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1annualreport

annualreportTimboon and District Healthcare Service

20102011

96 Timboon and District Healthcare Service 2010/2011

21 Hospital Road, Timboon, VIC 3268p: (03) 5558 6000 / f: (03) 5598 3565 / e: [email protected] / www.timboonhealthcare.com.au

Timboon and District Healthcare Service




Tim

boon and District H

ealthcare Service

2010 / 2011annualreport


Our VisionTo be a leader in rural health care providing a responsive and integrated service catering for the needs of all within our community

Our MissionTo provide a comprehensive, responsive and integrated range of quality health care services working collaboratively within the regional health system to promote and provide for the health, aged care and well being needs of our local community through centre based and community outreach services.

Our Values• Delivering services in a friendly and enthusiastic manner• Being responsive to patient and client needs• Ensuring that services are of a high quality through continuous quality

improvement and striving for best practice• Encouraging professional development of staff• Being accountable to the community

Melanie Green and Elaine Collins with Bronze Award in 2010.

1 Highlights for the Year / Challenges Faced

2 2010/11 Organisational Snapshot

4 The Year in Review

6 The Board & CEO’s Report

8 Our Rural Health Service

10 Our Services

11 Early Years

14 Clinical Services

17 Aged Care

21 Primary Care Services

26 Health Promotion

28 Health Promotion – School Health

29 Corporate & Quality Improvement

33 Human Resources

37 Environment

39 Social & Community Participation

41 Our Donors

45 Corporate Governance

49 Legislative Compliance

50 Staff List

51 Disclosure Statement

52 Financial Statements

This Report• ispreparedfortheMinister

for Health, the Parliament of Victoria and the Community.

• coverstheperiod1July2010to30June2011andprovidesa record of our activities and achievements for this period.

• ispreparedinaccordancewithgovernment and legislative requirements.

• isapublicdocumentfreelyavailableonourwebsite (www.timboonhealthcare.com.au)andfromTimboonandDistrictHealthcare Service upon request.

• isprintedinaccordancewith Financial Reporting Direction(FRD)30:Standardrequirements for the design and print of annual reports.

contents












10 Our Services

11 Early Years


17 Aged Care


26 Health Promotion



33 Human Resources

37 Environment


41 Our Donors



50 Staff List









contents

Concerns or complimentsTimboon and District Healthcare Service invite any comment you may have about the care or service provided by our health service, this provides an opportunity for service improvement.

Concerns or compliments may be directed to the Chief Executive Officer on 03 5558 6000

If the matter is not resolved to your satisfaction, the Health Services Commissioner who assists with complaint resolution, can be contacted on 03 9655 5200.

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Highlights for the year

Challenges faced

• AppointmentofanewChiefExecutiveOfficer.

• ACHSAccreditation Completed ACHS Phase 4 - Periodic Review.

• StrategicPlan/ServiceAgreementHighlights of achievements detailed on (pp2-3).

• PatientSatisfactionSurvey Overall Care Index remained highest overall for mulipurpose services in the state at 91% (pp30).

• NewCommunityServicesFacilityBuilding commenced January 2011. Federal Governement grant of $1million for new facility announced in May 2011.

• CommunitySupport Donations $66,105.77 (pp41).

• EnhancedCommunityServicePrograms Creation of permanent Youth & Social Work positions.

• GeneralPractitioners Two general practitioners have continued to regularly support Timboon and District residents.

• BronzeAwardatAnnualAustralasianReportingAwards.

• StaffPresentationatAustralianHealthPromotionAssociationConference(pp28).

• MemorandumofUnderstandingdevelopedandsignedbyTimboonandDistrictHealthcareServiceandTimboonP-12School.

• InfectionControlAll staff offered annual influenza vaccine - 87% of staff immunised with influenza vaccine (pp31).

• BoardofManagementisstrivingtocreatealearningOrganization.ThiswillensurethatallBoardmembers,staffandvolunteersaresupportedandencouragedtogainknowledgethrougheducationandlearning,ensuringbestpractiseingovernance,healthcareandsupport.Anexcitinginitiative!

• To foster greater community participation in health service policy making.

• To continue to attract and retain Medical Practitioners.

Kristie Coverdale, Wayne Weaire and Melanie Green accepting Bronze Award at the Grand Hyatt Melbourne 2011.



2010/11 organisational snapshot

PLANNING COLLABORATIVELY FOR OUR COMMUNITY’S WELL BEING – Building together our community’s capacity

GOALS• Create strategic partnerships

for whole of community capacity building with organisations such as the Corangamite Shire, Emergency Services, South West Primary Care Partnerships and Community Groups.

• Strengthen strategic relationships with local and regional health agencies for service delivery coordination.

• Focus on partnering with local industry and businesses.

OUTCOMES• Heart of Corangamite

Network – Whole of Corangamite Shire partnership focusing on integrated health promotion to improve physical activity, nutrition and mental health and wellbeing for residents.

• Major sponsor for Timboon community fundraiser to enhance children’s playground facitilies.

• Agreements with South West Healthcare and Lyndoch -Warrnambool. Partnerships with Terang and Mortlake Health Service to implement Well 4 Life project across all adult planned activity groups across the Corangamite Shire.

• Providing health education to BHP-Billiton, Fonterra, Timboon P-12 School employees.

FUTURE DIRECTIONS• Seek greater opportunities in

partnerships with community and business.

ENSURE ACCESS TO SERVICES BASED ON COMMUNITY NEEDS – Services where and when people need them

GOALS• Ensure Primary Health Care in

all that we do.• Focus on Emergency Services

that ensure stabilisation and appropriate transferral.

• Coordinate our Acute and Primary Care Services to support our aged residents to remain in their community.

• Develop a coordinated approach to Chronic Disease Management.

• Maintain a flexible approach to acute services through day stay, medical and maternity services.

OUTCOMES• Acute staff workshop on

primary health.• Acute staff focus on

emergency role via confirmed professional development.

• Assessment Officer focus on extending services for community aged and disability clients.Chronic Disease Management team participation in a Plan Do Study Act initiative by the Department of Health to improve communication between health service and referral agencies.

FUTURE DIRECTIONS• Development of single point

of entry for all health service clients.

ATTRACTING, CARING FOR AND PLANNING WITH OUR PRESENT AND FUTURE WORKFORCE – Take the long term view when planning for the future

GOALS• Instigate a pilot project for

future sustainable workforce models for provision of health care in rural areas focussing on general practitioners, nurses and allied health.

• Focus on sustainable models of General Practice.

• Succession planning for workforce.

• Plan for training and support of multi-skilled staff.

OUTCOMES• Board of Management

instigating a focus on learning ensuring ongoing training and support for staff education.

• Continued recruitment of general practitioners with the successful recruitment of a third general practitioner, who will commence July 2011.

FUTURE DIRECTIONS• Continue to monitor

opportunities for staff succession planning and training.

The following themes have been derived from the Timboon and District Healthcare Service Strategic Plan and how we are tracking in achieving these goals...

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2010/11 organisational snapshot

BEING CONNECTED WITH OUR COMMUNITY – Ensure a partnership with our community

GOALS• Enhance our community

development role.• Develop a communication

strategy.

OUTCOMES• The appointment of a

Chief Executive Officer whose emphasis will be on community development and sustainability.

• Community development role through Heart of Corangamite Network, South West Primary Care Partnership and Sustainable Farm Families.

• The development and implementation of a communication strategy that involves providing information on services, activities, special events, and the people involved in delivering them in order to improve awareness and increase utilisation.

FUTURE DIRECTIONS• Evaluation of the

communication strategy.

LEADERSHIP IN GOVERNANCE – Planning for a strong future

GOALS• Board development for

governance processes and long term sustainability.

• Focus on internal and external communication.

• Strengthen financial due diligence.

• Enhance our profile in the community.

• Focus on quality and risk related to the services we provide.

• Continue to implement information technology to enhance patient care and administrative efficiency.

OUTCOMES• Strategic Plan 2009 - 2012• Service Plan 2009 -2012• Review of Risk Management

Plan and Risk Register.• Monthly Clinical Services

Meeting• Participation in South

West Alliance Rural Health (SWARH) information technology development projects.

FUTURE DIRECTIONS• All staff trained and utilising

the Victorian Health Incident Monitoring System.

Building well underway for new Community Service Facility by builders Nicholson Construction


The year in review

GOALS• Develop and oversee the

implementation of the budget to ensure that an operating surplus is achieved.

• In partnership with the Board of Management play an active role in maintaining the strength and long term viability of the healthcare service.

• Have 98% of creditor payments made via electronic means.

• Have 95% of debtor payments received within 60 days.

ChALLENGES• Lack of integration between

software products which means staff have to duplicate information to produce invoices.

• Departure of a staff member with the main responsibility for reporting to Department of Health, Department of Human Services and the Commonwealth Government resulting in job reallocation and retraining of existing staff.

• Storage and retrieval of hardcopy financial information since the commencement of the building construction program.

AChIEvEMENTS / OUTCOMES• Responded to the Board

of Management’s request to have greater access to financial information in order to fulfil its financial governance responsibilities.

• Present full financial documents to the Board of Management as opposed to the Finance/Audit committee. This committee now holds a much greater focus on internal audit issues.

• The introduction of a software product called ‘Powerbudget’ which is a multifunctional, highly visual budgeting, modelling, analysis and reporting tool. This has resulted in a reduced need for recalculation of data in order to produce meaningful reports.

• Corporate Services Manager now attends Board meetings to present the Finance

Report, enabling financial questions to be answered in a timely manner.

• Operating surplus achieved for the 19th successive year.

FUTURE DIRECTION• Implement ‘Xcellerate’

Accounts payable bar-coding solution to allow for electronic storage and retrieval of all accounts payable documentation.

• Integration of the new Community Health and Patient Management Systems with Oracle to reduce the need for data duplication.

• Update the software program used for the Asset Register to allow for easier determination of depreciation amounts.

• Continue to monitor Annual Leave and Long Service Leave liabilities and endeavour to have staff utilise such leave within specified timeframes.

• Build cash reserves to enable a continued focus on providing more services and allow for an ongoing capital and equipment renewal program.

The Finance Department embraces the following values:INTEGRITY - We consistently adhere to our duty to execute the mission and responsibilities of Timboon & District Healthcare Service.EXPERTISE - We are a reliable source of accurate information and sound financial advice with regards to Healthcare Service issues.TEAMWORK - We work together collaboratively and in recognition of the contribution each of us makes to the common purpose of serving finance, the administration, and the community members we serve.RESPECT - We recognize the validity of other points of view and treat others with civility. PROBLEM SOLVING - We strive to find practical and effective solutions to achieving desired goals.

The ongoing financial strength of Timboon & District Healthcare Service is evidenced by the current building construction which is being self funded via prior operating surpluses. This fact, along with the ongoing success of the internal and external audit programmes are a testament to the overall effectiveness and efficiency of the Finance Department.

The last 12 months have focused on ensuring that that newly implemented Financial Management Information System (Oracle) is being fully utilised and provides accurate financial data. The process of implementing Oracle allowed the Finance Department to fully review the Chart of Accounts and its alignment with the Common Chart of Accounts (CCOA) produced by the Department of Health. Staff have continued to utilise this opportunity to refine both the processes and procedures surrounding all finance department tasks.

Timboon & District Healthcare Service Finance department aims to promote responsible resource allocation through the healthcare services annual budget whilst ensuring the financial integrity of the healthcare service.

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The year in reviewAt 56% Acute Care revenue made up the largest component of total income with Home and Community Care being the next highest on 13%. Acute Care revenue increased by 3.6% compared with the previous year whilst revenue from Hospital Initiatives increased by over 46%. These outcomes are reflective of our ongoing initiatives to increase private patient income and services provided to Home and Community Care Recipients.

At 52% of total expenditure, Employee Entitlements are the largest contributing expense category. It is imperative therefore that this expense category continues to be monitored to ensure that quality healthcare services are continued to be provided in a financially viable and sustainable manner. Vehicle costs have risen by 30% indicative of the rise in total staff employed.

As evidenced Annual Leave and Long Service Leave balances have remained stable over the 12 month period. There has been a 2.7% increase in total leave liability since July 2010. The Board of Management have made a concerted effort to reduce total leave liability for the 2011/12 financial year.


The Board & Chief Executive Officer’s reportIn accordance with the Financial Management Act 1994 we are pleased to present the report of the operations of Timboon and District Healthcare Service for the year ended 30 June 2011.

The 2010/11 year has seen a number of significant forward looking decisions together with changes in health service management and an increase in services.

RETIREMENT OF ChIEF ExECUTIvE OFFICER After 15 years of service as the Chief Executive Officer Ms Elaine Collins retired in November 2010 to become effective in February 2011. Ms Collins’ hard work and dedication has ensured that a once financially struggling service is now a robust, well equipped and modern health service. The Board and community offer their sincere congratulations to Ms Collins on her retirement.

In December 2010 the Board appointed Mr Wayne Weaire as its new Chief Executive Officer. Mr Weaire began in February 2011.

CONTRACT FOR COMMUNITy hEALTh FACILITy CONSTRUCTIONAfter 10 years of planning and budgeting the Board was able to sign a $5.26 million dollar contract with Nicholson Construction of Ballarat for the contract of this significant Health Service and community project. Located on hospital land the new building will provide accommodation for chronic disease, health education, maternal and child health services, planned

activity group, youth drop-in centre, counselling and social work, district nursing and visiting allied health services.

Within the same scope of work the emergency department has been completely redesigned with better access for patients and ambulances to the emergency department, as well as general public access to the hospital.

As sub acute and community based chronic disease management services increase, so has the need for a large community exercise, rehabilitation and physiotherapy treatment area. The Health Service exercise room has been increased by 60% and will now provide for modern exercise and mobility support together with physiotherapy services.

The building works commenced in January 2011 and are expected to be fully completed by the end of November 2011.

The project is predominately funded by Timboon and District Healthcare Service, however a successfull $1 million grant submission announced by the Federal Health Minister The Hon. Nicola Roxon will ensure the project is completed succesfully.

Throughout the building period it has been necessary to relocate some of our services to other parts of the hospital, and in some cases to other facilities within the community. This has had a significant impact on maintenance and grounds activites with disruptions preventing many regular tasks being carried out.

NEw yOUTh AND FAMILy SERvICE

As a response to community need, Timboon and District Healthcare Service has initiated two new health service. The Youth Worker position previously auspiced under Brophy Family and Youth Services has grown resulting in the need for Timboon and District Healthcare Service to directly appoint the Youth Worker. Miss Natasha Neal was appointed to this position. Partnership with Timboon P12 School, local police and other family based services has seen significant developments in the support of young people and responsiveness to the family and individual needs.

In a similar response to community need a Family Support worker role was trialled – working with the Timboon P-12 School, other local primary schools, visiting agencies, child protection and local police.

This service has provided significant support to the community. The title of the programme gave some role confusion in relation to the Department of Human Services’ Family Support programme. In April 2011 the Board approved the ongoing permanency of the programme with a slight change in focus and name. The Health Service Social Worker programme has now been established with a focus on assisting people across all age groups to access counselling, social support and referral services. Miss Steffi Persson has been appointed to this permanent role.

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The Board & Chief Executive Officer’s reportPATIENT CARE AND SATISFACTIONThroughout the year the number of patients treated has been maintained with a total of 623 patients admitted to the acute service, a total of 10 births and 277 day procedure patients are included in the total.

Patient satisfaction results indicate Timboon and District Healthcare Service rates at 91% in the total care index and is the highest overall satisfaction rate amongst Multi Purpose Service in the state.

QUALITy OF CAREThe Australian Council on Healthcare Standards undertook its periodic review of the Health Service in February 2011.

During the review the surveyors reviewed our midwifery led obstetrics model, in particular the maintenance of clinical skills amongst the midwives.

Following the recommendation of the assessors, the Health Service entered into an agreement with the Royal Women’s Hospital in Melbourne for midwives to undertake annual clinical rotations. Three of our midwives have completed the rotation.

BOARD OF MANAGEMENTThe Board of Management has continued to meet on a monthly basis. During the year Mrs Nancy Johnson was appointed by the Minister of Health to fill the vacancy caused by the resignation of Mr

Michael Broomall in 2009. The Board had decided to proceed with the vacancy until a candidate with financial and accounting skills could be nominated to the Minister. Mrs Nancy Johnson appointment was confirmed in February 2011.

COMMUNITy SUPPORTTimboon and District Healthcare Service continues to celebrate and appreciate the hard work and commitment of the many volunteers and community supporters who make such a difference to our service in the community.

Throughout the year the volunteer drivers have continued to provide much needed transport throughout the community. The Meals on Wheels volunteers continue that important daily contact of meals and social interaction with many in the community.

The work of the Hospital Auxiliary, the Timboon Cruises, local business and personal donations have contributed $81,006 to the work of the Health Service. This year those donations will help to provide new equipment to the expanded and renovated exercise and rehabilitation facility.

To the many organisations, individuals, volunteers, partner organisations and the Corangamite Shire we offer our thanks for your support throughout the year.

To our local and visiting doctors, nursing staff and other health

professionals we celebrate and appreciate your excellent service, professionalism and generosity of time in the care of the community.

Finally to the Board of Management, State Department of Health, The Federal Minister for Health and Ageing, The Hon. Nicola Roxon, The State Government Minister for Health and Ageing, The Hon. David Davis MP and The State Government, Minister for Mental Health Minister for Women’s Affairs and Minister for Community Services, Ms Mary Wooldridge MP we offer our thanks for your support and guidance in management and provision of our rural Health Service.

MrJohnRenyardChairBoardofManagement

MrWayneWeaireChiefExecutiveOfficer


VICTORIA

Our rural health serviceTimboon and District Healthcare Service provides services within the southern half of the Corangamite Shire and the south eastern section of Moyne Shire. Key towns within the catchment area include Timboon, Cobden, Simpson, Nullawarre, Port Campbell, Princetown and Peterborough. This area comprises a catchment population of about 7,700 with 50.1% male and 49.9% female.

The age demographics of the catchment largely mirror that of Victoria as a whole and unlike many small rural communities does not have a larger than average aged population. Our catchment has a lower percentage of 18-49 year old residents, slightly higher 5-17 year old population and a dependancy ratio (58% compared to 48% for Victoria).

Within the population 0.2% or 18 individuals are of Aborigingal or Torres Strait Islander descent, 6.4% were born overseas, with 2% born in non-English speaking countries. The top 3 birthplaces outside Australia are United Kingdom, New Zealand and the Netherlands. Approximately 16% of residents in our catchment speak another language as well as fluent English.

44.5% of residents currently own their homes fully, 29% are in the process of purchasing their homes and 19.5% are renting their homes either publicly or privately.

Timboon and District Healthcare Service is an integrated health service administered under the multi purpose service health model of care for rural health services. We provide acute, residential and community aged care and primary care services.

Acute and residential aged care services are provided within a 14 flexible bed and 6 day-stay bed complex with an operating theatre suite and emergency department. Primary care services are provided both within the community services wing and through community outreach programs. The Timboon and District Healthcare Service owns and jointly manages the Timboon Medical Clinic and contracts General Practitioners, these facilities being adjacent to the Health Service.

ABOUT TIMBOON AND DISTRICT

Our catchment area of the southern half of the Corangamite Shire extends from Cobden in the north to the Great Ocean Road coastline, which encompasses the tourist icon of the Twelve Apostles. The area provides diverse employment through a range of primary industries, with dairying being predominant, tourism along the coast, commercial and community services. Timboon, although a small town of some 1000, provides a service hub for the southern part of the catchment and Cobden serves the northern section of the catchment area.

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Our rural health service

1955

Timboon and District Healthcare Service’s predecessor, the Timboon and District Hospital was founded as a public hospital in 1955 and opened its doors in 1956 as a 10 bed hospital. With the development and growth of the Heytesbury farming settlement during the 1950’s and 1960’s, the hospital quickly extended its facilities to 20 beds to meet the needs of its rural community.

1977

An additional Community Services building was added, housing a medical clinic and community services.

1998

Timboon and District Healthcare Service was formed as a multi purpose service, a model of health care bringing together funding from the Department of Human Services (now Department of Health) and the Department of Health & Ageing and responsibility for Home and Community Care services to provide an integrated model of health care to better respond to the needs of our local rural community, providing from birth to the frail aged.

2000

Construction of redeveloped facilities which provide a modern integrated service with 14 individual rooms with ensuites, 4 day-stay beds, operating theatre suite, emergency department and upgraded primary care facilities for allied health and community services.

2005

Construction of a new medical clinic to respond to the needs of the community and provide improved facilities for the local general practitioners and visiting specialists and other health professionals.

2010

A new Ambulance Station was opened onsite by The Minister for Health, Hon. Daniel Andrews on the 25th June 2010. This co-location has provided great opportunities for sustainable partnerships with the ambulance and health service staff in delivering services to the community. The State Government approved the Community Services facility development.

2011

New Community Services Facility building commences.

Timboon Hospital 1979

Our History


Our services Meeting your needs in the Timboon and Cobden districts

ACUTE hOSPITAL CARE• 24 Hour Emergency• Day Surgical Procedures• Diagnostic Procedures• General Medicine• Midwifery Services• Obstetrics / Gynaecology• Palliative Care

DIAGNOSTIC SERvICES• Pathology

AGED CARE – Residential and Home Based Services• Aged Residential and Respite

Care• Community Aged Care• Services to older persons in their

own home

COMMUNITy NURSING• Continence Resource• Chronic Disease Management• District Nursing• Diabetes Education• Maternity Outreach/Domiciliary

Visits• Palliative Care Nursing• Post Acute Care• Women’s Health

hOME AND COMMUNITy CARE – Aged & Disability Support• Assessment and Case

Management• Delivered Meals• Domestic Assistance• Home Maintenance• Personal Care• Respite Care• Community Transport• Planned Activity Groups• Visually Impaired Group

ExERCISE AND REhABILITATION PROGRAMS • Body Balance• Bounce Back with Babes• Strength Training & Circuit• Men Only Strength Training• Tai Chi

hEALTh EDUCATION• Childbirth Classes• Early Childhood Reading Group

hEALTh PROMOTION • Asthma Education• Community and School Based

Education Programs• Health Screenings• Primary Care Services • Counselling

• Chiropractic (private)• Nutrition• Naturopathy (private)• Occupational Therapy• Osteopathy (private)• Physiotherapy• Podiatry (public & private)• Social Work• Speech Pathology

SUPPORT GROUPS• Arthritis • Diabetes Support • Grief, Loss and Suicide • Visually Impaired • Child Health Independence

Program Support

yOUTh SERvICES• Counselling• Youth Activities

We work closely with regional and specialised health services to extend and coordinate the scope of services available to our local community.

Rhonda Johnston, enrolled nurse, supporting aged care resident Anne Dendle.

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Early years

GOALS• Provide a midwifery led model of

care to residents of the Timboon and District.

• Engage new mothers in association with Corangamite Shire’s Maternal and Child Health Nurse to access ongoing monitoring and care as well as attend new parent programs.

• Engage and provide early childhood services to families with young children such as parenting, exercise and mental health education and programs.

ChALLENGES• For the community to embrace

the midwifery led model of care and help in the program’s promotion.

• Engaging high needs families and encouraging them to access services provided.

STRATEGIES• Provide ante and post natal

care.• Continue implementation of

Midwifery Unit.• Provide parenting programs.• Provide parent exercise

programs.• Provide a Dental Health

Program.

OUTCOMES• Provision of ante and post natal

care to 36 women.• Staff provide ante and post

natal education with two staff registered with National Association of Childbirth Educators.

• 15 pregnant women entered the midwifery program with 10 births at Timboon and District Healthcare Service and 5 ‘at risk’ women birthing at Southwest Healthcare - Warrnambool.

• 3 led midwives attended training at the Royal Women’s Hospital as part of the maintaining skills through clinical placements at tertiary based midwifery programs.

• 1 Triple ‘P’ parenting program was provided to parents.

• 3 new parents groups occurred in conjuntion with Corangamite Shire Maternal and Child Health Nurse.

• Bookworms early literacy program continued monthly with an average of 8 participants.

• 3 Bounce Back with Babes exercise programs were conducted with 29 mothers attending programs offered during the year.

• School dental services continued on a bi monthly basis.

• Smiles for Miles dental education program education occurred in all Kindergartens and Childcare Services.

FUTURE DIRECTIONS• To provide early years services

that meet the needs of the community.

• Continue to improve community awareness.

• Healthy relationship education provided to families.

• Improve communication with maternal child health nurse and health professionals.

Research continues to grow on the importance of the early years in the development of physical and mental health, learning and behaviour in the course of a person’s life.


MATERNITY SERVICES

Now in its third year the midwifery led model of care, under the direction of Dr. Chris Beaton, has delivered 10 births with local residents developing an understanding of this model of care.

Maternity services are based upon a low risk midwifery model of care. Midwives operate as a team with the obstetricians and gynaecologists. Timboon and District Healthcare Service has six midwives, including three primary midwives. To keep up to date our midwives have attended education in areas such as Foetal Surveillance Education Program, Lactation Mysteries, Neonatal Emergency Transport Service Workshop, Labour and Birth in Water, Maternal Resuscitation in the pregnant woman and Timboon Midwives Professional Rotation.

The Midwifery unit provides a range of services including pregnancy confirmation, care with a known midwife throughout pregnancy, labour, birthing for low risk women in a safe environment, planned ceasarean sections, breastfeeding advice and support in the post natal period. A visiting obstetrician attends fortnightly for those women referred

by the midwife or general practitioner and collaborates with the midwifery team in planning client management.

The provision of care for premature babies on return from a special care nursery at a specialised hospital is also offered.

Important aspects of the midwifery led model of care include the integration of key ante and post natal services as expecting parents and new families are offered a range of programs to support them in the early years.

ANTENATAL

Women attend antenatal appointments with the midwife as well as scheduled visits to the visiting Obstetrician and Gynaecologist during their pregnancy care.

Active Expectation exercise classes are provided to women who are expecting. 34 occassions of service were provided to these women in the past 12 months.

Expectant parents are encouraged to attend Childbirth (antenatal) education classes which are offered by accredited staff members of the National Association of Childbirth

Educators. 10 women participated in group programs offered during the year.

POST NATAL SUPPORT

Provision of post natal domiciliary care where a midwife visits the home following discharge to check on both the mother and the baby. Visits continue with the midwife until they are content that the mother and baby are coping. Midwives provided 36 domiciliary care visits this year.

Corangamite Shire’s, Maternal and Child Health Nurse colocates at Timboon and District Healthcare Service which ensures good collaboration. Programs such as the New Parents Group, Bookworms and Parenting education are run jointly so as not to duplicate services within the Timboon and District community.

Bounce Back with Babes exercise program is provided for all mothers six weeks post delivery. This program enables mothers to regain pre pregnancy shape, strengthen muscles and provides much needed socialisation. The importance of exercise for the prevention of post natal depression by the stimulation of endorphins and neurotransmitters is well documented. 174 occasions of service were provided to 29 mothers post delivery during the past 12 months.

BOOKWORMS

Our regular monthly “Bookworms” program continues to operate successfully, focusing upon early literacy and providing an ongoing socialisation program for young parents. An evaluation focus group found that families felt their children would benefit from a more regular fortnightly program.

Early years

Martha Andrews delivered at Timboon Healthcare Service on 1st November, 2010, resting in her hospital room.

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ORAL HEALTH PROGRAM

Oral Health is fundamental to overall health, wellbeing and quality of life. A healthy mouth enables people to eat, speak and socialise without pain, discomfort or embarrassment. The impact of oral disease on people’s everyday lives is subtle and pervasive, influencing eating, sleep, work and social roles. The prevalence and recurrences of these impacts constitutes a silent epidemic.

The Health Service is entering into the second year of improving oral health services available to the Timboon and District in areas of prevention and access.

ORAL HEALTH PREVENTION

The ‘Smiles for Miles’ program is provided to all Kindergartens and Childcare Services within the Timboon and District. This program includes education for parents and children, lunchbox ideas and monitoring as well as daily toothbrushing for those children at Kindergarten. Results from the program implementation have shown that at:

• Simpson Kindergarten all children take water, fruit or vegetables in their lunch

• Cobden Kindergarten has had an increase of 10.5% in water consumed and a 9.8% increase in fresh fruit and vegetables, and

• Timboon Kindergarten has had a 17% increase in the intake of healthy snacks.

SChOOL DENTAL – In association with South West Healthcare a dental therapist visits fortnightly providing dental treatment and referral when necessary. School dental services are provided to all children from birth up to secondary school. Secondary school students can only access the school dental program when they have a healthcare card.

TEEN DENTAL – The Medicare based teen dental program is provided to non health care card holders by the private dental provider.

PUBLIC DENTAL – Public dental services began in July 2010 on a fortnightly basis, however, due to an increase in demand a weekly service commenced in June 2011. The public dental service is offered to all health care card holders and provides preventative and general dental treatment as well as referral services.

PRIvATE DENTAL – Private dental services are provided by Dr. Donna Mercado. This service has been very valuable to our community’s oral health wellbeing.

Early years

Dentist Madeline Tan with patient Neville.


Clinical services

GOALS• To provide high level,

professional and safe health care to meet the needs of the community in an acute, subacute and surgical setting.

• To provide initial assessment, treatment and / or referral on presentation to the emergency department or healthcare service.

ChALLENGES• Provision of a twenty four

hour, seven days a week service.

• To maximise the available resources for service delivery.

• To ensure professional skills and healthcare standards are maintained.

• To appropriately meet the communities needs.

STRATEGIES• Recruitment and retention of

skilled health professionals.• To review community needs.• Continue staff education and

development.

OUTCOMES• 623 patients treated.• 2400 emergency treatments.• Positive client satisfaction

results.• Clinical nursing staff attend

training to maintain and enhance clinical skills.

• Annual audit achievements for infection control and quality.

FUTURE DIRECTIONS• Provision of a twenty four

hour, seven days a week service.

• Develop an effective model for staff development to ensure skills are maintained and enhanced.

• To recommence radiology services.

• Extend theatre procedures within scope of practice.

A commitment to provide an increasingly wide range of high quality, high value clinical services that are accessible within the catchment area we serve.

Equipped with the advanced medical, surgical and diagnostic technology, the Health Service is able to provide excellent medical and surgical care to patients. TImboon and Distict Healthcare Service has 14 flexible beds and 6 day-stay beds with an operating theatre suite and emergency department.

Dr. Warrick Rouse preparing for a general aneasthesia.

15annualreport

Acute care services at Timboon and District Healthcare Service have remained active over the past twelve months with nursing staff caring for 623 admissions. The average stay for each admission is currently 4 days. Of the 623 admissions the two permanent general practitioners and nursing staff cared for 96% whilst 4% required a transfer to a higher level of care (intensive, coronary or specialist

referral) at a regional or metropolitan hospital.

Our medical and nursing staff use clinical indicator data to compare themselves with like sized healthcare services across Australia via the Australian Council on Healthcare Standards and the Victorian Department of Health Clinical Indicator evaluation protocols.

Indicators provide information on areas requiring development. Staff regularly attend education sessions with updates in knowledge relevant to the acute setting in the areas of Burns Education, Wound Care, Doppler Compression bandage, Emergency Nursing Short Course, Remote Emergency Care Course and Shoulder dystocia.

Table shows increasing numbers from the low figures of 2008/09. Due to the recruitment of permanent doctors to the Timboon Medical Clinic during 2009/10.

With consistent medical practitioner coverage at Timboon Medical Clinic Emergency presentations have declined during the past 12 months as patients more appropriate for the Medical Clinic have received treatment there.

ACUTE CARE

Same Day Separations 277 268 221 283 317

Multi Day Separations 346 329 173 422 526

TOTAL SEPARATIONS 623 597 394 705 843

Emergency 286 350 147 345 485

Elective 314 207 217 271 216

Other including maternity 23 40 30 89 142

TOTAL SEPARATIONS 623 597 394 705 843

Total WEIS 353.53 367.55 231.52 425.54 484.75

Total Bed Days 2078 1908 1208 2254 2297

Emergency Department Presentations 2400 2613 2451 1816 1633

Acute Admitted Patients 2010/11 2009/10 2008/09 2007/08 2006/07

Non Admitted Patients

Five Year comparision for Acute Admitted and Non Admitted Patients

Five Year Inpatient Separations

Clinical services

5 Year Emergency Attendences


Visiting Medical and Surgical Specialists provide specialist care for our entire catchment and beyond. Our communities derive significant physical, mental, social and financial benefits by being able to access these specialist services close to home. An efficient management of

waiting lists means that waiting times for surgery are under 90 days and lower than the state benchmark for category 2 semi urgent cases of 90 days.

Current visiting Medical Specialists include Mr. Brendan Mooney, Dr. Chris Charnley,

Dr. Chris Beaton, Dr. Elizabeth Uren and Dr. Dominique Robert. These specialists provide general surgical, obstetrics and gynaecology and diagnositic procedures. They are supported by the anaesthetists at Warrnambool Anaesthetists Group and by Dr. Warwick Rouse.

SUB ACUTE SERVICES

Sub acute services are available to people of all ages and may follow a hospital stay, hospital day attendance or may be accessed directly from the community.

Types of sub acute care offered by Timboon and District Healthcare Service include rehabilitation, geriatric evaluation and management, palliative care and restorative care involving complex discharge planning in the older patient.

The primary goal of sub acute services is an improvement in functional status which is evidenced by an individualised and documented initial and periodic assessment of functional ability. The focus is on nursing management in the areas of mobility, pain management, continence, diet, falls prevention, mental health and medication management.

EMERGENCY SERVICES

TImboon and District Healthcare Service maintains a twenty four hour, seven days a week emergency department. Our acute staff have treated 2400 patients via the emergency department in the past twelve months. This equates to 6.5 patients per day. Acute nursing staff work collaboratively with our general practitioners and ambulance officers to meet patient care needs in the areas of assessment, treatment and referral.

To maintain skills two nurses have undertaken an emegency nursing short course. Training has also focused on triage, common emergency presentations and remote emergency care.

PALLIATIVE CARE

Palliative care is provided both within the Healthcare Service facilities and in the community by our nurses. All Timboon and District Healthcare Service staff take great pride in our care for the dying and will always ensure that their needs are met with compassion. The nurses are supported in their role by the regional palliative care consultants and medical specialists. Nursing aids and lifting equipment are available on loan to assist in providing a comfortable environment for client and carers.

GENERAL SURGERY AND DIAGNOSTIC PROCEDURES

General surgery and diagnostic procedures are now tracking back to numbers consistent to 2006/07. The health service now plans to continue to increase generic surgery and diagnositc procedures in the coming year.

Clinical services

Five Year Surgical Attendance

17annualreport

Timboon and District Healthcare Service dedicate four beds to high care residents high and low care respite.

Respite plays an important role in providing carers with a rest break or the opportunity to take an annual holiday. A number of clients return on a regular annual basis and one client has demonstrated her satisfaction with our service, regularly booking a place at Timboon for over five years, when her family takes holidays.

Prior to admission all residential and respite clients are assessed by the Aged Care Assessment Service, who identify the client’s level of care needs and then determine a care plan to be followed whilst in care.

There were a total of 4 residents and 33 respite clients who were accommodated during the past 12 months. This equated to 1070 bed days of permanent high aged care and 455 bed days of respite care, both high and low care. Respite

client placement is coordinated through the Warrnambool Carer Respite Centre and we work in association with the Regional Aged Care Assessment team to make sure clients are appropriately assessed prior to access to aged care services.

RESIDENTIAL AGED AND RESPITE CARE

Aged care does not imply incapacity, as most older people live active lives. Ageing, however is associated with increasing levels of disability. Most older people have a positive view of their own health with the majority of Australians aged 65 years or older (70%) rating their health as either good, very good or excellent, while 30% report their health as being fair or poor.

Aged care services provided by the Healthcare Service aim to either maintain the aged ‘good health’ or support those who are considered the ‘frail aged’, those aged people in need of a substantial level of care and support in the community. The Timboon and District Healthcare Service maintains awareness with government policies that impact upon the aged and our increased knowledge of the increased burden of disease in the elderly helps plan our aged care services.

GOALS• Provision of aged and respite

care that meets individual clients needs utilising the Active Service Model.

• Provision of diversional therapy to our aged and community clients.

ChALLENGES• Continue to review and monitor

strategies to cater for the demand in providing high needs care.

• Maintaining a safe and secure environment that meets individual needs.

• Provide accurate data to meet new Home and Community Care Indicators.

STRATEGIES• Provision of individualised

diversional therapy programs via inpatient and community programs.

• Implementation of the Active Service Model.

OUTCOMES• Whole of organisation

understanding and utilisation of the Active Service Model for our aged care clients.

• National Respite for Carers Program, Quality Reporting Process against funding agreement and guidelines were met.

• Organisation received Well 4 Life funding to enhance the Planned Activity Group programs.

• Completion of negotiations with Corangamite Shire to provide all Home and Community Care Services to the southern part of Corangamite Shire, this came into effect on the 30th June 2011.

FUTURE DIRECTIONS• To utilise Residential Aged Care

Service environment assessment tool to determine new directions in aged care services.

• To develop a more accurate system to measure response times between referral and service delivery for aged care clients.

Aged care


Increases in aged care and respite bed days from 2008/09 respond to the Healthcare Service increasing bed allocations from 3 to 4 beds.

Quarterly mandatory reporting of quality indicators for pressure ulcers, falls, physical restraint, medications and loss of weight are occuring and are recorded on the Victorian Health Incident Management System.

All residential aged and respite clients are provided with a safe and friendly environment that includes a welcoming atmosphere for

family and friends. Residents are encouraged to participate in various aged care group activities from diversional therapy, planned activity groups, gentle exercise program or the visually impaired group. These groups help to maintain social stimulation and strength.

DIVERSION THERAPY

The Diversional Therapy program, now into its second year, continues to assist nursing staff in providing recreational activities and promotion of interaction for residential aged

and respite clients. Clients have participated in a variety of activities including theme days, encouraging reminicense activities, celebration of birthdays, weekly Australain Football League tipping competition and game playing. The aged care residents have enjoyed the development of a veranda garden that has included pot plants containing flowers and vegetables. Resulting vegetables have been utilized in food preparation by the residents.

Number of Permanent Aged Care Residents 4 4 4 3 2

Number of Respite Clients 33 35 55 15 21

Residential Bed Days 1070 1035 960 730 730

Respite Bed Days 455 576 863 366 489

Total Bed Days 1535 1551 1823 1096 1219

2010/11 2009/10 2008/09 2007/08 2006/07

Aged care

Timboon and District Healthcare Service administers the joint Australian & Victorian governments’ Home and Community Care program for the southern part of the Corangamite Shire and in addition provides home care services through our multi purpose service funding. The service acknowledges the assistance of the Corangamite Shire and Simply Helping through contract services of home care workers, home maintenance and personal care workers. Into the future the Timboon and District Healthcare Service plans to employ its own home care, personal care and home maintenance workers.

Since February 2011 negotiations commenced to transfer service delivery from Corangamite Shire back to Timboon and District Healthcare Service. The planning and processes involved in the transfer of service delivery have been underway

for an effective transition on 1st July 2011. The transfer of service delivery will provide increased efficiencies between the Home and Community Care Assessment Officer and Home Care worker staff. The direct service delivery has also allowed employment opportunities within the Healthcare Service with 14 staff transferred from Corangamite Shire and 3 additional staff appointed.

The Home and Community Care service undertakes Home and Community Care Standards Agency Asessment against the National Service Standards. Recommended actions from the assessment included the development of a formal system to acknowledge wait time from referral to service delivery, development of a process to monitor and measure performance of third party service providers and to ensure compliments and concerns forms are handed to all clients. These

recommendations have been carried out with wait times for Home and Community Care Services being one week, with all new clients accessing the service receiving an information pack. This is acknowledged in client medical records.

The introduction of the Active Service Model to all Healthcare Service staff has been a significant achievement over the last twelve months. The Active Service Model focuses on person centred care to promote the best outcomes for clients whilst maintaining their independence at home. Results from a staff evaluation showed that 100% of Community Services staff understood and felt confident in the benefits of the Active Service Model and 75% of staff felt confident in their ability to encourage the Active Service Model philosophy with their clients.

HOME AND COMMUNITY CARE SERVICES

Five year numbers of Aged and Respite bed occupancy

19annualreport

Aged care

An increased emphasis on assessment, case management and care planning utilising the Active Service Model has occurred during the past twelve months. All 257 Home and Community Care Assessment clients have an assessment plan that meets this model. Clients are reviewed on a 3, 6 or 12 monthly basis depending on their level of need. Currently 9 clients are considered very high need and have been allocated an Assistance to Maintain Independence Package created by Timboon and District Healthcare Service for clients to meet health requirements not funded via Home and Community Care Program. The number of hours for these packages has decreased during the financial year as each

client’s needs has decreased and funds allocated for the packages have been distributed to enhancing primary care services.

The Assessment Officer was successful in obtaining funding for young carers packages to help keep young people at school with monies contributing to the purchase of books and uniforms. This adds to the list of links with other key community care staff and organisations that enables us to efficiently manage client pathways. These staff and organisations include the Aged Care Assessment Team, Carers Victoria, Commonwealth Carer Respite Centre and our own Allied Health and District Nursing staff.

The “HACC Happenings” newsletter continues to be published on a quarterly basis for all home care consumers keeping them up to date with news and information. Topics covered included heatwave and new Home and Community Care guidelines.

The Home and Community Care Assessment Officer completed a Diploma in Community Services which will enhance skills in assessment and care planning. Attendance at the National Home and Community Care Conference and training in diversity planning and practice help to keep clinical skills in line with best practice.

ASSESSMENT AND CASE MANAGEMENT

The small group of nurses who deliver home nursing throughout the district provided an invaluable service to 188 clients this year. This accounted for a total of 4,525 visits or 2,264 hours of nursing care. Some clients receive nursing and personal care on a regular basis in association with other home based

services, thus assisting the client to remain in their own home. Many receive care on a short term basis following an episode of illness or following discharge from hospital. The nursing staff provide a valuable link between the client and their general practitioner.

Nursing staff throughout the year have undertaken a number of courses to maintain their clinical skills and this year staff have attended updates in use of the Doppler, syringe driver, advanced care planning and multiple sclerosis.

DISTRICT NURSING

Assessment 504 489 405 N/A N/A

District Nursing 2,264 2,246 2,305 2,297 2,261

Personal Care 749 1,314 1,110 887 683

Domestic Assistance 3600 4,608 4,168 5,579 5,137

Respite (in home) 933 1,180 1,216 1,083 1,016

Property Maintenance 2147 2,195 1,964 2,017 1,861

Planned Activity Groups 7,890 7,495 6,574 8565 9960(Timboon and Cobden)

National Respite for Carers 1,875 1,803 1,839 N/A N/A

Community Packages 1,097 1,572 N/A N/A N/A

Community Transport 1,023 1,798 1,754 1,848 1,880

Number of Delivered Meals 8,297 8,934 9,774 11,455 8,567

2010/11Aged Care Services 2009/10 2008/09 2007/08 2006/07

Five year Community Aged Care, hours of service


PLANNED ACTIVITY GROUPS AND NATIONAL RESPITE CARERS PROGRAM

The Planned Activity Groups operate twice weekly at Timboon and Cobden and provide an opportunity for older members of the community to socialise and participate in a range of activities, encouraging participants to remain active and involved. This year there has been an emphasis on implementation of the Active Service Model and ensuring all clients have a care plan and programming, which promotes their independence. The five hour program also offers carer respite and the Friday program in Timboon is specifically designed for carer respite and funded by the National Respite for Carers Program.

During the year 33 clients accessed Cobden Planned Activity Group and 37 accessed Timboon Planned Activity Group, including 19 clients who are registered for the National Respite for Carers Program.

During the year The National Respite for Carers Program conducted a review of services; this included a program action plan and site visits. Recommendations from the visit included implementation of a carer assessment tool, carer assessments for all carers and specific individualised goals in client care plans. A site visit in February 2011 considered all areas of the program action plan were met.

Planned Activity Group staff have attended training in areas such as Home and Community Care Diversity, Easy Moves for Active Ageing and how to work with the visually impaired.

Special activities during the year have included:• Regular croquet games at Terang• Trips to Killarney, Port Fairy,

Lismore, Allansford, Warrnambool, Dunkeld and Colac

• Participation in the Active Aged

Games – competition with other Adult Day Activity groups

• Concert attendances• Celebrating special days including

Easter, Christmas, St. Patrick’s Day, Cup Day, Grand Final Day and National Days

• Craft – scrapbooking and making various gifts to share with family and grandchildren

• Guest presentations on Advanced Care Planning, Stroke Awareness, Seniors Rights, Diabetes and Medications.

The Timboon and District Healthcare Service in conjunction with Terang and Mortlake Health Service were successful in obtaining funding under the state governments “Well 4 Life” initiative which will include an increased emphasis on nutrition, physical activity and mental health in the next 12 months including planning and program implementation. From this funding the Planned Activity Groups across the Corangamite Shire have purchased equipment for a combined equipment library and improved audiovisual technology.

CARERS WORKSHOPS

Carers are a valuable component of the Aged Care Services and, as well as respite are offered bi monthly carers workshops. During the year six Carers Workshops were offered focusing on areas such as carers support services, socialisation, dealing with professionals and solving medication mysteries. The sessions had an average of 9 participants with evaluations indicating that the Carers wanted to be kept up to date with services available, regular socialisation and particularly appreciated the privacy and confidentiality associated with the regular workshops.

MEALS ON WHEELS

This service is dependent upon the many volunteers in Timboon and Cobden who regularly deliver meals to our older members of the community, providing valuable daily contact. This year 82 clients were provided with a total of 8,297 meals from the Timboon and Cobden health services’ kitchens. An annual questionnaire on meal satisfaction is sent to clients with results from the 2009 survey indicating that 66% of clients rated their meal as either good or excellent. Issues were then addressed and a followup survey in 2010 indicated that 100% of clients rated their meal as good or excellent.

COMMUNITY TRANSPORT

Volunteer drivers make possible our community transport program. This service is an integral part of our community aged care service, assisting clients without access to transport to remain in their own homes. Transport is provided, for example, to medical and allied health appointments, exercise classes, planned activity groups (day centres), local shopping and related trips. During the year 127 clients received 1,023 hours of community transport services. Community transport hours have reduced in the last 12 months with the introduction and referral for clients to the Public Transport Assistance Scheme delivered by the taxi service and increased utilization of the Red Cross Car.

RED CROSS TRANSPORT

The Timboon Lions Club supports the Red Cross service through the provision of drivers. This service assists many when they are unwell to attend hospital and medical appointments. This valuable service complements the community transport program assisting many to attend appointments in Warrnambool and further afield.

Aged care

21annualreport

Primary care services

GOALS• To deliver a range of Primary

Health Care services to the community.

• To achieve quality outcomes utilising evidence based practice

• To promote independence through collaboration and service coordination.

• To improve communication between General Practitioners and Chronic Disease Team.

ChALLENGES• Staff recruitment and retention

with the brokerage of Allied Health services from regional providers not always being reliable.

• Coordination of services and communication between staff when they do not all work the same days.

STRATEGIES• To directly employ Allied Health

staff when available.• To continue to broker Allied

Health staff from the regional service providers when necessary.

• Chronic Disease staff to be involved in the Victorian Department of Health Plan Do Study Act Project focusing on communication between General Practitioners and Chronic Disease Staff.

OUTCOMES• Directly appointed Social Worker

to the Timboon and District Healthcare Service Team.

• Three staff involved in the Plan Do Study Act project with development of clinical pathways and communication tools that

meet best practice.• Introduction of a Men’s Strength

exercise program due to additional funding from Active Ageing Australia.

• Staff attendance at training to maintain skills necessary for optimum service delivery.

• Introduction of Chronic Illness Peer Support (ChIPS) program for youth.

• Introduction of diabetes support group for Timboon.

• Development of a quality plan.

FUTURE DIRECTIONS• Better use of technology for

client documentation by all staff.• To provide a comprehensive

single point of entry for all clients accessing Timboon and District Healthcare Service.

Timboon and District Healthcare Service offers a diverse primary health care service to its residents. This is crucial in ensuring that individuals and communities are able to acess the health care they need when and where they need it.

A strong primary health care system helps patients better manage their health conditions in the community and this helps to prevent disease. This results in fewer people using inpatient services and thus helps to free up the hospital beds and emergency services to look after those who need hospital based care. Primary health care services work best when there is a collaborative approach to prevention or treatment of illness and that all services are coordinated.

Graph demonstrates the increase in activity due to increased capacity and variety of clinical nurse education and allied health staff.

Total occasions of service for Primary Care Services


Primary care servicesA range of staff and contracted Allied Health services are provided to the Timboon and district community. They are an integral part of the multi disciplinary team approach providing services to both inpatients and community clients. Their role includes clinical treatment, education and health promotion.

When demand is not sufficient to employ our own staff, agreements are in place for the contracting of skilled staff on a weekly/fortnightly basis from regional centres. This arrangement ensures that these staff are well supported for ongoing professional development.

ALLIED HEALTH SERVICES

Allied Health occasions of services over past five years

Audiology 1 N/A 7 18 28

Dietetics 86 84 73 80 85

Counselling/Psychologist 211 263 96 66 72

Family Support Service 605 133 N/A N/A N/A

Occupational Therapy 77 64 35 74 77

Physiotherapy 658 537 518 517 543

Podiatry 205 234 527 667 619

Speech Pathology 290 190 253 249 293

Social Work 115 N/A N/A N/A N/A

Youth Work 1950 1210 1371 1040 N/A

2010/11Allied Health Occasions of Service 2009/10 2008/09 2007/08 2006/07

AUDIOLOGy - A private audiology service recommenced in January 2011 providing audiological services to the community on a monthly basis.

DIETETICS - A Dietitian contracted from South West Healthcare visits Timboon and District Healthcare Service on a fortnightly basis. This service provides assessment and intervention for inpatients and community clients.

ChIROPRACTOR - A private chiropratic service operates weekly from Timboon and District Healthcare Service.

COUNSELLING/ PSyChOLOGIST Timboon and District Healthcare Service fund a private provider who provides counselling services from the Timboon Medical Service. The growing need in Timboon and district for counselling type services, as demonstrated by increases in counselling occasions of service, demonstrated the need for the appointment of a Timboon and

District Healthcare Service appointed Social Worker.

FAMILy SERvICE SUPPORT - Family Service Support Worker aims to offer free and confidential service to individuals, families and communities. The focus will be to provide a range of strategies to overcome difficult circumstances. The Family Services Support Worker can provide support to families via prevention and early intervention in a crisis. In April the newly created Health Service Social Worker position took on family support responsibilities.

OCCUPATIONAL ThERAPy - The Occupational Therapy service is contracted from South West Healthcare on a needs basis. The Occupational Therapist provides assessment and interventions to inpatient and community clients.

PhySIOThERAPy - A Physiotherapist is contracted from South West Healthcare for 2 days per week. The

physiotherapy program provides a range of individual assessments and interventions to inpatients and community clients. The Physiotherapist has also been actively involved in the assessment and programming of clients involved in the Exercise and Rehabilitation program managed by the Timboon and District Healthcare Service Exercise Coordinator.

PODIATRy - Both public and private podiatry services are provided to the residents of Timboon and district. The public Podiatry service is provided twice per month to clients however access to this service had incurred a lengthy wait the implementation of the enhanced primary care program and the provision of private podiatry services at Timboon and District Healthcare Service have enabled eligible clients to utilize this program and thus resulted in a reduction in wait times. The introduction of a weekly Private Podiatry service has also helped to alleviate waiting times.

23annualreport

Primary care servicesSOCIAL wORK- This new service provided by a Timboon and District Health Service appointed worker began operation in April 2011. This position will provide inpatient and community based services to the Timboon and District communities. Social work for inpatients at Timboon and District Healthcare Service aims to make the transition from hospital to home a well-organised process. Key responsibilities will be to address the psychological and practical impacts of the hospitalisation of patients and their families through the provision of a variety of services.

SPEECh PAThOLOGy - A Speech Pathologist is contracted from South West Healthcare for 1 1/2 days per week. They generally provide individual assessments and interventions in a range of settings including the Healthcare Service, Kindergarten and in client’s homes.

yOUTh wORK - Works with young people between the ages 12-25 on a one to one basis or groups. This can be outreach or hospital based. The Youth Worker assists Timboon P-12 School with welfare support (counselling) for secondary

students and is a strong advocate for young people with other service providers. The Youth Worker also assists with preventative education and works in conjunction with other health workers with regard to youth programs. In April 2011, the Youth Worker was directly employed by Timboon and District Healthcare Service.

A Continence Nurse visits Timboon and Cobden twice per month. This service provides valuable support to inpatient, maternity, home and community care and the chronic disease management service.

The Well Women’s Clinic provides pap tests, contraception advice, women’s health information, education and referrals as appropriate. This year 178 women attended the service. With only

55% of women in the southern Corangamite Shire having regular pap tests this is an important screening and preventative service.

The Diabetes Educator provides a weekly service to Timboon and Cobden. The training and employment of a direct staff member to undertake a post graduate certificate in diabetes education has led to an increase in clients receiving diabetes education with

260 occasions of service in the past 12 months. This appointment has also enabled the development of a Timboon Diabetes Support Group to complement the long running Cobden Diabetes Support Group. Both groups are community driven with support from the Diabetes

Educator and Community Health Nurse in Cobden. The Diabetes Educator has also been actively involved in prevention and education activities including participation in a Walk for World Diabetes Day and an information session during Diabetes Awareness Week.

CONTINENCE NURSE wELL wOMEN’S SERvICE

DIABETES EDUCATION

Five Year Community Clinical Nurse Occasions of Service

Diabetes Education 260 265 174 164 187

Chronic Disease Independence Program 298 345 N/A N/A N/A

Continence Nurse 166 88 70 60 35

Well Women’s Clinic 178 166 166 139 131

2010/11Community Clinical Nurse Occasions of Service 2009/10 2008/09 2007/08 2006/07

COMMUNITY CLINICAL NURSE SERVICES


Primary care services

Community immunisation is provided by our accredited Nurse immunisers. Immunisation is provided free to residents who are aged 65 years and older, Aboriginal and Torres Strait Islander people aged 15 years and over, pregnant women during any stage of pregnancy, anyone from six months of age with heart disease,

chronic lung disease, chronic neurological conditions, impaired immunity and/or other chronic illnesses such as diabetes and kidney disease and other sufferers of chronic illnesses requiring regular medical follow-up or hospitalisation, such as severe asthmatics who require frequent hospital visits.

As well as the National Immunisation Program, companies and organisations utilise our Nurse immunisers to immunise their workers against influenza. 50 members of the Timboon and District Community received immunizations through the community immunisation program.

The Chronic Disease Independence Program has been designed to help the Healthcare Service, Timboon Medical Clinic and other community services to work together to provide improved care to people with chronic and complex conditions such as:• Chronic Obstructive Pulmonary

Disease (COPD)• Chronic Heart Failure (CHF)• Diabetes• Chronic & Complex needs• Psychosocial

The Chronic Disease Independence Program is a free home based service for those who suffer a chronic disease. The Program includes a thorough assessment of the client which aims to identify and create linkages with our other health services such as podiatry, diabetes education, dietitian, home and community care services, district nursing, occupational therapy and exercise classes. The Chronic Disease Independence Program also provides medical education and uses

wellbeing tools to encourage self management.

Currently the Chronic Disease Independence Program is offered 4 days per week and focuses on individual and group based intervention. During 2010-11 30 clients were provided case coordination through the Chronic Disease Independence Program. Staff have also provided the Better Health Self Management Program to 12 participants; this program aims to educate clients to become self managers. Evaluation by the Health Education Impact Questionnaire – an Australian developed tool to profile outcomes of health education and self management programs demonstrated that participant’s knowledge in skill acquisition and technique, social integration and support, health service navigation and constructive attitude shift by over 22%. Participants did not make substantial improvement in the area of emotional wellbeing therefore this

is an area to develop in subsequent groups. Another initiative of this program has been the establishment of the Chronic Illness Peer Support Group (ChIPS) for youth with 4 youths regularly attending the weekly support sessions.

The Chronic Disease Independence Program staff have also been actively involved in the Victorian Department of Health Plan Do Study Act Project focusing on communication between General Practitioners and Chronic Disease staff. As part of this project staff have been in partnership with the Timboon Medical Clinic in development of communication tools which will enhance client management. The implementation of the Victorian Statewide Referral Form, Referral Acknowledgement process and a Client Feedback Form are among the achievements that have been reported to the Victorian Department of Health.

CHRONIC DISEASE INDEPENDENCE PROGRAM

IMMUNISATION

25annualreport

Primary care servicesA fitness and rehabilitation program operates on a weekly basis with programs offered to adults of all ages. The generic aims of the programs are to keep participants strong and active, prevent falls, improve balance and encourage social connectedness. Programs include Tai Chi, Strength Training, Rehabilitation Exercises, Body Balance and exercise programs designed specifically for pre and post natal women. A new initiative during 2011 has been the introduction of a Men only strength program funded by an Active Ageing grant, the addition of the Physiotherapist

attending the Gentle Exercise class on a fortnightly basis to complement this already extensive program and the introduction of a jointly programmed rehabilitation group with the Physiotherapist. With an average of 20 men and 99 women attending the regular weekly programs.

Programs are evaluated utilising the Health Education Impact Questionnaire – an Australian developed tool to profile outcomes of health education and self management programs and via annual client satisfaction surveys. Results indicate that clients

enrolled in the Rehabilitation and Exercise program are generally happy with their current level of health with 81.5% experiencing improvements in physical health and 78% experiencing mental health benefits. When compared to national programs, our programs were considered higher for the areas of positive and active engagement in life, constructive attitude shift and improved skill technique and acquisition.

FITNESS AND REHABILITATION PROGRAM

Active Expectations 34 10 10

Body Balance 269 58 44

Bounce Back with Babes 174 132 36

Gentle Exercises 537 405 409

Strength Training 1,275 1,164 905

Tai Chi 536 740 787

TOTAL 2,825 2,499 2,191

2010/11Exercise Program Occasions of Service 2009/10 2008/09

Three year exercise program occasions of service

Participants in weekly Men’s Strenth program.


Health Promotion Building Capacity for Healthy Lifestyles

GOALSProvision of Health Promotion Services focusing on the Victorian Department of Health, Health Promotion Priorities of:• Promoting physical activity and

active communities.• Promoting accessible and

nutritious food.• Promoting mental health and

wellbeing.• Reducing and minimising harm

from alcohol and drugs.• Sexual and reproductive health.

ChALLENGES• Recruiting/retaining sufficient

participant numbers in Health Promotion Programs.

• Communication between Health Promotion staff and other Health Service staff.

• Ensuring sustainability of programs in other areas due to staff changes.

STRATEGIES• Development and

implementation of policy and programs that support behavioural change and healthy environments.

• Strengthening workforce, community and organisational skills and support for the promotion of health and wellbeing.

• Generating new knowledge to direct health promotion resources and action.

• Identifying need and utilising

strategies that are consistent with health promoting principals and based on available evidence.

• Strengthening methods of tracking changes in health status, risk factors and societal determinants of health and wellbeing, which in turn supports planning and evaluation.

• Improved evaluation practice to identify impacts of policy and program implementation and components of success.

OUTCOMES• Successful integration of health

promotion into Community Service staff roles.

• Memorandum of Understanding between Timboon and District Healthcare Service and Timboon P-12 School developed and signed.

• Presentation of “Accessing the Modern Rural Health Service – A Whole School Approach” at Australian Health Promotion Association Conference in Cairns .

• Addition of Respectful Relationships and Drug Education to School Health Promotion Programs.

• Evaluation system streamlined to ensure we are following knowledge and skill development of participants.

• Consistently large numbers attending Women’s and Men’s Health Nights.

• Staff representation at all levels of Heart of Corangamite Network (Integrated Health Promotion Partnership within Corangamite Shire and South West Primary Care Partnership).

• Successfully held a Fun Run Walk at the Cobden Spring Festival.

• Introduction of Food for Thought Program in Cobden.

• Walk and Talk established at Cobden Kindergarten.

• Introduction of 10 week Cooking for One program.

• Nutrition talks at New Mothers Groups.

FUTURE DIRECTIONS• Community Consultation

to be undertaken to assess community needs for future health promotion priorities and development of a more streamlined Integrated Health Promotion Plan.

• Better communication systems to be developed internally within the Health Service to improve referral into appropriate services and programs.

• Community health information (notice boards) will align with current services and programs to enhance community awareness and relevance.

• Ensuring future programs are able to evolve with our community to ensure they are sustainable and relevant.

Health promotion is the process of enabling people to increase control over their health and its determinants and thereby improve their health (World Health Organisation, 2005).

27annualreport

Heart of Corangamite Network “The Corangamite Community will work together to enjoy the best possible health and wellbeing”

During 2010 the Heart of Corangamite Network broadened its scope to include mental health and wellbeing and social connectedness in order to ensure an alignment with the new directions of the South West Primary Care Partnership Integrated Health Promotion Plan. All working groups have a representative from Timboon and District Healthcare Service to ensure work can be transferred to the Timboon and

District community. The Respectful Relationships group is currently developing its action plan which will address these key areas throughout the Shire and align with South West Sports safety in sporting clubs plan for the region.

The Nutrition and Breastfeeding Working Group has made headway with addressing barriers to breastfeeding through the streamlining of procedures between Birthing Centres and Maternal and Child Health Nurses and the development of breastfeeding information aimed at grandparents.

The establishment of Cobden Kindergarten’s Walk and Talk and the Fun Run/Walk at the Cobden Spring Festival were two initiatives coordinated through the Physical Activity Working Group.

Our commitment, influence and role within the Network have been strengthened with representation on the Coordination and Leadership Working Group which oversees the Network’s strategic directions of improving the health and wellbeing of the residents of Corangamite Shire.

Annually Timboon and District Healthcare Service offer to the community a Men’s and Women’s Health Education evening to raise important health issues, improve health literacy and encourage social connectedness within the community.

Wednesday May 11th saw approximately 125 women descend upon the Timboon Golf Club for the annual Women’s Health Night, generously sponsored by BHP Billiton. Guest speaker Kerry Cue combined humour and insight in her address enabling participants not only to leave the evening laughing but also armed with refreshing and creative ideas on how to rethink and renew attitudes to work, love and life. Ninety women completed the

evaluation providing a 72% return rate. 97.78% felt the evening met their expectations and 93.33% rated the quality of guest speaker Keery Cue as either Very Good or Excellent.

The Men’s Health Night was held on Tuesday the 20th July 2010 at the Timboon Demons Football Club. Previous evaluations indicated a lack of attendance from the 35-44 year age group. It was decided to aim the night at the younger age bracket. Timboon Demons Football Club was engaged as a partner for the men’s night. Joel Selwood (Geelong Football Club premiership player) was chosen after consultation with the football club to ensure that our special guest appealed to the target audience. Joel was involved in the junior and senior football training

as well as opening the formal side of the night covering aspects of being healthy on and off the football field. Joel was then followed by Stu Willder, Western District Health Service Men’s Health Educator, who spoke candidly about the real statistics behind men’s health. There were 106 men at the men’s night. The greatest numbers of men in attendance at the evening were in the 35 – 44 year age bracket. This shows that we were successful in attaining our target age bracket. The guests were asked how they rated the Men’s night and 91% indicated the event was very good or excellent. When asked if they would attend a similar event in the future 73% answered yes.

HEART OF CORANGAMITE

WOMEN’S AND MEN’S NIGHTS

Health Promotion

The Cooking for One program addresses nutrition, social connection and skill acquisition. It helps equip participants with the skills and motivation to cook simple yet nutritious meals at home. The interactive program involves participants working in pairs to create a range of meals including

soups, mains and deserts then finishing with the group coming together to enjoy their meals. It also provides participants with nutrition and safe food handling information.

The first program was successfully run in August 2010, with nine participants, aged 60 years and

over, who thoroughly enjoyed the program. By the end of the program there was a 33.34% increase in the number of participants who felt they were able to cook dishes on their own and an overall increase in general nutrition knowledge.

COOKING FOR ONE


Health Promotion – school health

A review of the School Health Programs was undertaken to determine the effectiveness of the programs. The outcomes of this review were presented to the Australian Health Promotion Conference in Cairns. The programs provide multi-dimensional activities and strategies which aim to develop skills, increase knowledge and change behaviours in sexual and reproductive health, healthy living and the mental health issues of resilience, assertiveness, values and self esteem in concurrent sessions from Year’s 5 to 10 at Timboon P-12

School. Year 5 and 6 programs are also run at Simpson and Nullawarre Primary Schools on demand.

It was found that since the inception of the programs there was a 20% increase in youth accessing preventative and early intervention health services. 50% of students who had been involved in the programs reported positive feelings toward the programs and 60% of Key Concepts of Health and Physical Activity (Sexuality) within the Victorian Essential Learning Standards was met. The review also highlighted

the need for new programs to be developed to cover relationships and risk taking, which were themes that were not covered effectively in current programs. These new programs are discussed below.

The review did uncover that the evaluation system did not track students’ knowledge development. This had lead to a complete overhaul of the evaluation system which tracks both feelings and knowledge pre and post program.

SCHOOL HEALTH PROGRAMS

One of the strongest concerns in all communities is to ensure that children lead safe lives so that they can reach their full potential. Binge drinking and drug use amongst adolescents is a key contemporary health issue in Australian culture and is receiving extensive media and government attention. Giving students the knowledge and skills needed for resilience and healthy

decision making is vital to ensuring students can resist the temptations of peer pressure and opt for more productive and healthy life choices.

Drug education for grade 5/6 and year 9 was integrated into the School Health Programs. Both programs focus on peer pressure, resilience, making good/informed choices, drug information and effects, staying safe and looking after mates.

After the program over 80% of all students were able to correctly identify what they could do in an emergency situation such as an overdose.

When planning for next year, more emphasis needs to be placed on self esteem as this was not fully understood by students.

DRUG EDUCATION

Adolescence is a crucial period in terms of women’s and men’s formation of respectful, non-violent relationships later in life. Males’ and females’ adult relationships are shaped in important ways by the norms and practices they take on in adolescence. Interventions at this stage can change young people’s personal and relationship trajectories, preventing problems in adulthood.

A program dedicated solely to respectful relationships was trialled in the Year 9 Activities Week to single sex groups. The program focused on what makes a healthy relationship, consensual sex and decision making and understanding violence and sexual assault.

The program’s strengths were the activities and resources used, the

fact that it was single sex as the students were more likely to ask questions that concerned them and that 97% of students were able to identify signs of a healthy relationship.

For future programs increased emphasis on unhealthy relationships and unwanted sex needs to occur.

RESPECTFUL RELATIONSHIPS

Through the regular Memorandum of Understanding meetings the school has identified a need for staff

health and wellbeing support from the Health Service. Work is currently underway to address this need.

SCHOOL HEALTH STAFF

29annualreport

Corporate & quality improvement

GOALS• The goal of the Quality Program

is to develop and maintain a comprehensive program to monitor services and continually improve all activities and services provided to patients and clients.

• To provide safe and best practice care for patients and clients.

ChALLENGES• Staff often have to travel out of

the region to attend educational opportunities.

• Information needs to be current and best practice.

• Staff requiring assistance in use of online education and technology systems.

• Development of competency based education in all aspects of care.

• Documentation of incidents is time consuming.

• Uniform documentation in medication chart.

• Updating accepted abbreviations .

• Blood transfusions have become less common and so less exposure for staff.

• Staff working outside facility and casual staff not always following procedures.

STRATEGIES• Staff attending study days

/ professional educational opportunities either off site, on site or online.

• To use Protocol Management and Production Tool (PROMPT) for all Healthcare Service policies and procedures.

• Use of ‘Falls risk screening tool’ to highlight risks and suggested methods to reduce falls risk.

• Audit client medical records to assess implementation and effective use of ‘Falls risk screening tool’.

• Use of National Inpatient

Medication Chart for all patients.• Audit medication charts in

accordance with guidelines.• Encouragement of Enrolled

Nurses to become medication endorsed to allow for more timely medication delivery to aged care and stable patients; currently 7 of 12 Enrolled Nurses in acute care have medication endorsement.

• Education of staff involved with blood transfusions and other blood products including checking, administration, observation, completion and reporting of serious blood transfusion reactions.

• Audit medical records to ensure medical records policy has been implemented.

• Recording of all Incidents and Near Misses.

OUTCOMES• Timboon and District Healthcare

Service is a fully accredited organisation through the Australian Council on Healthcare Standards Evaluation and Quality Improvement Program. In 2011 Timboon and District Healthcare Service underwent phase 4 of the accreditation process; the periodic review.

• 80% of staff completed online education of open disclosure and hand hygiene.

• 100% of nursing and medical support staff have a working with children check.

• 100% of nursing staff registered with Australian Health Practitoner Regulation Agency.

• Staff attend relevant study days.• ‘Falls risk screening tool’ used to

reduce falls risk.• Medication charts audited with

the National Medication Chart Audit Tool.

• 91% of nursing staff completed education in documentation of medical records.

• Bushfire education and evacuation sessions held.

• Train the trainer Handle With Care Managing Violent or potentially violent situations for frontline staff.

• Staff introduced and educated in the electronic reporting of incidents on Victorian Health Incident Management System.

FUTURE DIRECTIONS• Online Education competency

based training format to be implemented in conjunction with other healthcare facilities within the South West Alliance of Rural Health.

• SouthWest Area Maternity Initiative – educational material expanding to include mannequins for practical training for midwives.

• Use of Victorian Health Incident Management System will improve data collection capacity in a more timely way.

• Formalised education of clinical staff through South West Alliance Rural Health Online Learning and Education system on medication management and calculations.

• Continued education on near miss and incident reporting and its relevance to investigate the reason for the error and be able to implement changes to reduce or eliminate the risk.

• Review of accepted abbreviations.

• Aged care documentation audited.

• Introduction of Electronic Medication Charts.

• Continued use of best practice guidelines and up to date equipment.

• Capture staff that have not attended training including casual staff by direct contact.

Every member of staff at Timboon and District Healthcare Service is committed to and actively participates in the continuous improvement of care and services offered. The dedication to continuous quality improvement is demonstrated in high levels of patient satisfaction.


The Victorian Patient Satisfaction Monitor wave reports help in identifying strategies that can improve services and patient satisfaction. The report enables health services to track their performance over time and compare themselves with others. The Wave 19 report is from the period of July 2010 until December 2010. When compared with other Category M health services and all hospitals

Timboon and District Healthcare Services scores are above in all areas. The majority of patients reported that they were helped quite a bit or a great deal in their stay in hospital and all felt that the length of time spent in hospital was about right. High results were also obtained for cleanliness of toilets, shower and rooms and being treated with respect.

Results reported that patients were quite satisfied with most aspects of their stay at Timboon and District Healthcare Service; this is consistent with previous wave data as demonstrated in overall care index table 2007 -2010.

VICTORIAN PATIENT SATISFACTION MONITOR

Corporate & quality improvement

31annualreport

Corporate & quality improvementBUSHFIRE EVACUATION

Following the development of a comprehensive Bushfire Plan education sessions and evacuation exercises were held.

44% of staff attended the initial evacuation exercise and 63% of staff attended a bushfire planning session.

Only 14% of staff did not attend either of the sessions with these staff not attending the formal sessions provided with a one to one overview of the bushfire plan and evacuation process.

HAND HYGIENE

Hand hygiene prevents and controls the spread of infection. Staff, patients and community members can all assist by correct hand hygiene practices. The healthcare service continues to be monitored for compliance with hand hygiene standards. The healthcare service has adopted the ‘five moments of hand hygiene’ as a reminder to staff as to the most appropriate times to use hand hygiene. Timboon and District Healthcare Service continues to score well above the accepted

standard with a score of 83%. The accepted standard is 65%. Whilst these scores are good ongoing vigilence needs to occur in regard to the importance of hand hygiene in healthcare facilities.

INFECTION PREVENTION AND CONTROL

A annual staff immunisation program resulted in 87% of staff taking the opportunity to be immunised against influenza.

Timboon and District Healthcare Service participates in the Victorian Study monitoring hospital acquired infection rates in public hospitals. Results from the past 5 years indicate that Timboon and District Healthcare Service does not have any infections in the categories that are included in this audit.

MEDICATION MANAGEMENT

With an awareness that medication errors do occur Timboon and District Healthcare Service regularly conducts internal audits to determine

ways to prevent mistakes. Staff use the National Medication Audit Tool to compile results. Results indicate that all necessary patient information and adverse drug reactions were documented on audited charts. Medication citations indicated that name of medication was clearly written in 97.7% of cases and of the 417 doses required 404 were documented as given, resulting in a 3.1% omission. Recommendations from the audit have resulted in medication charts being checked during staff handover.

The importance of reporting and documenting near miss and delayed doses has been recognised as an area for improvement. The implementation of the Victorian Health Incident Management System will improve documentation. The encouragement of Enrolled Nurses to become medication endorsed to allow for more timely medication delivery to aged care and stable patients will also improve medication management. Currently 58% of Enrolled Nurses in acute care nursing have medication endorsement.

Food and domestic services staff, Lesley Henriksen and Paula Till preparing lunch.


Corporate & quality services

External Cleaning Audit Report Timboon & District Healthcare ServiceOverall Hospital Score 2009-11

Patients, visitors and clients make comment on the cleanliness and maintenance of the facilities with the Wave 19 patient satisfaction monitor rating the healthcare service at 100% of client satisfied or very satisfied with the cleanliness of patient rooms and ensuites.

ENVIRONMENTAL AND FOOD SERVICES

Regular internal audits are performed throughout the year by the environmental staff. External audits are also conducted by the regional infection control consultant on an annual basis.

CLEANING SERVICES

The importance of maintaining a clean and hygienic environment is monitored through external cleaning audits which conform to the Department of Health standards, comprising of one external audit and two non- external audits per year. An internal audit is conducted monthly by a Timboon and District Healthcare Service accredited auditor. All patient care areas including theatre,

central steralising areas, emergency department, day surgery, individual patient rooms and lounge rooms are audited.

The annual external cleaning of very high risk and high risk areas resulted in a 96% compliance with the Department of Health cleaning standards against a benchmark of 85%.

FOOD SERVICES

Freshly cooked and nutritious meals are prepared by hotel services staff in our kitchen for patients, residents and Meals on Wheels clients. Hotel services staff take into account the dietary requirements and personal preferances of patients, residents and Meals on Wheels clients when preparing and determing menus.

Legislation requires that an annual external audit of the Food Safety Program be conducted. Timboon and District Healthcare Service is audited by Corangamite Shire and Food Hygiene Australia. A result of 96% was achieved, this is above the acceptable level of 90%.

Recommendations from the audit suggested that periodical checks of food transport vehicles be performed, cardboard boxes should not be used for fruit storage and that the freezer and cool room be fitted with an audible alarm in the event of a power failure.

96% 97% 97.5%

33annualreport

Human Resources

GOALS• To create a workplace that

ensures staff safety.• Focus on sustainable models of

General Practice.• Succession planning for

workforce.• Plan for training and support of

multi-skilled staff.• To reduce excessive staff leave

balances.

ChALLENGES• Safety of staff working outside of

the facility and on evening and night shifts.

• Renew and revision of 10 year no lift policy.

• Recruitment and retention of skilled staff.

• Encouraging staff to take leave.• The ability for staff to access

professional development opportunities.

STRATEGIES• To develop a Policy and

Procedure for staff working off campus.

• Flexibility in rostering to allow staff to take leave.

• For staff to access professional development opportunities.

• To review manual handling and no lift guidelines.

OUTCOMES• Board of Management

instigating a focus on learning ensuring ongoing training and support for staff education.

• Continued recruitment of general practitioners with the recruitment of a third general practitioner to commence in July 2011.

• Train the trainer for staff Handle with Care* Managing Violent or Potentially violent situations for frontline staff ensuring 81% of staff trained.

• Policy and Procedures for staff working off campus.

FUTURE DIRECTIONS• Continue to monitor

opportunities for staff succession planning and training.

• External audit of Human Resource Management to be held in 2011

Timboon and District Healthcare Service is committed to creating a safe and inclusive workplace where everyone can succeed in achieving his or her personal and professional goals. A safe and inclusive workplace enables us to embrace the diversity and richness of backgrounds and perspectives of our people and to leverage their diverse talents to provide quality healthcare.

Ms Elaine Collins retired from her role as Chief Executive Officer of Timboon and District Healthcare Service after 15 years of dedication, leadership and wonderful achievement on the 18th February 2011. During the past 15 years Ms Collins has overseen the redevelopment of the buildings and services of the Timboon Hospital from a small facility to a modern multi-purpose healthcare organisation that offers a range of services - acute hospital care, accident and emergency, aged care, midwifery led maternity, community health services and a range of home

and community care services and activities.

During her time Timboon and District Healthcare Service has managed to fund a number of building and clinical projects. This has enabled the community to have access to a range of services delivered in Timboon and the surrounding communities that might otherwise have required significant travel and lengthy waiting lists at other facilities.

In February 2011 Mr. Wayne Weaire was appointed as the new Chief Executive Officer with a commitment to continuing to provide quality

healthcare to the Timboon and District Community. Mr Weaire has come to the health service with a 25 year history in youth, family, aged care, community services and healthcare management.

Mr Weaire’s passion with regard to the vital role small rural health services play in the health and wellbeing of rural life will ensure that the people of the Timboon and District are given the very best access to community services.

APPOINTMENT OF NEW CHIEF EXECUTIVE OFFICER


Human Resources

Timboon and District Healthcare Service is continuing to provide a new graduate nurse position where graduates are offered a 12 month position to gain experience in medical, surgical, midwifery, emergency and aged care. The position continues to help the Healthcare Service with fulfilling goals with regard to staffing and recruitment.

With the expansion of community based services Timboon and District Healthcare Services staffing levels have increased by 25% over the past three years with an organisational emphasis on increasing community based services.

The table below does not include Allied Health professionals who are contracted from other health agencies, visiting Medical Officers who are engaged on a fee for service basis and Home and Community Care workers who are contracted

from the Corangamite Shire. These contracted staff also contribute significantly to the range and services provided by Timboon and District Healthcare Service.

WORKFORCE PROFILE

GRADUATE NURSE PROGRAM

Full Time Equivalent

Average 2010/11

Current Staff Head Count June 2011


Average 2009/10


Average 2008/09



Department

Nursing 24.4 40 21.68 30 20.91 33

Administration and Clerical 4.43 5 3.61 5 3.22 4

Medical Support 4.31 7 3.11 6 1.84 3

Hotel and Allied Services 9.1 17 8.19 10 7.78 10

Nursing comprises all Registered and Enrolled nurses including community health nurses, district nurses, Planned Activity Group coordinator, and Home and Community Care Assessment officer.

Administrative and clerical comprises Chief Executive Officer and administration and clerical staff.

Medical Support comprises health professionals providing health promotion, community services and exercise therapy.

Hotel/Allied comprises food and domestic services and maintenance staff.

Kate McFadden (graduate) enjoying the winter sunshine with aged care residents Beryl Naylor (left) and Molly Absalom.

35annualreport

Barbara Fraser began her permanent working life at Timboon Hospital on the 1st May 1967 where she has remained for the past 44 years. Prior to this Barbara was an employee of the WRAAF until she returned home to support her father on the farm after her mother’s death.

Barbara began working for the hospital as the hospital secretary when it had just 8 beds and she shared a small office with the Matron, Doctor, Nursing staff and the

Treasurer. At this time the hospital still used a cord based telephone system and manual typewriters. Barbara has worked her way through a continual progression of change including the introduction of patient medical records, sophisticated phone systems and a completely computerised administrative system. The Timboon and District Healthcare Service now supports 20 beds, a substantial theatre, respite and aged care and a variety of community services where Barbara has

remained front of house. Barbara has worked for 5 different Chief Executive Officers and 3 Directors of Nursing in her 44 years at the Healthcare Service.

Barbara has substantial knowledge in the history of both Timboon Hospital and the Timboon community which will be missed. Timboon and District Healthcare Service and its community will miss Barbara and we wish her all the best in her retirement.

RECOGNITION OF BARBARA FRASERS 44 YEARS SERVICE

Timboon and District Healthcare Service has many staff who have served the Healthcare Service for many years.

Staff recognized for reaching milestones in the 2009/10 financial year include:

25 yearsKath BrownAnne McMeelHelen Wiggins20 yearsLyn MarrPaula Till15 yearsElaine CollinsPam Robb

Staff recognized for reaching milestones in the 2010/11 financial year include:

25 yearsMargaret Tesselaar20 yearsJulie HarkinMichelle SeltenLorraine Wilson10 yearsKristie CoverdaleMary Duynhoven

SERVICE AWARDS

Human Resources

Timboon and District Healthcare Service verifies the credentials of all registered practitioners annually through public access websites and via staff presenting their registrations.

July 2010 came the introduction of the National Health Professions Registration System with ten health based professions requiring statutory registration. This includes

Medical Practitioners, Nurses, Physiotherapists, Podiatrists, Psychologists, Pharmacists, Optometrists, Osteopaths, Dentists and Chiropractors. The other health professions who do not have mandatory registration must have completed the appropriate tertiary degree which is provided at employment and may also

be requested to show eligibility for membership to the relevant association, society or body representing the particular discipline.

All staff have a compulsory police check and 100% of nursing and medical support staff have obtained a working with children check.

STAFF CREDENTIALLING

Timboon and District Healthcare Service is committed to providing a workplace environment that ensures compliance with the merit and equity principles in accordance with Equal

Opportunity legislation for fair and equal work opportunities. The “Code of Conduct for Victorian Public Sector Employees” issued by the State Services Authority is integral

to Human Resources policies. Equal employment opportunity principles are included as standard practice for recruitment, training and promotion opportunities.

EQUAL EMPLOYMENT OPPORTUNITY


Human Resources

During the 2010/11 training year staff accessed a number of varied educational opportunities to broaden their skills and ensure that Timboon and District Healthcare Service continues to provide quality care.

Administration – Training occurred in Microsoft Excel, conducting effective performance appraisals, managing poor performance and exceptional customer service.

Client Care – Training occurred in areas such as Burns education, Dementia, Palliative care, Emergency presentations, Wound care, Midwifery care, Triage, Remote

emergency medicine, Timboon midwives professional rotation, Multilple Sclerosis, Parkinsons, Motor Neurone Disease, Flinders chronic disease management tool, Cultural diversity training, Plan Do Study Act, Pap test recredentialling, Active Service Model, Advanced Care Planning, Chronic Illness Peer Support Leaders, First Aid, First Aid for Immunisers, Asthma education, Participation for Health, Talking sexual health, Rural Health summit, Adolescent health rural linkage program, Effective teaching strategies and Respectful relationships.

Client Safety, prevention and Occupational health and Safety Training for staff included Handle with Care, Managing violent or potentially violent situations for frontline staff, Victorian Health Incident Management System, Open disclosure, Hand hygiene and Occupational Health and Safety Update.

Environmental Management and Maintenance – Training for staff focused on the areas of Infection control and risk management.

PROFESSIONAL DEVELOPMENT

Timboon and District Healthcare Service is committed to the health and safety of all of its employees, visitors, clients and contractors. We are committed to exemplary practices and see this as an important part of delivering high standards of health care services to our community. Management is accountable for the implementation of Timboon and District Healthcare Service Occupational Health and Safety Policy and this ensures we meet and exceed the Occupational Health and Safety Act 2004 (Vic) legislative requirements. Our Occupational Health and Safety policies and procedures form the foundation of our organisation. They are developed after consultation with our employees and reviewed regularly and signed off by our Chief Executive Officer formalising our commitment to our legal and moral obligations. These documents include improvement targets, measures, and induction training and consultation standards.

Timboon and District Healthcare Service recognises that we need to further improve our documentation

processes. Improving documentation of incidents and injuries will facilitate improved surveillance and analysis of incident and injury rates. Our Risk Register was reviewed to ensure consistency with AS4360:2004. The register is now linked to the Victoria Health Incident Management System which is the incident data reporting system that identifies and rates risks to ensure that appropriate controls are developed.

Occupational Health and Safety is a standing item on all management and staff meeting agendas. Meetings are convened on a monthly basis. With the commencement of building works we have placed an increased emphasis on contractor safety and induction processes. All contractors are required to complete site induction, safe work method statements, and provide WorkCover insurance details and appropriate trade certifications before commencing site work. Timboon and District Heathcare Service has not had a WorkCover claim since 2005 and continues to be vigilant in staff and contractors occupational health and safety whilst at work.

With a recognition that staff required further training in recognising and managing potentially violent situations twelve Timboon and District Healthcare Service staff completed a Train the trainer Handle With Care Managing Violent or potentially violent situations for frontline staff. Following the training staff presented the package to 81% of staff. This training has increased capacity for identifying and managing conflict and violence.

A new policy and procedure has been implemented for community services staff ensuring that they are reporting in and out of the Healthcare Service, adequate details are provided to administrative staff so that if staff do not arrive within allocated time frame a call can be made to determine staff whereabouts. Staff are also encouraged to take two staff if concerned about a potential home visit with all initial assessments including a home risk assessment.

Manual Handling assessment and training continues to occur on an annual basis for all staff.

OCCUPATIONAL HEALTH AND SAFETY

37annualreport

Environment

AChIEvEMENTS:

Timboon and District Healthcare Service has taken environmental issues, in particular waste management, very seriously since 2004. Some of our achievements to date have been:• Completion of general waste

audits.• Completion of infectious waste

audits.

• Implementation of commingled recycling facilities which has increased the amount of recyclables.

• Introduction of multi-function copiers which default to black and white.

• Introduced recycling of printer, fax and copier cartridges.

• Establishing the Environmental Sustainability Committee to

provide leadership and drive organisational participation and implementation of the Environmental Management System.

• Implementing a behaviour change campaign by developing a resource efficiency and waste minimisation education strategy.

• Implementing numerous energy and water saving technologies

Timboon & District Healthcare Service acknowledges that we have a role to play in making Victoria a more sustainable state for future generations. Through the Victorian Government’s Our Environment, Our Future- Sustainability Action Statement, all Victorian Government departments have committed to reducing the environmental impacts of its operations. The Department of Health therefore requires all healthcare agencies to develop and implement an Environmental Management Strategy.

Timboon and District Healthcare Service has recognised our environmental responsibility and has established an organisation wide commitment to integrating sustainable policies and practices into our workplace culture. By adopting resource efficiency and waste minimisation strategies we aim to reduce our carbon footprint. The policy ensures that we continually strive to improve environmental performance and achieve best practice outcomes while maintaining our compliance obligations.

The Health Service is currently in stage two of the five part Program for Change as outlined in the ResourceSmart guide. According to this process we have gained executive management commitment and are in the process of developing this Environmental Management Strategy. Currently the Environmental Sustainability Committee is mapping our agency and its environmental impacts. This process has been stalled due to the service undergoing a restructure, which includes a major building redevelopment. Given this time of change the Environmental Sustainability Committee has decided when more comprehensive baseline data has been collected

appropriate goals and objectives will be set. We anticipate the third stage of the process, including the identification of priorities and strategies, will occur mid 2012.

The committee, which comprises 10 staff members from across the organisation, continues to be responsible for providing leadership and driving organisational behaviour change in responsible environmental practice. Key indicators in energy and water consumption, waste generation and purchasing will be continuously collected and reported to the Timboon and District Healthcare Service’s Board of Management.

Timboon and District Healthcare Service recognises the link between the health and wellbeing of people and the health and wellbeing of the environment and is therefore committed to the following principles and practices:• Promote the principles and

raise awareness of sustainability and wise environmental management.

• Provide leadership to the community and industry by demonstrating methods of delivering sustainable initiatives.

• Work closely with our

employees, contractors, suppliers, clients and the community to develop and implement environmental initiatives. Provide an environmentally sound place for the delivery of our services.

• Operate in an environmentally sustainable manner by reducing waste through reducing demand for reusing and recycling energy, water and other material resources.

• Consider environmental aspects in the purchase of products and services and endeavour to ensure that suppliers also meet high standards of environmental performance.

• Comply with relevant Commonwealth and Victorian environment legislation, Occupational Health and Safety practices and with the Victorian Government’s environmental policies and initiatives.

• Develop a monitoring program to assess our environmental performance and communicate our progress in achieving environmental management targets through annual reports distributed to stakeholders and the broader community.


(flow control valves). • Separation of clinical waste from

packaging to create an overall reduction in clinical waste (31kg in July 2010 – 19kg in June 2011). Packaging is sent to recycling or donated to Timboon Kindergarten.

ChALLENGES:• Being able to collect accurate

baseline data and set realistic

targets before the completion of the Community Services Building, Activities Room, Emergency Department and Staff Room upgrades.

• Implementing a waste weighing system that complies with Occupational Health & Safety standards.

• Collecting consistent waste management indicators.

Environment

Data Measure JULY AUG SEPT OCT NOV DEC JAN FEB MAR APR MAY JUNE

Energy Consumption

Electricity Data (Peak) kWh 11055 10587 11305.71 10445.32 11224.02 11863.11 10975.22 10813.05 12280.8 12894.56 12974.81 13015.78

Electricity Date (Off Peak) kWh 8487 9188 8622.53 9711.70 8847.07 9365.9 10207.41 8733.86 9295.95 8958.25 9331.87 9574.32

Unleaded Petrol Litres 1385.1 1105.9 1067.6 1029.01 1010.4 1223.9 782 869.4 886 795.4 976.6 984.3

LP Gas Litres 8245 8045 10679 6012 3971 1588 1723 1859 3394 5732.8 7299.9 7451.89

Diesel Litres 0 0 0 19.9 0 0 0 0 0 0 0 109

Water Consumption

Water Consumption kL / ML 339 323 357

Waste Management

General Waste #of bins 35 44 35 42 38 36 41 44 37 47 39 42

Comingled Recyclables # of bins 4 4 4 5 3 6 4 4 3 2 5 5

Recycled Cardboard Kg’s 103 130 94 115 126 98 106 114 119 125 132 128

Recycled Office Paper Kg’s 89 58 56 58 75 69 62 54 81 74 60 57

Confidential Paper (Alan) Kg’s 17 n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a

Confidential Paper (SWDD) # of Bins 2.5 0 0 0 0 0 0 0 0 1 0 0

Clinical Waste Kg’s 31 15 16 12 16 11 16 18 23 5 36 19

Paper Purchased # of reams 0 86 17 30 35 20 60 0 10 30 0 20

B&W Photocopies ea 9876 8494 11587 14035 6596 13780 11154 8246 8897 9587 10065 9815

Colour Photocopies ea 2946 3111 4672 4567 3270 3745 3380 2987 3089 3846 2487 2874

Table on Environment Management Consumption.

This table gives Timboon and District Healthcare Service a baseline for determining goals and priorities within its Environmental Management Strategy.

39annualreport

Social & community participation

GOALS• To have a role in community

development.• To implement communication

strategy.• To enhance community

partnerships.• To provide culturally appropriate

services and information.

ChALLENGES• To successfully liaise with the

community.• To keep websites up to date.

STRATEGIES• To distribute a health service

newsletter which showcases services, acitivities and special events.

• To distribute a monthly

What’s On newsletter which provides specific health service information.

• To maintain community noticeboards in Timboon Main Street, Doctors Clinic and Timboon and District Healthcare Service waiting area.

• To provide good news information to the media for publishing.

• To maintain and update Timboon and District Healthcare Service website.

• To recognise our valuable volunteers.

OUTCOMES• Regular Timboon and District

Healthcare Service ‘Quarterly’.• Monthly ‘What’s On’ Newsletter

• Australiasian Annual Reporting Awards - Bronze.

• Health Service Presentation at Annual Health Promotion Conference.

• Donations and Bequests – $66,106.

• State and Regional wide acknowldegment of Volunteers.

FUTURE DIRECTIONS• To enhance our role in

community development.• To enhance community

partnerships.• To continually review

communication strategy.

Timboon and District Healthcare Service continues to provide a project manager to support the Timboon Men’s Shed. The Timboon Men’s Shed offers opportunities for social connection, to increase social networks and provide comrarderie. On average at least 16 men regularly

attend the Men’s Shed. As well as increased socialisation activities the men have participated in antique furniture restoration, general furniture repairs and have made tables and benches for community facilities.

During the 12 months the Men’s Shed has received a $1,000

community grant from the Corangamite Shire for tools and equipment and The Hon. Gayle Tierney granted $50,000 from the Men’s Shed’s programs towards the establishment of a purpose built shed.

During 2009 Timboon and District Healthcare Service developed a Communication Strategy. The Communication Strategy reflected on the importance of multiple types of mediums to provide information to the community. Outcomes from the strategy have resulted in the printing of a Timboon and District Healthcare Service Quarterly which showcases services, acitivities and

special events. This newsletter is printed and distributed with the Cobden Timboon Coast Times each quarter, left at local establishments and electonically sent to an extensive e-mail list. A monthly ‘What’s On’ is also distributed via the Cobden Timboon Coast Times, provided to local establishments and electronically sent to those who have subscribed to receive Health

Service information. Regular good news media articles have also been maintained with 58 articles printed in 2008/09 financial year and 60 articles printed in the 2010/11 financial year.

The Timboon and District Healthcare Service website has been redesigned to focus on news and service provisions.

MEN’S SHED

COMMUNICATION STRATEGY

Timboon and District Healthcare Service has a strong commitment to the Timboon and District community and has an emphasis on community development and social responsibility.

The Timboon and District Healthcare Service recognises and thanks the generous support of many individuals, auxiliary members, community groups and businesses who contribute to the organisation’s success. The achievements of the Service are a testament to the strong support from the community.


We embrace cultural diversity which ensures we tailor our services to meet the needs of all the community irrespective of cultural background. Although only 5.2% of our communities were born overseas compared with 22% nationally, we view it as important to have actions in place to ensure we are able to accommodate particular health needs if they present to our Health Service. To identify and understand the make up of our communities, to establish partnerships with specialist agencies and practitioners, to develop staff competencies, to generate a responsive and alert organisation we have produced

a Cultural Diversity Plan which acknowledges and addresses:• Indigenous clients.• Clients from culturally

and linguistically diverse backgrounds.

• Patients of our hospitals,• Residents utilising our aged care

accommodation.• Community clients.• Augmentative and alternative

communication styles for clients and patients of a non-English speaking background.

• Customs and traditions of culturally and linguistically diverse clients.

• Employees.

Our catchment is located in an area in which less than 2% of our population is of Aboriginal and Torres Strait Islander descent. Regardless of this we make sure all community members have access to appropriate services. Our Cultural Diversity Plan ensures we are creating a welcoming environment and providing cross-cultural training for Healthcare Service staff. During planning and evaluation of services criteria ensure cultural needs of the organisation are assessed and met.

DIVERSITY AWARENESS

Approximately 129 volunteers support the Timboon and District Healthcare Service programs and community members. We express our sincere appreciation to the valuable group of volunteers who give their time to assist the frailer members of the community through the following programs: • 98 Meals on Wheels Volunteers• 7 Planned Activity Group

Volunteers.• 23 Community Transport

Volunteers.• 1 Friendlies Volunteer.

These programs rely heavily upon volunteer support and play an important role in assisting older members to remain within the community. Our annual volunteers Christmas lunch for our Meals on Wheels drivers was attended by

many of our volunteers in both Timboon and Cobden.

Peter Murphy Peter Murphy was one of the 105 nominees for the Inaugural Minister for Health Volunteer Awards 2011 held on Wednesday 11th May in the Olympic Room at the MCG. The awards were hosted by the Victorian Minister for Health The hon. David Davis, MLC.

Peter was recognised for his significant community role as convenor of Timboon Red Cross Patient Transport Service. Peter has been a Red Cross volunteer since December 2003 and has held the coordinating position since July 2004.

At the end of 2011 Peter will be retiring from the Red Cross Patient

Transport Service. During his time he has demonstrated his commitment to the Red Cross by giving up his time to help others to attend their medical appointments in such places as Melbourne, Ballarat and Geelong.

Timboon and District Healthcare Service and the local community wish Peter all the best and thank him for his volunteer efforts.

Nancy Guy Nancy Guy who has been a key volunteer at the Timboon Friendlies Group over the past 28 years was recognised during Volunteers week 2011 for her considerable assistance to this program.

Timboon and District Healthcare Service thanks all its very valuable volunteers.

VOLUNTEERS

Recognition of our volunteers


Peter Murphy

41annualreport

TIMBOON CRUISERS The annual Murray to Moyne Cycle Relay is the basis of the fundraising for the Timboon Cruisers. Whilst the riders enjoy the fun, companionship and hard work of the event, the sponsorship money they attract is a vital part of the ride and is donated to the Service for the purchase of Healthcare Service equipment in the coming year. A total of $6,500 was raised this year. The efforts of all the participants, both riders and crew in this event is sincerely appreciated by Timboon and District Healthcare Service.

TIMBOON AND DISTRICT HEALTHCARE SERVICE AUXILIARY This small group has once again done a magnificent effort in fundraising and have been supported by the Timboon Unit of the Cancer Council of Victoria in the joint fund raising annual Monster Plant and Book Sale. Thank you for their donation of $4,400. This money will be spent in the coming year.

BHP BILLITON BHP Billiton have provided annual funding to go towards our Men’s and Women’s nights for the past four years. This funding enables Timboon and District Healthcare Service to access a professional high profile speaker to help to provide health information during an evening presentation. This year BHP Billiton also provided further funding enabling the purchase of fitness testing equipment including an exercise bike as well as an employee matched annual appeal donation. Throughout the 2010/11 BHP Billiton have provided $17,222 to the Timboon and District Healthcare Service.

CONNEQ PORT CAMPBELL Workers for Conneq Port Campbell Gas Plant donated to Timboon and District Healthcare Service $8000 which enabled the purchase of a medical standard treadmill. The new treadmill will mean that exercise clients can now walk with safety.

RITCHIES SUPERMARKET COMMUNITY BENEFIT CARD We thank all members of the community who use their community benefit card with Timboon and District Healthcare Service as the beneficiary. We received $12,005 from Ritchies.

MEDICAL EQUIPMENT AND FACILITIES All donations go towards the purchase of equipment and facilities upgrade. Major Items purchased this year include: Lo Lo Bed $3,950 (Department of Health Grant) Dental Qualtracare $3,300 Eagle Eye Camera $5,960 Treadmill $8,000 Exercise Bike $4,400


MAjOR SUPPORT

Fundraising

• Annual Appeal & General Donations $32,879

LargeOrganisationalDonations:• Timboon Cruisers $6,500• Timboon & District Healthcare Auxiliary $4,400• BHP Billiton $17,222

• Conneq Port Campbell Workers $8,000• Ritchies Community Benefit Card $12,005

Workers from Conneq gather around to present $8000 cheque to go towards a

medical standard treadmill


Mrs. H. BullenMs. J. BurkhalterMrs. M. CoeMrs. P. CouchMrs. J. DuroMrs. D. FairweatherMr. A. FelminghamMrs. E. FinchMrs. E. FinniganMr. N. FinniganMiss B. FraserMrs. L. GiblettMrs. H. Herrin

Mrs. J. HortinDr. D. JacksonMr. L. JoinerMrs. N. JoinerMr. K. JepsonMrs. P. LawsonMrs. Y. LawsonMiss R. McMeelMr. R. McVillyMrs. D. MerrettMrs. H. MorrisMrs. B. NeweyMrs. B. O’Brien

Mrs. E. PadburyMrs. S. PhillipsMrs. K. RobbinsMrs. E. RundleMr. K. SerongMrs. M. SerongMrs. V. SharpMrs. G.E. SymonsMrs. D. TaylorMrs. J. Toller-BondMrs. F. ThompsonMr. D. TriggMr. J.A. Vogels

A Life Governor is an award bestowed by the Board of Management on those members of the community who have made a valuable and significant contribution to the Timboon and District Healthcare Service in a voluntary capacity over a period of time.

Mrs. Lorna Meek – 17/01/1922 – 1/11/2010

Life Governors

Mrs Lorna Meek was a member of the Cooriemungle Hospital Auxiliary from 1977 untill the Auxiliary closed in 1983 due to lack of numbers.

Lorna was a hard working member of the Auxiliary and held an office position for many years. She was awarded a Life Governorship in 1983 for her outstanding service given freely to Timboon Hospital and its patients.

VALE


43annualreport

Our DonorsAckerley Mr & Mrs KA & JA Andrew Mr NJ Askew the late Mr L

Baglin Mr & Mrs IM & MS Baker Mrs N Bamford Mr SJ Barr Mrs GM Beamon Mr D Begely Mr & Mrs JM & HF Bentley Mrs V D Berry Mr & Mrs K & S Bettens Mr & Mrs HD & DA BHP Billiton Bond Mr D Boyle Ms M Brittain Mr & Mrs KR Bromley Mr K Broomhall Mr & Mrs M Bruce the late Mrs CE Bryant Mr MJ Bufton Mr & Mrs RB & RM Bullen Mr & Mrs JF& H Bullen Mr & Mrs TF & CL Burke Mr & Mrs ML & LJ Burkhalter Miss J Burkhalter Mrs R Burns Mr CJ

Cairns Mr G Campbell Mr PR Capizzi Mr & Mrs FE & GF Cashmore Mr & Mrs DB Clarke Mr & Mrs FR Clarke Mrs JJ Clements Mr & Mrs LS & MA Collins Mrs HM Condie the Late Mr G Corsie Mr J Couch Mr & Mrs PR & LM Couch Mr & Mrs WJ & MA Couch Mr K Couch Mrs MM Cowley the late Mrs M Cunnington Mr & Mrs S Currell Mr & Mrs DA Currell Mrs NI

Daff Mrs LE Day Mr & Mrs RL De Jong Mr & Mrs PH & TM Dendle Mr & Mrs LW Deppeler Mr & Mrs G & M Deppeler Mrs A Dickinson Mrs B Dickinson Mrs N Dickmann Mrs TW Donnelly Mrs BJ Duncombe Mrs DI Duynhoven Mr J Dwyer Mr & Mrs J

Eagle Ms T Easterbrook Mr & Mrs R & M Edge Mr & Mrs RA Elder Mr & Mrs AJ Evans Mrs F

Fagan Mr & Mrs GK & JC Felmingham Mr AA Finch Mr & Mrs PL & KL Fletcher Mr & Mrs E & J Foster Mr & Mrs D & E Fowler Mrs M Fraser Miss BA Fulton Mr A R & the late Mrs B

Garner Mr & Mrs V Gay Mr & Mrs EA & W Gebert Mr & Mrs GK Giblett Mr & Mrs B & J Giblett Mrs L

Giblin Mr & Mrs JP & ME Gillespie Mrs T Glerum Mrs D Gordon Ms M Gristede Mr & Mrs PR & MA Groves Mrs J Guy Mrs N

Hall Mr AJ Hammond Mr L Hanson Mrs DE Hardingham Mr & Mrs N Harkness Mr & Mrs CB Harris Mr & Mrs I & AM Harrop Miss L Harrop Mrs R Haugh Mr & Mrs NW & P Hawkes Mr & Mrs RA & BA Heatly Mr CL Heatly Mr IK Hibburt Mr C & Millard Ms K Hickey Mr & Mrs PJ Hodgson Mr F Holland Mr & Mrs KR & G Holland Mr & Mrs RG & S Holmes Mr & Mrs S &B Honeycombe Mr C Hortin Mr & Mrs MD & DJ Hose Mr A & M Hovenden Mr T Howe Mr & Mrs OL & JM Howitt Mr W G & B Hughes Mr F Hutchinson Mrs J

Irvine Mr JR Irvine Mrs JS Isbel Mr RH

James Ms W Jenkins Mr K J Jepson Mr & Mrs KN & ME Joiner Mrs CM Joiner Mr & Mrs LH & NL

Kangaroobie Keck Mr & Mrs M & K Kee Mr & Mrs CG & W Kelson Mrs G Kerr Mr & Mrs AG & JE Klemm Ms T Kors Mr & Mrs G & J Kruse Mr & Mrs HJ & CA

Lindsay Mr & Mrs AW & W Llewelyn Mr & Mrs LB & N Lloyd Mr & Mrs KA & MR Loch Ard Motor Inn Long Mr AJ Loughnan Mr & Mrs K Loveday Mr & Mrs JE & JL Lowe Mrs O Ludeman Mrs KM Ludeman Mrs LJ Lyne Mr J

MacKenzie Mr & Mrs C Magilton Mr & Mrs WJ Marcos Miss C Marr Mr & Mrs AW & JM Marr Mr & Mrs RW & C Martin Mr & Mrs AR & BH Maskell Mr & Mrs S & W Maslin Mr & Mrs RJ & P McConnell Mr T J McDonald Mr & Mrs MA & AJ McDowall Mrs A McDowell Mrs A McInnes Mr D McKenzie Mr & Mrs AF & EPMcKenzie Mr & Mrs D & L McKenzie Mr & Mrs L & BA

McKenzie Mrs CH McKenzie Mrs L McKenzie Mrs NF McKinnon Mr NF McMeel Miss R McMeel Mrs M McVilly Mr & Mrs BR & YC McVilly Mr & Mrs RI & H Meinhold Mr & Mrs H & A Merrett Mr & Mrs DR & SM Merrett Mrs DM Micallef Mr SDE Monk Mr & Mrs HF & GM Moore Mrs W Morgan Mrs JA Murfitt Mr & Mrs S Murrell Mrs D Mustard Mr & Mrs J & P

Nairn Mrs JF Neal Mr & Mrs GA & HM Neal Mr BN Neal the Late Mrs T Nesseler Mr & Mrs K Newey Mr B Newey Mr P Newton Mr & Mrs BJ & L Norton Mr & Mrs WM

O’Keeffe Mr MA Oldfield Mr & Mrs JM & CD

Padbury Mr & Mrs G & N Parfett Miss S Parfett Mr & Mrs R & B Patullock Mr & Mrs CJ & S Patullock Mr & Mrs LG & BM Plozza Mr & Mrs SF & SJ Port Campbell Touring Co Pouw Mrs M Powell Mr & Mrs RW & V Price Mrs MA

Rands Mrs M Rankin Mr & Mrs PC & ME Rantall Mr & Mrs NG & PJ Renyard Mr & Mrs JC & HJ Rhode Mr & Mrs R & E Ritchies Stores Pty Ltd Roberts Mr & Mrs AP & EA Roberts Mrs JE Rogers Mr & Mrs CW & WR Rogerson Mrs J Rohan Mr J Rouse Mr RR Row Estate Mr KS Rowe Mr & Mrs N & D Rudolph Mr GW Rundle Mr & Mrs LM & ME Rundle Mr T Rundle Mrs R Russell Mr & Mrs AD & BL Russell Mr B

Salvatore Mr P Scholte Mr JH & DK Scott Mr & Mrs D & M Scouller Mr C Simpson Mr E R the late Mrs YMSinclair Mr & Mrs BC & HJ Smethurst Mr & Mrs BR & JL Smit Mr Y Smith Mr & Mrs MJ & TM Sonnet Mrs J South Western District Restoration Group IncSpokes Mr & Mrs MG & JM Stanbury Mr & Mrs ET Stansfield Mr & Mrs G Stansfield Mr D Stansfield Mr RG Stansfield Mr S

Stewart Mrs M Stinchcombe Mr & Mrs R Stratford Mrs C Sullivan Mrs DH Symons Mr & Mrs GE

Tarasiuk Mrs M Taylor Mr & Mrs CR Thompson Mr & Mrs W & E Thornton Mrs P Timboon & District AuxiliaryTimboon Cruisers Timboon Pharmacy Timboon Pumps & Plumbing Tolliday Mr A Total Dairy Service Townsend Mr & Mrs G Treble Mrs KE Tregea Mr & Mrs EW Tregea Mr & Mrs JA & AF Trigg Mr & Mrs JA & S Trotter Mr & Mrs SG & JG Turner Mrs M

Uebergang Mr & Mrs G Uebergang Mr M J

Vagg Mr N Vagg Mrs D Van De Wouw Mr MJ. Van Donk Mrs PJ Van Rijthoven Mr & Mrs P Vickers Mr & Mrs GF & EA Vogels Mr & Mrs FM & D

Walker Mr & Mrs M J Wallace Mr & Mrs D Wallace Mr & Mrs RJ & RG Wallis Ms R Ward Mr & Mrs BE Ward Mr C Ward Mr EA Ware Mr JG Webber Mr & Mrs C & S Webber Mr & Mrs RN & MM Webber/ Cashmore Mr D Weel Mr & Mrs JJ Weel Mr & Mrs NJ & B Wetemans Mr JM Wetmore Mr & Mrs DS & KM White Mr & Mrs RJ & V White Mr I Whitehead Mr & Mrs J Whiteside Mr & Mrs FJ & JA Whiting Mr & Mrs AR & LJ Wiggins Mr & Mrs GT & BL Williams Mr & Mrs OH Williams Mr & Mrs OM & NM Wilson Mr & Mrs JC & S Wines Mr W Withall Mr M Wouters Mr & Mrs FC Wurlod Mr & Mrs BW & BT Wurlod Mr & Mrs WJ & MC

Younis Mr P J


Corporate GovernanceORGANISATIONAL CHART

45annualreport

John Renyard MAgrBus, FAICD, DipAICDPresidentPartner in Dairy FarmFirst appointed: 01.07..2009Current term of appointment: 01.07.2010 - 30.06.2013Member of Finance / Audit CommitteeBoard Meetings Attended 12 of 12

Tom walshBVetSc, MACVSc, DipAgEc, GradCertAccVice-PresidentPartner in Timboon Veterinary GroupFirst appointed: 01.11.2005Current term of appointment: 01.7.2011 – 30.06.2014Member of Finance / Audit CommitteeBoard Meetings Attended 9 of 12

Josh McKenzieBE(Chem), BScTreasurerChemical EngineerFirst appointed: 01.11.2004Current term of appointment: 01.07.2011 – 30.06.2014Chair of Finance / Audit CommitteeBoard Meetings Attended 10 of 12

Margaret Bull RN Registered Nurse at South West HealthcareFirst appointed 01.11.2006Current term of appointment: 01.07.2009 - 30.06.2012Member of Medical Appointments Advisory CommitteeBoard Meetings Attended 8 of 12

Margaret McKenzie TSTCMember of local tourist and economic development groupsFirst appointed: 12.03.1998Current term of appointment: 01.07.2010 – 30.06.2013Member Finance / Audit Committee and Medical Appointments Advisory CommitteeBoard Meetings Attended 9 of 12

Catherine Marr DPTSelf employed, former Corangamite Shire CouncillorFirst appointed: 01.11.2001Current term of appointment: 01.07.2011 - 30.06.2014Member of Finance / Audit CommitteeBoard Meetings Attended 10 of 12

Ray SmithFormer dairy farmer and self employedFirst appointed: 01.11.2005Current term of appointment: 01.07.2010 – 30.06.2013Member of Finance / Audit CommitteeBoard Meetings Attended 12 of 12

Gary CastledineBAppSci (HM), BA(Hons)ParamedicFirst appointed: 01.07.2009 Current term of appointment: 01.07.2009 – 30.06.2012Member of Medical Appointments Advisory CommitteeBoard Meetings Attended 8 of 12

Nancy JohnnsonBCom, BIntBus, CPAAccountant, stay at home motherFirst appointed: 22.02.2011 Current term of appointment: 22.02.2011 – 30.06.2012Member of Finance / Audit CommitteeBoard Meetings Attended 3 of 4

BOARD OF MANAGEMENT – Board Meetings held 12

Corporate Governance


EXECUTIVE MANAGEMENT TEAMThe Board of Management has delegated the operational activities of Timboon and District Healthcare Service to the Chief Executive Officer, Director of Nursing, Community Services Manager, Manager of Corporate Services and staff in accordance with the Instrument of Delegation and the Health Services Act 1988 (Division 4, Section 33)

Corporate Governance

Chief Executive Officer – wayne weaire BTheol, ClinVAFT, AFACHSEThe Officer is directly responsible to the Board of Management for the overall management and financial accountability.

Director of Nursing – Anne McMeel BN, RN, RMThe Officer is responsible for the management and quality of care of clinical and residential services provided by the nursing and hotel services workforce.

Community Services Manager – Amanda Nash RN, RMThe Officer is responsible for the management, development and quality of care of primary care services and health promotion and education.

Manager Corporate Services – Kristie Coverdale BComThe Officer’s responsible for finance, administration and health information.

Staff recognised for health service dedication Staff members participating in Relay 4 Life fundrasiing

47annualreport

Corporate GovernanceRESPONSIBLE MINISTERS

Australian Government The Hon. Nicola Roxon, MP, Minister for Health and Ageing victorian Government The Hon. Daniel Andrews MP, Minister for Health (1/7/10 - 2/12/2010) The Hon. Lisa Neville MP, Minister for Mental Health, Minister for Senior Victorians, Minister for Community Services (1/7/10 - 2/12/2010) The Hon. David Davis, MLC, Minister for Health and Ageing (2/12/2010 – 30/6/2011) Ms Mary Wooldridge MP, Minister for Mental Health, Minister for Woman’s Affairs, Minister for Community Services (2/12/2010 – 30/6/2011)

LEGAL AUTHORITY

Timboon and District Healthcare Service was gazetted as a Multi Purpose Service in March 1998 under the Victorian Health Services Act 1988 and operates under the provisions of the Act. Also, as a Multi Purpose Service, Timboon and District Healthcare Service is jointly administered under this Act and also under the provisions of the Australian Government’s Aged Care Act.

TRIPARTITE AGREEMENT

The activities of the Healthcare Service are directed through a three year tripartite agreement negotiated between The Department of Health and Ageing, The Department of Health and The Board of Management. Included as part of this Agreement is a comprehensive Service Plan outlining the services to be delivered over the three year period. The Service Plan is developed through analysis of the demography and population health needs of the catchment together with input from the community as to services they require to meet their health and social wellbeing needs.

BOARD OF MANAGEMENT

Timboon and District Healthcare Service is governed by a nine person Board appointed by the Minister for Health and Ageing. The Board of Management is responsible for the overall governance of the Healthcare Service, this includes setting the strategic direction and monitoring performance.

Governance refers to the arrangements in place to administer, manage and monitor the services and activities of the organisation. Specific areas of responsibility for the Board of Management include clinical governance, risk management, legislative compliance, continuous quality improvement and corporate and financial management.

TERMS OF APPOINTMENT

Board members are appointed for periods of up to three years by the Governer in Council upon recommendation of the Minister for Health. Board members serve in a voluntary capacity and are eligible to seek re-appointment upon expiry of their term of office.

PECUNIARY / CONFLICT OF INTEREST

Members of the Board of Management are required by the Act to act with integrity and objectivity at all times. They are required to declare a pecuniary interest or other matters, which may give rise to a conflict of interest, and withdraw from proceedings. There were no occasions which required declaration during this year.

DELEGATION OF AUTHORITY

To perform its tasks the Board of Management has an established organisational committee structure, policies and procedures together

with an ‘Instrument of Delegation’. This ‘Instrument of Delegation’ sets out the level of delegation for responsible officers to act within the delegation assigned to them by the Board of Management.

COMMITTEE STRUCTURE

The Board has established a committee structure to assist in meeting its obligations.

FINANCE / AUDIT COMMITTEE

The Finance / Audit Committee monitors and oversees the financial performance and reporting processes; compliance with the Financial Management Act 1994; the internal and external audit programs; and oversees the risk management program. This committee meets on a quarterly basis.

MEDICAL APPOINTMENTS ADVISORY COMMITTEE

This Committee receives advice from a Credentials Committee (medical practitioners) on the medical / dental practitioner qualifications and the delineation of clinical privileges to meet the role and function of the Healthcare Service. All medical / dental appointments are reviewed on a three yearly basis.

PROjECT CONTROL GROUP

A project control group has been established in association with the Department of Health for the administration of the building of the new community services facility. The Committee comprises representatives from the Health Service, Architect and Department of Health.


Legislative Compliance

The following statements provide annual disclosures required under specific legislation and regulations.

BUILDING ACTTimboon and District Healthcare Service complies with the Building Act 1993 which encompasses the Building Code of Australia, and Standards for Publicly Owned Buildings/November 1994 in all redevelopment and maintenance is issues.• The buildings have been subject

to a fire audit by a Fire Services Engineer.

• Building permits have been issued and regular maintenance carried out in accordance with the permits and reported annually in the Essential Safety Measures Report.

COMPETITIVE NEUTRALITYTimboon and District Healthcare Service has complied with the National Competition Policy and requirements of the Competitve Neutrality Policy Victoria.

CONSULTANCIES There were no consultancies undertaken during 2010/11.

FEESTimboon and District Healthcare Service charges inpatient, primary health and Home and Community Care (HACC) fees in accordance with the State Department of Health fee directives and aged care fees in accordance with the directives of the Australian Government Department of Health and Ageing.

FREEDOM OF INFORMATION ACT – APPLICATION AND OPERATIONThe Victorian Freedom of Information Act 1982 provides the right for members of the public to obtain information held by the Timboon and District Healthcare Service in accordance with the Act. Consumers are entitled to access their medical record through the Freedom of Information process. A total of seven valid requests for information were processed during this financial year, all related to medical record information.

Applications are to be directed to the nominated Freedom of Information Officer, Mr. W. Weaire. A fee and charges for associated costs may apply in accordance with the Act.

POLICE RECORD CHECKSIt is a legislative requirement that all staff and volunteers have a current police record check. No one is employed or accepted as a volunteer at this Service without a valid police record check.

PUBLICATIONSPublications such as the Annual Report, Quality of Care Report, Quarterly, What’s On as well as patient information brochures are available from Timboon and District Healthcare Service. Additional information and some publications are also available on our website www.timboonhealthcare.com.au

VICTORIAN INDUSTRY PARTICIPATION POLICYTimboon and District Healthcare Service abides by the principles of the Victorian Industry Participation Policy. In 2010/11 a contract for the construction of the New Community Services Facility (including alterations

to the Emergency Department, the Activities Room and Staff Dinning Area) at a Total of $5,263,701.00 was established under the Victorian Industry Participation Act 2003.

WHISTLEBLOWERS PROTECTION ACT – APPLICATION AND OPERATIONThe purpose of the Whisleblowers Protection Act 2001 is to provide an environment in which to encourage reporting of any improper conduct by the Service or its employees. Timboon and District Healthcare Service has policies and procedures in place to enable compliance with the Act and provide a safe environment in which disclosures can be made, people are protected from reprisal and the investigation process is clear and provides a fair outcome. The privacy of all individuals involved in a disclosure is assured of protection at all times.

The Health Service is committed to the principles of the Act and at no time will improper conduct by the Service or any of its employees be condoned.

A copy of the policy is available upon request. Web sites of interest for complaint procedures regarding this Act are: http://www.ombudsman.vic.gov.au and http://www.health.vic.gov.au/hsc

DISCLOSURESSince the introduction of the Act in 2002 there have been no disclosures received and no notification of disclosures to the Ombudsman or any other external agency.

Disclosures in writing will be received by Mr W. Weaire, Chief Executive Officer or the Ombudsman, Level 22, 459 Collins Street, Melbourne Victoria 3000, Telephone 1800 806 314.

The activities of the Timboon and District Healthcare Service are conducted in compliance with a range of government legislation, standards and regulations governing clinical, corporate and financial activities.

49annualreport

Legislative ComplianceADDITIONAL INFORMATION

In compliance with the requirements of the Standing Directions of the Minister for Finance, details in respect of the items listed below have been retained by Timboon and District Healthcare Service and are available to the relevant Ministers, Members of Parliament and the public on request (subject to the freedom of information requirements, if applicable):1. A statement of pecuniary interest

has been completed.2. Details of shares held by senior

officers as nominee or held beneficially.

3. Details of publications produced by the department about the activities of the entity and where they can be obtained.

4. Details of changes in prices, fees, charges, rates and levies charged by the entity.

5. Details of any major external reviews carried out on the entity.

6. Details of major research and development activities undertaken by the entity that are not otherwise covered either in the Report of Operations or in a document that contains the financial report and Report of Operations.

7. Details of overseas visits undertaken including a summary of the objectives and outcomes of each visit.

8. Details of major promotional, public relations and marketing activities undertaken by the entity to develop community awareness of the entity and its services.

9. Details of assessments and measures undertaken to improve the occupational health and safety of employees.

10. General statement on industrial relations within the entity and details of time lost through industrial accidents and disputes, which is not otherwise detailed in the Report of Operations.

11. A list of major committees sponsored by the entity, the purposes of each committee and the extent to which the purposes have been achieved.

DATA INTEGRITY

I, Wayne Weaire, certify that the Timboon and District Healthcare Service has put in place appropriate internal controls and processes to ensure that the reported data reasonably reflects actual performance. The Timboon and District Healthcare Service has critically reviewed these controls and processes during the year.

Wayne WeaireAccountable OfficerTimboon 19/8/2011

RISK MANAGEMENT

Compliance with Australian / New Zealand Risk Management Standard

I, Wayne Weaire, certify that the Timboon and District Healthcare Service has risk management processes in place consistent with the Australian/New Zealand Risk Management Standard and an internal control system is in place that enables the executives to understand, manage and satisfactorily control risk exposures. The Finance / Audit Committee verifies this assurance and that the risk profile of the Timboon and District Healthcare Service has been critically reviewed within the last 12 months.

Wayne WeaireAccountable OfficerTimboon 19/8/2011


Staff listPositions held at timboon and district healthcare service as at 30th june 2011

CLINICAL CARE and RESIDENTIAL SERVICES

Director of NursingAnne McMeel BN, RN, RM

Night SupervisorsKaren Kennedy RNTricia Klemm RN, RM (OH&S Coordinator)Margaret Tesselaar RN, RM

After hours SupervisorsHeather Power RN, RM (Infection Control Coordinator)Pam Robb RN, RM Maureen Turner RN, RM

Registered NursesJoanne Alexander RNJessica Baker RNLynda McKenzie RNLynn Marr RN Ingrid Rial RNMichelle Selten RN

Enrolled NursesKathy BlakeKathy BrownMary DuynhovenJulie GiblettJulie HarkinRhonda JohnstoneJodie SkilbeckVickie StevensMichele WebberHelen Wiggins

Diversional TherapistEnid O’Connor EN

COMMUNITY SERVICES

Community Services ManagerAmanda Nash RN RM

Allied health OfficerTracey Heeps BEd (PhysEd)

Chronic Disease Management CoordinatorChristie Berry BN

Community health NurseCobdenLyn Russell GradDipNursg (Community Health), RN, RM TimboonAmanda Nash RN RM

Diabetes EducatorIngrid Rial RN

health Promotion OfficerMelanie Green BHSci (Speech Pathology)Carly Dennis BPH(Public Health)

Assessment Officer/Case ManagerFiona Hanel EN

District NursesSherryl Mueller RNCorry Kerr Linda McDonald BN, RN

RelieversLynda Avery RN BAppSciJoanne Delaney BN, RNMarie Jones ENLeanne Unwin ENMargaret Edge EN

Adult Day Activities CoordinatorsDenise Adams ENHelen Langley EN

Adult Day Activities AssistantGaye McVilly

Social workSteffi Persson BSW

youth ServicesNatasha Neal DipCS

Mens Shed CoordinatorSheryl O’Connor

CORPORATE SERVICES

Chief Executive OfficerWayne Weaire B.Theol, ClinVAFT, AFACHSEManager Corporate ServicesKristie Coverdale BComm

Administration & FinanceBarbara FraserKristen HainKirsty Van Ginnekin

hotel Services SupervisorMonica Easterbrook

CookLorraine Wilson

Food & Domestic AssistantsJan BurkhalterVera ConveyJodie CouchLesley Henriksen Doreen PoustiePaula Till

RelieversDonna Bellis Sharon BissettKatrina CurrellLinda Pender

Maintenance OfficerAlan RhodeBradley Wiggins

VISITING CLINICAL and ALLIED HEALTH STAFF

health Information ManagerSarah Parkinson BAppSc (HIM)

PharmacistsDanielle D’Onofrio BSc(Hons), B.Pharm, MPSGeorge D’Onofrio Bsc, B.Pharm, M.Pharm, MPS

PsychologistDr Andrew Grey BA, B.Bus, Grad.Dip.Couns.Psych, Dip.Ed, MAPS

Staff contracted from South west healthcareBiomedical EngineerContinence NurseDentistDental TherapistDieticianOccupational TherapistPhysiotherapistSpeech Pathologist

visiting service from Lyndoch, warrnamboolPodiatrist

VISITING MEDICAL OFFICERS

General Practitioners Dr. W. Rouse MBBS, FRACGP, DRANZCOG, Grad Dip. Rural GPDr. A. Hedgland MB ChB, FRACGP

LocumsDr. B. Rossiter MBBS FACRRMDr. K. Shannon MBBS, FACRRMDr. Q. Sukabula MB CHBDr. A. Tymms, MBBS, FRACSDr. D. Loo MBBS, FRACGP

AnaesthetistsDr. P. Arnold MBBS, FANZCADr. A. Cain MBBS, FANZCADr. K. Cronin MBBS, FANZCADr. M. Duane MBBS, FANZCADr. G. Kilminster MBBS, FANZCADr. K. Prest MBBS, FANZCA

Relieving General Practitioners- AnaesthetistsDr. T. Fitzpatrick MBBS, FRACGP, DRANZCOG, GradDip Family MedicineDr. S. J. Menzies MBBS, MMed, FRACGP, DRANZCOG (Advanced)

Obstetricians & GynaecologistsDr. C. J. Beaton MBBS, FRANZCOG, FRCOG, MRCGPDr. E. M. Uren MBBS, FRANZCOGDr. J. D. Friebe MBBS, FRANZCOG

PhysiciansDr. C. Charnley, MBBS, FRACP

Relieving PhysiciansDr. B. Morphett MBBS, FRACPDr. S. Nagarajah MBBS, FRACP

SurgeonsMr. B. Mooney MB ChB, BAO (Hons), BSc (Anat.) (Hons), MCh, FRCSI, FACRRM, FRACSDr. D. Robert Doctor of Medicine (Univ Paris), FRCS (Edin)

RelievingDr. C. Sutherland MBBS, FRACS

VISITING PRIVATE SERVICES

ChiropractorDr.Ross McIlveen BAppSc(Chiropractic)

DentalDr Donna Mercado DDM (Univ of Phillipines), MDSc (Univ of Melb)

PodiatristEmma Hickman BPod

51annualreport

The Annual Report of Timboon and District Healthcare Service is prepared in accordance with all relevant Victorian legislation. This index has been prepared to facilitate identification of the Department’s and organisation’s compliance with statutory disclosure requirements.

Legislation Requirement

Ministerial DirectionsReport of OperationsCharter and purposeFRD 22B Manner of establishment and the relevant Ministers 45FRD 22B Objectives, functions, powers and duties 47FRD 22B Nature and range of services provided 10

Management and structureFRD 22B Organisational structure 44

Financial and other informationFRD 10 Disclosure index 51FRD 11 Disclosure of ex-gratia payments N/AFRD 21A Responsible person and executive officer disclosures 94FRD 22B Application and operation of Freedom of Information Act 1982 48FRD 22B Application and operation of the Whistleblowers Protection Act 2001 48FRD 22B Compliance with building and maintenance provisions of Building Act 1993 48FRD 22B Details of consultancies over $100,000 N/AFRD 22B Details of consultancies under $100,000 N/AFRD 22B Major changes or factors affecting performance 6FRD 22B Occupational health and safety 36FRD 22B Operational and budgetary objectives and performance against objectives 4FRD 22B Significant changes in financial position during the year 4FRD 22B Statement of availability of other information 48FRD 22B Statement of merit and equity 35FRD 22B Statement on National Competition Policy 48FRD 22B Subsequent events N/AFRD 22B Summary of the financial results for the year 4FRD 22B Workforce Data Disclosures 34FRD 25 Victorian Industry Participation Policy disclosures 48SD 4.2 (j) Report of Operations, Responsible Body Declaration 6SD 4.5.5 Attestation on Compliance with Australian/New Zealand Risk Management Standard 49

Financial StatementsFinancial statements required under Part 7 of the FMASD 4.2 (a) Compliance with Australian accounting standards and other authoritative pronouncements 60SD 4.2 (b) Operating Statement 56SD 4.2 (b) Balance Sheet 57SD 4.2 (b) Statement of Changes in Equity 58SD 4.2 (b) Cash Flow Statement 59SD 4.2 (c) Accountable officer’s declaration 53SD 4.2 (c) Compliance with Ministerial Directions 60SD 4.2 (d) Rounding of amounts 71

LegislationFreedom of Information Act 1982Whistleblowers Protection Act 2001Victorian Industry Protection Act 2003Building Act 1993Financial Management Act 1994

Abbreviations:FMA – Financial Management ActFRD – Financial Reporting Directions issued by the Department of Treasury and FinanceSD – Standing Directions of the Financial Management Act 1994

Disclosure Index

Page Reference


Contents

Board Member’s, Accountable Officer’s and Chief Finance & Accounting Officer’s Declaration 53Auditor General’s Report 54Comprehensive Operating Statement 56Balance Sheet 57Statement of Changes in Equity 58Cash Flow Statement 59Notes to the Financial Statements Note 1 Statement of Significant Accounting Policies 60 Note 2 Revenue 75 Note 3 Expenses 79 Note 4 Depreciation 81 Note 5 Cash & Cash Equivalents 81 Note 6 Receivables 81 Note 7 Other Financial Assets 82 Note 8 Inventories 82 Note 9 Other Current Assets 82 Note 10 Investments Accounted for using the Equity Method 83 Note 11 Property, Plant & Equipment 84 Note 12 Payables 85 Note 13 Provisions 85 Note 14 Reserves 86 Note 15 Reconciliation of Net Result for the Year to Net Cash Flows from Operating Activities 86 Note 16 Financial Instruments 87 Note 17 Commitments 92 Note 18 Contingent Liabilities & Contingent Assets 92 Note 19 Segment Reporting 92 Note 20 Joint Controlled Operations & Assets 93 Note 21 Responsible Person Disclosures 94 Note 22 Events Occurring After the Balance Sheet Date 94

Financial StatementsPage Reference

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Timboon and District Healthcare Service Independent Auditor’s Report – 30 June 2011


Timboon and District Healthcare Service Independent Auditor’s Report – 30 June 2011

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Timboon and District Healthcare Service Financial Statements – 30 June 2011

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Notes:


Notes:












10 Our Services

11 Early Years


17 Aged Care


26 Health Promotion



33 Human Resources

37 Environment


41 Our Donors



50 Staff List









contents












10 Our Services

11 Early Years


17 Aged Care


26 Health Promotion



33 Human Resources

37 Environment


41 Our Donors



50 Staff List









contents

Concerns or complimentsTimboon and District Healthcare Service invite any comment you may have about the care or service provided by our health service, this provides an opportunity for service improvement.

Concerns or compliments may be directed to the Chief Executive Officer on 03 5558 6000

If the matter is not resolved to your satisfaction, the Health Services Commissioner who assists with complaint resolution, can be contacted on 03 9655 5200.

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annualreportTimboon and District Healthcare Service

20102011







Tim

boon and District H

ealthcare Service

2010 / 2011annualreport

timboon and district healthcare service · • is a public document freely available onour website...

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