annual report 2012 - parliament.vic.gov.au · on 30th june 2012. the victorian department of health...

A YEAR OF CONSOLIDATION We examined our own DNA in order to strengthen

our organisational capacity.

SOUND FINANCE PRACTICES

ANNUAL REPORT 2012

INCREASING COMMUNITY CAPACITY

FACILITY UPGRADES

STRONG TEAM

DEMONSTRATING STRONG ENVIRONMENTAL CREDENTIALS

Responsible Bodies Declaration

In accordance with the Financial Management Act 1994, I am pleased to present the Report of Operations for Robinvale District Health Services for the year ending 30th June 2012.

Mr Peter CampisiChairman

Robinvale31st July 2012

About This Report

The Annual Report has been prepared in accordance with Victorian Government guidelines and the directions of the Minister for Finance. It will be presented to the public at Robinvale District Health Services’ Annual General Meeting on the 29th October 2012.

This Annual Report is available on our website:www.rdhs.com.au

Robinvale District Health Services

128 Latje Road Robinvale Victoria 3549Telephone +61 3 5051 8111 Facsimile +61 3 5051 8100Email [email protected] 58 413 230 512

Contents

Our Vision, Our Statement of Purpose, Our Commitment 1

Highlights of the Reporting Year 2

The Chairman & Chief Executive Officer’s Report 3

Strategic Plan 2011-2016 6

About Us 12

Early Years 14

Acute Services 19

Aged Care Services 23

Primary Care Services 26

Corporate and Quality Services 30

Our Workplace (Includes Organisational Structure, Executive Team and Managers) 35

Our Environment 41

Our Social and Community Performance 43

The Board of Governance (Including Statutory Reporting) 46

Finance Manager’s Report 50

Finance Graphs 52

Disclosure Index 53

Index 54

Glossary 55

Robinvale District Health Services Annual Report 2012 1

Our Vision

Through leadership and innovation Robinvale District Health Services will strive to improve the health, well being and strength of our communities

Our Statement Of Purpose

Robinvale District Health Services is an acknowledged leader and innovator in the provision of rural health services. We aim to build sustainable healthy communities by improving the health, wellbeing and quality of life of all of our community members. We will achieve this by being accessible, building strong relationships, understanding and meeting people’s needs and using resources wisely.

Workforce

•Staffwillbetreatedfairly,consistentlyand with honesty. We will invest in the development of a skilled workforce that is motivated by collaboration, striving for excellence and achieving outcomes for clients and the community.

Cultural Diversity

•Individualsareentitledtocarethat is attentive, respectful, and responsive to their needs. We understand the value of cultural diversity and will strive to engage with all members of the community and other stakeholders.

Collaboration

•Collectivelywecanachievebetteroutcomes. Working collaboratively with other agencies we seek to reduce service fragmentation and generating resource efficiencies.

Community

•Individualhealth,wellbeingandquality of life is closely connected to community. We are committed to the social determinants of health model and will work to assist individuals to achieve their potential and to build community capacity.

Our Commitment

Quality, Safety and Environment

•Providingthebestpossiblecareand ensuring a safe and healthy environment. We work to continuously improve our services, identify, eliminate or minimise risks and minimise our environmental footprint.

Innovation/Leadership

•Innovationandleadershipisvalued and encouraged. We are committed to a supportive environment that encourages new ideas and creativity and will actively seek opportunities to develop and improve services available to the community.

Professional Integrity

•Atalltimeswewillactethicallyand with integrity. We will observe responsible business practices, making best use of resources available to the organisation and the community

Robinvale District Health Services Annual Report 20122

Challenges We Faced

•LackofGeneralPractitioneravailability for the Manangatang Community

•Abilitytoengagehighneedsanddisadvantaged families to provide an accessible service to assist in overcoming isolation, financial problems, cultural differences and an array of other barriers faced by these families

•FinancialSustainabilityoftheRiverside Hostel; new funding model

•Medicalleadership

•OrganisationalSuccessionPlanning

•ToimprovestandardsofClinicalGovernance

•RDHSwasrecognisedforitsefforts in increasing Aboriginal Employment and training opportunities when it received the prestigious Wurrecker Award asthe2011PublicSectorEmployer of the Year

•AccreditationstatuswiththeAgedCareStandardsAgencymaintained for a further 3 year period by the Riverside Hostel Campus

•AccreditationstatusmaintainedbyRDHSforISO9001:2008,ISO14001:2001andAS4801:2004

•2010/2011AnnualReportreceived

a ‘Silver’ Award in the Australasian Reporting Awards

•Soundfinancialoperatingresult

•AdvancingCountryTownsProjectcommencedwithStrategicProjectManager engaged

•RDHSsuccessfulinsecuringa further 2 years funding of $130,000forCommunitiesforChildrenprogramwhichincludesCommunitySpeech,MobileVisitingPlayProgram&EarlyYearsCo-ordination

•Fundingof$40,000receivedfrom Health Workforce Australia and $102,000 from Department of Health to develop student accommodation

•RobinvaleCommitteefortheAgeing to transfer ownership of the Riverside Hostel building to RDHS

•Majorrefurbishmentprojectcommencedonthe‘TAFE’wingof the old hospital

•Bathroomfacilitiesupgradedatthe Manangatang campus

•MembershipoftheLoddonMalleeSubRegionalCredentialingCommittee

Challenges Ahead

•ToachievecompliancewiththeNational Safety and Quality Health Service Standards

•EngagewithLowerMurrayMedicareLocalestablishedaspart of the National Health Reform Agenda

•ToattractandretainMedicalPractitioners

•Developthebusinesscasetoincorporate Riverside Hostel intotheRDHSMultiPurposeService and finalise the transfer of ownership of the Riverside Hostel to RDHS

•Continuetoimplementthekeystrategiesfromthe2011-2016StrategicPlan

•CommissionthenewHealth&WellbeingCentreandconsultingrooms

HIGHLIGHTS OF THE REPORTING YEAR

Year In Brief

Financials 2011/12 2010/11 Variance

Staff EquivalentFullTime 132.73 131.78 0.72% Performance Indicators (Acute) Robinvale Admissions 759 749 1.34% BedDays 3,496 3,859 (9.41%) OccupancyRate 68% 76% (9.41%) AverageLengthofStay 4.61 5.15 (10.60%) WEIS 414.29 418.86 (1.09%) A&EOutpatients 2,537 2,475 2.51% Manangatang Admissions 20 22 (9.09%) BedDays 224 484 (53.72%) OccupancyRate 10% 22% (53.72%) AverageLengthofStay 11.20 22.00 (49.09%) WEIS 32.59 49.00 (33.49%) A&EOutpatients 379 229 65.50% Performance Indicators (Aged Care) Robinvale Nursing Home BedDays 5,124 4,792 6.93% OccupancyRate 99% 94% 5.00% Discharges 8 6 33.33% Hostel BedDays 10,980 10,163 8.04% OccupancyRate 86% 93% (7.53%) Discharges 11 7 57.14% Manangatang Campus BedDays 3,660 3,211 13.98% OccupancyRate 76% 88% (13.64%) Discharges 7 4 75.00%


THE CHAIRMAN & CHIEF EXECUTIVE

OFFICER’S REPORT

RDHS is an acknowledged leader and innovator in the provision of rural

health services. We aim to build sustainable healthy communities by improving the health, wellbeing and quality of life of all of our community members. We will achieve this by being accessible, building strong relationships,

understanding and meeting people’s needs and using resources wisely.

Welcometoour2011/2012Annual Report, it is pleasing to report that Robinvale District Health Services has again had a successful and rewarding year, operating within agreed budgets, increasing the range and diversity of services and meeting the set targets for service delivery required of a MultiPurposeService.Thereputation of RDHS continues to grow as a leader in the delivery of Rural Health Services with a strong focus and commitment to improving the health and well being of the community we service.


Service And Partnership

TheServicePlanthatunderpinstheTripartiteMPSAgreementexpiredon 30th June 2012. The Victorian Department of Health and the CommonwealthDepartmentofHealth&Ageinghaveagreedto extend the current service plan to 30th June 2013 providing the opportunityforthenewCEOtodevelop the service plan for the next5years.

The2011-2016StrategicPlanisbeing implemented through the DepartmentActionPlansandwillguide the service and infrastructure development going forward. The StrategicPlanhasbeendistributedto staff and external funding partners sotheyareawareoftheBoard’sdirection for the future.

RDHS has auspiced the Robinvale AdvancingCountryTownsProjectwhichisfunded$810,000forfouryears.GlennStewarthasbeenappointedastheStrategicProjectManager and is working with the SteeringCommitteeGroup,thethree tiers of government, local business and community organisations to focus on delivering long term benefits for our children, youth and disadvantaged groups by improving sustainable economic development and investment for the community.Theinitialprojectstocommence early in the new financial yearare;theRobinvaleFairStartInitiative,WorkingWithParentsandFamiliestoassistinpreparing childrenforschoolandTheL2PDriverEducationMentoringProgram.

Itisalsopleasingtoreportthat existing partnerships and new partnerships are being developed. Some examples are;•TheMemorandumofUnderstanding

for Dialysis Services which expired on 30th June 2012 is being renewed with Melbourne Health.

•AudiologyServicescommencedone day per week in Robinvale being delivered by Sunraysia Hearing Services.

•PapScreenVictoriafundingof$16,000wasreceivedto participateintheVictorian“Peace

ofMindCampaign”inpartnership with Murray Valley Aboriginal Co-Op,toimproveaccesstothisservice in the local area.

•RDHSwassuccessfulin securing a further 2 years funding of$130,000forCommunitiesforChildrenprogramwhichincludesCommunitySpeech,Mobile VisitingPlayProgram&EarlyYearsCo-Ordination.

•ContinuedfundingforafurthertwoyearsfortheHomeInterventionProgramforParentsand Youngsters(HIPPY)whichisaverysuccessful Early Years initiative.

•WiththeNationalHealthReformsbeing implemented and the introductionofMedicareLocalsRDHS is keen to be involved and participateintheLowerMurrayMedicareLocaltoensureservicesprovided at RDHS are enhanced andbenefitfromtheobjectiveofimproved services integration, co-ordinationandplanning

Support Systems & Services

AsignificantprojectthisyearhasbeentherefurbishmentoftheOldHospitalBuilding(TAFEBuilding)toredevelop this as a new reception area for an existing array of services and will also provide a modern up to date facility for visiting clinicians and GP’stoconsultfrom.Itisplannedto commence working from the facilityinAugust2012.Thisprojectwas funded from RDHS reserves.

RDHS was successful in receiving funding of $40,000 from Health Workforce Australia and $102,000 from Department of Health to develop student accommodation. Extensions to the front of the Nicholls Street house have commenced and will see two additional bedrooms added to the house.

To strengthen the credentialing and appointment process for clinicians RDHShasjoinedtheLoddon MalleeSubRegionalCredentialingCommitteewhichhassevenhealthservices as members and an independentChairperson.ThisCommitteewillprocessapplicationsfrom medical practitioners and

advisetheRDHSBoardof Management on medical appointments and granting of clinical privileges.

RDHS has been providing residentialAgedCareservicesatthe Riverside Hostel for over a decade and the Robinvale CommitteefortheAgeinghaveoffered to transfer ownership of the hostel to RDHS. This most generous offer has been accepted and the process to transfer ownership is underway. The decision to achieve Class9CoftheBCAforthe Riverside Hostel has been postponed until such time as agreement with theDepartmentofHealth&Ageingto incorporate the Hostel into the RDHSMulti-PurposeService Agreement is reached.

The Manangatang campus had work undertaken to refurbish two bathrooms and refresh the gardens at the main entrance as well as upgrade works to two residential properties.

The commitment to continuous quality improvement is a never endingjourneyatRDHSandit ispleasingtoreportthattheTQCSIaudits for the Quality Management System(ISO9001:2008), Environmental Management System (ISO14001:2001)andOccupationalHealth Safety Management System (AS4801:2004)havebeensuccessfulwith RDHS maintaining its accreditation status and recommendations from these audits have been addressed.

Riverside Hostel has also maintained its accreditation status with the AgedCareStandardsSurveyinApril 2012.

These are significant achievements our management and staff are to be congratulated for the commitment and good work in this area.

At the next audit in November 2012 the organisations performance will be measured against the National Safety and Quality Health Service Standards(NSQHSS)andpreparationfor this audit is well advanced.


Our People

RDHS continues to strive to enhance our reputation as an employer of choice providing the opportunity for people to work in a safe, positive and rewarding environment with a strong culture of teamwork and participation.

After over four years at RDHS, LaurenceBurtresignedasCEO tojoinMADECAustralia.We congratulateLaurenceonhis appointment and thank him for his contribution and leadership during histermasCEO.UnderLaurence’sleadership RDHS has continued to grow and develop and he leaves RDHS in excellent shape and well positioned to meet the challenges that lay ahead.

During the transition period from LaurencetothenewlyrecruitedCEO,RDHSwasunderexcellent interimleadershipfromtheex-CEOofWestGippslandHealthCareGroup,MrOrmondPearson.

ItwaspleasingtoappointCarol BucheckerasDirectorofNursingoftheManangatangCampusinAugust 2011 and have Dr Toyin KayodeOroyecommencepractice in April 2011. These two appointments have provided stability to the ManangatangCampus.

The work of RDHS was recognised for its efforts in increasing Aboriginal Employment and training opportunities to the local community when it received the prestigious Wurreker Award as the 2011PublicSectorEmployeroftheYear. This is a credit to everyone involved at RDHS and they are to be congratulated on this achievement.

This year in appreciation of the wonderful volunteers, they were recognised with a volunteer’s morning tea being held at the Robinvale and Manangatang Campuses.Theworkofour dedicated volunteers is recognised and appreciated.

We are also thankful and appreciative of the many organisations and

individuals from our community which donate to RDHS and assure them that those gifts and donations are expended on health delivery to our local community.

Governance

TheBoardofManagementprovidesclear direction for RDHS, monitors organisational performance ensuring good governance, giving their time asunpaidMembersoftheBoard.The leadership and commitment providedbytheBoardisappreciated.

Russell(Rusty)Roberts,JoanO’HaireandNarelleMcCluredidnotseekre-electionwhentheirtermsexpired in June 2011. The contribution byRussell(Rusty),JoanandNarelleis greatly appreciated.

We welcomed Quentin Norton who took up his appointment to the BoardinJuly2011.

BruceGinndidnotseekre-electionwhen his term expired in June 2012 andwealsoacknowledgeBruce’scontribution to our health service.

Acknowledgements

The ongoing success of RDHS is due to the fact that we have a committed enthusiastic and hard workingteam.OurBoardof Management, staff, visiting medical officers and volunteers have a common goal of improving the health and well being of our community.

We express our sincere appreciation to our management team, staff, visiting medical officers’ volunteers and community supporters, your dedication, enthusiasm and support makes a wonderful contribution to the life of RDHS. Thank you.

The support of the Department of Health and Ageing at the Commonwealthleveland Department of Health at State and Regional levels is greatly appreciated. ThesupportfromourlocalPoliticians,Mr.PeterWalsh,MemberforSwanHill,Mr.JohnForest,Federal

MemberforMalleeandCandyBroad–MPNorthernVictoriaRegionandtheSwanHillRuralCityCouncilisacknowledgedand appreciated.

Thank you everyone involved with RDHS.

Future Directions

DuringthecomingyeartheBoardsfocus will be on;1.Continuetoimplementthekey

strategiesfromthe2011-2016StrategicPlan

2. Develop the business case to incorporate Riverside Hostel into theRDHSMultiPurposeServiceand finalise the transfer of ownership of the Riverside Hostel to RDHS.

3.CommissionthenewHealthWellbeingCentreandconsultingrooms.

4. Achieve compliance with the National Safety and Quality Health Service Standards.

5.EngagewithLowerMurrayMedicareLocalestablishedaspart of the National Health Reform Agenda.

Each Year presents new challenges andopportunitiesfortheBoardand Staff. RDHS is well positioned to address these challenges and maximise the opportunities as they present due to the positive culture and strong commitment of all involved at RDHS.

Ormond PearsonInterimCEO

Peter CampisiChairman


STRATEGIC PLAN 2011 - 2016

The Robinvale District Health Services (RDHS) Strategic Plan 2011 – 2016 outlines our visions and goals for the next 5 years. It acknowledges and responds to the many influences and demands on our organisation and sets strategies in place to meet those demands.


It is our belief that we should take a holistic view of the issues that impact on an individual’s wellbeing. Patients and clients must be able to actively participate in decisions concerning their care and clinicians must co-ordinate their efforts to achieve maximum benefit.

OUTCOME 1 - DELIVERING PERSON CENTRED SERVICES

Planned Action

1. Improve case co-ordination and care planning2. Develop and promote service integration and continuity of care3. Make a difference in the area of Aboriginal Health4. Continue to strengthen our preventative health initiatives

Performance Measure

• Participation in Naidoc Week celebrations• Wurrecker Award for Indigenous employment initiatives• Kidney Health screening day held in conjunction with Kidney Health Australia and NMPCP• Auspicing of and participation in the Robinvale Euston Festival for Healthy Living project • Management Training in delivering Person Centred services to clients• Partnership with Flinders University to develop and deliver a sustainable model of chronic disease

self-management training in our area

Future Directions

• Streamline intake process within the organisation• Consolidate partnership arrangements with the Murray Valley Aboriginal Co operative• Improve health service outcomes for Indigenous people with or at risk of chronic disease• Support staff training and development initiatives which promote preventative health strategies


RDHS is committed to the social determinants of health model and is prepared to take a leadership role in the community working on community capacity developmentinitiatives.Itisourbeliefthatastrongandresilientcommunitywillhave a positive impact on individual wellbeing.

OUTCOME 2 - STRENGTHENING OUR COMMUNITY

Planned Action

1.Beproactiveincommunitycapacitydevelopment2.Investintheearlyyears3. Establish a sustainable publicly owned medical practice4. Meet the changing aged care needs of the community

Performance Measure

•Refurbishmentalmostcompleteofawingofthe‘oldhospital’.Thiswillprovideasinglepointofentrytothecomplete range of outpatients services offered by RDHS

•AdvancingCountryTownsProjectcommencedandStrategicProjectOfficerengaged•AnexternalevaluationoftheRDHSservicesforchildrenandfamilieshasbeencommissioned.Itis

expected that this will provide evidence for the work currently being undertaken in Robinvale and provide information for future development of children’s services

•MinorworkshavebeencompletedtoprogresstheRiversideHostelcampustoClass9Cbuilding certification

Future Directions

•Continuetodevelopandsupportchildren’sservicesprograms•ProvideasinglepointofentrytothecompleterangeofoutpatientservicesdeliveredbyRDHS•Progressimplementationofthe‘ActiveServiceModel’•Implement‘AgeinginPlace’attheRiversideHostelcampus


RDHS has achieved acknowledgement for excellence and consistently performs to a high standard. We will work to maintain and where possible, strive to improve these standards of performance. We have a responsibility to achieve the maximum benefit possible for our communities with the resources that we have available. We must operate efficiently, make good decisions and apply our resources to areas of greatest need.

OUTCOME 3 - USING RESOURCES RESPONSIBLY

Planned Action

1. Maintain effective financial controls2. Align capital development and improvement with service priorities3. Ensure services are financially sustainable and cost effective

Performance Measure

•BudgetsdevelopedthatprogressRDHSstrategicgoalswhilemaintainingabalancedbudgetposition•PlansdevelopedtoupgradetheRiversideHostelcampustoaClass9Cbuilding•DiscussionheldandplanningcommencedtoexpandthefacilitiesforRenalDialysis•Preliminarydrawingsforthenextstageofrefurbishmentoftheoldhospitalbuildingcompleted•MedicalImagingservicesnolongeroperatingataloss

Future Directions

•DevelopthebusinesscasetoincorporateRiversideHostelintotheRDHSMultiPurposeServiceand finalise the transfer of ownership of the Riverside Hostel to RDHS.

•ProgressplanstofinishtheupgradeoftheRiversideHosteltoClass9Cstatus•Securefundingtoprogressthefurtherrefurbishmentoftheoldhospitalbuilding•Reviewpurchasingandinventorymanagementprocesses•SecurefundingtoexpandtheRenalDialysisfacilities


Ifwearetomaintainthehighstandardofourworkforceweneedtoinvestinthedevelopment of individuals and teams and establish ourselves as an employer of choice. We are committed to staff evaluation and feedback and we support a comprehensive professional development program.

OUTCOME 4 - INVESTING IN AN OUTSTANDING WORKFORCE

Planned Action

1. Ensure we have a highly flexible and highly skilled workforce2.Commitmentto“growingourown”workforce3. Ensure a positive and health work environment

Performance Measure

•2additionalIndigenousAlliedHealthTrainees,1Grounds&GardenTraineeandEnrolledNurseTraineescommenced work at RDHS this year.

•12clinicalplacementstudentsfromtheInstituteofHealth&Nursing,Australia•6InitialRegistrationforOverseasNurses(IRON)studentsfortheyear•4studentsfromtheplacementandtheoverseasprogramhavegainedemploymentatRDHS•1GraduateNursecommencedhergraduateyearplacement•39staffrecruitedin2011/12•BoardofManagementcontinuetosupportlocalstudentswishingtoundertaketertiarystudiesinthe

Health/Sciencefieldwiththeannualboardscholarships•The29thTriennialCongressoftheInternationalConfederationofMidwives(ICM)washeldinDurban,

SouthAfricain2011.MidwifeVickiBroadfromRobinvaleDistrictHealthServiceswasfortunateenoughtoattend this global midwifery event after winning the 2010 State Nursing and Midwifery Excellence Award.

Future Directions

•Developpartnershipswithtrainingorganisations•IncreaseuseofAlliedHealthAssistantstomeetdemandforalliedhealthservices•Provideongoingsupportforundergraduatescholarshipsforschoolleavers•Acknowledgestaffachievements


Governance,managementandadministrativesystemsandprocessesoperatewithin an integrated quality management system that ensures maintenance of standards and provides for ongoing continuous improvement.

OUTCOME 5 - BUILDING ORGANISATIONAL CAPACITY

Planned Action

1. Ensure we are safe and environmentally responsible2. Ensure services are evaluated and are of a high quality3. Ensure we manage towards our accountabilities

Performance Measure

•RDHSEnvironmentalManagementSystemsrecertifiedtoInternationalStandardISO14001•SteamCleanersareusedineachcampuswhichhasresultedinasignificantreductionofharshchemicals

and water•SilverAwardreceivedfromtheAustralasianReportingAwardsforthe2010/11AnnualReport•‘VeryGood’resultreceivedfromrecentVictoriaManagedInsuranceAuthority(VMIA)SiteRiskSurvey

conducted at the RDHS Main and Riverside Hostel campuses•RiskManagementsoftwareimplemented•RDHScontinuestoimproveclinicalriskmanagementsystemsandprocesses•RDHScontinuestoachieveoutcomesidentifiedintheRDHSMPSagreementandserviceplan

Future Directions

•ToalignreportingrequirementswiththeStrategicPlanandDepartmentofHealth-StatementofPriorities•ImplementtheNationalSafetyandQualityHealthServiceStandards•AchieveoutcomesidentifiedintheRDHSMPSagreementandserviceplan•Providestaffeducationonworkplaceinjuryandreturntowork•Ensureaccountabilitiesareclearlydefinedatalllevelsoftheorganisation


ABOUT US

Robinvale District Health Services (RDHS) is a Multi Purpose Service

(MPS) that provides a diverse range of services to communities across a

catchment area of approximately 60,000 square kilometres. In addition

to service delivery in its immediate area, RDHS provides outreach services

to the communities of Ouyen and Boundary Bend in Victoria and Dareton,

Wentworth and Balranald in New South Wales. We have a proud history

of growth through innovation, investment in our staff and working

in partnership with a broad range of stakeholders.

InJuly2009theManangatang&DistrictHospitalandRDHS merged to ensure the sustainability and development of health care services for the Manangatang community. During 2010 RDHS was also successful in having the Manangatang location incorporatedintoanMPSfunding agreement.


Robinvale

Robinvale

Euston

Ivanhoe

Pooncarie

Dareton

Murray River

Murray River

Murray River

Murray River

Wentworth

Red Cliffs

Ouyen

WemenBoundary Bend

ManangatangPiangil

Nyah

Woorinen

Lake BogaMurrabit

KoondrookKerang

Nyah West

Ouyen

Balranald

Denotes RDHS Service Area

Vic

NSWMildura

Mildura

Bendigo

Ballarat Melbourne

Swan Hill

Swan Hill

Echuca

Vic

NSW

Robinvale

Robinvale

Euston

Ivanhoe

Pooncarie

Dareton

Murray River

Murray River

Murray River

Murray River

Wentworth

Red Cliffs

Ouyen

WemenBoundary Bend

ManangatangPiangil

Nyah

Woorinen

Lake BogaMurrabit

KoondrookKerang

Nyah West

Ouyen

Balranald

Denotes RDHS Service Area

Vic

NSWMildura

Mildura

Bendigo

Ballarat Melbourne

Swan Hill

Swan Hill

Echuca

Vic

NSW

RDHSoperates20acutebeds,55residentialagedcareplaces(highandlowcare)andprovidesaccidentand emergency services to both the Robinvale and Manangatang communities. The main campus at Robinvale supports a comprehensive range of services that includes Dialysis, Radiology, Midwifery, Visiting NursingandCommunityHealthNursing Services. Also based at Robinvale is an Allied Health team (approx20staff)thatisfundedbytheCommonwealth.

RDHSemploys150staffandhasanoperating budget of approximately 13 million dollars. We are fortunate to have a high performing management team that takes pride in achieving exceptional business outcomes. RDHS maintains a clear focus on service development and delivery priorities and leverages off strong financial performance to make best use of the resources available to the community.

We have achieved “Whole of Business”certificationtotheinternationally recognised standards ofAS/NZS/ISO9001:2008,AS4801:2001andtheenvironmentalstandardAS/NZS/ISO14001:2004.RDHS is the first health service in Australia to achieve this standard.

RDHS was honoured at the 2010 VictorianHealthCareAwardstobe presented with the ‘2010 Rural HealthServiceoftheYear”bythePremierofVictoria,MrJohnBrumby.RDHS achieved the same award in 2007andisnowthefirstVictorianrural health service to have received this award twice.

Our Services

Hospital (acute)-20acutemedicalbeds-Stabilisationandresuscitation-UrgentCareCentre-MaternityProgram-Anteand

PostNatalCare-MaternalChildHealthNursing-Palliativecare-PostAcuteCare-X-rayandUltrasound-RenalDialysis

Aged Care-RiversideHostel-30LowCare

AgedResidentialCarebeds-MainMPSsite-14HighCare

AgedResidentialCareBeds-ManangatangCampus–10High

CareAgedResidentialCareBeds-RespiteCare-AdultDayActivityandSupport

Service

Primary Care Services-AboriginalHospitalLiaisonOfficer-EarlyYearsprogram-AgedandDisabilitySupport-AsthmaEducation-ContinenceManagement-Counselling-DiabetesEducation-DrugandGamblingCounselling-FamilyCounselling-FamilyPlanning-HomeandCommunityCare

(HACC)AssessmentService-HealthPromotion/Education-ImmunisationProgram-Men’sPrograms-NutritionandDietetics-OccupationalTherapy-PacificIslanderCulturalOfficer-PapSmearScreening-Physiotherapy-Podiatry

-Psychologist-SocialWork-SpeechPathology-Women’sHealthPrograms-YouthServices

Home Nursing Service-VisitingNurseService-PalliativeCareNursing/

Volunteers-PostAcuteCare

Support Services-Administration-CustomerServices-ClinicalEducatorservicestoOuyen-EmployerTrainingPrograms-GraduateNurseProgram-IRONProgram-SupervisedPracticeProgram-HospitalityandFacilities

Management Services-InformationTechnology-MealsonWheels-OccupationalHealthandSafety-PublicRelations-Supply-RDHSLinenService

Services operating from or in association with RDHS:-AgedCareAssessmentTeam-Agedpsychiatricnursingservice-Audiologyservice-BoneMarrowResearchTeam-Cancersupport-MeninSheds-Playgroup-Powerpals(exerciseprogram)-Psychiatriccommunitynursing-RuralAmbulanceServiceVictoria-SelfHelparthritisgroup-SeniorsinSchoolsProgram-SexualAssaultTeam-TiaChi-T.O.W.N.Club(Weightlossgroup)


EARLY YEARS

Using the social determinants model of health care RDHS has engaged with

culturally disadvantaged groups through early year’s programs to

support the development our community’s children. The “Early

Years” continuum of care that has been established by RDHS builds

relationships and trust and provides for early identification and intervention

in a non-threatening and least intrusive manner.


billing item number. This process has been delayed over the years due to a change in doctorsandCEO’s.ThisMOUhas now been signed off by MBHandtheprocesstoclaimMedicare16400willbeginassoon as practical.

•PrintanddistributeanEarlyYears brochure listing all services available for families of children 0 to 12 years of age.

•HaveanonlinedirectoryforallEarly Years Services available in the area that is updated on a regular basis

•Workingtowardsmorechildcare options for the families in our community

•ReestablishaHIPPYprogramfor 2013, waiting on a funding announcement

Challenges

•Engagehighneedsanddisadvantaged families; provide an accessible service to overcome isolation, financial, CALDfamilies,culturaldifferences, transport, and hours of service, to meet the needs of these families.

•Continuetoprovidearemoteand rural midwife antenatal and postnatal care service as we are 1 hour from the nearest regional hospital.

•Workingwithfamiliestohavenecessary investigations during pregnancy at the right time.Oftenwork,isolation,financial worries and social reasons interfere with clients attending appointments and having investigations which often delays treatment and assistance

•AsPEHPisstillarelativelynew Mental Health Service for women and their families during pregnancy and up to 12months after birth who are experiencing anxietyand/ordepression,keeping the profile of the service in the communities mind is a constant challenge.

•PromotingREYNwithinthecommunity. Robinvale Early Years Network meetings occur attheendofeverymonth.Itis challenging to keep service providers and community members attending regularly

Outcomes

83birthnotificationstomaternalservices.

87newbabyenrolments. Increasednumbersaccessing3

½yearoldchecks–inalignmentwith state wide initiative.

Mental Health Week promotion activitybyRDHSPEHPwasthe facilitation of ‘Walk ’n Talk’ activityforNewParentsGroupto promote walking with their baby’s and prams for exercise and socialising with other parents helping to promote

healthymind-healthybody.Atthe conclusion of our walk ’n talk activity parents were introduced to staff and families at St Mary’s HallPlayGroup.

PEHPactivitiestoraisecommunity awareness have been far reaching to diverse activities such as attending PolyPlaygroupinRobinvale,ManangatangPlayGroup,HIPPYProgram,AntenatalClass’s,NewParentGroup’sandChristmasinthePark.

ReadingAdventure550peopleattendedtomeetPeppaPigandhave some fun with local early years service providers.

RobinvaleYouthProgramfamilyfun days. Engaged children aged 0 to 12 in family fun days based attheRobinvaleLeisureCentre,this promoted community togetherness and support.

Early Years page printed in the local Sentinel Newspaper every month. This page promotes and encourages parents, carers and family to acknowledge themselves as their child’s first and most important educator as well as being an open forum for information to convey to the community in regards to early years events, services, health etc

Future Directions

•Promote‘preventivehealthand early detection of any concerns’ by families attending all Key Ages and Stages HealthChecks.Increaseparticipation rates and parents enjoyingtheirbabies,atthesame time, understanding that early intervention can be an important strategy for the childtoreachhis/heroptimumpotential in their developing years.

•Contributewithaholisticapproach to reduce the overweight/obesityinchildren.

•Medicare16400–foralongtime now RDHS has been working on claiming medicare rebates under this Medicare


Cultural Mix 2011 - 2012

Domiciliary Clinic Presentations - MidwifeTotal No. of Women Seen by VMO

AustralianAsianIslanderEuropean

2007-2008 2008-2009 2009-2010 2010-2011 2011-20122007-2008 2008-2009 2009-2010 2010-2011 2011-20120

100200300400500600700800

050

100150200250300350

314269

208

274246

0

30

60

90

120

150

47%

21%

17%

15%

703737643

578466

2007

-200

8

2009

-201

0

2010

-201

1

2011

-201

2

No. of Dom Clients No. of Home Visits

2008

-200

9

2007

-200

8

2009

-201

0

2010

-201

1

2011

-201

2

2008

-200

9




2007-2008 2008-2009 2009-2010 2010-2011 2011-20122007-2008 2008-2009 2009-2010 2010-2011 2011-20120

100200300400500600700800

050

100150200250300350

314269

208

274246

0

30

60

90

120

150

47%

21%

17%

15%

703737643

578466

2007

-200

8

2009

-201

0

2010

-201

1

2011

-201

2


2008

-200

9

2007

-200

8

2009

-201

0

2010

-201

1

2011

-201

2

2008

-200

9




2007-2008 2008-2009 2009-2010 2010-2011 2011-20122007-2008 2008-2009 2009-2010 2010-2011 2011-20120

100200300400500600700800

050

100150200250300350

314269

208

274246

0

30

60

90

120

150

47%

21%

17%

15%

703737643

578466

2007

-200

8

2009

-201

0

2010

-201

1

2011

-201

2


2008

-200

9

2007

-200

8

2009

-201

0

2010

-201

1

2011

-201

2

2008

-200

9




2007-2008 2008-2009 2009-2010 2010-2011 2011-20122007-2008 2008-2009 2009-2010 2010-2011 2011-20120

100200300400500600700800

050

100150200250300350

314269

208

274246

0

30

60

90

120

150

47%

21%

17%

15%

703737643

578466

2007

-200

8

2009

-201

0

2010

-201

1

2011

-201

2


2008

-200

9

2007

-200

8

2009

-201

0

2010

-201

1

2011

-201

2

2008

-200

9

Midwifery

Nowinits6thyear,thematernityservices program continues to grow whilst delivering convenient quality care and advice during pregnancy as well as postnatal to the women of Robinvale and surrounding districts.

The midwifery service’s biggest achievement this year has been setting up an agreement with Barratt&Smithpathologytoreducethe cost of pathology significantly fornon-Medicarecardholders.Thishascutthecostfrom$600plus,to less than $200, leading to an increase in compliance at attending the tests at the right time. This in turn leads to early intervention and better treatment plans should there be any abnormalities. This equals better health outcomes for both mother and baby.

A monthly meeting has been established for all Maternity Services stakeholders–Midwife,MaternalChildHealthNursesandPerinatalEmotionalHealthProgram.This has increased communication and collaboration between our servicesPapScreeninghasincreasedbeyond opportunistic screening in Midwife clinic and has branched outside the organisation with a visitingservicetoBoundaryBend,Wemen and Annuello. This is a combined service with the RDHS CommunityHealthNurse. Midwife Clinic Continuestoprovide:•Prepregnancycounselling•Pregnancychecks•PapTestsandrecallreminder

system in place•BookingInappointments(Pre

admissionforMBH)•AntenatalclassesTherehasbeen

between •40-60pregnantclientsatany

given time

Shared Care•1xVisitingObstetrician&

Gynaecologist(O&G)–visited38timesthroughoutyear(2lessthanlastyear)

•IncreaseinnumberofclientsaccessingtheO&G(especiallyGynaerelated)

•8%increaseinclientsseeingtheRDHSVMOforpregnancycarethis year

•Roughly1/3ofallRDHSclientschoosetoseeanObstetricianoutsidethispracticewith2/3oftheclientsseeingtheVMOatRDHS

Combined Statistics•1144Pregnancy/Gynaecological

consults •23moreconsultsthan2010-2011

Domiciliary •Largegeographicalareacovered

–includingRobinvale,Euston, Manangatang,BoundaryBend,Wemen and Hattah

•Postnatalhomevisit–eachmotherreceives at least one home visit from the midwife the next working day after discharge from hospital. Some women and babies require more than one visit

Cultural Mix•53%clientsarefromcultures

other than Australia•Manyoftheseclientsarenot

fluentinEnglishlanguage.Phoneinterpreter accessed on a regular basis and information is provided in their own language when available regarding, pregnancy, birthing and postnatal issues

•7%of47%ofAustralianclientswereIndigenous

•7%increaseinAsianclients•6%decreaseinIslanderclients

Additional Services•Somemidwiferysupportfrom

MCHN/PEHP.EspeciallywithBookingInappointmentsandDomiciliary Home Visits. Without their assistance the workload would not be manageable especially at peak times and during leave

•1casualMidwifefromMilduraonnurse bank is very capable and able to backfill when required


Perinatal Emotional Health Program (PEHP)

ThePerinatalEmotionalHealth Programhasdevelopeda collaborative approach between the Maternity Service , RDHS Maternal ChildHealthNurseandMBH Maternity/MentalHealthServicesestablishing a referral and triage process which provides continuity of care for family’s experiencing anxietyand/ordepressionwhilepregnant or up to 12 months after the birth.

This has been a great service for the mothers and families in the Robinvale,Euston,BoundaryBendandManangatangareas.CombiningbothMCHandPEHPtogetherhasmeant that mothers are identified and collaborate for a smooth transition within Maternity Services

ThecloseassociationofPEHPwithMaternityandMaternal&ChildHealth Services has enabled family’s to have direct access to staff they have met during antenatal or postnatal visits which helps to reduce the stigma of involvement with a mental health service. Referrals are often generated during the pregnancy/antenatalperiodwhichassists greatly with postnatal anxiety and depression. This is a fantastic program for local women

Maternal and Child Health

IthasbeenanotherbusyyearforthematernalandChildHealth departmentwith:•Increasedparticipationratefor

3 ½ year old children; this is well in line with the Victorian state wide drive to increase these important HealthCheckspriortoPreSchool. ThesechildrenhadaMIST (MelbourneInitialScreeningTest)vision screen included in this health check.

•GoodattendancenumbersfromAboriginal/TorresStraitfamilies

•Asianfamiliesappreciatingtheopportunities for their children and that health and education are important; the attendance rates for these families are excellent.

•ThePaediatricRegistrar, Dr.GayathriKaruanayakehaving51consults during her monthly visits to RDHS. Dr. Karuanayake has resignedfromMBHtofurtherhercareerinPerth,andwillbemissedby the local families in Robinvale.

•TheVictorianInfantHearingScreeningProgram(VIHSP)testing19babiesforAutomatedAuditoryBrainstemEvokedResponse(AABR).Thisscreenisoffered to all newborns within the first few days of life; those missed, or need a repeat, are followed up at RDHS.

•MCHsupport,andworkingwiththeImmunisationclinics-4 sessions per month provide a service where families are able to access both immunisation and health checks on the same visit.

•EnhancedMaternalandChildHealthService(EMCHS)workscollaborativelywithMCHandPEPH,withintheMaternity Services. This provides continuity of care for families in case management with complex issues, some involving Department ofHealthServices(DHS).ChildProtection,DomesticViolenceandMilduraBaseHospital.Therearecurrently25clientsundertheEMCHSatsomelevel.

Early Years

The Early Years program continues to be successful, with children and families involved in a wide range of programs. A snapshot conducted inNovemberindicated108differentadults and 141 different children accessedatotalof574occasionsofservice. These figures are in addition of the families accessing midwifery, maternal and child health, immunisationandOurofSchoolHours care.

An example of activities and outcomes from the Early Years programfortheyearareasfollows:•Earlyyearspageinlocalnewspaper

–Eachmonthonepageofthenewspaper is dedicated to informing parents about the early years activities within the community, information about these services and also information which may be helpful to parents as they raise their children i.e. lunch box ideas, what to do about colds etc. it also has activities for the children to complete.

•TransferoftheOOSHprogramtothe national regulations and law act–asofthe1January2012all early years services nationally

MATERNAL KEY AGES & STAGES VISITS FOR THE PAST YEAR

Consult Non Aboriginal Aboriginal/Torres Strait

Homeconsult 69 122weekhealthcheck 73 114weekhealthcheck 74 098weekhealthcheck 70 104monthhealthcheck 68 108monthhealthcheck 63 1412monthhealthcheck 71 1418monthhealthcheck 53 112yearoldhealthcheck 60 043½yearoldhealthcheck 65 17

Cont’d...


were covered by the Education and care services national law act and the Education and care services national regulations

•Readingadventure–peppapig550peopleattended,itwasagreat opportunity to showcase our local programs and promote oral language and literacy to our community

•Developmentofservicemapping–workingtowardspublication–there will be a list of all services within the community that support familieswithchildren0-12years.Informationhasbeengatheredandiscurrentlyatthedesigners/printers

•InvolvementintheRobinvaleyouthprogram–workingwithMurrayValleyAboriginalCooperativeand a number of organisations to provide activities for students from theendofgrade6andintohighschool

•Assistingourvulnerablefamiliesto access services within the community and to meet their individual goals for health education and wellbeing. This is done to some extent through all of our programs but especially through theMobileVisitingPlayProgram

•Continuedparentinvolvementinthe3RDHSrunplaygroups–allwellattendedwithapprox180families(400participants)accessingthe playgroups each month

HIPPY (Home Interaction Program for Parents and Youngsters)

At the start of 2011 RDHS establishedtheHIPPYProgram.Itisatwo-yearhome-basedearlychildhood enrichment program, providing fun and stimulating learning experiencesandactivities.Itisfullyfunded through the Australian GovernmentDepartmentofEducation, Employment and WorkplaceRelations(DEEWR).38childrenfromRobinvale,Euston,BoundaryBendandManangatang

were enrolled in the program. However due to the itinerant nature of our communities many families havemovedaway.Currentlythereare 23 children participating in the program.

A trained Home Tutor supports parents with fortnightly home visits to explain and demonstrate the activities.Parentsthenspendaround15minuteseachweekdaydoing an activity with their child. This enhances the relationship between parent and child as well as promoting school readiness through activities like drawing, cutting, listening, and sound and letter awareness. Where possible, families are linked with a Tutor from a similar cultural background. We have one Home Tutor who is from a Tongan background and most of her families are from pacific islands.

Parentsmeetinagroupeachfortnight to practice new activities, meet other parents, share ideas, learn about child development and hear about other local services. GuestspeakershaveincludedDietitians,MaternalandChildHealthNurses,schoolteachers,TAFE,socialworkandOccupationalTherapists.HIPPYwasinvolvedwiththereadingadventurePeppaPig.WecelebratedNationalHIPPYweekin 2011 with fun games and party food.

The families are now completing the second year of the program with all children having started primary school. A parent reports that “HIPPYhashelpedmysonwithhisconcentration”.Onechildwonanaward at her school for “sharing herknowledge”asshehelpedexplain how to spell a word to other students and even went and got out the sight words to show the difference between two words. ManyHIPPYparentshavestatedthat their child has began school with confidence and an interest inlearningthankstotheHIPPYprogram.


ACUTE SERVICES

RDHS aims to improve the health and wellbeing of all patients through promoting wellness

and caring for illness efficiently, effectively, compassionately and

without discrimination.

AcuteCareisavailableattheRobinvale and Manangatang campus.

Bed-basedacutecareisdeliveredinRobinvale(14beds)andManangatang(6beds).


Acute Care

The RDHS Robinvale campus acute ward continues to be busy with a total759inpatientsthroughoutthepast year. Nursing staff participate in review of policies and procedures thus taking ownership of practice to ensure safe effective care delivery.

TheManangatangCampushas6acute beds available with 20 inpatients for the year.

Admission processes are defined to maintain a uniform approach and to be considerate of individual needs. All patients aged over 40 have an Electrocardiogram, a random blood glucose level and 24 hours of vital sign observations to develop a baseline record to assist in determining improvement or deterioration. This baseline can also highlight an underlying issue. Specific monitoring is applicable in accordance with admission diagnosis.

Ourolderpatientsareassessedforfalls risk and appropriate strategies are employed for the defined risk. RDHS continues to care for Nursing Home Type patients within the acute sector where no other options are available for their care.

RDHS has invested in bariatric equipment to assist in safely caring for the morbidly obese clientele. We have created a specific room with hard floor and allowance for lifter and other equipment use. This significant investment will assist staff to deliver care in a safe manner and reduce their manual handling risks.

RDHS receives many inter hospital transfers and continues to swab these patients to ensure we do not promote hospital acquired infections within our facility. RDHS is very proud of our ability to provide a safe environment for the sick and vulnerable patients and thank the community for their assistance by such activities as using the hand gels available and not visiting when they are themselves unwell.

Urgent Care Centre

This past year has seen a Health Department directive to change thenameofsmallruralAccident&EmergencydepartmentstoUrgentCareCentres(UCC).Thisistodefine the capacity of the smaller centres as opposed to the larger more recognised emergency departments.

OurUCCremainsthecentreforemergencycare–thecommunityarereminded that after hour’s treatment for minor ailments is not appropriate and they should utilise the nurse andGPoncalltelephonesupportservices, before presenting to the UCC.

Ourcentreisservicedbynursingstaff from the acute ward and by on call Doctors’ that have visiting privileges. Emergency outpatients will always be attended however outpatients are advised that they may experience a waiting period for non urgent care. Nursing staff are trained to assess, monitor and treat patients–theremaybeoccasionswhere the outpatient will receive care and attention from the nurse without requiring a Doctor to attend.

Atotal2537outpatientswereseenattheRobinvaleCampusoverthepastyear–anaverage7peopleperday. This demonstrates the extra workload to nursing staff that need to leave ward duties to attend the outpatient.

Atotalof339outpatientswereseenattheManangatangCampus.ServicedeliveryoftheUCChasbeen related to the availability of medical services. The absence of aGPinManangatangwasa challenge for staff and required clear and definite direction from management. Staff have been encouraged to provide care as determined by their training in assessment and appropriate and efficient referral and management.

Challenges

•Meetindustryexpectationsand ensure all compliance requirements are met.

•Utiliseavailableresourcestomaximum benefit.

•Maximisestaffeducationalopportunities to provide optimal care.

•ProvisionofoutpatientcareintheabsenceofGPsupportatManangatang

•Supportmedicalpractitionernew to Rural health care in Manangatang

Outcomes

Staff training in wound management to improve outcomes.

RecommencedIRONandRTPprograms.

Maintained Dialysis activity to meet local need.

Enrolled Nurse traineeship strategy maintained.

Discharge processes reviewed with further improvements required.

Bariatricequipmentpurchasedto provide safe care for patient and staff.

Future Directions

•ExplorefutureneedsforDialysis activity.

•Purchasenewdialysischairs.•Reviewpoliciesinlinewiththe

National Standards.•ConsolidateVMOpolicies.


Visiting Medical Officers

The on call requirements for emergency care is attended by VisitingMedicalOfficers’(VMO’s).TheVMOisaDoctorwhohasprivileges to attend the Hospital and these duties are over and above their own medical practice demands.TheVMOisrequiredtofollow the policies and procedures of RDHS to ensure safe care is delivered to our patients.

WethankthoseVMO’swhohaveassisted over the past year –inparticularRobinvaledoctors –DrLuccawhoconsistentlyhas provided us with the bulk of on call. AlsothankstoDrOmotosoforhisassistanceandDrBeejadhurwhoprovides some care particularly in the aged care sector during business hours.

InManangatangthedepartureofDr Kudriavceva left a gap in local medical service which was in part filledbyvisitingmedicalOfficerfromSwanHillMedicalGroup.DrToyinOrioyecommencedatthe Manangatang Surgery in April and commenced visiting services immediately.

RDHS is currently reviewing policies and procedures specifically for the VMO’stoconsolidateexpectationsand provide appropriate guidelines in keeping with industry standards.

Haemodialysis

Dialysis activity continues to remain steadywith376episodesofcarebeing delivered. This is with an average of 3 clients requiring constantcare.RDHShas6stafftrained to conduct the treatment with 2 staff being trained in the past year to maintain staffing levels. RDHS is proud of our responsiveness to serviceholidaymakers.Beingabletoaccess treatment whilst on holidays is appreciated by our visitors who are greatly restricted in travel due to their treatment demands.

RDHS was very fortunate to have 3newAK96machinesandweare

currently awaiting 3 new dialysis chairs through an application to the Royal Melbourne Dialysis support group.

We continue to consider future demands with review of a pre dialysis list prepared by our parent unit from Royal Melbourne Hospital. This list provides some indication of future need and RDHS is reflecting on possible options for client growth.

Visiting Nurse Service

TheVisitingNurseService(VNS)provides the community with home visits to attend medical needs such as wound care. The team at RDHS main site has been ably ledbyLoisOswinRNforthepast13years.Loishasrecentlyretiredand we sincerely thank her for her dedicated approach and loyalty to RDHS.Loiswillbemissedbyherworkmates and clients and we wish her well in her deserved retirement after 31 years of service to RDHS. We welcome Mr John Haynes RN to the team in VNS.

The past year has seen in excess of 2,300 visits to clients in the community. There have been 41 newadmissionswith9ofthosebeing from across the border in Euston,NewSouthWales.In excess of 12,200 kilometres has been travelled by the team to attend visits in Robinvale and district. Staffing and workload restrictions have prevented requests toattendBoundaryBendwithsomesupport able to be provided by community nurses when attending health promotion activities.

InManangatangtheVisitingNurseService is delivered by nurses on a roster from the inpatient service area. Manangatang does work with the Robinvale VNS in streamlining systems.

Anincreaseinpalliativecareto8clients has added to the VNS workload. The VNS team have provided opportunity for families to spend valuable time with their loved ones during the latter part of their

terminal illness, remaining in their own home. We are very proud to be able to assist the client maintain somecontroloftheirjourneywhichis a very humbling experience.

Palliative Care

The palliative care unit continues to be utilised to create a more comforting environment for the palliative patient and their family. The patient is nursed in the acute ward and the unit made available to families and significant others to provide a place of solace and privacy.

We require the community to respect the unit and be considerate of others; the unit can only cater to small numbers and requires a rotating roster for all significant visitors to have time with the palliative patient. Itisunfortunatewhenweneedtomonitor access however past experience has determined the need.

The staff at RDHS are very proud of our unique ability to participate in a positivewayinthefinaljourneyofour patient and provide a comforting environment for the family.

Donations to palliative care are testament to the overwhelming appreciation of families.

Medical Imaging

We have now experienced a full financial year with medical imaging in operation with our new reporting partnerinBendigoRadiology.Anaverageof15clientsareservicedperday–anexceptionalachievementfor us and a very fortunate coup for the community. RDHS has been proactive in creating and maintaining this service despite the lack of specific government funding. The community is also fortunate that we have been able to bulk bill episodes of service at this stage.

Cont’d...


The service greatly compliments the Midwiferydepartment–allowingourexpectant mothers to access total care locally. The department has serviced the requests from our local medicos’ and also assisted waiting lists at a regional level. Medical imagingtechnologist–AndreaMayshas proven to be a fundamental asset and considers all aspects to build on and refine service delivery. Achievements over the past year include;•Trainingattendancetoimprove

and add to service delivery including musculoskeletal workshops, Rotator cuff seminar, post operative shoulder ultrasound training,arterio-venousfistulasession for dialysis clients and baby hip ultrasound training. All important educational events that greatly enhance Andrea’s ability to be responsive to the needs of the community.

•Achievedaccreditationmeetingall standards set by the CommonwealthDepartmentofHealth&Ageing.Accreditationvaliduntil2016.


AGED CARE

At RDHS Residential Aged Care is provided by dedicated and highly

trained staff.

Our abiding goal is to provide a living environment which residents can

enjoy in comfort and with dignity.


Robinvale Nursing Home High Care

The 14 bed high care facility at Robinvale continues to be at full capacity with a fluid waiting list. Nursing Home Type residents have been cared for in the acute sector as able. The waiting list is considered “fluid”ascriteriaisconsideredon anindividualbasis.Considerations include factors such as bed availability, family supports and individual needs.

RDHS is fortunate to offer care in an attractive environment with appropriate equipment to ensure the best possible outcomes for residents and safety considerations for staff. Purchasesofergonomicdiningchairs, new lifting equipment and over bed tables have all contributed to improving the nursing home environment. The high care residents arealsoenjoyinganimprovedareamade available for their hairdressing needs.

With the assistance of generous donationsfromourlocalOpportunityshops, RDHS plans to upgrade the nursing home Televisions to digital with new pillow speakers to augment the viewing experiences for our residents.

The residents are entertained throughout the year with a variety of activities to stimulate their responses to their external environment. Weekly sing a longs

and church group visits promote links with the community and provide entertainment to our residents who often are unable to engage in external activities that theymayhaveonceenjoyed.

Oneofthemainareasthatis encouraged is promoting the interaction of residents to family members. Activities are often centred on food as it provides opportunity for family to actively engage with their loved one. Birthdays,Christmasandother special occasions are celebrated with much enthusiasm and many photos are testament to the enjoymentexperiencedbyall.

The family like environment is never felt more than when a beloved resident passes away. The staff organise a service to acknowledge the passing of a resident which allows family members, other residents and staff to mourn and celebrate their life. A DVD of photos accompanied by apt music is presented at the service and given to family members to commemorate their loved ones’ time at the nursinghome.Ourresidents become part of our extended family and staff keenly feel the loss.

Manangatang Campus High Care

Occupancyhasbeenlowoverthelast 12 months in part due to the loss oftheGPofmanyyears,DrIrina Kudriavceva, and subsequent gap in service provision whilst a suitable replacement was found.

The care provided by the staff both direct and support staff has enabled a high quality of care which has been supported by consumers, family and the community. The relatively small size of the unit enables the continuation of family home like culture with deep loyalties which is demonstrated in the extra time and effort put in by staff beyond their formal duties.

Challenges

•Maintainahomelikeenvironment for the comfort of our residents.

•Maintainapersoncentredfocus to assist in the provision of individualised care and attention.

Outcomes

Progressioncontinueswithimprovements to Riverside Hostel to aid ageing in place status.

No further progress with the aim of incorporating the Riverside Hostel with the

RDHSMultiPurposeServiceagreement. Efforts will continue.

Failuretomaintainconsistentoccupancy to maintain a TransitionalCare

Program(TCP)bed. ImprovementstoRobinvale

Nursing Home environment with the purchase of new over bed tables and new ergonomic dining chairs offering comfort and safety for residents and user friendly for staff.

AgedCareAccreditationachieved at Riverside Hostel until2015withthefacilitymeeting all 44 standards.

External medication reviews continue with a change to provider in accordance with Department of Health and Ageing guidelines.

Improvementstoenhancethehairdressing experiences for our elders.

Resident and family meetings to improve communication and further involve significant others.

Future Directions

•Consolidateelearningasanother legitimate training opportunity for staff.

•Continuewithbeautificationefforts at Riverside Hostel to enhance the living environment and move towards ageing in place status building requirements.

•ChangeovertodigitalTV’sfor Robinvale Nursing Home rooms to enhance their viewing experience.


Riverside Hostel Low Care

The Riverside Hostel provides a homelike environment with appropriate supervision and support to allow our low care residents to maintain a level of independence in safe surroundings.

FranAikmanhasbeentheNurseUnitManagerforthepast13yearsand has provided the leadership to a great team to ensure residents have an optimum experience in their twilightyears.Franwillbesorelymissed with her impending retirement however we all wish her the very best and extend our deepest gratitude for her exceptional efforts over a totalof28yearsatRDHS.

The residents of the Hostel have againenjoyedabusyyearwithmanyactivitiesbeingenjoyed.Some events have included;

•AnnualBallwithaBarnDancetheme.TheP-12CollegeartgroupsupportedtheBallby providing the painted barn yard back drop. The local ballroom dance group once again gave the event a touch of class and assisted residents with their dancing.

•Residentswerefortunatetohavethe expertise of the physiotherapy department deliver several sessions to promote falls prevention.

•Maintainingcommunitylinksisavery important consideration for us and we applaud the efforts of the sing a long group who visit the Hostel monthly and share fun and music with the residents and the wider community.

•Localchurchgroupsalsoofferservices to enable residents to maintain their spiritual connections.

•VETandDukeofEdinburghstudentsfromtheP-12Collegeattend the Hostel and actively engage with residents.

•RegularvisitsfromVolunteer Sue Smith offering cognitive stimulation with word find activities.

•GardeningwithDarlenecontinuesto be a highlight at the Hostel. The beautiful gardens are a delight for the residents to admire.

The staff and management are always striving to continually improve outcomes for the residents and ensure that processes are efficient and staff can deliver care in a safe and proficient manner. Several improvements include;

•Improvedhairdressingequipmenthas been installed thanks to the generous donation of the CommunityAidShop.

•Computerandprinterupgrades.•Elearningopportunitiesforstaffto

enhance training experiences.•Environmentalimprovements

continueasable–roomcarpetingor vinyl and refresher painting of resident rooms.

•ResidentDerekhasestablishedhimselfasthejigsawmasterandthe Hostel is looking great with many walls adorned with his magnificent creations. Many thanks to staff who assist Derek withtheframingofhisjigsaws.

Resident and family meetings provide opportunity for issues to be aired and solutions to be quickly acted on; this ensures that residents feel their needs are thoughtfully considered. Surveys are conducted to also receive feedback and explore prospects where we can improve outcomes.

TheTransitionalCareProgram(TCP)bed contracted to the Hostel was unfortunately not renewed on review fromtheMilduraBaseHospitalduetooccupancynotbeingheldat100%.This will be revisited if a future need is identified. Respite opportunities have been well utilised by community members with some episodes leading to permanent residency.

The communal living arrangements are celebrated with due consideration given to the privacy of the individual –theHostelisveryproudofitsabilityto manage this aspect of aged care.Congratulationstoresidents,families and staff of the Hostel for achievingAgedCareAccreditationuntil2015–areflectionofthe endeavours of all to create a wonderful living environment for the residents whilst maintaining links to their families and the wider community.

Care Planning

Individualcareplansareformulated for every aspect of care delivery. Assessments are undertaken to determine the needs associated with each resident and include mobility, continence, behaviours, nutrition and hydration and others. This allows staff to develop an appropriate plan of care to be responsive to the individual. Review processes then allows for changes to be recognised and plans updated to reflect the differing needs. Families/significantothersare involved with care plan reviews annually or as needed.

Allied Health Support

The disciplines in the allied health teaminclude;podiatry,OT,physio,dietetics, speech therapy, allied health assistants and social work. The aged care sector is ably supported by the team with regular visits, assessments, educational activities and treatments. The involvement of the team promotes the well being of our residents with treatment where necessary and preventative measures to maintain optimal health outcomes. This support enables our residents to maintain the most favourable opportunitytoenjoytheirtwilightyears.

Volunteers

Volunteers are very special people who don’t always consider their efforts as anything extraordinary however their efforts can have an outstanding effect on our residents. The residents of the Hostel also invite different individual and groups into their home to add some variety to their day.

The volunteers and visitors offer that little bit extra to the daily lives of the elders and can provide that special moment that makes a difference. While there is too many to name individually–pleaseknowyouarevery much appreciated by residents and staff.


PRIMARY CARE SERVICES

The Primary Care Team has had an exceptionally positive year in

2011-12, consolidating a number of programs, following a period of rapid growth in the previous financial year. With a total of 43 full and part time

staff, the team provides a range of services for clients of all ages in

Robinvale, Manangatang, Balranald, Dareton, Wentworth and Ouyen.

Some of these services include playgroups and other programs for

pre-schoolers, out of school hours care, school based services,

centre-based therapy and support to aged care facilities.

FestivalforHealthLiving

Nachos,GnulliandNasiGoreng

SteppinguptoBetterHealth

Heart Time

Strength&BalanceClasses

SPOTprogram

HIPPYprogram

MigrantWomensGroup

Cardio-PulmonaryRehabilitationProgram

Men’s Shed

Harmony Day

Kids go for your life

OOSH

PrimeTime

Men’sGym

Women’sGym

Rural Women’s Day

PeppathePig


ThefocusofthePrimaryCareteamcontinues to be on the provision of health promotion and therapy services across the catchment area. Thisyeartheteamprovided15,144individual occasions of service.

RDHS has maintained its strong commitment to partnerships throughout this year. As well as undertakinganumberofprojectswiththeNorthernMalleePrimaryCarePartnershipwehaveworkedwith Network House to maintain the “Nacho’s,GnulliandNasiGoreng”program. Several programs were undertakeninpartnershipwithMVAC,includingjointtrainingintheFlinders’ModelofChronicDiseaseSelf-Management and the establishment of podiatry and physiotherapy clinics atMVAChealthservice.

Clie

nts

0200400600

JUL

1174

1395

1133

1192 1151

834

1172

14001310

1191

1640

1552

AUG

SEP

OCT

NOV

DEC

JAN

FEB

MAR AP

R

MAY

JUN

8001,0001,2001,4001,6001,800

Total Individual Clients Seen 2011-2012

Challenges

Working with a range of other organisations to run a variety of different programs within the community is a challenge. RDHS has a strong commitment to partnerships, and works with many other agencies including Murray ValleyAboriginalCo-op,GreaterWesternAreaHealthServices, Mallee Track Health andCommunityService,theNorthernMalleePrimaryCarePartnership,theRobinvaleEarlyYearsNetwork,BestStart,CommunitiesforChildren,theLocalIndigenousNetwork, local schools and pre-schools,NorthernMalleeMental Health Services, LowerMurrayMedicareLocal,Network House and others. We also work with a wide range ofGovernmentdepartmentswho fund local programs and services. Through these partnerships we are able to assist with the delivery of programs for our community that could not be provided by a single organisation. Working productively with such a wide range of partners can be challenging.

Outcomes

While partnerships are challenging, they have also led to some significant achievements over the past year. RDHS has been working with the Northern Mallee PrimaryCarePartnership(NMPCP)andFlindersUniversitytodevelopasustainable model of chronic diseaseself-managementtrainingforourarea.Inthepast this training could only be undertaken in Adelaide. More recently it has been delivered inMildura.Byadoptinga“trainthetrainer”approach,weaim to be able to provide this

training locally, so that all staff acrosstheNMPCPwillhavethe opportunity to undertake this training. RDHS is continuingtoworkwithFlindersUniversitytoensurethetrainingis embedded into practice, to ensure all community members with chronic diseases are receiving best practice care.

The Youth School Holiday program is another example of a partnership working together to provide a service to the local community. The program was run each day of the January School holidays by Robinvale LeisureCentrestaff.Arangeof activities were provided, some were external activities providing access to activities not always readily available in Robinvale, and other activities wererunbytheBelgraviastaff.

Several new programs have been established this year, includingaChronicKidneyDiseaseManagementClinicwhich operates monthly. Clientsarereferredtotheclinicby a nephrologist and have the opportunity to be reviewed bytheDietitian,HARPNurse,Diabetes Educator and Podiatrist.Staffhavealsobeenworking with Kidney Health Australia and Northern Mallee PCPtocoordinateakidneyscreening day in Robinvale for high risk individuals. AgriSafe nursing and continence support are two other new services that commenced this year.

The Rural Women’s day was another outstanding success. 52womenparticipatedinthishealthscreening/healthinformation day. Women were able to undertake a number of health screens, including

Cont’d...


Outcomes Cont’d...

blood sugar, cholesterol, blood pressure and pap smears.Fundingwasprovidedby: HelenMcPhersontrust,SHRCC/floodrecoveryandDep.ofPrimaryIndustries:Agfutures. Health and wellbeing providersincluded:PHCstaff,MHN,DepartmentofPrimaryIndustry,PamelaEdelsten,RedCross,AllAboutMeMildura,MedicareLocalandDPIAg.

ThePreventativeHealthInitiative,focussingonworkingwith people to prevent the onset of chronic disease completed its second year, with one year left in the funding agreement.Thisprojecthasworked with a number of people in the community to identify barriers to achieving and maintaining good health, and implementing programs to try and address some of those barriers.

Future Directions

•TheRDHSstrategicplanfor2011to2016hasbeendeveloped.PrimaryCarewill have a key role in the outcomes around Delivering PersonCentredServicesandStrengtheningOurCommunity,whileworkingwith the entire organisation toensureobjectivesagainstall5strategicoutcomesaremet. Key activities that will be undertaken in the next financial yearincludecareco-ordination,improved health outcomes forpeoplewith/atriskofchronic disease, developing and maintaining partnerships with other service providers and further development of our Early Years services.

•TheAdvancingCountryTownsinitiative has identified Early Years as one of its priorities. TheFairStartinitiativewill

integrate and support a number of programs to provide better support for children and families in Robinvale to reach their full potential. An external evaluation of the RDHS services for children and families has been commissioned. This will be undertaken by Rachel Williams from locallogic place, and should be available in late 2012.Itisexpectedthiswillprovide evidence for the work currently being undertaken in Robinvale, and provide information for the future development of children’s services in Robinvale.

•2012-13willbeaperiodofuncertaintyforthePrimaryCareteam.Twomajorprojects,theRobinvaleEustonFestivalforHealthyLivingandthePreventativeHealthinitiativearescheduled to conclude in June 2013. We will be working over the next 12 months to try and ensure gains made by these projectscanbeconsolidated.

•ManagementoftheallocationofRuralPrimaryHealthServices funding, which funds themajorityofthePrimaryCareteam including all outreach to Wentworth,Dareton,Balranald,ManangatangandOuyenwillbe transferred to the Medicare LocalfromJuly2013.WewillbeworkingwithLowerMurrayMedicareLocaltoensurethistransition is as smooth as possible, but at this stage there are few details about exactly what this will mean for our program.

•Thenexttwelvemonthswillbea period of consolidation and partnership development.

Audiology

RDHS has been working in partnership with Sunraysia Hearing Services for several years, assisting them with the provision of hearing testing for adults, especially pensioners.FromMay2011thisservice was expanded with RDHS contracting one day per week of audiology services, which will allow childrenfromtheageof6tohavetheir hearing tested in Robinvale, instead of having to travel to Mildura. This will be further expanded when the new RDHS Health and Wellbeing centre opens, to allow hearingtestingofchildrenfrom9months of age.

Allied Health Assistants

Allied Health Assistants in the past 12 months have welcomed two newIndigenoustraineescompletingtheircertIIIinAlliedHealth Assistance, bringing our team to a total of 4, the largest it has ever been.

Coveringandsupportingawiderange of disciplines and events, the team has worked to the best of their ability providing excellent service to staff and clients alike.

Community Health Nursing

CommunityHealthNursing continues to provide an extremely diverse range of services. As well as individual consultations for well women’s checks, diabetes education, asthmaeducationandQUIT smoking, the community health nurses run weekly immunisation sessions for children and families, as well as adult immunisation for all new RDHS staff. They also provide continence support and advice. This is a new service, developed following withdrawal of the visiting continence service.

Dietetics

Ourdietitiansworkacrossthe community to assist people with


nutritional requirements and information as well as to decrease the risk of obesity and chronic disease associated with inappropriate consumption of food and drinks. Bothdietitianshavealsobeeninvolved in providing nutritional displays and education at a range of community events.

The dietitians have been working with the community health nurses to promote Vic Ride and Walk to School Days at St Mary’s School andtheRobinvaleP-12College.Rachael has also been working with the parents and teachers of the students at St Mary’s School to change school policy to encourage healthy eating, physical activity and drinking H2OaspartoftheKidsGoForYourLifeProgram.

Occupational Therapy

TheOccupationalTherapyteamprovides services across a range of areas including paediatrics, hand therapy, stroke rehab, wheelchairs and seating, and home modifications. As well as individual interventions, theOTteamhasparticipatedinthe running of several programs in the community including Speech PathologyandOccupationalTherapy(SPOT)groupinthepreschool,RobinvaleEustonFestivalforHealthyLiving(REFHL)acrossthethreelocalschools,andtheOtagoFallsPreventionprogramforolderpeoplein the community.

TheOTteamwillcontinuetoserveclients in accordance with best practice guidelines in each of the outreach communities as well as the Robinvale community through client centred, and goal focused treatment.

Physiotherapy

The physiotherapy department has achieved a substantial amount in the last 12 months. The team is now fully staffed, after many months of having a vacancy. The team is continuing to develop strong relationshipswithMVACand

physiotherapy is provided there one day per week.

The team has been regularly involved in community events highlighting the importance of exercise for health such as the Annuello woman’s day. Multiple gym classes have been established including the Diabetes Exercise Class,YouthFitnessClass,andSteppinguptoBetterHealthclasses.Thesewereruninconjunctionwiththe preventative health initiative. The following classes are also taking place:StrengthandBalanceClass,KneeRehabilitationClass,andCardiorespiratory Maintenance class.

Podiatry

We have had two full time PodiatristssinceOctober2011.This is the first time in several years that this has been the case. As well as providing podiatry services to community, aged care and hostels at all sites, they have been involved withtheChronicKidneyDiseaseClinic.Regularsessionsarerun atMVAC.Anumberofcommunity education sessions have been delivered, including careers day for high school students, rural women’s health day, infection control wound care and a foot care talk to the senior citizens and stepping up to better health participants.

Social Work and Counselling

The social work team has been involved with a range of programs in 2011-12.Thishasincludedsupportfor community members affected bythefloodsofFebruary2011,andcommunity support through events such as the Robinvale Ski Race, CarolsbyCandlelight,theFamilyandCommunityEvent(FACE)andthe Rural Women’s Day.

The coordination of the Robinvale EustonFestivalforHealthyLivingdeveloped from a part time to a full time role, and a full time coordinator was appointed in April. Regular classroom wellbeing sessions were incorporated into

the program for the first time, and a greater number of local artists were involved in the program.

TheHACCassessmentroleandclosingthegapprojecthavebeenundertaken by a member of the social work team. This has been particularlysuccessful,withjointHACCassessmentsundertakenwiththeMVACHACCassessmentworker, where required.

Speech Pathology

Ithasbeenabusyyearforthespeech pathology department. RDHS received the contract to provide speech pathology services to RobinvaleP-12schoolandcreateda third speech pathology position. This has provided support to school staff by providing formal training on speech and language screening, when to refer to speech pathology andassistedthedeliveryofPartnersinPrintprogram.Assessmentto individuals and therapy to individuals, small groups and whole class groups are some of the services provided.

RDHS has received funding from CommunityforChildrenfora community speech pathology position for one day a week. This position has developed over the last year. The speech pathologist attends playgroups, mothers groups, childcare and community eventssuchasFACE/REFHL,harmonyday,MVACkidsday,andPeppathePig.Thereshepromotesspeech pathology services, the importance of oral language and how to promote oral language development in children.

During the year the speech pathology department worked towards the addition of another diet consistency for the kitchen to prepare for our residents/inpatients.Theteamhaveprovided training on swallowing and diet texture modification to kitchen staff, nursing staff and family.


CORPORATE & QUALITY SERVICES

Effective management systems, processes and support services are

essential to the ongoing viability of our organisation and the quality

of the services we offer to the community.

CorporateandQualityServicescomprises departments staffed by people with a wide range of skills and expertise in business analysis, food, environmental and linen, human resources, information communications and technology, supply and maintenance services. These departments support direct patient care and ensure Robinvale District Health Services functions effectively and effi ciently. These departments participate in management decision-makingfortheentireorganisation, in particular the interpretation of government policy, the implementation of changes required for compliance with statutory obligations and the management of resources necessary for the delivery of clinical services.


Facilities, Maintenance and Supply

FacilitiesManagementrequirestheongoing maintenance of physical facilities to ensure they are reliable, safe and comply with relevant standards. RDHS has a continuous program of infrastructure redevelopment and refurbishment to ensure all facilities are fit for purpose.

The Supply department is responsible for providing equipment and consumables to all departments within the Health Service. Supply workscloselywithHealthPurchasingVictoria(HPV),whichisastategovernment initiative to achieve savings in the public health system. Rural hospitals have been able to gain significant savings through the HPVtenderingprocesswithHPVnow managing over twenty contracts on behalf of hospitals throughout the state.

Health Information Services

Medical Records hold all medical and administrative information for patients treated at Robinvale District Health Services. The medical record itself is the key document which demonstrates continuity across health

Cont’d...

Goals

•Todeliverefficient,safeandeffective care and achieve continuing accreditation of all services.

•Toprovideandmaintainsafeand high quality physical surroundings.

•Toprovideacleanandhygienicenvironment that minimises the risk of infection while promoting a pleasant living experience.

•Toprovidefresh,nutritiousandtasty meals that meet individual needs and satisfaction of our consumers.

Outcomes

Reaching agreement with HealthPurchasingVictoriaforRDHS to be able to purchase usingHPVcontractswhereapplicable.

Commissioningofnewmaintenance shed.

Refurbishmentofthe‘TAFE’wing of the old hospital. This building has been named the HealthandWellbeingCentreand will be the doorway to allPrimaryCareServices,Midwifery, Radiology, Supply, HospitalityServices,LinenServices,Immunisationandmanyotherservices.Itisexpected that the building will be open in early August 2012.

2 bathrooms refurbished at the Manangatang campus.

New front entry door installed attheManangatangCampus.

Residenceat64PioneerStreet Manangatang totally refurbished.

Residenceat29PioneerStreet Manangatang repainted internally, new window furnishings hung and significant works undertaken in the garden.

Majorworksperformedonthegarden at the entrance to the Manangatang campus and outsidetheGPclinic.

InternalandexternalworksperformedattheParishHallinreadinessfortheOOSHprogram.

Many bedrooms at the Hostel have been repainted, recarpeted or vinyl laid on the floor.

OverbedtableswerereplacedinAcuteCare&HighCare.

Residenceat17ParkeStreetRobinvale recarpeted, new shower door in bathroom, additional kitchen cabinets installed together with new stove. Minor painting done in the kitchen and bathroom. Furniture,whitegoodsand other household items purchased so that the house is now fully furnished.

Consolidationofmenusandrefining food choices to meet dietary and client choices.

UpdatedLinenagreementsto reduce linen losses and improve client costs.

IncreasedLaundryefficiencyand services to better track linen turn around.

Clientmenusconsolidatedacross all campuses.

Cleaningsystemsacrossallcampuses use steam cleaners.

AgedCareStandardsAgencyAccreditation of the Riverside Hostelcampus-March2012.

Continueddevelopmentofa‘QualityCulture’withinRDHS.

Surveillance audit confirmed compliancewithISO9001,ISO14001andAS4801:2001.

Future Directions

•Projectmanagetheconstructionof2semiself-containedbedrooms at the Nicholls Street residence.

•Finaliseplanningforstage3refurbishment of the ‘old’ hospital building.

•Progressplanstofinishtheupgrade of the Riverside Hostel toClass9Cstatus.

•Securefundingtoprogressthe further refurbishment of the ‘old’ hospital building.

•Reviewpurchasingandinventory management processes.

•SecurefundingtoexpandtheRenal Dialysis facilities.

•InvestigateextensionofDynamicCookFreshsystemsto provide improved service.

•Consolidatechemicalservicesto ensure efficient and effective systems achieve performance measures.

•Productionfoodcontrolsystemfor improved food service.

•ContinuetoimprovetheIntegratedManagementSystem.

•Toimplement‘on-line’systemfor comments and complaints management.

• Implementnewriskmanagementsystem and software.

•ImplementnewstrategiestoincreaseConsumerParticipationthatreflectsourdiverse community.


care events and assists health professionals make informed decisions around current and future treatment regimes.

The medical record storage area has restricted access to ensure that privacy and confidentiality of records is maintained as per the legislative requirements of the Health Records and Health Service Act.

Data Collection And Data Management

Accurate data collection and reporting to funding bodies is vital to the continued viability of our health service. Through data management reform, RDHS has improved the quantity and quality of collected data, and the ability to meet reporting timelines.

Information Technology

TheInformationTechnology(IT)department provides computer hardware ,software and education to all areas across RDHS as well as maintaining the central network system.

InformationTechnologysupportforRobinvale District Health Services information technology systems and infrastructure is out sourced to local provider proadvance.

RDHS is also a member of the LoddonMalleeRuralHealthAlliance(LMRHA).SomeICTdevelopmentand software implementation supportisprovidedbyLMRHA.

Hospitality Services

Hospitality Services received excellent results from external audits food safety systems this year. Apart from the daily catering for residents and clients there is also a requirement foravarietyofeventssuchasBoardmeetings,CasseroleLuncheons,SpecialOccasions,MothersDay,ChristmasDay,HarmonyDay,TheBiggestMorningTea,etc.

The new kitchen has been challenged thisyearwithlargeCateringeventsincludingPeppaPig,where400peopleenjoyedlunch.WehavecateredforMalleeTrack,BendigoHealth, Nursing Home Special occasions,HarmonyDay,P-12,and many more events. The Hospitality services are flexible to cater for many different food and service requirements and have responded to big and small orders.

InJunewesaidfarewelltoHelenMumford who as a kitchen Assistant retired after thirty years service initially in Nursing and then in Hospitality.

This year we introduced a New Menu that has given clients a far greater choice of foods. The new menu design took into account what the elderlyenjoyandnutritional requirements. The positive feedback from all areas to providing a nutritious, healthyandwell-balancedMenuforboth the public and private patients has been well received by staff.

We have developed the Dynamic CookFreshprocessestoreview the techniques for preparation, productionandbanqueting.Providingour clients with the food they love, consistently, presented and garnished portions gives satisfaction to the hospitality staff. Dietitians provide advice to improve the nutritional balance and suitable variety for the ResidentialAgedCare,AcuteandSpecial needs clients.

Cleaning Services

The cleanliness of the surroundings and equipment is very important as we aim to prevent infection and maintain a comfortable, clean environment for our clients, general staff, administrators, nurses, the public and most of all to assist with patient recovery.

Cleanlinessinhealthcarefacilitiesplays an essential role in preventing the spread of germs that can cause HealthcareAssociatedInfections(HAIs).Regularinspections, testing and audits are mandatory requirements set out in the

DepartmentofHealthCleaningStandardsforVictorianPublicFacilities.RobinvaleDistrictHealthServiceshasthree(3)ExternalAudits annually, reporting in April, AugustandNovember.Internalaudits are completed in High risk monthly; Moderate risk every three months and low risk areas annually. Ourcomprehensiveandsystematicprogram of cleaning schedules is regularly monitored to confirm the adequacy of cleaning. Results are documented as evidence of quality improvement and importantly a confirmation of safety.

Recent results from a Department of Health Report rated Robinvale DistrictHealthServices-HighRisk94.5%andModerateRisk98.7%.Thestandardis85%topass required criteria. This rates the RDHS in the upper range for Health Services in Victoria.

SteamCleanershavebeen introduced successfully in the Hospital,NursingHome,PrimaryHealthandkitchen,Inthepastfewmonths the steam cleaner has also been introduced to the Hostel and ManangatangHospital.Useofsteam to sanitise and clean reduces the need for chemicals and the associated risks. The use of the equipment reduces manual handling and associated risks to employees

Laundry

TheintroductionofCastleChemicalCompanywhosupplythelaundrychemicals and cleaning products in late 2011. The service has been effective in sanitation and cleaning products. However we are yet to see performance standards met in theLaundrywiththelevelofrewash. In2011/2012theaverageamountof linen washed per month was 29,800itemsworking20-daymonth.

TheLaundryteamprovideinternalservices to the hospital, nursing home and the Riverside Hostel campus.Inadditiontheyprovideservices to Mallee Track Health &CommunityServiceandHostel,MalleeTrackMedicalCentre,


After January 2013 all health services will be required to be accredited to the National Safety and Quality Health Service Standards. These standards have been developed to improve quality and safety throughout all Australian health services. RDHS is not required to comply against these standards until November 2013 but it is hoped that we will comply in November 2012, as we consider this standard as being ‘best practice’ and believe that your community deserves the highest level of service possible.

Aged Care Accreditation

Riverside Hostel is accredited againsttheAgedCareStandards byTheAgedCareStandards Accreditation Agency. The Aged CareareasatManangatangNursingHome and Robinvale Nursing Home do not require external accreditation, however with our extensive internal auditing process we ensure that the same processes and procedures arefollowedatallofourAgedCarefacilities.

There are 4 standards with 44 outcomes of the Accreditation standards that a facility must comply withtheseare:

•Managementsystems,staffingand organisational development.

•HealthandpersonalCare.•Residentlifestyle.•Physicalenvironmentandsafe

systems.

Riverside Hostel is required to participate in one scheduled audit every three years and one support (un-announced)visitannually.In November 2011 the hostel participated in their support visit and April 2012 the staff and residents participated in their scheduled two day audit and was compliant against all 44 outcomes. This resulted in the hostelreceivingre-accreditationforanother 3 years, which is an outstanding result. These results gives us confidence that all our aged care residents are given the best possible service by our extremely caring staff.

OpportunitiesforImprovementthathavebeenidentifiedforthefutureare:

Riverside Hostel:Buildingimprovements to be made so residentscan‘AgeinPlace’.

Robinvale Campus: Replacement of TV’s in resident’s rooms that have voice to text option.

Manangatang Campus:Majorbathroom renovations to increase independence and safety.

Victorian Patient Satisfaction Monitor (VPSM)

TheVictorianPatientSatisfactionMonitor is a survey is undertaken by the Department of Health and assists hospitals in identifying areas for improvement that can improve services and patient satisfaction. The survey is sent to a random numberofadultin-patientswhoaretreated and discharged by Victorian public acute hospitals.

The survey requests feedback on Overallcare,AccessandAdmission, GeneralPatientInformation, TreatmentandRelatedInformation,ComplaintsManagement,PhysicalEnvironment,DischargeandFollow-upandConsumerParticipation.

There has been a slight increase in the response rate from the previous surveyfromapprox26%to29%tothis survey which has been a pleasing result. There has been an increase of overall satisfaction across care indicesfrom73.5%comparedto83.1%lastsurvey.(Seetablesonnextpageforfurtherinformation)

Customer Feedback

RDHS actively seeks client feedback and all comments, suggestions or complaints are viewed as ‘OpportunitiesforImprovement’.

Cont’d...

BalranaldHostel,Hospital,RobinvaleDistrictMedicalCentreandMurray ValleyAboriginalCooperative.Lastyear Susan Mattschoss was appointed Hotel Services Supervisor responsiblefortheCleaningandLaundryServices.

QUALITYIntegrated Management System (IMS)

OurIntegratedManagementSystem(IMS)isdesignedtoensurethatavariety of organisational requirements are addressed in a single management system.Ourmanagementsystemassists us to provide quality safe services to each and every client every time.

ThesystemiscomplianttoISO9001:2008QualityManagementSystems,ISO14001:2001 Environmental Management Systems,AS4801:2004Occupational Health&SafetyManagement Systems,AgedCareStandards,HomeandCommunityCare,andFoodSafetyStandards.

ISOstandardsareInternationalstandards that are used throughout the world. RDHS are one of a few VictorianPublicHealthServicesthatare certified against these international standards.Allthestandards/systems are audited annually by external independent auditors. A number of areas are reviewed during this process including:emergencypreparednessand response, management review, internal audits, supplier assessment, maintenance processes and customer liaison and feedback. Due to the commitment by staff to provide consistently high quality and safety service there were no non-conformancesraisedinanyexternal audit this year.

We have been certified for our international Quality Management Systems for over 10 years, management and staff are very proud of this continued achievement.


Ouraimisto:•Increasethelevelofcustomer

satisfaction with the delivery of services and enhance the customer/providerrelationship;

•Recognise,promoteandprotectconsumers rights, including the right to comment and complain;

•Provideanefficient,fairandaccessible mechanism for resolving customer complaints;

•Provideinformationtocustomerson the complaints handling process;

•Monitorcomplaintsinanendeavour to improve the quality of services;

•Ensurethereisapositiveattitude towards customers and commitment to resolving complaints.

Complaintswhetherverbal(informed)orinwriting(formal)aretakenseriously. Serious complaints received by management are fully investigated by the nominated person(s).AfullreportisprovidedtotheCEOordelegate,whowillrespond formally to the complainant as soon as possible. All written complaints are reviewed by the BoardofManagementandexecutiveteam, as they are presented.

We received 12 formal complaints this year, which was a slight decreasefrom17receivedlastyear.The complaints received were all investigated and responded to. Due to this feedback changes have been made in staff training, cleaningsubstances used and review of procedure.Futureinitiativestoincrease the number of comments, suggestions or complaints include theintroductionofan‘on-line’system, where staff can enter as they receive them. This process will be reviewed when implemented.

Infection Prevention and Control

Infectioncontrolisnotsimplyamatter of implementing policies and procedures.Itinvolvesimprovingawareness, changing practices and ongoing monitoring to ensure the spread of infection is limited. The full-timeCNE/InfectionControlNurse,co-ordinatesacomprehensiveinfection control program which includes an infection control committee.TheCommitteeconsists of representatives from eachcampusandaCommunityHealth Nurse. The committee

analyses surveillance reports,infections rates, blood and body substance exposures, vaccination rates and education.

RDHS participates in a ‘hand hygiene program’ which is a national program. We conduct hand hygiene audits 3 times a year and report the findingstoVICNISS(VictorianHospitalAcquiredInfectionSurveillanceSystem).Thisprogramenablesusto monitor the effectiveness of our strategies that are implemented to keep infection rates at a minimum. The results for this year saw an average compliance score of 87.2%.Thisscoreisverygoodasthepassis60%butwithcontinuedstaff, client and visitor awareness improvements in these results will be seen and will therefore result in reduction of infection rates.

Medication Management

Medication management remains a high priority for any health service. Medicines are commonly used in health services and this increases the risks associated with medication management. Nursing staff report all incidents involving medication errors including near miss incidents. This reporting assists us to identify areas that require improvement. All nursing and personal care workers complete medication competencies on a annual basis. The competenciesareamixtureof1:1testing,completion of a questionnaire and drug calculations which require a 100%scoreinordertobedeemedcompetent.

The introduction of the National Safety and Quality Health Service Standards will see some strategies being implemented to reduce medicationerrorssuchas:•Improvingclinician-workforceand

clinician-patientcommunication•Usingtechnologytosupport

information recording and transfer•Providingbetteraccesstopatient

information and clinical decision support at the point of care

VPSMresultsareprovidedtoeachhealthserviceasa‘mean’oraverage.

As shown there are only two items fractionally below the state mean. Thefoodserviceshavehadafullreviewandchangestothe‘cook-chill’system have been implemented. We will continue to review patient feedback on the quantity and quality of food. The other 3 identified items are being assessed and will be audited against the National Quality and Safety Health Service Standards.

Item Comparison with State MeanCleanlinessofroommostfrequented 0.42aboveTimeyouhadtowaitforabed 0.54aboveCleanlinessoftoiletsandshowers 0.31aboveHowwellcultural/religiousneedsweremet 0.28aboveChangeroom 0.55above

Item Comparison with State MeanQuantityoffood 0.05belowWritteninformationabouthomemanagement 0.18belowQuality of food aboveAmount of time given to plan going home aboveExplanationofside-effectsofmedicines above

Fivehighestscoringitemsforthissurveywere:

Fivelowestscoringitemsforthissurveywere:


OUR WORKPLACE

A combination of innovative recruitment strategies and workforce development initiatives have ensured

that our vacancies are kept to a minimum and our workforce performs

to a high standard.


Challenges

•Developproceduresthatensuresubsidy funding is claimed within employment process

•DevelopHR21systemsto better report costs for ProfessionalDevelopment

•IntroductionofviCPlaceclinicalplacement system.

Outcomes

IncorporatingtheStateServices Authority annual employment statistics reports into payroll system

Department of Health, Minimum Data Set information set up to run monthly in payroll

ImprovedinterfacewithProfessionalDevelopmentanddatacaptureinChris21.

Structured volunteers program to manage the opportunities provided by volunteers.

Standardised department inductions for all new employees.

NewIndustrialAgreementsnegotiations with RDHS for mostrespondentFederalAwards

Improvedrosterefficiency ReductioninWorkCoverclaims IRONprogramfullplacement

2011/2012

Future Directions

•AnalysisofStaffingcostimpacts and implementation optionsforAginginPlace

•DeveloptrainingprogramforBoardofManagement

•ResearchPrivate/PublicstaffingmodelsinPrimaryHealthCare

Workforce 2011 Full Part FTE Num FTE NumDepartment Time Time Casual F’male F’Male Male MaleNursing 27 31 10 48.16 68 0 0AdminandClerical 15 5 16.00 18 2 2MedicalSupport 2 4 1 3.40 6 0.03 1Hotel&AlliedServices 17 30 13 31.55 53 6.63 7AncillarySupportServices 18 3 7 19.92 26 2 2Total 79 73 31 119.03 171 10.66 12

Workforce 2012 Full Part FTE Num FTE NumDepartment Time Time Casual F’male F’Male Male MaleNursing 30 29 7 48.10 62 4 4AdminandClerical 18 4 2 16.15 20 4 4Medical Support 2 0 1 2.00 2 0.13 1Hotel&AlliedServices 18 28 18 31.09 59 8.1 5AncillarySupportServices 21 5 4 21.49 28 1 2Total 89 66 32 118.0 171 14.73 16

Our Workforce Profile

Asof30thJune2012RobinvaleDistrictHealthServiceshad187staffemployedcomprising89FullTime,66PartTimeand32Casual.Duringthisyearwerecruited39newstaffand35leftRobinvaleDistrictHealthServices(includingtworetirements).

Employment and Conduct Principles

RDHS is committed to applying merit and equity principles when appointing staff. The selection processes ensure that applicants are assessed and evaluated fairly and equitably on the basis of the key selection criteria and other accountabilities without discrimination.

Recruitment

For2012RDHSrecommencedtheInitialRegistrationofOverseasNurses program. This traditionally has been the feeder for replacement nursing staff and this continues to be the case.

ThisyearRDHShasrecruited39staff.Belowisanexampleofstaffrecruitedin2011/12

•2additionalIndigenousAlliedHealthTrainees,1Grounds&GardenTrainee

•EnrolledNurseTrainees

•12clinicalplacementstudentsfromtheInstituteofHealth&Nursing, Australia

•6InitialRegistrationforOverseasNurses(IRON)studentsfortheyear

•4studentsfromtheplacementand the overseas program have gained full time employment at RDHS

•1GraduateNursecommencedher graduate year placement

The total increase in 2012 was four additional staff. We have used a number of recruitment resources to grow the organisation. Despite the number of resignations RDHS has maintained full employment for this year

Retention

Employee turnover for the year is 35includingtworetireesthatisa significant increase over 2011. Retention is an area that Robinvale District Health Services has worked with staff to develop continuity of

The2012formatcomplieswithVictorianPublicHospitals-StandardPayrollCodesasatOctober2008 (LastAmendedon:4January2010).


employment.Oftheresignationseight casuals, four employees with under two months service and four employees with less than one year. Two staff completed the term of their employment agreement and chose to leave RDHS. The turnover equates toa6.8%turnoverintheworkforce.Ongoingeffortisrequiredtomaintainthis level of employment.

Industrial Relations

All agreements that Robinvale District Health Services is a respondent have reached the end of term this year. The Medical Scientists new agreement has been implemented and the remaining agreements will be in place by early July 2012.

Employee Remuneration and Benefits

RDHScontractwithAccessPaycontinues.Overallemployeeshave access to additional benefits throughSalaryPackaging. Robinvale District Health Services continues to adopt the policy set byGovernmentSectorExecutiveRemunerationPanelthatisalsoendorsed by the Department of Human Services.

Staff Credentialling

RDHS verifies the credentials of all registered practitioners annually through public access web sites and with staff presenting their registrations.

AustralianHealthPractitionersRegulation Agency now credentials nationally recognised registrations. Statutory registrations are required byMedicalPractitioners,Nurses,Physiotherapist,Podiatrists, Psychologists,Pharmacists, Optometrists,Osteopaths,Dentists,Chiropractors,ChineseMedicinePractitioner,MedicalRadiationPractitioner,Pharmacistand OccupationalTherapists.OtherHealthPractitionerswhoarenotrequired to have the mandatory registration complete the appropriate

Tertiary degree and may be requested to show eligibility for membership to the relevant association, society or body representing a particular discipline. RDHS has applied and received approval to bulk upload current registrations for employees. As such checking of individual registrations is no longer required and reduces checking time considerably.

All staff have a compulsory police check and a number of staff are required to obtain a working with children check.

Payroll & HR Software

Chris21OverthelastyearChris21hashad several minor upgrades due to changes/enhancementsavailablewithin the system. All these upgrades have been successful with minimal interruptions to RDHS payroll processing.

HR21The speed of HR21 for leave applications, leave approvals etc has increased dramatically making it more efficient for staff and managementtoapply/approveleave requests. RDHS are looking into further functions of HR21 as employees with access to HR21 have the ability to view their payslips and payment summaries.

TimesheetsThe process for electronic timesheets was unsuccessful. RDHS are continuing to look into alternative options for those working permanent shifts working the same hours and same days each fortnight. This will reduce the amount of time to process the fortnightly payroll.

Workforce Analysis and Comparison Application (WACA)Inthelastyeartestinghasbeenconducted in the payroll system, Chris21toidentifythecapabilityofproducingtheWACAreport.TheWACAreportissubmittedtothe State Services Authority for regular data collection of the public sector workforce to assist with

policyandplanning.Chris21hasnow established the capability toproducetheWACAreportelectronically with the correct data. Robinvale District Health Services in the past have manually completed this report.

Minimum Data SetRobinvale District Health Services has been successful in creating the MinimumDataSet(MDS)reportthrough the payroll system. The MDS consists of two reports, payroll data and workforce data, which are run on a monthly basis. The payroll data report is sent to the Department of Health monthly and the workforce data report is sent in June and then again in December of each year.

Volunteers

Robinvale District Health Services hasapproximately80volunteerswho provide their time to assist us deliver care and support to our clients. The Volunteers are an essential part of the organisation as they deliver ‘Meals on Wheels’, entertain residents with music, dance and reading, as well as many other services. This year the volunteer records were reviewed and brought up to date. There remains some work to be completed on the volunteer register.

Professional Development

Inthelast12monthsRDHShashad 12 clinical placement Students fromInstituteofHealth&Nursing,Australiaandre-commencedtheInitialRegistrationforOverseasNurses and has had six students completetodate.Fromthe placementandtheOverseasNurseprogram four students have gained employment at RDHS. Additionally RDHS has also accepted 11 students for clinical placement from a variety ofUniversitieswithinourregionandinterstate.

Cont’d...


RDHShasintroducedE3Learningan online training system that runs inconjunctionwiththeannual training calendar. The ‘on line’ training is designed according to Job role and individual needs. E3Learninghasbeenausefulandconvenient learning tool for staff at RDHS as it offers our employees flexibility to complete courses online and delivers meaningful educational outcomes. A Monthly report for department heads provides a record of completion of courses.

RDHScurrentlyusesAgedCareChannel(ACC)DVD’Sasalearningtool.Currentlyreviewingavailabilityfor online access for staff to access the training any time, and complete itattheirownpace.TheACChavesaid this online training will be up and running by the beginning of August 2012.

Laterin2012viCPlacewillbeintroducedasasecure,web-basedinformation system that assists Victorian clinical placement providers to plan and administer clinical placements with partnered educationproviders.viCPlaceisdesigned to align with the normal workflow of clinical placement planning, coordination and delivery. viCPlacewillbeginastagedrolloutin 2012.

VickiBroadistoundertake MidwiferyPracticeReviewinorderto become an eligible Midwife. An eligible midwife is one who meets therequirementsoftheNMBA and renders a Medicare rebateable service in a collaborative arrangement or collaborative arrangements of a kind or kinds specified in the regulations, with one or more medical practitioners, of a kind or kinds specified in the regulations.

Staff have undertaken a number of varied education opportunities this year to broaden their skills and improve their knowledge. The total amounts of hours are shown in the table above.

Muscular/SkeletalLaceration/ScratchFallAbuseBurnChemical

2

21

3

4

3

BurnAbuseLaceration/ScratchMuscular/Skeletal

Injury Charts 2010-2011


1

5

2

2

Muscular/SkeletalLaceration/ScratchFallAbuseBurnChemical

2

21

3

4

3

BurnAbuseLaceration/ScratchMuscular/Skeletal



1

5

2

2

Occupational Health and Safety

Robinvale District Health Services has commenced benchmarking with other rural and regional health services to identify how the organisation performs in the OccupationalHealthandSafetyarea. As this has recently commenced it is being fine tuned to ensure that like data is being compared. The Quality Manager has attended a number of meetings oftheLoddonAreasafetygroup.

Injuryreportsforthisyearshowa50%improvementfrom2011.Themanual handling incidents although minor are considered an area of risk to be addressed.

This year ‘on line’ Manual Handling andNoLifttrainingcommencedwith directsupportfromPhysiotherapyclinicians providing workplace support for staff.

Noseriousinjurieswerereportedin this year. Details of incidents are includedintheInjuryCharts.

PrimaryCare 1553.4Hours

Management&Administration 423.2Hours

Nursing&CareStaff 703.5Hours

Hospitality,Domestic&EnvironmentalServices 9.3Hours

Manangatang 104.5Hours


• Community Nursing• Podiatry• Physiotherapy• Social Work• Occupational Therapy• Speech Therapy• Youth Services• Early Years Programs• Cultural Liaison• Audiology• Health Promotion• HACC Assessment• Primary Care Outreach Program

• Midwifery• Maternal & Child Health• Radiology• Clinical Education• Visiting Nursing

Nurse Unit Manager(Main Campus)Acute Services

Emergency ServicesNursing Home

Acute ServicesEmergency Services

Nursing Home

Nurse Unit Manager(Hostel Campus)

• Board Executive Services• Tourist Information Centre• Information Technology• Administrative Services• Public Relations• Medical Records and Patient Data Management• Motor Vehicles

• Supply• Maintenance

Facili�es and Assets

• Quality Systems• Quality Accreditation• Risk Management• Aged care• Accreditation• Clinical Governance• OH&S

PayrollProfessionalDevelopment

Laundry ServicesCleaning

Hospitality

BOARD OFMANAGEMENT

CHIEF EXECUTIVEOFFICER

ORGANISATIONAL STRUCTURE

VISITING MEDICALOFFICER

BOARDSUB COMMITTEES

Director of NursingRobinvale

Director NursingManangatang

Campus

ManagerFacilities &

Administration

ManagerHuman Resourses

ManagerQuality

Financial Services

ManagerFinance

Director of PrimaryCare Services

Senior Management Team

Mr Ormond PearsonBHSc(Mgt) AFCHSM CHE FIPA FAIM FAICD FCEOI

Interim Chief Executive Officer

Commenced4thJune2012. MrPearsonhasworkedinruralhealth services in Victoria and South Australia for over 30 years. He is an AdministrativeSurveyorwithACHSand has served on various health boards and councils.

Mr Laurence BurtMBA, AFCHSM

Chief Executive Officer

Appointed to this position in March 2008.LaurenceisresponsibleforworkingwiththeBoardtoensure

effective governance of the health service and the achievement of strategic service and performance targets.

(Resigned31stMay2012)

Mrs Leanne AdcockRN, BA App Man, Cert IV TAA, Certified Instructor

IANCICI, MRCNA

Director of Nursing – Robinvale Campus

Appointed to the position in April 2008,LeanneaRegisteredNurseDivision 1 is responsible for the clinical component at RDHS including;AcuteandAgedCare,Visiting Nurse Service, Maternity

andMaternalHealth,Clinical Education and Radiology.

Mrs Ruth FoxBA.App.Sc, BA App Man

Director, Primary Care

Appointedtothepositionin2007.Ruth is responsible for the managementofPrimaryCare Services. She has a broad knowledge of the service gained during her priorpositionasSpeechPathologistat RDHS.

Cont’d...


Our Departmental Managers

Manager Supply & MaintenanceMrPeterRickard

Hospitality Services CoordinatorMrs Teresa Mezzatesta

Clinical Educator / Infection Control Nurse CoordinatorMrsJanetPrattRN, Certificate IV Workplace Training & Assessment

Maternity Services ManagerMissVickiBroadRN, RM

Nurse Unit Manager - Riverside Hostel MrsFranAikmanRN

Nurse Unit Manager - Riverside HostelMrsPamelaManna,RN

Nursing Services OfficerMrsBinuJoyRN

RadiologistMrs Andrea Mays

Hotel Services SupervisorMrs Sue Mattschoss

Our Visiting Medical Officers & Consultants

General Practitioners

Dr.L.LuccaMBBS TURIN 1981

Dr.JoseOmotosoMBBS University of Lagos 1981 (Nigeria)

DrRajBeejadhurMB BCh BAO National University of Ireland (Ireland)

1971

Dr.IrenaKudriavceva M.B.B.S.

Dr.ToyinOrioyeM.B.Ch.B Obafemi Awolowo University (Ile-Ife Nigeria)

Ms Carol BucheckerRN

Director of Nursing – Manangatang Campus

Appointed to the position in 2011, CarolisaRegisteredNurseDivision1 and has overall responsibility and management for Nursing and associated services at RDHS, Manangatang campus. These services being Acute, Aged, Visiting Nurse, and, Health and Allied employees whilst on site.

Mrs Vicki ShawcrossBA App Man, Adv Dip Bus Man, Certificate IV

Workplace Training & Assessment, AFCHSM

Manager Facilities & Administration

Appointedtothepositionin2005.Vicki has overall responsibility for allaspectsofFacilitiesandAdministration which includes

InformationTechnology,Maintenance,Supply,BuildingsandAssets,FleetManagement,Corporatereportingand publications, Medical records andclientdata,Administration/CustomerServices,Robinvale/EustonTouristInformationCentre

Mr Hilton JohnsonDiploma of Teaching, Adv.Dip.Bus.Man, Certificate

IV Workplace Training & Assessment, Certificate IV

OH&S

Manager Human Resources

Appointed in 2004, Hilton is responsibleforRecruitment,Payroll,Staff Development and Training, Safety, Remuneration, Workforce Planning,IndustrialRelationsandHospitality Services. Hilton investigates Workcover instances and mediates outcomes where necessary.

Ms Deanne DavisDiploma of Occupational Health & Safety

Quality Manager

Appointedtothepositionin2008,Deanne is responsible for managing RDHS Quality Systems

Mrs Helen HeFinance Manager

Appointed in to the position in 2010, Helen is responsible for all RDHS financial accounts


OUR ENVIRONMENT

Robinvale District Health Services has demonstrated strong environmental credentials and is committed to the

principle of environmental sustainability.

RDHS is aware of the link between the environment and the health and

well-being of our community. We have always been committed to

minimising the greenhouse gases ‘black balloons’ we produce.

The commitment by the BoardofManagementtohave a formal Environmental Management Systems certifi ed toanInternationalStandard(ISO14001)hasreducedour carbon use intensity And RDHS usage is well below other like ‘local hospitals’. The data collected by RDHS includes electricity, water and fuel usage, waste and recycling.


The Environmental Management System assists us to minimize our environmental footprint through pollution prevention practices, waste minimization, energy usage and elimination of environmentally unfriendlyproducts.Otherinitiativesthat have been implemented this yearinclude:

•UseofSteamCleanersineachcampus, which has resulted in a significant reduction of harsh chemicals and water

•Reviewofchemicalusagethroughout the organisation, which has reduced the amount of hazardous chemicals used.

•Increasedrecyclingofcardboardand paper.

•WhenprocuringgoodsorservicesRDHS has incorporated environmental considerations into procurement decision making.

•FurniturepurchasedfornewHealth&WellbeingCentreismadefrom100%carbonneutralmaterials.

•Batteryrecycling

•UnusedClinicalitemssenttounderprivileged overseas organisations(asappropriate)

We are consistently trying to find new ways to reduce our greenhouse emissions. All community members, clients and staff are encouraged to suggest any ideas they may have.

We have been able to use data to clearlyidentifyourmajorsourceofgreenhouse gasses are generated from electricity usage. With improved energy efficiency a reduction in running costs will also occur, these cost savings could be used to provide additional health services to our community.

Thegraphsbelowshow:

• Building Energy Use Intensity (GJ/m2); this is the amount of energy(electricityandgas)usedto maintain our campus buildings. This is showing a overall gradual decline, but peaks can be seen in the winter months due to heating requirements.

• Building Water Use Intensity (kL/m2); After an initial decrease in water usage, usage now remains consistent. Water reduction initiatives will be continued to be sought to ensure reduced usage.

• Vehicle efficiency (km/ltr); an increase in vehicle efficiency over the past 3 years due to better choices of cars fit for purpose. Averages were calculated for data that was not available at time of printing.

Robinvale District Health Services Performance Measures

Building Energy Use Intensity

0.00

0.05

0.10

0.15

0.20

0.25

0.30

(GJ/

m2)

35%

2009 - 2010 2010 - 2011 2011 - 2012


Building Water Use Intensity

(kL/

m2)

2009 - 2010 2010 - 2011 2011 - 2012


Vehicle Efficiency

(km

/ltr)

2009 - 2010 2010 - 2011 2011 - 2012

0.0

0.1

0.2

0.3

0.4

0.5

0

2

4

6

8

10

12



0.00

0.05

0.10

0.15

0.20

0.25

0.30

(GJ/

m2)

35%

2009 - 2010 2010 - 2011 2011 - 2012



(kL/

m2)

2009 - 2010 2010 - 2011 2011 - 2012


Vehicle Efficiency

(km

/ltr)

2009 - 2010 2010 - 2011 2011 - 2012

0.0

0.1

0.2

0.3

0.4

0.5

0

2

4

6

8

10

12



0.00

0.05

0.10

0.15

0.20

0.25

0.30

(GJ/

m2)

35%

2009 - 2010 2010 - 2011 2011 - 2012



(kL/

m2)

2009 - 2010 2010 - 2011 2011 - 2012


Vehicle Efficiency

(km

/ltr)

2009 - 2010 2010 - 2011 2011 - 2012

0.0

0.1

0.2

0.3

0.4

0.5

0

2

4

6

8

10

12


OUR SOCIAL AND COMMUNITY

PERFORMANCE

RDHS has a strong belief in being socially responsible and the development role that large

organisations in a community such as Robinvale have to play.


RDHS provides effective leadership and resources through community basedinitiativesandprojectssuchas:•AdministrationfortheRobinvale/

EustonTouristInformationCentre,•MenInSheds•SeniorsinSchools•TakingWeightofNaturally

(T.O.W.N)group,•TaiChigroup,•ArthritisGroup,•Annualscholarshipstoprimary

and secondary schools,•Availabilityofcommunications

van, •SwanHillRuralCityCouncil

MaternalandChildHealthservice•Playgroup•AnnualAlmondblossomfestival•NaidocWeek•RobinvaleEustonFestivalfor

HealthyLiving•AdvancingCountryTownsStrategy

Robinvale District Health Services also provides support to our local community and the region through thefollowinginitiatives:

Local Employment for Local People

RDHS has implemented a policy of supporting young people to pursue a professional career and secure employment locally. This provides not only important career opportunities but also adds significantly to the sustainability of a small rural community.

Scholarships

RDHS annually awards monetary scholarships to two Robinvale P12Year11students,two RobinvaleP12Year6students,twoSt. Mary’s School students, two Euston primary School student, two ManangatangP12Year11studentsandtwoManangatangP12Year6students

Scholarships under the RDHS Scholarship fund at the discretion oftheRDHSBoardofmanagementare made available to those people seeking to undertake tertiary education and training.

Indigenous Employment

In2009RDHSestablishedan initiative to employ young indigenous Australians. Since this time RDHS has recruited a number of trainees with three trainees commencing work in the area of Allied Health andGrounds&Maintenancethisyear. We will continue to pursue the development of relationships with the local indigenous community and further integration of services with thelocalIndigenoushealthservice.

Robinvale Community Resilience Forum

RDHShasjoinedwitharangeofgovernmentandnon-governmentagencies to support the Aboriginal community of Robinvale in the CommunityResilienceForum.Theforums have been established to provide an opportunity to consult with the Aboriginal community and implement

Robinvale / Euston Tourist Information Centre

IncollaborationwithSwanHillRuralCityCouncil,RobinvaleDistrictHealth Services have been managing theRobinvale/EustonTourist InformationCentresince2004.Theinformation centre is a thriving part of the local business community.

The information centre acts as the localVlineandGreyhoundBusticketing agency, agent to collect MilduraandDistrictHospitalFund,the provider of regional tourist information services and sells a large assortment of local produce ie; almonds, olive oils, hand crafted items.

Men’s Shed

Robinvale District Health Services (RDHS)auspicethemen’sshedprogram as part of an integrated men’s health strategy.

Robinvale District Health Services Men’s Shed provides a supportive

welcoming place for men in our community to support one another, and share in the unique mateship that is paramount to maintaining good relationships throughout the senior years. The group meet each Thursday between 2.00pm and5.00pmwithanythingupto13 members present at any one time. As always there is an endless variety of works being undertaken for both private and community requests.

During the year concrete landings and exhaust extraction sheds were erected, membership has increased; there have been visits from neighbouring towns to tour our shed and completion of community andprivateprojects.

Mostprojectsarecompletedusinga team approach as all the men pool their strengths in order to finish ajobtoahighlevelofquality.Menwho have minimal woodworking experience are guided by more experienced members with the whole process fostering communication, inclusiveness and the personal satisfaction of being involved in a successfulproject.TheMen’sShedis highly valued by the members and plays an instrumental part in decreasing isolation and its associated health risks.

Relationships and trust built between the members of the shed and the RDHS team will hopefully help to remove barriers for senior men if at some point they are required to engage the health system for their own needs.

Lookingforwardthemenwill continue to provide service as requested to individuals and community groups and RDHS are exploringtheoptions(dependantonsecuringfunding)toextendthetea room of the Men’s Shed. This wouldincludemakingitgopher/wheelchair access friendly so that this section of our community could easilyjoininthemateshipoftheshed.


Advancing Country Towns Project

RDHS provides leadership at a community level for capacity development initiatives and has a proven track record in successful delivery of community based projects.RDHSauspicethe AdvancingCountryTownsprojectand are responsible for achieving theoutcomesdefinedinprojectfunding agreements over the next three years.

The Advancing country Towns Initiativeaimstorevitaliseninecommunities in regional and rural Victoria through improved coordination of investment in order to enhance prosperity and quality of life.TheRobinvaleprojectfocusesonimprovingcross-governmentinvestment by working at a strategic and local level to identify local needs to improve quality of life. The initiative supports local communities to develop a range of solutions such as improved access to early childhood services, educational attainment, employment opportunities and economic participation.

Robinvale Festival For Healthy Living

RDHS is also the auspice agency fortheRobinvaleFestivalforHealthy Livingthatisenteringitssecondyearofoperation.TheFestivalbrings together RDHS, Murray ValleyAboriginalCo-operative,SchoolsandtheFestivalteamfromtheRoyalChildren’sHospitalinapartnership to build the capacity of schools and the community to promote mental health and wellbeing.

TheFHLisamodelofmentalhealthpromotion, which aims to build the capacity of schools and communities to improve the mental health and emotional wellbeing of their children and young people, through the performing and visual arts.WithintheFHLmodel,artistswork with students, teachers, health professionals, parents and community members to explore every day issues which affect our

mentalhealth,inaspiritofproblem-solving, creativity, optimism and fun.

Volunteers

Approximately80volunteersareregistered with Robinvale District Health Services. They bring with them a wealth of knowledge, skills and abilities that are greatly appreciated by staff, patients and their efforts enhance the wellbeing of the many recipients within our hospital and the broader community.

Robinvale District Health Services values the services of volunteers as part of our staffing structure and engages them in a range of areas suchas:•RiversideHostel–volunteers

assist with gardening and leisure activities

•MeninSheds•SeniorsinSchools–whereretired

people attend school classes to assist with such tasks as reading and craft activities. This program isco-ordinatedbytheCommunityNurses

•MealsonWheels–thedeliveryofmeals to the sick and elderly

•PalliativeCare•ChurchServicesareheldatboth

the Riverside Hostel and the Nursing home

•Entertainment–musicisprovidedon a regular basis to both the Riverside Hostel and the Nursing Home residents by local band ‘TheMalleeScrubbers”

•Outings•Recreation/LeisureActivities•Transport•VisitingFriendsCommittee-

This group visit members of our community that may have family living away and have limited visitors.Thisgroupisco-ordinatedthrough our Visiting Nurse Service.

With an ageing volunteer base, RDHS faces the ongoing challenge of ensuring our community continue toenjoythebenefitsoftheirefforts.

RDHS Information Brochures

An information brochure is available explaining in simple terms, the services available at RDHS. This brochure has been translated into nine languages and has been distributed within the community including medical clinics and all local schools.Itisalsoutilisedinmigrantkits put together by an external projectworker.

Community Partnerships

RDHS works closely with the following government and non government agencies on community development and community supportinitiatives:•SwanHillRuralCityCouncil•MurrayValleyAboriginal

Cooperative(Robinvale)•DepartmentofJustice•LocalSchools&Departmentof

Education•RegionalHealthServiceProviders•DepartmentofHealth•DepartmentofHumanServices•DepartmentofHealthandAgeing•DepartmentofPlanningand

CommunityDevelopment•NorthernMalleePrimaryCare

Partnership•SouthernMalleePrimaryCare

Partnership•LowerMurrayMedicareLocal•RuralWorkforceAgencyVictoria


BOARD OF GOVERNANCE MEMBERS 2011 – 2012

Mr P Campisi Chairman

Mr B Ginn JP ViceChairman

Mrs M Rowe Mrs S IrvingMs J DickieMrs M GrantMr D RyanMr H WalkerMr Q Norton

AUDIT COMMITTEE

Mr B Ginn Chair

Mr Q Norton

Mr P Campisi

Mr G Bussell IndependentMember

TheGovernorinCouncilappointsBoardMembersontheadviceofthe Minister for Health.

BoardMembersofRobinvale District Health Services do not receive payment and are responsible for the effective and efficient clinical and corporate governance of the Service and ensure reporting of financial and clinical data is accurate, transparent and in compliance with Governmentrequirements.

THE BOARD OF GOVERNANCE

RDHS BOARD OF GOVERNANCE 2011/2012

Name Office Original Appointment Attendance Record

PeterCampisi Chairman 01.03.1999 100%JaniceDickie 01.11.2008 90%BruceGinn ViceChairman 01.11.2000 100%MerrilynGrant 01.11.2009 100%ShirleyIrving 01.03.1999 80%QuentinNorton 01.07.2011 70%MarionRowe 01.03.1999 80%DesmondRyan 01.11.2009 70%HughWalker 01.11.2009 80%

Onthe30thJune2009RobinvaleDistrictHealthServices(RDHS)andManangatangand District Hospital were amalgamated and declared to be a ‘Multipurpose Health Service’(thesameasa‘multipurposeservice’)namedRobinvaleDistrictHealthServicesunders115UoftheAct(SpecialGazetteS214p1).ThisOrdertookeffecton1July2009.

RDHS operates under a tripartite agreement between the Department of Health and theAustralianGovernmentDepartmentofHealthandAgeing.TheHealthService isgovernedbyaninememberBoardofManagement(BOM),appointedbytheGovernorinCounciluponrecommendationoftheMinisterforHealth.


COMPLIANCE

Attestation on Compliance with Australian/New Zealand Risk Management Standard

I,PeterCampisicertifythatRobinvaleDistrictHealthServiceshasRiskManagementprocessesinplaceconsistentwiththeAustralian/NewZealandRiskManagementStandardandaninternalcontrolsystemisinplacethatenablesthe executive to understand, manage and satisfactorily control risk exposures. The audit committee verifies this assurance and the risk profile of Robinvale District Health Services has been critically reviewed within the last 12 months.

Mr Peter CampisiBoardChairman

Robinvale 31st July 2012

Attestation On Data Integrity

I,OrmondPearsoncertifythatRobinvaleDistrictHealthServiceshasputinplaceappropriateinternalcontrolsandprocesses to ensure that reported data reasonably reflects actual performance. Robinvale District Health Services has critically reviewed these controls and processes during the year.

Mr Ormond PearsonInterimChiefExecutiveOfficer

Robinvale 31st July 2012


Freedom of Information

Access to documents and records held by RDHS may be requested undertheFreedomofInformationAct1982.Consumerswishingtoaccess documents should apply in writingtotheFOIOfficeratRDHS.

Thisyear21FOIrequestswerereceived. No requests were denied. All requests were processed within the required timeframes.

Competitive Neutrality

CompetitiveNeutralityensuresthesignificant business activities of publicly owned entities compete fairly in the market. As this policy and its subsequent reforms only apply to significant businesses of a for-profitnature,nodisclosurebythe service is required.

Statement on Compliance with the Building and Maintenance Provisions of the Building Act 1993

InaccordancewiththeBuildingRegulations2006,madeundertheBuildingAct1993,allbuildingswithin the Service are classified according to their functions.

Each campus has a planned preventative maintenance program to ensure ongoing building safety and compliance with regulations.

An Essential Safety Measures Report is prepared annually for each campus and confirms the safety of buildings including fire safety, entry and egress.

An external audit of the main campus and the Riverside Hostel campus buildings undertaken by theVictoriaManagedInsuranceAuthority in April 2012 resulted in an overallratingof“VeryGood”.Severalmedium and low risks identified during the audit process have since been rectified.

Summary of major Changes or factors which have affected the achievement of the operational objectives for the year

Duringthe2011-2012financialyeartherewerenomajorchangesor factors which materially affected the achievement of the operational objectives.

Events subsequent to balance date which may have a significant effect on the operations of the entity in subsequent years

There were no events subsequent to balance date that may have a significant effect on the operations of the entity in subsequent years.

Victorian Industry Participation Policy Act

There were no contracts commenced or completed under theVictorianIndustryParticipationPolicyAct2003duringthisyear.

Fees and Charges

All fees and charges charged by Robinvale District Health Services are regulated by the Australian Department of Health and Ageing andtheHospital&Charities(Fees)Regulations1986,asamended and as other determined by the Department of Human Services, Victoria.

Policiesandproceduresareinplacefor the effective collection of fees owing to the service

Publications

PublicationssuchastheAnnualReport,QualityofCareReports,StrategicPlan2011-2016andamultiplicityofPatientInformationBrochuresareavailablefrom Robinvale District Health Services.

InformationonRobinvaleDistrictHealth Services is also available on our website www.rdhs.com.au

Health Records Act 2001 and Information Privacy Act 2000

The Acts preserve the privacy and confidentiality of information held by our agency.

All patients, residents and clients receive a brochure explaining how their health information will be used and who will have access to such information

All staff are required to undertake privacy and confidentiality training on a regular basis and there are documented policy and protocols relating to privacy and confidentiality within our organisation

TheChiefExecutiveOfficeristhedesignatedPrivacyOfficeranddeals with enquiries and complaints relating to the Health Records and InformationPrivacyActs

In2011/12therewerenowrittencomplaints with respect to breaches of privacy or confidentiality.

Whistleblower Protection Act 2001

TheWhistleblower’sProtection Act 2001 came into effect on January 2002. The Act is designed to protect people who disclose information about serious wrong doingwithintheVictorianPublicSector and to provide framework for the investigation of these matters. All government bodies are required to have policies and procedures in place that address these issues. Robinvale District Health Services has adopted the model procedures circulatedbytheOmbudsmanforhandling disclosures, with some minor amendments. Robinvale District Health Services is committed to theaimsandobjectivesoftheWhistleblower’sProtectionAct2001.Itdoesnottolerateimproperconduct by its employees or officers, nor the taking of reprisals against those who come forward to disclose such conduct. Disclosures of improper conduct can be made by Robinvale District Health Services staff or members of the public.


We have had no disclosures in the reporting year.

TheProtectedDisclosureManagerfor Robinvale District Health Services istheManagerFacilities& Administration

ADDITIONAL INFORMATION (FRD 22C APPENDIX)

Incompliancewiththerequirements of the Standing Directions of the MinisterforFinance,detailsinrespect of the items listed below have been retained by the Robinvale District Health Services and are available to the relevant ministers, MembersofParliamentandthepubliconrequest(subjecttothefreedom of information requirements, ifapplicable):(a) astatementthatdeclarationsof

pecuniary interests have been duly completed by all relevant officers of the Department;

(b)detailsofsharesheldbyseniorofficers as nominee or held beneficially in a statutory authority or subsidiary;

(c) detailsofpublicationsproducedby the Department about the activities of the Health Service and where they can be obtained;

(d)detailsofchangesinprices,fees, charges, rates and levies charged by the Health Service

(e) detailsofanymajorexternal reviews carried out in respect of the operation of the Health Service

(f) detailsofanyotherresearchanddevelopment activities undertaken by the Health Service that are not otherwise covered either in the report of operations or in a document which contains the financial statement and report of operations;

(g)detailsofoverseasvisits undertaken including a summary oftheobjectivesandoutcomesof each visit;

(h)detailsofmajorpromotional,public relations and marketing activities undertaken by the Health Service to develop community awareness of the services provided by the Health Service;

(i) detailsofassessmentsand measures undertaken to improve the occupational health and safety of employees, not otherwise detailed in the report of operations;

(j) ageneralstatementonindustrial relations within the Health Service and details of time lost through industrial accidents and disputes, which are not otherwise detailed in the report of operations; and

(k) alistofmajorcommittees sponsored by the Health Service, the purposes of each committee and the extent to which the purposes have been achieved.

Consultancies

Consultancies in excess of $10,000Number of consultants engaged 2•DLAPiper–Legaladvice pertainingtorevocationofVMO rightstoRDHS$22,462.55 (GSTexcl)•LocalLogicalPlace–EarlyYears Evaluation$10,000(GSTexcl)


FINANCE MANAGER’S

REPORT

RDHS has in place robust finance procedures which ensure that

accurate, effective finance information is presented to the Board and government agencies in a timely

manner. The current finance procedures not only accommodate the finance system - Oracle, payroll

system – Chris 21, fixed asset system – CATSOFT and the child care billing system – Qikkids; but also have the

flexibilities to be updated to new environments.

RDHS remains in a strong financialposition.PleaserefertotheFinancialStatementsaccompanying this report for further details. We have continued to achieve revenue growth and have controlled expenditure within parameters set by the budget.

Inadditiontooperationalfundingfrom the Department of Health VictoriaandtheCommonwelathDepartment of Health and Ageing Commonwealth,RDHSsecuredsupplementary grants from the CommonwealthDepartmentofHealth&Ageing,DepartmentofHealth Victoria and other agencies to support the Robinvale community through various programs such as theFestivalforHealthLiving,EarlyYears,HomeInteractionProgramforParentsandYoungsters,SpeechPathology,PreventiveHealthInitiativeandAdvancingCountryTownsinitiative.

Aged Care Finance

Ithasbeenabusy12monthswithmany changes relating to the financial aspectsofResidentialAgedCare.RDHS has welcomed the new requirements for Accommodation BondsandGovernanceStandardsand looks forward to future changes aimed at the ultimate goal of improved services for residents and a more sustainable industry.

OurClientServiceOfficer/Financecontinues to assists potential residents, family members and representatives in making informed choices regarding residential aged care and respite services. We are committed to actively listening to older people, their families and carers in regards to what they expect from our aged care services and clearly communicate the initial and ongoing costs associated with the care we provide. This open communication continues through all stages of living in our homes and ensures that all our residents are provided with up to date information regarding the financial considerations associated with their care.

Internal Audit

The internal audit process was undertakenbyMurrayConsultingGroup.Theauditshighlightedopportunities for continuous improvement and identified areas of exemplary performance. Areas

auditedinclude:- 2010-2011AnnualReport- 2011-12FinancialBudget- 2011-12FBTreturnandFringe Benefitpolicyproposal- CreditCardtransactions- Payrollsystem- BillingandReceipting- PettyCash- FixedAssetprocedureand reconciliation- Purchasingprocedures

The internal auditor verified the effectiveness of RDHS’s internal control and risk management system.TheFinanceandAuditCommitteeoftheBoardwerealsoactiveinreviewing our internal controls and monitoring financial performance.

Outlook

In2012-13thefinanceteamwillbe focusing on implementing the power budget system and improving the procurement system. The implementation of power budget will facilitate budget preparation, reporting and budget control. Improvingtheprocurementsystemwill improve internal control, compliance and reduce operating risk.

Helen HeFinanceManager



Asset Turnover Ratio

Revenue - Expenditure

2011/12 Revenue

Government Grants

Current Ratio Net Profit Margin

Ratio

Revenue Expenditure

5.85% 5.97%

8.63%

7.72%

6.94%

2011/12 Expenses

Government Grants $11,178,000 Patient Fees $1,377,000 Other Revenue $1,269,000 Catering $38,000 Donations & Bequests $46,000 Laundry $109,000 Interest $243,000

Employee Entitlements $9,759,000 VMO Fees $215,000 Medical Supplies $359,000 Kitchen Supplies $213,000 Administrative Expenses $1,039,000 Utilities $270,000 Repairs & Maintenance $436,000 Other Expenses $2,385,000

0.0

0.1

0.2

0.3

0.4

0.5

0.6

0.7

0.8

0.9

2011/12 2010/11 2009/10 2008/09 2007/08

2011/12 2010/11 2009/10 2008/09 2007/08 2011/12 2010/11 2009/10 2008/09 2007/08

Ratio

$000

2011/12 2010/11 2009/10 2008/09 2007/08 2011/12 2010/11 2009/10 2008/09 2007/08

StandardCurrent Ratio

0.0

0.2

0.4

0.6

0.8

1.0

1.2

1.4

1.6

1.8

0.001.002.003.004.005.006.007.008.009.00

10.00

%

$0

$2,000

$4,000

$6,000

$8,000

$10,000

$12,000

$14,000

$16,000

0

2,000

4,000

6,000

8,000

10,000

12,000



2011/12 Revenue

Government Grants


Ratio

Revenue Expenditure

5.85% 5.97%

8.63%

7.72%

6.94%

2011/12 Expenses



0.0

0.1

0.2

0.3

0.4

0.5

0.6

0.7

0.8

0.9

2011/12 2010/11 2009/10 2008/09 2007/08

2011/12 2010/11 2009/10 2008/09 2007/08 2011/12 2010/11 2009/10 2008/09 2007/08

Ratio

$000

2011/12 2010/11 2009/10 2008/09 2007/08 2011/12 2010/11 2009/10 2008/09 2007/08


0.0

0.2

0.4

0.6

0.8

1.0

1.2

1.4

1.6

1.8

0.001.002.003.004.005.006.007.008.009.00

10.00

%

$0

$2,000

$4,000

$6,000

$8,000

$10,000

$12,000

$14,000

$16,000

0

2,000

4,000

6,000

8,000

10,000

12,000



2011/12 Revenue

Government Grants


Ratio

Revenue Expenditure

5.85% 5.97%

8.63%

7.72%

6.94%

2011/12 Expenses



0.0

0.1

0.2

0.3

0.4

0.5

0.6

0.7

0.8

0.9

2011/12 2010/11 2009/10 2008/09 2007/08

2011/12 2010/11 2009/10 2008/09 2007/08 2011/12 2010/11 2009/10 2008/09 2007/08

Ratio

$000

2011/12 2010/11 2009/10 2008/09 2007/08 2011/12 2010/11 2009/10 2008/09 2007/08


0.0

0.2

0.4

0.6

0.8

1.0

1.2

1.4

1.6

1.8

0.001.002.003.004.005.006.007.008.009.00

10.00

%

$0

$2,000

$4,000

$6,000

$8,000

$10,000

$12,000

$14,000

$16,000

0

2,000

4,000

6,000

8,000

10,000

12,000


Legislation Requirement Page Reference

Ministerial Directions

Report Of OperationsCharter and PurposeFRD22C MannerofEstablishmentandtherelevantMinisters 46,FSFRD22C Objectives,Functions,PowersandDuties 46FRD22C Natureandrangeofservicesprovided 13Management and StructureFRD22C Organisationalstructure 39Financial and Other InformationFRD10 Disclosureindex 53FRD11 Disclosureofex-gratiapayments FinancialStatementsFRD15B Executiveofficerdisclosures FinancialStatementsFRD21A Responsiblepersonandexecutiveofficedisclosures IFCFRD22C ApplicationandoperationofFreedom of Information Act1982 48FRD22C ApplicationandoperationofWhistleblowers Protection Act2001 48FRD22C CompliancewithbuildingandmaintenanceprovisionsofBuilding Act1993 48FRD22C Detailsofconsultanciesover$10,000 49 FRD22C Detailsofconsultanciesunder$10,000 Not ApplicableFRD22C Majorchangesorfactorsaffectingperformance 48FRD22C OccupationalHealthandsafety 38FRD22C Operationalandbudgetaryobjectivesandperformanceagainstobjectives 48FRD22C Significantchangesinfinancialpositionduringtheyear 48 FRD22C Statementofavailabilityofotherinformation 49FRD22C StatementonNationalCompetitionPolicy 48FRD22C Subsequentevents FinancialStatementsFRD22C Summaryofthefinancialresultsoftheyear FinancialStatementsFRD22C WorkforceDataDisclosuresincludingastatementontheApplicationofemployment andconductprinciples 36FRD25 VictorianIndustryParticipationPolicyDisclosures 48SD4.2(j) Sign-offrequirements IFCSD3.4.13 AttestationonDataIntegrity 47SD4.5.5 AttestationonCompliancewithAustralian/NewZealandRiskManagementStandard 47

Financial Statements

Financial Statements required under Part 7 of the FMASD4.2(a) StatementofChangesinEquity FinancialStatementsSD4.2(b) OperatingStatement FinancialStatementsSD4.2(b) BalanceSheet FinancialStatementsSD4.2(b) CashFlowStatement FinancialStatementsOther requirements under Standing Directions 4.2 SD4.2(a) CompliancewithAustralianaccountingstandardsandotherAuthoritative pronouncements FinancialStatementsSD4.2(c) Accountableofficer’sdeclaration FinancialStatementsSD4.2(c) CompliancewithMinisterialDirections FinancialStatementsSD4.2(d) Roundingofamounts FinancialStatements LegislationFreedom of Information Act1982 48Whistleblowers Protection Act2001 48Victorian Industry Participation Policy Act2003 48Building Act1993 48Financial Management Act1994 IFC

The Annual Report of Robinvale District Health Services is prepared in accordance with all relevant Victorian legislation. This index has been prepared to facilitate identification of Robinvale District Health Services compliance with statutory disclosure requirements.

DISCLOSURE INDEX

54 Robinvale District Health Services Annual Report 2012

INDEX

AAcceditation 33AcuteCare 19-22AgedCare 23-25AgedCareAccreditation 33AttestationDataIntegrity 47AttestationRiskManagement 47AuditorGeneral’sReport FS

BBoardofGovernance 46

CCatchmentMap 13Catering 32Chairman 3-5ChiefExecutiveOfficer 3-5CleaningAuditandStandards 32Comments/Complaints 34,55CommunityInvolvement 43-45CorporateServices 30-34ConsumersRightsand Responsibilities 55Credentialing 37

DDataCollectionandData Management 32DeclarationResponsibleBodies IFCDepartment Managers 40DisclosureIndex 53

EEarlyYears 14-18Education 37-38

FFacilities/Maintenance/Supply 31Fees 48FinancialManagement 50-52FinancialPerformance FS

GGlossaryofTerms 55Governance 5,46

HHand Hygiene 34Haemodialysis 21HealthInformationServices 31Highlights 2Hospitality Services 32

IImmunisation 28IndustrialRelations 37Infectioncontrol 34InformationManagement/ Technology 32InternalAuditors 51IntegratedManagement Systems 33

LLocationMap 13

MMaternalandChildHealth 17MaternityServices 16MedicalImaging 21Medication Management 34Men’s Shed 44

OOccupationalHealth&Safety 38OrganisationalStructure 39OurCommittment 1OurEnvironment 41-42OurStatementofPurpose 1OurWorkplace 35-38

PPartnerships 4,44PatientSatisfaction 33PecuniaryInterest 49PrimaryCareServices 26-29Profile 13Publications 48

QQuality 33-34

RRecruitment/Retention 36-37ResidentialCare 24-25ResponsibleOfficersDeclaration FSRiskManagement 47RoleofBoardofManagement 46

SSeniorManagers 39-40Scholarships 44SocialandCommunity Performance 43-45StrategicPlan 6-11

TTouristInformationCentre 44

VVictorianPatientSatisfaction Monitor 33-34Vision 1VMO-VisitingMedicalOfficers 40Volunteers 37,45

WWhistleblowers’ProtectionAct 48WorkforceComposition 37 XX-ray/Ultrasound 21

FS -ReferstoFinancialStatements

55Robinvale District Health Services Annual Report 2012

Australian Standards-NationalStandardsdevelopedbytheStandardsAssociationofAustralia/NZ

Best Practice-Measuringresultsagainstthebestperformance of other groups

BOM-BoardofManagementRobinvaleDistrictHealthServices

Carers-Peoplewhocareforpatients/clientswhoarenot part of Robinvale District Health Services

Client-Apersonreceivingcareand/ortreatmentfrom Robinvale District Health Services

Continuity of Care-Thecycleofcareincorporatingaccess, entry, assessment, planning, implementation, evaluation, discharge and community care.

Corporate Governance-Effective,fair,transparentand accountable management of the relationship with the community with integrity to produce an efficient service

DH–DepartmentofHealth,Victoria

DHS-DepartmentofHumanServices

DVA-DepartmentofVeteran’sAffairs

EEO-EqualEmploymentOpportunity

EFT-EquivalentFullTimestaffingposition

FBT-FringeBenefitsTax

HACC-Home&CommunityCare.Fundingforservices and programs which are provided in the home or community.

Inpatient-ApersonwhoisadmittedtoRobinvaleDistrict Health Services for care and treatment

ISO 9001:2008-AS/NZS9001:2008QualityManagementsystems-Requirement

Medical Record-Compilationofpatientmedicaltreatment and history

Multidisciplinary-Careorserviceprovidedwithinputfrom more than one discipline or profession

Occupied Bed Days-TotalnumberofpatientsRobinvale District Health Services has in a given period

Outcome-Theresultofaserviceprovided

Patient/Client/ConsumerA person for whom this service accepts the responsibility of care

PCP-PrimaryCarePartnership

Quality Activities-Activitieswhichmeasureperformanceand identify areas for improvement in our service

RDHS-RobinvaleDistrictHealthServices

Standard -Levelofperformancetobeachieved

Statutory or legislative requirement-AnyrequirementlaiddownbyanActofParliament

The Board-TheBoardofGovernance

The Service-RobinvaleDistrictHealthServices

Values-TheprinciplesandbeliefswhichguideRobinvale District Health Services

Comments and ComplaintsRDHS invite any comment you may have about the care or service provided by RDHS as this provides an opportunity for service improvement.

CommentsorcomplaintsmaybedirectedtotheChiefExecutiveofficeron0350518111

Ifthematterisnotresolvedtoyoursatisfaction,theHealthServicesCommissionerwhoassistswith complaint resolution can be contacted on 0396555200

For Information about Patients’ Right and ResponsibilitiesContacttheQualityCoordinatoron0350518175

To Make a Tax Deductible DonationTo Robinvale District Health Services , or if you are considering a contribution to health care services throughabequestpleasecontacttheChiefExecutiveOfficeron0350518111

To become a VolunteerContact:HumanResourceManageron0350518167

To Let Staff Know you are pleased with the service you have receivedWritetotheQualityCoordinator,POBox376, Robinvale3549orringthemainswitchboardon 0350518111

StudentsSeeking information about student work experience, shouldringtheAdminClerk–HumanResourceson 0350518184

DisclosureAspartoftheWhistleblowerProtectionAct2001 a Disclosure can be made by ringing the Manager Facilities&Administrationon0350518102ortheOmbudsmanon0396136222

GLOSSARY

56 Robinvale District Health Services Annual Report 2012

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Acknowledgements

Design & ProductionVisual Strategy Design

PrintingSunnyland Press

BankerWestpac Banking Corporation

LawyersDLA Piper

AuditorsAuditor General, Victoria

Auditors AgentsRichmond Sinnot Delahunty

Internal AuditorsMurray Group Consulting

Telephone 03 5051 8111

Facsimile 03 5051 8100

Email [email protected]

Latje Road, Robinvale Victoria

PO Box 376 Robinvale Victoria 3549

www.rdhs.com.au

annual report 2012 - parliament.vic.gov.au · on 30th june 2012. the victorian department of health...

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