Alpine Health Report of Operations

ALPINE HEALTH

www.alpinehealth.org.au

Page 2 of 29 2013-2014 ANNUAL REPORT OF OPERATIONS

STATUTORY REQUIREMENTS

Alpine Health 30 O’Donnell Avenue Myrtleford Vic 3737

Telephone: 03 5751 9300 Facsimile: 03 5751 9396

Website: www.alpinehealth.org.au

SOLICITORS

DLA Piper 140 William Street

Melbourne Vic 3001

Health Legal Level 1, 499 St Kilda Road

Melbourne

AUDITORS

Victorian Auditor-General’s Agent Richmond Sinnott & Delahunty

Bendigo

BANKER

National Australia Bank


REPORT OF OPERATIONS

STATUTORY REQUIREMENTS .................................................................................................................................. 2

REPORT OF OPERATIONS ........................................................................................................................................ 3

HISTORICAL BACKGROUND .................................................................................................................................... 4

REPORT FROM THE CHAIR OF THE BOARD OF MANAGEMENT .............................................................................. 4

DISCLOSURE INDEX ................................................................................................................................................. 8

ATTESTATIONS ...................................................................................................................................................... 10

POLICY STATEMENT .............................................................................................................................................. 11

STATEMENTS OF COMPLIANCE ............................................................................................................................ 11

ENVIRONMENTAL INITIATIVES ............................................................................................................................. 12

OUR SERVICES....................................................................................................................................................... 12

BOARD OF MANAGEMENT ................................................................................................................................... 13

MEETINGS ATTENDED BY BOARD OF MANAGEMENT .......................................................................................... 14

RISK MANAGEMENT AND AUDIT COMMITTEE ..................................................................................................... 14

EXECUTIVE STAFF ................................................................................................................................................. 14

VISITING MEDICAL OFFICERS: ............................................................................................................................... 14

ORGANISATIONAL CHART ..................................................................................................................................... 15

WORKFORCE DATA DISCLOSURES AND EMPLOYMENT AND CONDUCT PRINCIPLES ........................................... 15

AWARDS ............................................................................................................................................................... 16

SCHOLARSHIPS ..................................................................................................................................................... 16

VOLUNTEERS ........................................................................................................................................................ 19

COMMUNITY SUPPORT ........................................................................................................................................ 20

FINANCIAL HIGHLIGHTS ........................................................................................................................................ 22

SUMMARY OF FINANCIAL RESULTS FOR LAST FIVE YEARS ................................................................................... 23

BUDGET ANALYSIS FOR YEAR ENDED 30 JUNE 2014 ............................................................................................ 23

ENVIRONMENTAL PERFORMANCE ....................................................................................................................... 23

PRIORITIES ............................................................................................................................................................ 24

CONSULTANCIES ................................................................................................................................................... 26

EX-GRATIA PAYMENTS .......................................................................................................................................... 27

ADDITIONAL INFORMATION (FRD 22E APPENDIX) ............................................................................................... 27

PLEASE SUPPORT ALPINE HEALTH ........................................................................................................................ 28

CONTACT LIST ....................................................................................................................................................... 29

This report Covers the period 1 July 2013 to 30 June 2014 Is the eighteenth annual report for Alpine Health Is prepared for the Minister for Health, the Parliament of Victoria and the community Is a public document freely available on our website and from Alpine Health on request Is prepared in accordance with government and legislative requirements and FRD 30 guidelines Acknowledges the support of our community Is produced and printed on 100% recycled paper

Alpine Health Report of Operations 2013-2014


HISTORICAL BACKGROUND

Alpine Health is a designated Multi-Purpose Service (under the Tripartite Commonwealth-State Agreement) and has three main campuses located in the townships of Myrtleford, Bright and Mount Beauty.

Alpine Health provides integrated acute health, community health, and community and aged residential services for the residents and visitors of the Alpine Shire.

The Organisation was established in November 1996 through the amalgamation of three rural hospitals, nursing homes, hostel and accommodation units including Myrtleford District War Memorial Hospital, Bright District Hospital and Health Services and Tawonga District General Hospital, Barwidgee Lodge and Kiewa Valley House Nursing Homes, Hawthorn Village Hostel and the Myrtleford Extended Care Accommodation Centre.

Alpine Health offers a full range of acute, aged care and community support services to the townships and communities of the Alpine Shire.

The Multi-Purpose Model of Service provision was developed by the joint Commonwealth/State governments taskforce established in March 1991 to address the problems of service provision of rural and remote communities.

From November 1996, State and Commonwealth funding streams for acute health, aged care and community health and support services for the former entities, were provided as a flexible funding pool through which, the varying health needs of the Alpine townships and communities are to be addressed.

REPORT FROM THE CHAIR OF THE BOARD OF MANAGEMENT

On behalf of the Board of Management, I am pleased to present the Report of Operations for Alpine Health for the year ending 30 June 2014 in accordance with the Financial Management Act 1994.

Financial Matters This financial year has been a challenging one for Alpine Health. We carried forward a modest operating deficit from the 2012-2013 year of $386,000 and with continuing organizational restructuring have recorded a small operating surplus for the year of $249,000. This is above the Department of Health’s target surplus range of break-even to 0.5% and it represents a significant turnaround of more than $600,000 in our operating position. In order to achieve this result significant progress was made on a large number

of initiatives, all of which were made by all Alpine Health staff members and many of which were undertaken with our key partners and the community.

They include the Workforce Reconfiguration changes that were initiated in the early part of the financial year and a reduction in utilities costs due to savings from Alpine Health joining the state-wide electricity contract. I wish to take this opportunity to thank all of our staff members for their outstanding efforts in achieving this result. It has come in the broader context of a very difficult economic climate with declining revenue from many sources, the largest of which was that of Commonwealth funding for hospital services and the reduction of private inpatient reimbursement rates by three private health insurance companies. These pressures will continue into future years and Alpine Health will need to maintain its focus on reducing expenditures to manage the organization as well as seeking new sources of revenue to fill the shortfalls.

Alpine Health will continue to provide the current range of hospital and aged care services and manage these pressures by implementing the range of revenue earning and cost reduction initiatives incorporated in Alpine Health’s Financial Sustainability Strategy. These strategies will be implemented with recommendations from the Health-e Workforce Solutions Phase 2 Report, released toward the end of July 2014.

We also remain hopeful that the current reform program being undertaken by the Australian government in the hospital, aged care and community sectors will eventually provide opportunities for improving the delivery of services to our communities and improved revenue.

Alpine Health will also continue to provide the training services now delivered through the Alpine Institute. This includes the Initial Registration of Overseas Nurses (IRON) service that has provided a large revenue stream for Alpine Health and has helped us achieve our surplus for this year. This service entered a lull in early 2014 following the cessation of eligibility assessments by AHPRA in October 2013 and we look forward to the reinvigoration of the service in the early part of the new financial year.

It is important for me to recognize the great progress that the Institute has made this year with the development and delivery of its first dual Certificate III in Aged and Community Care. This training helps provide Alpine Health staff members and Alpine Shire residents with the opportunity to expand their career choices and access training locally. The Alpine Institute will continue its



development work in 2014-2015 with the addition of new certificate training for local people.

I am pleased to report the receipt of capital equipment grants from the Department of Health this year comprising residential aged care grants totalling $76,000 and a Securing Our Health System equipment replacement grant of $71,700. These grants have enabled the replacement of carpets and floor coverings at Barwidgee Lodge and Kiewa Valley House, the replacement of beds and mattresses, the acquisition of new overhead lifting systems and the replacement of air-conditioning, hot water and boiler systems.

We are also very grateful to the Bright Hospital Op Shop whose membership is very generously donating the funds required to install solar energy equipment and LED lighting to all of Alpine Health’s buildings. This is an extraordinary offer and it will enable reductions in power usage across all Alpine Health services and the power bills we receive. It also follows the funding of new equipment for our procedure rooms that is vital to the endoscopy service provided by visiting medical officers.

I would also like to thank the Myrtleford Hospital Op Shop volunteers whose hard work has resulted in their donation of equipment to support Barwidgee Lodge. I would also like to commend Barb Talbot and her volunteer team for the establishment of the Mt Beauty Op Shop in May 2014 and look forward to that venture being the success that it deserves.

And it is pleasing to finally see the resolution of a number of parking issues at Mount Beauty Hospital with the removal of the poplar trees and the refurbishment of the Memorial Garden with the reconfiguration of the entrance to the Mount Beauty township by the Alpine Shire. Added to the great work done by the Garden Club with their work on the Hospital gardens, Mount Beauty Hospital will have a new look.

The Board is also pleased to report the establishment of the Bernece Delany Volunteer Award this year. This Award recognises an individual who resides in the Alpine Shire, and who exemplifies the tireless generosity of volunteers in caring for their community, and supporting and improving services to people with complex health needs including older people and people with disabilities.

The Award acknowledges those individuals who are devoted to advocacy for the community, and who demonstrate this with a focus on health and social justice. The successful nominee for the inaugural Award is Mrs Janet Leita for her outstanding contribution to the Myrtleford

community through Rotary and Riding for the Disabled.

Following the review of the master capital plan for the Bright Hospital and Health Services last year, the Board was advised by the Department of Health that it would review the service profiles for Bright in 2014. I am pleased to advise that Aspex Consulting has been appointed to undertake this work and we expect it to be completed in early September 2014. This is an important next step in the planning process for redevelopment at Bright and we are grateful for the support of the Bright Hospital Redevelopment Committee, the Bright Community Health and Advisory Group and Mr Bill Sykes MP, Member for Benalla in making this possible. The next planning for this project is feasibility planning and this will follow with funding from the Commonwealth government. Service Development The Board is very pleased to report that Alpine Health completed the Health Workforce Australia national demonstration project in service and workforce transformation for aged care this year. This project has built on the strong partnership with Mount Beauty Medical Centre and Swinburne University to develop a new approach to working together for older people’s health and wellbeing in the Mt Beauty community.

The project has further developed the competency and efficiency of our workforce so that we are better prepared to meet the needs of older people with complex needs in the community.

We are currently waiting for Health Workforce Australia to publish the outcomes of its evaluation of the work and we look forward to this later in 2014. In the interim, our task now is to find ways of funding the new service so that it can become a standard part of Alpine Health’s service delivery

It is also pleasing for me to report the success of Alpine Health’s application to the Department of Health for funding a service to tackle social isolation in the Alpine Shire. To address this growing problem we welcome the funding from North East Multicultural Aged Care Connections and The Healthy Ageing Program. This funding has been directed to support vulnerable people from Cultural and Linguistically Diverse communities and the focus is on the needs of older people in helping them find ways to be socially connected to their community.

A great deal of planning work has gone into the development of a cooperative sub-regional maternity service this year. This work has been Alpine Health’s response to the rapid decline in the number of births at our hospitals in the last three years and the declining number of GP



Obstetricians in the Ovens Valley. The sub-regional service builds on the strong clinical relationships we have with general practitioners and specialist obstetricians, North East Health Wangaratta and Albury Wodonga Health. It also builds on the visiting obstetric service provided by Dr Leo Fogarty in the Ovens Valley. By building on these relationships, Alpine Health is planning to improve service delivery by providing families with choices for birthing and care options and responding to their needs locally where this is possible and appropriate to their needs.

The relationship that the Board has established with the Alpine Shire continues to grow and we look forward to working with the Shire to fully integrate child and maternal health and immunization services with the sub-regional maternity service in 2014-2015.

I am also pleased to report on the successful implementation of the sub-regional telehealth service for urgent care services this year. This service uses videoconference links between all three Alpine Health hospitals and the Emergency Department at North East Health Wangaratta so that local doctors and nurses can access advice for the management of people attending Alpine Health’s Urgent Care Services. We look forward to the progressively increased use of the telehealth service.

It is with great concern that I report the loss of Commonwealth Regional Health Service funding form 1 July 2014. For the past 10 years, this funding has allowed Alpine Health to develop and strengthen health promotion services in the Alpine Shire. As a result of this funding, the Alpine Shire has three vibrant Men’s Sheds and extensive health promotion programmes which address adolescent alcohol use, family conflict, school engagement for the young people, chronic disease prevention programs for diabetes, heart disease and stroke, health screening services, parenting, youth road safety education, physical activity support for community groups, physical activity scripts to help people become more physically active and health coaching where people are supported to set and achieve health goals. Alpine Health will do all that it can to keep a strong focus on these issues and the delivery of health promotion services to address them. This is going to be very difficult as the financial losses are very large and it may be necessary to change our approach to their management. Aged Care Demand for residential aged care services continued to be depressed during the year although we did experience a surge in demand for low care services at Hawthorn Village in the early

part of 2014. Booking lists for all forms of residential care remain at very low levels and booking lists for all forms of community aged care services remain at very high levels with nearly 90 Alpine Shire residents waiting for packaged services. An application has been made to the Department of Social Services for additional community aged care places to help manage this demand and we look forward to an early decision in 2014-2015 for these packages.

I am pleased to report the receipt of funding during the latter part of this year for a visiting specialist geriatric service to Bright and Mount Beauty. This service will begin in August 2014 with the support of geriatricians from Western Health in Melbourne and it will provide important opportunities for the improvement of all our aged care services.

The most significant changes that we expect to see in the coming year arise out of the residential and community aged care reforms. Access to services will continue as before but the financing of services will become more complex for care recipients and their families. The implementation process is led by the Department of Social Services and we are working with the Department to simplify this as much as possible.

We also expect to see changes in Home and Community Care services with the introduction of the National Disability Insurance Scheme arrangements and the transition of responsibility for HACC services to the Department of Social Services. The impact of these changes is unclear and there are high degrees of uncertainty around the format of these services as the changes are made.

However, we believe that the Alpine@Home service that is provided jointly with the Alpine Shire is well placed to help us deal with these issues. We remain confident that Alpine@Home will continue to grow and improve in future years. Workforce Development Alpine Health continued its strong focus on workforce development during the year.

The operations of the Alpine Institute were expanded this year to add its first dual Level 3 certificate course in Aged and Community Care and I am pleased to report that the first group of students is currently undertaking their studies accordingly. It has also been good to see the second intake of students in the Certificate III in Health Service Assistance begin their studies this year.

These courses are now open to residents of the Alpine Shire as well as Alpine Health staff



members and this creates real opportunities to study locally. It also means that nearly all Alpine Health staff members will have post-secondary qualifications now.

The success of these courses has been made possible with the strong relationship that has been established with the Lonsdale Institute in Melbourne. We look forward to further expansion of our certificate training services in future years as we build on this partnership.

On a more sobering note, Alpine Health’s nurse training service for overseas trained nurses slowed down dramatically in the latter part of the financial year with changes to the approval process by AHPRA. We look forward to the resolution of this issue later in 2014 so that we can conclude discussions with Charles Sturt University to bring the program to higher education qualifications standards.

Finally, I wish to report that Alpine Health will continue our advocacy for the organization and the improvement of health and health services for our communities. This has become increasingly important in the context of the far reaching reforms of the Australian health care system currently led by the Commonwealth government. These reforms have implications for primary care, hospital care, aged care and community care. The Board believes that our MPS status and our capacity to develop innovative service delivery models provides good direction for all levels of government in their consideration of the impacts of the changes they propose and we look forward to working with the reform processes accordingly. Acknowledgements and Thanks

Alpine Health thanks each of our local Members of Parliament for their interest in our affairs and for the support they provide. We have also greatly appreciated the consistent support from the officers of the Victorian Departments of Health and Human Services and of the Commonwealth Department of Health and Ageing, the new Department of Health and the new Department of Social Services.

We are particularly grateful to all of our volunteers who assist us with so many aspects of the health services that we provide to our communities. The success of the many support groups, Op Shops, fundraising groups, Community and Health Advisory Groups and volunteers has been a highlight of the last year and we thank every person who has been involved.

Our appreciation is particularly extended to all carers and volunteers who gave freely of their time

and energy during the year to support those in need. The efforts of all groups of volunteers who directly helped to improve services are sincerely appreciated and the Board extends its sincere thanks for these outstanding contributions. We look forward to supporting the development of new volunteer support service for breastfeeding mothers and those living with arthritis this year.

The Board thanks the Bright, Mt Beauty and Myrtleford Hospital Opportunity Shops and their volunteers for their tireless dedication and support of their hospitals during the year. Their fundraising continues to provide improvements to our hospitals that may not otherwise be possible, all of which add significantly to the well-being of our patients and residents.

Great credit is due to our Community and Health Advisory Groups for their efforts to secure improving health services in all three of our towns. These Groups contribute a high awareness of community needs and feelings, and they each have a proactive style that gets things done.

We also want to thank our visiting medical officers and our team of general practitioners and nurse practitioners, who provide the professional, flexible, and highly personal service in our surgeries, in our hospitals and when needed, in our homes, that is such a strong feature of our small and dispersed rural communities.

Particular thanks go to all our staff members for their dedication and commitment. Their efforts have again enabled Alpine Health to deliver the high quality services that our communities have come to expect.

I want to personally thank our Board Members for their individual and team contributions to the governance of Alpine Health during the year, and for their work in taking Alpine Health forward in a period of significant uncertainty and change.

The Board was sad to see the retirement of its long standing members, Mr Clive Walker and Mr Maroune Ramia this year. We sincerely thank them for their outstanding service to Alpine Health. At the same time, we welcome new Board Members Mr James Davis, Mr John Forsyth, Mr Roderic Incoll, Mrs Rhonda Serpell and Mrs Jane Shepherd to the Board and we look forward to working with them.

Chair, Board of Management 31 July 2014



DISCLOSURE INDEX

The annual report of Alpine Health is prepared in accordance with all relevant Victorian legislation.

This index has been prepared to facilitate identification of the Department’s compliance with

statutory disclosure requirements.

Legislation Requirement Page

Reference

Ministerial Directions

Report of Operations

Charter and purpose

FRD 22E Manner of establishment and the relevant Ministers RO 11

FRD 22E Objectives, functions, powers and duties RO 11

FRD 22E Nature and range of services provided RO 11

Management and structure

FRD 22E Organisational structure RO 15

Financial and other information

FRD 10 Disclosure index RO 8

FRD 11A Disclosure of ex-gratia expenses RO 27

FRD 12A Disclosure of major contracts RO 26

FRD 21B Responsible person and executive officer disclosures FS 60

FRD 22E Application and operation of Protected Disclosure Act 2012 RO 11

FRD 22E Application and operation of Carers Recognition Act 2012 RO 11

FRD 22E Application and operation of Freedom of Information Act 1982 RO 11

FRD 22E Compliance with building and maintenance provisions of Building Act 1993

RO 11

FRD 22E Details of consultancies over $10,000 RO 26

FRD 22E Details of consultancies under $10,000 RO 27

FRD 22E Major changes or factors affecting performance RO 22

FRD 22E Occupational health and safety RO 11

FRD 22E Operational and budgetary objectives and performance against objectives

RO 23

FRD 24C Reporting of office-based environmental impacts RO 12, RO 23

FRD 22E Significant changes in financial position during the year RO 23

FRD 22E Statement of availability of other information RO 27

FRD 22E Statement on National Competition Policy RO 11

FRD 22E Subsequent events FS 58

FRD 22E Summary of the financial results for the year RO 23

FRD 22E & FRD 29

Workforce Data Disclosures including a statement on the application of employment and conduct principles

RO 15

FRD 25B Victorian Industry Participation Policy disclosures RO 11



Legislation Requirement Page

Reference

SD 4.2(g) Specific information requirements RO 4, RO 11 & FS 58

SD 4.2 (j) Sign-off requirements FS 3, FS 9

SD 3.4.13 Attestation on data integrity RO 10

SD 4.5.5.1 Ministerial Standing Direction 4.5.5.1 compliance attestation RO 10

SD 4.5.5 Risk management compliance attestation RO 10

Financial Statements

Financial statements required under Part 7 of the FMA

SD 4.2(a) Statement of changes in equity FS 6

SD 4.2(b) Comprehensive operating statement FS 4

SD 4.2(b) Balance sheet FS 5

SD 4.2(b) Cash flow statement FS 7

Other requirements under Standing Directions 4.2

SD 4.2(a) Compliance with Australian accounting standards and other authoritative pronouncements

FS 9

SD 4.2(c) Accountable officer’s declaration FS 3

SD 4.2(c) Compliance with Ministerial Directions FS 9

SD 4.2(d) Rounding of amounts FS 12

Legislation

Freedom of Information Act 1982 RO 11

Protected Disclosure Act 2012 RO 11

Carers Recognition Act 2012 RO 11

Victorian Industry Participation Policy Act 2003 RO 11

Building Act 1993 RO 11

Financial Management Act 1994 FS 3, FS 9

Page Reference RO – Report of Operations FS – Financial Statements



ATTESTATIONS

Attestation on Data Integrity

I, Lyndon Seys, certify that Alpine Health has put in place appropriate internal controls and processes to ensure that reported data reasonably reflects actual performance. Alpine Health has critically reviewed these controls and processes during the year.

Lyndon Seys Accountable Officer Myrtleford 20 August 2014 Attestation for compliance with the Ministerial standing Direction 4.5.5.1 - Insurance

I, Lyndon Seys, certify that Alpine Health has complied with Ministerial Direction 4.5.5.1 – Insurance

Lyndon Seys Accountable Officer Myrtleford 20 August 2014

Attestation for Compliance with the Australian/New Zealand Risk Management Standard

I, Lyndon Seys, certify that Alpine Health has risk management processes in place consistent with the AS/NZS ISO 31000:2009 and an internal control system is in place that enables the executive to understand, manage and satisfactorily control risk exposures. The Board of Management verifies this assurance and that the risk profile of Alpine Health has been critically reviewed within the last 12 months.

Lyndon Seys Accountable Officer Myrtleford 20 August 2014



POLICY STATEMENT

Mission: The mission of Alpine Health is to improve the health and well-being of people in the Alpine Shire. Vision: The vision of Alpine Health is to be recognized leaders in the improvement of health and well-being. Objectives: The objectives of Alpine Health are to: Improve the flexibility of programs Provide more cost effective aged care and

health services Enhance the matching and coordination of

aged care and health services to community needs.

Philosophy: In pursuing our role, all actions and decisions will be guided by the following principles: Recognition of the rights, dignity and

independence of our clients Provision of information to clients and

communities as part of our annual planning and quality assurance cycles

Management of services in a flexible and responsive fashion based on identified client health needs.

Fostering of linkages and co-operative relationships with related service providers.

STATEMENTS OF COMPLIANCE

Minister for Health in the State of Victoria Alpine Health is established under the Health Services Act 1988. The responsible Ministers during the reporting period are: The Honourable David Davis, MLC, Minister for

Health and Ageing; The Honourable Mary Wooldridge, MLA,

Minister for Mental Health, Community Services, Disability Services and Reform.

Pecuniary Interests Members of the Board of Management are required to notify the Chairperson of any pecuniary interests which might give rise to a conflict of interest.

Building Act 1993 Alpine Health has plans in place to ensure compliance with the building and maintenance provisions of the Building Act 1993.

Freedom of Information under the Freedom of Information Act 1982 Any requests under this Act are required to be in writing and addressed to the Chief Executive Officer who is the Freedom of Information Officer. All requests must include the application fee. A total of 15 requests were received and processed during the 2013/2014 financial year. Compliance with Occupational Health & Safety Act 2004 Alpine Health complies with the Occupational Health & Safety Act 2004 through the Practice Innovation Committee which reports to the Board of Management via the Quality Care Committee. Victorian Industry Participation Policy Act 2003 Alpine Health complies with Victorian Industry Participation Policy (VIPP) when applicable. While no 2013/14 projects reached the VIPP applicable threshold, Alpine Health applies VIPP principles to procurement activities where possible. Compliance with Carers Recognition Act 2012 Alpine Health complies with the Carers Recognition Act 2012 and applies these principles to Service Activities. Protected Disclosure Act 2012 Alpine Health complies with the principles of the Protected Disclosure Act. The Protected Disclosure Act encourages and facilitates the making of disclosures of improper conduct and detrimental action by public officers and public bodies. It provides certain protections for people who make a disclosure, or those who may suffer detrimental action in reprisal for making a disclosure. An essential component of this protection is to ensure that information connected to a protected disclosure, including the identity of a discloser and the contents of that disclosure, is kept confidential.

There were no disclosures in 2013/2014. Purchasing Policy Alpine Health is compliant with the Health Purchasing Victoria (HPV) Purchasing Policy. National Competition Policy and Competitive Neutrality Alpine Health complies with the applicable National Competition Policy framework areas and the Victorian Government’s policy on Competitive Neutrality. Work Health and Safety Alpine Health maintains a strong, pro-active focus on work health and safety (WH&S) and risk management. Compliance with regulatory



responsibilities is driven through the organisational committee and workforce accountability structure. Scheduled regulatory compliance activities, workplace inspections and extensive audits (with actions and recommendations monitored via an automated risk management system) form just part of the comprehensive work health and safety program.

Some of the many performance measures monitored are derived from various sources including incident reporting, WorkCover analysis, education and training, WH&S representatives’ activities and internal and Departmental reporting and benchmarking. Alpine Health monitors these performance measures very closely, has a strong WH&S compliance record and takes timely remedial action where necessary.

ENVIRONMENTAL INITIATIVES

Alpine Health has implemented a number of initiatives to reduce its environmental footprint and many more are planned. Some initiatives include: 4 cylinder motor vehicle fleet policy. Fleet

includes 3 electric-petrol hybrids. Reduced fleet by 1 vehicle.

Preferred supplier selected for solar energy panels/systems and installation scheduled across all sites in second half of 2014

Currently scoping LED lighting tender; some energy efficient and sensor lighting already installed; timers installed on some equipment

Insulation, exterior window awnings and block-out curtains installed in Kiewa Valley House aged care facility in Mt Beauty

Progressive replacement of ageing infrastructure (heating, cooling, boilers, etc) with more energy efficient equipment

Reduction in 5 of the 6 of the energy usage indicators compared to 2012/13 (refer to the Environmental Performance table on p24)

Increased utilisation of electronic applications and scanning to move toward paperless administration; significant progress made in aged care, community care, risk management and contracts management.

Establishment of website, intranet, web based/cloud applications; scaled back numbers of printers and faxes

Increased usage of audio/video-conferencing (including new tele-health units), digital x-ray equipment and projector units at all 3 main sites to reduce printing and car travel

Comprehensive “reduce, reuse and recycling“ programs expanded to include batteries, cartridge toner, fluorescent tubes, e-waste and other items

Responsible waste management and environmental sustainability education

Worm farm for green waste and large capacity water tank at Hawthorn Village

Substantial reduction in chemicals usage Water-saver shower heads installed Environmental Management Action Plan

managed by Practice Innovation Committee Participation in Departmental energy,

environmental and waste reporting program for benchmarking and reduction targeting

OUR SERVICES Acute Medical Inpatient Care Alpine@Home Alpine Leisure Groups (ALGs) Central Sterilising Unit Community Aged Care Packages Community Health Centre Day Surgery (minor procedures – including

endoscopy) Dietetics District Nursing (including immediate after-

hospital discharge care) Emergency Care Services Health Promotion Home Referral Service (including Hospital in

the Home and Post-Acute Care) Independent Living Units Infection Control Medical Imaging Nursing Education including:

Student Placement

Initial Registration of Overseas Nurses / Return To Practice Program

Graduate Nurse Program

Clinical Support Nurse Program

Specialised ALS Program Blood Matters Project Transfusion Trainer Nursing Care – low and high level Pain Management Palliative Care Services Palliative Care Volunteers Pathology Podiatry Post Acute Care Psychology Primary Care Team Radiology Renal Dialysis Residential Aged Care Services Respite Care Rural Adolescent Program Rural Primary Health Program Staff Education Team Midwifery Program (including ante-

natal, labour and post-natal care)



Mr Red Ramia Business Management

Member, Finance & Planning Committee

Member, Quality Care Committee Member Credentialing & Privileging

Committee Term of Appointment: 1 November 2006 to 30 June 2014 (retired 30 June 2014)

BOARD OF MANAGEMENT

Alpine Health is governed by a Board of Management, who are volunteers and are selected from nominations within our community, and appointed by the Victorian Minister for Health. They have a diverse range of skills, experience and interests that contribute to Alpine Health, to ensure the efficient, effective and accountable governance of the organisation through strategic leadership and a direction focussed on defined outcomes. The Board of Management comes together: To govern and improve the well-being of the organisation, To protect and improve the health of the community; and To improve access to, and delivery of, health services

The Board of Management for the past year have been: Ms Kitty Knappstein

Chair, Board of Management

Chair, Board Executive


Member, Quality Care Committee Term of Appointment:

1 November 2002 – 30 June 2015

Mr Clive Walker Diploma Civil Engineering


Member, Quality Care Committee

Member, Credentialing & Privileging Committee

Term of Appointment: 1 July 2012 to 30 June 2014 (retired 30 June 2014)

Mr Brian King Bachelor of Arts, Grad Dip in Education

Deputy Chair

Chair, Quality Care Committee


Member, Board Executive

Member, Risk Management & Audit Committee

Term of Appointment: 1 July 2010 to 30 June 2016

Ms Christine Walker Diploma HR Management

Chair, Finance & Planning Committee


Member, Board Executive


Mr Graham Church Completed NZCD (Architectural)



Member, Credentialing & Privileging Committee




MEETINGS ATTENDED BY BOARD OF MANAGEMENT

Board of Management, Finance and Planning Committee (FPC) and Quality Care Committee (QCC) meetings

Board member % of Board meetings attended

% of FPC and QCC meetings

attended CHURCH Graham 67% 65% KING Brian 100% 100% KNAPPSTEIN Kitty 100% 100% RAMIA Red 81% 74% WALKER Christine 73% 77% WALKER Clive 81% 87%

RISK MANAGEMENT AND AUDIT COMMITTEE For the 2013/14 financial year, Alpine Health’s Risk Management and Audit Committee comprised Mr John Kantor (Chair), Mr Joe Caruso, Mrs Wendy Paglia, Mr Brian King and Dr Jeff Robinson.

EXECUTIVE STAFF

Chief Executive Officer Mr Lyndon Seys, BHA (UNSW), MA (Leeds), FCHSM

Director of Medical Services Dr Jeff Robinson, MB BS FRACGP FACRRM Dip RACOG, Grad Dip Rural GP

Finance and Corporate Services Manager Mr Craig Thompson, B Com, MBA (Melb)

Health Services Manager - Bright District Hospital and Health Services Mr Mark Ashcroft, RN, RM, Accident & Emergency Certificate, Graduate Dip Nursing, Grad Diploma Business Admin, Master of Management, MCom.

Health Services Manager - Mount Beauty District Hospital Ms Caron Oakley, RN, B HSN, Dip Bus, Grad Dip Peri-operative Nursing, Masters in Health Service Management (currently in progress)

Health Services Manager – Myrtleford District War Memorial Hospital Ms Gill Graves, RN, Post Grad Certificate Management, Dip Community Health Nursing

Business Development Manager Mr Trevor Marshall, Master of Social Work- Human Service Management (Latrobe)

Human Resources Manager Mr Nick Shaw, MB, B Ed VISITING MEDICAL OFFICERS: General Practitioners Dr K R R Achary, MBBS Dr D M Blanks, MBBS, FACRRM

VISITING MEDICAL OFFICERS (continued) Dr P E Brown, MBBS, FACRRM, Member of DRS Dr S K Cavini, MBBS Dr S N Datta, MBBS, FRACGP Dr P C Dawkins, MBBS, DRANZCOG, FACRRM Dr S N Delaney, B Med Sc (Honors 1), MBBS, FRACGP, DRANZCOG Dr D M Devereux, MBBS, DCH (SA), FRACGP Dr P A Duff, MB ChB, BAO, MRCGP Dr J M Faragher, MBBS, Dip RACOG Dr M H Forseth, MBBS Dr E M Garoni, MBBS, DRANZCOG, FACRRM, FRACGP Dr M A Islam, MBBS Dr B W Kabbabe, MBBS Dr E M Lisik, MBBS, FRACGP Dr I G N McCallum, MBBS, FRCOG, FCRRM Dr C McCartan, MB ChB, BAO Dr A M McEniery, MBBS, FRACGP, Dip Obs Dr S Marshman, MBBS, FRACGP Dr R Mohd Faizal, MBBS Dr C D O’Brien, BMBS, FRACGP, Grad DipRM, DRANZCOG, FACRRM Dr A S Pem, MBBS Dr R Pillay, MB ChB Dr R J Richardson, MBBS, FRACGP, DRACOG, Grad Dip Rural GP, FACRRM Dr J B Robinson, MBBS, DRANZCOG, FACRRM, FRACGP, Grad Dip Rural GP Dr Y Q Ruan, MBBS Dr S A Shute, MBBS, FRACGP, DRANZCOG Dr L E Smith, MBBS, DOCH, ICCA Accredited Anaesthesia Dr A L Stratton, BMed, DRANZCOG, FACRRM Dr A D Taylor, MBBS, FRACGP, FACRRM Dr B Thavakamuran, MBBS Dr K J Thomson, MBBS, Dr H Yao, MB Dr J J Ye, B Med Dr A M Zagorski, MBBS, DRANZCOG, FACRRM, FRACGP Dr L C Zagorski, MBBS, DRANZCOG, FRACGP

General Surgeons:

Dr S Franzi, MD, FRACS Dr F J Miller, MBBS, PhD, FRACS

Obstetrician and Gynaecologist:

Dr L Fogarty, MBBS, FRANZCOG Dr C J Pearse, MBBS, FRANZCOG

Physicians: Dr L E Bolitho, MBBS, FRACP, FACRRM Dr P G MacLeish, MBBS, FRACP Dr R Whiting, MBBS, FRACP

Medical Administration Consultant: Dr J B Best, AO, MD, PhD, FAFPHM, FRACMA

Radiologists: Northeast Health Wangaratta Medical Imaging Border Medical Imaging



ORGANISATIONAL CHART

Organisational Chart

BOARD OF MANAGEMENT

Chief Executive Officer

Health ServicesBusiness

Development

Finance

Information

Management

Compliance

Management

Residential Services

Administration

Health Services

Manager Bright

Health Services

Manager Myrtleford

Health Services

Manager Mt Beauty

Finance &

Corporate Services

Manager

Essential Services

Catering

Environmental

Maintenance

Director of Medical Services

Communications & Media

Manager

Administrative Assistant

Community and Service

Development Officer

Health Services

Acute Services

Residential Aged

Care (low care)

Midwifery Services

Allied Health Support

Services

Client Services

Health Services

Acute Services

Residential Aged

Care

Early Intervention

Team

- health promotion

- youth

- rural adolescent

health

- dietician

- chronic disease

mgt (diabetes)

- Breast Care

Nurse


Services

Client Services

Health Services

Acute Services

Residential Aged

Care

Peri-Operative

Services

CSSD

Infection Control


Services

Client Services

Business

Development

Manager

Alpine @ Home

Alliance

- District Nursing

Services

- Packaged Care

Services

- Alpine Leisure

Group

- Palliative Care

Volunteers

- Community Aged

Care Administration

Information

Communication

Technology

Fleet Management

Finance &

Corporate ServicesHuman Resources

Human Resources

Manager

Human Resources

Workforce

Development

Payroll

Essential Services

Catering

Environmental

Maintenance

Essential Services

Catering

Environmental

Maintenance

WORKFORCE DATA DISCLOSURES AND EMPLOYMENT AND CONDUCT PRINCIPLES

Labour Category

JUNE Current Month FTE

JUNE YTD FTE

2013 2014 2013 2014

Administration & Clerical 31.5 33.1 33.5 33.5

Nursing 101.2 100.2 100.1 100.7

Hotel and Allied Services 69.8 58.2 70.9 59.1

Allied Health 8.9 6.8 8.7 6.6

Total 211.4 198.3 213.2 199.9

NB: Figures include back-filling of positions for staff on leave and casuals. Alpine Health’s employment and conduct principles are consistent with relevant legislation and guided by the Victorian Public Sector employees’ Code of Conduct.



AWARDS

Staff Long Service Recipients 2013/2014

The Board of Management is pleased to acknowledge the dedicated service of long serving staff members during the year. They are: 10 Years DUFF Kate GRUNDY Ann HAWKSWORTH Catherine JINNETTE Carolyn LUKEY Lisa NAPIER Judy SIGMUND Rebecca WINIATA Lee-Ann 15 Years CONDON Kerrie HEYSTEK Rose HONEMAN Michelle HUTCHINSON Beth McCLELLAND Wendi REILLY Julie SEYS Lyndon WABBIS Wally 20 Years GRAVES Gill KABLE Wendy 25 Years SAINES Dianne WITHEROW Lyn 40 Years CHALLIS Sharon

SCHOLARSHIPS

Otto R Schmalz Memorial Scholarship

The Otto R Schmalz Memorial Scholarship is an annual Education and Study Award for Alpine Health staff members. It was established in 2001 to commemorate the great contribution of Mr Otto Schmalz to Alpine Health and his commitment to welfare and development of Alpine Health staff.

The following staff members have been successful in their application for the Otto R Schmalz Memorial Scholarship:

2001 - Kerrie Hay-Smith (Diploma of Counselling and Communication)

2002 - Leanne Boase (Master of Nursing- Nurse Practitioner)

2003 - Vicky Southgate (Graduate Certificate in Management)

2004 - Jacinta Flood (Bachelor of Social Work)

2005 - Shane Kirk (Graduate Certificate in Aged Care Services Management)

2006 - Lisa Lukey (Graduate Certificate in Acute Nursing Trauma-Critical Care Nursing)

2007 - Maureen Ryland (Graduate Certificate in Health Promotion)

2008 - Heather Street (Graduate Diploma in Wound Care)

2009 - Faisal Sabih (Master in Diabetes Education)

2010 – Suzana Borlovan (Bachelor of Nursing)

2011 - Naomi Piazza (Graduate Certificate in Health Services Management)

2012 – Kerry Patford (Master of Clinical Science Breast Cancer Nursing)

2013 – Helen Giles (Diploma in Vocational Education and Training)



A word from the 2013 Scholar - Helen Giles

Thank you for the opportunity to give a progress report on my studies following my successful application for the Otto R Schmalz Memorial Scholarship.

I have completed two units in the course and attained a credit for both. The subjects were the Individual and Society which introduced me to the concepts of their interrelationship and sociological theories and relates these to the particular adult and vocational education settings in which the students are working.

The second subject was Theories in Post Compulsory Education. I found this subject very relevant to my teachings within the Alpine Institute as it examined learning styles of students and how to adapt my teaching to maximise student outcomes. It also covered problem based learning which is used quite extensively within our teaching and focusses on the practical learning.

I will now commence the next 2 subjects; High Level Facilitation Skills for Post Compulsory Education is a subject that introduces the concepts of learning through facilitation. This subject is a practicum subject but with a difference: the objective of the practicum is to investigate learning environments characterised by high performance facilitation and to use the ideas collected through observation, interview and other investigative techniques to reflect on ways in which you could improve on your own practice as a facilitator of learning.

The other subject is Reflective Practice and Lifelong Learning. This subject encourages a broader and deeper understanding of teaching and assessment practice through wider reading and critical assessments through seeking to develop or enhance the students' ability to critically reflect on their own practice within a framework of applicable lifelong learning perspectives.

Whilst it has been an enormous challenge for me to keep up with the workload, I can see the application within my practice and so this is keeping me motivated to strive even harder this semester. Thank you again for the opportunity to further my knowledge in the teaching area and I look forward to applying this knowledge within the Alpine Institute.

Mark Robinson Scholarship for Rural Health

The Mark Robinson Scholarship for Rural Health is an annual Education and Study Award. It has been established by the Alpine Health Board of Management in recognition of the contribution of Dr J Mark Robinson and his family to the development of health services in rural Australia and more specifically those in the Kiewa Valley.

The Mark Robinson Scholarship for Rural Health is an education and study award promoted by the Board of Management to encourage local people to take up studies in health related disciplines at either undergraduate or postgraduate levels and return to practice in the Alpine Shire.

The following people have been successful in their application for the Mark Robinson Scholarship for Rural Health:

2004 -Alison Gargan (Bachelor of Physiotherapy)

2005 - Warren Policha (Bachelor of Physiotherapy)

2006 - Catherine Gargan (Bachelor of Medicine/Bachelor of Surgery)

2007 - Rebecca Morrison (Bachelor of Physiotherapy)

2008 - Elizabeth Brown (Bachelor of Physiotherapy)

2009 - Alice Bellingham (Bachelor of Medicine)

2010 – Kelsey Graves (Bachelor of Health Science (Speech Pathology)

2011 – Amy Burrowes (Master in Dietetics)

2012 – Jessica Poyner (Bachelor of Psychological Science, Master of Occupational Therapy Practice)

2013 – Benjamin Bond (Bachelor of Physiotherapy) A word from the 2013 Scholar – Ben Bond I was greatly honoured to accept the Mark Robinson Scholarship for Rural Health at the Alpine Health AGM last year.

What a busy year last twelve months it has been for me. In 2013, I completed my Bachelor of Physiotherapy at Charles Sturt University in Albury/Wodonga; a course I thoroughly recommend for anyone interested in Allied Health.



A word from the 2013 Scholar (continued) My final year of study involved 20 weeks of clinical placement in total. During the first semester of 2013, I spent 15 weeks at Barwon Health in Geelong as a member of their clinical school, a really challenging yet rewarding period where I learnt a great deal and began to consolidate my path towards becoming a new graduate physiotherapist. The remaining 5 weeks were a capstone placement, the final hurdle before graduation that was also undertaken at Barwon Health.

Placement is traditionally a challenging time for students with the pressure being assessed day in/day out whilst paying for expenses to live away from home. Fortunately, the Mark Robinson Scholarship played a huge role in relieving the financial burden associated with my placements away from home.

As of February this year, I commenced work at Health Focus Physiotherapy in Albury. Health Focus has 3 clinics on the border; in Wodonga and Lavington along with the Albury site. I am lucky enough to be a part of a fantastic mentoring program along with 2 other graduates from my year level. The ability to work and live relatively locally to my hometown of Bright really appealed to me. I have continued to play football with Bright and treat myself to the odd day of skiing when time permits.

I was recently given the opportunity to work as a volunteer physiotherapist with the Australian Cross Country Ski Team at their annual training camp in Falls Creek, assisting with athlete screening and injury management – to combine my passion for physio and skiing in one is something I was very excited about and the Scholarship certainly enabled me to take up this offer.

I have also used the remains of the scholarship to assist in my move to Albury this year and to provide funding for certain professional developments events including a 4 day spinal course in Wangaratta.

I would like to thank Alpine Health and Mark Robinson for their support over the past 12 months and look forward to be an active member in Allied Health for the region in years to come.

Ben Bond

Bernece Delany Volunteer Award

The Bernece Delany Volunteer Award was established in 2014 by the Alpine Health Board of Management in recognition of the great contribution of Mrs Bernece Delany to the Alpine Shire community.

The Bernece Delany Volunteer Award recognises an individual who resides in the Alpine Shire, who exemplifies the tireless generosity of volunteers in caring for their community, or supporting and improving services to people with complex health needs including older people and people with disabilities.

The Award acknowledges those individuals who are devoted to advocacy for the community, and who demonstrate this with a focus on health and social justice.

The Bernece Delany Volunteer Award will be presented annually during National Volunteers Week. The Award includes a donation to the successful recipient’s local Volunteer Organisation.

The winner of the Inaugural Bernece Delany Volunteer Award for 2014 is: Mrs Janet Leita – Myrtleford

Mrs Leita was recognised for her contribution as a volunteer including more than 15 years with Riding Develops Abilities (formerly Riding for the Disabled), Myrtleford Visitor Information Centre, Rural Fire Brigade, Rotary Club, Myrtleford Football Netball Club, Meals on Wheels and walking programs.

Mrs Leita received $500 to donate to the community group of her choice and she decided to split the money between Myrtleford’s Riding Develops Abilities and the town’s Rotary Club.



VOLUNTEERS

Bright Hospital Opportunity Shop The Bright Hospital Opportunity Shop, Shop 26 and the Trash & Treasure are all going well. Our Volunteers spend many hours of sorting/pricing and the generosity of the general public for the donation of clean clothing, furniture and kitchen/household items are much appreciated.

These are some of the donations included over the last year:

Alpine Health – Bright: Chairs, Colonoscope, Steriliser System

Alpine Health – Mt Beauty: Steriliser System

Alpine Health – Myrtleford: Flooring and ceiling tracking Mt Beauty Hospital / Kiewa Valley House Op Shop - "The Phoenix" The Mt Beauty Hospital/Kiewa Valley House Op Shop opened on 15 May 2014 with much appreciation to Caron Oakley and Craig Thompson, and their direction in what we needed to open MBOS (Mt Beauty Op Shop).

As a small child growing up in Mt Beauty I spent much time in front of the Ladies Hospital Auxiliary stalls that were held most months in the main street. We feel that we are a continuation of this fine service and with our many volunteers, including 4 retired nurses, and many community minded people. We operate our shop from No 1 Tawonga Crescent, Mt Beauty.

To date we have banked $2,439 and we feel that with the financial assistance Alpine Health is giving us during our first twelve months of operation we can contribute financially to our hospital/nursing home.

A comment must be made of our landlords, Carol and Alan McDonald. They have bent over backwards to make sure that we are up and running and are continually offering us assistance. We appreciate their care.

Locals of Mt Beauty are most keen to support us with donations and buying of goods that we have, and again, are eager to support our local hospital and nursing home.

On behalf of us volunteers, in community spirit.

Regards, Barbara Talbot

Myrtleford Hospital Op Shop 2013-2014 was another successful year owing to the hard work by our volunteers. During the year we welcomed a new volunteer, Nola Novak.

Besides an increase in sales, I have been able to source a Melbourne firm who pick up items we can’t sell, because of stains or tears. They pay us for these items and this has reduced the amount of waste going to landfill and the cost of the skip.

We were able to make donations of clothing to the District Nursing Service and items required to assist patients suffering from dementia.

We acknowledge the assistance of the Men’s Shed for work carried out refitting the back of the shop with a dividing wall and re-positioning racks.

Cynthia Geier Alpine Radio Report

Alpine Radio is a community radio station broadcasting into both the Kiewa Valley (frequency 96.5FM) and Ovens Valley (92.9FM) and is an approved Official Emergency Services Broadcaster. We provide community services as follows to Alpine Health:

At 11.00am every Tuesday, Wendy Blake presents an hour of requests for Alpine Leisure Group (ALG) in Mount Beauty. The participants and the staff of ALG enjoy listening out for their songs and having their names read out over the air.

Every Tuesday at 12 noon, Wendy presents Caring & Sharing, a two hour program of requests for the residents and staff of Kiewa Valley House in Mount Beauty. The requests are faxed to the station from Kiewa Valley House every Tuesday morning. The residents enjoy hearing their requests and their names read out over the airwaves.

At 12 noon on Wednesdays, Peter Rogers presents an hour of requests for Alpine Leisure Group in Bright which is also keenly awaited by the participants in the leisure group.

In addition, we broadcast regular community announcements for Alpine Health whenever there is an event to be promoted, as well as



broadcasting announcements for groups that are associated with Alpine Health; including various support groups such as the Dementia Support Group, several Cancer Support Groups, the Arthritis Support Group and others.

COMMUNITY SUPPORT

Thanks to the individual donors, businesses and community groups who have supported Alpine Health by donating. Thanks also to individuals who have made gifts in memory of loved ones.

DONATIONS FOR THE BRIGHT DISTRICT HOSPITAL AND HEALTH SERVICE WERE RECEIVED FROM: Alpine View Children’s Centre Anonymous Bartlett, Nigel Bright Autumn Festival Bright Bowls Club Bright Hospital Op Shop Bright Lions Club Bright Uniting Church Cooper, C & P Felkel, Maria Griffith, Grace McIntosh, Sam Monahan, Barb Rupp, D & E Splatt, Reg Upper Kiewa Valley Lions Club DONATIONS FOR THE MOUNT BEAUTY DISTRICT HOSPITAL WERE RECEIVED FROM: Anonymous Bright Hospital Op Shop Green, Greg Kable, Wendy Mt Beauty Op Shop Mt Beauty Pharmacy Mt Beauty Supermarket NE Bowler’s Group Oakley, Caron Peers, P & D Proceeds of various raffles Saturday Stitchers Thora, Carrol Walker, Maria

DONATIONS FOR THE MYRTLEFORD DISTRICT WAR MEMORIAL HOSPITAL WERE RECEIVED FROM: Alcoholics Anonymous Anonymous Bright Hospital Op Shop Connor, Emily Corcoran, M & J Latipsoh Fundraisers Myrtleford Abattoirs Myrtleford Community Pharmacy Myrtleford Craft Group Myrtleford Neighbourhood Watch Proceeds of Raffles Railway Hotel Sports Social Club Witherow, Lyn Whorouly CWA Special thanks to everyone who supported, participated and contributed to the following groups or events including contributions, in full or part, towards the purchase of specific items across the three Alpine Health sites at Bright, Mt Beauty and Myrtleford. Mt Beauty Cenotaph Garden Davies, Roy Holford, Joan Mt Beauty Medical Centre Mt Beauty Community Enterprises Saturday Stitchers Murray to Moyne Middy’s Data & Electrical Mt Beauty Alpine Leisure Group St Luke’s Anglicare Puff ‘n’Pedal ALPS Inc Bartram, Jane Beveridge, Julie Cambridge Dillon Clare Forrest, Rose Hollands, R & J Hinson, L McArdle, B & J McLelland, Wendi Meakin, Tien Middy’s Electrical Mt Beauty Auto Repairs Mt Beauty Medical Centre Mt Beauty Pharmacy



Puff ‘n’Pedal (continued)

My Cause O’Connor, Joy O’Connor, Rob Passuello, Annette Ranton, Judy Reid, J Retra, Karen Rotary Club of Mt Beauty Sanderink, Keiko Saturday Stitchers Season’s Café Sigmund, Jacky Wilkinson, Karen Upper Kiewa Valley Cancer Support Group Saturday Stitchers Myrtleford Alpine Leisure Group Myrtleford Festival YRS-AAU Project Barwidgee Creek Landcare Group

In Memoriam Donations

Thank you to those who have chosen to remember their loved one by making memorial donations. Your kindness is greatly appreciated. Bright District Hospital and Health Services

In Memory of: CURRAN, Edna MONK, Gary PANGRAZIO, Rosa WILLIAMS, Teresa Bequest From the Estate of: McNAMARA, John

Mount Beauty District Hospital

In Memory of: CHRISTIE, Don ECKSTEIN, Helga MACKLAN, Wendy Myrtleford District War Memorial Hospital

In Memory of: DEFAZIO, Domenico GOONAN, Aileen HOWELL, Neville MITCHELL, Leslie PELLIZZONI, Albert ROTHENBERGER, Kevin WALKEAR, Edward



FINANCIAL HIGHLIGHTS

Operating Result

Alpine Health recorded an operating surplus of $249,000 for the 2013/14 financial year in a difficult economic and health funding environment. This better than budget result represented approximately 1% of operating revenue and was a significant turnaround from the previous financial year’s $386,000 operating deficit. Despite the challenging conditions and containment of costs, Alpine Health continued to deliver high quality services, implemented additional revenue streams and explored partnerships for expanded service delivery, future growth and sustainability.

The Comprehensive Result was a $1,211,000 surplus, but this is a less indicative measure of Alpine Health’s financial performance as it includes unfunded depreciation of $1,963,000 and revaluation increases totalling $2,262,000. At year end, land and buildings were revalued by the Victorian Auditor-General’s agent in accordance with the 5 year revaluation cycle.

Revenues

Operating Revenues (excluding interest and other income) rose 2.3% to $23,097,000 mainly due to a 22.4% increase in Commercial Activities to $1,564,000 from additional student course fees received for the expanded Initial Registration of Overseas Nurses (IRON) program. However, income from this program was curtailed in the second half of the financial year due to the cessation of student eligibility by the assessing body.

State and Federal Government grants rose a modest 1.8% to $18,553,000, including indirect contributions. Acute inpatient revenue was sharply lower by 20% due to substantial cuts to the single room rebate by three of the major private health insurers. This was partly offset by a 7.3% increase in aged care income, but overall Patient and Resident Fee income declined by 3.1% to $2,979,000.

Capital Purpose Income totalled $663,000, a fall of 17% from the prior financial year. State Government capital grants funded minor infrastructure, aged care and medical equipment. The continued generosity of the community resulted in donations and bequests of $366,000, including $148,000 from the John McNamara Estate.

Expenses

Operating Expenses decreased by $604,000 (2.5%) to $23,427,000 primarily from Employee Expenses savings of $380,000 from the Workforce Reconfiguration. Employee Expenses totalled $17,575,000 and continued to represent 75% of total Operating Expenses.

Savings of nearly 15% ($55,000) were achieved by joining the state-wide electricity contract at the start of the 2013/14 year. Nearly all the expense categories were lower than budget and the previous year through the implementation of cost reduction and containment strategies. In total, Non-Salary expenses fell by $224,000 (3.7%) to $5,852,000.

Capital Expenditure

Capital expenditure of $739,000 included patient lifting equipment installations at Myrtleford and Mt Beauty. Targeted capital equipment grants from the Department of Health provided replacement medical equipment and engineering infrastructure, as well as aged care equipment. Sterilising processor units and a scope for Theatre operations were generously funded by the Bright Op Shop, while the Murray to Moyne cycling event fundraised for a portable ventilator. Other necessary work health and safety installations and patient, resident and medical equipment were all funded through a combination of community and Opportunity Shops’ donations and internal resources.

Included in the financial accounts is Alpine Health’s proportional share of the operations of the Hume Rural Health Alliance, a joint venture of Hume region health services which primarily co-ordinates ICT initiatives.

Liquidity

The cash position of Alpine Health remains sound with Cash & Cash Equivalents of $1,974,000 and Other Financial Assets of $4,379,000, of which $4,348,000 is Held in Trust in the form of Refundable Accommodation Bonds. However, in a very challenging health funding environment, the implementation of the numerous strategies to strengthen Alpine Health’s operational and financial sustainability is a continuous process that will continue throughout 2014/15 and beyond.

Lyndon Seys Alpine Health Accountable Officer



SUMMARY OF FINANCIAL RESULTS FOR LAST FIVE YEARS

$’000 2013/14 2012/13 2011/12 2010/11 2009/10

Total Revenue 24,339 24,446 22,149 21,474 20,784

Total Expenses 25,390 26,424 23,894 23,339 22,581

Total Surplus / (Deficit) (1,051) (1,978) (1,745) (1,865) (1,797)

Retained Surplus / (Accumulated Deficit) (10,047) (8,996) (7,018) (5,273) (3,408)

Total Assets 40,267 37,739 35,733 37,144 38,482

Total Liabilities 11,264 9,947 9,440 9,106 8,579

Net Assets 29,003 27,792 26,293 28,038 29,903

Total Equity 29,003 27,792 26,293 28,038 29,903

BUDGET ANALYSIS FOR YEAR ENDED 30 JUNE 2014

Item

Actual $’000

Budget $’000

Variance $’000

Variance %

Reasons for Variance

Operating Revenue 23,676 23,998 (322) (1.3) Lower IRON student income due to the cessation of eligibility assessments by AHPRA

Total Revenue 24,339 24,598 (259) (1.1) Lower IRON student income due to the cessation of eligibility assessments by AHPRA

Operating Expenses 23,427 24,062 635 2.6 Lower Salaries & Wages from Workforce Re-configuration; cost containment strategies

Total Expenses 25,390 26,132 742 2.8 Lower Salaries & Wages from Workforce Re-configuration; cost containment strategies

Operating Result 249 (64) 313 489.1 Implementation of financial sustainability strategies

Net Result (1,051) (1,384) 333 24.1 Implementation of financial sustainability strategies

Comprehensive Result 1,211 (1,384) 2,595 187.5 Revaluation not included in budget

ENVIRONMENTAL PERFORMANCE

Total Actual usage

Item Unit 13/14 12/13 Variance % Variance

Electricity MegaJoules (MJ) 6,028,444 6,267,721 (239,277) -3.8%

LPG Litres 238,428 261,295 (22,867) -8.8%

Water KiloLitres 12,949 18,801 (5,852) -31.1%

Usage per Full-Time Equivalent Employee (FTE)

Electricity MegaJoules (MJ) 30,157 29,398 759 2.6%

LPG Litres 1,193 1,226 (33) -2.7%

Water KiloLitres 65 88 (23) -26.5%

Energy usage was reduced from the previous 2012/13 financial year both in terms of total usage and usage per FTE in 5 out of the 6 Environmental Performance indicators above, with significant reductions in water usage.



PRIORITIES

Part A. Strategic Priorities

Priority Action Deliverable Outcome

Sustaining and Improving Services:

Strengthen health promotion, prevention and primary intervention to improve the health of the community

Optimise choices in service delivery

Build strong relationships with the Alpine Shire, the community and other providers

Strengthen community development models of service delivery

Develop more anticipatory care models of service delivery

Lead Health Promotion in the Alpine Shire

Alpine Community Ward development and implementation with funding from Health Workforce Australia (HWA)

Services for youth that addresses issues of bullying on individuals in partnership with Schools initially

Integrate and improve Alpine Health’s Early Parenting and Midwife Services

Support the “Communities that Care” Board to address the issues of Youth in the Myrtleford Community

Anticipatory model developed and evaluated

Implementation Plan in place for Positive Ageing Strategy

Harmony Revolution project successfully implemented at Bright P-12 College.

MOU developed to establish sub-regional obstetric service model

Communities that Care implemented its first Action Plan

Building Capacity and Developing New Services: Develop programs and services to support members of the community who are vulnerable or need additional support in facing life stage transitions

Provide a range of services that optimise options and choices for people of the Alpine Shire, including facilitating access to services that Alpine Health does not provide and lowering access barriers

Develop flexible services that meet the needs of the elderly, people in life stage transitions and those with greater need in Alpine Shire

Establishment of visiting specialist geriatric services

Establish Men’s Shed in Mount Beauty

Develop community based arthritis support services

Redevelop sterilizing services

New volunteer based services for the Alpine Shire communities

Arrangements in place for visiting specialist geriatric services at Bright and Mount Beauty

Funding approved for Mt Beauty Men’s Shed

Arthritis Support Group established in Mount Beauty

Sterilizing services outsourced

Protecting the Future: Enhance service capacity to respond to the future needs of the community

Remain financially viable, continue growth and expand the capital base

Align services with contemporary government policy and respond to the future needs of the community

Continue to build expertise in key areas and maintain a strong quality culture

Explore and implement operational efficiency and financial sustainability options

Implement systems for Alpine Health to support its ICT infrastructure transformation project

Implement accreditation recommendations

Expansion of IRON program, cost reduction strategies and more efficient and effective service delivery in place

IT maintenance services brought in-house

90% of accreditation recommendations completed

Code of Corporate Governance expanded in line with national standards

Completed review of pharmaceuticals



Priority Action Deliverable Outcome

Developing our Workforce: Develop highly skilled, integrated workforce with an emphasis on teamwork and multidisciplinary, multi-skilled professional practice.

Support staff members and volunteers to deliver services

Invest in training for all staff members and volunteers

Develop new models of clinical leadership and management

Achieve optimal health for staff members

Support and develop volunteer workforce

Expand scope of the Alpine Institute as an accredited Registered Training Organisation (RTO)

Implement Stage 2 of the e3Learning strategy

Implement recommendations from Health e-Workforce Phase 1 Report

Invest in training for volunteers

Review OH&S approach; invest in patient lifting systems

New Certificate 3 courses in home and community care established and being delivered

Second Certificate 3 in Health Service Assistance started

Stage 2 of the e3Learning strategy completed

95% of Alpine Health staff members have post-secondary qualifications

Clinical leadership structures for inpatient and residential aged care services restructured

90% of Alpine Health inpatient and residential aged care beds have overhead lifting devices

Capital Development: Co-location of facilities can improve access to and integration of services, improve the efficiency and sustainability of the service and create a flexible service delivery environment. Investment in information and communications technology will improve service co-ordination and outcomes.

Develop land and buildings to meet changing health needs

Develop co-located services with other service providers to improve local service delivery

Promote both physical and virtual health precincts for integrated service delivery

Invest in ICT to reduce costs of service provision and support service delivery and access

Improve Alpine Health’s environmental footprint

Review of service plans for Bright redevelopment

Improve accommodation for students at Bright

Investigate opportunities to manage impact of climate change and water security

Consultants appointed for review of service profiles for Bright Hospital and Health Services

Secured agreement with Alpine Shire and RSL for redevelopment at Mt Beauty to improve car parking

Refurbished Hospital House at Bright for student accommodation

Completed ICT projects

Identified a source of funding through Bright Hospital Op-Shop for solar power generation at all Alpine Health locations

Part B. Performance Priorities Financial Performance

Operating Result Target Actual

Annual Operating Result ($m) $0.064m deficit $0.249m surplus

Cash Management Target Actual

Creditors <60 days 45 days

Debtors <60 days 37 days



Quality and Safety

Quality and Safety Target Actual

Health service accreditation Full compliance Full compliance

Cleaning standards Full compliance Full compliance

Submission of data to VICNISS* Full compliance Full compliance

Hand Hygiene (rate) 70 77

SAB rate per occupied bed days 2/10,000 0

Victorian Patient Satisfaction Monitor (OCI) 73 Full compliance

Consumer Participation Indicator 75 Full compliance

People Matter Survey (rate) 30 29

*Victorian Healthcare Associated Infection Surveillance

Flexible Aged Care Places

Service Number Occupancy level %

Flexible High Care 50 90.7

Flexible Low Care 40 79.8

Home Care Packages 25 100.0

Flexible Community Care 15 100.0

Respite care bed days 2,018 N/A

Acute & Primary Health Care

Service Type of activity Activity levels

Medical inpatients Bed days 7,410

Accident and emergency Presentations 4,200

Nursing home type patients Bed days 660

District nursing Occasions of service 9,777

Maternity Number of clients 89

Renal dialysis Number of clients 16

Dietetics Number of clients 270

CONSULTANCIES

Details of individual consultancies > $10,000

Consultant Purpose of Consultancy Start Date

End Date

Total Approved Project Fee (exc GST)

Expenditure 2013/14 (exc GST)

Future Expenditure

(exc GST)

Diagnosis Pty Ltd

Medical administration: Credentialling and scope of

practice for all medical officers, registrars and interns

Development, co-ordination and delivery of M2M intern training program

1 Jul 2011

30 Jun 2015

$ 146,313 $ 22,236 $ 23,000

Hammond Care

Curricula for Registered Training Organisation courses offered by Alpine Health

1 Jul 2013

30 Jun 2014

$ 30,000 $ 30,000 $ -

Health-e Workforce Solutions

Models of care and workforce reviews

10 Jun 2013

29 Aug 2014

$ 77,000 $ 45,000 $ 32,000

LaTrobe University

Health Workforce Australia (HWA) funded project relating to anticipatory care in a community setting

30 Apr 2012

10 Jan 2014

$ 34,093 $ 34,093 $ -

Swinburne University of Technology

Workability study for older health workforce planning & HWA funded project relating to anticipatory care in a community setting

30 Apr 2012

10 Jan 2014

$ 161,000 $ 30,000 $ -



Details of individual consultancies < $10,000

In 2013/14, Alpine Health engaged 12 consultants where the total fees payable to the consultants were less than $10,000, with a total expenditure of $29,771 (excluding GST).

EX-GRATIA PAYMENTS

There were no ex-gratia payments made by Alpine Health during the 2013/14 financial year.

ADDITIONAL INFORMATION (FRD 22E APPENDIX)

In compliance with the requirements of FRD 22E Standard Disclosures in the Report of Operations,

details in respect of the items listed below have been retained by Alpine Health and are available to

the relevant Ministers, Members of Parliament and the public on request (subject to the freedom of

information requirements, if applicable):

(a) A statement of pecuniary interest has been completed;

(b) Details of shares held by senior officers as nominee or held beneficially;

(c) Details of publications produced by the Department about the activities of the Health Service and

where they can be obtained;

(d) Details of changes in prices, fees, charges, rates and levies charged by the Health Service;

(e) Details of any major external reviews carried out on the Health Service;

(f) Details of major research and development activities undertaken by the Health Service that are

not otherwise covered either in the Report of Operations or in a document that contains the

financial statements and Report of Operations;

(g) Details of overseas visits undertaken including a summary of the objectives and outcomes of each

visit;

(h) Details of major promotional, public relations and marketing activities undertaken by the Health

Service to develop community awareness of the Health Service and its services;

(i) Details of assessments and measures undertaken to improve the occupational health and safety

of employees;

(j) General statement on industrial relations within the Health Service and details of time lost

through industrial accidents and disputes, which is not otherwise detailed in the Report of

Operations;

(k) A list of major committees sponsored by the Health Service, the purposes of each committee and

the extent to which those purposes have been achieved;

(l) Details of all consultancies and contractors including consultants/contractors engaged, services

provided, and expenditure committed for each engagement.



PLEASE SUPPORT ALPINE HEALTH

Notwithstanding the amount of Government subsidy received during the year, Alpine Health is still dependent upon the financial support of the public to enable us to continue and develop its services. Alpine Health has a continuing need for facilities and equipment of the highest modern standards, to serve the needs of the communities of the Alpine Shire and surrounding districts. The range of quality of services provided by Alpine Health is a tribute to the excellent support of the communities of the many years.

To ensure this high standard of care can continue, we seek your financial support to purchase new and improved equipment, and to assist in the improvement of facilities.

YOU CAN ASSIST BY

A donation towards a special item

Defraying the cost of much needed equipment

Remembering Alpine Health in your will

Assisting as a volunteer.

YOUR HELP IS MUCH NEEDED AND WILL BE APPRECIATED

The Chief Executive Officer Alpine Health 30 O’Donnell Avenue Myrtleford Vic 3737

I am pleased to donate the enclosed sum of $…………………………...which should be used towards the purchase of

* * for the site of Alpine Health. Name Address

Phone e-mail Signature

(*insert equipment or area preferred or write “equipment for general use”).

Alpine Health also offers other payment methods such as EFT transfers, credit card facilities, direct debit, etc. For payments directly into Alpine Health’s account, the NAB bank account details are:

BSB: 083-971 Account No: 68 334 2279

Credit card payments will require the cardholder name, credit card number and card expiry date. Please identify the payment as a donation and the donor’s name for receipting and identification purposes.

Please contact Alpine Health if you require assistance with making a donation or payment method.

Please state if you wish to remain anonymous, as donors will be recognised in the Annual Report.



ALPINE HEALTH Multi-Purpose Service

www.alpinehealth.org.au

CONTACT LIST Myrtleford District War Memorial Hospital Tel: 03 5751 9300 30 O’Donnell Avenue Myrtleford Victoria 3737 Fax: 03 5751 9395 (reception) Bright District Hospital and Health Service Tel: 03 5755 0100 32-36 Cobden Street Bright Victoria 3741 Fax: 03 5755 2110 Mount Beauty District Hospital Tel: 03 5754 3500 2-8 Hollonds Street Mount Beauty Victoria 3699 Fax: 03 5754 3555 Corporate office 30 O’Donnell Avenue Tel: 03 5751 9344 Myrtleford Victoria 3737 Fax: 03 5751 9396 (administration) Aged Care Facilities Barwidgee Lodge Nursing Home Tel: 03 5751 9335 30 O’Donnell Avenue, Myrtleford, Vic, 3737 Kiewa Valley House Tel: 03 5754 3521 2-8 Hollonds Street, Mount Beauty, Vic, 3699 Hawthorn Village Tel: 03 5755 0150 1 Rotary Drive, Bright, Vic, 3741 Alpine Leisure Groups (ALG’s) Myrtleford ALG Tel: 03 5751 9326 30 O’Donnell Avenue Myrtleford Victoria 3737 Bright ALG Tel: 03 5755 5123 32-36 Cobden Street Bright Victoria 3741 Mount Beauty ALG Tel: 03 5754 3526 2 Lakeside Avenue Mount Beauty Victoria 3699

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Alpine Health Report of Operations

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