9 4.2
Average Collection Days30/06/2005 62.3 20.9 61.7 4.1
Average Collection Days30/06/2004 68.9 N/A 23.1 6.5
WORKFORCE DATA
2003 2004 2005 2006 2007
Total Staff Employed 2822.00 2932.00 2674.00 2836.00 2949.00
Nursing 854.37 832.34 839.28 868.43 874.25
Doctors 99.78 97.81 122.58 122.40 134.07
Allied Health 188.35
Ancillary Support 127.84 136.52 158.71 157.19
Administration/ Clerical 250.67 268.93 281.75 301.76 328.81
Hotel Allied 439.83 316.23 304.18 383.56 388.26
Medical Support 222.79 218.40 145.79 152.46
Total Staff Employed EFT 1833.00 1865.94 1902.71 1980.65 2035.04
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21 Caring for the EnvironmentBallarat Health Services has continued its proactiveapproach towards a sustainable environment throughits effective waste management program and, in amore holistic way, through the establishment and careof sensory gardens around the residential sites.
The key to reducing the amount of wastage producedhas been separating different types of waste“streams” together with the “3Rs” program ofReduce, Re-use and Recycle. Waste volumes andrecycling percentages have remained consistent whilethere have been significant increases to production
and organizational growth. Our overall waste volumeis up 40,232kg or 7.06 per cent on last year.
In the 2006/07 Financial Year we recycled 37.42 percent up 0.46 per cent from 2005/06 figures. Wecontinue to recycle food waste, paper, cardboard,glass, cans and we donate equipment to 3rd WorldCountries.
WASTE PERCENTAGES FOR THEQUEEN ELIZABETH CENTRE ANDBASE HOSPITAL DURING 2006 - 2007FINANCIAL YEAR
General Waste 49.41%
Medical Metals / Cartridges 0.54%
Biomedical Waste 13.17%
Bottles, Cans and Plastics 1.12%
Worm Farm 23.69%
Paper and Cardboard 9.89%
Document Destruction 2.19%
WASTE MANAGEMENT
Total waste costs $ 2003 2004 2005 2006 2007
Base Hospital 102,511 105,696 115.771 104,228 116,456
QEC 23,726 25,516 27,951 28,852 30,581
Recycling Volumes kg
Food & waste to worm farm 128,960 131,040 119,120 136,980 144,540
Paper and cardboard 53,980 57,680 59,650 55,915 60,360
Cans, glass and plastics 2,759 3,046 3,913 5,140 6,819
Document destruction 9,039 11,162 11,571 12,652 13,265
Medical Scrap Metal 2,169
Printer Cartridges 1,170
Total 193,738 202,928 194,254 210,687 228,323
Landfill kg
General Waste 263,070 256,050 266,370 285,450 301,470
Incineration kg
Bio medical waste 61,017 60,903 68,272 73,753 80,329
Waste Total kg 324,087 316,953 334,642 359,203 381,799
Combined Total kg 517,825 519,881 528,896 569,890 610,122
Recycling % 37.6 39.04 36.73 36.96 37.42
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Ballarat Health Services continues to be grateful to the HREC, and particularly the external members who volunteertheir time to continue the vital task of safeguarding our patients and staff as potential participants in research.
The Ballarat Health Services and St John of GodHealth Care, Ballarat joint Human Research EthicsCommittee (HREC) has continued to receiveapplications for single centre, multi-centre andinternational projects from a broad range of researchcategories, as shown below:
Research Category No of ApplicationsClinical (drug/device) trials 14Clinical Research 4Public Health 4Psychological 3Social Science 2Quality Management 2
This year all applications submitted received ethicalapproval, generally conditional upon acceptance ofthe Committee's requests for amendments orfollowing clarification of matters of concern. Again,no complaints were received by the HREC in relationto ethical conduct of research approved by theCommittee and the NHMRC also made a positiveassessment of the HREC’s activities for the precedingtwelve months. Our annual report to the PrivacyCommissioner on the application of the HealthRecords Act (2001) in relation to Research wassimilarly well received.
The projects listed below are those submitted byBallarat Health Services staff or Visiting MedicalOfficers and subsequently approved.
• ALTERNATE: A Long Term Non-interventional Study to Evaluate the Effectiveness of Aranesp in Dialysis Patients when Administered Once Every two-Weeks.Dr John Richmond, Specialist Physician and Director of Dialysis
• Developing rehabilitation techniques for impulsivity and distractibility after frontal lobe damage in traumatic brain injury (TBI).Mr Chris Waters, Psychologist
• The MAX study: A randomized Phase II/iii study to evaluate the role of Mitomucin C, Avastin and Xeloda in patients with metastatic colorectal cancer.Dr Geoff Chong, Medical Oncologist
• QUASAR: Multicentre international study of capecitabine +/- bevacizumab as adjuvant treatment of colon cancer.Dr Geoff Chong, Medical Oncologist
• Effects of Ivabradine on cardiovascular events in patients with moderate to severe chronic heart failure and left ventricular systolic dysfunction.Dr John Stickland, Cardiologist
• A Randomized, Double Blind, Placebo-Controlled, Multicentre, Dose-Escalation and DoseConfirmation Study to Evaluate the Safety and Efficacy of Rivaroxaban in Combination with Aspirin Alone or with Aspirin and Thienopyridine in Subjects with Acute Coronary Syndromes (ATLAS ACS TIMI 46 Trial).Dr John Stickland, Cardiologist
• (i) A Phase III, Multi-Centre, Randomized, Placebo-Controlled Withdrawal Study to evaluate the Clinical Efficacy and Safety of Maintenance Therapy with Abatacept in Subjects with Active Crohns Disease who have had an Inadequate Clinical Response and/or Intolerance to Medical Therapy.
(ii) A Phase III, Multi-Centre, Randomized, Placebo-Controlled Withdrawal Study to evaluate the Clinical Efficacy and Safety of Maintenance Therapy with Abatacept in Subjects with Ulcerative Colitis who have had an Inadequate Clinical Response and/or Intolerance to Medical Therapy.Dr Ian Hamilton, Gastroenterologist
• A randomised, double-blind, parallel-group, multicentre, phase III study to assess the effect of Esomeprazole 20 and 40 mg od versus placeboin the occurrence of peptic ulcers during 26 weeks in subjects on continuous low-dose acetylsalicylic acid (ASA).Dr Grant Phelps, Gastroenterologist
• A (Phase IV) clinical study investigating the long term efficacy and safety of Zometa® (Zolendronic Acid) Therapy in Patients with Bone Metastases from Breast Cancer or Hormone Resistant Prostate Cancer, or Bone Involvement from Multiple Myeloma, Assessing Long-term Efficacy and Safety.Dr Kate Hamilton, Medical Oncologist
• The Saline Albumin Fluid Evaluation Translation of Research Into Practice Study.Dr Rob Gazzard, Deputy Director Intensive Care
• Evaluating evidence-based treatment of depression in adolescents using Acceptance and Commitment Therapy delivered in rural/regional services.Dr Louise Hayes, CAMHS Clinician
• Effectiveness, efficiency and acceptability of group versus individual therapy for the remediation of expressive phonological disorders in children: A pilot study.Dr Michelle O'Brien, Senior Lecturer andProject Supervisor
• Venous Thromboembolism Taskforce Audit (Sanofi).Dr Grant Phelps, Gastroenterologist
• A randomised Phase III Study comparing Pemetrexed-Carboplatin with Docetaxel-Carboplatin as first line treatment for patients with locally advanced or metastatic-non-small cell lung cancer.Dr Kate Hamilton, Medical Oncologist
• Randomised Phase III trial of De Gramont schedule 5-fluorouracil and Leucovorin plus Irinotecan in patients with previously treated metastatic colorectal cancer (Da Vinci trial). Australasian Gastro-intestinal Trials Group/Pfizer Protocol AG0103CR/CEL-3-3.Dr Geoff Chong, Medical Oncologist
RESEARCH, ETHICS AND PUBLICATIONS
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23 PUBLICATIONS & PRESENTATIONS
• Baker, H and Gardner, T. ‘Teaching the Future Generation of Social Workers’.5th International Conference on Social Workin Health & Mental Health.Hong Kong, December 2006
• Brumley, D. ‘Pain & Symptom Management’. 1st Grampians Regional Palliative Care Conference - Ballarat, May 2007.
• Brumley, D. ‘Suffering and Regeneration: Rivers and Sassoon’. ANZ Society of Palliative Medicine Conference, Newcastle, October, 2006.
• Brumley, D., Fisher, J., Robinson, H.,Ashby, M. (2006) Improving access to clinical information in after hours community palliative care. Australian Journal of Advanced Nursing, 24(1):27-32.)
• Cruickshank, J et al. Early computerised tomography accurately determines the presence or absence of scaphoid and other fractures. Emergency Medicine Australasia. 2007 (19): 223-228.
• Fisher, J.W. (2006) Using secondary students’ views about influences on their spiritual well-being to inform pastoral care. International Journal of Children's Spirituality, 11(3):347-356.
• Fisher, J.W. (2007) It’s time to wake up and stem the decline in spiritual well-being in Victorian schools. International Journal of Children's Spirituality, 12(2):165-177.
• Fisher, J.W. ‘Understanding, Assessing and Attending to Palliative Care Patients’. ANZ Society of Palliative Medicine Conference, Newcastle, October, 2006.
• Hubbard, M. ‘Improving the Waiting List Experience for Community Care Clients.’ 16th Annual Tri-State Conference, Aged & Community Care Victoria. February 2007.
• Hurley JC. Epidemiology of Ventilator associated pneumonia among published studies. Is there evidence of outbreaks? (Minor thesis accepted for the degree Master of Epidemiology, University of Melbourne.June 2007).
• Hurley, JC. Antibiotic based studies of ventilator associated pneumonia prevention: a novel approach to the evaluation of control grouprates using funnel plots. Presented at The Australian Society of Anti-microbials, Melbourne, August 2006.
• Hurley, JC. Hazards of thrombolytic therapy for stroke: the real world experience. Intern Med. J. 2007;37:348-349.
• McKenzie, K. J., Walsh, K., Livy, M.,Payne, W.R., Moss, R. , Atkinson, M., Hubbard, W., Harvey, J.T.Bridging the gap between evidence-based recommendations and implementing behavioural change: The use of cognitive and behavioural strategies in a Diabetes Prevention Pilot Initiative.
29th Australian Association for Cognitive and Behaviour Therapy National Conference, Manly, NSW, October 2006.
• McKenzie, K. J., Walsh, K., Livy, M.,Payne, W.R., Moss, R., Atkinson, M., Hubbard, W., & Harvey, J.T.Changing Behaviour: Ballarat Health Services Diabetes Prevention Pilot Initiative.Australian Podiatry Association, Victoria, State Conference, Melbourne, November 2006.
• Madas, E, Shea, SJ, & Gruner, L (2007) Clinical Governance Knowledge And Competencies Required By Victorian Public Hospital Medical Administrators - A Survey Of Medical Administrators Currently Woking In Victorian Public Hospitals. Proceedings of the 5th Australasian Conference on Safety and Quality in Health Care. August 6 - 8, pp 83 Brisbane Australia.
• O'Brien, M., Dodd, K.J., and Bilney, B.(in press) A Qualitative analysis of a progressive resistance exercise programme for people with Parkinson's disease, Disability and Rehabilitation.
• Peach, H G. ‘Religion, spirituality and health’. VMPF meeting, Central Gippsland Health Service, Sale, November 2006.
• Peach, H G. ‘Researching hospital and family histories and patient biographies’. Annual General Meeting and Reunion, Ballarat Base Hospital Trained Nurses' League, November, 2006.
• Peach, H G. Australia’s Vietnam Veterans. Australian Family Physician 2006; 35 (August): 619-621.
• Peach, H G. Spirituality. In Loris and Lucy’s Later Life Guide. Lorilu Press, Melbourne, 2007.
• Phelps, G. ‘Junior Medical Workforce in a rural Hospital: Building capacity through physician training’. To be presented as a poster at Internal Medicine Society of ANZ Annual Scientific meeting, Adelaide, September 2007.
• Phelps, G. Credentialing and defining scope of practice for senior doctors. Vicdoc: July 2007.
• Phelps, G. Gruner L., Watters DA.‘Engaging Rural Doctors in Quality Improvement - a collegiate first step’. To be presented at Internal Medicine Society of ANZ Annual Scientific Meeting, Adelaide, September 2007.
• Phelps, G., Gruner L. ‘Quality Improvement Training: is this the promised land of Doctor Engagement?’ to be presented at the Royal Australasian College of Medical Administrators Annual Scientific Meeting, Gold Coast, August 2007.
• Phelps, G., Gruner L., Watters D‘Making it better’. A series of one day workshops throughout regional Australia teaching quality improvement and team development skills to Physicians, Surgeons and other specialists. Supported by the Support Scheme for Rural Specialists 2006/2007.
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STATUTORY REQUIREMENTS
• Phelps, G., Gruner L., Watters D.‘Improving clinical quality by enhancing organisational collaboration and skill development’. Presented at the Support Scheme for Rural Specialists Annual Forum, Melbourne, March 2007.
• Phelps, G., Shea S. ‘Assessing Service Quality in an outpatient setting: the patient viewpoint’. Accepted for publication in Journal of the Australasian Association for Quality in Health Care. November 2007.
• Shea, SJ, Phelps, G & Ahern, S (2007) Working Towards Engaging And Supporting Clinicians In Healthcare Delivery, Quality Improvement And Organisational Activities Through Standardised And Automated Data Reporting. Proceedings of the 5th Australasian Conference on Safety and Quality in Health Care. August 6 -8, pp 60 Brisbane Australia.
• Tasheen, S., Reid, PC., Charan, P.Short-term complications of the trans-obturator foramen procedure for urinary stress incontinence.Journal of Obstetrics and Gynaecology, July 2007;27(5): 500-502.
• Theobald, M. ‘Dementia Care in Hospitals Program’. Geriaction National Conference 2007: Caring for the Aged in all contexts: Models Mythsand Magic.
• Townsend, A. ‘Alternative Methods in Clinical Supervision’. Keynote Speech: Clinical Supervision Conference, Austin Health, Melbourne, April 2007.
LEGISLATIVE COMPLIANCE
Ballarat Health Services has introduced a web basedcompliance software package to record and managerisks and compliance obligations in line withAustralian Standards.
WHISTLEBLOWERS PROTECTION ACT 2001
There were no disclosures received during 2006/07.Disclosures of improper conduct by Ballarat HealthServices or its employees can be made to theProtected Disclosure Officer in writing to BallaratHealth Service PO Box 577 Ballarat Vic 3353 or bytelephone 5320 4093.
FREEDOM OF INFORMATION REQUESTS
Applications received:
2003 2004 2005 2006 2007
282 252 200 215 293
FEES
All fees charged by Ballarat Health Services areregulated by the Commonwealth Department ofHealth and Aged Care, the CommonwealthDepartment of Family Services and the Hospitals andCharities (Fees) Regulations 1986, or as otherwisedetermined by the Department of Human Services.
NATIONAL COMPETITION POLICY
Ballarat Health Services complied with all governmentpolicies regarding competitive neutrality with respectto all tender applications.
VICTORIAN INDUSTRY PARTICIPATION POLICYACT 2003
Ballarat Health Services abides by the principles of theVictorian Industry Participation Policy. In 2006/07there were no contracts commenced or completed byBHS under this act.
CONSULTANCIES
There were no consultancies in excess of $100,000 atBallarat Health Services during the year. There werefour consultancies less than $100,000 totaling$124,473.
COMPLIANCE WITH BUILDING ACT
The following report describes the extent to whichBallarat Health Services complies with the Building Act1993 - Guidelines issued by the Minister for Financefor publicly owned buildings.
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25 ASSESSMENTS
Ballarat Health Services has instituted a system ofannual building inspections to comply with theMinister for Finance’s guidelines for maintainingstandards of publicly owned buildings to determinecompliance with the building owner’s duty of care.
Minor works are addressed using the Health Servicesmaintenance budget. Capital works are referred tothe Capital Planning and Works Committee forprioritisation and for funding approval to the FinanceCommittee as part of the Capital Budget.
Interim works identified in the initial fire audits acrossthe Base Hospital site are scheduled to be completedearly in 2007/08.
The works to address all issues raised in the re-auditsof the fire safety at all Ballarat Health Services siteswere completed in October, 2007.
During the Financial Year the following works andmaintenance were undertaken to ensure compliancewith relevant standards.
BUILDING WORKS
• Occupancy permits issued 1
• Works in construction and the subject 3of mandatory inspections
MAINTENANCE
• Notice issued for rectification of sub-standard 0building requiring urgent attention
• Involving major expenditure and 0urgent attention
ESSENTIAL SAFETY MEASURES
Ballarat Health Services buildings constructed afterJuly 1994 have been designed to conform to TheBuilding Act 1993 and its Regulations, as well as tomeet other statutory regulations that relate to healthand safety matters. All have been issued withOccupancy Permits. All building practitioners engagedby Ballarat Health Services are required to produceevidence of current registration on commencing aproject, as well as evidence that their registered statuswill be maintained throughout the year.
Buildings constructed prior to July 1994 were notsubject to issue of Occupancy Permits. However,regardless of the age of each building Ballarat HealthServices is obliged to maintain essential safetymeasures, as far as is practical, in accordance with theBuilding Regulations 2006.
Compliance involves ensuring that all essential safetymeasures covered by the Regulations are beingmaintained to fulfil their purpose. It also involveskeeping records of maintenance checks, completingan Annual Essential Safety Measures Report, andretaining records and reports on the premises forinspection by the Municipal Building Surveyor or theChief Fire Officer on request.
Safety Measures Reports (Form 10) are preparedannually for properties owned by Ballarat HealthServices to confirm that all of the essential services areoperating at the required level of performance.
BUILDING STANDARDS AND CONDITION
A number of capital projects commenced during theyear and toping the list was $3 million worth ofelectrical infrastructure upgrades at the Base Hospitaland Queen Elizabeth Centre.
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26We certify that the attached financial statements forBallarat Health Services have been prepared inaccordance with Part 4.2 of the Standing Directionsof the Minister for Finance under the FinancialManagement Act 1994, applicable Financial ReportingDirections, Australian Accounting Standards and othermandatory professional reporting requirements.
We further state that, in our opinion, the informationset out in the operating statement, balance sheet,statement of recognised income and expense, cashflow statement and notes to the forming part of thefinancial statements, presents fairly the financialtransactions during the year ended 30 June 2007 andfinancial position of the Ballarat Health Service as at30 June 2007.
We are not aware of any circumstances which wouldrender any particulars included in the financialstatements to be misleading or inaccurate.
ChairpersonMs H L McLennan
Chief Executive OfficerMr A R Rowe
Chief Finance OfficerMr D J Fraser
Dated the 21st day of August, 2007 at Ballarat.
ACCOUNTABLE OFFICER'S, CHIEF FINANCE OFFICER'S AND MEMBEROF RESPONSIBLE BODY'S DECLARATION
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FINANCIAL STATEMENTS FOR THE YEAR ENDED 30 JUNE 2007
BALLARAT HEALTH SERVICESOPERATING STATEMENT FOR THE YEAR ENDED 30 JUNE 2007
Note Parent Parent Consolidated ConsolidatedEntity Entity2007 2006 2007 2006$000 $000 $000 $000
Revenue from Operating Activities 2,2(a) 202,332 194,073 202,433 194,126Revenue from Non-Operating Activities 2,2(a) 625 180 687 229
Employee Benefits 151,071 143,625 151,071 143,625
Supplies and Consumables 18,382 17,056 18,382 17,056
Other Expenses from Continuing Operations 33,347 32,706 33,383 32,755
Finance Costs 4 8 45 8 45
NET RESULT BEFORE CAPITAL & SPECIFIC ITEMS 149 821 276 874
Capital Purpose Income 2,2(a) 8,806 6,839 8,806 6,839
Capital Purpose Expense 2(c) 946 694 946 694
Depreciation 3 8,954 8,157 8,954 8,157
(1,094) (2,012) (1,094) (2,012)
NET RESULT FOR THE YEAR 17 (945) (1,191) (818) (1,138)
*This statement should be read in conjunction with the accompanying notes.
The sixth operating theatre wascommissioned during the year,which will enable a 15 per centincrease on surgical cases to beperformed.
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*This statement should be read in conjunction with the accompanying notes.
BALLARAT HEALTH SERVICESBALANCE SHEET AS AT 30 JUNE 2007
Note Parent Parent Consolidated ConsolidatedEntity Entity2007 2006 2007 2006$000 $000 $000 $000
ASSETS
Current Assets
Cash and Cash Equivalents 5,18 2,834 3,456 2,961 3,502
Inventory 8 1,084 1,066 1,084 1,066
Receivables 6,18 5,374 7,033 5,374 7,073
Other Financial Assets 7,18 14,193 9,223 14,193 9,223
Prepayments 9 766 880 766 880
Total Current Assets 24,251 21,658 24,378 21,744
Non Current Assets
Receivables 6,18 1,683 1,972 1,683 1,972
Other Financial Assets 7,18 11,942 10,965 12,844 11,781
Property, Plant and Equipment 10(a) 188,662 187,674 188,663 187,675
Intangible Assets 10(b) 729 982 729 982
Prepayments 9 - 7 - 7
Total Non Current Assets 203,016 201,600 203,919 202,417
TOTAL ASSETS 227,267 223,258 228,297 224,161
LIABILITIES
Current Liabilities
Payables 11,18 10,351 9,681 10,351 9,681
Employee Benefits 13 30,002 27,303 30,002 27,303
Other Liabilities 14 19,424 16,778 19,424 16,778
Interest Bearing Liabilities 12,18 - 379 - 379
Total Current Liabilities 59,777 54,141 59,777 54,141
Non Current Liabilities
Employee Benefits 13 4,792 5,132 4,792 5,132
Other Liabilities 14 642 1,116 642 1,116
Total Non Current Liabilities 5,434 6,248 5,434 6,248
TOTAL LIABILITIES 65,211 60,389 65,211 60,389
NET ASSETS 162,056 162,869 163,086 163,772
EQUITY
Specific Purpose Reserve 15,16 16,800 22,608 16,800 22,608
Contributed Capital 15 147,914 147,914 147,914 147,914
Asset Revaluation Reserve 15 17,126 16,994 17,126 16,994
Retained Earnings 15 (19,784) (24,647) (18,754) (23,744)
TOTAL EQUITY 15 162,056 162,869 163,086 163,772
FINANCIAL STATEMENTS FOR THE YEAR ENDED 30 JUNE 2007
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31 BALLARAT HEALTH SERVICESSTATEMENT OF CHANGES IN EQUITY FOR THE YEAR ENDED 30 JUNE 2007
Note Parent Parent Consolidated ConsolidatedEntity Entity2007 2006 2007 2006$000 $000 $000 $000
Inflows Inflows Inflows Inflows(Outflows) (Outflows) (Outflows) (Outflows)
TOTAL EQUITY AT BEGINNING OF 162,869 164,060 163,772 164,910FINANCIAL YEAR
Gain/(Loss) on Asset Revaluation 15 132 - 132 -
NET INCOME RECOGNISED DIRECTLY IN EQUITY 132 - 132 -
Net result for the year (945) (1,191) (818) (1,138)
TOTAL RECOGNISED INCOME AND EXPENSE (813) (1,191) (686) (1,138)FOR THE YEAR
CLOSING BALANCE 162,056 162,869 163,086 163,772
*This statement should be read in conjunction with the accompanying notes.
BHS employs almost 3000 staff injecting $149 million into the Ballarat and Grampians region economy.
FINANCIAL STATEMENTS FOR THE YEAR ENDED 30 JUNE 2007
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32BALLARAT HEALTH SERVICESCASH FLOW STATEMENT FOR THE YEAR ENDED 30 JUNE 2007
Note Parent Parent Consolidated ConsolidatedEntity Entity2007 2006 2007 2006$000 $000 $000 $000
Inflows Inflows Inflows Inflows(Outflows) (Outflows) (Outflows) (Outflows)
CASH FLOWS FROM OPERATING ACTIVITIES
Receipts
Operating Grants from Government 179,163 165,679 179,163 165,679(inclusive of goods and services tax)
Patient Fees 12,199 13,327 12,199 13,327
Interest Received 2,290 932 2,352 981
Other (inclusive of goods and services tax) 29,650 30,215 29,690 30,208
Payments
Employee Benefits (148,712) (141,416) (148,712) (141,416)
Goods and Services Tax Paid (11,610) (10,308) (11,610) (10,308)
Other (inclusive of goods and services tax) (56,691) (52,267) (56,728) (52,316)
CASH GENERATED FROM OPERATIONS 6,289 6,162 6,355 6,155
Capital Development Funds 2,455 3,336 2,455 3,336
Capital Grants 3,946 2,592 3,946 2,592
Proceeds from Donations and Bequests 945 946 1,046 999
NET CASH INFLOWS/(OUTFLOWS) FROM 17 13,635 13,036 13,802 13,082OPERATING ACTIVITIES
CASH FLOWS FROM INVESTING ACTIVITIES
Purchase of Property, Plant and Equipment (12,987) (13,590) (12,987) (13,591)
Purchase of Investments (24,750) (20,758) (24,836) (21,459)
Sale of Investments 18,935 19,865 18,935 19,865
Proceeds from Sale of Property, Plant and Equipment 2,760 2,975 2,760 2,975
NET CASH INFLOWS/(OUTFLOWS) FROM (16,042) (11,508) (16,128) (12,210)INVESTING ACTIVITIES
CASH FLOWS FROM FINANCING ACTIVITIES
Interest on Borrowings (8) (45) (8) (45)
Repayment of Borrowings (379) (620) (379) (620)
Repayment of Monies Held in Trust (6,146) (6,092) (6,146) (6,092)
Proceeds from Monies Held in Trust 8,318 8,020 8,318 8,020
NET CASH INFLOWS/(OUTFLOWS) FROM 1,785 1,263 1,785 1,263FINANCING ACTIVITIES
NET INCREASE/(DECREASE) IN CASH HELD (622) 2,791 (541) 2,135
CASH AND CASH EQUIVALENTS AT 3,456 665 3,502 1,367BEGINNING OF PERIOD
CASH AND CASH EQUIVALENTS AT 5 2,834 3,456 2,961 3,502END OF PERIOD
*This statement should be read in conjunction with the accompanying notes.
FINANCIAL STATEMENTS FOR THE YEAR ENDED 30 JUNE 2007
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33 NOTE 1: STATEMENT OF SIGNIFICANTACCOUNTING POLICIES
The general purpose financial report of Ballarat HealthServices has been prepared on an accrual basis inaccordance with the Financial Management Act 1994,Australian Accounting Standards, Statements ofAccounting Concepts and other authoritativepronouncements of the Australian AccountingStandards Board, and Urgent Issues GroupInterpretations.
The Financial statements were authorised for issue byA. R. Rowe, Chief Executive Officer on 21 August2007.
BASIS OF PREPARATION
The financial report is prepared in accordance withthe historical cost convention, except for therevaluation of certain non-current assets and financialinstruments, as noted. Cost is based on the fairvalues of the consideration given in exchange forassets.
In the application of A-IFRS management is requiredto make judgements, estimates and assumptionsabout carrying values of assets and liabilities that arenot readily apparent from other sources. Theestimates and associated assumptions are based onhistorical experience and various other factors that arebelieved to be reasonable under the circumstance, theresults of which form the basis of making thejudgements. Actual results may differ from theseestimates.
The estimates and underlying assumptions arereviewed on an ongoing basis. Revisions toaccounting estimates are recognised in the period inwhich the estimate is revised if the revision affectsonly that period; or in the period of the revision andfuture periods if the revision affects both current andfuture periods.
Accounting policies are selected and applied in amanner which ensures that the resulting financialinformation satisfies the concepts of relevance andreliability, thereby ensuring that the substance of theunderlying transactions or other events is reported.
The accounting policies set out below have beenapplied in preparing the financial statements for theyear ended 30 June 2007, and the comparativeinformation presented in these financial statementsfor the year ended 30 June 2006.
(a) Reporting Entity
The financial statements include all the controlledactivities of Ballarat Health Services. Ballarat HealthServices is a not-for profit entity and therefore appliesthe additional AUS paragraphs applicable to "not-for-profit" entities under the Australian equivalents toIFRS.
(b) Rounding Off
All amounts shown in the Financial Statements areexpressed to the nearest thousand dollars.
(c) Principles of Consolidation
The assets, liabilities, incomes and expenses of allcontrolled entities of Ballarat Health Services havebeen included at the value shown in their auditedAnnual Financial Report. Any inter-entity transactionshave been eliminated on consolidation. Theconsolidated Financial Statements included theaudited Financial Statements of the controlled entitieslisted in Note 24.
(d) Cash and Cash Equivalents
Cash and cash equivalents comprise cash on handand in banks and investments in money marketinstruments, net of outstanding bank overdrafts. Bankoverdrafts are shown within borrowings in currentliabilities in the Balance Sheet.
(e) Receivables
Trade debtors are carried at nominal amounts dueand are due for settlement within 30 days from thedate of recognition. Collectability of debts isreviewed on an ongoing basis, and debts which areknown to be uncollectible are written off. A provisionfor doubtful debts is raised where doubt as tocollection exists. Bad debts are written off whenidentified.
(f) Inventories
Inventories include goods and other property heldeither for sale or for distribution at no or nominal costin the ordinary course of business operations. Itincludes land held for sale and excludes depreciableassets.
Inventories held for distribution are measured at thelower of cost and current replacement cost. All otherinventories, including land held for sale, are measuredat the lower of cost and net realisable value.
Cost for all other inventory is measured on the basisof weighted average cost.
(g) Other Financial Assets
Other financial assets are recognised andderecognised on trade date where purchase or sale ofan investment is under a contract whose termsrequire delivery of the investment within thetimeframe established by the market concerned, andare initially measured at fair value, net of transactioncosts. Other financial assets are classified betweencurrent and non current assets based on the Board ofManagement's intention at balance date with respectto the timing of disposal of each asset.
Dividend revenue is recognised on a receivable basis.Interest revenue is recognised on a time proportionatebasis that takes into account the effective yield on thefinancial asset.
NOTES TO AND FORMING PART OF THE FINANCIAL STATEMENTS FORTHE YEAR ENDED 30 JUNE 2007
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34(h) Intangible Assets
Intangible assets represent identifiable non-monetaryassets without physical substance such as patents,trademarks, goodwill, computer software anddevelopment costs.
Intangible assets are recognized at cost. Costsincurred subsequent to initial acquisition arecapitalized when it is expected that additional futureeconomic benefits will flow to Ballarat HealthServices.
Amortization is allocated to intangible assets withfinite useful lives on a systematic basis over the asset’suseful life. Amortization begins when the asset isavailable of use, that is, when it is in the location andcondition necessary for it to be capable of operatingin the manner intended by management. Theamortization period and the amortization method foran intangible asset with a finite useful life arereviewed at least at the end of each annual reportingperiod. In addition, an assessment is made at eachreporting date to determine whether there areindicators that the intangible asset concerned isimpaired. If so, the assets concerned are tested as towhether their carrying value exceeds their recoverableamount.
Intangible assets with indefinite useful lives are notamortised. The useful life of intangible assets that arenot being amortised are reviewed each period todetermine whether events and circumstancescontinue to support an indefinite useful lifeassessment for that asset. In addition, Ballarat HealthServices tests all intangible assets with indefiniteuseful lives for impairment by comparing itsrecoverable amount with its carrying amount:
• annually, and
• whenever there is an indication that the intangible asset may be impaired.
Any excess of the carrying amount over therecoverable amount is recognized as an impairmentloss.
(i) Property Plant and Equipment
Freehold and Crown Land is measured at fair valuewith regard to the property's highest and best useafter due consideration is made for any legal orconstructive restrictions imposed on the land, publicannouncements or commitments made in relation tothe intended use of the land. Theoreticalopportunities that may be available in relation to theasset(s) are not taken into account until it is virtuallycertain that any restrictions will no longer apply.
Buildings are measured at fair value less accumulateddepreciation and impairment.
Plant, Equipment and Vehicles are measured atcost less accumulated depreciation and impairment.
(j) Revaluations of Non Current Assets
Financial Reporting Direction (FRD) 103B Non-currentPhysical Assets, prescribes that non-current physicalassets measured at fair value are revalued withsufficient regularity to ensure that the carryingamount of each asset does not differ materially fromits fair value. This revaluation process normally occursevery five years as dictated by timelines in FRD103Bwhich sets the next revaluation for the Health,Welfare and Community Purpose Group to occur onthe 30 June 2009, or earlier should there be anindication that fair values are materially different fromthe carrying value. Revaluation increments ordecrements arise from differences between an asset'scarrying value and fair value.
Revaluation increments are credited directly to theasset revaluation reserve, except that, to the extentthat an increment reverses a revaluation decrement inrespect of that class of asset previously recognised atan expense in net result, the increment is recognisedas revenue in the net result.
Revaluation decrements are recognised immediatelyas expenses in the net result, except that, to theextent that a credit balance exists in the assetrevaluation reserve in respect of the same class ofassets, they are debited directly to the assetrevaluation reserve.
Revaluation increases and revaluation decreasesrelating to individual assets within a class are offsetagainst one another within that class but are notoffset in respect of assets in different classes.Revaluation reserves are not transferred toaccumulated funds on derecognition of the relevantasset.
(k) Depreciation
Assets with a cost in excess of $2,000 (2006: $2,000)are capitalised and depreciation has been provided ondepreciable assets so as to allocate their cost orvaluation over their estimated useful lives using thestraight-line methodology. Estimates of the remaininguseful lives for all assets are reviewed at leastannually. This depreciation charge is not funded bythe Department of Human Services. Depreciationrates are reviewed on an annual basis. Linen used inthe Linen Service is considered a fixed asset of BallaratHealth Services and depreciated accordingly.
The following table indicates the expected useful livesof non current assets on which depreciation chargesare based.
Building works currently in progress are notdepreciated until the completion of the buildingproject.
2007 2006
Buildings 30 to 50 years 30 to 50 years
Plant & Equipment 8 to 10 years 8 to 10 years
Medical Equipment 4 to 10 years 4 to 10 years
Computers & 3 to 5 years 3 to 5 yearsCommunications
Furniture & Fittings 3 to 10 years 3 to 10 years
Motor Vehicles 2 to 7 years 2 to 7 years
Intangible Assets 3 to 5 years 3 to 5 years
Other 3 to 5 years 3 to 5 years
NOTES TO AND FORMING PART OF THE FINANCIAL STATEMENTS FORTHE YEAR ENDED 30 JUNE 2007
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35 (l) Payables
These amounts represent liabilities for goods andservices provided prior to the end of the FinancialYear and which are unpaid. Normal credit terms arenet 30 days.
(m) Provisions
Provisions are recognised when Ballarat HealthServices has a present obligation, the future sacrificeof economic benefits is probable, and the amount ofthe provision can be measured reliably.
The amount recognised as a provision is the bestestimate of the consideration required to settle thepresent obligation at reporting date, taking intoaccount the risks and uncertainties surrounding theobligation. Where a provision is measured using thecashflows estimated to settle the present obligation,its carrying amount is the present value of thosecashflows.
(n) Interest Bearing Liabilities
Interest bearing liabilities in the Balance Sheet arerecognised at fair value upon initial recognition.Subsequent to initial recognition, all financial liabilitiesare recognised at amortised cost using the effectiveinterest method.
(o) Employee Benefits
Wages and Salaries, Annual Leave and AccruedDays Off
Liabilities for wages and salaries, including annualleave and accrued days off expected to be settledwithin 12 months of the reporting date arerecognised in the provision for employee benefits inrespect of employee's services up to the reportingdate, classified as current liabilities and measured atnominal values.
Those liabilities that Ballarat Health Services does notexpect to settle within 12 months are recognised inthe provision for employee benefits as currentliabilities, measured at present value of the amountsexpected to be paid when the liabilities are settledusing the remuneration rate expected to apply at thetime of settlement.
Long Service Leave
Current Liability - unconditional LSL (representing10 or more years of continuous service) is disclosed asa current liability regardless of whether Ballarat HealthServices does not expect to settle the liability within12 months as it does not have the unconditional rightto defer the settlement of the entitlement should anemployee take leave.
The components of this current LSL liability aremeasured at:
• Present value - component that Ballarat Health Services does not expect to settle within 12 months; and
• Nominal value - component that Ballarat HealthServices expects to settle within 12 months.
Non-Current Liability - conditional LSL(representing less than 10 years of continuous service)is disclosed as a non-current liability. There is anunconditional right to defer the settlement of theentitlement until 10 years of service has beencompleted by an employee. Conditional LSL isrequired to be measured at present value.
Consideration is given to expected future wage andsalary levels, experience of employee departures andperiods of service. Expected future payments arediscounted using interest rates of nationalGovernment guaranteed securities in Australia.
NOTES TO AND FORMING PART OF THE FINANCIAL STATEMENTS FORTHE YEAR ENDED 30 JUNE 2007
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36Superannuation
Defined contribution plans
Contributions to defined contribution superannuationplans are expenses when incurred.
Defined benefit plans
The amount charged to the Operating Statement inrespect of defined benefit plan superannuationrepresents the contributions made by Ballarat HealthServices to the superannuation plan in respect to thecurrent services of current Ballarat Health Services'staff. Superannuation contributions are made to theplans based on the relevant rules of each plan.
Employees of Ballarat Health Services are entitled toreceive superannuation benefits and the HealthService contributes to both the defined benefit anddefined contribution plans. The defined benefit plan(s)provide benefits based on years of service and finalaverage salary.
Ballarat Health Services made contributions to thefollowing major superannuation plans during theyear:
Defined benefit plans:
• Health Super Defined Benefit
• State Employees Retirement Benefit Scheme (SERB)
• Emergency Services Super Revised Scheme
• Emergency Services Super New Scheme
Ballarat Health Services does not recognise anydefined benefit liability in respect of thesuperannuation plan because Ballarat Health Serviceshas no legal or constructive obligation to pay futurebenefits relating to its employees; its only obligation isto pay superannuation contributions as they fall due.The Department of Treasury and Finance has assumedresponsibility for the defined benefit liability of theHealth Service, and administers and discloses theState's defined benefit liabilities in its financial report.
Termination Benefits
Liabilities for termination benefits are recognisedwhen a detailed plan for the termination has beendeveloped and a valid expectation has been raisedwith those employees affected that the terminationswill be carried out. The liabilities for terminationbenefits are recognised in other creditors unless theamount or timing of the payments is uncertain, inwhich case they are recognised as a provision.
On-Costs
Employee benefit on-costs are recognised andincluded in employee benefit liabilities and costswhen the employee benefits to which they relate arerecognised as liabilities.
(p) Finance Costs
Finance costs are recognised as expenses in the periodin which they are incurred.
(q) Intersegment Transactions
Transactions between segments within Ballarat HealthServices have been eliminated to reflect the extent ofBallarat Health Service's operations as a group.
(r) Joint Ventures
Interests in jointly controlled operations and jointlycontrolled assets are accounted for by recognising inBallarat Health Services' financial statements, its shareof assets, liabilities and any revenue and expenses ofsuch joint ventures. Details of the joint venture are setout in note 21.
(s) Leases (Leased Property and Equipment)
Leases of property, plant and equipment are classifiedas finance leases whenever the terms of the leasetransfer substantially all the risks and rewards ofownership to the lessee. All other leases are classifiedas operating leases.
Assets held under a finance lease are recognised asnon current assets at their fair value or, if lower, atthe present value of the minimum lease payments,each determined at the inception of the lease. Theminimum lease payments are discounted at theinterest rate implicit in the lease. A correspondingliability is established and each lease payment isallocated between the principal component and theinterest expense.
Finance leased assets are amortised on a straight linebasis over the shorter of the estimated useful life ofthe asset or the term of the lease.
Contingent rentals associated with finance leases arerecognised as an expense in the period in which theyare incurred.
Operating lease payments, including any contingentrentals, are recognised as an expense in the operatingstatement on a straight line basis over the lease term,except where another systematic basis is morerepresentative of the time pattern of the benefitsderived from the use of the leased asset.
NOTES TO AND FORMING PART OF THE FINANCIAL STATEMENTS FORTHE YEAR ENDED 30 JUNE 2007
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37 (t) Revenue Recognition
Revenue is recognised in accordance with AASB 118Revenue and is recognised as to the extent it isearned. Unearned income at reporting date isreported as income received in advance.
Amounts disclosed as revenue are, where applicable,net of returns, allowances and duties and taxes.
Government Grants
Grants are recognised as income when Ballarat HealthService gains control of the underlying assets inaccordance with AASB 1004 Contributions. Wheregrants are reciprocal, revenue is recognised asperformance occurs under the grant. Non-reciprocalgrants are recognised as income when the grant isreceived or receivable. Conditional grants may bereciprocal or non-reciprocal depending on the termsof the grant.
Indirect Contributions
• Insurance is recognised as revenue following advice from the Department of Human Services.
• Long Service Leave (LSL) - Revenue is recognised upon finalisation of movements in LSL liability in line with the arrangements set out in the Acute Health Division Hospital Circular 16/2004.
Patient Fees
Patient fees are recognised as revenue at the timeinvoices are raised.
Private Practice Fees
Private practice fees are recognised as revenue at thetime invoices are raised.
Donations and Other Bequeaths
Donations and bequests are recognised as revenuewhen received. If donations are for a special purpose,they may be appropriated to a reserve, such asspecific restricted purpose reserve.
(u) Fund Accounting
Ballarat Health Services operates on a fundaccounting basis and maintains three funds:Operating, Specific Purpose and Capital Funds.Capital and Specific Purpose Funds include unspentcapital donations and receipts from fund raisingactivities conducted solely in respect of these funds.
(v) Services Supported By Health Services Agreement and Services Supported by Hospital and Community Initiatives
The activities classified as Services Supported byHealth Services Agreement (HSA) are substantiallyfunded by the Department of Human Services andincludes Residential Aged Care Services (RACS) andare also funded from other sources such as theCommonwealth, patients and residents, while ServicesSupported by Hospital and Community Initiatives (NonHSA) are funded by Ballarat Health Services' ownactivities or local initiatives.
(w) Comparative Information
There have been no changes to previous year's figuresother than detailed below.
Revenues and Expenses by source in notes 2a and 2bhave been reclassified to accord with thegovernment's requirements for reporting under theAustralian Health Care Agreement with theCommonwealth government. The reclassification is toreflect the new category groups detailed in note 1(ae)as follows:
(x) Functional and Presentation Currency
The presentation currency of Ballarat Health Servicesis the Australian dollar, which has also been identifiedas the functional currency of Ballarat Health Services.
(y) Patient Trust Account
Ballarat Health Services holds deposits in trust onbehalf of residents. As Ballarat Health Services has noclaim on these funds they have been shown in thebalance sheet as a liability.
(z) Goods and Services Tax
Income, expenses and assets are recognised net ofthe amount of associated GST, unless the GSTincurred is not recoverable from the taxationauthority. In this case it is recognised as part of thecost of acquisition of the asset or as part of theexpense.
Receivables and Payables are stated inclusive of theamount of GST receivable or payable. The net amountof GST recoverable from, or payable to, the taxationauthority is included with payables in the balancesheet.
Cash flows are presented on a gross basis. The GSTcomponents of cash flows arising from investing orfinancing activities which are recoverable from, orpayable to the taxation authority, are presented asoperating cash flow.
(aa) Economic Dependency
Ballarat Health Services is dependent upon the Stateof Victoria, via the Department of Human Services, forthe funding of a significant proportion of itsoperations.
2005/06 Reclassified to:
Acute Admitted Outpatients EDS AmbulatoryPatients
$'000 $'000 $'000 $'000 $'000
Revenue - HSA 109,543 78,115 9,000 5,631 16,797
Expense - HSA 112,594 77,693 9,074 8,277 17,550
NOTES TO AND FORMING PART OF THE FINANCIAL STATEMENTS FORTHE YEAR ENDED 30 JUNE 2007
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38(ab) Going Concern
These accounts are prepared on a going concernbasis. After due consideration of the results of theoperations of Ballarat Health Services for the yearended 30 June, 2007, and the forecast cash flows ofBallarat Health Services for the next 12 months, theBoard of Management have determined thatpreparing the accounts on a going concern basis isappropriate.
(ac) Contributed Capital
Consistent with UIG Interpretation 1038Contributions by Owners Made to Wholly-OwnedPublic Sector Entities and FRD 2A Contributions byOwners, appropriations for additions to the net assetbase have been designated as contributed capital.Other transfers that are in the nature of contributionsor distributions, that have been designated ascontributed capital are also treated as contributedcapital.
(ad) Net Result Before Capital & Specific Items
The subtotal entitled ‘Net result Before Capital &Specific Items’ is included in the Operating Statementto enhance the understanding of the financialperformance of Ballarat Health Services. This subtotalreports the result excluding items such as capitalgrants, assets received or provided free of charge,depreciation, and items of unusual nature andamount such as specific revenues and expenses. Theexclusion of these items are made to enhancematching of income and expense so as to facilitatethe comparability and consistency of results betweenyears and Victorian Public Health Services. The Netresult Before Capital & Specific Items is used by themanagement of Ballarat Health Services, theDepartment of Human Services and the VictorianGovernment to measure the ongoing result of HealthServices in operating hospital services.
Capital and specific items, which are excluded fromthis sub-total, comprise:
• Capital purpose income, which comprises all tied grants, donations and bequests received for the purpose of acquiring non-current assets, such as capital works, plant and equipment. Consequently the recognition of revenue as capital purpose income is based on the intention of the provider of the revenue at the time the revenue is provided.
• Specific income/expense, comprises the following items, where material:
- Voluntary departure packages
- Write-down of inventories
- Non-current asset revaluation increments/decrements
- Diminution in investments
- Restructuring of operations (disaggregation/aggregation of health services)
- Litigation settlements
- Non-current assets lost or found
- Forgiveness of loans
- Reversals of provisions
- Voluntary changes in accounting policies (which are not required by an accounting standard or other authoritative pronouncement of the Australian Accounting Standards Board).
• Depreciation and amortisation, as described in note 1(j) and (r).
• Expenditure using capital purpose income, which comprises expenditure which either falls below the asset capitalisation threshold or does not result in the recognition of an asset in the balance sheet, where funding for that expenditure is from capital purpose income. The asset capitalisation threshold is set at $2,000 (2006: $2,000).
(ae) Category Groups
Ballarat Health Services has used the followingcategory groups for reporting purposes for thecurrent and previous Financial Years.
Admitted Patient Services (Admitted Patients)comprises all recurrent health revenue/expenditure onadmitted patient services, where services are deliveredin public hospitals, or free standing day hospitalfacilities, or palliative care facilities, or rehabilitationfacilities, or alcohol and drug treatment units orhospitals specialising in dental services, hearing andophthalmic aids.
Mental Health Services (Mental Health) comprisesall recurrent health revenue/expenditure on specialisedmental health services (child and adolescent, generaland adult, community and forensic) managed orfunded by the state or territory healthadministrations, and includes: Admitted patientservices (including forensic mental health), outpatientservices, emergency department services (where it ispossible to separate emergency departmental mentalhealth services), community-based services, residentialand ambulatory services.
Outpatient Services (Outpatients) comprises allrecurrent health revenue/expenditure on publichospital type outpatient services, where services aredelivered in public hospital outpatient clinics, or freestanding day hospital facilities, or rehabilitationfacilities, or alcohol and drug treatment units, oroutpatient clinics specialising in ophthalmic aids orpalliative care.
Emergency Department Services (EDS) comprisesall recurrent health revenue/expenditure onemergency department services that are available freeof charge to public patients.
NOTES TO AND FORMING PART OF THE FINANCIAL STATEMENTS FORTHE YEAR ENDED 30 JUNE 2007
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39 Aged Care comprises revenue/expenditure fromHome and Community Care (HACC) programs, AlliedHealth, Aged Care Assessment and support services.
Primary Health comprises revenue/expenditure forCommunity Health Services including healthpromotion and counselling, physiotherapy, speechtherapy, podiatry and occupational therapy.
Off Campus, Ambulatory Services (Ambulatory)comprises all recurrent health revenue/expenditure onpublic hospital type services, provided under thefollowing agreements: Services that are provided orreceived by hospitals (or area health services) but aredelivered/ received outside a hospital campus, serviceswhich have moved from a hospital to a communitysetting since June 1998, services which fall within theagreed scope of inclusions under the new system,which have been delivered within hospitals i.e. in rural/ remote areas.
Residential Aged Care including Mental Health(RAC incl. Mental Health) referred to in the past aspsychogeriatric residential services, comprises thoseCommonwealth-licensed residential aged care servicesin receipt of supplementary funding from theDepartment of Human Services under the mentalhealth program. It excludes all other residentialservices funded under the mental health program,such as mental health-funded community care units(CCUs) and secure extended care units (SECs).
Other Services excluded from Australian HealthCare Agreement (AHCA) (Other) comprisesrevenue/expenditure for services not separatelyclassified above, including: Public health servicesincluding Laboratory testing, Blood Borne Viruses/Sexually Transmitted Infections clinical services, Koorisliaison officers, immunisation and screening services,Drugs services including drug withdrawal, counsellingand the needle and syringe program, Dental Healthservices including general and specialist dental care,school dental services and clinical education, Disabilityservices including aids and equipment and flexiblesupport packages to people with a disability,Community Care programs including sexual assaultsupport, early parenting services, parentingassessment and skills development, and varioussupport services. Health and Community Initiativesalso falls in this category group.
NOTES TO AND FORMING PART OF THE FINANCIAL STATEMENTS FORTHE YEAR ENDED 30 JUNE 2007
Defibrillators valued at $110,000 were purchased for the BaseHospital, Queen Elizabeth Centre and Psychiatric Services duringthe year. Tony Sutherland, Intensive Care Unit Director, attends toa patient while Peter McLennan, Intensive Care Unit, watches on.
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40(af) New Accounting Standards and Interpretations
Certain new accounting standards and interpretations have been published that are not mandatory for 30 June2007 reporting period. As at 30 June 2007, the following standards and interpretations had been issued but werenot mandatory for Financial Years ending 30 June 2007. Ballarat Health Services has not and does not intend foradopted these standards early.
STANDARD / SUMMARY APPLICABLE FOR IMPACT ON HEALTH INTERPRETATION REPORTING PERIODS SERVICES' ANNUAL
BEGINNING ON OR STATEMENTSENDING ON
AASB 7 Financial New standard replacing Beginning 1 Jan 2007. AASB 7 is a disclosure standardInstruments: Disclosures disclosure requirements so will have no direct impact
of AASB 132. on the amounts included inthe Ballarat Health Services' financial statements. However,the amendments will result in changes to the financial instrument disclosures includedin the Ballarat Health Services' annual report.
AASB 2005-10, Amendments arising from Beginning 1 Jan 2007. Amendments may resultAmendments to Australian the release in Aug 05 in changes to theAccounting Standards of AASB 7 Financial financial statements.(AASB's 132, 101, 114, Instruments: Disclosures117, 133, 139, 1, 4, 1023& 1038.
AASB 101 Presentation of Removes Australian specific Beginning 1 Jan 2007. Amendments may resultFinancial Statements requirements from AASB in changes to the(revised). 101, including the financial statements.
Australian illustrativeformats of the incomestatement, balance sheet,and the statement ofchanges in equity whichHealth Services were
previously 'encouraged' toadopt in preparing theirfinancial statements.
AASB 2007-1 Amendments Additional paragraphs 1 March 2007. Amendments may resultto Australian Accounting added underneath in changes to theStandards arising from transitional payments. financial statements.AASB Interpretation 22(AASB 2).
NOTES TO AND FORMING PART OF THE FINANCIAL STATEMENTS FORTHE YEAR ENDED 30 JUNE 2007
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41 NOTE 2: REVENUEPARENT
HSA HSA Non HSA Non HSA Total Total2007 2006 2007 2006 2007 2006$000 $000 $000 $000 $000 $000
Revenue from Operating Activities
Recurrent
Government Grants
- Department of Human Services 137,841 131,025 - - 137,841 131,025
- Commonwealth Government
- Residential Aged Care Subsidy 16,563 16,073 - - 16,563 16,073
- Other 6,203 5,647 - - 6,203 5,647
Indirect contributions by Department ofHuman Services
- Insurance 2,462 2,099 - - 2,462 2,099
Patient and Resident Fees - [Note 2(d)] 12,300 12,254 - - 12,300 12,254
Private Practice Fees - - 379 510 379 510
Recoupment from Private Practice for Use ofHospital Facilities - - 165 104 165 104
Donations & Bequests 443 776 - - 443 776
Business Units - - 13,940 13,598 13,940 13,598
Other Services 1,632 1,698 10,404 10,289 12,036 11,987
Sub-Total Revenue from Operating Activities 177,444 169,572 24,888 24,501 202,332 194,073
Revenue from Non-Operating Activities
Interest - - 625 180 625 180
Sub-Total Revenue from Non-Operating - - 625 180 625 180Activities
Revenue from Capital Purpose Income
Government Grants
- Department of Human Services - - 3,864 2,862 3,864 2,862
- Commonwealth Government - - 1,614 1,577 1,614 1,577
Residential Accommodation Payments - - 841 768 841 768
Capital Interest - - 1,903 1,516 1,903 1,516
Donations and Bequests - - 502 116 502 116
Other Capital Purpose Income - - 82 - 82 -
Sub-Total Revenue from Capital Purpose - - 8,806 6,839 8,806 6,839Income
Total Revenue [refer to note 2(a)] 177,444 169,572 34,319 31,520 211,763 201,092
Indirect contributions by Department of Human Services:Department of Human Services makes certain payments on behalf of Ballarat Health Service.These amounts have been brought to account in determining the operating result for the year by recording them as revenue and expenses.
NOTES TO AND FORMING PART OF THE FINANCIAL STATEMENTS FORTHE YEAR ENDED 30 JUNE 2007
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42
CONSOLIDATEDHSA HSA Non HSA Non HSA Total Total
2007 2006 2007 2006 2007 2006$000 $000 $000 $000 $000 $000
137,841 131,025 - - 137,841 131,025
16,563 16,073 - - 16,563 16,073
6,203 5,647 - - 6,203 5,647
2,462 2,099 - - 2,462 2,099
12,300 12,254 - - 12,300 12,254
- - 379 510 379 510
- - 165 104 165 104
544 829 - - 544 829
- - 13,940 13,598 13,940 13,598
1,632 1,698 10,404 10,289 12,036 11,987
177,545 169,625 24,888 24,501 202,433 194,126
- - 687 229 687 229
- - 687 229 687 229
- - 3,864 2,862 3,864 2,862
- - 1,614 1,577 1,614 1,577
- - 841 768 841 768
- - 1,903 1,516 1,903 1,516
- - 502 116 502 116
- - 82 - 82 -
- - 8,806 6,839 8,806 6,839
177,545 169,625 34,381 31,569 211,926 201,194
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43 NOTE 2(a): ANALYSIS OF REVENUE BY SOURCEAdmitted Outpatients EDS Ambulatory Mental RAC incl. Aged Other Consolidated
Patients Health Mental CareHealth
2007 2007 2007 2007 2007 2007 2007 2007 2007$000 $000 $000 $000 $000 $000 $000 $000 $000
Revenue from Services Supportedby Health Service Agreement
Government Grants
- Department of Human Services 74,285 8,900 5,793 13,099 22,717 6,683 3,239 3,124 137,841
- Commonwealth Government
- Residential Aged Care Subsidy - - - - - 16,563 - - 16,563
- Other 1,803 - - 33 83 - 2,715 1,569 6,203
Indirect contributions by Department ofHuman Services
- Insurance 1,327 159 103 234 406 119 58 56 2,462
Patient and Resident Fees - [Note 2(d)] 3,735 115 - 2,019 182 6,060 189 - 12,300
Other 550 144 4 530 101 66 180 57 1,632
Sub-Total Revenue from Services 81,700 9,318 5,901 15,915 23,489 29,491 6,381 4,806 177,001Supported by Health ServicesAgreement
Revenue from Services Supported byHospital and Community Initiatives
Safety Link - - - - - - - 7,122 7,122
Eureka Linen - - - - - - - 2,072 2,072
Catering - - - - - - - 4,745 4,745
Other Services
Radiology - - - - - - - 4,353 4,353
Investment Income - - - - - - - 2,590 2,590
Private Practice Fees - - - - - - - 379 379
Recoupment from Private Practicefor Use of Hospital Facilities - - - - - - - 165 165
Salary Packaging - - - - - - - 1,121 1,121
Accommodation - - - - - - - 389 389
Education Services - - - - - - - 735 735
Diabetic Shop - - - - - - - 201 201
Pharmacuetical Sales - - - - - - - 123 123
Car Parking - - - - - - - 136 136
Print Shop - - - - - - - 200 200
Grampians Intergrated CancerServices (GICS) - - - - - - - 722 722
Residential AccommodationPayments [Note 2(d)] - - - - - - - 841 841
Capital Purpose Income - - - - - - - 6,605 6,605
Other - - - - - - - 2,425 2,425
Sub-Total - - - - - - - 34,925 34,925
Total Revenue All Sources 81,700 9,318 5,901 15,915 23,489 29,491 6,381 39,731 211,926
Indirect contributions by Department of Human Services:Department of Human Services makes certain payments on behalf of Ballarat Health Service.These amounts have been brought to account in determining the operating result for the year by recording them as revenue and expenses.
NOTES TO AND FORMING PART OF THE FINANCIAL STATEMENTS FORTHE YEAR ENDED 30 JUNE 2007
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44NOTE 2(a): ANALYSIS OF REVENUE BY SOURCE (CONTINUED)Admitted Outpatients EDS Ambulatory Mental RAC incl. Aged Other Consolidated
Patients Health Mental CareHealth
2006 2006 2006 2006 2006 2006 2006 2006 2006$000 $000 $000 $000 $000 $000 $000 $000 $000
Revenue from Services Supportedby Health Service Agreement
Government Grants
- Department of Human Services 70,973 8,595 5,542 14,223 20,869 5,152 3,123 2,548 131,025
- Commonwealth Government
- Residential Aged Care Subsidy - - - - - 16,073 - - 16,073
- Other 1,403 - - - 121 - 2,627 1,496 5,647
Indirect contributions by Department ofHuman Services
- Insurance 1,137 138 89 228 334 83 50 41 2,099
Patient and Resident Fees - [Note 2(d)] 4,119 100 - 1,775 178 5,867 215 - 12,254
Other 483 167 - 571 140 78 206 53 1,698
Sub-Total Revenue from Services 78,115 9,000 5,631 16,797 21,642 27,253 6,221 4,138 168,796Supported by Health ServicesAgreement
Revenue from Services Supportedby Hospital and Community Initiatives
Safety Link - - - - - - - 6,250 6,250
Eureka Linen - - - - - - - 2,740 2,740
Catering - - - - - - - 4,608 4,608
Other ServicesRadiology - - - - - - - 4,236 4,236
Investment Income - - - - - - - 1,745 1,745
Private Practice Fees - - - - - - - 510 510
Recoupment from Private Practicefor Use of Hospital Facilities - - - - - - - 104 104
Salary Packaging - - - - - - - 1,008 1,008
Accommodation - - - - - - - 732 732
Education Services - - - - - - - 693 693
Diabetic Shop - - - - - - - 196 196
Pharmacuetical Sales - - - - - - - 259 259
Car Parking - - - - - - - 153 153
Print Shop - - - - - - - 211 211
Grampians Intergrated CancerServices (GICS) - - - - - - - 625 625
Residential AccommodationPayments [Note 2(d)] - - - - - - - 768 768
Capital Purpose Income - - - - - - - 5,384 5,384
Other - - - - - - - 2,176 2,176
Sub-Total - - - - - - - 32,398 32,398
Total Revenue All Sources 78,115 9,000 5,631 16,797 21,642 27,253 6,221 36,536 201,194
Indirect contributions by Department of Human Services:Department of Human Services makes certain payments on behalf of Ballarat Health Service.These amounts have been brought to account in determining the operating result for the year by recording them as revenue and expenses.
NOTES TO AND FORMING PART OF THE FINANCIAL STATEMENTS FORTHE YEAR ENDED 30 JUNE 2007
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45
NOTES TO AND FORMING PART OF THE FINANCIAL STATEMENTS FORTHE YEAR ENDED 30 JUNE 2007
NOTE 2(b): EXPENSESPARENT
HSA HSA Non HSA Non HSA Total Total2007 2006 2007 2006 2007 2006$000 $000 $000 $000 $000 $000
Services Supported by Health ServiceAgreement
Employee Entitlements
Salaries and Wages 121,875 116,256 - - 121,875 116,256
Workcover 2,476 2,560 - - 2,476 2,560
Superannuation 11,802 11,156 - - 11,802 11,156
Long Service Leave 2,360 2,079 - - 2,360 2,079
Departure Packages 211 391 - - 211 391
Non Salary Labour Costs
Agency Costs Other 953 645 - - 953 645
Supplies and Consumables
Drug Supplies 4,500 4,153 - - 4,500 4,153
S100 Drugs 1,758 1,404 - - 1,758 1,404
Medical and Surgical Supplies 7,556 7,014 - - 7,556 7,014
Food Supplies 2,281 2,210 - - 2,281 2,210
Other Expenses
Purchased Services 8,939 8,557 - - 8,939 8,557
Energy Costs 2,148 2,095 - - 2,148 2,095
Domestic Services 1,605 1,561 - - 1,605 1,561
Repairs and Maintenance/Minor Equipment 4,251 4,902 - - 4,251 4,902
Patient Transport 661 633 - - 661 633
Administrative Expenses 5,900 5,717 - - 5,900 5,717
Insurance Costs funded by DHS 2,462 2,099 - - 2,462 2,099
Sub-Total Expenses from Services Supported 181,738 173,432 - - 181,738 173,432 by Health Services Agreement
Services Supported by Hospital andCommunity Initiatives
Employee EntitlementsSalaries and Wages - - 9,650 8,682 9,650 8,682
Workcover - - 350 225 350 225
Superannuation - - 930 840 930 840
Long Service Leave - - 171 154 171 154
Departure Packages - - 66 185 66 185
Non Salary Labour Costs
Agency Costs Other - - 227 452 227 452
Supplies and Consumables
Medical and Surgical Supplies - - 632 669 632 669
Food Supplies - - 1,655 1,606 1,655 1,606
Other Expenses
Purchased Services - - 1,894 1,643 1,894 1,643
Energy Costs - - 128 178 128 178
Domestic Services - - 235 235 235 235
Repairs and Maintenance/Minor Equipment - - 1,012 1,348 1,012 1,348
Safety Link Units - - 1,215 870 1,215 870
Administrative Expenses - - 2,679 2,747 2,679 2,747
Sub-Total - - 20,844 19,834 20,844 19,834
Depreciation [Note 3] - - 8,954 8,157 8,954 8,157
Audit Fees
Auditor General - - 63 61 63 61
Other - - 155 60 155 60
Interest and Other Finance Charges [Note 4] - - 8 45 8 45
Net Gain/(Loss) from Disposal of Non Current Asset - - 538 570 538 570
Other - - 408 124 408 124
Total Expenses from Ordinary Activities 181,738 173,432 30,970 28,851 212,708 202,283
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CONSOLIDATEDHSA HSA Non HSA Non HSA Total Total
2007 2006 2007 2006 2007 2006$000 $000 $000 $000 $000 $000
121,875 116,256 - - 121,875 116,256
2,476 2,560 - - 2,476 2,560
11,802 11,156 - - 11,802 11,156
2,360 2,079 - - 2,360 2,079
211 391 - - 211 391
953 645 - - 953 645
4,500 4,153 - - 4,500 4,153
1,758 1,404 - - 1,758 1,404
7,556 7,014 - - 7,556 7,014
2,281 2,210 - - 2,281 2,210
8,939 8,557 - - 8,939 8,557
2,148 2,095 - - 2,148 2,095
1,605 1,561 - - 1,605 1,561
4,251 4,902 - - 4,251 4,902
661 633 - - 661 633
5,900 5,717 - - 5,900 5,717
2,462 2,099 - - 2,462 2,099
181,738 173,432 - - 181,738 173,432
- - 9,650 8,682 9,650 8,682
- - 350 225 350 225
- - 930 840 930 840
- - 171 154 171 154
- - 66 185 66 185
- - 227 452 227 452
- - 632 669 632 669
- - 1,655 1,606 1,655 1,606
- - 1,930 1,692 1,930 1,692
- - 128 178 128 178
- - 235 235 235 235
- - 1,012 1,348 1,012 1,348
- - 1,215 870 1,215 870
- - 2,679 2,747 2,679 2,747
- - 20,880 19,883 20,880 19,883
- - 8,954 8,157 8,954 8,157
- - 63 61 63 61
- - 155 60 155 60
- - 8 45 8 45
- - 538 570 538 570
- - 408 124 408 124
181,738 173,432 31,006 28,900 212,744 202,332
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47 NOTE 2(c): ANALYSIS OF EXPENSES BY SOURCEAdmitted Outpatients EDS Ambulatory Mental RAC incl. Aged Other Consolidated
Patients Health Mental CareHealth
2007 2007 2007 2007 2007 2007 2007 2007 2007$000 $000 $000 $000 $000 $000 $000 $000 $000
Services Supported byHealth Service Agreement
Employee Entitlements
Salaries and Wages 51,855 6,545 6,072 12,162 17,722 23,161 2,700 1,658 121,875
Workcover 955 61 138 254 318 639 70 41 2,476
Superannuation 5,012 594 612 1,152 1,721 2,282 240 189 11,802
Long Service Leave 994 145 109 253 338 436 46 39 2,360
Departure Packages - - - - 64 85 - 62 211
Non Salary Labour Costs
Agency Costs Other 568 - 3 2 61 145 - 174 953
Supplies and Consumables
Drug Supplies 3,552 - 521 176 211 40 - - 4,500
S100 Drugs 1,703 - - - 55 - - - 1,758
Medical and Surgical Supplies 5,017 160 329 582 108 365 19 976 7,556
Food Supplies 673 135 24 362 247 748 53 39 2,281
Other Expenses
Purchased Services 2,406 326 1,081 793 265 164 2,215 1,689 8,939
Energy Costs 1,544 60 - 50 76 395 11 12 2,148
Domestic Services 659 176 20 190 134 379 26 21 1,605
Repairs and Maintenance/Minor Equipment 1,637 783 9 695 513 402 108 104 4,251
Patient Transport 288 6 168 94 23 10 68 4 661
Administrative Expenses 2,087 814 27 802 1,197 662 127 184 5,900
Insurance Costs funded by DHS 1,048 132 123 246 358 468 55 33 2,462
Sub-Total Expenses from Services 79,998 9,937 9,236 17,813 23,411 30,381 5,738 5,225 181,738 Supported by Health ServicesAgreement
Services Supported by Hospital andCommunity Initiatives
Employee Entitlements
Salaries and Wages - - - - - - - 9,650 9,650
Workcover - - - - - - - 350 350
Superannuation - - - - - - - 930 930
Long Service Leave - - - - - - - 171 171
Departure Packages - - - - - - - 66 66
Non Salary Labour Costs
Agency Costs Other - - - - - - - 227 227
Supplies and Consumables
Medical and Surgical Supplies - - - - - - - 632 632
Food Supplies - - - - - - - 1,655 1,655
Other Expenses
Purchased Services - - - - - - - 1,930 1,930
Energy Costs - - - - - - - 128 128
Domestic Services - - - - - - - 235 235
Repairs and Maintenance/Minor Equipment - - - - - - - 1,012 1,012
Safety Link Units - - - - - - - 1,215 1,215
Administrative Expenses - - - - - - - 2,679 2,679
Sub-Total - - - - - - - 20,880 20,880
Depreciation [Note 3] 2,416 276 175 471 412 2,331 899 1,975 8,954
Audit Fees
Auditor General 28 3 3 6 8 11 2 2 63
Other 68 8 8 15 20 26 5 4 155
Interest and Other Finance Charges [Note 4] - - - - - - - 8 8
Net Loss from Disposal of Non Current Asset - - - - - - - 538 538
Other - - - - - - - 408 408
Total Expenses from Ordinary Activities 82,510 10,225 9,421 18,305 23,851 32,748 6,643 29,041 212,744
NOTES TO AND FORMING PART OF THE FINANCIAL STATEMENTS FORTHE YEAR ENDED 30 JUNE 2007
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48NOTE 2(c): ANALYSIS OF EXPENSES BY SOURCE (CONTINUED)Admitted Outpatients EDS Ambulatory Mental RAC incl. Aged Other Consolidated
Patients Health Mental CareHealth
2006 2006 2006 2006 2006 2006 2006 2006 2006$000 $000 $000 $000 $000 $000 $000 $000 $000
Services Supported byHealth Service Agreement
Employee Entitlements
Salaries and Wages 50,788 5,840 5,349 11,755 16,590 22,117 2,497 1,320 116,256
Workcover 972 85 118 277 346 658 63 41 2,560
Superannuation 4,679 562 537 1,146 1,650 2,193 215 174 11,156
Long Service Leave 889 103 99 211 303 403 39 32 2,079
Departure Packages - - - - 239 74 - 78 391
Non Salary Labour Costs
Agency Costs Other 163 - 2 - 89 161 - 230 645
Supplies and Consumables
Drug Supplies 3,279 - 480 162 195 37 - - 4,153
S100 Drugs 1,360 - - - 44 - - - 1,404
Medical and Surgical Supplies 5,137 123 294 515 54 351 12 528 7,014
Food Supplies 637 131 23 351 255 725 51 37 2,210
Other Expenses
Purchased Services 2,122 303 1,035 944 162 169 2,242 1,580 8,557
Energy Costs 1,316 90 - 121 75 454 26 13 2,095
Domestic Services 693 168 24 188 98 345 26 19 1,561
Repairs and Maintenance/Minor Equipment 2,228 868 25 787 402 478 82 32 4,902
Patient Transport 295 7 131 98 21 10 67 4 633
Administrative Expenses 2,237 765 41 770 999 600 100 205 5,717
Insurance Costs funded by DHS 898 29 119 225 308 421 55 44 2,099
Sub-Total Expenses from Services 77,693 9,074 8,277 17,550 21,830 29,196 5,475 4,337 173,432 Supported by Health ServicesAgreement
Services Supported by Hospital andCommunity Initiatives
Employee Entitlements
Salaries and Wages - - - - - - - 8,682 8,682
Workcover - - - - - - - 225 225
Superannuation - - - - - - - 840 840
Long Service Leave - - - - - - - 154 154
Departure Packages - - - - - - - 185 185
Non Salary Labour Costs
Agency Costs Other - - - - - - - 452 452
Supplies and Consumables
Medical and Surgical Supplies - - - - - - - 669 669
Food Supplies - - - - - - - 1,606 1,606
Other Expenses
Purchased Services - - - - - - - 1,692 1,692
Energy Costs - - - - - - - 178 178
Domestic Services - - - - - - - 235 235
Repairs and Maintenance/Minor Equipment - - - - - - - 1,348 1,348
Safety Link Units - - - - - - - 870 870
Administrative Expenses - - - - - - - 2,747 2,747
Sub-Total - - - - - - - 19,883 19,883
Depreciation [Note 3] 2,157 249 155 464 349 2,088 877 1,818 8,157
Audit Fees
Auditor General 29 3 2 6 7 10 2 2 61
Other 28 3 2 6 7 10 2 2 60
Interest and Other Finance Charges [Note 4] - - - - - - - 45 45
Net Gain/(Loss) from Disposal ofNon Current Asset - - - - - - - 570 570
Other - - - - - - - 124 124
Total Expenses from Ordinary Activities 79,906 9,329 8,437 18,026 22,193 31,304 6,356 26,781 202,332
NOTES TO AND FORMING PART OF THE FINANCIAL STATEMENTS FORTHE YEAR ENDED 30 JUNE 2007
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49 NOTE 2(d): PATIENT AND RESIDENT FEESParent Entity Parent Entity Consolidated Consolidated
2007 2006 2007 2006$000 $000 $000 $000
Patient and Resident Fees Raised
Acute
Inpatients 5,754 5,894 5,754 5,894
Outpatients 115 100 115 100
Residential Aged Care
Geriatric 5,841 5,657 5,841 5,657
Psychogeriatric 219 210 219 210
Mental Health 182 178 182 178
Aged Care 189 214 189 214
Total 12,300 12,253 12,300 12,253
Capital Purpose
Residential Accommodation Payments 841 768 841 768
Total Capital 841 768 841 768
Ballarat Health Services charge fees in accordance with Department of Human Services directives.
NOTE 2(e): NET GAIN/(LOSS) ON DISPOSAL OF NON CURRENT ASSETSParent Entity Parent Entity Consolidated Consolidated
2007 2006 2007 2006$000 $000 $000 $000
Proceeds from Disposal of Non-Current Assets
Motor Vehicles 2,760 2,799 2,760 2,799
Buildings - 176 - 176
Total Proceeds from Disposal of Non-Current Assets 2,760 2,975 2,760 2,975
Less: Written Down Value of Non-Current Assets Sold
Plant and Equipment 67 204 67 204
Medical Equipment - 208 - 208
Motor Vehicles 3,231 3,133 3,231 3,133
Total Written Down Value of Non-Current Assets Sold 3,298 3,545 3,298 3,545
Net Gain/(Loss) on Disposal of Non-Current Assets (538) (570) (538) (570)
NOTES TO AND FORMING PART OF THE FINANCIAL STATEMENTS FORTHE YEAR ENDED 30 JUNE 2007
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50NOTE 2(f): ANALYSIS OF EXPENSE FOR SERVICES SUPPORTED BYHOSPITAL AND COMMUNITY INITIATIVES
Parent Entity Parent Entity Consolidated Consolidated2007 2006 2007 2006$000 $000 $000 $000
Business Units
Safety Link 4,995 4,449 4,995 4,449
Catering 3,553 3,454 3,553 3,454
Eureka Linen 1,113 1,184 1,113 1,184
9,661 9,087 9,661 9,087
Other Services
Radiology 4,839 4,330 4,839 4,330
Education Services 1,068 798 1,068 798
Grampians Intergrated Cancer Services (GICS) 590 249 590 249
Private Practice 542 395 542 395
Accommodation 372 314 372 314
Diabetic Shop 294 292 294 292
Salary Packaging 208 225 208 225
Print Shop 176 158 176 158
QEACS 130 155 130 155
Car Parking 9 3 9 3
Other 2,955 3,827 2,991 3,876
11,183 10,747 11,219 10,796
Total 20,844 19,834 20,880 19,883
NOTE 3: DEPRECIATION AND AMORTISATIONParent Entity Parent Entity Consolidated Consolidated
2007 2006 2007 2006$000 $000 $000 $000
Buildings 3,018 2,974 3,018 2,974
Plant and Equipment
- Intangibles 337 - 337 -
- Plant 4,602 3,885 4,602 3,885
- Transport 718 742 718 742
Linen Stock 279 556 279 556
Total 8,954 8,157 8,954 8,157
NOTE 4: FINANCE COSTSParent Entity Parent Entity Consolidated Consolidated
2007 2006 2007 2006$000 $000 $000 $000
Interest on Hire Purchase Agreements 8 45 8 45
Total 8 45 8 45
NOTE 5: CASH AND CASH EQUIVALENTSParent Entity Parent Entity Consolidated Consolidated
2007 2006 2007 2006$000 $000 $000 $000
Cash and cash at bank(1) 2,834 3,456 2,961 3,502
Total 2,834 3,456 2,961 3,502
(1) Cash on hand includes cash at bank and petty cash advances.
NOTES TO AND FORMING PART OF THE FINANCIAL STATEMENTS FORTHE YEAR ENDED 30 JUNE 2007
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51 NOTE 6: RECEIVABLESCurrent Non Parent Parent Consolidated Consolidated
Current Entity Entity2007 2006 2007 2006
$000 $000 $000 $000 $000 $000
Trade Debtors
- Acute Inpatients 854 - 854 1,011 854 1,011
- Aged and Psychiatric Services 701 - 701 443 701 443
- Other 117 - 117 38 117 78
- Eureka Linen 326 - 326 307 326 307
- Sundry 2,469 - 2,469 3,521 2,469 3,521
Accrued Investment Income 325 - 325 87 325 87
Department of Human Services 754 1,683 2,437 3,712 2,437 3,712
Total 5,546 1,683 7,229 9,119 7,229 9,159
Less: Provision for Doubtful Debts
Trade Debtors 29 - 29 21 29 21
Patient Fees 143 - 143 93 143 93
Net Debtors and Accrued Revenue 5,374 1,683 7,057 9,005 7,057 9,045
NOTE 7: OTHER FINANCIAL ASSETSSpecific Specific Trust Trust Capital Capital Parent Parent Consolidated ConsolidatedPurpose Purpose Fund Fund Fund Fund Entity Entity
Fund Fund2007 2006 2007 2006 2007 2006 2007 2006 2007 2006$000 $000 $000 $000 $000 $000 $000 $000 $000 $000
Current
Treasury Bills 2,326 864 11,867 8,359 - - 14,193 9,223 14,193 9,223
2,326 864 11,867 8,359 - - 14,193 9,223 14,193 9,223
Non Current
Treasury Bills 2,814 1,000 8,199 9,000 - - 11,013 10,000 11,915 10,816
Radiotherapy Joint Venture - - - - 929 965 929 965 929 965
2,814 1,000 8,199 9,000 929 965 11,942 10,965 12,844 11,781
Total 5,140 1,864 20,066 17,359 929 965 26,135 20,188 27,037 21,004
Represented by:
Health Service Investments 5,140 1,864 - - 929 965 6,069 2,829 6,069 2,829
Monies held in Trust
- Patient Monies - - 748 708 - - 748 708 748 708
- Accommodation Bonds - - 17,974 15,770 - - 17,974 15,770 17,974 15,770
- Regional IT Alliance - - 1,080 881 - - 1,080 881 1,080 881
- GICS - - 264 - - - 264 - 264 -
BHS Foundation - - - - - - - - 902 816
5,140 1,864 20,066 17,359 929 965 26,135 20,188 27,037 21,004
NOTES TO AND FORMING PART OF THE FINANCIAL STATEMENTS FORTHE YEAR ENDED 30 JUNE 2007
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52NOTE 8: INVENTORYParent Entity Parent Entity Consolidated Consolidated
2007 2006 2007 2006$000 $000 $000 $000
General - at cost 631 553 631 553
Pharmaceuticals - at cost 366 327 366 327
Safety Link - at cost 87 186 87 186
Total 1,084 1,066 1,084 1,066
NOTE 9: PREPAYMENTSParent Entity Parent Entity Consolidated Consolidated
2007 2006 2007 2006$000 $000 $000 $000
Current
Prepayments 766 880 766 880
766 880 766 880
Non-Current
Prepayments - 7 - 7
- 7 - 7
Total 766 887 766 887
NOTES TO AND FORMING PART OF THE FINANCIAL STATEMENTS FORTHE YEAR ENDED 30 JUNE 2007
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53 NOTE 10(a): PROPERTY, PLANT & EQUIPMENTParent Parent Consolidated Consolidated
Gross Accumul. Written Written Written WrittenCost/ Dep'n Down Down Down Down
Valuation Value Value Value Value2007 2007 2007 2006 2007 2006$000 $000 $000 $000 $000 $000
At Cost
Land 335 - 335 185 335 185
Buildings 3,740 32 3,708 705 3,708 705
Work in Progress 2,182 - 2,182 3,580 2,182 3,580
Plant and Equipment 11,798 4,786 7,012 6,173 7,013 6,174
Medical Equipment 16,141 10,106 6,035 6,125 6,035 6,125
Information Technology 6,599 4,977 1,622 2,079 1,622 2,079
Furniture & Fittings 1,372 88 1,284 482 1,284 482
Kitchen & Catering 2,330 1,174 1,156 814 1,156 814
PACS 9,904 5,244 4,660 3,527 4,660 3,527
Linen Stock 1,652 834 818 844 818 844
Motor Vehicles 4,837 995 3,842 4,164 3,842 4,164
Total 60,890 28,236 32,654 28,678 32,655 28,679
At Valuation
Land 13,365 - 13,365 13,365 13,365 13,365
Buildings 148,603 5,960 142,643 145,631 142,643 145,631
Total 161,968 5,960 156,008 158,996 156,008 158,996
Total Fixed Assets 222,858 34,196 188,662 187,674 188,663 187,675
Land and Buildings were revalued as at June 30th, 2005. The basis of the valuation for buildings is depreciated replacement costand land is valued at current market value. The valuation was completed by Mr Shane Irwin of the Landlink Property Group, who isa Certified Practicing Valuer and an Associate of the Australian Property Institute. Operating Linen in circulation was calculated andverified, resulting in a linen stock write-off of $65K in 2006-2007.
Reconciliations of the carrying amounts of each class of land, buildings, plant and equipment at the beginning and end of thecurrent and previous Financial Year are set out below.
Land Buildings Plant & Medical Information Furniture & Kitchen && Work in Equipment Equipment Technology Fittings Catering
Progress$000 $000 $000 $000 $000 $000 $000
2007
Carrying amount at start of year 13,550 149,916 6,174 6,125 2,079 482 814
Additions 150 1,635 1,620 1,085 710 863 525
Revaluations - - - - - - -
Disposals - - - - 2 - -
Depreciation expense - 3,018 781 1,176 1,165 62 183
Carrying amount at end of year 13,700 148,533 7,013 6,034 1,622 1,283 1,156
2006
Carrying amount at start of year 13,365 150,057 6,086 6,671 570 - 975
Additions 335 2,888 843 627 2,425 509 3
Revaluations - - - - - - -
Disposals 150 55 - - - - -
Depreciation expense - 2,974 755 1,173 916 27 164
Carrying amount at end of year 13,550 149,916 6,174 6,125 2,079 482 814
NOTES TO AND FORMING PART OF THE FINANCIAL STATEMENTS FORTHE YEAR ENDED 30 JUNE 2007
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54
PACS Linen Stock Motor TotalVehicles
$000 $000 $000 $000
3,527 844 4,164 187,675
2,368 318 3,629 12,903
- - - -
- 65 3,231 3,298
1,235 279 718 8,617
4,660 818 3,844 188,663
2,407 1,304 4,353 185,788
1,970 308 3,681 13,589
- - - -
- 212 3,128 3,545
850 556 742 8,157
3,527 844 4,164 187,675
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55 NOTE 10(b): INTANGIBLE ASSETSParent Entity Parent Entity Consolidated Consolidated
2007 2006 2007 2006$000 $000 $000 $000
Computer Software 1,066 982 1,066 982
Less: Accummulated Amortisation 337 - 337 -
729 982 729 982
NOTE 11: PAYABLESParent Entity Parent Entity Consolidated Consolidated
2007 2006 2007 2006$000 $000 $000 $000
Trade Creditors and Accrued Expenses 8,841 8,092 8,841 8,092
Salary Packaging Held in Trust 558 493 558 493
GST Payable 952 1,096 952 1,096
Total 10,351 9,681 10,351 9,681
NOTE 12: INTEREST BEARING LIABILITIESCurrent Non Parent Parent Consolidated Consolidated
Current Entity Entity2007 2006 2007 2006
$000 $000 $000 $000 $000 $000
Hire Purchase Agreements - - - 379 - 379
Total - - - 379 - 379
Hire purchase borrowings are secured against the assets financed.
NOTE 13: EMPLOYEE BENEFITSParent Entity Parent Entity Consolidated Consolidated
2007 2006 2007 2006$000 $000 $000 $000
Current
Unconditional Long Service Leave 13,868 13,556 13,868 13,556
Accrued Wages and Salaries 4,303 3,274 4,303 3,274
Accrued Leave 11,443 10,115 11,443 10,115
Accrued Days Off 388 358 388 358
Total 30,002 27,303 30,002 27,303
Non-Current
Conditional Long Service Leave 4,792 5,132 4,792 5,132
Total 4,792 5,132 4,792 5,132
Movement in Long Service Leave:
Balance July 1 18,688 16,869 18,688 16,869
Provision made during the year 2,739 4,359 2,739 4,359
Settlement made during the year (2,767) (2,540) (2,767) (2,540)
Balance June 30 18,660 18,688 18,660 18,688
Provision for Long Service Leave in accordance with AASB 101: Presentation of Financial Statements, Provision for Long Service Leave isconsidered a current liability in respect to employees who have met the required qualification period, and therefore Ballarat Health Servicedoes not have an unconditional right to defer settlement of the liability for at least twelve months after the balance date.Refer Note 1(n) for details.
The Long Service Leave settlement to be made in the 2007/08 Financial Year is expected to be consistent with prior years($2,767,000 2006/07 $2,540,000 2005/06).
NOTES TO AND FORMING PART OF THE FINANCIAL STATEMENTS FORTHE YEAR ENDED 30 JUNE 2007
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56NOTE 14: OTHER LIABILITIESParent Entity Parent Entity Consolidated Consolidated
2007 2006 2007 2006$000 $000 $000 $000
Current
Resident Monies Held in Trust 748 708 748 708
Regional Information Technology Alliance 400 300 400 300
Refundable Accommodation Bonds 17,974 15,770 17,974 15,770
Grampians Intergrated Cancer Service (GICS) 264 - 264 -
DHS Equipment Loan 38 - 38 -
19,424 16,778 19,424 16,778
Non-Current
Regional Information Technology Alliance 516 1,116 516 1,116
DHS Equipment Loan 126 - 126 -
642 1,116 642 1,116
Total 20,066 17,894 20,066 17,894
Represented by:
Cash Deposit Account - 535 - 535
Other Financial Assets 20,066 17,359 20,066 17,359
Total 20,066 17,894 20,066 17,894
Regional Information Technology Alliance Trustmovements:
Opening Balance 1,416 1,893 1,416 1,893
Grant Income received 987 1,072 987 1,072
Salaries and Wages and other related expenditure (1,487) (1,549) (1,487) (1,549)
Closing Balance 916 1,416 916 1,416
NOTES TO AND FORMING PART OF THE FINANCIAL STATEMENTS FORTHE YEAR ENDED 30 JUNE 2007
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57 NOTE 15: EQUITY AND RESERVESParent Entity Parent Entity Consolidated Consolidated
2007 2006 2007 2006Note $000 $000 $000 $000
(a) Reserves
Asset Revaluation Reserve(1)
Balance at the beginning of the reporting period 16,994 16,994 16,994 16,994
Revaluation Increments/(Decrements)
- Investments 132 - 132 -
Balance at the end of the reporting period 17,126 16,994 17,126 16,994
Represented by:
Land 6,815 6,815 6,815 6,815
Buildings 10,179 10,179 10,179 10,179
Investments 132 - 132 -
17,126 16,994 17,126 16,994
Specific Purpose Reserve
Balance at the beginning of the reporting period 22,608 15,674 22,608 15,674
Transfer from accumulated surplus (5,808) 6,934 (5,808) 6,934
Balance at the end of the reporting period 16 16,800 22,608 16,800 22,608
Total Reserves 33,926 39,602 33,926 39,602
(b) Contributed Capital
Balance at the beginning of the reporting period 147,914 147,914 147,914 147,914
Balance at the end of the reporting period 147,914 147,914 147,914 147,914
(c) Accumulated Surpluses/(Deficits)
Balance at the beginning of the reporting period (24,647) (16,522) (23,744) (15,672)
Net Result for the Year (945) (1,191) (818) (1,138)
Transfer to and from Reserve 5,808 (6,934) 5,808 (6,934)
Balance at the end of the reporting period (19,784) (24,647) (18,754) (23,744)
(d) Total Equity at the end of the Financial Year
Total Equity at the beginning of the reporting period 162,869 164,060 163,772 164,910
Total Changes in Equity Recognised in the Statement ofFinancial Performance (813) (1,191) (686) (1,138)
Total Equity at the end of the reporting period 162,056 162,869 163,086 163,772
(1) The land, building and investment assets revaluation reserve arises on the revaluation of land, buildings and investments.
NOTES TO AND FORMING PART OF THE FINANCIAL STATEMENTS FORTHE YEAR ENDED 30 JUNE 2007
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58NOTE 16: SPECIFIC PURPOSE RESERVEParent Entity Parent Entity Consolidated Consolidated
2007 2006 2007 2006$000 $000 $000 $000
Building & Equipment Fund 10,013 12,180 10,013 12,180
Hostel Development 5,951 7,323 5,951 7,323
Ward Funds 483 856 483 856
Other 292 1,698 292 1,698
Clinical Services 61 550 61 550
Total 16,800 22,608 16,800 22,608
The above Reserves are internally managed Special Purpose Funds, which are used to quarantine Capital income such as Donations, CapitalGrants and Interest Revenue. Once quarantined, this income is used to fund Capital Projects, Refurbishments, Equipment and Education.
NOTE 17: RECONCILIATION OF NET RESULTS FOR THE YEAR TO NET CASHINFLOW/(OUTFLOW) FROM OPERATING ACTIVITIES
Parent Entity Parent Entity Consolidated Consolidated2007 2006 2007 2006
Note $000 $000 $000 $000
Entity Deficit for the Year (945) (1,191) (818) (1,138)
Non Operating Cash Movements
Net (Gain)/Loss on Sale of Fixed Assets 2(e) 538 570 538 570
Interest on Borrowings 8 45 8 45
Non Cash Movements
Depreciation and Amortisation 8,954 8,157 8,954 8,157
Increase/(Decrease) in Payables 670 2,648 670 2,648
Increase/(Decrease) in Employee Entitlements 2,359 2,208 2,359 2,208
(Increase)/Decrease in Inventory (18) 158 (18) 158
(Increase)/Decrease in Prepayments 121 (244) 121 (244)
(Increase)/Decrease in Receivables 1,948 685 1,988 678
Net Cash Inflows from Operating Activities 13,635 13,036 13,802 13,082
NOTES TO AND FORMING PART OF THE FINANCIAL STATEMENTS FORTHE YEAR ENDED 30 JUNE 2007
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59 NOTE 18: FINANCIAL INSTRUMENTS(a) Risk management policiesManagement of Ballarat Health Services investments are governed by applicable Board policies on Investment Managementand Risk Management. These policies are reviewed on an annual basis and are adjusted accordingly, to ensure thatappropriate risk management principles are in place for the proper management of financial instruments.
(b) Significant accounting policiesFinancial assets are recognised and derecognised on trade date, where purchase or sale of an investment is under acontract whose terms require delivery of the investment within the timeframe established by the market concerned, andare initially measured at fair value, net of transaction costs. Other financial assets are classified between current and noncurrent assets, based on the Board of Management's intention at balance date with respect to the timing of disposal ofeach asset.
Dividend revenue is recognised on a receivable basis. Interest revenue is recognised on a time proportionate basis that takesinto account the effective yield on the financial asset.
(c) Credit risk exposureAll investments are governed by an Investment Policy which details the level of counter-party risk that is acceptable toBallarat Health Services. All such investments are rated by independent rating agencies, and are classified as havingadequate capacities to pay. Ballarat Health Services does not consider that it is materially exposed to any individual debtor.Credit risk represents the loss that would be recognised if counterparties fail to meet their obligations under the respectivecontracts at maturity. The credit risk on financial assets of the entity have been recognised on the Balance Sheet, as thecarrying amount, net any provisions for doubtful debts.
INTEREST RATE EXPOSURE AS AT 30/06/2007Floating Fixed Interest Maturing in: Non-interest ConsolidatedInterest bearing
Rate 1 year 1 toor less 10 years
$000 $000 $000 $000 $000
Financial Assets
Cash and Cash Equivalents 2,961 - - - 2,961
Receivables - - - 7,057 7,057
Other Financial Assets(1) 23,390 - 2,718 929 27,037
26,351 - 2,718 7,986 37,055
Weighted Average Interest Rate 6.46% n/a 7.25% n/a n/a
Financial Liabilities
Creditors - - - 10,351 10,351
Accommodation Bonds - - - 17,974 17,974
Monies Held in Trust - - - 1,928 1,928
DHS Equipment Loan - - - 164 164
- - - 30,417 30,417
Weighted Average Interest Rate n/a n/a n/a n/a n/a
(1) BHS buys and sells investment funds to match short and long term cash needs.
NOTES TO AND FORMING PART OF THE FINANCIAL STATEMENTS FORTHE YEAR ENDED 30 JUNE 2007
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60INTEREST RATE EXPOSURE AS AT 30/06/2006Floating Fixed Interest Maturing in: Non-interest ConsolidatedInterest bearing
Rate 1 year 1 toor less 10 years
$000 $000 $000 $000 $000
Financial Assets
Cash and Cash Equivalents 3,502 - - - 3,502
Receivables - - - 9,045 9,045
Other Financial Assets(1) 17,198 116 2,724 965 21,004
20,700 116 2,724 10,010 33,551
Weighted Average Interest Rate 6.75% 5.70% 7.25% n/a n/a
Financial Liabilities
Creditors - - - 9,681 9,681
Accommodation Bonds - - - 15,770 15,770
Monies Held in Trust - - - 2,124 2,124
Other Borrowings - 379 - - 379
- 379 - 27,575 27,954
Weighted Average Interest Rate n/a 6.29% n/a n/a n/a
Parent Entity Parent Entity Consolidated Consolidated2007 2006 2007 2006$000 $000 $000 $000
Financial Assets
Cash and Cash Equivalents 2,961 3,502 2,961 3,502
Receivables 7,057 9,045 7,057 9,045
Other Financial Assets(1) 26,007 20,101 27,037 21,004
36,025 32,648 37,055 33,551
Financial Liabilities
Creditors 10,351 9,681 10,351 9,681
Accommodation Bonds 17,974 15,770 17,974 15,770
Monies Held in Trust 1,928 2,124 1,928 2,124
DHS Equipment Loan 164 - 164 -
Other Borrowings - 379 - 379
30,417 27,954 30,417 27,954
(d) Fair Value of Financial Assets and Liabilities
The carrying amount of financial assets and liabilities contained within these financial statements is representative of the fair value of eachfinancial asset or liability.
(1) BHS buys and sells investment funds to match short and long term cash needs.
The following table details the fair value of financial assets and financial liabilities.
NOTES TO AND FORMING PART OF THE FINANCIAL STATEMENTS FORTHE YEAR ENDED 30 JUNE 2007
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61
NOTES TO AND FORMING PART OF THE FINANCIAL STATEMENTS FORTHE YEAR ENDED 30 JUNE 2007
NOTE 19: COMMITMENTSParent Entity Parent Entity Consolidated Consolidated
2007 2006 2007 2006$000 $000 $000 $000
Capital Expenditure Commitments
Land and Buildings 3,694 576 3,694 576
Transport 75 - 75 -
Total 3,769 576 3,769 576
Operating Expenditure Commitments
Medical Equipment - 103 - 103
Total - 103 - 103
Represented as:
Not later than 1 year 3,769 671 3,769 671
Later than 1 year and not later than 5 years - 8 - 8
3,769 679 3,769 679
NOTE 20: SEGMENT REPORTINGAcute Care Acute Care Business Business RAC RAC
Units Units2007 2006 2007 2006 2007 2006$000 $000 $000 $000 $000 $000
Revenue
External Segment Revenue 112,770 109,476 32,234 30,600 29,491 27,253
Total Revenue 112,770 109,476 32,234 30,600 29,491 27,253
Result
Segment Result (7,690) (6,222) 8,463 8,251 (3,257) (4,051)
Net Result from Ordinary Activites (7,690) (6,222) 8,463 8,251 (3,257) (4,051)
Interest Expense - - 8 45 - -
Interest Income 683 305 275 184 1,290 1,051
Share of Net Result of 64 66 - - - -
Associates & Joint Ventures
using Equity Model
Net Result for Year (6,944) (5,851) 8,730 8,389 (1,967) (3,000)
Other Information
Segment Assets 98,562 96,608 16,298 15,950 73,654 70,865
Total Assets 98,562 96,608 16,298 15,950 73,654 70,865
Segment Liabilities 16,551 15,620 8,531 8,017 27,372 24,368
Total Liabilities 16,551 15,620 8,531 8,017 27,372 24,368
Investments in associates and joint venture partnership 929 965 - - - -
Acquisition of property, plant and equipment 6,497 7,559 1,097 1,029 3,522 3,202
Depreciation and amortisation expense 3,337 3,025 1,975 1,818 2,331 2,088
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62
Aged Care Aged Care Mental Mental Parent Parent Consolidated ConsolidatedHealth Health
2007 2006 2007 2006 2007 2006 2007 2006$000 $000 $000 $000 $000 $000 $000 $000
11,187 10,359 23,489 21,642 209,171 199,330 209,272 199,383
11,187 10,359 23,489 21,642 209,171 199,330 209,272 199,383
(682) (335) (362) (551) (3,529) (2,908) (3,464) (2,904)
(682) (335) (362) (551) (3,529) (2,908) (3,464) (2,904)
- - - - 8 45 8 45
91 86 189 69 2,528 1,696 2,590 1,745
- - - - 64 66 64 66
(592) (249) (173) (482) (945) (1,191) (818) (1,138)
25,018 27,685 13,730 12,150 227,262 223,258 228,297 224,161
25,018 27,685 13,730 12,150 227,262 223,258 228,297 224,161
6,475 6,659 6,282 5,725 65,211 60,389 65,211 60,389
6,475 6,659 6,282 5,725 65,211 60,389 65,211 60,389
- - - - 929 965 929 965
1,196 1,251 656 549 12,968 13,590 12,968 13,590
899 877 412 349 8,954 8,157 8,954 8,157
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63 NOTE 21: JOINTLY CONTROLLED OPERATIONS & ASSETSBallarat Health Services has a joint interest in the Ballarat - Austin Radiotherapy Oncology Centre with the St John of GodHospital.
The investment was used for the construction of the Radiation Oncology Centre, for which Ballarat Health Service has anentitlement to receive a share of property rental under a 20 year co-operation agreement to recoup its investment.
No further amounts are receivable other than lease payments in respect of the investment. Ballarat Health Service isrequired to meet its share of the costs of maintaining the building over the term of the agreement. Lease paymentsreceived are allocated between the repayment of capital and rental income. The allocation of capital repaid is made so asto amortise the cost of the investment over the 20 year lease term. The carrying amount of the investment is as follows;
2007 2006$000 $000
Opening Balance 965 999
New Investments - -
Repayments 100 100
Interest (64) (66)
Capital Repaid 36 34
Closing Balance 929 965
Ownership Interest 47.67%
Ballarat Health Services share of entitlement to lease receivables under the terms of the co-operation agreement are as follows;
Less than 1 year 100 100
Greater than 1 and less than 5 years 400 400
Greater than 5 years 429 465
929 965
NOTES TO AND FORMING PART OF THE FINANCIAL STATEMENTS FORTHE YEAR ENDED 30 JUNE 2007
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64NOTE 22: RESPONSIBLE PERSON RELATED DISCLOSURESIn accordance with the Ministerial Directions issued by the Minister for Finance under the Financial Management Act 1994,the following disclosures are made regarding responsible persons for the reporting period.
Responsible Minister: PeriodThe Honourable Bronwyn Pike, MLA, Minister for Health 1/07/2006 - 30/06/2007
Governing Boards:Ms L McLennan 1/07/2006 - 30/06/2007
Ms C Laffey 1/07/2006 - 30/06/2007
Mr P Duffy 1/07/2006 - 30/06/2007
Mr J Elvey 1/07/2006 - 30/06/2007
Mr G Haines 1/07/2006 - 30/06/2007
Dr B Hassett 1/07/2006 - 30/06/2007
Mrs S McKenzie 1/07/2006 - 30/06/2007
Ms J Rae 1/07/2006 - 30/06/2007
Accountable OfficerMr A R Rowe - Chief Executive Officer 1/07/2006 - 30/06/2007
Remuneration of Responsible PersonsThe number of Responsible Persons are shown in their relevant income band;
Parent Parent Consolidated Consolidated2007 2006 2007 2006
No. No. No. No.
Income Band
$0 - $9,999 - 2 - 2
$10,000 - $19,999 7 7 7 7
$30,000 - $39,999 1 - 1 -
$320,000 - $329,999 1 - 1 -
$330,000 - $339,999 - 1 - 1
Total Numbers 9 10 9 10
Total remuneration received or due and receivableby Responsible Persons from the reporting entityamounted to:
Amounts relating to the Responsible Ministers arereported in the financial statements of the Departmentof Premier and Cabinet 489,781 439,218 489,781 439,218
Other Transactions of Responsible Persons and their Related Parties
2007 2006$000 $000
Ms L McLennan has an association with UFS Dispensary, who providedpharmacy goods and services on commercial terms and conditions.The total value of transactions with this entity was; 4 5
NOTES TO AND FORMING PART OF THE FINANCIAL STATEMENTS FORTHE YEAR ENDED 30 JUNE 2007
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65
NOTES TO AND FORMING PART OF THE FINANCIAL STATEMENTS FORTHE YEAR ENDED 30 JUNE 2007
NOTE 22: RESPONSIBLE PERSON RELATED DISCLOSURES (CONTINUED)Executive Officers' RemunerationThe numbers of executive officers, other than Ministers and Accountable Officers, and their total remuneration during thereporting period are shown in the first two columns in the table below in their relevant income bands. The baseremuneration of executive officers is shown in the third and fourth columns, Base remuneration is exclusive of bonuspayments, long-service leave payments, redundancy payments and retirement benefits.
Parent Consolidated
Total Remuneration Base Remuneration Total Remuneration Base Remuneration
2007 2006 2007 2006 2007 2006 2007 2006No. No. No. No. No. No. No. No.
$110,000 - $119,999 - - 1 - - - 1 -
$120,000 - $129,999 1 - - - 1 - - -
$130,000 - $139,999 - - - 1 - - - 1
$140,000 - $149,999 1 1 2 2 1 1 2 2
$150,000 - $159,999 1 1 1 - 1 1 1 -
$160,000 - $169,999 - 2 - 2 - 2 - 2
$170,000 - $179,999 - - 2 1 - - 2 1
$180,000 - $189,999 2 1 1 - 2 1 1 -
$190,000 - $199,999 2 1 - - 2 1 - -
$220,000 - $229,999 - - - 1 - - - 1
$240,000 - $249,999 - 1 - - - 1 - -
Total Number 7 7 7 7 7 7 7 7
Total Amount 1,194,738 1,256,402 1,103,313 1,169,361 1,194,738 1,256,402 1,103,313 1,169,361
All payments made to Executives are governed by the Government Sector Executive Reumeration Panel. The changes from the previous yearreflect GSERP approved pay increases, as well as the payment of accumulated long service leave for a number of Executives.
NOTE 23: REMUNERATION OF AUDITORS2007 2006$000 $000
Audit Fees paid or payable to the Victorian Auditor-Generals Officefor audit of Ballarat Health Services' financial report 63 61
Total Paid and Payable 63 61
NOTE 24: CONTROLLED ENTITIESName of Entity Country of Incorporation Equity Holding
Ballarat Health Services Foundation Ltd. Australia 100%
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66Allied Health Services:
• Dietetics
• Exercise Therapy
• Occupational Therapy
• Physiotherapy
• Podiatry
• Prosthetics and Orthotics
• Psychology
• Social Work
• Speech Therapy
Acquired Brain Injury
Breast Care
Cardiology
Central Sterile Supply Department (CSSD)
Coronary Care Unit
Cognitive Impairment & Dementia Management
Community Nursing
Community Programs including:
• Adult Day Activity Centres
• Aged Care Assessment Service (ACAS)
• Allied Health Domiciliary Service
• Commonwealth Carer Respite Centre -Carelink Centres
• Domiciliary Care
• Hospital Admission Risk Program (HARP)
• Hospital in the Home
• Linkages - Central Highlands Coordinated Care
• Planned Activity Groups
• Post Acute Care
• Regional Continence Service
• Regional Palliative Care Team
• Rehabilitation in the Home
Diagnostic and Radiology (X-ray) Services:
• Ultrasound
• CT Scan
• MRI
• EEG
• ECG
• Breast Screen
Critical Care Unit
Dialysis
Ear, Nose and Throat Surgery
Emergency Medicine
Endocrinology, including Diabetes Management
Falls and Balance
Gastroenterology
General Medicine
General Surgery
Gynaecology
Infection Control
Intensive Care Unit & Medical EmergencyResponse Team
Lymphoedema
Medical Oncology
Neonatal
Nephrology
Neurology
Maternity Services
Operating Suite
Ophthalmology
Orthopaedic Surgery
Otolaryngology
Outpatient Services
Paediatric Medicine
Perioperative Day Procedure Unit
Pain Management
Palliative Care
Plastic Surgery
Psychiatry including:
• Child and Adolescent Mental Health Services
• Acute Community and Inpatient Services
• Aged Community and Inpatient Services
Radiology
Rehabilitation, (In-patient and Out-patient)
Residential Aged Care
Respite Care
Safety Link
Stroke Management
Stomal Therapy
Thoracic Medicine
Urological Surgery
Wound Management
BALLARAT HEALTH SERVICES SPECIALTIES AND SERVICES
Base Hospital
Drummond Street North
Ballarat 3350
Phone: (03) 5320 4000
Fax: (03) 5320 4828
Queen Elizabeth Centre
102 Ascot Street South
PO Box 199 Ballarat 3353
Phone: (03) 5320 3700
Fax: (03) 5320 3860
Psychiatric Services
Sturt Street
PO Box 577 Ballarat 3353
Phone: (03) 5320 4100
Fax: (03) 5320 4028