DJERRIWARRH HEALTH SERVICES · Julia Meek, R.N. (Div.1),Midwife, BHlthSc(Mgt), MB(HRM) Director of Clinical and Quality Support Services Elizabeth Wilson, BApp.Sc(Physio), MCSP, P.Grad.Dip.Hlth.Admin,

DJERRIWARRH HEALTH SERVICESAnnual Report & Financial Statements

2010 - 2011

2 Djerriwarrh Health Services Annaul Report & Financial Statements 2010-2011

3Djerriwarrh Health Services Annaul Report & Financial Statements 2010-2011

RESPONSIBLE BODIES DECLARATION

In accordance with the Financial Management Act 1994, I am pleased to present the Report of Operations for Djerriwarrh Health Services for the year ending 30 June 2011.

__________________________

Michael Tudball, AFSM

President of the BoardBacchus Marsh

29th August 2011

Report of Operations


ATTESTATION ON COMPLIANCE WITH AUSTRALIAN / NEW ZEALAND RISK MANAGEMENT STANDARD

I, Michael Tudball, certify that Djerriwarrh Health Services has risk management processes in place consistent with the Australian / New Zealand Risk Management Standard and an internal control system is in place that enables the executives to understand, manage and satisfactorily control risk exposures. The Risk Review Committee verifi es this assurance and that the risk profi le of the Djerriwarrh Health Services has been critically reviewed within the last 12 months.

_____________________________

Michael Tudball, AFSM

President of the Board Bacchus Marsh 29th August 2011

ATTESTATION ON DATA ACCURACY

I, Bruce Marshall, certify that Djerriwarrh Health Services has put in place appropriate internal controls and processes to ensure that the reported datareasonably refl ects actual performance. Djerriwarrh Health Services has critically reviewed these controls and processes during the year.

_____________________________

Bruce Marshall, OAM

Chief Executive Bacchus Marsh 29th August 2011

Report of Operations


COMPLIANCE DISCLOSURE INDEXThe Annual Report of Djerriwarrh Health Services (DjHS) is prepared in accordance with all relevant Victorian legislation. This index has been prepared to facilitate identifi cation of the Health Service’s compliance with statutory disclosure requirements.

Ministerial Directions Report of Operations

Legislation Requirements Page ReferenceCharter and Purpose

FRD 22B Manner of establishment and the relevant Ministers 13FRD 22B Objectives, functions, powers and duties 7,14-15FRD 22B Nature and range of services provided 15-17

Management and structureFRD 22B Organisational structure 9

Financial and other informationFRD 10 Disclosure index 5FRD 15B Executive Offi cer Disclosures 8-10FRD 21A Responsible person and executive offi cer disclosures 8-10FRD 22B Application and operation of Freedom of Information Act 1982 17FRD 22B Application and operation of Whistleblowers Protection Act 2001 17

FRD 22B Compliance with building and maintenance provisions of Building Act 1993 17FRD 22B Details of consultancies over $100,000 26FRD22B Details of consultancies under $100,000 26FRD 22B Major changes or factors affecting performance 22FRD22B Occupational Health and Safety 17-18FRD22B Operational and budgetary objectives and performance against objectives 22FRD22B Signifi cant changes in fi nancial position during the year 22FRD 22B Statement of availability of other information 6FRD22B Statement on National Competition Policy 17FRD 22B Subsequent events 26FRD22B Summary of the fi nancial results for the year 20FRD 22B Workforce Data Disclosures including a statement on the application of employment and conduct principles 17, 26FRD25 Victorian Industry Participation Policy disclosures 17SD 4.2.(j) Sign-off requirements 3SD 3.4.13 Attestation on Data Integrity 4SD 4.5.5. Attestation on Compliance with Australian/New Zealand Risk Management Standard 4

Financial Statements Financial statements required under Part 7 of the FMAnancial statements required under Part 7 of the FMASD 4.2(a) Statement of Changes in Equity 3SD 4.2(b) Comprehensive Operating Statement 1SD 4.2(b) Balance Sheet 2SD 4.2(b) Cash Flow Statement 4 Other requirements under Standing Directions 4.2.

SD 4.2(c) Compliance with Australian accounting standards and other authoritative pronouncements 6SD 4.2(c) Accountable offi cer’s declaration inside coverSD 4.2(c) Compliance with Ministerial Directions 6SD 4.2(d) Rounding of amounts 16

FRD 11 Disclosure of ex-gratia payments 24

Index


COMPLIANCE DISCLOSURE INDEX CONTINUED

Legislation

Freedom of Information Act 1982 17Whistleblowers Protection Act 2001 17Victorian Industry Participation Policy Act 2003 17Building Act 1993 17Financial Management Act 1994 20

Additional information (FRD 22B Appendix)

The following information is available upon request to the Chief Executive Offi cer by relevant Ministers, members of Parliament and the public:

1. A statement of pecuniary interest has been completed.

2. Details of shares held by senior offi cers as nominee or held benefi cially.

3. Details of publications produced by the Health Service about the activities of the Board and where they can be obtained.

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

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

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

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

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

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

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

11. A list of major committees sponsored by the Board, the purpose of each committee and the extent to which the purpose had been achieved.

Index


MISSION STATEMENT Helping people of our community to better health and well-being

VISION STATEMENT Providing quality integrated health services within available resources to the people of our community and encouraging personal responsibility for health care

VALUES Djerriwarrh Health Services is committed to the following values which underpin the basis of our principle key objectives

• Integrity and professionalism

• Team work

• Effi cient and cost effective services

• Maximised patient/client satisfaction

• A commitment to quality outcomes

• Respect for all staff

• Management by fact

• Performance accountability

THE EIGHT (8) KEY OBJECTIVES

1. Patient/Client – Clinical Services

‘To promote core clinical services and to consider further enhancements in response to identifi ed and evaluated community needs’.

2. Staff

‘To enhance the performance of staff in an environment of change by developing and implementing appropriate training’.

3. Community 'To promote health and well-being while addressing the broader determinants of health of our community'.

4. Quality

‘To develop a quality based patient/client care system, which adheres to the principles of continuous improvement’.

5. Financial/Business/Casemix

‘To optimize the fi nancial position of DjHS by adopting a strategically planned approach to health service delivery’.

6. Management

‘To develop systems and processes to ensure effective and effi cient management outcomes that fl ow through to patient/client care’.

7. Information

‘To build and enhance the DjHS’ management information systems, to ensure management by fact’.

8. Physical/Resources

‘To upgrade/develop the physical and equipment resources of DjHS’.

Djerriwarrh Health Services


BOARD MEMBERSHIP AS AT 30TH JUNE 2011

President

Mr. Michael Tudball, AFSM, MBA, Grad. Dip. Bus (Mgt)

Vice President

Mr. Eric Sharkey

Treasurer

Mrs. Claire Sutherland

Board Members

Mr. Salvatore Cristiano, BComp Sci (Hons), Grad. Cert Bus. Admin

Mrs. Helen Dobson, R.N. (Div.1), Cert.IV Training and Assessment

Mr. Hayden Legro, B.A., LL.B., B.Theol.

Mr. John Payne, CPA, Dip.Acct

Ms. Sophie Ramsey

Mr. Dirk Sauer, JP; BJ

Mrs. Sheryl Tunnecliff, BSW(Hons), M.Ed

Chief Executive

Mr. Bruce Marshall, OAM, BJ; JP: B. Bus (Acct) Mgt, FCPA, MHA, AIBA, FTIA, AIIA

Corporate Governance


REPORT STRUCTURE

Board

Chief ExecutiveBruce Marshall OAM

Deputy Chief ExecutiveDavid Grace PSM

Personal AssistantTerri Drewitz

Capital Infrastructure Development, IT Services,

Clinical Service Development & Enhancement, Focus on

services located in Melton ShirePersonal AssistantShaylene Wootten

Risk Management, Quality Strategic Directions, Healthcare

Service Development, Staff Appraisal & Financial Integrity Focus on services located in

Moorabool Shire

Director Allied HealthGlenda Cairns

Director of NursingJulia Meek

Director of FinanceJames Rubeli

Director of Clinical & Quality Support Services

Elizabeth Wilson

Consultant Director of Medical Services

• A/Manager Community Health & Health Promotion/Chief Dietian Kerryn Hornby

• Manager of HACC & Chronic Disease/Chief Speech Pathologist Jenelle McHugh

• Manager Counselling Services Joan Eddy

• Manager Adult Health Vida Pranskunas

• Manager Women & Children’s Health Joaquin Benedicto

• Manager Health Information Anglea Mayhew

• Manager Dental Services Cindy Sutton

• Manager Medical/Surgical Paul Hilder

• Manager Residential Care Tineke Carr

• Manager Theatre Services Linda Aykens

• Manager Clinical Nurse Education Sheryl Beech

• Manager Community Nursing Jane Cape

• Manager Pharmacy Services Lisa Daly

• Manager Day Medical Mandy Cullen

• Assistant Directors of Nursing

(ADONS)

• Manager Finance Tony Grixti

• Manager Information Technology Colin Leggatt

• Manager Human Resources Kay Robertson

• Supply and Purchasing Doug Berry

• Marketing and Design Robin Bristow

• Fundraising

• Payroll

• VMO

• Salaried Specialists

• Career Medical Offi cers

• Administration

• Manager Food Services Archie Small

• Manager Engineering Services Brian Simpson

• Manager Environmental Services Debbie Hutchinson

• Clinicial Risk Management

• Accreditation

• Occupational Health & Safety

• VMO

• Salaried Specialists

• Career Medical Offi cers

• Dentists

• Dental Therapists

Corporate Governance


EXECUTIVE MANAGEMENT TEAMChief Executive Bruce Marshall OAM, BJ; JP: B. Bus (Acct) Mgt, FCPA, MHA, AIBA, FTIA, AIIA

Deputy Chief Executive David Grace PSM, R.N.( Div.1) ,Dip.App.Sc (Nursing), B Hlth.Sc.(Nursing), MNurs(Hon)

Director of Allied Health ServicesGlenda Cairns, MRA, Adv.Dip.Bus.Man

Director of Finance Mr. James Rubeli, B.Bus (Acct), FCPA

Consultant Medical Director Dr. Lee Gruner, BSc., MBBS, BHA, FRACMA, MBA (Exec), GAICD

Director of Nursing Julia Meek, R.N. (Div.1),Midwife, BHlthSc(Mgt), MB(HRM)

Director of Clinical and Quality Support Services Elizabeth Wilson, BApp.Sc(Physio), MCSP, P.Grad.Dip.Hlth.Admin, MAnSci (Physio)

Executive Support Offi cers Terri DrewitzShaylene Wootten

Management Teams


Assistant Directors of Nursing Jo Ballard, R.N.(Div.1), B.HlthSc.(Nurs), Midwife

Chris Braden, R.N.(Div.1), B.Nursing , Grad.Cert.S.I., MRCNA, Nurse Immuniser

Sharon Gibbens, R.N.(Div.1), Midwife, B.Nursing (Post Reg), Grad.Cert. Education, Grad. Cert. Critical Care, Cert IV Project Mgt, Cert IV Frontline Mgt

Jenny Hallam, R.N. (Div.1), Midwife

Jenny Vanderpoel, R.N. (Div 1), Midwife

Colleen O’Sullivan, R.N. (Div 1)

Mgr. Adult Health/Chief Physiotherapist Vida Pranskunas, BApp Sc (Physio) .Grad. Dip. Hlth.Ser.Mgmt

Mgr. Clinical Nurse Educator Sheryl Beech, R.N.(Div.1), .BHlthSc.(Nurs), Grad.Cert. Nurse Mgt; Cert.IV Training and Assess., Cert IV Frontline Mgt, Cert IV Project Mgt

Acting Mgr. Community Health/Health Promotion/Chief DietitianKerryn Hornby, BND.,BHSci.

Mgr. Community Nursing Services Jane Cape, R.N. (Div 1)

Mgr. Counselling Services/Social Work Joan Eddy, B.A. (Psych), B.S.W.

Mgr. Day Medical Mandy Cullen, RN (Div 1), BHlthSc. (Nursing), Grad.Cert Hlth.Ser.Mmt

Mgr. Dental Services Cindy Sutton, Dip.Bus(Frontline Mgt), Ass.Dip.Soc.Sci.(Child Care),CertIV Training/Assess

Mgr. Engineering Services Brian Simpson, Lic.SEC Vic, Cert.SIC, MIHEA

Mgr. Environmental Services Debbie Hutchinson

Mgr. HACC and Chronic Disease/Chief Speech Pathologist Jenelle McHugh, B.Sp.,MSPAA,CPSP, Dip(Frontline Mgmt)

Acting Mgr. Health Information Anglea Mayhew, B.Sc (HlthInfoManagement)

Mgr. Hotel Services Archie Small, Dip.Bus(Frontline Mgt,Cert IV Assessment/Training)

Mgr. Human Resources Kay Robertson, B.Adv.Mgt, Adv.Dip.Bus.HRM

Mgr. Information Technology Colin Leggatt, Assoc.Dip.Bus

Mgr. Maternity ServicesMary Little, R.N. (Div 1), Midwife , B.HlthSc. (Nursing)

Mgr. Medical/Surgical ServicesPaul Hilder, R.N.(Div.1).,B.HlthSc.(Nursing), Grad.Dip(Occ Hazard Mgmt)

Mgr. Pharmacy ServicesLisa Daly, BPharm

Mgr. Residential Care Services Tineke Carr, (Div 1), BHlthSc. (Nursing), Grad. Dip.Hlth Services Mgmt.

Mgr. Theatre Services/Infection Control CoordinatorLinda Aykens, R.N. (Div.1)., Midwife, Grad.Cert.S.I.C., MRCNA

Mgr. Women and Childrens’ Health /Chief Occupational Therapist Joaquin Benedicto, PhD (Candidate-Ed.Mgt), M.O.T.(Prac). M.A.Ed-SpEd, BSc.OT, OTR/L,OTRP, AccOT

Mgr. Finance Tony Grixti, B.Bus (Econ.Acct), CPA

SENIOR MANAGEMENT TEAM

Management Teams

Minister of Health and AgeingHon. David Davis MLC (2/12/2010) Hon. Daniel Andrews MLA (30/6/2010 - 2/12/2010)

Bankers Westpac, Bacchus Marsh

Auditors (external) Crowe Horwath, Melbourne

Auditors (internal)MGR Accountants

Solicitors(1) Health Legal, St. Kilda Road, Melbourne (2) Legro lawyers, High Street, Melton (3) Phillips Fox, Collins St. Melbourne


Anaesthetists Dr. Mathew Bowman

Dr. Mathew Hayhoe

Cardiologist Dr. Quentin Forrest

Dermatologist Dr. Josie Yeatman

Ear, Nose & Throat Surgeons Dr. Perry Burstin

Mr. Avdo Zahirovic

Endocrinologist Dr. Leo Rando

General Physicians Dr. Peter McCarthy

Dr. Poroor Vikraman

General Surgeons Miss Ruth Bollard

Mr. Ian Faragher

Mr. Ananth Nagesh

Mr. Hugh Roberton

Nephrologist Dr.Christoph Gadztka

Obstetricians/Gynaecologists Dr, Michael Bardsley

Mr. Claude Calandra

Dr. Russell Dalton

Mr. Surinder Parhar

Oncologists Dr. Rodney Bond

Dr. Shing Tung Fan

Oral Surgeon Mr. Graeme Fowler

Orthopaedic Surgeon Mr. Ishfaq Hussaini

Mr. Russell Miller

Palliative Care Physician Dr. David Brumley

Paediatrician Dr. Nigel Hocking

Dr. Zoe McCallum

Respiratory Physician Dr. Simon Frenkel

Urologist Mr. David Cook

Vascular Surgeon Mr. Gary Frydman

Dr. Andy Ang

Dr. Rakhi Basu

Dr. Jocelyn Benedicto

Dr. Peter Gibbons

Dr. Chris Irwin

Dr. Vlad Maksoutov

Dr. Darra Murphy

Dr. David Poustie

Dr. Stephanie Tan

Dr. Richard Yang

Medical Offi cers 2010 -2011

CAREER MEDICAL OFFICERS

SPECIALISTS

VISITING MEDICAL OFFICERSDr. Santino Bronchinetti

Dr. Greg Coates

Dr. Robert Hosking

Dr. Niresh Madhanpall

Dr. Anne Peterson

Dr. Valerie Peers

Dr. Mark Robson

Dr. Ravin Sadhai

Dr. Peter Schlesinger

Dr. Sivinand Sooknandan

Dr. Damien Strangio

Dr. Quentin Tibballs

Dr. Marcus Watson

Dr. Paul Williams

Dr. Woodrow Wu


THE GOVERNING BODYDjerriwarrh Health Services was incorporated under the Health Services Act 1988 Part 3 on the 1st April, 1998 by the Governor-in-Council, acting on the recommendation the Minister for Health made after receiving advice from the Secretary of the Department of Human Services, under Section 64A of the Health Services Act 49/1988, and acting under Section 65 of the Act.

Djerriwarrh Health Services is accountable, through its Board, to the Minister for Health and Ageing, the Hon. David Davis MLC, from 2nd December 2010 to 30th June 2011, and the Hon. Daniel Andrews MP from 30th June 2010 to 2nd December 2010.

In accordance with the Health Services Act 1988, Division 4, Section 33, the Board has affi rmed that the Chief Executive and Staff will carry out the policies and procedures of Djerriwarrh Health Services with due diligence. The Board, in compliance with the Health Services Act 1988, Section 25 has appointed a Chief Executive, approved by the Secretary of the Department (Sec 25(s)).

The ten Board members who represent the community are recommended to the Minister and appointed by the Governor in Council. The term of appointment for a member of the Board is usually a three year term.

In accordance with the Health Services Act 1988, the function of the Board is to oversee and strategically govern Djerriwarrh Health Services and to ensure that the services provided comply with the requirements of the Act and the objectives of Djerriwarrh Health Services. The role of the Board is pivotal in successful strategic planning and implementation of policies that set the agenda for the future. Good leadership and corporate governance not only encourage professional standards of care but also establish the structures by which the key objectives can be set and performance standards measured.

President's and Chief Executive's Report


BOARD COMMITTEESThe Board relies on their supporting Committees to provide strategic direction and advice for the organisation. Minutes of these meetings are agended at Board meetings. Involvement of the local Community is an integral part of this process. The Committee which directly involves community members, aside from the Board members, is the Strategic Health Forum.

Strategic Health ForumThe Strategic Health Forum’s membership consists of the Chief Executive Offi cers and Councillors/Board Members from the Moorabool Shire Council, the Shire of Melton and Djerriwarrh Health Services. The membership is reviewed and/or changed once a year. The purpose of the Forum is to share information which enables the three organisations to collectively pursue appropriate health service enhancement to our communities as well as to identify strategic actions to instigate new initiatives and address service delivery gaps. During the past year the Forum met on three occasions. At these meetings, the strategic objectives of the Board’s key areas are discussed – during this year these have included the shortage of General Practitioners in the area, the requirements for additional health services for the rapidly expanding population and the relocation of Melton Community Health Centre.

Remuneration CommitteeIt is the policy of Djerriwarrh Health Services to operate in full compliance with the Government Sector Executive Remuneration Panel (GSERP) and acknowledge that it is the Government Policy on executive remuneration for Government Business Enterprises and Statutory Authorities.

The Remuneration Committee of Djerriwarrh Health Services comprises the Board Offi ce Bearers (President, Vice President and Treasurer) and meets on a scheduled basis to review the performance of the Chief Executive against his Performance Management Plan and also to review the $ Total Remuneration Package paid to the Chief Executive within guidelines of the GSERP provision. In addition, individual Executive Directors of the organisation attend these meetings on a scheduled basis to explain how their performance links into the Performance Management Plan of the Chief Executive. In keeping with the policy of the Health Service, all Minutes of the Remuneration Committee are included in the full Board agenda papers to ensure that all Board Members are fully informed.

Finance/Audit Review CommitteeThe Finance/Audit Review Committee assists the Board in overseeing the fi nancial performance and fi nancial reporting processes of the organisation, including the annual fi nancial statements. The Committee also ensures an internal audit program is in place and ratifi es the engagement and dismissal by management of any internal audit provider. The Finance/Audit Review Committee considers fi nancial risk management reports from management as well as reporting fi nancial risks to the Risk Review Committee. The Committee comprises four Board members, with the Chief Executive and Director of Finance attending meetings but not having any voting rights. During 2010-2011, this Committee met on seven occasions.

Risk Review CommitteeCommittee membership comprises Board representation as well as all the Executive team. During the year the main focus of this Committee has been to have all the risks entered onto the new Victorian Health Incident Management System’s electronic Risk Register. Once this has occurred, it is envisaged that there will be a more streamlined approach to managing our risk reviews. In September 2010, the Victorian Managed Insurance Authority undertook an audit of the role of the Risk Review Committee and made fi ve recommendations – all of which have been actioned. One of these was to review our existing procedure on ‘Risk Management’ – the revised procedure clearly outlines when risks should be re-reviewed. At present we have fi ve risks which we consider a high priority; these include the lack of General Practitioners available in the local community as well as inadequate Mental Health Services provided.

Attendance at Board, Committee and Strategic Forum Meetings

Name AGM (1)

Board Meetings (10)

Finance/Audit Review Committee (7)

Remuneration Committee (2)

Strategic Health Forum (3)

Risk Review Committee (6)

Salvatore Cristiano 1 9/10 6/7 - - -

Helen Dobson 1 9/10 - - 1/3 2/2

Hayden Legro 1 9/10 4/5 - 2/2 -

John Payne 1 9/10 2/2 - - -

Sophie Ramsey - 9/10 - - 3/3 -

Dirk Sauer 1 6/6 - - - -

Claire Sutherland 1 10/10 7/7 2/2 - -

Eric Sharkey 1 9/10 6/7 2/2 - 2/2Michael Tudball 1 9/10 - 2/2 3/3 -

Sheryl Tunnecliff - 9/10 - - - 1/2



EXECUTIVE TEAMThe Executive Team consists of the Chief Executive, Deputy Chief Executive, Director of Allied Health, Director of Finance, Director of Nursing, the Director of Clinical and Quality Support Services, together with the Consultant Medical Director as requested. The Board has full confi dence in the members of the Executive to implement their strategic directions policy through day to day delegation. The Board receives monthly performance indicators from the Executive against key result areas and objectives. These indicators include complaints received, staff incidents noted, activity performance and waiting list times. The Executive team discuss strategic, fi nancial and operational matters of the organisation. Examples of major issues discussed by the Executive during the year included:

• Dental Services implementation

• Planning for a new Melton Community Health Centre facility

• Increasing medical specialist time availability e.g. paediatricians, obstetricians

• How to improve availability of Mental Health Services to the local community

• Fundraising activities to help purchase medical equipment

STRATEGIC DIRECTIONS 2010-2011Djerriwarrh Health Services is a major healthcare provider to the rapidly expanding communities within the western growth corridor. The Health Service is responsible for providing a comprehensive range of Acute, Residential, Ambulatory and Primary Care services to the communities of Melton and Moorabool (Bacchus Marsh and Ballan). These services are provided from the following sites – Bacchus Marsh and Melton Regional Hospital (Acute), Grant Lodge (Residential), Melton Health (Ambulatory), Bacchus Marsh Community Health Centre, Melton Community Health Centre and Caroline Springs Community Health Centre (Primary).

The Health Service must place itself in a position to be able to provide services to meet the forecasted population growth, rising from 102,230 in 2006 to 152,986 predicted for 2016, and 255,262 for 2031, which is an increase of 150%. Djerriwarrh Health Services has a Strategic Directions Plan in place for the three year period 2010-2013. The Board recognises a number of strategic directions which it intends to pursue in this time period with the assistance of the Department of Health. These include:

• Advocate for the development of a new purpose-built Community Health Centre

• Improve the communities’ access to alcohol and drug services, family violence prevention, fi nancial counselling, gambling counselling and counselling for depression

• Expand and enhance the delivery of services in the local community for people with diabetes

• Facilitate the establishment of local acute and rehabilitative mental health teams co-located within our Community Health Centres

Mental Health Services have been identifi ed in the two most recent Strategic Directions Plans of the Health Service as being a high priority need for the local community. Djerriwarrh Health Services has been expanding its range of mental health services and advocating for

additional services beyond the scope and resources of the organisation. Over the past 12 months considerable effort has been invested into informing the public and potential referrers about the Adolescent and Young Adult Program now being offered from Melton Health.

The Adolescent and Young Adult Program provides individual and family therapy for young people aged between 12 and 24 years who are feeling depressed or are experiencing anxiety or mood swings. Counselling is also provided for young people who have relationship issues, are being bullied, keep getting into trouble or are having diffi culties at school. Our experienced team of counsellors try to help young people before their diffi culties manifest as a serious mental illness.

Djerriwarrh Health Services is also working with other providers of mental health services in the area to better integrate and co-ordinate our services. The Organisation is currently working with Oxygen Youth Health, Melton Shire Council, Department of Health, Mental Illness Fellowship Victoria, Royal Children’s Hospital, Mid-West Area Mental Health Service, MIND and Healthwest on a community Mental Health Planning and Service Co-ordination Initiative to improve access to Mental Health services.

Djerriwarrh Health Services greatly respects and values the opportunity to partner with other agencies in providing health care services to the Melton and Moorabool Shires. The Organisation actively participates in two Primary Care Partnerships (PCP), one being in the Grampians PCP and the other Healthwest focusing on the Western Metropolitan Region. Our participation in the Grampians PCP and Healthwest allows us to work collaboratively with other agencies to enhance and expand the range of services available.

Previous collaboration with Norwood Pty Ltd has resulted in an additional 7 mental health staff working from the Caroline Springs Community Health Centre to provide community based mental health rehabilitation. Collaboration with Western Region Health Centre has resulted in a Mental Health Rehabilitation Day Program being offered from the Conference Centre at Bacchus Marsh & Melton Regional Hospital. Collaboration with Western Health has resulted in enhanced Antenatal Clinics in Melton and the development of a co-ordinated health plan for the West.

Working closely with other partners in the provision of health care services for the Moorabool and Melton Shires helps strengthen the capacity of the health care system and capitalises on the synergies that can only be achieved through better integration and co-ordination of services.

RANGE OF SERVICESAcute ServicesA wide range of acute services continues to be provided by the Bacchus Marsh and Melton Regional Hospital. These services include Maternity, Medical/Surgical inpatients, Theatre, and Emergency.

Maternity Services have had a busy year with 780 babies being delivered – just a slight increase on the previous year of 762 births. In response to the birth increase, ante-natal clinics on weekends and evenings have been introduced at Melton Health. The average length of stay for normal delivery is now 2.7 days and 3.3 days for operative deliveries. We have noted an increase in the number of mothers choosing to be discharged home less than 24 hours after delivery and our Domiciliary Midwifery Services have been increased to ensure that mothers opting for our early discharge program have enhanced support at home.



Our busy Emergency Service treated 8,649 presentations this year. Nurse staffi ng at night in this area has been improved to meet increased evening and night presentations. The Operating Suites continue to provide a wide range of procedures, including general, orthopaedic and ENT surgery. This year 3,122 procedures were performed. Medical and Surgical Services continues to be busy with increased medical admissions through our Emergency Service and increased overnight surgical admissions particularly for child ENT procedures. During the year the inpatient Palliative Care service provided care to forty one patients.

Community Nursing continues to provide a very valuable service to the local community. The service covers a wide geographical area ranging from the rural area of Myrniong, in the Moorabool Shire, through to Taylors Hill, Burnside, which is on the fringes of the western suburbs of Melbourne. There is no waiting list for District Nursing Services in either the Moorabool or Melton Shires. In addition to the general nursing staff, we have palliative care and continence nurses and we are able to access the Grampians Region Wound specialist if required.

Residential CareGrant Lodge, our 30 bed high care residential care facility located adjacent to Bacchus Marsh and Melton Regional Hospital continues to provide a very high standard of care which is well recognised by the community.

Several of the bathrooms have been renovated this year to improve the accommodation for residents. We have also continued to improve the outside areas to include heaters and wind awnings to make these areas more comfortable in winter.

Melton HealthDuring 2010-2011 Melton Health moved from a block funding model to VACS and SACS funding - which is activity based. Overall Melton Health continues to meet performance targets, with demand remaining high for nearly all services.

Djerriwarrh Health Services signifi cantly expanded its provision of public dental services during 2010/2011. In the past, public dental services were provided from a mobile van located at Coburn Primary School and was only available to primary school aged children. During 2010/2011 a new state-of–the-art public Dental Clinic was built on to Melton Health and formally opened by the Hon. David Davis MLC, Minister for Health and Ageing on the 20th April 2011. The Dental Service aims to provide approximately 15,200 occasions of service in the year 2011-12.

The new service provides public dental treatment for pre-schoolers, primary school children, Pension Card Holders, Concession Card Holders, and their dependants. It also provides dentures and other prosthetic appliances manufactured within its “in house” Dental Laboratory. The new facility contains a modern Sterilising Department, ensuring that the service maintains a very high standard of infection control.

The new Dental Clinic is a training site for dental students from La Trobe University. Clients are given the option to have their dental care provided by a 4th or 5th year dental student under supervision of a qualifi ed and experienced dentist. Clients who choose this option are not required to make a co-payment for their dental care.

The Paediatric Services have undertaken a whole of service review, resulting in service improvement. Signifi cant investment in staff training was undertaken this year to support the allied health staff in leading the Autism Spectrum and Developmental Assessment programs. The aim is to become a leader in this fi eld and to set a gold standard for the State. The Adult Health Program continues to provide specialist services across a range of services, with the demand ever increasing for general physician,

orthopaedics, endocrinology and the allied health services supporting these specialists. The move to MBS (Medical Benefi t Schedule) funding for some services has addressed some of this increased demand, and is likely to be expanded into 2011-12.

The Urgent Care Service at Melton Health provided care to 12,940 patients. The increase in presentations has necessitated communicating to the residents and doctors in Melton that the service is for urgent presentations, not conditions that would be more appropriately managed by a General Practitioner.

Primary CarePrimary Care continues to provide community based services to the elderly and people with disabilities under the Home and Community Care Program (HACC) as well as other members of the community through the Community Health funding streams. Primary Care also provides additional services including alcohol and other drug counselling, family violence prevention and fi nancial counselling programs. These services are provided by our Community Health Centres based at Melton, Caroline Springs and Bacchus Marsh.

The population growth in the Melton catchment has been recognised by the Department of Health with the allocation of additional HACC growth funding for our Community Health Services. Djerriwarrh Health Services has gained additional recurrent funding of $400k for Allied Health and Nursing services in the Melton area. Allied Health services will be increased in Occupational Therapy with nursing services to be increased in Diabetes Nurse Education (DNE) and wound management. Our Occupational Therapy services will expand to work with Melton Shire and be co-located in their offi ces to work with the home assessment offi cers, supporting the State wide initiative of Active Service Model (ASM). Djerriwarrh Health Services has entered into a similar model with the Moorabool Shire to support the ASM. Our Diabetes Service will employ one additional DNE staff member to support the already expanded team and will continue to develop the strong team working relationship with the Endocrinology Services we provide via Melton Health.

Funding for fi nancial counselling services has also been rolled over for an additional 3 years to support the ever increasing needs of the clients within our catchment.

Health Promotion and Cultural Diversity activities continue to be provided by our Primary Care team. We have strong collaborative relationships with many other organizations, including the local police, and our work continues with people from different cultural backgrounds, with a particular focus on the Sudanese refugee group.

The Board continues to have a strong commitment to increasing and expanding the delivery of Ambulatory and Primary Care Services within the main town centres of our catchment including Bacchus Marsh, Melton and Caroline Springs.

Medical ServicesDjerriwarrh Health Services is very fortunate to have the continuing support of many medical offi cers, with 75 listed on our data base as either being employed by DjHS or under contract. These include our employed Career Medical Offi cers, Visiting General Practitioners, Specialists and Anaesthetists as well as some medical services which are contracted from other agencies.

We have a core group of Career Medical Offi cers employed by the health service who have been with the health service for a number of years now and are a vital part of our organisation’s growth. We continue to receive excellent support from local General Practitioners – both in Bacchus



Marsh and Melton – for which we are most appreciative. Due to the increased demand for medical specialist services it has been agreed that we need to recruit an additional Obstetrician and Paediatrician to work with us. This increase in service provision will commence in July 2011. One of the future objectives of the Health Service is to be able to provide training to medical students as well as provision of positions to newly qualifi ed medical offi cers who still require some supervision. We are planning a collaborative approach to this with Western Health. The aim is to be able to provide more opportunities to medical graduates, in the hope that they may decide to spend some of their future working life in this community.

Supporting ServicesOur support services provide a necessary, valued and high quality role to all areas of the organisation. These teams include Finance, Human Resources, Information Technology, Health Information, Environmental, Engineering, Administration and Food Services.

STATUTORY REQUIREMENTSUnder the Directions for the Minister for Finance, part 9.1.3 (iv) it is mandatory for Djerriwarrh Health Services to report on Statutory requirements, including legislative changes that have had an impact on the operations of Djerriwarrh Health Services. Djerriwarrh Health Services has fully complied with all statutory disclosures and other requirements.

Djerriwarrh Health Services is compliant with the Whistleblower’s Protection Act 2001. No disclosures have been made since the commencement of the Act in January 2002. Djerriwarrh Health Services continues to be actively committed to complying with the Public Authorities Equal Opportunity Act 1970. Djerriwarrh Health Services is also compliant with the building and maintenance provisions of the Building Act 1993. Stringent fi re prevention measures are in place with annual smoke door checks undertaken by external contractors and regular checks of smoke detectors and sprinklers are undertaken through the year. We have an annual meeting with Country Fire Authority and State Emergency Service team members to ensure they are familiar with our buildings and emergency procedure management. Mandatory emergency training sessions are conducted for all staff. We are also compliant with the Victorian Industry Participation Policy Act 2003. During this year, there has not been a requirement to report any construction or building works under this policy, given any activity of such has not reached the reportable values.

In order to meet infection control standards, we have an Infection Control Coordinator in place who monitors all our processes in this area. Major achievements during the year include the implementation of a new Central Sterilising Department in the Dental Health module, together with procedure implementation in that area. An annual education program is in place for nursing areas. Audits are undertaken annually in all areas which are then benchmarked against other like sized health services e.g. Australian Standard 4187 audit of sterilisation areas. One external audit is that for Food Safety. In 2011 our Food Services was assessed by an external Food Safety Auditor and we were 100% compliance with the Victorian Food Act 1984. An external Cleaning audit reported a 96% standard in the fi rst half of 2011 for very high risk areas with 97.8% for low risk areas. In March 2011, an external audit on Hand Hygiene Compliance showed that we achieved a 74% rate.

Other legislative requirements met during the year include compliance with the Commonwealth Department of Health and Ageing’s requirements for mandatory police checks for staff and volunteers employed in residential aged care homes and community aged care services funded under the

Aged Care Act 1997. All staff (including contracted staff) and volunteers have a current police check in place. In addition, we are compliant with the Working with Children Act 2005 by ensuring that all staff at Djerriwarrh Health Services, who are involved with working with children, must have a positive Working with Children check in place. Djerriwarrh Health Services is compliant with the National Competitions Policy and has met the requirements of the Competitive Neutrality Policy Victoria. In addition, we have met the Victorian Participation Policy by maintaining a list of preferred suppliers of goods and, wherever possible, encouraging local businesses to apply for contracts and work in the organisation.

To ensure that risks are being managed in a consistent manner, Djerriwarrh Health Services has a risk management process in place which is consistent with the Australian/New Zealand Risk Management Standard 4360/2004. The Risk Review Committee is the responsible body for ensuring that all risks, including clinical and corporate, are controlled to a satisfactory level. To ensure that all areas of risk are monitored, there are other organisational committees in place including the Clinical Risk Committee and Infection Control Committee, During the year no sentinel events were recorded, with fi ve adverse events received. All adverse events have a Root Cause Analysis conducted which may lead to changes to be made to process, minimising the risk of further events occurring

Freedom of InformationDjerriwarrh Health Services is an agency subject to the Freedom of Information Act (Victoria) 1982. As required under the Act, Djerriwarrh Health Services has nominated Robert Bruce Marshall as the Principal Offi cer and Angela Mayhew as the Freedom of Information Offi cer. A legislated fee of $20 per application applies and 20 cents a page.

The number of Freedom of Information (FOI) requests received comprised 53 for the Bacchus Marsh and Melton Regional Hospital, compared to 56 in the previous year, and 27 for Melton Health, compared to 22 in the previous year. In addition to the FOI requests, we received 31 requests for Medico-legal reports from the Courts, Police and other offi cial bodies.

Health and SafetyDjerriwarrh Health Services is committed to providing a healthy and safe working environment for all staff according to the Occupational Health and Safety Act 2004. There is a Health and Safety Committee in place which reports to the Patient Client Care Committee. The incident reporting mechanism monitors and assesses any trending in health and safety issues.

The table below shows the number and categories of staff incidents received during the last year compared to previous four years:

2006/2007 2007/2008 2008/2009 2009/2010 2010/2011

53 28 55 78 80


Freedom of information requests received

Incident 2006/2007

2007/2008

2008/2009

2009/2010

2010/2011

Needlestick injuries 11 2 5 9 18Back Sprains 9 8 8 5 5Other strains/injuries 36 36 27 27 20Aggression towards staff 16 32 25 54 69Injury from equipment 5 3 1 1 0TOTAL 77 81 66 96 112


During the year, the Health Service moved to the Victorian Health Incident Management System. This has resulted in more comprehensive information being entered into the incident reports. Once again, the number of aggressive incidents towards staff has continued to rise. We believe this is a refl ection on our increased activity, which means in turn the number of aggressive incidents will rise, combined with improved compliance in reporting such incidents. We are constantly reinforcing with our staff that we have ‘zero tolerance’ of aggression towards them and they are actively encouraged to report any such incident. In addition, the number of needle stick injuries has doubled. It should be noted, however, that with the commencement of the new Dental Service program a number of these incidents have come from that new service. All the staff are new to the service and several staff education sessions have been held in regard to compliance with health and safety issues.

Workcover management is an important part of ensuring that staff feel supported during their injury time and we do have an active ‘Return to Work’ Program in place for staff who receive an injury while at work. During the last year we received 7 new Workcover claims compared to 11 in the previous year. The number of active claims per month was lower than last year being 2 per month compared to 4.6 in the previous year. We had no major claims during the year. The number of working hours lost were 341.

Industrial RelationsDjerriwarrh Health Services endeavours to maintain a good relationship with Industrial Relations bodies by being open and transparent. During the year no time was lost due to industrial disputes.

Complaints ManagementFormal complaints are received by the Chief Executive. A member of the Executive team is appointed as the ‘investigating offi cer’ with the objective of being able to respond to the complainant within seven days with an outcome of their investigation. During 2010/2011 we received 57 complaints compared to 42 in the previous year. There was no obvious trending of complaints. All our complaints are categorised according to the Seriousness Assessment Matrix (SAM), which was developed to enable health care providers to implement effective and consistent risk minimisation strategies. Using this scale, 52 complaints were categorised as minor, 4 as moderate and one as major which was referred to the Health Services Commissioner, at our request.

AccreditationDjerriwarrh Health Services is currently accredited by the Australian Council on Healthcare Standards (ACHS) for four years, with this term expiring in October 2011. An Organisational Wide Survey (OWS) was conducted by ACHS in May 2011 to ensure that further accreditation standards were reached for the next four years. There were four recommendations outstanding from the previous survey. These were:

• Review the processes used to gain and document client consent for blood transfusion

• Review the organisation’s current abbreviation list and audit compliance to the use of abbreviations in the medical record

• Evaluate the effectiveness of the Pressure Ulcer staff education competency on the hospital’s intranet site

• The system for identifying and reporting medication errors be reviewed to ensure the reporting refl ects current practice

All these recommendations had been met to the satisfaction of the surveyors.

At the OWS this year, all Standards were met, with an excellent rating (EA) achieved in eight (8) out of the forty-four (44) criteria equalling 18%, which is very positive. The EA ratings were achieved for:

• Discharge/transfer processes

• Information to the Community on access to health services and care appropriate to its needs

• Infection Control systems

• Consumer/Community input into planning, delivery and evaluation of the Health Services

• Record management systems

• Information Technology systems

• Provision of quality, safe care through strategic and operational planning

• Waste and environment management

It has been confi rmed that we will receive a further four (4) year’s full Accreditation from ACHS until 2015.

We are also currently accredited under the Aged Care Standards Agency until 2012 when our care of residents will be assessed against their Standards.



ACKNOWLEDGEMENTSWe would like to extend our sincere thanks and appreciation to all our staff. We recognise that we have a tremendous asset in our staff. We must thank all our Visiting Medical Offi cers and Specialists who provide the high level of support needed for our organisation to function.

We also recognise the value of all our volunteers in the various capacities they fi ll – whether it be working in the Ladies’ Auxiliary Opportunity Shop, delivering Meals on Wheels, helping in the Hospital Kiosk, driving people to medical appointments, reading to residents in Grant Lodge, helping patients attending Melton Health, or supporting our palliative care clients.

The communities of Melton and Moorabool are fortunate to have the combined dedication of the Executive staff, service managers, staff, medical practitioners and volunteers to ensure that Djerriwarrh Health Services achieves and maintains a high quality of care to our community.

We also take this opportunity to thank the Board members, both current and past, for their dedicated voluntary service to the community.

Michael Tudball, AFSM Bruce Marshall, OAM

President Chief ExecutiveBacchus Marsh Bacchus Marsh29th August 2011 29th August 2011



TREASURER’S REPORTWe are pleased to present a summary of the fi nancial results for the 2009/10 fi nancial year which have been prepared in accordance with the Financial Management Act 1994 and applicable Australian Accounting Standards and Australian Accounting Interpretations and other mandatory professional requirements.

Djerriwarrh Health Services Comprehensive Operating Statement

For the Year Ended 30 June 2011

20011 2010

$’000 $’000

Revenue from Operating Activities 38,512 36,390

Revenue from Non-Operating Activities 403 320

Employee Expenses (26,612) (25,059)

Non Salary Labour Costs (3,593) (3,029)

Supplies & Consumables (4,422) (4,328)

Administration Expenses (2,627) (2,605)

Other Expenses From Continuing Operations (1,836) (1,673)

Net Result Before Capital & Specifi c Items (175) 16

Capital Purpose Income 3,971 2,397

Depreciation and Amortisation (2,386) (2,675)

Expenditure Using Capital Purpose Income - (136)

NET RESULT FOR THE YEAR 1,410 (398)

Other Comprehensive Income

Net fair value revaluation on Non Financial Assets 735 -

COMPREHENSIVE RESULT FOR THE YEAR 2,145 (398)

Treasurer’s Report


Djerriwarrh Health Services Balance Sheet

For the Year Ended 30 June 2011

2011 2010

$’000 $’000

Current Assets

Cash and Cash Equivalents 1,087 950

Receivables 1,323 1,466

Investments and other Financial Assets 3,166 1,940

Inventories 218 211

Other Current Assets 205 210

Total Current Assets 5,999 4,777

Non-Current Assets

Receivables 790 713

Property, Plant & Equipment 33,566 30,882

Intangible Assets 654 190

Total Non-Current Assets 35,010 31,785

TOTAL ASSETS 41,009 36,562

Current Liabilities

Payables 3,157 1,480

Provisions 6,243 5,468

Other Liabilities 227 388

Total Current Liabilities 9,627 7,336

Non-Current Liabilities

Provisions 954 943

Total Non-Current Liabilities 954 943

TOTAL LIABILITIES 10,581 8,279

NET ASSETS 30,428 28,283

EQUITY

Property, Plant and Equipment Revaluation Surplus 12,310 11,575

Restricted Specifi c Purpose Surplus 606 551

Contributed Capital 7,193 7,193

Accumulated Surpluses 10,319 8,364

TOTAL EQUITY 30,428 28,283



Net Result Before Capital & Specifi c Items.

The Net Result Before Capital & Specifi c items is the measurement of operating performance used by the Department of Health (DH). In the 2010/11 fi nancial year Djerriwarrh Health Services has recorded an operating defi cit of $175k, which equates to 0.4% of total operating expenditure. Total Operating revenue for the 2010/11 fi nancial year was $38.915m. Total Operating expenditure for the 2010/11 fi nancial year was $39.090m.

The operating budget for the 2010/11 fi nancial year was an operational surplus of $618. The budget was not achieved due to:

• A timing variance of $162k for our After Hours Palliative Care project (income from this project was recognised in the 2008/09 fi nancial year)

• The IT Joint Venture recognised an operational defi cit of $71k. We do not directly infl uence the operations of the Joint Venture

• Operating ineffi ciencies generated in the fi rst 4 months of opening a 12 chair dental facility at Melton Health.

The Board, Chief Executive, Executive Offi cers and Departmental Managers understand the importance of establishing a balance between operating results and service delivery and is very conscious of achieving fi nancial integrity and also of achieving our obligations that DH has placed us under.

Every attempt was made in 2010/11 to operate at an operational breakeven position, including implementing a number of cost minimisation measures which created challenges throughout the organisation.

The challenge that is faced by Djerriwarrh Health Services is to meet the increasing health needs of the communities that we serve, whilst at the same time trying to achieve a breakeven operational result.

The Board and the Chief Executive will continue to lobby for additional resources which will enable further expansion of the health services available to the community in an attempt to meet the needs of one of the fastest growing urban corridors in Australia. Revenue from Operating Activities and Operational Expenditure increased in the 2010/11 fi nancial year. The increase was due to:

• Additional programs/services (e.g. the opening of a 12 chair public dental facility)

• Increased Acute, Emergency, Urgent Care, Community Health and HACC activity

• General indexation.

The major source of Djerriwarrh Health Services Revenue from Operating Activities in the 2010/11 fi nancial year was Government funding totalling $35.969m (State funding $34.594m and Commonwealth funding of $1.375m). Whilst Djerriwarrh Health Services is very appreciative of the funding that it receives, further funding is required to keep pace with the rapidly increasing demand for our services. Djerriwarrh Health Services requires additional funding in several key areas to enable it to continue to provide adequate local services for Acute, Preventative and Allied Health care to both the Melton and Moorabool communities.

Employee benefi ts expenditure was $26.612m in 2010/11 and formed 68% of our operational expenditure. Given the efforts and commitment of our

staff we are able to provide high quality health services.

Visiting Medical Offi cers form the majority of the $2.979m Non-Salary Labour costs in 2010/11. The continuing loyalty of our attending Specialists and GP’s ensures that all patients are treated in a professional and competent manner.

Capital & Specifi c Items.

Transactions relating to the construction of a 12 chair public Dental facility at Melton Health represent the majority of the Capital Purpose income in the 2010/11 fi nancial year.

Djerriwarrh Health Services is very thankful for the fi nancial support it receives from the community. Donations are used to purchase much need medical equipment. A special thank you is extended to the members of the Bacchus Marsh Ladies Auxiliary for their continued service.

We would like to thank those members of the community who have attended/supported our annual fundraising events, specifi cally the David Calleja Memorial Car Show and the Longest Lunch. Not only do these events raise funds for much needed medical equipment, they also allow Djerriwarrh Health Services to showcase its services

Activity 2010/11


ActivityWeighted Inlier Equivalent Separations (WIES)

2010-11Activity Achievement

WIES Public 2,866WIES Private 227Total WIES (Public and Private) 3,093WIES Renal 368WIES DVA 47WIES TAC 5WIES TOTAL 3,513Sub Acute InpatientPalliative Care - Inpatient 596Palliative Care - DVA 24

AmbulatoryVACS - Allied Health 12,553VACS - Variable 14,913SACS - Non DVA 3,026Aged CareResidential Aged Care - Bed Days 10,712Nursing Home TypeNHT (non DVA) 19WIES activity performance 2010 -11 actuals

WIES (public and private) performance to target (%) 94Cash Management/ Liquidity IndicatorsCash management/liquidity 2010 - 11 actualsCreditors (days) 30Debtors (patient fees) (days) 22


YEAR IN BRIEF 2010/2011

The following tables summarize the Financial Performance of DjHS.

Financial Performance

06/07

$’000

07/08

$’000

08/09

$’000

09/10

$’000

10/11

$’000Operating Revenue(Before Capital Items) 24,202 31,938 34,244 36,710 38,915

Operating Expenditure(Before Capital Items) 23,706 31,954 33,799 36,694 39,090

Operating Surplus/(Defi cit)(Before Capital Items) 496 (16) 445 16 (175)

Total Assets 27,479 27,021 36,873 36,562 41,009Total Liabilities 6,388 7,128 8,192 8,279 10,581Total Equity 21,091 19,893 28,681 28,283 30,428

600

500

400

300

200

100

0

-100

-200

-300

Operating Surplus/Defi cit

2006/07

2007/08

2008/09

2009/10

Current Assest Ratio

1.20

1.00

.80

.60

.40

.20

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

$’000


2010/11


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

40,000

35,000

30,000

25,000

20,000

15,000

10,000

5,000

-

Revenue Indicators

Fees are charged in accordance with the directives issued by the Department of Health and the Commonwealth Department of Health and Ageing.

Average Collection Days

Private2010/11 2009/10

34 38Other Compensable 26 31Residential Aged Care 6 4

Debtors at 30th June 2011

Under 30 days$’000

31-60days$’000

61-90 days$’000

Over 90 days$’000

Total 30/06/11$’000

Total 30/06/10$’000

Private 52 4 2 3 61 74Other Compensable 225 7 9 3 244 193Residential Aged Care 2 - - - 2 9Total 279 11 11 6 307 276

$’000


06/07

$’000

07/08

$’000

08/09

$’000

09/10

$’000

10/11

$’000Current Assets 3,066 3,298 5,095 4,777 5,999Current Liabilities 5,300 6,451 7,442 7,336 9,627Current Asset Ratio 0.58 0.51 0.68 0.65 0.62

Total Operating Revenue

In 2010/11 Djerriwarrh Health Services spent $38.915 million of operating revenue on service delivery to our community. The graph below shows that ourservice delivery has increased in line with demand for our services. Further demand increases will need to be funded.


Separations - Acute 2006/07 2007/08 2008/09 2009/10 2010/11Same Day 4,454 8,143 9,155 9,591 9,132Multi Day 2,729 2,872 2,809 2,922 2,846Total Separations 7,183 11,015 11,964 12,513 11,978Emergency 453 414 490 437 551Elective 5,380 8,937 10,180 10,521 9,819Other inc Maternity 1,350 1,664 1,294 1,555 1,608Total Separations - Acute 7,183 11,015 11,964 12,513 11,978

Total WIES 2,933 3,457 3,528 3,699 3,513

Total Bed Days - Acute 12,077 16,378 16,609 17,398 17,222

Separations - Sub AcuteSame Day 0 0 0 0 0Multi Day 89 81 77 66 71Total Separations – Sub Acute 89 81 77 66 71Emergency 0 0 0 0 0Elective 0 0 0 0 0Other inc Maternity 89 81 70 66 71Total Separations – Sub Acute 89 81 77 66 71

Total Bed Days – Sub Acute 635 723 623 679 620

Non-Admitted Patients - AcuteEmergency Dept Presentations 7,461 12,343 16,841 17,708 21,589

Outpatient Services - occasions of services (VACS and Non VACS clinics)

3,847 21,859 30,442 35,908 38,157

Number of Births 507 612 624 762 780

Residential (Nursing Home) Bed Days 10,846 10,698 10,774 10,720 10,712

Community Health occasions of services 17,894 18,251 18,762 19,099 22,010

ActivityThe table below shows service activity over the last 5 years.



Workforce Data

The table below shows the Full time equivalent (FTE) employee numbers as at 30 June 2011.

Labour Category JUNE 2011 Current Month FTE JUNE 2011 YTD FTE JUNE 2011 Current Month Head Count

Nursing 146.79 140.25 252Administration and Clerical 72.45 70.25 105Medical Support 26.92 24.25 38Hotel and Allied Services 33.63 33.25 67Medical Offi cers 1.08 1.08 17Hospital Medical Offi cers 7.13 6.92 24Ancillary Staff (Allied Health) 50.74 47.67 68

Consultancies

In 2010/11 there were no single consultancies that cost over $100,000. There were 8 consultancies which cost a total of $165,408.

Events subsequent to Balance Date

There has been no event subsequent to balance date that may have a signifi cant effect on the operations of the entity in subsequent years.

Going Forward

The Board and the Chief Executive will actively pursue funding streams for all Acute, Primary and Residential Services which will enable further expansion of our health services in an attempt to meet the health needs of one of the fastest growing urban corridors in Australia. Currently our funding is not keeping pace with this rapidly increasing demand on our health services. We are working with DH to rectify this.

Claire Sutherland Bruce Marshall, OAM

Treasurer Chief Executive Bacchus Marsh Bacchus Marsh 29th August 2011 29th August 2011



ACKNOWLEDGING OUR VOLUNTEERS Our volunteers are gratefully acknowledged for the hard work and support they give Djerriwarrh Health Services during the year. Our volunteers help in many areas of the organisation which include Meals of Wheels, Melton Health, Melton Community Health, Grant Lodge, Consumer Transport, Friendly Visiting, Hospital Auxiliary, Palliative Care and the Hospital Kiosk. Without our volunteers it would be extremely diffi cult to provide the services to our community in the way that we do.

Community and Staff

Liza Alpers

Lois Annesley

Barbara Atkin

Janet Austin

Reg Baker

Tess Baker

Gillian Barker

Pamela Bailey

Jennifer Barrie

Greta Beale

Vivienne Bearne

Brianna Bell

Anne Bennett

Maureen Bird

Margaret Bolger

Margaret Boylan

Jill Braithwaite

Judith Bridges

Kevin Bridges

Betty Bridgewood

Wilma Brittain

Pamela Broad

Joe Broad

Anne Brown

Joan Brown

Marlene Burvill

Sandra Butler

Anthony Buxton

Muriel Buxton

Anne Caisley

Norman Carboon

Jean Carboon

Betty Charge

Danielle Cherbakof

Chris Christie

Nola Closter

Arthur Coelho

Emily Comensoli

Glenn Cossens

Patrick Kirwan

Pauline Kisler

Eileen Knight

Patricia Kohler

Abdalla Kori

Jennie Leach

Robyn Lee

Brenda Lee

Wendy Lesko

Faye Lidgett

Jillian Lidgett

Bernice Light

Ruth Limmer

Heather Linsdell

John Linsdell

Patricia Liversidge

Janette Lowe

Peter Lowe

Barbara Lucena

Elizabeth Lumis

Jean Lycette

Denise Lynch

Helen Lyne

Trevor Lyne

Elspeth Mackay

Jenny Macrae

Ian Malloy

Thelma Manly

Judith Martin

Carmel Matthews

Jean Maxwell

Christine McCarter

Bev Mc Court

Pauline McDonald

Jan Mc Guiness

Chloe McKenzie

Robyn Millar

David Millar

Margaret Miller

Patricia Miller

Susan Miller

Bertha Missen

Elizabeth Mitchell

Ellen Moran

Karen Morce

Beryl Morgan

Merryn Morris

Francie Muccignat

Tayamany Muniandy

Lorraine Costa

Heather Crouch

Glenys Currie

Elizabeth Davie

Kathryn Davies

Gillian Davis

Barbara Day

Barry Dean

Nicole DeJong

Barbara Di Collalto

Lauris Dickson

Clement Dickson

Val Dickson

Alma Dowsett

Celestine Drake

Sue Drury

Beverley Edwards


Community and Staff

ACKNOWLEDGING OUR VOLUNTEERS continuedLili Eggleston

Liza Elphick

Ada Melissa Espinoza-Verde

Dorothy Estlick

Mary Evans

Janice Farmelo

Lynne Farrer

Marilyn Fernandez

Stephen Fernandez

Gwenda Ferry

Aileen Finn

Veronica Fitzgerald

Helen Fleming

Elizabeth Franklin

Tee Frost

Anne Maree Gatt

Beryl Gibson

Carol Glass

Peter Glass

Robyn Goodman

Susan Gordon

Carol Griffi ths

Margaret Murdoch

Dorothy Myers

Betty Nelson

Lyn Newland

Lorna Newman

Christine Nguyen

James Oakley

Evelyn Oakley

Susan O’Dwyer

Carolyn Olthof

Kate Orchard

Sylvia Palmer

Barbara Palmer

Mary Pengelly

John Pengelly

Marie Perry

Jennifer Petersen

Helen Pike

Joan Pinder

Ken Polmear

Diana Portelli

Laura Porter

Muriel Price

Janet Quinn

Nola Roberts

Fiona Robertson

Rene Robinson

Winsome Rose

Brenda Ross

Kathleen Rowan

Michelle Ryan

Anna Samy

Carolyn Seagar

Ray Selley

Steve Sherry

Lauraine Slater

Yvonne Spargo

Audrey Stanaway

Wayne Stanton

Dianne Stent

Melita Stephenson

Graeme Stewart

Lorraine Stewart

Nancy Stewart

Kath Stone

Rona Sweet

Lorraine Symons

Olive Tait

Glenda Tanner

Keith Gundry

Robyn Gunn

Margaret Hall

Ann Hall

Elva Hannah

John Hannah

Kaye Harbridge

Mandy Harrington

Gerald Harris

Valerie Hawken

Nanette Hein

Lyn Hewat

Kerrie Hill

Pamela Hill

Loris Hine

Kaye Holland

Nana Holmes

Dorothy Hornbuckle

Greg Hose

Marg Hose

Keith Howard

Kathleen Hughes

Rebecca Humphreys

June Hutchinson

Albert Hutchinson

Emmy Jansink

Herman Jansink

Harriett Jarman

Janet Jenks

Judy Jensz

Donald Johnson

Julie Johnson

Keryn Johnson

Wayne Johnson

Gloria Jones

Pieter Jongkryg

Melissa Kalin

Jess Kearney

Barry Keohane

Jeanette Thomas

Mandy Thomas

Kate Thomas

Margaret Thompson

Pamela Thorne

Jill Thorneycroft

Ray Thorneycroft


10 Years Karissa ARNOLD

Lyn BURNS

Mandy CULLEN

Evelyn ELLIS

Delia GREGG

Pamela HANSEN

Shonet HINTNER

June LINES

Carmel MATTHEWS

Maureen PERUMAL

Jan SALMON

Tania TAYLOR

Linda WILKINSON

Jan WOOD

June WORK

Theresa WREN

15 Years Janice GORINI

Paul HILDER

Yvonne MATTHEWS

20 Years Fiona BAILEY

Catherine VAN RIJN

25 Years Helen BALLINGER

Dorothy EMERSON

Karen JONES

Cheryl KING

Mary LITTLE

Ann-Maree MILLER

Kay PEELMAN

Dianne STEWART

30 Years

Dianne MACRAE

Christine STORER

35 YearsJune PROUT

MILESTONES OF STAFF SERVICEThe following staff reached service milestones during the year. The Board extends its congratulations to the following staff:

Community and Staff

ACKNOWLEDGING OUR VOLUNTEERS continuedJean Tobin

Sue Tomlinson

Alice Trask

June Trask

John Trask

Norma Trotter

Gil Tudball

Brigid Vallance

Rosemary Van Alkemade

Gerry Van Baast

Dorothy Van Zuylen

Peter Van Zuylen

Melinda Vendetti

Cheryl Vicars

Wal Voss

Paivi Voss

Anna Watson

Glenys Watson

Helga Weiss

Denise Werner

Lillian Werner

Joan Wesley

Keith Wesley

Raymond Weston

Jean Weybury

Lucille Wheelahan

Bob Whitefi eld

Peter Whitfi eld

Marian Whitson

Derek Williamson

Claire Wilson

Margaret Wilson

Mary Winfi eld

Madeleine Wood

Anne Woof

Yvette Xerri

Thelma Young

Lynette Young

Diana Zilm

John Zilm


DONATIONS Djerriwarrh Health Services is very grateful to those individuals and organisations who have made donations during the year. Total donations received during 2010/11 amounted to $202,755. Particular recognition must once again be given to the Bacchus Marsh Ladies Auxiliary who continue to work so hard on our behalf and make a signifi cant contribution to our donations.

The list below lists donations received of $500 and above.

Allen Foundry Company

Allpress Printing

Autobarn Melton

Bacchus Marsh Farm Supplies

Bacchus Marsh Ladies’ Auxiliary

Bacchus Marsh Lions Club

Calleja Transport

Shane Cook Homes

Devenny Payne Taxation and Business Services

Device Technologies

Foodworks (Bacchus Marsh)

Diana Gibson

H & K Auto Electrical

The Estate of LB and RW Hine

In memory of Norm Holland

Lindenburg Concreting Pty Ltd.

Marsh Classic Restorations

Melton Shire Council

Moorabool Shire Council

Regional Tyre Service

Rustel Earthmoving Pty Ltd.

Dr. Peter and Robyn Schlesinger

Smith and Gilbert

Bacchus Marsh Workwear and Safety

Tripod Farmers

Urban Service Solutions Pty Ltd.

Helga Weiss

The William Angliss (Vic) Charitable Trust

Community and Staff


Documents

DJERRIWARRH HEALTH SERVICES · Julia Meek, R.N. (Div.1),Midwife, BHlthSc(Mgt), MB(HRM) Director of Clinical and Quality Support Services Elizabeth Wilson, BApp.Sc(Physio), MCSP, P.Grad.Dip.Hlth.Admin,