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Omeo District Health Annual Report 2005/06

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114 th <strong>Annual</strong> <strong>Report</strong> for the<br />

year ended 30 th June 20<strong>06</strong><br />

incorporating the<br />

Consolidated Financial<br />

Statements<br />

“Quality, Care & Commitment”


CONTENTS<br />

<strong>Report</strong> of Operations<br />

About <strong>Omeo</strong> <strong>District</strong> <strong>Health</strong> ......................................................................................... 3<br />

Our Mission / Aim / Objectives .................................................................................. 3<br />

Our Services ..................................................................................................................... 4<br />

Governance Overview.................................................................................................... 5<br />

Board Chair & CEO’s <strong>Report</strong> ........................................................................................ 9<br />

Clinical Services <strong>Report</strong> ............................................................................................... 13<br />

Community Services <strong>Report</strong> ....................................................................................... 15<br />

Support Services <strong>Report</strong>............................................................................................... 19<br />

Organisational Chart .................................................................................................... 22<br />

Workforce Data.............................................................................................................. 23<br />

Building & Maintenance Compliance ....................................................................... 27<br />

Freedom of Information Requests.............................................................................. 27<br />

National Competition Policy....................................................................................... 27<br />

Application and Operation of Whistleblowers Policy............................................ 27<br />

Victorian Industry Participation Policy Disclosure................................................. 27<br />

Service Activity.............................................................................................................. 27<br />

Financial Results............................................................................................................ 28<br />

Financial Statements and Explanatory Notes<br />

Accountable Officer’s, Chief Finance & Accounting Officer’s and Member<br />

of Responsible Body’s Declaration<br />

Auditor General’s <strong>Report</strong><br />

Statement of Financial Performance<br />

Statement of Financial Position<br />

Statement of Cashflows<br />

Notes to and forming part of Financial Statements<br />

2


Our History<br />

When gold was discovered in <strong>Omeo</strong> in 1851,<br />

the isolated communities of <strong>Omeo</strong>, Swifts<br />

Creek, Ensay and Benambra changed<br />

dramatically with the influx of visitors. The<br />

need to build a hospital was identified in<br />

November 1891 with incorporation of the<br />

<strong>Omeo</strong> <strong>District</strong> Hospital (ODH). Care to the<br />

sick and injured commenced in August 1894<br />

until the devastating 1939 bushfires that<br />

destroyed the original building. A new 19<br />

bed hospital was built in 1940 on a new site<br />

and continues to be utilised to provide acute<br />

and residential care.<br />

Services delivered by ODH have been<br />

regularly reviewed to meet the changing<br />

needs of the community. In 1990, the acute<br />

service was reduced to twelve beds and then<br />

further reviews in September 1993 resulted in<br />

major funding changes to see the organisation<br />

provide four registered acute beds and<br />

outpatients department and ten nursing home<br />

places. In July 1997, the construction of a<br />

purpose built four-bed hostel was completed.<br />

In February 2004, construction commenced on<br />

the full redevelopment of the existing hospital<br />

buildings and service areas. The major works<br />

were completed and the official opening of<br />

the new facility held on 9 th December <strong>2005</strong>.<br />

Our Objective<br />

Mission<br />

To promote and enhance the health and<br />

wellbeing of the people of <strong>Omeo</strong> and district.<br />

Aim<br />

To provide the most effective and efficient<br />

physical, emotional and social care possible<br />

through the delivery of services that are<br />

accountable to individual and communities<br />

needs.<br />

Objectives<br />

To ensure the <strong>Health</strong> Service is accessible to<br />

all and continues to develop within a Best<br />

Practice model in response to the<br />

community’s identified need.<br />

To provide a coordinated continuum of health<br />

care to the communities of <strong>Omeo</strong> and district,<br />

encompassing aged and residential care,<br />

community care and appropriate acute<br />

services.<br />

To maximise the health and wellbeing for all<br />

community members.<br />

To provide a well-maintained, safe and<br />

pleasant environment for patients, residents,<br />

staff and visitors.<br />

With the ever changing face of health care, the<br />

Board of Management has continued to<br />

review the services that the organisation<br />

provides and explore innovative ways of<br />

meeting the community’s needs.<br />

3


Our Services<br />

<strong>Omeo</strong> <strong>District</strong> <strong>Health</strong> provides broad-based health and support services to <strong>Omeo</strong>, Benambra,<br />

Swifts Creek, Ensay, Dinner Plain and surrounding districts.<br />

Acute Care<br />

Ancillary Services<br />

4 Acute beds for general medical care Radiology<br />

Emergency stabilisation<br />

Renal Dialysis Unit<br />

Sub-Acute Care<br />

Rehabilitation<br />

Residential Aged Care<br />

10 High Level Care Beds Allied <strong>Health</strong> & Community Services<br />

4 Low Level Care Beds Information and Referral<br />

Respite Care<br />

Diversional Therapy<br />

Aged Care Assessment<br />

<strong>District</strong> Nursing Services<br />

Home Visiting<br />

Palliative Care<br />

Post-Acute Care Program<br />

Respite Care<br />

Equipment Hire<br />

Home and Community Care<br />

Planned Activity Group<br />

Home Care<br />

Personal Care<br />

Meals on Wheels<br />

Home Maintenance<br />

Home Respite<br />

Dental Services<br />

Public Dental Care<br />

Private Dental Service<br />

Medical Services<br />

<strong>Omeo</strong> Medical Centre<br />

Ear Nose & Throat Specialist Consulting<br />

Audiometry Consulting<br />

Use of the Facilities<br />

Optometry Services<br />

Rural Ambulance Victoria<br />

<strong>Omeo</strong> Playgroup<br />

Senior Citizens Meetings<br />

Swifts Creek Community Centre<br />

Community Group Meetings<br />

Counselling / Social Work<br />

Domestic Violence Support<br />

Financial Counselling<br />

Emergency Housing<br />

<strong>Health</strong> Promotion and Education<br />

Youth Program<br />

Physiotherapy<br />

Dietetics<br />

Speech Therapy<br />

Foot Care<br />

Occupational Therapy<br />

Community Care Coordination<br />

Community Education & Development<br />

Diabetes Education<br />

Communities for Children<br />

Supporting Portfolios<br />

Infection Control<br />

Quality<br />

Pathology<br />

Occupational <strong>Health</strong> & Safety<br />

Administration<br />

Maintenance & Gardens<br />

Environmental & Food Services<br />

Visiting Services<br />

Maternal & Child <strong>Health</strong><br />

4


Governance Overview<br />

Board of Management<br />

President<br />

Senior Vice President<br />

Mr Rodney O’Connell<br />

Ms Anne Faithfull<br />

Self Employed Company Director<br />

Administration Manager<br />

Board member since 1990 Board member since 2002<br />

Member of the Finance, Facilities<br />

Member of the Finance & Audit<br />

Project Control and Quality Sub-Committees Sub-Committees<br />

Appointment Expires 31/10/2007 Appointment Expires 31/10/2008<br />

Board Meetings attended – 11/11 Board Meetings attended – 10/11<br />

Treasurer<br />

Ms Ronda Manhire<br />

Mr Phillip Jones<br />

Primary School Teacher<br />

Office Coordinator Board member since 1997<br />

Board member since 2002<br />

Member of the Facilities Sub-Committee<br />

Member of the Finance & Audit Sub-Committees Appointment Expires 31/10/2008<br />

Appointment Expires 31/10/2008 Board Meetings attended – 9/11<br />

Board Meetings attended – 9/11<br />

Mr Ronald Grinter<br />

Mr Russell Pendergast<br />

Self Employed Company Director<br />

Self Employed Farmer Board member since 1991<br />

Board member since 1987<br />

Member of the Facilities Sub-Committee<br />

Member of the Facilities & Quality Appointment Expires 31/10/20<strong>06</strong><br />

Sub-Committees Board Meetings attended – 8/11<br />

Appointment Expires 31/10/2007<br />

Board Meetings attended – 8/11<br />

Mr Evan Newcomen<br />

Self Employed Farmer<br />

Ms Louise Armit Board member since 2002<br />

Solicitor<br />

Member of the Facilities & Project<br />

Board member since 1995<br />

Control Sub-Committees<br />

Member of the Facilities and Quality Appointment Expires 31/10/2008<br />

Sub-Committees Board Meetings attended – 10/11<br />

Appointment Expires 31/10/2007<br />

Board Meetings attended – 8/11<br />

Ms Jeannette Molloy<br />

Director of Corporate Services<br />

Mr Robert Vardy Board Member since 2003<br />

Self Employed Company Director<br />

Member of the Finance, Audit & Medical<br />

Board member since 1997<br />

Appointment Sub-Committees<br />

Member of the Facilities & Project Appointment Expires 31/10/20<strong>06</strong><br />

Control Sub-Committees Board Meetings attended – 8/11<br />

Appointment Expires 31/10/20<strong>06</strong><br />

Board Meetings attended – 8/11<br />

Mrs Diana Foster<br />

Retired School Teacher<br />

Mr David Jenkins Board member since 1991<br />

Secondary College Principal<br />

Member of the Quality & Medical<br />

Board Member since 2002<br />

Appointment Sub-Committees<br />

Appointment Expired 31/10/<strong>2005</strong> Appointment Expires 31/10/2007<br />

Resignation effective 24/<strong>06</strong>/<strong>2005</strong> Board Meetings attended – 7/11<br />

5


Role of the Board of Management<br />

The Board of a public hospital is responsible<br />

for its governance. It is accountable to both<br />

Government and the community that it<br />

serves for ensuring the provision of agreed<br />

services within the resources with which they<br />

are provided. The Board must therefore be<br />

responsive to its staff and the total<br />

community and have a capacity to address a<br />

wide range of policy and management issues.<br />

To fulfil its role, the Board should have<br />

members with a range of appropriate<br />

expertise and experience. The Board adheres<br />

to a Code of Conduct that outlines the role of<br />

governance and conduct for members.<br />

The functions of the Board of Management as<br />

determined by the <strong>Health</strong> Services Act 1988<br />

are:<br />

‣ To oversee and manage the hospital;<br />

and<br />

‣ To ensure the services provided by<br />

the Hospital comply with the<br />

requirements of the Act and the aims<br />

of the organisation.<br />

Governance is achieved by ensuring the<br />

health needs of our community are met<br />

through:<br />

Strategic Planning<br />

The Board ensures the visionary direction of<br />

the hospital is focused and is able to be<br />

implemented and aligned to the mission<br />

statement of the hospital.<br />

Local Policy<br />

To reflect the current standards of service<br />

delivered through timely and appropriate<br />

policy setting.<br />

Effective Management<br />

The Board is responsible for the appointment<br />

of the Chief Executive Officer and Director of<br />

Nursing who, in turn, are responsible for the<br />

effective management and operation of <strong>Omeo</strong><br />

<strong>District</strong> <strong>Health</strong>. Mr Peter Abraham ceased<br />

his contract on 28 th April 20<strong>06</strong> and took up a<br />

CEO position at Boort <strong>District</strong> Hospital. A<br />

recruitment agency (<strong>Health</strong> Recruitment<br />

Specialists) was retained to assist in the<br />

recruitment of a new CEO. The selection<br />

panel consisted of Mr Rod O’Connell<br />

(President), Ms Louise Armit, Ms Jeannette<br />

Molloy and Mr Gary Templeton (CEO of<br />

Gippsland Southern <strong>Health</strong> Services), and the<br />

successful candidate was offered a contract of<br />

employment to commence in August 20<strong>06</strong>. In<br />

the interim, Mr Darren Fitzpatrick undertook<br />

the role of Acting Chief Executive Officer /<br />

Director of Nursing.<br />

Funding Service Agreements<br />

The Board endorses plans, strategies and<br />

monitors the performance of ODH through<br />

appropriate budgetary processes. Board of<br />

Management members are appointed by the<br />

Governor-in-Council, upon the<br />

recommendations of the Minister for <strong>Health</strong>,<br />

Hon. Bronwyn Pike, MP.<br />

In accordance with the By-Laws of <strong>Omeo</strong><br />

<strong>District</strong> <strong>Health</strong>, there are twelve community<br />

positions on the Board of Management.<br />

Members of the Board of Management act in<br />

a voluntary capacity and have not received<br />

fees in the <strong>2005</strong> / 20<strong>06</strong> financial year.<br />

Pecuniary Interest<br />

It is an obligation for Board Members to<br />

declare a pecuniary interest when Board<br />

discussions include matters in which they<br />

have a direct, or indirect, financial or other<br />

interest. There were no occasions during the<br />

year when Board Members declared a<br />

pecuniary interest in connection with Board<br />

deliberations.<br />

6


Finance & Audit Sub-Committees<br />

President<br />

Senior Vice President<br />

Mr Rodney O’Connell<br />

Ms Anne Faithfull<br />

Self Employed Company Director<br />

Administration Manager<br />

Finance Sub-Committee member<br />

Finance & Audit Sub-Committee member<br />

since election of Office Bearers<br />

since election of Office Bearers<br />

on 23 rd November 2004 on 25 th November 2003<br />

Meetings attended this financial year:-<br />

Meetings attended this financial year:-<br />

Finance – 9/10 Finance - 7/10 Audit - 3/4<br />

Treasurer<br />

Mr Phillip Jones<br />

Ms Jeannette Molloy<br />

Office Coordinator<br />

Director of Corporate Services<br />

Finance & Audit Sub-Committee member Finance & Audit Sub-Committee member<br />

since election of Office Bearers<br />

since election of Office Bearers<br />

on 25 th November 2003 on 25 th November 2003<br />

Meetings attended this financial year:-<br />

Meetings attended this financial year:-<br />

Finance – 10/10 Audit - 4/4 Finance - 8/10 Audit - 3/4<br />

Role of the Finance Sub-Committee<br />

The Finance Sub-Committee meetings are held on a monthly basis prior to the Board of<br />

Management meetings to allow for tabling of recommendations for the Board to adopt and<br />

approve. Items discussed on a regular basis include:-<br />

• Refurbishment of Property<br />

• Property Valuation<br />

• Cost of being in a remote area<br />

• Cash Advance Funding<br />

• GST & FBT<br />

• Motor Vehicles<br />

• Financial Improvement Plan<br />

• Payroll and Salary Packaging<br />

• Investment Revenue<br />

• <strong>Annual</strong> Internal & External Audit<br />

• Financial & Structural Review<br />

• CEO Transitional Grant<br />

• Internet Banking & Token Access<br />

• Budgets<br />

Items discussed on a monthly basis include:-<br />

• Statement of Financial Performance<br />

• Statement of Financial Position<br />

• Creditors Payments<br />

• Cash Management Account Analysis<br />

• High Yield Investment Account<br />

Analysis<br />

• Corporate Credit Card Reconciliations<br />

• Cashflow Statements<br />

• Individual Cost Centre <strong>Report</strong>s<br />

Role of the Audit Sub-Committee<br />

The Audit Sub-Committee meetings are held on a bi-monthly basis prior to the Board of<br />

Management meetings to allow for tabling of recommendations for the Board to adopt and<br />

approve. Items discussed on a regular basis include:-<br />

• Financial Risk Management<br />

Compliance Framework<br />

• Internal Auditing<br />

• Tender for Supply of Goods and<br />

Services<br />

• Corporate Policies & Procedures<br />

7


Medical Appointment Sub-Committees<br />

Mrs Diana Foster<br />

Ms Jeannette Molloy<br />

Retired School Teacher<br />

Director of Corporate Services<br />

Medical Appointment Sub-Committee<br />

Medical Appointment Sub-Committee<br />

member since election at Board Meeting<br />

members since election at Board Meeting<br />

on 23 rd May 20<strong>06</strong> on 23 rd May 20<strong>06</strong><br />

Meetings attended this financial year – 1/1 Meetings attended this financial year – 1/1<br />

Role of the Medical Appointment Sub-Committee<br />

The Medical Appointment Sub-Committee meetings are held on an as-need basis, when the<br />

Director of Medical Services, Dr Rick Lowen, arranges to be on-site at ODH. The purpose of these<br />

meetings is to ascertain the credentialing of the General Practitioners and recommend their<br />

appointment to the Board of Management. Items discussed include:-<br />

• Terms of Reference of Sub-Committee • Consideration and recommendations<br />

for appointment of, and granting of<br />

privileges to, Medical Officers –<br />

General Practitioners following their<br />

credentialing process.<br />

8


Board Chair & Chief Executive Officer’s <strong>Report</strong><br />

We take great pleasure in presenting to you<br />

this, the 114 th <strong>Annual</strong> <strong>Report</strong> of <strong>Omeo</strong> <strong>District</strong><br />

<strong>Health</strong>.<br />

In December <strong>2005</strong>, Mr Daniel Andrews,<br />

Parliamentary Secretary for <strong>Health</strong>, officially<br />

opened the new <strong>Omeo</strong> <strong>District</strong> <strong>Health</strong><br />

integrated health care facility. The day was a<br />

wonderful success and marked the<br />

culmination of many years of tireless work by<br />

the Board, staff and the community.<br />

With this great event behind us, ODH has<br />

continued in its determination to provide<br />

effective and efficient health care services to<br />

the community under the ODH Strategic<br />

Plan, 2003 to 2011.<br />

The strategic directions are to:-<br />

• Enhance the services available to the<br />

community<br />

• Deliver quality, accessible and<br />

coordinated care<br />

• Improve the organisations infrastructure<br />

• Engage and educate the community in the<br />

work of the organisation and on<br />

improving their own health and wellbeing<br />

• Ensure the best use of available resources.<br />

Enhancing the Services Available to the<br />

Community<br />

Over the past twelve months ODH has<br />

worked to ensure that existing funded<br />

services are provided to meet the needs of the<br />

community. Strong commitment and<br />

investment in the recruitment and retention<br />

strategies of ODH has ensured that services<br />

continue to be provided at a satisfactory level<br />

of community need.<br />

New innovations in services include the full<br />

management of the <strong>Omeo</strong> Medical Centre and<br />

the establishment of a General Practitioner<br />

service model that provides the community<br />

with choice of doctor as well as providing the<br />

clinicians with an acceptable level of work /<br />

life balance. The introduction of a Speech<br />

Therapy service into the local regions schools<br />

has had a significant impact on improved<br />

childhood, development and the acquisition<br />

of funding to develop future models of<br />

childcare service in the region. ODH also was<br />

fortunate to receive funding under the Rural<br />

Private Access program for the<br />

commencement of Audiology (hearing<br />

testing) services.<br />

We welcome all new staff members to our<br />

service.<br />

ODH has continued to pursue appropriate<br />

funding levels for its aged and acute care<br />

services through close association with both<br />

State and Commonwealth funding bodies.<br />

There has been significant growth in demand<br />

for aged care services over the year<br />

corresponding with the opening of our new<br />

‘Lewington House’ Aged care facility. Aged<br />

care occupancy has averaged 100% with a<br />

significant waiting list developed as a result<br />

of this new facility.<br />

Strong demand for both public and private<br />

dental services has resulted in an increase in<br />

service delivery to six days per month.<br />

With support from the Department of Human<br />

Services, a review of funding levels has been<br />

completed in March 20<strong>06</strong>. The review will<br />

receive ratification and endorsement from<br />

both DHS and the ODH Board for the year<br />

commencing 20<strong>06</strong>/2007.<br />

9


Delivering Quality, Accessible and<br />

Coordinated Care<br />

ODH continues to provide services that are<br />

responsive to community needs. Resident,<br />

patient and client satisfaction and needs<br />

surveying have been conducted at both<br />

scheduled intervals and through<br />

opportunistic surveying throughout the year.<br />

ODH has continued to meet its quality<br />

accreditation requirements through programs<br />

of the Australian Council on <strong>Health</strong> Care<br />

Standards and the Aged Care Standards<br />

Accreditation Council. In December <strong>2005</strong>,<br />

ODH underwent a self assessment process to<br />

ensure that the service continues to<br />

demonstrate improvement in service quality<br />

under the EQuIP national quality<br />

improvement program.<br />

ODH wishes to acknowledge the work of the<br />

Quality Committee in ensuring that high<br />

standard care and quality service delivery has<br />

been maintained and service system<br />

improvement has been achieved.<br />

ODH continuously monitors performance<br />

through both internal and external auditing<br />

mechanisms in the areas of finance and<br />

probity, infection control, food safety,<br />

cleaning, fire protection and Occupational<br />

<strong>Health</strong> and Safety. Results of this auditing<br />

over the past 12 months have demonstrated a<br />

strong commitment to quality and safety.<br />

ODH implements policy and practices that<br />

improve the coordination of services both<br />

internally within ODH and externally<br />

between other agencies. This has resulted in<br />

clients of our service receiving appropriate<br />

and timely referral and treatment options.<br />

Improving the Organisation’s Infrastructure<br />

<strong>2005</strong>/20<strong>06</strong> has seen the practical completion<br />

of a $4.8M capital building program with the<br />

resulting outcome being a fully integrated<br />

health care facility that has resulted in<br />

demonstrated improvement in patient,<br />

resident and client satisfaction with the<br />

facility, as well as improved service<br />

integration and a much improved working<br />

environment for our employees.<br />

The Project Control Group, as well as the<br />

Board and all of our employees are to be<br />

commended on the level of commitment and<br />

dedication they have given to this project. We<br />

also wish to thank Project Supervisor and<br />

principal Architect, Mr Kevin Johnson of<br />

Baade Harbour Australia and Southon<br />

Builders as the project principal contractor.<br />

ODH has also worked to provide essential<br />

equipment to improve service efficiency and<br />

comfort for our residents and patients.<br />

The receipt of funds to install digital<br />

radiology equipment will improve the<br />

timeliness of diagnosis of x-rays, enabling<br />

quicker and more accurate clinical decision<br />

making in emergency situations.<br />

ODH wishes to highlight the significant<br />

contributions made by the SHINE<br />

(Supporting <strong>Health</strong> in New Events)<br />

fundraising and support group of ODH,<br />

which throughout the year has made<br />

significant contributions towards the<br />

purchase of equipment and furniture items<br />

for the service.<br />

10


Engaging and Educating the Community in<br />

the Work of the Organisation and on<br />

improving their own <strong>Health</strong> & Wellbeing<br />

The <strong>Health</strong> Matters Newsletter, distributed to<br />

all households within the catchment<br />

continues to be a valuable resource for the<br />

community in understanding the level of<br />

services available in the community and<br />

providing appropriate health information.<br />

ODH is proud of its relationship with our<br />

catchment community providers, such as<br />

Ensay Community <strong>Health</strong> Centre and Swifts<br />

Creek Bush Nursing Centre and maintains its<br />

regional and state representation as an<br />

independent provider concerned with issues<br />

facing our catchment.<br />

<strong>Health</strong> promotion programs ensure health<br />

and education programs are timely, topical<br />

relevant and accessible.<br />

ODH utilises current information on<br />

population trends, demographics and health<br />

needs to ensure it remains relevant to<br />

community needs.<br />

ODH wishes to express thanks to its<br />

Volunteers who provide support to many of<br />

the services provided, including the Planned<br />

Activity Group, Residential Care Activities,<br />

Volunteer Drivers program and <strong>Health</strong><br />

Promotion activities.<br />

Ensuring the Best Use of Available<br />

Resources<br />

ODH makes the best use of its available<br />

resources. Implementation of a financial<br />

improvement plan has resulted in significant<br />

improvements to our revenue and<br />

expenditure streams. We acknowledge the<br />

work and efforts of Mr Peter Fiddian and Ms<br />

Jenny Hanrahan in providing Finance<br />

management services to ODH.<br />

We also wish to acknowledge the work of the<br />

ODH Finance & Audit Committee in ensuring<br />

compliance with financial and auditing<br />

accountability.<br />

ODH is fortunate to have a dedicated and<br />

committed employee group provide an<br />

exceptional level of care and support to<br />

residents, patients, carers, clients, the<br />

community and to their co-workers. We are<br />

extremely grateful to our team for the efforts<br />

they have made during this last year in<br />

adapting to their new working environment.<br />

The ODH Board would like to acknowledge<br />

the work of Mr Darren Fitzpatrick as both<br />

Clinical Care Manager, and more recently, as<br />

Chief Executive Officer / Director of Nursing<br />

(Acting). We would also like to acknowledge<br />

the work of Ms Marijs Last as Community<br />

Care Manager.<br />

The Board also wished to convey its thanks to<br />

Mr Peter Abraham, in his role as Chief<br />

Executive Officer / Director of Nursing from<br />

May 2003 to May 20<strong>06</strong>.<br />

ODH continues to place great emphasis on<br />

the continued development of its professional<br />

team through the provision of ongoing<br />

educational opportunities that are both<br />

innovative and responsive to demonstrated<br />

community and individual needs. Board and<br />

employee performance has been closely<br />

monitored to ensure that competency is<br />

maintained.<br />

We sincerely thank Dr Ludwik Prokopowicz,<br />

in his role as General Practitioner from June<br />

2003 to January 20<strong>06</strong> for his commitment to<br />

the provision of quality clinical services to our<br />

communities. We also wish to commend Dr<br />

Ian Seymour on his dedication to our<br />

communities as a locum General Practitioner.<br />

11


We welcome our new General Practitioners to<br />

our team and thank them for their continued<br />

support to ODH.<br />

We would also like to welcome Dr Rick<br />

Lowen to his role as Director of Medical<br />

Services at ODH.<br />

We extend our appreciation to Dr Martin<br />

Gelin for his continued dedication to the<br />

provision of community dental services.<br />

We continue to enjoy a close working<br />

relationship with Rural Ambulance Victoria<br />

and welcome Ms Lindley Jones to the role of<br />

Rural Ambulance Paramedic Support Officer<br />

at <strong>Omeo</strong> Rural Ambulance.<br />

Finally, we wish to extend our gratitude to<br />

the members of the <strong>Omeo</strong> <strong>District</strong> <strong>Health</strong><br />

Board. All members give their valuable time<br />

as community members who have an interest<br />

in improving the range and quality of health<br />

services provided to the community. We<br />

acknowledge the work of Mr Rodney<br />

O’Connell, Board Chair for his commitment<br />

and dedication to the role, and to all Board<br />

members who strive to ensure the ongoing<br />

future and success of ODH.<br />

In Conclusion<br />

In <strong>2005</strong>-20<strong>06</strong>, ODH has again met with many<br />

new and exciting challenges.<br />

ODH has continued to provide the most<br />

effective and efficient physical, emotional and<br />

social care possible through the delivery of<br />

services that are accountable to individual<br />

and communities needs. The efforts of the<br />

Board, staff and community to support and<br />

adapt to such change and has been<br />

exceptional. We look forward to the 20<strong>06</strong>-<br />

2007 year and the challenges that will present<br />

<strong>Omeo</strong> <strong>District</strong> <strong>Health</strong> in the provision of<br />

integral health resources for the region it<br />

serves.<br />

Rodney O’Connell<br />

President, Board of Management<br />

Peter Abraham<br />

Chief Executive Officer /Director of Nursing<br />

(to 28 April 20<strong>06</strong>)<br />

Darren Fitzpatrick<br />

A/g Chief Executive Officer /Director of Nursing<br />

(from 1 May 20<strong>06</strong>)<br />

12


Clinical Services<br />

<strong>Omeo</strong> <strong>District</strong> <strong>Health</strong>’s Clinical Services area<br />

has continued to provide a vast array of<br />

services to a broad community by a dedicated<br />

and caring team during the past year.<br />

The implementation of a clinical manager in<br />

addition to a nurse unit manager saw major<br />

improvement in staff practice and approach.<br />

More independent practice and increased<br />

accountability has been the most glowing<br />

improvement.<br />

It has also allowed an increased ability to<br />

participate in governance and quality<br />

activities. Of most note is <strong>Omeo</strong>’s<br />

participation in the finalising of the Public<br />

Sector Residential Aged Care Key<br />

Performance Indicator project. Rollout of the<br />

revised indicators has seen education<br />

undertaken to Public Sector Residential Aged<br />

Care Facilities and adoption of five consistent<br />

Quality Indicators across the public sector.<br />

This will not only see more consistent<br />

practice within <strong>Omeo</strong>, but also for all public<br />

aged care facilities. I would like to thank the<br />

nursing staff locally for their enthusiasm and<br />

contribution, the other aged care facilities<br />

involved in the trial project and the<br />

Department of Human Services, Residential<br />

Care Strategy Branch, for their ongoing<br />

support and persistence in achieving this<br />

milestone.<br />

The finalisation of building works at ODH<br />

has seen the completion of all relocation<br />

activities. This has enabled improved access<br />

to all ambulatory services and shown marked<br />

improvement in integration of services from<br />

closer proximity.<br />

We continue to enjoy a close working<br />

relationship with Rural Ambulance Victoria<br />

and welcome Ms Lindley Jones to the role of<br />

Rural Ambulance Paramedic Support Officer<br />

at <strong>Omeo</strong>. The acquisition of Lindley has seen<br />

an improved and more consistent integration<br />

between working relationships between RAV<br />

and ODH.<br />

Successful application, through the targeted<br />

equipment program, has seen the allocation<br />

of funding and the purchase of new state of<br />

the art digital x-ray equipment. Whilst still<br />

awaiting delivery of this item it promises to<br />

further streamline the ability of our service to<br />

undertake investigative procedures in a more<br />

timely and safer fashion than our previous<br />

equipment.<br />

Education continues to be an area that staff<br />

show great enthusiasm and commitment.<br />

Participation in the East Gippsland Education<br />

Consortia program have covered areas<br />

including:-<br />

• Male catheterisation<br />

• Mental <strong>Health</strong> 1 st Aid<br />

• Palliative Care<br />

• ECG Interpretation and Advanced life<br />

Support.<br />

• Wound Care.<br />

We were also fortunate to be able to upgrade<br />

our Resuscitation doll through the program<br />

from “Resus. Annie”, who was approaching<br />

20 years of age and use, to an ALS Skilltrainer<br />

200.<br />

Staff attendance at these programs has seen<br />

staff return and implement change to current<br />

practice to ensure that we provide the most<br />

up to date practice. Palliative care in<br />

particular has been most valid, as we have<br />

witnessed an unusual demise of a number of<br />

our community members. This is a task that<br />

is onerous and taxing on staff in small<br />

communities but also rewarding in knowing<br />

the best practice had been applied in caring<br />

for the person and their families.<br />

Other Education to which staff have<br />

committed their time, undertaken and<br />

contributed to improving in the last twelve<br />

months include:-<br />

• Certificate IV in workplace training<br />

• Critical Incident Stress Management<br />

• First Line Management Development<br />

Program<br />

13


• Management Development program<br />

• Wound Management<br />

• Trauma Nursing care Course<br />

• Risk management, nursing and the<br />

law.<br />

• ACHS integrating the EQuIP<br />

functions<br />

• ACHS Governance Matters<br />

• Management of Type 2 Diabetes<br />

• “Stop the Silence” workshop<br />

• Palliative care, Loss, grief and<br />

bereavement<br />

• Advanced Cardiac Life Support<br />

• Dementia Behaviour, Management<br />

and Care.<br />

• Continence Education seminar.<br />

Staff members are to be congratulated and<br />

commended on their participation in these<br />

education sessions and for bringing the<br />

information back to improve the care of the<br />

residents, patients, staff and carers.<br />

Congratulations and gratitude is extended to<br />

staff, representatives, and volunteers of the<br />

following areas for their ongoing support,<br />

assistance, dedication and commitment over<br />

the last year.<br />

• The Board of Management<br />

• Clinical Care<br />

• Community Care<br />

• <strong>Omeo</strong> Medical Centre<br />

• Support Services<br />

• Continuous Quality Improvement<br />

Coordinator<br />

• Occupational, <strong>Health</strong> and Safety<br />

Representatives<br />

• S.H.I.N.E. (Supporting <strong>Health</strong> in New<br />

Events)<br />

Darren Fitzpatrick<br />

Manager – Clinical Care<br />

14


Community Services<br />

Community Services comprises of allied<br />

health services funded through the Regional<br />

Heath Service program and the Multi Purpose<br />

Centre program; and <strong>District</strong> Nursing and<br />

Home Care Services both funded by the<br />

Home and Community Care program.<br />

Additional community services include the<br />

administration of Transitional Housing<br />

(Emergency House) and the volunteer<br />

program.<br />

<strong>Omeo</strong> <strong>District</strong> <strong>Health</strong> has embraced the ‘social<br />

model of health’ as its approach to health<br />

services across the board. This approach<br />

recognises that ‘health’ is a complex<br />

interaction of the following determinants:-<br />

• Income and social status.<br />

• Social support networks.<br />

• Education.<br />

• Employment.<br />

• Social environment.<br />

• Physical environment.<br />

• Personal health practices and coping<br />

skills.<br />

• <strong>Health</strong>y child development.<br />

• Biological and genetic endowment.<br />

• <strong>Health</strong> services.<br />

• Gender.<br />

• Culture.<br />

• Rurality.<br />

ODH Community <strong>Health</strong> Services have<br />

strong links with East Gippsland Primary<br />

Care Partnership at a regional level, and at a<br />

local level works in collaboration with such<br />

services as Swifts Creek Bush Nursing Centre,<br />

Ensay Community <strong>Health</strong> Centre, Swifts<br />

Creek Community Centre, Benambra<br />

Neighbourhood House, Rural Ambulance<br />

Victoria, TAFE Outreach, and local primary<br />

and secondary schools.<br />

The move into the new facility in December<br />

<strong>2005</strong> has greatly improved and streamlined<br />

community service operations with the<br />

centralised location resulting in easier client<br />

access, and improved communication and<br />

referrals between services. The new meeting<br />

space has allowed for improved opportunities<br />

to interact with external agencies and the easy<br />

access to the video-conferencing facilities had<br />

resulted in increased participation in wider<br />

regional community health forums.<br />

<strong>District</strong> Nursing<br />

The <strong>Omeo</strong> <strong>District</strong> Nursing Service aims to<br />

deliver a high quality home based nursing<br />

service to the local community. Services<br />

include direct clinical care, clinical assessment<br />

and the provision of information and<br />

education.<br />

The position has been shared on a permanent<br />

part time basis between three nurses over the<br />

reporting period. Both client numbers and<br />

staffing have been steady.<br />

Counselling<br />

A significant demand for counselling services<br />

has been maintained during the <strong>2005</strong>-<strong>06</strong><br />

period. Depression and anxiety related<br />

disorders remain the most common reason for<br />

clients seeking service. Referral relationships<br />

have bee strengthened, in particular referrals<br />

to the Counsellor from GP’s has seen a<br />

notable increase.<br />

A service gap was identified by the local<br />

schools and an agreement was formed for the<br />

Counsellor to provide specific counselling to<br />

school aged children. This extension of<br />

service saw the position grow from 3.5 days<br />

to 4 days per week.<br />

A chronic pain self-management group was<br />

commenced, and has been well supported by<br />

participants.<br />

15


The service maintains strong links with other<br />

agencies such as Bairnsdale Primary Mental<br />

<strong>Health</strong> Service and Gippsland Lakes<br />

Community <strong>Health</strong> Drug & Alcohol Service.<br />

Emergency Housing<br />

ODH undertakes a coordination role for the<br />

<strong>Omeo</strong> <strong>District</strong> Transitional House on behalf of<br />

Community Housing Limited.<br />

Staff also have the option of issuing short stay<br />

motel vouchers for crisis accommodation.<br />

The use of the transitional house increased<br />

this year due largely to the role of the<br />

Counsellor in identifying appropriate clients<br />

with housing issues.<br />

Home Care<br />

The home care program is aimed at assisting<br />

frail aged people and people with disabilities<br />

to remain living independently at home in a<br />

community environment.<br />

Services encompassed by the Home Care<br />

service include:-<br />

• Housekeeping,<br />

• Personal care,<br />

• Respite care,<br />

• Home maintenance, and<br />

• Meals on Wheels.<br />

In the first full year of operation at ODH,<br />

having transferred from Gippsland Lakes<br />

Community <strong>Health</strong> in April <strong>2005</strong>, the home<br />

care program provided services to 68 clients.<br />

The service is provided by 10 part time home<br />

care workers across the district and<br />

administered by a 0.7EFT coordinator role.<br />

A client survey conducted in August <strong>2005</strong><br />

showed a high level of satisfaction in the<br />

quality of the service, and also in the process<br />

of transition of the program from Gippsland<br />

Lakes Community <strong>Health</strong> to <strong>Omeo</strong> <strong>District</strong><br />

<strong>Health</strong>.<br />

Planned Activity Group<br />

The planned activity group program is aimed<br />

at the Home & Community Care target group<br />

(frail aged persons and people living with<br />

disabilities in the community). The program<br />

operates in <strong>Omeo</strong> one day per week and<br />

provides opportunities for social interaction,<br />

outings, organised activities, and includes the<br />

provision of a healthy meal.<br />

The input of volunteers is an invaluable<br />

contribution to planned activity group both in<br />

transportation of participants to the venue<br />

and assisting with activities and food<br />

preparation on the day.<br />

The group trialed a session at the Albion<br />

Hotel in Swifts Creek earlier this year. This<br />

was a successful trial and is likely to be<br />

repeated on a regular basis in the future.<br />

Occupational Therapy<br />

The main aim for occupational therapy<br />

services in the community health team is to<br />

facilitate independent living in the<br />

community, particularly for people with<br />

health problems or restrictions due to<br />

disability or frailty.<br />

Interventions include:-<br />

• Home safety and home modification<br />

assessments,<br />

• Specialist equipment provision,<br />

• Increasing physical access to public<br />

facilities,<br />

• Advice on management of particular<br />

disorders,<br />

• Support for carers, and<br />

• A broad health promotion focus such<br />

as health education and provision of<br />

gentle exercise programs.<br />

16


Physiotherapy<br />

<strong>Omeo</strong> <strong>District</strong> <strong>Health</strong> continued its<br />

collaborative arrangement with Orbost<br />

Regional <strong>Health</strong> to share the services of a full<br />

time physiotherapist. Bairnsdale Regional<br />

<strong>Health</strong> has assisted with the role in providing<br />

necessary professional supervision and<br />

support.<br />

The arrangement has allowed for consistency<br />

in the provision of clinical physiotherapy<br />

services. A regular outreach service was<br />

provided in Swifts Creek.<br />

Additional activities included establishment<br />

of a gentle exercise program at Benambra, a<br />

continue focus on falls prevention and<br />

development of a manual handling education<br />

program for ODH staff and community<br />

groups.<br />

Diabetes Education<br />

This service continues to be provided one day<br />

per fortnight with outreach services and<br />

home visit services to all towns in the district.<br />

The service provides education, screening and<br />

monitoring for people with Type 1 and 2<br />

diabetes and also has a strong health<br />

prevention focus to highlight awareness of<br />

pre-diabetes risk factors and positive health<br />

lifestyle choices needed to help reduce the<br />

incidence of the disease. The diabetes<br />

educator has worked closely with the visiting<br />

dietician, the local General Practitioner, the<br />

health promotion worker and community<br />

nurses.<br />

Chronic disease management is a high<br />

priority of the East Gippsland Primary Care<br />

Partnership and the <strong>Omeo</strong> district diabetes<br />

educator has maintained strong links with<br />

this regional organisation to ensure that local<br />

services are consistent with current disease<br />

management theory.<br />

Speech Therapy<br />

After a considerable gap in service due to a<br />

lack of staff available on a contract basis<br />

through Bairnsdale Regional <strong>Health</strong> Service,<br />

ODH collaborated together with Gippsland<br />

Lakes Community <strong>Health</strong> and the cluster of<br />

schools in the <strong>Omeo</strong> and Lakes Entrance<br />

districts to create a full time shared speech<br />

therapy position. This position was filled<br />

from January 20<strong>06</strong>, and the service was well<br />

used, particularly by the early childhood<br />

population. The service was offered as a<br />

regular outreach service to the three schools<br />

and two kindergartens in the district.<br />

Dietetics<br />

Dietetics services are provided on a contract<br />

basis through Bairnsdale Regional <strong>Health</strong><br />

Service, one to two days per month.<br />

The service provides advice on general<br />

nutrition and nutritional issues related to<br />

illness and specific conditions. In addition,<br />

the Dietician has provided health promotion<br />

activities such as supermarket ‘nutrition’<br />

tours, and educational presentations to<br />

schools, ODH staff and community groups.<br />

The program has seen a steady increase in<br />

client numbers as the community becomes<br />

more aware of the benefits of consulting a<br />

Dietician.<br />

Youth Services<br />

Youth services continue to be provided two<br />

days per week. The service looks to improve<br />

the environment for young people in the area<br />

by focusing on training in work readiness,<br />

improving access to social activities locally<br />

and regionally, increasing community<br />

connectedness and peer support, and working<br />

together with other organisations such as the<br />

Secondary College to target current issues<br />

such as alcohol and substance abuse,<br />

domestic violence, depression and eating<br />

disorders.<br />

17


In 20<strong>06</strong> the service adopted a focus on the<br />

early childhood years. As part of the regional<br />

“Communities for Children” project, ODH<br />

was asked to carry out a pilot program to<br />

identify unmet childcare needs in the district<br />

and investigate possible solutions.<br />

Foot Care<br />

Foot care services continued to be provided<br />

on a one-day per month basis with a qualified<br />

foot care technician. The service alternates<br />

venues between <strong>Omeo</strong> and Swifts Creek /<br />

Ensay. Services provided include fingernail<br />

and toenail trimming and foot massage.<br />

<strong>Health</strong> Promotion<br />

This role aims to ensure that the health<br />

outcomes of the community are improved<br />

through the provision of education and health<br />

promotion activities to schools, groups and<br />

individuals.<br />

Target areas for health promotion have been:-<br />

• Increasing participation in physical<br />

activity,<br />

• Men’s health,<br />

• Women’s health,<br />

• Mental health,<br />

• Cancer,<br />

• Asthma, and<br />

• <strong>Health</strong> lifestyle promotion.<br />

Volunteers<br />

<strong>Omeo</strong> <strong>District</strong> <strong>Health</strong> has a small but<br />

dedicated pool of volunteers. They<br />

provide support and assistance in the<br />

following areas:-<br />

• Transport of clients to health services<br />

offered by <strong>Omeo</strong> <strong>District</strong> <strong>Health</strong>,<br />

• Assistance with Planned Activity<br />

Group,<br />

• Assistance to residential diversional<br />

therapy program,<br />

• Assistance in the residents’ dining<br />

room, and<br />

• Delivery of meals in the Meals On<br />

Wheels program.<br />

The contribution of volunteers in the<br />

operation of both residential and community<br />

based programs is greatly appreciated.<br />

Marijs Last<br />

Manager – Community Care<br />

The health promotion worker works closely<br />

with local agencies such as the<br />

neighbourhood houses and regional agencies<br />

such as East Gippsland Primary Care<br />

Partnership to develop a strong partnership<br />

approach, and to ensure targeted areas of<br />

activity remain relevant.<br />

18


Support Services<br />

Support Services encompasses the following<br />

services:<br />

• Public & Private Community Dental<br />

• Visiting Medical / Specialist<br />

• Catering<br />

• Domestic Cleaning<br />

• Administration<br />

• Finance / Human Resources<br />

• Maintenance / Facilities / Grounds<br />

• Information Technology &<br />

Management<br />

In <strong>2005</strong>-20<strong>06</strong>, many of the support services<br />

have undergone significant change through<br />

relocation of services to the completed Stage 2<br />

building, Primary Care Wing. <strong>Omeo</strong> Medical<br />

Centre, Community Services, Administration,<br />

and Management have all adapted well to<br />

new facilities.<br />

Public & Private Dental Services<br />

The community dental program continues to<br />

grow as demand continues to increase for<br />

public and private Dental Services. <strong>Omeo</strong> is<br />

serving the needs of not just local clients but<br />

also many clients from further afield.<br />

DHSV has again significantly contributed to<br />

their investment in dental health with the<br />

provision of new X-Ray developing<br />

equipment to compliment the new X-Ray that<br />

was supplied and installed last year.<br />

Heightened demand and improved service<br />

efficiency has resulted in more clients<br />

receiving oral health at <strong>Omeo</strong> than in<br />

previous years.<br />

<strong>Omeo</strong> Medical Centre<br />

The resignation of the sole General<br />

Practitioner from the <strong>Omeo</strong> Medical Centre at<br />

the end of January 20<strong>06</strong> saw an innovative<br />

General Practice Model introduced at ODH.<br />

In an era of chronic Doctor shortages in rural<br />

areas, with the support from Rural Workforce<br />

Agency Victoria (RWAV) and the East<br />

Gippsland Division of General Practice, a<br />

marketing strategy was employed to target<br />

semi-retired, experienced GP’s who wished to<br />

remain active in the GP workforce but not be<br />

exposed to a rigorous full time workload.<br />

The program involves employment of five<br />

GP’s working on a rotational roster of<br />

anywhere between one to four week stints at<br />

the <strong>Omeo</strong> Medical Centre, together making<br />

up one effective full-time employee.<br />

The idea stemmed from the difficulties faced<br />

by GP’s, often sole GP’s, taking on work<br />

commitments of long hours with limited<br />

opportunities for peer support and regular<br />

breaks.<br />

The flexibility of this program means that the<br />

Doctors can pursue other interests whilst<br />

maintaining a level of professional<br />

involvement.<br />

<strong>Omeo</strong> Medical Centre staff should be proud<br />

of their involvement in this unique program.<br />

Congratulations were certainly in order on<br />

achieving their AGPAL accreditation within a<br />

short time frame since commencement and<br />

when combined with a recently relocated<br />

Medical Centre adding to the difficulty in<br />

achieving timelines in this process, their<br />

dedication was certainly appreciated.<br />

19


Visiting Medical / Specialist<br />

The specialist consulting services consists of<br />

an Ear, Nose and Throat as well as a head and<br />

neck surgeon. We have been fortunate to<br />

expand the service to include the provision of<br />

audiology services to compliment the work of<br />

the consultant. This service is conducted in<br />

conjunction with the <strong>Omeo</strong> Medical Centre.<br />

ODH continues to utilise the services of our<br />

Director of Medical Services. This year we<br />

have achieved credentialing and privileging<br />

of all our General Practitioners. The Director<br />

of Medical Services has been instrumental<br />

with his assistance and direction in this<br />

process and applications for funding that may<br />

have otherwise been overlooked.<br />

Catering Services<br />

An external food audit was conducted in May<br />

20<strong>06</strong> with results clearly demonstrating the<br />

continued delivery of a high level of catering<br />

services and compliance with regulatory<br />

guidelines. Recommendations from this audit<br />

have been adopted for service improvement.<br />

Domestic / Cleaning Services<br />

An external cleaning audit was conducted in<br />

May 20<strong>06</strong> demonstrating the high standard of<br />

our cleaning services. In what have been<br />

difficult times, with completion of building<br />

works, it is a credit to this service area in<br />

maintaining their efficiency and pride in the<br />

delivery of their service.<br />

Administration (Reception /Support)<br />

The Administration team has continued to<br />

deliver high quality and effective support<br />

services to Management and Staff of ODH.<br />

Many challenges have been overcome<br />

including the final relocation of services,<br />

compliance with changing reporting<br />

requirements / contractual arrangements,<br />

and ensuring public and staff awareness has<br />

been maintained in respect of access and<br />

entry issues as a result of the completed<br />

infrastructure and relocation of services.<br />

Finance / Human Resources<br />

Independent finance services at ODH have<br />

been retained, having commenced in the<br />

2004/<strong>2005</strong> financial year. Since introduction<br />

ODH has managed to maintain regulatory<br />

financial compliance and meet all reporting<br />

requirements. Review of financial policy and<br />

procedure documentation, in line with results<br />

of auditing processes, has been undertaken to<br />

meet with Financial Compliance Framework<br />

requirements.<br />

Human resources, supported by external<br />

bodies, such as the VHIA and Bairnsdale<br />

Regional <strong>Health</strong> Services has continued to be<br />

provided in a high, efficient and timely<br />

manner to staff and clients.<br />

Maintenance / Facilities / Grounds<br />

The finalisation of building works has seen<br />

the maintenance service liaise with the<br />

contractors and consultants on behalf of ODH<br />

to ensure that the newly developed health<br />

service meets the needs of our staff and<br />

services. The scope of the maintenance service<br />

also continues to expand with ODH<br />

undertaking home maintenance work as part<br />

of the <strong>Omeo</strong> <strong>District</strong> <strong>Health</strong> Home Care<br />

Program. Other work has included the<br />

upgrading and maintenance of the ODH<br />

houses, repair and maintenance of ODH<br />

infrastructure and equipment and<br />

maintaining, testing and auditing of critical<br />

equipment.<br />

Occupational <strong>Health</strong> and Safety<br />

The Occupational <strong>Health</strong> and Safety<br />

representatives have provided effective<br />

service for our staff. This is evident by our<br />

monitoring of staff incidents showing no<br />

needle stick injuries, only three manual<br />

handling incidents (that resulted in no loss of<br />

time, nor injury to staff members), six<br />

physical abuse incidents that ranged from<br />

hair pulling to pinches from elderly residents<br />

(again resulting in no loss of time or long<br />

term injury to staff members) and three<br />

episodes of verbal abuse from residents.<br />

20


Educational initiatives as a result from this<br />

monitoring has seen legal issues in nursing<br />

offered to nursing staff members and support<br />

offered for staff to attend dementia in-service<br />

training.<br />

Information Technology & Management<br />

The provision of IT support services remains<br />

contracted with Sage Technologies.<br />

Improvements made to the infrastructure and<br />

the maintenance of this system has seen little<br />

to no interruptions to service over the last<br />

year. Our backup system has been<br />

maintained and has been running most<br />

consistently. The quality of the maintenance<br />

and viral scanning software has been well<br />

demonstrated by the decrease in the amount<br />

of hours that we are utilising for this service.<br />

Systemic purchase of new equipment<br />

continues to be undertaken to ensure that<br />

vital information is not put at risk of<br />

corruption and can be accessed more readily<br />

by the appropriate personnel. The use of<br />

videoconferencing equipment has become<br />

more widely accepted practice through the<br />

Gippsland <strong>Health</strong> Alliance network for<br />

attendance at meetings. This has been of<br />

major benefit to ODH as it has not only<br />

reduced the amount of travel time and<br />

traveling costs but also enables representation<br />

of our service.<br />

Darren Fitzpatrick<br />

A/g Chief Executive Officer / Director of Nursing<br />

21


20<strong>06</strong><br />

ORGANISATIONAL CHART – 200<br />

OMEO OMEO DISTRICT DISTRICT HEALTH<br />

HEALTH<br />

ORGANISATIONAL CHART<br />

<strong>2005</strong>/200<br />

Support Services<br />

CEO / DON<br />

• Reception<br />

• Admin Support<br />

• Catering<br />

• Cleaning<br />

• Maintenance<br />

• Gardening / Ground<br />

• Finance / HR<br />

• Payroll<br />

• IT Services<br />

• Dental Services<br />

Community<br />

Board of Management<br />

Chief Executive Officer /<br />

Director of Nursing<br />

Sub-Committees:<br />

• Finance<br />

• Audit<br />

• Project Control Group<br />

• Quality Improvement<br />

• Facilities Management<br />

• Medical Appointment<br />

• Fundraising Support Group<br />

<strong>Omeo</strong> Medical Centre<br />

CEO / DON<br />

Manager –<br />

Clinical Care<br />

Manager –<br />

Community Care<br />

• Reception<br />

• Admin Support<br />

• Practice Nurse<br />

• Medical Officers /<br />

General Practitioners<br />

• Visiting Ear Nose &<br />

Throat Specialist<br />

• Visiting Audiometry<br />

Consultant<br />

• Nurse Unit Manager<br />

• Acute Care<br />

• Residential Care<br />

• Personal Care<br />

• Stabilisation<br />

• Clinical Education<br />

• Quality Improvement<br />

• Infection Control<br />

• Clinical Risk Mgmt<br />

• Diversional Therapy<br />

• <strong>Health</strong> Promotions<br />

• Physiotherapy<br />

• Youth Employment<br />

• Social Work<br />

• Occupational Therapy<br />

• <strong>District</strong> Nursing<br />

• Planned Activity Group<br />

• Speech Pathology<br />

• Dietetics<br />

• Foot Care<br />

• Home & Community Care<br />

• Volunteers<br />

22


Chief Executive Officer / Director of Nursing<br />

Mr Peter Abraham (to May 20<strong>06</strong>)<br />

Dip App Sc (Nur), Grad Dip Remote <strong>Health</strong>, Grad<br />

Dip <strong>Health</strong> Admin, AFACHSE<br />

Workforce Data - Our People<br />

Chief Executive Officer / Director of Nursing (Acting)<br />

Mr Darren Fitzpatrick (from May 20<strong>06</strong>)<br />

General Practitioners<br />

Dr I Seymour<br />

(MB.BS, Hons)<br />

Dr G McCallum<br />

(MB.BS, FACRRM)<br />

Dr G McIntosh<br />

(MB.BS)<br />

Dr L Prokopowicz<br />

(MB.BS)<br />

Dr R Alexander<br />

(MB.BS, Dip Obs RCOG, FRACGP,<br />

Dip Palliative Care)<br />

Ear Nose & Throat Specialist<br />

Professor A Sizeland<br />

(MB.BS, PhD, FRACS)<br />

Audiometry Consultant<br />

Ms H Nicholson<br />

(BA (Hons), Dip. Aud)<br />

Finance<br />

Mr P Fiddian<br />

(FCA)<br />

Dental Practitioner<br />

Dr M Gelin<br />

(S.G.Z.Frieb.D., BDS.Sto.S.)<br />

Clinical Services<br />

Manager – Clinical Services Casual Registered Nurses (Div 1)<br />

Mr D Fitzpatrick<br />

Ms G Blennerhassett<br />

Ms A Connley (to Sept <strong>2005</strong>)<br />

Nurse Managers Ms A Connley (from Nov <strong>2005</strong>)<br />

Ms L Disney<br />

Ms M Connley<br />

Ms T Sedgman (from March 20<strong>06</strong>) Ms S Cordery (to Sept <strong>2005</strong>)<br />

Ms C Onslow (from Sept <strong>2005</strong>)<br />

Associate Charge Nurses<br />

Ms Y Symons<br />

Ms T Crowe<br />

Ms S Vardy<br />

Ms A Dmytrenko<br />

Ms L Gilmore<br />

Night Duty Nurses (Div1)<br />

Ms H Kewish<br />

Ms P Leon<br />

Ms C Overy (to Jan 20<strong>06</strong>)<br />

Ms Z Pendergast<br />

Ms T Sedgman<br />

Ms K Sheehan (from April 20<strong>06</strong>) Medical Centre Practice Nurses (Div 1)<br />

Ms Z Pendergast<br />

Ms W Seymour (Casual)<br />

23


Registered Nurses (Div 2) Night Duty Nurse (Div 2)<br />

Ms J Cini (from Feb 20<strong>06</strong>)<br />

Ms J Connley<br />

Ms M Connally<br />

Ms C Douglass (to Feb 20<strong>06</strong>) Casual Registered Nurses (Div 2)<br />

Ms C Faithfull Ms B Flannagan (from Jan 20<strong>06</strong>)<br />

Ms B Flannagan (to Jan 20<strong>06</strong>)<br />

Ms A Higgins<br />

Diversional Therapist<br />

Ms J Jenkins<br />

Ms P Carruthers<br />

Ms A Kissane<br />

Ms K Mackey<br />

Ms T McArthur (to Aug <strong>2005</strong>)<br />

Ms T McArthur (from Feb 20<strong>06</strong>)<br />

Ms L McGregor (to Jan 20<strong>06</strong>)<br />

Ms A Thorburn<br />

Ms H Whelan (from Dec <strong>2005</strong>)<br />

Support Services<br />

Administrative Assistants<br />

Finance/HR Assistant<br />

Ms T AhSam (from Feb 20<strong>06</strong>)<br />

Ms J Hanrahan<br />

Ms J Hunt<br />

Ms W Seymour (from June 20<strong>06</strong>)<br />

Dental Services<br />

Ms M Watt (to March 20<strong>06</strong>) Ms T Abraham (from July <strong>2005</strong> to May 20<strong>06</strong>)<br />

Ms J Wood Ms S Anderson (from April 20<strong>06</strong>)<br />

Ms C Dmytrenko (Casual)<br />

Domestic Services Ms S Lawlor (from April 20<strong>06</strong>)<br />

Ms L Gardner (to April 20<strong>06</strong>) Ms K Mickan (from Aug <strong>2005</strong> to Feb 20<strong>06</strong>)<br />

Ms B Reid<br />

Ms L Roberts<br />

Maintenance<br />

Mr S Disney<br />

Food Services<br />

Ms J Smith (Casual)<br />

Ms J Cini (to Feb 20<strong>06</strong>)<br />

Mr G Williams<br />

Ms B Keating<br />

Ms R Lucas (from March 20<strong>06</strong>)<br />

Casual Food/Domestic Services<br />

Ms K Page (from Oct <strong>2005</strong>)<br />

Ms P Connley<br />

Ms C Spencer<br />

Ms M Goudie<br />

Ms M Thumerer Ms D Hocking (from May 20<strong>06</strong>)<br />

Ms K Weaver (to Sept <strong>2005</strong>) Ms R Lucas (to March 20<strong>06</strong>)<br />

Ms M Worcester Ms H Richards (from May 20<strong>06</strong>)<br />

Ms A Thorburn (to Aug <strong>2005</strong>)<br />

24


Community Services<br />

Manager – Community Services<br />

Ms M Last<br />

<strong>District</strong> Nursing Service<br />

Ms S Arnold<br />

Ms M Budge<br />

Ms C Onslow (from Oct <strong>2005</strong>)<br />

Mrs Y Skews (to Sept <strong>2005</strong>)<br />

Occupational Therapist<br />

Ms M Last<br />

Youth Employment Coordinator<br />

Mr B Smith<br />

Physiotherapist<br />

Mr K Guditi<br />

Planned Activity Group<br />

Ms P Connley (Casual)<br />

Ms M Pendergast<br />

Ms R Sadler<br />

Social Worker / Counsellor<br />

Ms C Smith<br />

<strong>Health</strong> Promotions<br />

Ms J Modra (to Sept <strong>2005</strong>)<br />

Dietetics Ms L Mooney (from Jan 20<strong>06</strong>)<br />

Ms K Fuhrmeister<br />

Diabetes Educator<br />

Home & Community Care<br />

Ms A Walker<br />

Ms M Bohacik<br />

Ms N Boucher<br />

Foot Care<br />

Ms Y Cullen<br />

Mrs D Watts<br />

Ms J Kennedy<br />

Ms L Miller<br />

Speech Pathology<br />

Ms D Nankivell (Sept <strong>2005</strong>)<br />

Jane-Elise Healey<br />

Ms M Scott (to May 20<strong>06</strong>)<br />

Ms J Tuck<br />

Maternal & Child <strong>Health</strong><br />

Ms R Walker<br />

Caroline Paton<br />

Ms K Weaver<br />

25


Recognition of Service<br />

<strong>Omeo</strong> <strong>District</strong> <strong>Health</strong> recognises staff as its<br />

greatest asset and acknowledges the<br />

dedication and commitment of all staff to<br />

residents, patients and the community and<br />

values their loyalty to the health service.<br />

The Board of Management acknowledges<br />

members of staff with length of service<br />

awards in recognition of the valuable<br />

contribution they have made to the health<br />

service over a number of years. The health<br />

service staff who will receive length of service<br />

awards as at 30 June 20<strong>06</strong> are listed below:<br />

Equal Employment Opportunity (EEO)<br />

<strong>Omeo</strong> <strong>District</strong> <strong>Health</strong> is subject to the<br />

requirements of the Equal Opportunity Act<br />

1995 and applies appropriate merit and<br />

equity principles in its management of staff.<br />

The <strong>Health</strong> Service expects all staff to take<br />

responsibility for fair, non-discriminatory<br />

behaviour.<br />

Employee Relations<br />

Our valued staff continue to provide excellent<br />

support to the organisation. Each individual<br />

is to be congratulated on his or her work ethic<br />

and commitment to the team.<br />

‣ Geoff Williams (10 years)<br />

‣ Lorraine Roberts (10 years)<br />

‣ Zenaida Pendergast (25 years)<br />

Total Number of<br />

Staff Employed (at<br />

Male<br />

<strong>2005</strong> - 20<strong>06</strong><br />

Female<br />

<strong>2005</strong> - 20<strong>06</strong><br />

30 th June 20<strong>06</strong>) Total % Total %<br />

Nursing / Bed Based<br />

Services<br />

<strong>2005</strong> -<br />

20<strong>06</strong><br />

Total<br />

<strong>2005</strong> -<br />

20<strong>06</strong><br />

Equivalent Full Time Staff<br />

2004 - 2003 -<br />

<strong>2005</strong> 2004<br />

2002 -<br />

2003<br />

1 4 24 96 25 14.85 13.07 12.61 10.65<br />

Administration - - 5 100 5 3.61 4.00 4.00 2.11<br />

Dental Services 1 25 3 75 4 0.47 0.39 0.19 0.40<br />

Medical Services 5 100 - 5 1.00<br />

Specialist Services 1 50 1 50 2 0.03 - - -<br />

Community <strong>Health</strong><br />

Services<br />

2 33.33 4 66.67 6 3.59 4.29 0.79 1.63<br />

HACC Services - - 8 100 8 2.<strong>06</strong> 2.24<br />

<strong>District</strong> Nursing - - 3 100 3 1.00 1.20 1.00 1.<strong>06</strong><br />

Planned & Aged<br />

Care Activities<br />

- - 3 100 3 0.64 1.04 0.34 0.74<br />

Domestic Services - - 6 100 6 1.93 1.90 1.40 2.00<br />

Catering Services - - 6 100 6 3.49 3.72 2.64 2.64<br />

Maintenance &<br />

Grounds<br />

2 66.67 1 33.33 3 1.53 2.45 2.45 1.90<br />

26


Building & Maintenance Compliance<br />

In the year ended 30 June 20<strong>06</strong>, all buildings<br />

of <strong>Omeo</strong> <strong>District</strong> <strong>Health</strong> were fully compliant<br />

with the Building Act 1993. The major<br />

building works during the reporting period<br />

included redevelopment of the original wing,<br />

stage two:-<br />

Stage 2 – Complete<br />

• Emergency / Stabilisation<br />

• Acute Services<br />

• Administration and Reception<br />

• Primary Care<br />

• Diversional Therapy / Activities<br />

• <strong>Omeo</strong> Medical Centre relocation<br />

• Staff rooms<br />

• Car parking.<br />

Freedom of Information Requests<br />

<strong>Omeo</strong> <strong>District</strong> <strong>Health</strong> is subject to the Freedom<br />

of Information Act (Victoria) 1982. All health<br />

service records are accessible to the<br />

limitations imposed by the Act. The public<br />

may seek access to such records by making a<br />

written request to the Chief Executive Officer.<br />

In the year ended 30 June 20<strong>06</strong>, five (5)<br />

applications for access to documents under<br />

the Freedom of Information Act were<br />

received.<br />

Implementation and Compliance with<br />

National Competition Policy<br />

In accordance with the national competition<br />

principles agreed by the Federal and State<br />

Governments in April 1995, <strong>Omeo</strong> <strong>District</strong><br />

<strong>Health</strong> has implemented policies and<br />

procedures to ensure compliance with the<br />

National Competition Policy. These<br />

programs and policies include tendering for<br />

the provision of goods and services, and a<br />

number of services are already outsourced on<br />

a competitive basis including fuel provision,<br />

vehicle and engine maintenance, and<br />

transport services.<br />

Application & Operation of Whistleblowers<br />

Policy<br />

<strong>Omeo</strong> <strong>District</strong> <strong>Health</strong> is subject to the<br />

Whistleblowers Protection Act 2001. In the year<br />

ended 30 June 20<strong>06</strong>, there were no protected<br />

disclosures to the Ombudsman requiring<br />

operation of the <strong>Omeo</strong> <strong>District</strong> <strong>Health</strong><br />

Whistleblowers Policy.<br />

Victorian Industry Participation Policy<br />

Disclosure<br />

<strong>Omeo</strong> <strong>District</strong> <strong>Health</strong> follows the Victorian<br />

Industry Participation Policy principles<br />

relating to procurement and tendering<br />

processes.<br />

Service Activity<br />

Admitted Patients Acute Sub-Acute<br />

Mental<br />

<strong>Health</strong><br />

Other<br />

(Aged Care) Total<br />

Separations<br />

Same Day<br />

Multi Day<br />

294<br />

63<br />

0<br />

0<br />

0<br />

0<br />

0<br />

12<br />

294<br />

75<br />

Total Separations 357 0 0 12 369<br />

Total WEIS 77.89<br />

Total Bed Days 823 0 0 4,667 5,490<br />

Non-Admitted Patients Acute Sub-Acute<br />

Mental<br />

<strong>Health</strong> Other Total<br />

Emergency Department Presentations 554 0 0 0 554<br />

Outpatient Services<br />

287 0 0 0 287<br />

(Occasions of Service)<br />

Total Occasions of Service 841 0 0 0 841<br />

27


Financial Results<br />

Summary Chart<br />

Financial<br />

<strong>2005</strong>/20<strong>06</strong> 2004/<strong>2005</strong> 2003/2004 2002/2003 2001/2002<br />

$,000 $,000 $,000 $,000 $,000<br />

Total Expenses 3,822 3,058 2,753 2,689 2,299<br />

Total Revenue 3,559 5,738 4,375 2,812 2,084<br />

Operating Surplus / (Deficit) (263) 2,680 1,638 123 (215)<br />

Retained Surplus 3,980 4,243 1,544 1,523 1,535<br />

(Accumulated Deficit)<br />

Total Assets 8,882 7,545 4,976 2,937 2,970<br />

Total Liabilities 803 843 973 573 726<br />

Net Assets 8,079 6,702 4,002 2,364 2,244<br />

Total Equity 8,079 6,702 4,002 2,364 2,244<br />

Summary of Significant Changes in<br />

Financial Position during Financial Year<br />

The total asset of the service increased by<br />

$1,377,000 as a result of the following:-<br />

• The revaluation of land and buildings<br />

as at 30 June 20<strong>06</strong> resulting in an<br />

increase in the valuation of $1,620,000;<br />

and<br />

• The write back of the book value of<br />

the equity in the GHA Alliance of<br />

$480,000 following an adjustment of<br />

the interests of various members of the<br />

Alliance.<br />

The service incurred a deficit of $263,000 after<br />

capital grants ($35,000), depreciation charges<br />

($22,000) and the above write back of the<br />

GHA Alliance interest.<br />

Operational and Budgetary Objectives of<br />

<strong>Omeo</strong> <strong>District</strong> <strong>Health</strong><br />

The budgetary objectives for <strong>Omeo</strong> <strong>District</strong><br />

<strong>Health</strong> were to move its operational results<br />

towards achieving a break-even position<br />

before depreciation and capital items.<br />

Summary of Major Changes or Factors<br />

Affecting Achievement of Operational<br />

Objectives<br />

The service performed better than the<br />

budgeted outcome for the reporting period.<br />

This was achieved through higher occupancy<br />

levels in the nursing home and hostel<br />

following the completion of the<br />

redevelopment of the facility, increased grant<br />

income, and cost savings.<br />

Events Subsequent to Balance Day, which<br />

may have significant effect on Operations in<br />

Subsequent Years<br />

No events that may have a significant effect<br />

on the operations of <strong>Omeo</strong> <strong>District</strong> <strong>Health</strong><br />

have occurred since the end of the reporting<br />

period and the date of this report.<br />

Consultancies costing in excess of $100,000<br />

(ex GST)<br />

Nil.<br />

Consultancies costing less than $100,000 (ex<br />

GST)<br />

There was one consultancy undertaken in<br />

April 20<strong>06</strong> to the value of $3,900.<br />

28


Revenue Indictors<br />

Average Collection Days<br />

20<strong>06</strong> <strong>2005</strong><br />

Private (Acute) 47 30<br />

TAC (Acute, Physio & Outpatients) 62 65<br />

VWA (Acute, Physio & Outpatients) 60 62<br />

Other Compensable (HACC) 30 30<br />

Other Compensable<br />

(Physio, Medical Centre & Outpatients)<br />

32 33<br />

Psychiatric 0 0<br />

Residential Aged Care 30 30<br />

Debtors Outstanding<br />

at 30 June 20<strong>06</strong><br />

Under<br />

30 Days<br />

30 – 60<br />

Days<br />

60 – 90 Days Total at<br />

30/<strong>06</strong>/<strong>06</strong><br />

Total at<br />

30/<strong>06</strong>/05<br />

Private (Acute) 529 529 0<br />

1,053 464 1,517 432<br />

TAC<br />

(Acute, Physio & Outpatients)<br />

VWA<br />

(Acute, Physio & Outpatients)<br />

Other Compensable<br />

(HACC)<br />

Other Compensable<br />

(Physio, Medical Centre,<br />

Outpatients & Sundry Other)<br />

566 13 579 63<br />

8,124 8 1,032 9,164 -<br />

5,021 57 1,200 6,278 22,831<br />

Psychiatric 0 0<br />

Residential Aged Care -900 646 -254 546<br />

TOTAL 13,864 78 3,871 17,813 23,872<br />

Abbreviations: ‘TAC’ - Transport Accident Commission<br />

‘VWA’ - Victorian Workcover Authority<br />

29


Donations<br />

A number of donations have been received during the year for which we are very grateful. <strong>Omeo</strong><br />

<strong>District</strong> <strong>Health</strong> is very fortunate to have the support of many volunteers providing practical help,<br />

advice and companionship to many of our Residents and community clients.<br />

Volunteers are a welcome addition to our programs, bringing with them a variety of skills and<br />

expertise, lots of fresh ideas, and a caring smile. New volunteers are always extremely welcome.<br />

Companies, Groups, etc. $<br />

Country Women’s Association 50.00<br />

<strong>Omeo</strong> RSL Branch 900.00<br />

Landcare Group 90.00<br />

<strong>Omeo</strong>shire Garden Club 120.00<br />

<strong>Omeo</strong> Book Club 21.00<br />

Individuals $<br />

R. Lucas 30.00<br />

R. Manhire & G. Symons 100.00<br />

R. Manhire 100.00<br />

Donation Tin (Outpatients) 5<strong>06</strong>.35<br />

Unknown 5.00<br />

Donation Tin (Nurses Station) 35.80<br />

Other Donations<br />

• $200 worth of trees for garden bed next to car park / dental – from R Lumsden, <strong>Omeo</strong>.<br />

• $100 worth of trees for garden bed next to car park / dental – from R Manhire, <strong>Omeo</strong>.<br />

• Portable CD Player with Headphones for Residents – from <strong>Omeo</strong> <strong>District</strong> Lions Club.<br />

• Pendulum Clock for Aged Care Facility – from <strong>Omeo</strong> Senior Citizens.<br />

30

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