Portland District Health Annual Report 2007 - South West Alliance of ...

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ICT SYSTEMS DEPARTMENT The provision of support for key initiatives such as improved wireless systems, introduction of encrypted emails for security and remote webmail access have continued to ensure reliable ICT operations. Ongoing development of a number of projects that will culminate in a better service to the public, such as the Slit Lamp installation which allows the operator to examine an eye injury at Portland District Health, then connect with the Eye and Ear Hospital. The installation of a Network Core Upgrade has allowed an increase in the number of emergency telephone units available, and has allowed the installation of a high speed connection to the new aged care facility. Further development of a trial installation of the BEST system has been undertaken, and this system will deliver core medical services, patient call assistance, telephony and entertainment to the patient bedside. OUTLOOK We are attempting to align our workforce more closely to workloads as well as attempting to generate more activity. This is a fine balance in which we have been unsuccessful to date. Full concentration on reducing our workforce to align to workload is now underway. The new financial year is set to be a difficult one with forecasts mentioned previously tracking towards $2m if identified initiatives do not work. We are hopeful that this will not be the case, and look forward to activity levels increasing by at least 20% this year. To achieve this, Portland District Health needs all stakeholders on side. WAYNE ARMISTEAD Director of Finance The management of security of our network has been integral to the avoidance of downtime as a result of computer virus and Trojan attacks. It is also pleasing to see other hospital staff members taking a more active role in developing their own computer skills, to assist themselves, and others in their respective area, to gain advantages through ICT. 34 PORTLAND DISTRICT HEALTH • ANNUAL REPORT 06/07
Portland District Health 2006/07 Quality Program KEY ACHIEVEMENTS OVER THE YEAR HAVE BEEN:- Medications Implementation of the National Medication Chart with the aim of reducing documentation errors associated with medication management. There has been a 50.8% reduction in medication incidents from the previous 12 months with no adverse outcomes occurring from the incidents. Falls A Falls Risk Assessment form was developed and implemented from which a plan of care is then derived. Sea View House formalised a Falls Risk Assessment program to proactively manage residents at risk. Wound Care The Wound Committee facilitated a successful trial of Mepilex dressings resulting in improved outcomes for patients and reduced frequency for dressing changes. Pressure Ulcer Prevention 92% of acute staff and 100% of aged care staff have completed the Victorian Quality Council online learning package and competency on recognition of the stages of pressure ulcer development and the appropriate treatment to minimise further development. Literature has been developed for patient education. Blood and Blood Products The procedure and chart for blood transfusion was reviewed with a specific form for consent and management of blood product infusions introduced. Patient education material has been sourced and is being used to explain the risks and use of blood products. Nutrition A multidisciplinary group developed a nutritional screening tool for acute patients to identify and appropriately refer those at risk, resulting in timelier referral for assessment and education. The Dietetics department developed a triage and referral pathway to manage the increased demand for service. This has resulted in an increase in group work to provide access for more clients. Risk Management Program A standardised risk-rating matrix was applied to all risk management plans to ensure a consistent approach. The Victorian Quality Council education module “Introduction to Safety and Quality Principles” has been incorporated into the compulsory education program. Reporting of Incidents and Near Misses Electronic incident report lodgement has resulted in the Quality Manager and Department Managers being aware of incidents on the day they occur and follow-up action initiated. Portland District Health’s Quality Plan is endorsed by the Board of Management and supported by the current committee structure. Each department has undertaken activities aligned with the organisational plan and identified priority department issues. Effectiveness Time to analgesia in the Emergency Department (NICS evidence practice gap) was audited revealing availability of medical staff as crucial to reducing delays in analgesic administration. Appropriateness Portland District Health implemented the 10 Steps to Safer Health Care – the leaflet is now given to all Portland District Health admissions and is in the bedside Patient Information Folder. A program in place to assist staff and consumers to reduce or cease smoking was delivered in partnership with QUIT – results will be presented at end of the program in 2007. Referrals arising from this initiative have been excellent both for staff and patients. Antenatal women are provided with information on risks and support to reduce or cease smoking. A referral pathway for Asthma was developed to assist with appropriate management. This pathway will be evaluated against identified outcomes. Portland District Health has achieved nine of the steps to recognition under the “Baby Friendly” certification process and is well under way with completing the tenth and final step. Access The Podiatry department introduced risk rating for clients which resulted in all clients requiring care being seen within three months however it identified there is no room for growth in the service due to lack of practitioner availability. Accreditation A Self-Assessment Report will be submitted to the ACHS in October 2007. PORTLAND DISTRICT HEALTH • ANNUAL REPORT 06/07 35
Page 5 and 6: Portland District Health President
Page 7 and 8: The hospital and health service has
Page 9 and 10: Portland District Health Board Comm
Page 11 and 12: MRS. MERLYN MENZEL BOARD MEMBER Div
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Page 17 and 18: Portland District Health 2006/07 Ye
Page 19 and 20: Simple, effective and inexpensive m
Page 21 and 22: ALEX TRAHAR Electrician 18 months a
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