Annual Report - Ardrossan Community Hospital

ANNUAL REPORT
2013/2014
Ardrossan
Community Hospital Inc
ARDROSSAN COMMUNITY HOSPITAL INC.
MISSION STATEMENT
“To provide a high quality Health Service to the
Community”
Board of Directors
November 2013 – October 2014
Chairperson:
Doug Barton
Board Member:
Brenda Bowman
Margaret Tomsen
Andrew Cameron
Mary Herrmann
Jamie Coppins
Roslyn Hatcher
EO/DON:
Ann Petersen
Auditor:
Brentnalls SA
ARDROSSAN COMMUNITY HOSPITAL Inc.
ANNUAL GENERAL MEETING
– NOVEMBER 25TH 2014
ARDROSSAN INSTITUTE, 7.00pm.
AGENDA:
1. Welcome by Chairperson of Board of Directors, Doug Barton
2. Apologies:
3. Minutes of AGM held 26th November 2013.
Moved:
Seconded:
4. Business arising from Minutes
5. Chairperson Annual Report 2013/2014 Doug Barton
- Financial Report – Doug Barton
6. Executive Officer / Director of Nursing Report – Ann Petersen
Including:
-Aged Care Report
-Quality Assurance Report
-OH & S & Manual Handling Report
-Auxiliary Report
7. Appointment of Auditors for 2014 / 2015
8. Election of Board Members for 2014 for two years
Retiring Board Members – Doug Barton, Margaret Tomsen, Mary
Herrmann
Nominations: Doug Barton, Margaret Tomsen, Mary Herrmann
9. General Business:
10, Any other business:
11. Meeting Closed at:
ARDROSSAN COMMUNITY HOSPITAL INC
ANNUAL GENERAL MEETING OF MEMBERS
MINUTES
Tuesday 26th November 2013
ARDROSSAN SMALL TOWN HALL, 7.00PM
Meeting Opened 7.00pm
Welcome by Doug Barton, Chairperson of Board of Directors.
1. PRESENT
20 financial members and 2 non financial members
The attendance sheet is attached
2. APOLOGIES
Apologies were called for by Doug Barton.
19 financial members and 0 non financial members
The apologies sheet is attached.
3. MINUTES OF LAST AGM – Doug Barton
That the minutes of the Annual General Meeting November
20th 2012 as circulated, be taken as read and confirmed as a
true and accurate record.
Mvd: Andrew Cameron 2nd: Brenda Bowman
Carried.
4. Business Arising from the Minutes
Irene Greig requested the spelling “Grieg” (Item 5) be
corrected to “Greig”. (done)
5. Executive Officer / Director of Nursing Report
Report was read by Ann Petersen
Included in the report were the following reports:
 The Hospital
 The Aged Care facility
 The Health Centre
A copy of Ann’s report is attached to these minutes.
Ann asked for any questions from the floor.
Dot Jackson: Will the new kitchen completely obscure the
view from patients’ rooms?
Ann Petersen: Patients have lost some of their view but they
can still see the sea.
Mvd: Mary Hermann
2nd Helen Jacobs
Carried.
6. Chairman’s Report / Financial Report
The Chairperson’s report was read by Doug Barton
A copy of this report is attached.
Doug then moved on immediately to the Financial Report
A copy of this report is attached to the minutes.
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Specifically mentioned were:
Overall it had been a very good year.
$267,770 profit reported for the financial year however
it needed to be pointed out that the Hospital on its own
recorded an operating loss of approximately $92,000.
Because of increased costs (especially wage
increases) we now require annual occupancy figures of
13,500 Bed Days to “break even”.
Work cover increase was an unforeseen expense – the
facility issued penalties if any claim had been lodged in
the previous three years
Revenue overall is in a healthy situation.
Will be borrowing money for new kitchen against equity
in assets
Current equity is just short of $5,000,000.
Donations from the Auxiliary are used for items
specifically related to patient comfort and are not used
in the day to day operating costs of running the
hospital.
2013/2014 Budget is conservative – Includes
$96,000from Health Centre.
Doug then asked if there were any questions from the floor.
Avian Pink: Where are the Water rates include in the
expenses?
Ann Petersen: They are included in the Rates & Taxes
item,
Acceptance of reports:
Mvd: Jan Hill
Carried.
2nd Mary Hermann
7. Appointment of Auditors
Doug Barton proposed Brentnall SA as Auditors for
2013/2014.
Mvd Victor Brown
2nd Brenda Bowman
Carried.
8. Election Of Board Members
Sitting Board Members Andrew Cameron, Helen Jacobs
and Jamie Coppins have completed their term of office.
Nominations for re-election were received from Andrew
Cameron and Jamie Coppins.
A nomination was also received from Rosslyn Hatcher.
With no objections from the floor all three nominations were
elected for a period of two years.
Doug thanked outgoing member Helen Jacobs for her in
valuable input and years of commitment to the Board and
wished her well in her “retirement”.
9. General Business
Doug invited any questions or comments.
9.1 Hank Hill: Current position regarding the planning of the
Hospital’s Centenary next year?
Doug Barton / Mary Hermann:
 Celebrations are being planned for the long week end
in October.
 Main function will be a dinner on the Saturday night
with guest speakers and various memorabilia.
 There will be an afternoon tea the next day.
 Barbara Lodge is updating her history of the hospital
and would welcome any photographs and/or anecdotes
for inclusion.
Barbara Lodge: Would particularly like to hear from long
serving staff members about the changes they have seen
over the years.
9.2 Jan Hill: Reported that Rhonda Naismith, a long serving ex
Director of Nursing was in very
poor health.
ANY OTHER BUSINESS
There was no further business.
MEETING CLOSED AT 7.30PM
Signed: ____________________________
Doug Barton, Chairperson Board of Directors
Date: ______________
Chairman’s Report.
(Incorporating 2013/2014 Financials)
There has been some criticism and anxiety relative to the recent article in the
“Country Times”.
The Board decided that we should let the General Public (and especially the S.A.
Government and Local Industries) know that although our audited accounts show a
healthy profit we are finding it difficult to achieve an Operating Breakeven as a result
of the withdrawal of the S.A. Government
Accident & Emergency subsidy. For the past three years we have depended on
generous Sponsorships which have now dwindled to the extent that the Ardrossan
Progress Association is the only on-going Sponsor into 2014/2015. We of course
expected to have the Government subsidy re-instated by the Liberal Party, but they
lost the UN-LOSABLE election. Subsequent approaches to the incumbent
Government Health Minister and the “So-called” Independents have proved
unsuccessful. That does not mean, however, that we will give up in our endeavours
to regain what we believe is a justifiable on-going right for S.A. Government funding.
It is somewhat of a coincidence that our audited operating loss of $151,529 equates
approximately to the missing subsidy.
We are fortunate that Donations and Estate Legacies were at an all-time high this
year ($471,134) and this supplemented by our Health Centre Dividend ($13,833)
means we show an over-all audited profit of $306,914.
HOWEVER, Donations and Legacies under current conditions CANNOT be used as
“OPERATING REVENUE”. They can only be used for Capital Items.
These funds give us the ability to keep up-to-date with modern equipment and to
provide necessary items for Patient comfort but does NOT help with the
“OPERATING Profit or Loss!”
Major Items making up Donations and Legacies in 2013/2014 were:
1. Ladies’ Auxiliary donation in excess of $100,000 to fit-out the new kitchen.
2. A donation of a $60,000 Wheel-chair Access Vehicle.
3. Thousands of Dollars from the generous Farming Fraternity.
4. Legacies from Deceased Estates.
We cannot anticipate what “Donations” will bring in any given year. They are greatly
appreciated, but cannot be included in budgeting.
The “Operating Loss”:
As mentioned earlier it is the denial of the S.A. Government A&E subsidy which is the
main factor.
Without it we need 14,000 bed days to break-even; a factor we cannot fully control.
(in 2013/14 bed days totalled 13,200, a shortfall of 800 @ $200 per day equates to
$160,000 p.a.)
Irrespective of the Patient numbers we are required to provide a minimum Staff and
they must be properly rewarded for their expertise and devotion to Patient care. It is
therefore the Board’s responsibility to plan for additional revenue to cover potential
losses and proper remuneration and conditions for our Staff. Hospitals are Labour
Intensive Organisations; hence the Payroll being a major portion of overall expenses;
BUT without Nurses and Support Staff we do not have a Hospital.
Health Centre Dividend:
This year’s dividend was less than in previous years due to changes in the Dentist
area with Shelley leaving; Jas getting used to operating two chairs; and heavy
depreciation provision on the new Dental Equipment (Crown Machine @ 40% Reducing Balance Method).
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Before proceeding with the balance of my report (including futures plans) let us
review the major items relevant to the 2013/2014 year.
We have decided to present to you the simpler format of the “Balance Sheet” and
“Profit and Loss” for the Financial Year 2013/14. The 41 page Statutory Accounts,
Auditors Reports, etc., are here tonight and are available for perusal by Members on
request at the Hospital.
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Board:
Many thanks to the Board Members for their contribution for the benefit of the
Hospital. Their support to me as Chairman and their healthy debate and decision
making is greatly appreciated.
Andrew Cameron; Jamie Coppins; and Ros Hatcher will continue into their second
year while Mary
Herrmann; Margaret Tomsen; and Doug Barton have completed their two year term ,
but have opted for a further term. Brenda Bowman retires as the Y.P. Council
Representative, but will remain as a Board Member by appointment.
Staff:
Thanks must go to EO/Don Ann Petersen and her Staff for their devotion to duty –
sometimes under stressful and difficult conditions. During the year we farewelled
Annette Lodge a long servicing R.N.
(sometimes the DON) who gave many many years of devoted service.
Another long serving and valuable nurse – Maria Hollitt joined Annette in retirement
only last week.
We thank these Ladies for their service to the Hospital and wish them Health;
Wealth; and Happiness into the future.
Previous DON Belinda Carter took Maternity Leave to give Callum a little Sister
(McKenzie).
We welcomed her back this month to take over the Supervisory role of Dinham Wing.
New Kitchen:
The new (7 Star) kitchen was built and commissioned during 2013/14 and is a great
adjunct, caring for the needs of the Hospital and Meals-on-Wheels. A special thank
you to the Auxiliary Ladies for the funding of the $100,000+fit-out. Another Hospital
job well done by E.H. Hollitt, Builders.
The Future:
As mentioned earlier it is the duty of the Board to plan to generate improved revenue
to:
a. Ensure at least a “Break-even” operation irrespective of A&E Subsidy or
Sponsorship.
b. Maintain proper remuneration and conditions for our Staff.
Work has already commenced to achieve this:
 Bathrooms/Toilets (Southern end of the “Old” Hospital):
Building has commenced (for end of year completion) to provide two Ensuite type bathrooms which have been planned for some time. They will
make the South end more attractive and “work friendly” for Staff and
Residents and will enable us to “Double-up” in the current single-occupied
bedrooms, providing accommodation for Long-term N.H.T.P’s and/or
‘Respite type” Patients.
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“Old Kitchen” conversion:
This will commence in the new year (for May completion) to provide two
bedrooms and en-suite to cater for N.H.T.P’s; “Respite”; or Acute patients.
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Health Centre:
Although we had a difficult year in 2013/14 we anticipate a greatly
improved situation in 2014/15:
- One Dentist operating two chairs.
- Staffing adjustments to suit.
- Reduction in Depreciation Provision.
In addition we have just signed a contract with a new Physiotherapist who will attend
two days per week. This will produce extra income from the Health Centre, and when
combined with the now reconstructed Dentist set-up will show improvement going
forward.
We will do all in our power to maximise the revenue from these areas to
ensure that we are
operating in profit irrespective of subsidies and/or
sponsorships in the future.
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Dinham Expansion:
Because of the uncertainty created by the new Rules concerning Aged
Care which came into effect on 1st July 2014, we deferred the planning for
a year to see how things shake down under the new system. It is hoped
that the demand for accommodation in Dinham Wing remains strong to
make it viable to proceed with the planned expansion.
WE trust that we can lay the foundation for the Hospital to prosper for the
next hundred years.
This is the end of my report.
We will welcome any questions or comments (financial or general) from
you!!
Doug. Barton
Board Chairman.
Executive Officer/Director of Nursing Report
2014
I am pleased to present this report as a snapshot of the hospitals activities over the last 12
months.
The hospital has embarked on a number of building projects over the report period
thanks to generous donations from the community for all or part of the
projects .The first of which was the completion of the hospital kitchen in
January, providing a safer more comfortable work area for the staff. The staff
appreciate the new work area and have settled into new routines after some
initial teething problems. I would like to take this opportunity to thank the
Ladies Auxiliary for providing the funds for the complete fit out the kitchen
providing the hospital with a very efficient state of the art facility.
As mentioned in my report last year, a number of suggestions had been received
from the community indicating the need for new bathroom facilities at the
southern end of the hospital. This was seen as a way to improve the quality of
life for the long term residents living in the hospital. Once again due to
community donations and funds from the dissolved hospital foundation, this
project is currently underway and is planned to be finished by Christmas.
The next building project is to convert the old kitchen area into 2 private rooms with a
shared en suite and building is planned to be commenced early in the New
Year. These new room will be able to be used for acute or long stay clients.
In June the hospital again successfully achieved AS/NZS ISO 9001:2008
accreditation meeting all 10 of the new National standards with no non
conformances. Well done to all staff involved in this process.
A special thank you to the Quality Co-Ordinator Julie Hall for her dedicated work
towards this successful outcome.
We endeavor, via the risk Management Committee to establish plans for the year
based on the Quality programme. This planning ensures we have a positive,
constructive business program and keep up to date with best practice, and
risk management.
Despite the cessation of government funding for A and E the staff continue to provide
excellent emergency care to the community.
Staff numbers have fluctuated over the year with a number of resignations and
retirements. Annette Lodge and Maria Hollitt have both retired after many
years of dedicated service to the hospital and Aged Care facility. Many thanks
for these years of service and we wish you both all the best for your
retirement.
I would like at this time to remember Linda Faulkner who passed away after a short
illness in early November. Linda worked at the hospital for 37 years as an
Enrolled Nurse and more recently was the Lifestyle Coordinator in the
Dinham Wing. Her bright, happy face will be greatly missed by staff, residents
and volunteers.
The Ardrossan Community Health Centre has had a difficult year as both Shelley
Grewall and Physiotherapist, Matthew Clark moved back to the city to work.
Jas has continued as a solo dentist working Monday, Tuesday, Thursday and
Friday, offering late appointments on Tuesday and Thursday evenings for
those in the community that find it difficult to attend during office hours
.Luckily the lack of a physiotherapist was short lived with the arrival of Nick Rendell
last week. Nick came to us after recommendation from Matthew Clark and is
keen to work every Wednesday till the end of the year then is looking at 2
days a week next year. He has a keen interest in many areas of
physiotherapy some of which he may introduce next year.
Services such as Cardiology, Audiology and Podiatry continue to be provided
regularly out of the Health Centre.
I would like to take this opportunity to sincerely thank the community for their
generous support by way of both money and time. Without donations of money from
the community we would not be able to improve patient comfort a care and quality of
life.
Thank you to our brilliant group of volunteers who give of their time to support and
improve the quality of life of our residents.
The Ladies Auxiliary have once again this year been very supportive allowing the
hospital to purchase many items that would not be possible otherwise. Below is a list
of items purchased through donated money
Items purchased through donations.
Television x2, Defibrillator, patient lounge chairs, blinds for SCU, table, wall art, food
processor, stress test machine, Lap top and programme for Cardiologist,
shower chair, patient lifter and slings, 2 recliner chairs, Holter monitor,
bedside rails and protectors, overway tables, Air conditioner x 2, Kitchen fitout
and equipment, Dinning and Lounge chairs for the Aged Care section and
garden areas in SCU and Dinham Wing.
I would like to thank all the Staff of the hospital and the Health Centre, Doug Barton
and the Board members for their support through what has been a
challenging year. We will continue to work as a team to provide a high Quality
of Care and service to the Community.
Thank you
Ann Petersen
Aged Care Report
Our Aged Care Facility strives to continually improve our Resident’s quality of life and this
year is no exception.
The facility is 100% occupied .We now have a 26 bed facility.
We received 2 unnounced support visits from the Department this year with all standards met
( no discrepancies). These visits are always supportive and helpful for our facility.
Validation occurred in September/October this year, 3 validators reviewed 6 ACFI ( Aged
Care Funding Instrument) packs to assess that the claims we were making were correct. All
6 packs were reviewed there were no changes made to funding and we retained all funding.
This year we have employed a new Life Style Coordinator ( Linda Watson ) who has
certainly been a breath of fresh air for the residents introducing many new activities,
including many out of the facility which I know have been enjoyed not only by the residents
but also the Volunteers.
Volunteers, what can I say about this amazing group of people, that bring so much joy into
our resident lives. We thank them for all their time and effort.
Improvements to the facility: Garden area near kitchen, this beautiful area is utilised often for
games, Ceiling fans have been installed in all common areas as well as each of the Residents
rooms .
New dinning room chairs have been purchased for Dinham & SCU and lounge chairs for
Dinham and SCU these were all purchased from kind donations from community.
Allied Health Professionals continue to visit our facility on a regular basis they include –
Podiatrist Richard Crosby & Sarah Carter, Audiologist Chris Laird, & Spec Savers.
We also welcome Nick Rendell who will provide Physo services to the residents.
After 37 years I will have retired by the time this report has been tabled, I have thoroughly
enjoyed my working time at the ACH and particularly the last 9 years as Aged Care
Coordinator. I will miss the residents but my plans are to return as a volunteer and continue
to stay in their lives. I wish Belinda Carter all the best in her new position as Aged Care
Coordinator and I know she will do a great job and continue to be a positive advocate to our
dear Residents.
Julies Hall continues to be a great source of support for the Aged Care area, with her
knowledge and experience in this field. I would like to thank her for her continued
support.
I thank all staff, the Board of Management,Volunteers, Relatives, Residents for their
continued support and dedication to our wonderful facility.
I wish all the best to Ann and the staff for the future.
Wishing you all a Merry Xmas & Safe, Happy, Healthy New Year for 2015
Maria Hollitt
Aged Care Coordinator
Safety and Quality Report
Health care in Australia is delivered in a variety of settings including hospitals, office-based
practices and community settings. Despite the vast majority of
healthcare having good clinical outcomes, harm does occur to patients and patients do not
always receive the quality of care that is expected.
The Australian Commission on Safety and Quality in Health Care (the Commission) has
developed ten National Safety and Quality Health Service (NSQHS) Standards to drive the
implementation and use of safety and quality systems and improve the quality of health
service provision in Australia.
The NSQHS Standards focus on areas that are essential to improving patient safety and
quality of care and include:
Governance for Safety and Quality in Health
Service Organisations
Partnering with Consumers
Preventing and Controlling Healthcare
Associated Infections
Medication Safety
Patient Identification and Procedure Matching
Clinical Handover
Blood and Blood Products
Preventing and Managing Pressure Injuries
Recognising and Responding to Clinical
Deterioration in Acute Health Care
Preventing Falls and Harm from Falls
The NSQHS Standards provide a nationally consistent statement of the level of care
consumers should be able to expect from health services.
The NSQHS Standards were developed in consultation and collaboration with government
health departments and ministries in Australia, technical experts and
a wide range of stakeholders, including health professionals and consumers.
A lot of work has been done at the Ardrossan Hospital in the last couple of years to update
our systems and in June 2014 we complied with the requirements of ISO: 9001:2008
incorporating the National Safety and Quality Healthcare Service Standards. All areas of the
standards were met which was a huge achievement as many Hospital are still struggling to
incorporate these standards into their systems.
One of our biggest improvements has been the appointment of Margie Gainsford as the
Consumer Representative of the Ardrossan Community Hospital. Margie is also on the Risk
Management Committee to provide consumer involvement in strategic and operational
planning, quality improvement and feedback evaluation.
As part of her role, Margie, conducted consumers surveys which she summarised and
presented at the Risk Management Meeting and an action plan has been formulated to identify
opportunities for improvement.
One of the common threads that was identified was the need to improve communication with
the community.
The Ardrossan Progress Associated has installed a notice board next to the Community
Notice Board that designated Quality and Safety reports, statistics and planned improvements
in relation to the Hospital.
We look forward to presenting our first Safety and Quality report in the New Year.
Julie Hall Quality Assurance Officer
Deborah Graham Work Health and Safety Representative