YDHS Annual Report 2006 (2.4Mb pdf) - GHA Central

Incorporating the
90th Annual Report
of the Yarram and District Hospital
2005-06
Annual Report
Contents
Organisational Objectives
Introduction
Organisational Structure
Yarram and District Health Service Annual Report 2006
Board President and Executive Director’s Report
Highlights
Governing Body, Auditor and Senior Officers
Reward and Recognition Program
Report on Operations
■ Clinical Services
■ Community Services
■ Corporate Services
Statutory Requirements
Donations, Past Presidents
Services
Staff
Yarram and District Health Service
Main Campus: 85-91 Commercial Road, Yarram, Vic. 3971
Baker’s Community Service Centre: 121 Commercial Road,
Yarram, Vic. 3971
Edgar House: 20 Nicol Street, Yarram, Vic. 3971
Postal Address
PO Box 61, Yarram, Vic. 3971
Telephone: 03 5182 0222
Facsimile: 03 5182 6081
Email: yarram.health@ydhs.com.au
www.rural-health.org.au www.yarramhealth.org.au
1

Organisational Objectives
Mission Statement
The Yarram and District Health Service seeks to maintain and
enhance the health of the community through the provision of
quality care that is cost effective, efficient, equitable and
consumer focussed.
Vision
The vision for the Yarram and District Health Service is to be
an effective, community based service.
Core Values
The Yarram and District Health Service regards caring,
integrity, quality, professionalism and cost effectiveness as
being its core values.
Objectives
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To provide health care services capable of delivering a
continuum of care to our community
To continually improve quality service delivery
To provide services that promote health improvement and
prevention of illness
To respond to the health care needs of the community
through the ongoing process of consultation and planning
To communicate all services to our community
Introduction
The Yarram and District Health Service is located 220
kilometres south east of Melbourne on the South Gippsland
Highway in Wellington Shire, approximately one hour’s drive
time south west of Sale and 50 minutes drive time south east
of Traralgon.
The township of Yarram is the principal service centre of the
area and services an area of approximately 1840 square
kilometres with a catchment population of 5,580.
The Health Service originally commenced operation as the
Yarram and District Hospital, which was inaugurated on 1
January 1912 and admitted its first patient in January 1917. In
1993, the hospital name was changed to the Yarram and
District Health Service to reflect its evolution into a multi
purpose service, more appropriately positioned to meet the
needs of the wider community.
The Yarram and District Health Service now operates under
the DHS Small Rural Health Services program and provides a
comprehensive range of primary care services. Following
extensive expansion and refurbishment during 2003 and
officially opened in April 2004, it also now accommodates 20
acute beds and 15 high and 15 low aged care beds.
In 2004 Yarram and District Health Service assumed
management of a 30 bed aged care hostel, Crossley House,
adjacent to the Health Service.
2
Yarram and District Health Service Annual Report 2006

YARRAM & DISTRICT HEALTH SERVICE ORGANISATIONAL STRUCTURE
Board of Management
Quality Improvement Sub
Committee
Executive Internal Audit Sub Commitee
Combined Sub Committee
Executive Director
Director Medical Services
Deputy Executive Director
(Vacant)
Director Corporate Services Contracted Services
Director Community
Services
Director Clinical Services
Alberton Consulting
Crossley House
Hostel
Yarram Medical
Centre
■ Administrative Services
■ Maintenance Services
■ Food Services
■ Stores and Supply
■ Human Resources
■ Occupational Health and Safety
■ Contracted Services
■ Finance/Payroll
■ Crossley House Payroll & Finance
■ Residential Aged Care Administration
Youth and Family
Services Co-ordinator
Allied Health
Co-ordinator
Quality
Co-ordinator
Care
Co-ordinators
■ PDRSS
■ Housing & Welfare Services
■ Family Services
■ Social Work
■ Dietetics
■ Occupational Therapy
■ Physiotherapy
■ Speech Pathology
■ Podiatry
■ Staff Training & Development
■ Risk Management
Home Care
Co-ordinator
Community Health
Services
Yarram and District Health Service Annual Report 2006
■ Home Care
■ Personal Care
■ Respite
■ Volunteers
■ Food Services
■ Property Maintenance
■ ADASS
■ Psychology
■ Health Promotion
■ Community Health
■ Diabetes Education
■ Direct Care Staff
■ Inpatients/Residents
■ Non Admitted Patient Services
■ Postnatal Services
■ Medical Services
■ Dialysis Services
■ Accident and Emergency
■ Graduate Nurse Program
■ In Service Education
■ Residential Activities
■ Infection Control
■ Clinical Support Services
Client Services Officer
Community Nurse
Co-ordinator
■ Client Intake
■ Direct Care Staff
■ Maternity Support
■ Maternal & Child Health
3

Board President and Executive
Director’s Report
It is with pleasure that we present this 90th report in what has
been a year of achievement and celebration.
Our long history is testament to the strength of our team including
staff, volunteers and the wider community. These strengths
continue to be demonstrated as the health service successfully
responds to the changing health requirements of the local
community.
In the second year of Peter Craighead’s secondment as
administrator to Central Gippsland Health Service, we congratulate
everyone at Yarram and District Health Service who has embraced
new opportunities and met challenges with creativity, enthusiasm
and dedication.
Quality Improvement
Yarram and District Health Service participates in various quality
processes that seek to measure performance and provide
direction for the improvement of service. These activities
demonstrate to our clients and the wider community that in the
pursuit of best practice and within a culture of continuous
improvement we are consistently meeting client targets and high
quality standards.
The successful site audit by the Aged Care Standards and
Accreditation Agency of St. Elmo’s in May 2006 indicated that
Yarram and District Health Service was compliant in all 44
standards and was subsequently awarded the maximum three
year accreditation.
The Health Service has completed self assessment documentation
as part of its application for Accreditation by the Australian Council
of Healthcare Services (ACHS) under the EquIP Program. This
organisation-wide review involves all departments and validates all
activities by providing evidence of improvements in areas
including Administration, Allied Health, Community Nursing, Food
Services, Maintenance and Health Promotion.
Community Participation
The Yarram and District Health Service continued its very active
involvement in community projects. During 2005/6 these included:
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Sponsorship of the Rotary Art Show during the Tarra Festival,
Easter 2006 including the good health message “Keeping
yourself healthy can be a work of Art!” – Keep Active, Eat Well.
PitStop Men’s Health screening program at the Yarram Show
in November 2005, where 35 men and 7 women were
screened using the PitStop program.
Consultation with Wellington Shire on its
“Positive Ageing” strategy.
YDHS working with the Yarram Community:
Left to right John Rojo, Melanie Mitchell YDHS Youth Worker,
Anthony Rodaughan Principal Yarram Secondary College,
Shane Ponsford Outreach Co-ordinator East Gippsland TAFE,
Jenny Chatfield Co-ordinator Victorian Certificate
of Applied Learning (VCAL),
Wendy Major Project Officer Local Learning and
Employment Network (LLEN),
Dana Dunstan C-oordinator Yarram Community Learning Centre (YCLC)
Service Delivery
The Board’s strategic direction, ratified in 2004/5 in a five year
Business Plan, commits to provision of timely and effective
planning and decision making to contribute to the organisation’s
goals. It also aims to lead, develop and deploy all resources to
work in the best interests of the organisation.
Work has continued with the Crossley House Committee of
Management towards service integration. The process of due
diligence has been completed with no outstanding issues raised
outside the future liability of the facility and a target date for
integration has been set for 1 September 2006. A project
management group has been established to oversee the transition
process, with staff, residents and their families able to provide
direct input to a change management work group responsible for
the integration activities.
Yarram and District Health Service, under its management
contract, worked with the Crossley House staff to achieve
Accreditation for three years from July 2005.
■
Mental Health Week program of activities.
Other service initiatives for 2005/6 included:
■
Membership of the Community Advisory Group for the
development of Wulgunggo Ngalu Learning Place, a culturally
appropriate learning place for indigenous adult male offenders
to be built on the former Won Wron Prison site.
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Appointment of Dr Zafar, General Practitioner
Ongoing building program including opening of the new
rehabilitation gym and completion of the new
radiology department
■
Quality of Care Report seeking feedback from Yarram and
District community.
■
The recent opening of Dr A Abraham’s new Dental Practice
within the Yarram Medical Centre
4
Yarram and District Health Service Annual Report 2006

Board President and Executive
Director’s Report
The recruitment and retention of appropriately skilled staff is
critical to the strategic aims of the Health Service. This is achieved
initially by selection of quality personnel and continued by
supporting the professional development aspirations of those
personnel.
Opportunities to enhance skills are available through Department
of Human Service’s funded projects and through organisation
directed learning, funded by the Yarram and District Health
Service Education Fund. The Health Service sponsored 27
applicants during 2005/6.
It also participated in the Small Rural Health Service Human
Resource Strategic Planning Project, a Department of Human
Services-funded project that assisted rural agencies develop the
tools to strategically plan for a sustainable workforce.
Business Management
Yarram and District Health Service has returned an operating
surplus of $546,289 for the 2005-2006 financial year. This surplus
is a solid foundation for the expanded responsibilities in aged care
services that will follow the integration of the Crossley House
Hostel and also to support service development anticipated as a
result from service planning scheduled for 2006-2007.
An opportunity to attend an education program for Board
members and CEOs of rural health agencies was taken up. The
Rural Health Boards of Management Development Program was
designed to help Board members become more accomplished.
The program aims to:
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Clarify the roles and responsibilities of Board members
Strengthen the capacity of Boards to operate as high
performing teams
Improve how Boards work with management teams.
Board members learn from health, leadership and governance
experts from both the private and public sectors and have the
opportunity to share ideas and practices with Board members and
CEOs from other health agencies across the State.
The program included highly relevant case studies, practical
activities to explore contentious issues and develop ideas, and the
opportunity to network with fellow Board members from other
agencies. The program was informative, rich in theory and
practice, highly interactive and hugely rewarding.
The Health Service Board and management look forward to
implementing many of the ideas.
Reward & Recognition Program
In November 2005, 35 staff and medical officers celebrated a
combined total of 688 years of service, with each person
presented with a certificate of service recognition.
Long serving Board Member Warwick Boddy was delighted to see
his annual “Service Recognition Program” initiative inaugurated at
the awards ceremony.
The event was an opportunity for the Board to express its
appreciation to, and recognition of, the commitment of staff to the
local health service. The many successes Yarram and District
Health Service has had over the years are testament to the
strength gained from a team that holds good organisational
knowledge and has ownership and pride in the work they do and
in the Health Service.
We take this opportunity to recognise the enormous contribution
made by the members of our Auxiliary and by our wonderful
volunteers. Their dedication and enthusiasm is sincerely
appreciated. We would like to extend our thanks to the
management team for their effort and support and to all the
Yarram and District Health Service staff who have worked hard
and with such good spirit to deliver another successful year’s
result.
Jenni Clarke
Board President
Colleen Boag
Executive Director (Acting)
From left to right:
(standing): Jenni Clarke,
Penny Earle, Sheryl Saynor,
Debra Cerasa,
Megan Houchen,
Peter Craighead, Brian Lee
The Board of
Management
(Seated): Frank Baggaley,
Warwick Boddy,
Bill Bodman, David Hill
Yarram and District Health Service Annual Report 2006
5

Governing Body, Auditor and Senior Officers
Board of Management
Mrs. J. Clarke
Mr. W. Bodman
Mr. D. Hill
Mr. F. Baggaley
Mrs. P. Earle
Mrs. S. Saynor
Mr. B. Lee
Mr. J. Speed
Mr. W. Boddy
Ms. M. Houchen
Ms. D. Cerasa
President
Senior Vice President
Junior Vice President
Treasurer
Executive Director (Acting)
Ms. C. Boag
SRN, B. Health Science (Nsg), B. Nursing,
Grad Dip Health Science (Comm. Health)
Director of Community Services
Mr. S. Elvy, BSc (Human Movement), BAppSc (Phty), Grad Dip.
HSM
Ms. E. Williams, B.P & O, Grad. Dip Bus. Mgt
Director of Clinical Services
Mrs. M. Brosche, SRN, B. Nursing
Director of Corporate Services
Ms. L. Duncombe, Grad Dip Case Mgmt, Grad Dip Health
Admin
From left:
Responsible Ministers
The Honourable Bronwyn Pike MLA Minister for Health
The Honourable Gavin Jennings MLC Minister of Aged Care
The Honourable Sherryl Garbutt MLA Minister for
Community Services
The Honourable Candy Broad MLC Minister for Housing
The Honourable Tony Abbott MHR Minister for Health &
Ageing
Auditor
Auditor General of Victoria
Agent Armitage Downie, Sale
Medical Adviser
Dr. C. Winter, MB BS, GMQ, MBA, FACEM
Visiting Medical Officers
Dr. I. McConachie, MB BS
Dr. L. Testro, MB BS
Dr. C.J.P. Luiz, MB BS
Dr. R.K. Nandha, MB CHB
Dr. C. Wong, MB BS
Dr. J. Tseng, MBBS GP Registrar
Dr. M. Vujovesic
The Executive Team
Steven Elvy Director
Community Services.
Colleen Boag Acting
Executive Director.
Louise Duncombe Director
Corporate Services.
and Marj Brosche Director
Clinical Services.
Highlights
St. Elmo’s Nursing Home earns the maximum three year
accreditation following an audit by the Aged Care Standards
and Accreditation Agency, which found the Home complied
with all 44 standards.
Dr A Abraham’s dental practice opens in the Yarram Medical
Centre and a new General Practitioner, Dr Zafar, is appointed.
The Quality Department introduces telephone-based
satisfaction surveys for discharged inpatients.
A joint education project between Yarram and District Health
Service, Latrobe Regional Hospital and Central Gippsland
Health Service was implemented to provide mandatory
education in Basic Life Support, Medication Administration,
Manual Handling and Fire Safety for nurses in the three
facilities.
The Youth and Family Service Department is restructured as a
result of being awarded the Wellington Shire Family Support
Innovations Project “Wellington Working Together with
Families.” Funding provides community based family support
to families at risk of becoming involved with child protection
and also funds a new Family Support Worker position.
The Yarram Toy Library secures funding support from the
Wellington Shire Council Community Grants Program and the
Yarram Apex and Yarram Lions Clubs, leading to an extensive
update of the toy collection.
Maintenance staff undertake two large restructuring projects,
the new Rehabilitation gym and the Radiology area relocated
in the X-ray department.
The Health Service continues gains excellent results in internal
and external cleaning audits. It earned an overall hospital score
of 95.46% with the internal results 96.43%.
6
Yarram and District Health Service Annual Report 2006

Report on Operations
Clinical Services
The Clinical Services Division comprises all patient care
departments including direct care, postnatal and medical
services, accident and emergency and residential activities.
Clinical Services Division is also responsible for Quality
Improvement and staff training and development activities.
Highlights during 2005/6 include:
■
Participation in the Pressure Ulcer Point Prevalence Survey
(PUPPS) 3. This was undertaken by staff trained to assess
patients at risk of developing pressure ulcers. The survey
was a follow up to last year’s PUPPS2 and as a result
strategies have been put in place to assess patients’ skin
integrity more closely on admission.
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The Nursing Home welcomed new staff and continues to
enjoy the support and assistance from a great band of
volunteers who regularly visit residents and help with
activities. St Elmo’s also participates in the Friends for Older
People program facilitated by the St John Ambulance.
Excellent support has come from the Waratah Hospital
Auxiliary and the local RSL branch with donations for
equipment such as the tilt wheelchair.
Staff continue to update and increase their skills and
knowledge base by attending education sessions both
internally and externally.
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The Falls Risk Prevention Program was implemented. The
focus of this program for Clinical Services is to reduce the
number of falls for inpatients and residents.
Implementation of the National Inpatient Medication Charts
in June. Following education for Medical Officers and
Division 1 Nurses, the medication chart was introduced for
use at Yarram and District Health Service. This is a
Government initiative to standardise medication charts in
Victorian Public hospitals with the aim of reducing the
number of medication errors.
Jo-Anne Rash, Quality
Co-ordinator, pictured
with the third annual
Quality of Care
brochure
■
Setting up of a Palliative Care Room. This project has been
funded by the Palliative Care Fundraisers, a room has been
furnished to be used by palliative care patients and their
families.
Highlights at St Elmo’s Nursing Home during 2005/6 include:
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Accreditation visit in May 2006, which was rewarded with
success in all 44 standards, thanks to the hard work and
ongoing commitment by all staff to providing quality care
for residents.
Activities staff have offered residents a wide range of
activities incorporating many special events such as the
Commonwealth Games, ANZAC Day, the Tarra Festival and
Australia Day, to name but a few. The use of the bus at the
weekends has also added to the variety of outings in which
residents can participate.
Quality Improvement
Yarram and District Health Service is preparing for
organisation wide accreditation with the Australian Council on
Healthcare Standards (ACHS), with assessment to take place in
August 2006, following successful accreditation of St. Elmo’s
Nursing Home in May 2006.
The nursing home was compliant in all 44 standards and
subsequently awarded the maximum three year accreditation.
This demonstrates to residents, their loved ones and the wider
community, the commitment to providing high quality care and
a safe and happy home environment.
Representatives from the Aged Care Standards and
Accreditation Agency will visit St. Elmo’s regularly over the next
three years to ensure the same high standards demonstrated
at site audit are maintained and practices continuously
improved.
Preparation for organisation wide survey began during the
reporting period. This event will determine if Yarram and
District Health Service has met all the standards as laid down
by Australian Council on Healthcare Standards and determines
the period of accreditation. The last organisation wide survey
was in 2002 and the maximum four year accreditation
awarded.
While accreditation for St. Elmo’s is necessary to comply with
the Aged Care Act, health service accreditation with the ACHS
is a voluntary process. Many hospitals participate to instil a
sense of confidence in their consumers that their health
service is a quality and safety focussed organisation.
Health Promotions officer, Clare McHugh (centre), combines
fitness with self defence with the help of Tae Kwon Do
Academy techers Heather Naylor (left)
and Pam Summers (right)
Yarram and District Health Service Annual Report 2006
7

Report on Operations
Some activities undertaken by the Quality Department this past
year include:
■
Launch of the Client Information Guide which replaced six
individual brochures.
Yarram and District Health Service has a part time Clinical
Support Nurse whose role is to provide clinical staff with
education, support and mentoring. The Clinical Support Nurse
position is also designed to encourage innovative practices to
improve the quality of health care delivery.
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Introduction of telephone-based satisfaction surveys for
discharged inpatients.
Review of Consumer Participation at Yarram and District
Health Service.
Conduct of a staff education and training needs
analysis survey
An annual education program is developed, based on staff and
organisation needs, and delivered on a monthly basis in a
group setting. Education packages are developed to support
the delivery of some topics and include a written assessment
to measure staff learning and program effectiveness.
Individuals are supported in a practical way on an ‘as-needs’
basis. Staff have indicated that they are pleased to have this
extra layer of support and expertise available to them.
■ Publication of the Quality of Care Report 2005.
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Review of resident and staff orientation processes and
documentation for Crossley House.
Revision of the Crossley House Resident Handbook.
The Education Fund, established by the Board of Management
eight years ago, continues to support individual staff
applications to attend conferences and seminars. The Fund is
administered by the Education Committee, made up of
representatives from several departments and approved 27
applications this financial year.
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Review of the annual training program for staff.
Launch and management of the newly implemented
electronic legislative compliance monitoring system.
Review of risk management plans, procedures and tools.
Introduction of a “suggestion” box, sited in the foyer of
Yarram and District Health Service. Consumers and staff
return, for example, surveys and compliments
and complaints.
Review of the complaints management system.
Staff supported by the Education Fund are required to share
their learning experience with colleagues by conducting an inservice
education activity or by provision of a written report
that is posted on the computer network for all staff to access.
A new initiative implemented in August 2005 was a joint
education project between Yarram and District Health Service,
Latrobe Regional Hospital and Central Gippsland Health
Service. It was agreed that mandatory education in Basic Life
Support; Medication Administration; Manual Handling and Fire
Safety would be undertaken annually by nurses in the three
facilities.
This is theoretical competency based education provided on
line and designed to complement the practical education
taking place in each facility. In 2005, 86% of staff completed
this training and participation is expected to be higher in in
2006.
Yarram and District Health Service continues to offer
traineeships to young people and has supported trainees in
Nursing and Food Services this year. Clinical placement for
tertiary students and work experience for secondary school
aged students continue to be supported.
Nurses Tim Waugh and Jenny Donaldson working
towards better medical treatment under a pilot project
aimed at promoting medical recruitment in country areas.
Staff Development and Training
Staff continue to maintain and enhance their skills through the
many learning opportunities available to them. The Health
Service’s Annual Training Program provides all staff with the
opportunity to maintain their skills in areas such as basic life
support, manual handling/no lift, fire emergency/evacuation
and fire equipment use.
An extensive range of infection prevention and control topics is
also offered and includes, for example, staff immunisation,
hand hygiene, personal protective equipment and waste
management. All are designed to minimise harm to clients and
staff.
Work experience students were placed in Nursing and Food
Services and Speech Pathology and Community Nursing
hosted tertiary student placements. Two students studying for
the Certificate III in Aged Care were provided with supervision
to complete the 100 hour practical component of their course.
In total, students were hosted for approximately 25 weeks over
the year.
The Health Service is pleased to offer these learning
experiences to students and proud of the way staff go about
supporting the program.
A staff education and training needs analysis survey was
conducted during the year, which will inform the development
of a two year training plan.
8
Yarram and District Health Service Annual Report 2006

Community Services
Yarram and District Health Service Community Services is
committed to the provision of quality service provision to
ensure the ongoing wellbeing of the local community. The
improvements made during the financial year 2005-06 have
highlighted this commitment.
The Community Service Client Intake process has continued to
be the cornerstone of assessment and screening of
community clients, ensuring services needed by clients are
provided in a timely, efficient and effective manner.
During the year approximately 250 people received a needs
based assessment and referral to community services. Further
development of the Client Intake service will occur in coming
years as the Initial Needs Identification process changes and
regional referral becomes electronic.
The Youth and Family Service Department has been
restructured as a result of being awarded the Wellington Shire
Family Support Innovations Project “Wellington Working
Together with Families.” This funding was provided to the
Wellington Working Together with Families partnership of
Kilmany UnitingCare, Ramahyuck Aboriginal Corporation and
Yarram and District Health Service.
The purpose of the funding is to provide community based
family support to families at risk of becoming involved with
child protection and has funded the addition of a new Family
Support Worker. This new worker raises the Family Support
staffing to 1.0 FTE from 0.3 FTE.
The financial year also saw the addition of Maternal and Child
Health service to the suite of Community Services. This service
assesses the health and wellbeing of children up to the age of
4 years old.
The continued professional development of Health Service staff
is essential to the success of many programs delivered from
this area. This year community services staff have been
supported in their skill development, attending short courses
and seminars on ageing and sensory loss, Huntington’s
Disease, Motivational Interviewing, Risk Management, Falls
Prevention, Needle exchange and Oxygen Equipment and
safety issues.
Report on Operations
During the year, client outcomes for several exercise programs
were reviewed, including balance and mobility, cardiac
rehabilitation and pulmonary rehabilitation. Positive results and
feedback were noted for most clients, in all aspects of health
(emotional, social and physical).
Australian Therapy Outcome Measures (AusTOMS) have been
introduced and completed for selected clients of
Physiotherapy, Occupational Therapy and Speech Pathology
services, which will assist with the review of client outcomes
and therapy techniques. Care plans are also being conducted
with all clients, to ensure client consent and participation in
their therapy goals and treatment.
A service coordination model was introduced for paediatric
clients, in order to ensure that their needs are being met by all
services. In this model, family meetings and case coordination
meetings are held between the Maternal and Child Health
Nurse, Family Support workers and Allied Health therapists.
A multidisciplinary project is being completed to better
manage inpatients with dysphagia (swallowing) difficulties. It
involves Speech Pathology, Dietetics, Catering and Nursing
staff and the focus to date has been on menu plans,
documentation and client communication.
The equipment loan system has been reviewed and
improvements made to the storage and maintenance of
equipment. Equipment loans are now recorded electronically,
increasing the efficiency and effectiveness of tracking loan
equipment.
The podiatry and occupational therapy services are currently
(2006-07) under review, in order to provide an increased
service to clients in need. Policies and procedures continue to
be developed and reviewed throughout the department, to
provide standardised and quality care to all clients.
Staff members are regularly completing professional
development and training. Monthly in-services have been
introduced, with each staff member responsible for providing
an in-service once or twice per year.
Allied Health
During the year, the Allied Health team has continued to
provide the following services to residents of the local
community:
■
■
■
■
■
■
physiotherapy,
occupational therapy,
speech pathology,
dietetics,
podiatry and
personal alarm assessment
These services are provided to residents of St Elmo’s Nursing
Home and Crossley House; acute, rehabilitation, and geriatric
evaluation and management inpatients, and community clients,
of varying ages and abilities.
Practicing our listening and fine motor skills, in the Early
Years Language Group pictured with Gabrielle Diplock,
Speech Pathologist.
Yarram and District Health Service Annual Report 2006
9

Report on Operations
Community Care
Community Care includes Community Nursing, Home and
Community Care Service, Client Services, Client Intake,
Maternity Support Service and Palliative Care.
The Community Care team has continued to maintain a focus
on providing improved outcomes for its clients through
multidisciplinary meetings within the health service including
acute and other service providers.
Community Care receives funding through State and Federal
grants. Support from Wellington Shire through annual grants
and services purchased by the Department of Veterans Affairs
all contribute significantly to extending the level of services
provided to the community.
Community Nursing has had pleasing results in audits
conducted on improved documentation and care planning.
Staff have attended education in the areas of wound care,
palliative care and foot care, with a view to offering an
expanded service in these areas.
Admission and Discharge statistics remain the same as the
previous financial year but there has been an increase in post
acute care referrals to the service.
Volunteers
More than 40 active volunteers have provided many hours of
service to enrich the lives of Yarram and District Health Service
residents and community clients. Activities have ranged from
friendly visits in the home, assisting with ADASS activities and
programs, delivering frozen ‘Meals on Wheels’ to clients who
live in outlying areas and providing transport support to enable
clients to participate in planned programs such as the Prime
Movers Exercise Group.
Volunteers are also pivotal in the social support (shopping)
program that assists aged and disabled clients to access the
Yarram business area on a regular basis. Volunteers also
enrich the lives of our St Elmo’s residents with their regular
visits, wheelchair walks and assistance with special days and
outings.
Yarram and District Health Service also recognises the
ongoing support of Yarram’s various community services,
schools, churches, sporting and social clubs for their
assistance with ‘Meals on Wheels’. This support enables the
service to reach all clients, and for many, the visits are a
highlight of the day.
Staff held a barbecue during the year to express appreciation
to the volunteers. Their commitment and enthusiasm towards
programs and clients makes a huge difference in the way
Yarram and District Health Service is able to efficiently and
effectively deliver services. This enormous contribution is
recognised throughout the Health Service and to all support
people, a sincere thank you.
Mary Willis discusses the benefits of physical activity to
overall health with Olive Rottenberry, Val Henderson,
Julie Anne Walters and Helen Gardiner.
The Community Nurse Coordinator now manages the
Maternity Support program, which offers antenatal education
and postnatal care to parents and infants. It works closely with
maternal and child health and maternity enhancement to
provide care and support for families.
Home and Community Care has continued to reach targets
across all services, including Food Services (Meals on Wheels),
Personal Care, Home Care, Home Respite Care, Property
Maintenance and Adult Day Activity Support Service. There has
been a continued focus on documentation and information for
clients and staff with a review of assessment tools for Personal
Carers and updating of home folders for clients and families.
The Adult Day Activity Support Service provides opportunities
for socially isolated clients and respite for carers. Programs
are tailored to client’s interests and abilities and include regular
outings. New program ideas were introduced this year,
including visits to areas around Yarram which have been well
received.
Community Health nurse Ann Kay presents Women’s
Health Education literature.
Community Health
It has been another busy and rewarding year in Community
Health, with the delivery of many successful programs.
Physical Activity and Nutrition continued to be the two main
health promotion priority areas, with resources also allocated
to Mental Wellbeing and Social Connectedness.
As a result of the involvement with the South Coast Health
Service Consortium’s Primary Care Partnership, and funding
from the Healthy and Active Living Seniors Grant and the Go
for Your Life Community Walking Grant, two physical activity
projects have been implemented.
10
Yarram and District Health Service Annual Report 2006

Report on Operations
Four local residents are being subsidised in their studies in
Certificate 3 in Fitness and Module 4 Older People. Once their
training is completed, a greater variety and number of physical
activity programs will be available to the community. Walking
Leader Training was also conducted in Yarram, with the
consequent establishment of a Parents with Prams walking
group.
Two very successful National Stroke Foundation Strokesafe
Seminars were conducted in the community. Following the
success of these seminars, a similar seminar that focuses on
Heart Health was developed and delivered. This program will
now be presented to other groups in the community.
In partnership with Gippsland Women’s Health and GippSport,
a very successful Women and Physical Activity Forum was
held in October 2005. Forty-five women enjoyed a fun and
informative evening, which included a discussion on the
barriers in the path of women seeking to be physically active,
as well as an opportunity to try activities such as self defence,
tae kwon do, strength training, line dancing and rock and roll
dancing.
Work with the local primary schools continued, with practical
Nutrition Education sessions provided to all classes at Yarram
and Woodside primary schools. The dietician provided
Nutrition Education program to parents, as well as to other
community groups. Asthma education continues to be
provided to schools to enable them to maintain their Asthma
Friendly School status.
YDHS Health Promotion Officer Clare McHugh
discusses healthy eating classes for parents.
Yarram Medical Centre
The Yarram Medical Centre is accredited with Australian
General Practice Accreditation Ltd (AGPAL), which identified
the strengths of the practice such as the clinical care, medical
records management, practice administration, commitment to
the area of health promotion and disease prevention and
continuity of care with patients’ rights and needs well
respected.
A fully electronic practice, the Medical Centre implemented a
significant upgrade to the software system. The new system
provides full data migration and extensive staff training, and
delivers improved management of both clinical and financial
data and online Medicare claims to the Health Insurance
Commission.
Participation in the getGP general practitioner registrar training
program continues to provide supervised practice for trained
doctors entering general practice. The program offers a
structured program of clinical study, support and onsite
supervision by an experienced general practitioner for
registrars, who remain an important part of the medical
workforce.
Jim Calman, using the Pallative Care chair, TV, DVD
and the cabinet for which he helped raise funds for
Many other programs were delivered, including the Well
Women’s Clinics, Pit Stop Men’s Health Screening Program,
Lung Clinic, Walk and Talk, Support Groups, Needle Exchange
Program, Better Health Self Management Course, and the Quit
Fresh Start Course.
A new initiative in June 2006 was an inaugural Health
Promotion Information and Planning Meeting, which was open
to all staff. The information gathered will form the 2006 – 2009
Organisation-wide Health Promotion Plan.
Consultations with community groups are also planned,
ensuring that next year will prove to be another productive and
responsive year for Community Health and Health Promotion.
Servicing the District: Yarram & District Health Service
Community nurses Rebecca Tyler, Julie Graske, Marg Barlow
and Jenny Finlay.
Yarram and District Health Service Annual Report 2006
11

Report on Operations
Youth and Family Services
The Youth and Family Services team at Bakers Community Centre
has expanded service areas to provide a range of essential
services to the local community.
There are now two Yarram and District Health Service Family
Support Workers who provide support to families experiencing
difficulties with relationship breakdown, domestic violence,
parenting issues and isolation. The workers also facilitate
mediation, reconciliation and support for families who have
children with special needs.
Demand for housing assistance continues to be high as new
people move into the district while rental properties remain limited.
The housing sector as a whole has undergone an accreditation
process, reviewing how support is provided to single people within
the Gippsland region. This is a significant issue for all areas
including Yarram.
The Health Service continues to support people in the community
who are experiencing a crisis,by the distribution of Emergency
Relief vouchers. This assistance can cover items such as food
and prescriptions.
The Youth and Family Services team also works closely with Saint
Vincent de Paul Society, whose volunteers provide a wonderful
service with food parcels, assistance with telephone bills, school
uniforms, and some furniture and bedding.
Yarram Toy Library
The Yarram Toy Library secured funding support from the
Wellington Shire Council Community Grants Program and the
Yarram Apex and Yarram Lions Clubs, which has supported
insurance renewal costs and an extensive update of the toy
collection.
The Toy Library continues to provide an important community
service. Families of children up to school age are able to access a
wide range of toys, games and puzzles at a minimal cost. Contact
with other young families is also facilitated.
The Yarram and District Health Service Allied Health staff also
benefit greatly from being able to access the toy collection. A wide
range of motivating and educational resources make therapy
sessions much more fun!
Once again the Toy Library thanks Yarram and District Health
Service for its generous support, providing accommodation and
administrative support.
The Corporate Services Division incorporates Administration,
Maintenance, Stores and Supply, Food Services and
Environmental Services and Human Resources. The Director of
Corporate Services is the chair of the Occupational Health and
Safety (OHS) committee and Policy committee.
The Psychiatric Disability Rehabilitation Support Service had two
new staff and remains unique as the only seven day service in
Victoria. The program is also undergoing an accreditation
process with the Department of Human Services and has
expanded from home based outreach to include planned respite
for participants.
The Youth and Family Services team appointed a part time youth
worker whose role is to support any young person aged 12 – 25
who may be experiencing difficulties in their life. The worker began
investigating the employment, education and training opportunities
for young people with the end goal of implementing appropriate
best practice programs in Yarram.
The Social Worker has also now joined the Youth and Family
Services team, which allows the team to provide a more holistic
approach to services for the Yarram community.
Exercise in the Balance and Mobility group. Pictured
with Kaylene Mason, Allied Health Assistant, in the new
Rehabilitation Gym.
Youth Worker Melanie Mitchell takes the time to consider
issues faced by young people and to reach a solution.
12
Yarram and District Health Service Annual Report 2006

Report on Operations
Corporate Services
Finance Department
It has been quite a year for the Finance Department. We have
farewelled long serving staff and welcomed new people who have
brought lots of fresh ideas for Yarram and District Health Service
to consider and trial. Of significance during the year was the
implementation of MYOB finance software.
Whilst this has resulted in the development of financial policies
and procedures to meet legislative requirements, it has enabled
the upskilling of staff giving them greater confidence in financial
management.
All staff are to be congratulated for their efforts.
Administration
In keeping with the theme of redeveloping processes and
procedures, Administration staff also updated their skills with the
introduction of the MYOB finance software. This has resulted in a
change to invoicing processes, allowing all services to appear on
the one invoice rather than have some services pay on the day
and others invoiced monthly.
We have also worked hard on streamlining documentation. New
forms have been introduced and changes made to several other
forms to ensure that information is documented appropriately. For
example, changes have been made to the Baby Capsule Hire form
to reflect the differences between the old baby capsule and the
recently purchased capsules.
A defined format for admitting patients has been introduced to
ensure each patient is provided with the same information. A new
email address and timeline for Medical Records’ requests and
retrieval has also been created to ensure patient records are
delivered as efficiently as possible.
Again, it was a year of many changes and administration staff
were up to the challenge.
Environmental Services
Yarram and District Health Service continues to gain exceptionally
high results in internal and in particular, external cleaning audits,
due in part to continual education for staff on the importance of
infection control and the cleaning standards of Victoria.
This year’s external audit results were particularly pleasing as the
auditors are becoming much stricter. Yarram and District Health
Service gained an overall hospital score of 95.46% and the internal
results for the year were 96.43%.
The high cleaning standards at Yarram and District Health Service
supports the health and well being of residents and patients.
The new laundry system commenced in September 2004 and has
continued to improve cost effectiveness of its operations and
decrease linen degradation. Since its inception, the laundry costs
have decreased while still returning good results in microbial
behaviour. The linen is as good as it was when first purchased,
with no colour fading.
compliments from residents and staff. The response was amazing
and a very rewarding outcome.
The Health Service has purchased a new ‘Hako’ mop machine,
which is considerably lighter than the old machine, a new buffer
machine and more OH&S orientated mop buckets.
The purchase of smaller and lighter linen trolleys has seen major
improvements with staff safety, as they have better manoeuvrability
and are lighter to push.
The team looks forward to the year ahead, with continued focus
on quality improvement and the well being of patients and
residents.
Maintenance
Maintenance staff have enjoyed another big year, with two large
restructuring projects completed as well as their usual planned
and ad hoc maintenance work. The projects included the new
Rehabilitation gym, with Gary Admiraal and his team completing
work on this new area late in 2005. It is a wonderful addition to the
health service.
Those attending for X-ray will have noticed some serious
construction work being carried out, with the Radiology area
relocated. This should result in a far more comfortable experience
for those people accessing the service.
Maintenance staff have also reorganised their work area with a
purpose built welding area and increased storage space. This
ensures they comply with the Occupational Health and Safety
(OH&S) Act.
Food Services
As we all know, the reputation of hospital food can be somewhat
negative! Thankfully at YDHS we have a dedicated team, well lead
by Christine Honey. Food Services caters for all patients and
residents of Yarram and District Health Service, Crossley House
Hostel, Meals on Wheels and various functions held within the
service.
Again it has been a big year. Food Services continue to liaise with
the Dietician, Speech Pathologist, clients and staff, to maintain the
quality of service to residents and patients. The team has achieved
excellent results in a formal Food Safety Audit both within the
health services and Crossley House and is proud to display the
certificates.
In the 2005-2006 year the department:
■
■
■
■
Made 81,000 meals, which includes Meals on Meals and
catering for functions.
Used 3,650 loaves of bread.
Prepared 365 kg of fruit.
Handled 3,285 bags of potatoes.
In March 2006 St. Elmo’s residents’ clothing has been ironed on a
regular basis, which has resulted in an over whelming flood of
■
Used approx 3,650 kg of meat, keeping in mind that all of the
meals are not necessarily meat dishes!
Yarram and District Health Service Annual Report 2006
13

14
Yarram and District Health Service Annual Report 2006

Yarram and District Health Service Annual Report 2006
15

Report on Operations
Human Resources
Human Resources embarked on a number of initiatives to improve
and increase the effectiveness of its function.
These include:
A quick glance at the quantity of items used this year.
■ 14000 aluminium meals on wheels containers.
■ Our patients have breakfasted on 9792 weet bix .
■
Development of a general orientation program, including a
comprehensive checklist to provide new staff with a smooth
transition when joining the Health Service.
■
■
Washed them down with 3744 litres of fruit juice.
60,000 latex gloves have been used.
■
Ongoing monitoring and updating of employee Performance
Appraisal function.
■
3,400 Adaptic dressings have been used.
■
■
■
Development and implementation of ‘Request from a Third
Party for Information’ policy.
Implementation of ‘Consent to Provide Information to a Third
Party’ form.
Development and implementation of an exit interview process,
including an exit questionnaire.
■ Investigation into pay point progression of RN Division 2
Nurses and implementation of a monitoring system to enable
pay point assessment
Futher activities are focusing on workforce strategies, which will
encompass the ageing workforce and the retention of staff.
Stores
The year has seen the full establishment and utilisation of the
State Government’s Health Purchasing Victoria (HPV) ordering
system.
The new system is designed to save money for public hospitals by
using the combined purchasing power of the State’s health
services to provide incentive for suppliers to reduce tender prices
on main stream items and pass savings onto the consumer.
Other improvements that have occurred in the supply department
include:
■ Testing of a walk behind pallet shifter to assist with the
unloading of heavy items to prevent injuries to staff through
manually handling.
■
A number of accreditations have come and gone again this
year and the supply department has received excellent feed
back from the people who have inspected the stores area.
Occupational Health and Safety
The Occupational Health and Safety (OH&S) committee meet
monthly throughout the year and continue to work towards
ensuring a safe work environment for all staff.
The Committee commissioned an OH&S audit by an external
auditor in January 2006. The purpose of the audit was to ensure
Yarram and District Health Service was meeting its requirements
under the revised Act and the Service achieved a 74% compliance
rating. An action plan has since been developed and all priority
one tasks were completed by June 2006.
Membership of the OH&S committee was reviewed and expanded
to include all the designated workgroups and OH&S committee
members were surveyed to ascertain their thoughts on the
structure and frequency of meetings. The exercise resulted in
consensus on the frequency of meetings and enhanced
participation in the committee.
From early 2006, all OH&S minutes and agenda’s were made
available online under “OH&S Information for Staff”.
The Committee was involved in the “Manual Handling in Hospitals
Project”, conducted by Worksafe. No notices were issued to
Yarram and District Health Service.
The Committee investigated 20 hazard reports, revised the
Emergency Management Manuals.
It also liaised with Yarram’s Emergency Services, for example, SES,
CFA and the Police, providing a tour of the health service and
copies of Emergency Manuals so that staff residents, visitors and
patients will be protected in case of an emergency. Deanmac
Emergency Management Consultants provided Fire Equipment
and Emergency Management Training to staff at Yarram and
District Health Service. They also updated all the emergency
management manuals.
16
Yarram and District Health Service Annual Report 2006

Performance Indicators
Workforce 2005-2006 2004-2005 2003-2004
$ EFT $ EFT $ EFT
Administration 599751 10.3 443597 8.4 387021 8.07
Maintenance 168463 2.57 124647 3.8 128252 2.59
Hotel & Allied 392987 12.12 424975 14.8 511434 10.20
Acute 1162054 16.1 1282061 17.2 922796 12.42
Nursing Home 849628 17.53 808337 10.8 497960 12.27
Community 838211 17.1 888898 17.6 820243 19.00
Allied Health 320918 5.7 226716 4.9 232628 5.57
Yarram Medical Centre 871992 7.5 796253 8.9 747106 8.57
Total 5204004 88.92 4995484 86.40 4247441 78.70
Yarram and District Health Service Annual Report 2006
17

Statutory Requirements
Building Act 1993
All buildings of the Health Service comply with the Building Act,
1993. The Health Service has a policy of consulting architects and
engaging registered builders when renovating existing buildings or
constructing new facilities. Plans are submitted to local
government for approval and building permits issued prior to
commencement.
Competitive Neutrality
It is Government policy that the costing policies of publicly funded
organisations should reflect any competitive advantage not
available to the private sector. The Yarram and District Health
Service supports this policy and meets requirements. A number
of services are already outsourced on a competitive basis
including pathology, radiology, security, accounting, pharmacy and
grounds maintenance.
Consultancies
The Yarram and District Health Service has engaged the following
consultants in the 2005/06 financial year:
John Fowler Architects
Masterpiece Consulting
The Health Service has provided the following contracted services:
Whistleblowers Protection Act 2001
The Yarram and District Health Service is committed to the aims
and objectives of the Whistleblowers Protection Act 2001. It does
not tolerate improper conduct by its employees, officers or
members, nor the taking of reprisals against those who come
forward to disclose such conduct.
Yarram and District Health Service recognises the value of
transparency and accountability in its administrative and
management practices and supports the making of disclosures
that reveal corrupt conduct, conduct involving a substantial
mismanagement of public resources, or conduct involving a
substantial risk to public health and safety or the environment.
Yarram and District Health Service will take all reasonable steps to
protect people who make such disclosures from any detrimental
action in reprisal for making the disclosure. It will also afford
natural justice to the person who is the subject of the disclosure.
In line with this, the Yarram and District Health Service has in
place a corporate policy and procedure which comply with the
Act. Since the introduction of the policy the Yarram and District
Health Service has received nil disclosures and has no knowledge
of any disclosures which may/may not have been reported to the
Ombudsman.
■
■
■
■
■
■
Management Services to Crossley House.
Maintenance, linen, food services, stores, community nursing,
allied health and infection control to Crossley House Hostel.
School support services to Yarram and district schools.
Maintenance services to Nightingale Park Society Elderly
Person’s Units, Yarram.
Speech Pathology services to Cooinda Hill Adult Training
Centre, Traralgon.
Speech Pathology Services to St. Mary’s Primary
School, Yarram.
Equal Opportunity Act 1995
The Health Service is subject to the requirements of the Equal
Opportunity Act 1995 and applies appropriate merit and equity
principles in its management of staff. The Health Service expects
all staff to take responsibility for fair, non-discriminatory behaviour.
Freedom of Information Act 1982
The Freedom of Information Officer is the Office Co-ordinator and
together with the Director of Corporate Services has responsibility
for Health Information Management at the Yarram and District
Health Service. During the 2004/05 financial year two requests for
information were received under the Freedom of Information Act
1982. All clients were provided with information.
In addition to requests under the Freedom of Information Act
1982, the Health Service recognises requests for “release of
information” where information is sent directly to a designated
Medical Practitioner for ongoing care. There was one such
request for release of information this year.
18
Yarram and District Health Service Annual Report 2006

Other Information
Donations
The Yarram and District Health Service gratefully
acknowledges the support of individuals, families and
organisations who gave donations of cash or equipment
during the past year.
John Nicol Charitable Trust
Jacobus Wiebenga
Mr. & Mrs. Faulks
Lions Club of Yarram
Farstad Shipping
Rotary Barrel
Town Bus
St Elmo’s Activities Raffles
Donations of Cash and Wheelchair Donated by Waratah
Hospital Auxillary
Yarram Camp Draft
Past Presidents
1916- 1918 Mr. A.H. Moore
1918- 1920 Mr. C.J. Stockwell
1920- 1921 Mr. T.G. McKenzie
1921- 1923 Mr. A.H. Moore
1923- 1928 Mr. W.L. Moore
1928- 1929 Mr. E. Skinner
1929- 1938 Mr. A.H. Moore
1938- 1941 Mr. W. L. Moore
1941- 1954 Mr. A.H. Moore
1954- 1962 Mr. D. McLeod
1962- 1968 Mr. A.R. Anderson
1968- 1970 Mr. M.J. Pearson
1970- 1973 Mr. W.J. Moore
1973- 1984 Mr. S. B. Walpole
1984- 1986 Mr. A. P. Moore
1986- 1989 Mr. W.J. Boddy
1989- 1999 Mr. W.T. Bodman
2000- 2001 Mrs. F. W. Dawson
2001- 2001 Mr. W.T. Bodman
2001- Mrs. J.L. Clarke
Services
The Yarram and District Health Service provides and supports
the provision of a range of services that are designed to meet
the needs of individuals and groups within its catchment
population of approximately 5580 people.
Acute Services
20 bed facility
Medical, Post Surgical and Inpatient rehabilitation
Accident and Emergency Services
Respite care
Maintenance Dialysis
Psychiatric care
Geriatric and Evaluation Management Program
Pre and Post Natal care
Residential Services
St. Elmo’s Nursing Home -15 dementia specific low care beds
and 15 high care beds
Respite
Ancillary Services
Pathology
Visiting Radiology
Pharmacy
Regional Aged Care Assessment Service
Allied Health Services
Balance and Mobility
Cardiac Rehabilitation
Community Rehabilitation
Dietetics
Inpatient Rehabilitation
Occupational Therapy
Personal Alert Victoria
Physiotherapy
Podiatry (Gippsland Foot clinic Pty Ltd)
Prime Movers Exercise Group
Pulmonary Rehabilitation
Social Skills
Speech Pathology
Community Service
Adult Day Activity Support Service (ADASS)
Community Health
Community Nursing
Continence Advisory Service
Commonwealth Emergency Relief Program
Diabetes education
Drug and alcohol Counselling
Falls and Balance Clinic
Family Counselling
Food Services
Health Promotion
Home Care
Home Respite Care
Housing Services
Lung Clinic
Maternity Support
Needle Syringe Exchange Program
Personal Care
Property Maintenance
Psychiatric Disability Rehabilitation and
Support Service (PDRSS)
Psychology
Social Work
Volunteer co-ordination
Welfare Services
Well Women’s Clinic
Community Mental Health Services
Gippsland Psychiatric Services –Co-located service with
Latrobe Regional Hospital.
Self Help/Support Groups
Cardiac, Respiratory and Stroke (CARDS) combined support
group
Arthritis
Cancer
Carers
Diabetes
Yarram and District Health Service Annual Report 2006
19

Personel
Management
Ms. C. Boag - Executive Director (Acting)
Mrs. S. Robertson Executive Assistant
Clinical Services
Director
Mrs. M. Brosche
Clinical Service Administration Support
Mrs. D. Nandha
Quality Co-ordinator
Ms. J. Rash
Staff Development and Training Officer
Ms. J. Rash
Care Co-ordinators
Mrs. M. Ford
Mrs. M. Garland
Mrs. A. Worboys
Infection Control Practitioner &
Clinical Support Nurse
Mrs. K. Hurrell
Registered Nurses Division One
Ms. N. Audrians
Mrs. M. Avery-Sproul
Mrs. J. Barlow
Mrs. L. Blackshaw
Mrs. C. Brown
Mrs. G. Cayzer
Miss J. Chippindall
Mrs. G. Christison
Mrs. D. Cooper
Ms. E. Dielenberg
Ms. M. Elson
Ms. T. Ford
Ms. E. Hopkins
Ms. J. Hugo
Mrs. D. Hunter
Mrs. M. Jacobson
Ms. J. Lawrence
Miss A. Lucas
Mrs. N. Platt
Mrs. S. Stainer
Miss L. Staley
Mr. T. Waugh
Mrs. G. Wilson
Ms. S Trevaskis
Registered Nurses Division Two
Ms. S. Austin
Mrs. L. Braun
Mrs. J. Clarke
Miss J. Clarke
Ms. K. Corn
Ms. J. Donaldson
Mrs. L. Duthie
Mrs. J. Florey
Mrs. M. Kerr
Ms. L. Lloyd
Mrs. L. Lowther
Ms. D. McAlpine
Mrs. C. Mills
Mrs. G. Newton
Miss K. O’Mara
Mrs. R. Packham
Mrs. A. Riches
Mr. I. Sproul
Mr. A. Thomas
Mrs. L. Thunder
Mrs. H. Westwood
Mrs. M. Willis
Personal Care Attendants
Mrs. L. Bennett
Mr. C. Bryant
Ms. A. Holman
Ms. N. Houchen
Mrs. L. Jackson
Mrs. A. Jung
Ms. T. Kovacik
Mrs. T. Kranen
Mrs. J. Lee
Ms. K. Millar
Mrs. B. McAlpine
Mr. R. McLean
Ms. P. O’Neill
Mrs. S. Taylor
Ms. T. Withall
Activities Staff
Ms. J. Bond
Ms. H. Fox
Ms. J. Ishmakovich
Ms. T. Kovacik
Ms. L. O’Neill
Mrs. R. Walker
Director
Mr. S Elvy
Ms E. Williams
20
Yarram and District Health Service Annual Report 2006

Personel
Adult Day Activity Support Services
Ms. L.. O’Neill
Ms. H. Fox
Miss A. Holman
Allied Health
Mr. S. Elvy
Mrs. J. Walters
Clinical Staff
Ms. L. Bland
Miss J. Chippindall
Miss G. Diplock
Mrs. J. Graske
Mrs. S. Hinkley
Miss K. Kaur
Mrs. B. Lynch
Mrs. K. Mason
Miss S. Shepherd
Ms. J. Travers
Mrs. J. Walters
Community Nursing
Mrs. K. Craighead
Registered Nurses Division One
Mrs. M. Barlow
Mrs. J. Finlay
Miss S. Trevaskis
Miss R. Tyler
Registered Nurses Division Two
Mrs. J. Graske
Home and Community Care Services
Mrs. I. Zygarlicki
Direct Care Staff
Mrs. P. Bland
Mrs. L. Bowden
Mrs. S. Cole
Mrs. J. Cook
Mrs. K. Foat
Ms. R. Francis
Mrs. H. Gardiner
Mrs. S. Hinkley
Miss A. Holman
Mrs. B. Knibbs
Mrs. P. McLachlan
Mrs. E. McLeish
Ms M. O’Connor
Mrs. G. Parry
Mrs. V. Porter
Mrs. C. White
Client Services Officer
Ms M. Veneman
Diabetes Education Services
Mrs. M. Barlow
Health Promotion Services
Ms C. McHugh
Community Health
Mrs. A. Kay
Miss R. Tyler
Social Work
Ms. A. Payne
Ms. N. Elswyk
Maternity Support Services
Ms. K. Foat
Mrs. A. Stefani
Maternal & Child Health
Miss J. Chippindall
Youth and Family Services
Ms. J. Coolidge
Mrs. M. Lowa
Staff
Ms N. Anderson
Mr. S. Burgoyne
Ms. K. Disney
Mrs. M. Fraser
Miss. M. Mitchell
Ms D. Owens
Ms. M. Rose
Yarram Medical Centre (Joint Venture)
Medical Officers
Dr. C.P.J. Luiz
Dr. R.K. Nandha
Dr. L.J. Testro
Dr. J. Tseng
Dr. C. Wong
Dr. M. Vujosevic
Practice Manager
Ms. C. Boag
Registered Nurses Division One
Ms K. Foat
Ms. Mary Hopkins
Mrs. K. Norman
Miss R. Tyler
Administrative Staff
Mrs. J. Cunningham
Mrs. J. Moore
Mrs. E. Ripper
Mrs. A. Terhorst
Director
Ms. L. Duncombe
Yarram and District Health Service Annual Report 2006
21

Personel
Office Co-ordinator
Mrs. M. Barnes
Administration Staff
Mrs. S Abernethy
Ms. S Bland
Miss S. Coles
Mrs. J. Cunningham
Ms. M. Seton
Finance and Payroll
Ms. M. Hodgson
Mr. G. Kipps
Ms. M. Rose
Occupational Health and Safety
Mrs. M. Ford
Project Workers
Ms. K. Hansen
Ms. L. Renfree
Youth Enterprise Project
Mr. G. Barnes
Medical Adviser
Dr. C. Winter, MB BS, GMQ, MBA, FACEM
Human Resources/Administration
Ms. L. Forbes
Food and Environmental Services
Mrs. C. Honey
Mrs. A. Smith
Food and Environmental Services Staff
Ms. J. Albert
Mrs. J. Badham
Mrs. N. Barlow
Mr. T. Barlow
Mrs. G. Batson
Ms. M Becker
Mrs. C. Bergervoet
Mrs. V. Bilston
Mr. S. Burgoyne
Mrs. M. Darby
Ms M. Gardner
Ms. M. Galt
Ms. N. Houchen
Mrs. S. Leggett
Mr. N. Merrett
Ms. K. Palling
Mrs. C. Parker
Mr. S. Parker
Mr. T. Peterson
Mrs. V. Ramsay
Mrs. C. Roberts
Mrs. P. Selzer
Mrs. C. Thomas
Ms. J. Travers
Mrs. M. Triantafyllou
Stores Officer
Mr. T. Barlow
Mr. R. Thomas
Engineering and Maintenance Supervisor
Mr. G. Admiraal
Maintenance Staff
Mr. J. Gleeson
Mr. T. Leenen
Mr. E. Smith
Mr. G. Young
22
Yarram and District Health Service Annual Report 2006

Contract Services
Podiatry
Gippsland Foot Clinic Ltd
Dietetics
Central Gippsland Health Service
Ms. K. Inglis Dietitian
Psychology
Murrindindi Counselling
Mr. G. Brewer
Grounds Maintenance
Wellington Shire Council
Medical Records
Gippsland Southern Health Service
Pathology
Gippsland Pathology Service
Mrs. C. Mills
Ms.K. Bretherton
Mrs. S. Brown
Pharmacy
Central Gippsland Health Service
Radiology
Gippsland Diagnostic Service
Mr. M. Coleman, MIR Chief Radiographer
Radiologists
Dr. R. Bain, MBBS FRACR
Dr. D. Black, MBBS FRACR
Dr. R. Brownlee, MBBS FRACR
Dr. K. Stribley, MBBS FRACR
IT Support
Sage Technology
Security
Premier Security Service
Mr. S. Smale
Co-Located Services
Alcohol and Drug Counselling
Latrobe Community Health Alcohol & Drug Service
Community Mental Health Team
Gippsland Psychiatric Services
Mrs. P. Handley
Mrs. M. Treverton
Mrs. N. Sidebottom
Continence Adviser
Dianne Jones
Consumer Affairs
Consumer Affairs Victoria
Yarram and District Health Service Annual Report 2006
23

24
Yarram and District Health Service Annual Report 2006

Notes
Yarram and District Health Service Annual Report 2006
25

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Yarram and District Health Service Annual Report 2006