2014 - 2015 - Mildura Base Hospital
Transcription
2014 - 2015 - Mildura Base Hospital
Mildura Base Hospital ANNUAL REPORT > 2014-2015 Working with the community to achieve the best health outcomes. Mildura Base Hospital Annual Report 2014/2015 1 What’s inside 2 CEO’s Report 4 The Year in Summary 6 Mildura Base Hospital – At a Glance 7 Our Management Team 8 Our Organisational Structure 9 Committee Structure Mildura Base Hospital: working with the community to achieve the best health outcomes. 10 Community Advisory Board 13 Statement of Priorities 19 Reportable Information 22 Attestation 23 Financial Report Mission Statement Improving the health and wellbeing of our community by providing quality health services, with care, compassion and skill. Our Vision Your Hospital – we care. Our Values Mildura Base Hospital embraces the following values in its day-to-day operations: OUR PEOPLE s 7 EWILLBEANEMPLOYEROFCHOICEANDACTIVELYENCOURAGE co-operation, accountability, teamwork and respect – Continuously improve communication throughout the organisation – Attract and maintain appropriately skilled staff – Ensure a culture of respect, individual responsibility, tolerance and teamwork. OUR COMMUNITY s 7EWILLPURSUEIMPROVEDCOMMUNITYENGAGEMENT OUR PATIENTS – Enhance communication with the general community and promote the work of the hospital s 7 EWILLPROVIDERESPONSIVEEASILYACCESSIBLEINTEGRATED quality health care services – Undertake effective health promotion and enhance linkages with other health services. – Continuously improve the quality and safety of care, to enhance the patient experience OUR BUSINESS – Encourage patient and carer ownership for health s 7 EWILLOPERATEOURBUSINESSINAMANNERTHATENSURESOUR viability, and sustainability – Meet the requirements of the National Health Reform – Address specific cultural diversity needs of patients and carers and respond effectively – Proactively develop services and linkages which will benefit patient care. – Ensure adequate data collection, integrity and analysis to maximize financial and clinical outcomes – Manage appropriate infrastructure development to meet evolving needs – Provide an efficient governance framework that ensures compliance with all requirements – Evaluate and implement improved business processes. 2 Mildura Base Hospital Annual Report 2014/2015 CEO’s Report 2014-2015 I am delighted to outline the many achievements and developments that have occurred at Mildura Base Hospital over the last year. We have seen a much anticipated completion of the Hospital’s major building project. This is the biggest expansion project ever undertaken by the Hospital and its completion allows the delivery of all the advantages and progress it brings. The $16 million development project upgraded the Mental Health, Obstetrics and Emergency Departments and involved major works in three of the most critical service delivery areas within the Hospital. The complexity and challenge of undertaking three large infrastructure development projects concurrently is significant not only in financial terms, but logistically. It is notable that the complex infrastructure and construction works were undertaken to completion without significant disruption to services and with minimal inconvenience to the public. That we were able to achieve such substantial infrastructure work with little impact on the public and services is a credit to all staff involved, both at the planning and service delivery level, as well as the constructive working partnership with our developers. It is a significant credit to the Hospital’s project management team, that the work was achieved and delivered within budget and on time. The result of the upgrading work has been a significant improvement to the capacity of the Hospital and also the quality of experience for both patients and their families in these key areas of services. Also this year, construction began on a new accommodation building comprising of 35 units to replace the ageing Lanyon Flats. The building provides high standard accommodation for interns and medical officers on rotation and will significantly improve the experience for doctors while staying in Mildura. We are confident that in supporting a positive initial experience in the Mildura area, this high-quality accommodation may encourage medical staff to make a longer term commitment to the area. Work has also commenced this year on the new Aboriginal Health Unit which is due for completion in November. This is an important initiative aimed at improving our engagement with members of the Indigenous community and their families and assisting the Hospital to provide appropriate health care to meet the needs of the Indigenous population. We were pleased this year to receive funding for the installation of a new world-standard patient administration system. The current system was introduced in the 1980s, and is largely paper-based. The new electronic system will make great progress in terms of speed and ease of access to patient medical records and we look forward to the installation of the new system. The Hospital continues to perform extremely well on a range of regular audits and service reports. Despite our isolation, I am happy to report that we compare favorably with peer hospitals and outperform in a number of areas. Recruitment and retention of medical staff continues to be a major challenge for all rural and remote hospitals and Mildura Base Hospital has been extremely active in this space. The establishment of the Ramsay Specialist Clinic has assisted in the recruitment of new specialists including an orthopaedic surgeon, as well as an additional paediatrician and oncologist and, for the first time, a geriatrician. Mildura Base Hospital Annual Report 2014/2015 We are extremely grateful for the ongoing support of the community we serve. There have been a number of donations kindly given to the Hospital and we are very grateful for this support. Many thousands of people in the area contribute financially to the 97.9 Sun FM Give Me Five for Kids Appeal, which raised a record $44,575 in the last year. We are extremely appreciative of the ongoing support of this important initiative. All funds raised and donated are used to purchase much needed equipment at the Hospital. The Community Advisory Board continues to provide a conduit for members of the community to use and provide advocacy and support to the Hospital. I take this opportunity to thank the Board, for its input and support to ensure that the Hospital continues to deliver a high level of health care in the region. Finally, I would like to express my sincere appreciation to our staff and management team, for their ongoing support and commitment to providing high quality services to our community, through what has been an extremely busy and at times challenging year. Dane Huxley Chief Executive Officer 3 4 Mildura Base Hospital Annual Report 2014/2015 2014-15 - A Year of Progress 2014-15 has been an exciting year of development and expansion at Mildura Base Hospital. MBH is working constantly to improve its effectiveness as the region’s acute care health service provider. In the past year, our efforts to improve facilities and provide additional services and staff have included: s AUGUST 2014 s JULY 2014 s s The spectacular sight of competitive hot air ballooning returned to Mildura for the first time in a decade. A night time “balloon glow” at Irymple was a fundraiser for the -"(#HILDRENS7ARDANDWASAHUGESUCCESSRAISING $21,000. s s s s s s More than 100 people took part in the first community walkathon run by Mildura Base Hospital and the MBH Community Advisory Board. It was part of 97.9 Sun FM’s ‘Give Me Five For Kids’ appeal, with the walk beginning and ending in the Langtree Mall. Mildura Base Hospital Mental Health clinician Larni Baird was appointed to lead Mildura’s new headspace centre. headspace is the National Youth Mental Health Foundation initiative, helping young people who are going through a tough time. Crews started construction of new $9 million accommodation complex for clinicians and students in Thirteenth Street. Students from Irymple South Primary School did fundraising during a unit about “thinking of others”. They chose to run a pizza, cupcake and cordial day to raise funds for the Children’s 7ARDAT-"(nANDWEREABLETODONATEAPPROXIMATELY to purchase a small television set for patients. During a visit by the former Health Minister David Davis, the Victorian Government pledged $829,000 to maternity and Aboriginal health care services at MBH. A Residential In-Reach Program was launched, providing a health-care interface between MBH and the region’s Residential Aged Care facilities. It aims to assist aged care residents to avoid trips to the Emergency Department where possible. The first stage of the $16 million three-stage hospital upgrade was finished, with the completion of the expansion of Mental Health Department. Several senior MBH staffmembers completed the Qualitas Productive Leader program. It focused on delivering greater efficiency, both personal and organisational, giving leaders more time to lead. At the completion of the course, the MBH participants won the award for best presentation ahead of metropolitan and regional hospitals from throughout Victoria. MBH welcomed a nine percent increase in its capacity to provide Palliative Care services for the region. The number of funded Palliative Care bed days was increased from 1020 days in 2013-14 to 1113 in 2014-15. SEPTEMBER 2014 s s The first birth was recorded in the new MBH birthing suites. Lola Mary Droffelaar arrived only a few hours after the new suites were officially opened. The birthing suites were a key element of a seven million dollar redevelopment. There were pink ladies, pink pom-poms and the obligatory pink cupcakes at the annual “pink day” morning tea in the MBH midwifery courtyard. A call to women and girls to be “breast familiar” from a young age and a reminder to older women to commit to breast screening every two years were the key messages. Mildura Base Hospital Annual Report 2014/2015 APRIL 2015 OCTOBER 2014 s An iconic Mildura landmark was chosen as the ideal location for headspace Mildura. The Cottee’s Building in Pine Avenue provides a unique combination of professional service-delivery space in a current and comfortable vibe for the youth focused centre. The selection of the location was ahead of the opening of headspace Mildura in February 2015. s New state-wide smoking bans around hospitals were aimed at supporting and encouraging more people to quit or cut back their smoking. Changes under the Tobacco Amendment Act 2014 included new bans on smoking in the hospital grounds and within four metres of a hospital entrance. s Students and medical staff began settling into the comfortable surrounds of Mildura Base Hospital’s new $9 million accommodation complex in Thirteenth Street. The Federal Government funded the self-contained two-storey apartment complex next to the old Mildura Base Hospital to provide accommodation for students, practitioners and medical officers employed or training at the hospital. The complex replaced Lanyon House, which served the hospital well, but was well past its use-by date. s A large new artwork was unveiled in the MBH Foyer. Artists Gayle Stone and Susie Tinker collaborated with !BORIGINALARTISTS*UDITH9OUNG7IRADJURIANDHER DAUGHTER,YN!L9OUNG'UNNAI7IRADJURIJOINEDTOCREATE h4HE-ESSENGER7IRRIGIRRI4REEvWORK NOVEMBER 2014 s The annual 97.9 Sun FM Give me Five for Kids appeal raised an amazing $44,575. It was the highest figure ever raised during the history of the appeal. FEBRUARY 2015 MAY 2015 s s A brief ceremony, the unveiling of a plaque and enthusiastic applause – and the $16 million redevelopment of Mildura Base Hospital was declared complete 15 months after work began. Victoria’s new Health Minister Jill Hennessy was guest of honor at the opening on February 26 in her first visit to the region as Minister. MARCH 2015 s s Mildura Base Hospital implemented a project aimed at reducing incidents of violence and aggression against staff. The Hospital Safety and Security Project was part of stateWIDE7ORKSAFEAND$EPARTMENTOF(EALTHINITIATIVES MBH was pleased to receive $285,000 from the Victorian Government for the replacement of two ageing operating theatre sterilisers. s ORKBEGANONTHEUPGRADEOFTHE3PECIAL#ARE.URSERY 7 About 900 babies are born each year at MBH, with up to 150 of those requiring Special Care or Intensive Care. The work provided a dedicated resuscitation space within the Special Care Nursery. Mildura Base Hospital secured the services of a staff consultant geriatrician for the first time. Dr Barnabas Mavo is a physician specialising in the care of elderly people and was appointed to meet growing demand from the Mallee’s ageing population. JUNE 2015 s New parking time limits were introduced around MBH in an effort to improve parking availability in the hospital precinct. The new two-hour time limits apply to carparks immediately surrounding the hospital to encourage staff and longer-term visitors to use the all-day carparks across Ontario Avenue. 5 6 Mildura Base Hospital Annual Report 2014/2015 Mildura Base Hospital – At a Glance Mildura Base Hospital is a 161 bed fully integrated regional public hospital serving the Sunraysia area. The hospital services an area population of approximately 80,000 and is the major public referral centre for the Northern Mallee region OF6ICTORIATHEFARWESTREGIONOF.EW3OUTH7ALESANDTHE Riverland area of South Australia and is a referral centre FORSMALLERREGIONALHOSPITALSSUCHAS/UYEN7ENTWORTH Robinvale, Balranald and Manangatang. MBH provides a range of Acute Services, including Emergency, Maternity, Intensive Care, General Medicine and Surgery, Dialysis, Mental Health (Inpatient and community SERVICESANDARANGEOFAMBULATORYSERVICES s Ambulatory Care – Physiotherapy – Occupational Therapy – Speech Therapy – Dietary – Audiology – Social work – Fracture clinic n7OUND#ARECLINIC – Rehabilitation s #HEMOTHERAPYEIGHTBEDS s Operating Suite n$AY3URGERYBEDSANDRECOVERY4HEATRE %NDOSCOPY3UITE s -EDICAL)MAGING#ONTRACTED s Dialysis (9 Chairs -satellite unit of Royal Melbourne (OSPITAL s %MERGENCY$EPARTMENTBEDSAND2ESUSCITATION s Hospital Admission Risk Program s Hospital In The Home s )NTEGRATED#ANCER3ERVICECONTRACTUAL s Infection Control s )NTENSIVE#ARE5NITBEDS s -ATERNITYBEDS"IRTH3UITE3PECIAL#ARE.URSERY s -EDICALBEDS s -ENTAL(EALTHPLUSALLOCATEDFOR!GEDPERSONS s Paediatric s 0ALLIATIVE#AREBEDS s Post-Acute Care s Rehabilitation s 3URGICALBEDS s 4RANSITIONAL#ARE0ROGRAM4#0 Mildura Base Hospital Annual Report 2014/2015 Our Executive Management Committee DANE HUXLEY – CHIEF EXECUTIVE OFFICER Dane was educated at Monash University where he obtained a Bachelor of Arts and a Masters in Business Administration. Dane has been actively involved in a number of organisations in Mildura including the FORMERPOSITIONSOF#HAIRMANOFTHE-ILDURA7ENTWORTH!RTS&ESTIVAL Chairman of the Northern Mallee Primary Care Partnership, Deputy Chairman of the Sunraysia Mallee Economic Development Board and Chairman of the Mildura Rural City Council Audit Committee and Chair of the Mildura Development Corporation. Dane is currently Chairman of the Sunraysia Modernisation Project. JULIA MORGAN – DIRECTOR OF CORPORATE SERVICES Julia Morgan commenced as Director, Corporate Services at Mildura Base Hospital in January 2010. Prior to this appointment, Julia held senior management positions at Flinders University, The Avenue Private Hospital and Mildura Base Hospital. Currently completing an MBA at La Trobe University to compliment her accounting qualifications, Julia is passionate about professional development and encourages a continuous improvement philosophy in her team. She is a member of the Institute of Public Accounts and Australian College of Health Service Management and is Secretary to the Mildura Blue Ribbon Foundation Committee. DR ALISON WALKER – DIRECTOR OF ANAESTHETICS & ICU, A/DIRECTOR OF MEDICAL SERVICES $R7ALKERSTARTEDAT-ILDURA"ASE(OSPITALASA3TAFF#ONSULTANT Anaesthetist in August 2010. Less than 12 months later she was appointed to the role of Director of Anaesthetics and ICU – overseeing the provision of anaesthetic services and the running of the hospital’s BED)NTENSIVE#ARE5NIT$R7ALKERWASPROMOTEDINTOTHEROLEOF Acting Director of Medical Services in January 2013 and has fulfilled this role ever since. SIMONE HEALD – DIRECTOR OF NURSING Simone Heald joined Mildura Base in 1999 as a Registered Nurse and Midwife. Simone has also complete studies in the area of Childbirth %DUCATION!DOLESCENT(EALTHAND7ELFARE3HERECENTLYCOMPLETED her Diploma of Management and is now completing an MBA. Since commencing with Mildura Base Hospital, Simone has held the Associate Director of Nursing Role before taking on the Directors role in March 2010. Simone’s professional interests include developing a collegial and supportive nursing department in which staff are valued and respected. BELINDA PAVILACH – ACTING DIRECTOR OF MENTAL HEALTH SERVICES Belinda Pavilach began her career as a Registered Nurse in 2000 as part of the Graduate Nursing Program at the Mildura Base Hospital. Belinda chose a career path in Mental Health and worked as part of the Inpatient Unit as well as in the Community. She has taken on leadership roles such as Nurse Unit Manager and Community Services Manager before becoming the Acting Director last year. Belinda has a double degree in Nursing and Mental Health and is committed to a safe, quality, consumer-focused service within a recovery framework. 7 8 Mildura Base Hospital Annual Report 2014/2015 Our Organisational Structure Ramsay Health Care Board Chief Executive Officer Personal Assistant CEO Director of Medical Sevices Director of Nursing Director of Mental Health Director of Corporate Sevices Medical Admin. Manager Principal Nurse Educator, Cancer Care Coordinators Clinical Director – Metal Health Services Finance Manager General Manager Resources & Facilities Visiting Medical Officer ADON (Clinical /PERATIONS Associate Director of Mental Health Payroll Accounts Supply Services Environmental Services Quality Salaried Medical Officer Hospital Coordinators/Access -ANAGER7ARDS 1, 2, 3, 4, ICU, Dialysis/Chemo Health Information Services Food Services Policy Resident Medical Officers ADON (Community /PERATIONS Information Technology Maintenance Department General Manager – Performance Improvement Risk Infection Control Pharmacy Redesign HMO Manager Ambulatory Care, Emergency Department, Dialysis/Chemo, HITH, HARP, 7OUND4#0 Breast Care Nurse Peri Operative Services Manager Improvement Projects Library Consulting Suites Theatre, Day Surgery, Recovery, CSSD, Pre Admission, Organ Donation, Stomal Therapy Psychiatric Nurse Consultant, In-patient Unit manager, Dual Diagnosis, Clinical Nurse Educator/ECT, Consumer & Carer Consultants Manager of Community Services OH & S CYMMS, APMHS, CCT, Perinatal, CATT, Triage, Service Access Recruitment Aboriginal Health Unit Mildura Base Hospital Annual Report 2014/2015 Our Committee Structure Ramsay Health Care Chief Executive Officer Human Research and Ethics Medical Advisory Committee and Clinical Review Committee Community Advisory Board Medical Staff Group -EDICAL#OUNCIL Executive Management Committee Quality Assurance Sub-Committee 0ATIENT#ARE2EVIEW People, Culture and Business Committee Occupational Health & Safety Infection Control Committee Credentialling Committee Clinical Practice Committee Drugs & Theraputics Committee Specialty Groups #RAFT Operating Theatre Users Group 9 10 Mildura Base Hospital Annual Report 2014/2015 Community Advisory Board FROM THE CHAIRMAN Attempting to canvass the work of one of the region’s biggest, and arguably most important employers, in a few words is hardly, is hardly possible. 3EVENDAYSAWEEKHOURSADAYANDNOPUBLICHOLIDAYSISAWORKPLACEWITHOUTRIVAL'LADLYITISSUPPORTEDBYATALENTED and dedicated team who know that theirs is much more than a job. Those of us who meet monthly to review their performance have their utmost admiration. But the work of the Community Advisory Board needs to look beyond the now and ensure that we are well equipped to meet the challenges of the future. To that end, a key focus of the past year has been an analysis of the health and hospital needs of 2040, the generation hence. At the very least, we must ensure that our children and our grandchildren are certain to receive the care and support that we now seek and expect. As we all know . . . ‘a failure to plan is a plan to fail’. In collaboration with Monash School of Rural Health, that forecasting for the future health needs of our region has commenced. Coming weeks will see a start to a series of community consultations and a sharing of the work that awaits. I am proud to be a part of a board that has seen fit to accept that challenge. Our initiative could hardly have received a higher endorsement when the Minister recently announced her own plan for a Health 2040 projection. 7ELOOKFORWARDTOWORKINGWITHTHE-INISTERANDTHE6ICTORIAN'OVERNMENTINTHISVITALWORK To your health, Adjunct Professor Vernon Knight AM JP Chair, Mildura Base Hospital Community Advisory Board Mildura Base Hospital Annual Report 2014/2015 CHAIRMAN: VERNON ANDREW KNIGHT AM JP Vernon previously served as the Chair of the new Mildura Base Hospital from 2000 to (EHOLDS$EGREESAND$IPLOMASIN3OCIAL7ORKAND9OUTH7ORKANDAN!DJUNCT Professorship of La Trobe University. Vernon is currently the CEO of Mallee Family Care, a community based agency which employs close to 300 staff in a wide range of health and human services. Those services INCLUDE#OMMUNITY-ENTAL(EALTH$ISABILITY4RAINING%MPLOYMENTAND2ESPITE#ARE and Early Intervention Services for Pre-school Children with Multiple Disabilities. Awards include Membership of the Order of Australia, the Australian Centenary Medal, Equity Trustees CEO Long Term Achiever and a Paul Harris Fellow. He is married with six children. MRS ADA PETERSON Ada Peterson is employed at Mallee District Aboriginal Services in the role of Manager of Community and Housing. Ada attended the Red Cliffs High School and later completed a Diploma in Community Education at RMIT Melbourne. Her qualifications include a Certificate in Business Administration, Critical Incident Stress Debriefing and Management Training Course, Basic Koori Counselling and DHS Child Protection and Youth Justice Professional Development 5NIT"EGINNING0RACTICEIN#HILD0ROTECTION Ada has been actively involved in a number of organisations in Mildura including the Director Mildura Aboriginal Corporation- Secretary, Convener Mildura Aboriginal Network, Chairperson Mildura Rural City Council Aboriginal Action Committee, LMML Advisory Committee, LMARG, Interdepartmental Committee Mildura. SR. MARION MCDONALD Sister Marion McDonald is a member of the Institute of Sisters of Mercy of Australia & Papua New Guinea and is currently the Parish Leader of the Catholic Parish of Our Lady’s in Merbein. Sr. Marion has years of experience in educational leadership and pastoral ministry. Sr. Marion has completed TPTC at Mercy College, Certificate in Education Administration, $IPLOMAIN4EACHINGPRIMARY"ACHELORIN4HEOLOGYAND'RADUATE$IPLOMAOF3OCIAL Science. Sr. Marion is currently a member of the Chances for Children Selection Committee and a member of the Mildura Base Hospital Ethics Committee MR JOHN TESORIERO *OHN4ESORIEROISCURRENTLY#HAIROFTHE"OARDOF$IRECTORSOF,OWER-URRAY7ATERAND until recently, Project managed the development of a business case for the Sunraysia Irrigation Modernisation Project for the Mildura Development Corporation. *OHNHASEXTENSIVEEXPERIENCEINTHEWATERINDUSTRYINCLUDING'ENERAL-ANAGER7ATER 3UPPLYFOR3OUTHERN2URAL7ATER#HIEF%XECUTIVE/FlCEROFTHE&IRST-ILDURA)RRIGATION 4RUSTAND'ENERAL-ANAGER7ESTERN-URRAY)RRIGATION John is a former Chairperson of the Murray Valley Citrus Board and was previously the Chief Executive Officer of that organisation. John previously served on the Mildura Base Hospital Board between 1991 and 1993. He HASA'RADUATE$IPLOMAOF"USINESS!DMINISTRATIONANDISAMEMBEROFTHE!USTRALIAN Institute of Company Directors 11 12 Mildura Base Hospital Annual Report 2014/2015 MR GARY NALDER Gary is the Director of Corporate and Compliance at Mallee Family Care and has extensive experience in Business Management. Gary has completed an Advanced Certificate in Accounting, Certificate in Financial Services and Company Director Course - Australian Institute of Company Directors. Gary is a Board member of Sun Assist Volunteers Helpers Inc and member of the Chances for Children Management Committee. ASSOC. PROF FIONA WRIGHT Fiona is Director of the Monash University School of Rural Health in Mildura. Prior to this, Fiona was a GP registrar in Mildura, as well as Medical Director at Mildura Base Hospital. Fiona has completed MBBS and BHSc and is a member of the Australian Institute of Company Directors. She also serves on the Board of the Lower Murray Medicare Local. MR GERALD PURCHASE Gerald Purchase was born, raised and educated in South Africa. He holds a Master’s $EGREEIN#LINICAL0SYCHOLOGY2HODES!FTERLECTURINGAT5NIVERSITYHEEMIGRATED to Australia, settling in Mildura. After ten years with the Victorian Department of Health working with young children, he went into private practice. His current research interest in Neurofeedback. MRS GAYLE DANSON Gayle Danson is the Service Development Officer at Sunassist Volunteer Helpers Inc. and has lengthy experience within the Disability and Aged Care Sectors. She has been elected onto the Executive of the Northern Mallee Primary Care Partnership for the last nine years Gayle completed the Company Directors Diploma from the Australian Institute of #OMPANY$IRECTORS#OLLABORATIVE#ASE-ANAGEMENTCOURSEAT5NIVERSITYOF7OLLONGONG and has undertaken a range of short course within the disability sector. Gayle also has both teaching and librarian qualifications. Gayle has been elected Director of MADEC Australia for the last five years, a member of the MADEC Audit and Risk Committee, Convenor of the MADEC Building and Facilities Committee and Convenor of the MADEC Nominations Committee. MR DANE HUXLEY Dane Huxley is Chief Executive Officer of Mildura Base Hospital which is a privately operated public Hospital. He has extensive public and private Hospital experience. Dane was born in Melbourne and was educated at Monash University where he obtained a Bachelor of Arts and a Masters in Business Administration. Dane has been actively involved in a number of organisations in Mildura and has held positions as Chairman of the Northern Mallee Primary Care Partnership, Chairman of the Mildura Rural City Council Audit Committee, Chairman at the Mildura Development #ORPORATION#HAIRMANOFTHE-ILDURA7ENTWORTH!RTS&ESTIVALANDISCURRENTLY#HAIRMAN of the Project Control Group for the Sunraysia Modernisation Project. Mildura Base Hospital Annual Report 2014/2015 Statement of Priorities The Victorian Government’s priorities and policy directions are outlined in the Victorian Health Priorities Framework 2012–2022. In 2014–15 Mildura Base Hospital will contribute to the achievement of these priorities by: Priority Developing a system that is responsive to people’s needs Action Hospital Deliverable Achievements s)$EVELOPANORGANISATIONAL s$EVELOPANDIMPLEMENTAN s)#5%NDOF,IFE#ARE0OLICY policy for the provision organisational wide End and pathway introduced of safe, high quality end of Life Care policy by June 2014. Organisational wide of life care in acute and 2015. policy delayed and awaiting subacute settings, with release of the Victorian clear guidance about the End-Of-Life-Care Plan role of, and access to, AND0ATHWAYANTICIPATED specialist palliative care. December 2015 release. s)MPLEMENTAN organisation-wide policy for responding to clinical and non-clinical violence and aggression by patients, staff and visitors INCLUDINGCODEGREYTHAT aligns with department GUIDANCE s(OSPITAL3AFETYAND Security Committee developed June 2014 s)MPLEMENTORGANISATION wide policy (including #ODEGREYBY*UNE s)MPLEMENTFORMALADVANCE s$EVELOPLOCAL3TEERING Group including local care planning structures community, aged care and processes, including and GP representatives by putting into place a October 2014. system for preparing and/or receiving, and s)MPLEMENTORGANISATIONAL documenting advance wide policies supporting care plans in partnership Advanced Care Planning with patients, carers and by June 2015 as per the substitute decision makers. Department of Health Advance care planning: have the conversation strategy 2014-2018 s%NGAGEWITHLOCALSERVICE systems to support integrated client care and service continuity for people affected by mental illness. s/RGANISATIONWIDE#ODE Grey policy implemented July 1, 2015. Maintain engagement with local services identified through the: s3TEERING'ROUP commenced 2014. s/RGANISATIONAL!DVACED Care Planning Policy implemented February 2015. s0ROJECT/FlCERAPPOINTED September 2015 to lead implementation. s!CHIEVEDANDMAINTAINED s.ORTHERN-ALLEE-ENTAL Health Alliance Network s)NTERDEPARTMENTAL Committee Meeting s0ARTNERS)N2ECOVERY Initiative s(EADSPACE#ONSORTIUM s0!2#/PERATIONAL'ROUP s6ICTORIAS6ULNERABLE Children’s Partnership. Improving every Victorian’s health status and experiences s/PTIMISETIMELYACCESSTO specialist care through the implementation of the Access Policy for Specialist Clinics in Victorian Public Hospitals. s$EVELOPANDIMPLEMENTAN s)MPLEMENTED.OVEMBER 2014 Access Policy for Specialist Clinics by June 2015. s5SECONSUMERFEEDBACK to improve person and family centred care, health service practice and patient experience. s-ENTAL(EALTH#ONSUMER and Carer representatives are included on governance committees by December 2014. s!CHIEVED 13 14 Mildura Base Hospital Annual Report 2014/2015 Statement of Priorities Priority Expanding service, workforce and system capacity Increasing the system’s financial sustainability and productivity Action cont. Deliverable Achievements s)MPROVECONSUMER participation through the implementation of MBH Community Engagement Plan by Oct 2014. s#OMMUNITY%NGAGEMENT Plan developed and endorsed by CAB August 2014. s)DENTIFYSERVICEUSERS who are marginalised or vulnerable to poor health, and develop interventions that improve their outcomes relative to other groups, for example, Aboriginal people, people affected by mental illness, people at risk of elder abuse, people with disability, homeless people, refugees and asylum seekers. s2EVIEW)#!0PLANBY December 2014 s!CHIEVED s$EVELOPANDIMPLEMENTA workforce immunisation plan that includes preemployment screening and immunisation assessment for existing staff that work in high risk areas in order to align with Australian infection control and immunisation guidelines. s2EVIEWANDSTRENGTHEN Pre-Employment Health Screening and Immunity Requirements Policy to ensure compliance by December 2014. s0LANTOIMPLEMENT MultiPrac employee database, delayed implementation due to software configuration, anticipated implementation 2016. s3UPPORTEXCELLENCEIN clinical training through productive engagement in clinical training networks and developing health education partnerships across the continuum of learning. s-AINTAINESTABLISHED links with the Clinical Training Network, Monash University and LaTrobe University to support clinical training in priority areas including nursing, medical and allied health. s!CHIEVED s)NCREASEEMPLOYMENT of Aboriginal people in mainstream health services in line with the strategic objectives of Koolin Balit: Victorian Government strategic directions for Aboriginal Health 2012–2022 and Karreeta Yirramboi workforce participation targets. s&ACILITATE!BORIGINAL Employment participation target of 1% met by June 2015. s!CHIEVED.OVEMBER s)DENTIFYAND)MPLEMENT practice change to enhance asset management. s2EVIEWCURRENTASSET management practices and implement an asset management register by June 2015. s!CHIEVED s-ILDURAHEADSPACE#ENTRE opened by late 2014 s&UNCTIONALBRIEF development and site selection for PARC unit by late 2014 s!BORIGINAL(EALING#ENTRE development completed by March 2015. s/PENED-ARCH s!CHIEVED&EBRUARY s$ELAYEDCONSTRUCTION completed November 2015. Mildura Base Hospital Annual Report 2014/2015 Statement of Priorities Priority Implementing continuous improvements and innovation Action s$RIVEIMPROVEDHEALTH outcomes through a strong focus on patientcentred care in the planning, delivery and evaluation of services, and the development of new models for putting patients first. cont. Deliverable s2EVIEWCURRENT0ATIENT Flow/Discharge Planning processes to develop and implement patient-centred strategies for improvement by June 2015. s0ATIENT&LOW3TEERING Committee established including consumer representation from August 2014. Achievements s0ATIENT&LOW3TEERING Committee established and implemented: – Transit Lounge – Revised Access and Demand Policy – Monthy demand reporting – Fracture Clinic redesign – Patient Journey Boards – Medical ward rounds review – Multidisciplinary discharge planning meetings Increasing accountability & transparency Improving utilisation of e-health and communications technology. s5NDERTAKEANANNUAL Community Advisory Board assessment to identify and develop board capability to ensure all board members are well equipped to effectively discharge their responsibilities. s!LIGNROLESOF#OMMUNITY Advisory Board members to priorities identified in the Community Engagement Plan by October 2014. s9ETTOBEACHIEVED s2EVIEWMEMBERSHIPOF Community Advisory Board to ensure gender and age equity and representation of key health service user groups by June 2015. s!CHIEVEDNEW appointments to Community Advisory Board endorsed September 2015. s%NSURETHATGENDER sensitivity and women’s safety are key principles in the delivery of mental health and alcohol and drug services. s#OMPLETESECURITYWORKS in the MH inpatient unit by June 2015 to comply WITHTHE3AFETYOF7OMEN in Mental Health Care Initiative s!CHIEVED-ARCH s4RAINTHETRAINER'ENDER Sensitivity course completed June 2014 – hospital wide education to be implemented by June 2015. s'ENDER3ENSITIVITY4RAIN the Trainer course achieved June 2014. Hospital wide education delayed due to extended leave of trainer, to be implemented 2016. s4RIALIMPLEMENTAND evaluate strategies that use e-health as an enabler of better patient care. s%VALUATEANDIDENTIFYNEW PAS system and commence implementation by June 2015. s!CHIEVEDCONTRACT completed and implementation project commenced August 2015. s5TILISETELEHEALTHTO better connect service providers and consumers to appropriate and timely services. s(!204ELEHEALTH0ROJECT completed by June 2015. s!CHIEVED 15 16 Mildura Base Hospital Annual Report 2014/2015 Victorian Services Performance Report The Department of Health works with Victorian health services to achieve healthcare that is highly reliable, delivered in partnership with consumers and is based on the best information and evidence, in order to deliver safe, efficient and effective healthcare to the community. These reports are generated from the standard statistical information collected by all Victorian Victoria’s public hospitals and health services. Detailed reporting data is available at: http://performance.health.vic.gov.au Total number of patients admitted to hospital Jul - Sep 2014 Oct - Dec 2014 Jan - Mar 2014 Apr- Jun 2015 4761 4698 4561 5231 Patients admitted for same day treatments Jul – Sep 2014 Oct - Dec 2014 Jan - Mar 2015 Apr- Jun 2015 2778 2784 2772 3178 Total number of patients attending emergency department Jul - Sep 2014 Oct - Dec 2014 Jan - Mar 2015 Apr- Jun 2015 6961 7258 6780 7040 Total number of emergency patients admitted Jul - Sep 2014 Oct - Dec 2014 Jan - Mar 2015 Apr- Jun 2015 1265 1197 1084 1489 Emergency department patients treated within time All patients attending emergency departments are “triaged” or assessed for urgency. Five triage categories have been established by the Australasian College of Emergency Medicine. These categories indicate the desirable time with which patients should be treated. This report shows the total number of emergency department patients who were treated within national triage category desirable treatment times. 01 July 2014 - 30 June 2015 Mildura Base Hospital Annual Report 2014/2015 Jul - Sep 2014 Oct - Dec 2014 Jan - Mar 2015 Apr - Jun 2015 Jul - Sep 2015 Total emergency department Category 1 patients treated immediately 29 33 26 31 21 Total emergency department Category 2 patients treated within 10 mins 481 505 529 522 492 Total emergency department Category 3 patients treated within 30 mins 2,301 2,292 2,078 2,320 2,513 Total emergency department Category 4 patients treated within one hour 3,126 3,327 3,104 3,042 3,238 Total emergency department Category 5 patients treated within two hours 1,024 1,101 1,043 1,125 1,077 Total 6,961 7,258 6,780 7,040 7,341 Mental Health Services Service hours provided to consumers of community mental health services 01 July 2014 - 30 June 2015 Jul- Sep 2014 Oct - Dec 2014 Jan - Mar 2015 Apr - Jun 2015 4026 4071 3807 3679 17 18 Mildura Base Hospital Annual Report 2014/2015 Managing Risk Mildura Base Hospital has continued to utilise the 6ICTORIAN(EALTH)NCIDENT-ANAGEMENT3YSTEM6()-3IN collaboration with Ramsay Health Care and the Victorian Department of Health. VHIMS provides the hospital with a standard electronic METHODWHICHISUSEDWITHINALL6ICTORIANPUBLICHOSPITALSOF reporting, recording and tracking incidents that occur within THEHEALTHSETTING2ISK-AN4HISENSURESTHATIFTHINGSGO wrong, the hospital has a procedure in place for reporting and managing clinical incidents. All clinical incidents and near misses are reported into the RiskMan database which promotes timely and effective communication and subsequent review of incidents/events. Your feedback can help us understand and address issues we otherwise might not know about. Feedback is utilised as an opportunity to improve service and performance, and ultimately our consumers experience. All feedback is reported to the highest level of governance in the organisation, including the Community Advisory Board. Your feedback is also provided to our staff to ensure the ongoing service we provide will meet the expectations of the hospital management and our patients, their families and carers. Compliments and complaints received (July 2014 - June 2015) VHIMS not only encourages the collection of relevant details about clinical incidents, but also ensures that pertinent strategies/initiatives are undertaken to ensure patient safety is maintained and that any identified issues are addressed to prevent and/or minimise the likelihood of a similar incident occurring again. Managing Risk Mildura Base Hospital continues to utilise the Victorian (EALTH)NCIDENT-ANAGEMENT3YSTEM6()-3IN collaboration with Ramsay Health Care and the Victorian Department of Health. VHIMS supports a standardised, electronic collection and analysis of incident data. It allows the hospital to not only gain an understanding of the type, frequency and severity of incidences, and equally important recognize any contributing factors. As with incident notification, the hospital also utilises the 6ICTORIAN(EALTH)NCIDENT-ANAGEMENT3YSTEM6()-3TO record and monitor reported patient/consumer feedback COMPLIMENTSANDCOMPLAINTS4HE2ISK-ANDATABASE &EEDBACKMODULEOF6()-3ENABLESELECTRONICRECORDING of feedback details, the seriousness/severity of the feedback and the outcome for the patient/consumer. This provides a streamlined approach to ensure that feedback is recorded, investigated and followed up in a timely manner and provides an appropriate resolution to the patient/consumer. It also allows the hospital to effectively report and track feedback received. The hospital’s reporting processes also ensures that monthly reports are provided to the hospital’s Executive Team and Community Advisory Board. Anyone with concerns or unhappy with their healthcare, can speak with a staff member who is directly involved with the provision of care as soon as possible. Speaking up about concerns will not impact on care or treatment, and allows staff to respond and resolve concerns as soon as possible. The information obtained from VHIMS is utilised to identify improvement strategies and share any lessons learned, with the aim to ensure patient safety at all times. During 2014/2015, clinical related incidences accounted FOROFALLREPORTEDINCIDENCESWHILETHENONCLINICAL RELATEDINCIDENTS/(3AND(AZARDSREPRESENTEDOFALL reported incidents. 5SINGTHESTANDARDISED6()-3INCIDENTSEVERITYRATING)32 score to categorise incidents, the hospital had the following incidents reported: s s s s Severe = 1% clinical incidents Moderate = 4% clinical incidents Mild = 64% clinical incidents No harm/Near miss = 24% clinical incidents. Feedback (Complaints and Compliments): Our Aim:s4OPROVIDEAQUALITYSERVICEs4OPROVIDETHEBEST CAREFORYOUs4OKEEPIMPROVING 7EAPPRECIATEALLFEEDBACKABOUTTHESERVICESTHATWE provide and the manner in which they were delivered. All clinical areas and departments within the hospital have designated staff who form part of the health care team. Each of these areas has the following staff: 7ARD.URSEANURSEWILLBEALLOCATEDTOAPATIENTSCAREEACHDAY !SSOCIATE.URSE5NIT-ANAGEROR4EAM,EADER.URSE5NIT-ANAGER OR-ANAGER!CCESS-ANAGEROR!FTER(OURS(OSPITAL#OORDINATOR *UNIORMEDICALSTAFF)NTERNSAND2EGISTRARS#ONSULTANTMEDICALSTAFF If they cannot resolve your concerns, or if you are unhappy with the information or response provided, you can formalise your concerns by providing formal feedback. Patients at MBH have the opportunity to complete a brochure titled “Tell us about your experience – Patient/Consumer Feedback”. The brochure provides some basic information about who our patients and /or families may talk to if they have any concerns or are unhappy about any aspect of their healthcare. The brochure also provides some more specific details about how to provide formal feedback to the hospital, which may be either a compliment, suggestion or complaint. Mildura Base Hospital Annual Report 2014/2015 Reportable Information Compliments & Donations 7ERECEIVEDCOMPLIMENTSIN4HE(OSPITALWELCOMESOPENCOMMUNICATIONANDSEEKS FEEDBACKFROMOURCLIENTSTOASSISTINTHEIMPLEMENTATIONOFQUALITYIMPROVEMENTPROCESSES7EALSO received 26 financial donations from various community members and organisations. In 2014/15 MBH also received 21 Monetary Donations totalling $55,426.01 and no donation/s in kind. Occupational Health & Safety A strong safety culture exists within all areas of Mildura Base Hospital. The hospital complies with the Occupational Health and Safety Act 2004. Mildura Base Hospital monitors safety through management systems to ensure the safety and wellbeing of consumers, patients, staff, visitors and contractors. All safety matters are reported to the Occupational Health and Safety Committee, which reports to the Executive team. The OH&S department generates accurate and comprehensive reports to enable monitoring of the Hospital performance at an organisational level. Fire Audit Compliance Fire Audits were completed at Mildura Base Hospital and met all relevant standards. Whistleblowers Protection Act Mildura Base Hospital received no disclosures for 2013/2014. The purpose of the Act is to encourage and facilitate the making of disclosures of improper conduct by public officers and public bodies. Freedom of Information Requests In the financial year period 2014-2015, we received 253 requests for information under Freedom of Information and I am pleased to report that all information was provided within the 45 day period specified under the FOI Act. Sub Contracts 7ECONlRMTHATUNDERCOFTHE!MENDEDAND2ESTATED-ANAGEMENT!GREEMENTTHATNOMATERIAL sub-contracts have been entered into since the Hospital opened. The following list constitutes the major sub-contracts: s Chemtronics Biomedical Engineering – Biomedical Engineering s Country Fire Authority – Fire Equipment Maintenance s 3UNRAYSIA7ASTEn(OSPITAL7ASTE s Spotless Linen – Hospital Linen Services s BOC Gases – Medical Gasses s VIOP and Tekace - PABX System s St John of God Health Care Inc – Pathology Services s Mildura Medical Imaging Services – Radiology Services s AE Atherton – Steriliser Maintenance s Health Technologies – Vital Patient Management System s Schneider – Building Management Systems. 19 20 Mildura Base Hospital Annual Report 2014/2015 Visiting Medical Officers DENTISTRY MEDICINE Dr Paul Danenberg Dr Jayant Kapoor Dr Paul Nakhla Dr Michael Robinson Dr Daniel Tankard Dr Terry Cook Dr Alan Soward ORAL / MAXILLOFACIAL SURGERY OBSTETRICS / GYNAECOLOGY Dr Kevin Spencer Dr Timothy Probert Dr Stephen Gibbons RADIOLOGY Dr Lloyd Hale Assoc Prof Ian Pettigrew Dr Kimberley Sleeman Dr Christopher Barry GENERAL PRACTICE ORTHOPEDIC SURGERY Dr John Buckley Dr Aqeel Chalabi Dr John Dyson-Berry Dr Gerald Murphy Dr Brian Murphy $R!NTHONY7ELLER Mr Douglas Gardiner SURGERY PATHOLOGY Mr Kevin Chambers Dr Irene Kaiboni Mr Salim Chaloob DEMATOLOGY Dr Owen Harris UROLOGY Dr Peter Liodakis Dr Peter Milne Dr Alex Cato VASCULAR SURGERY Mr Peter Milne Dr Michael Shepherd Dr Michael Petrucco Staff Consultants ANAETHESIA $R!LISON7ALKER Dr Thara Ramkumar Dr Antony Parakkal Dr Tushar Indulkar Dr Kumari Santhi MEDICINE EMERGENCY MEDICINE Dr Dan Turner $R-ARK7ADSWORTH Dr Arvind Byka Dr John Russell Dr Vasant Mani Dr Divy Dua Dr Alok Gupta MEDICAL ONCOLOGY Dr Divy Dua OBSTETRICS / GYNAECOLOGY Dr Shabana Kapadia Dr Raj Kumarasamy ORTHOPAEDIC SURGERY SURGERY $R7ILLARD"EPETE Mr Ali Estakhri Mr Rotimi Afolabi PAEDIATRICS ENT SURGERY Dr Lakshman Doddamani Dr Chellam Kirubakaran Dr Paul Tembo Dr Peter Van Vuuren PSYCHIATRY Dr Jenny Majoor Dr Hieu Pham Hospital Medical Officers Registrars Dr Tendayi Kombora Dr Lavanya Duggirala Dr Lucy Haymes Dr Daniel Edge Dr Mina Nessim Dr Dharminder Singh Dr Mahima Indulkar Dr Nicole Edge Dr Aseel Marioud Dr Mohammad Jawad Dr Christine Lunney Dr Sima Rezazadeh Dr Marne Estacio Dr Saika Sabrin Dr Amin Rashid Dr Ashwini Enigo Dr Sowmiyaa Purushothaman Dr Raeed Mustafa Dr Deepa Venugopal Dr Mou Rashid Bose Dr Pradeep Sekar Dr Omar AbdelRahman Dr Erin Kelly Dr Ceu Cung Dr Anirban Rashid Dr Zoran Radovic Dr Sadia Uzair MBH Interns Dr Travis Taggert Dr Malini Bose Dr Hsieh Ghan Dr Graham Lai Mildura Base Hospital Annual Report 2014/2015 Mildura Base Hospital Staff MENTAL HEALTH SERVICES Chief Executive Officer – Mr Dane Huxley -ANAGEROF#OMMUNITY3ERVICESn3TEVEN#ARR!CTING MEDICAL SERVICES Nurse Unit Manager, Mental Health Inpatient Unit – Ed Tracey $IRECTOROF-EDICAL3ERVICESn$R!LISON7ALKER Team Leader: CATT Team – Tom Sutcliffe Director of Emergency Department – Dr Dan Turner 4EAM,EADER#ONTINUING#AREn-ELISSA+ENNELLY!CTING $IRECTOROF!NAESTHESIAn$R!LISON7ALKER Manager Child and Youth Mental Health Services – Kathy Crouch CLINICAL SERVICES Director of Nursing – Simone Heald !SSOCIATE$IRECTOROF.URSING#LINICALn#LAIRE%ATON !SSOCIATE$IRECTOROF.URSING#OMMUNITY3ERVICES n!NGELA)MMSUNTIL*UNE Perioperative Services Manager – Katrina Allen General Manager: Performance Improvement – Janet Hicks Clinical Consultant Infection Control – Liz Hume (until March $IRECTOROF-ENTAL(EALTHn"ELINDA0AVILACH!CTING Clinical Director of Mental Health Services – Dr Jennifer Majoor Associate Director of Nursing – Chris Hermans Manager Aged Persons Mental Health Services – Leesa Bradshaw NURSE UNIT MANAGERS (NUM) Emergency Department – Mrs Leanne Dellar Intensive Care Unit – Mrs Sue Hale -ATERNITY3ERVICES7ARDn2ACHEL-C$OWALL#HEREE*UKES 0AEDIATRICS-EDICAL7ARDn2OS2OBERTS -EDICAL3URGICAL7ARDn+RISTJAN(OBBS Clinical Consultant Infection Control – Kaye Gathercole (from -ARCH 2EHAB!GED#ARE7ARDn$EANNE-ATOTEK CORPORATE SERVICES #HEMOTHERAPYn.ARELLE7ADSWORTH Director of Corporate Services – Julia Morgan Finance Manager – Adam Stevenson Network and Systems Administrator – Greg Orr Health Information Services Manager – Sharon Smith Supply Services Officer – Rod Moore Renal Dialysis – Lynn Pike HOSPITAL COORDINATORS !CCESS-ANAGERn!NNETTE7ILSON Hospital Coordinator – Annie Lynch Hospital Coordinator – Jill Nihill Hospital Coordinator – Sianne Nicholds SUPPORT SERVICES Hospital Coordinator – Julie Holland General Manager: Resources & Facilities – Mr Don Palazzo Hospital Coordinator – Kris Hopkins Hotel Services Manager – Mr David Grenfell (OSPITAL#OORDINATORn2ICHARD7ILKE Maintenance Officer – Mr Barry Jemmeson We ta ke p rid in our work e a nd actively se ek wa ys of do ing thing s bett er. 21 22 Mildura Base Hospital Annual Report 2014/2015 Attestation of Data Integrity I, Dane Huxley certify that Mildura Base Hospital has put in place appropriate internal controls and processes to ensure that reported data reasonably reflects actual performance. Mildura Base Hospital has critically reviewed these controls and processes during the year. Dane Huxley Chief Executive Officer Attestation of compliance with Australian/ New Zealand Risk Management Standard I, Dane Huxley certify that Mildura Base Hospital 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 Executive Management Committee verifies this assurance and that the risk profile of Mildura Base Hospital has been critically reviewed within the last 12 months. Dane Huxley Chief Executive Officer Mildura Base Hospital Annual Report 2014/2015 23 24 Mildura Base Hospital Annual Report 2014/2015 Mildura Base Hospital Annual Report 2014/2015 MILDURA BASE HOSPITAL (OPERATOR) STATEMENT OF CASH FLOWS FOR THE YEAR ENDED 30 JUNE 2014 2014 $ 2013 $ Receipts Operating grants from government Patient fees GST recovered from ATO Other 100,694,681 4,076,422 2,520,860 1,837,184 90,121,043 3,517,367 2,756,804 845,022 Payments Employee benefits paid Fees for service - Medical Officers Payments for supplies and consumables GST paid to ATO Other NET CASH FLOWS FROM OPERATING ACTIVITIES (52,351,920) (12,354,377) (14,077,894) (9,113,279) (14,099,185) 7,132,492 (50,279,273) (12,962,196) (13,896,715) (7,817,314) (12,156,366) 128,372 - - (7,135,838) (7,135,838) (128,472) (128,472) NET DECREASE IN CASH HELD (3,346) (100) CASH AT BEGINNING OF YEAR 2,475 2,575 CASH AT END OF YEAR (871) 2,475 CASH FLOWS FROM OPERATING ACTIVITIES CASH FLOWS FROM INVESTING ACTIVITIES CASH FLOWS FROM FINANCING ACTIVITIES Advance of funds to related parties NET CASH FLOWS USED IN FINANCING ACTIVITIES 3 25 26 Mildura Base Hospital Annual Report 2014/2015 Mildura Base Hospital Annual Report 2014/2015 27 28 Mildura Base Hospital Annual Report 2014/2015 Mildura Base Hospital Annual Report 2014/2015 29 30 Mildura Base Hospital Annual Report 2014/2015 Mildura Base Hospital Annual Report 2014/2015 31 32 Mildura Base Hospital Annual Report 2014/2015 Mildura Base Hospital Annual Report 2014/2015 33 34 Mildura Base Hospital Annual Report 2014/2015 Mildura Base Hospital Annual Report 2014/2015 35 36 Mildura Base Hospital Annual Report 2014/2015 Mildura Base Hospital Annual Report 2014/2015 37 38 Mildura Base Hospital Annual Report 2014/2015 Mildura Base Hospital Annual Report 2014/2015 39 40 Mildura Base Hospital Annual Report 2014/2015 Mildura Base Hospital Annual Report 2014/2015 41 42 Mildura Base Hospital Annual Report 2014/2015 Mildura Base Hospital Annual Report 2014/2015 43 44 Mildura Base Hospital Annual Report 2014/2015 Mildura Base Hospital Annual Report 2014/2015 45 46 Mildura Base Hospital Annual Report 2014/2015 Mildura Base Hospital Annual Report 2014/2015 47 48 Mildura Base Hospital Annual Report 2014/2015 Mildura Base Hospital Annual Report 2014/2015 49 50 Mildura Base Hospital Annual Report 2014/2015 Mildura Base Hospital Annual Report 2014/2015 51 52 Mildura Base Hospital Annual Report 2014/2015 Mildura Base Hospital Annual Report 2014/2015 53 54 Mildura Base Hospital Annual Report 2014/2015 Mildura Base Hospital Annual Report 2014/2015 55 56 Mildura Base Hospital Annual Report 2014/2015 Mildura Base Hospital Annual Report 2014/2015 57 58 Mildura Base Hospital Annual Report 2014/2015 Working with the community to achieve the best health outcomes MILDURA BASE HOSPITAL Ontario Avenue, Mildura Vic 3500 Telephone (03) 5022 3333 Facsimile (03) 5022 3228 www.ramsayhealth.com.au A MEMBER OF THE RAMSAY HEALTH CARE GROUP