The WIDE BAY Wave February 2014 Wide Bay shines Inside this issue... A snappy turn around in dental wait lists: P 5 Health Minister Lawrence Springborg with WBHHS (North) chief operating officer Debbie Carroll. Let’s shake on it: The Health Minister announced in January that the Bundaberg Ambulance Station would be staffed 24 hours a day by paramedics. Mr Springborg is due in Maryborough in March to unveil new infrastructure at Maryborough Hospital. QBy Mat Nott THE Wide Bay Hospital and Health Service is becoming something of a regional mecca for leading politicians and health administrators. In January, the Premier Campbell Newman and Health Minister Lawrence Springborg visited both Bundaberg and Maryborough Hospitals. Their visit almost coincided with a low key visit to Bundaberg by new Department of Health Director General Ian Maynard. In early March, Mr Springborg will return to Maryborough to participate in a health forum and unveil a key infrastructure that is currently being developed in Maryborough Hospital. Access to key political figures and powerbrokers is assisting the WBHH Board to highlight the growing pressure on health services. Wide Bay Hospital and Health Board Chair Dominic Devine said the region had specific challenges that the Board was fighting to have recognised. “The Wide Bay population increased by almost 30% between 2000 and 2010,” Mr Devine said. “It currently stands at 208,558 and is expected to exceed 300,000 inside 20 years. “We also have the highest proportion of people aged 65 and over in Queensland and Australia with 21% of our population over 65 years – compared to 13% for Queensland and 14% for Australia.” Brisbane Lions roar around the WBHHS: P 10 Mr Devine said the Board was keen to engage with the Department of Health on issues such as how funding was allocated. “Having decision makers interested in the Wide Bay and coming to visit provides us with an opportunity to progress these sorts of discussions,” Mr Devine said. Latest on the WBHHS Strategic Plan: P5 ICU not closing now or ever. Whoops: P 12 Wide Bay Hospital and Health Service The WIDE BAY Wave INDEX 3: E-cigarettes are a wolf in sheep’s clothing. 5: Kids ward in Bundaberg bowled over by fundraising. 8: Wide Bay politicians talk up the WBHHS as a force for good. 4: Chief Executive and COOs North and South report. 6: Boss of Mental Health and AODS reflects on change. 13: DonateLife week helps kick start conversations. Behind the scenes preparation when Big Brass visits The Magnificent Seven: (L to R) WBHH Chair Dominic Devine, Premier Campbell Newman, Health Minister Lawrence Springborg, MP for Burnett Stephen Bennett, staffer, WBHHS CE Adrian Pennington and WBHHS COO (North) Debbie Carroll. IN January, the Premier and Health Minister visited Bundaberg Hospital and Maryborough Hospitals. Due to the time pressures holding high office these events were scheduled to the minute. Planning began a month in advance. Briefs on all topics were prepared for both departments. Tours were mapped out through the hospitals. Security and departmental media contingents walked through routes several times. Local MPs were co-ordinated. Interviews were scheduled with staff in areas of interest in each facility. The media was invited to participate. Parking areas and times were designated, even for the helicopter which provided the prop for the announcement around extra funding for paramedic staff at Bundaberg Hospital. Communication and planning vital THE recent irresponsible and false reporting of the closure of the ICU at Hervey Bay took a lot of effort to rectify. It was upsetting to the staff and community and I would like to thank Board members and CE Adrian Pennington and his team for all the work they put in to set the record straight. This unfortunate report, and the subsequent social media chatter, showed how important accurate and timely communication is. In this regard, it is important for the Board to develop and improve community engagement and communication strategies. There are a number of items that require important decisions by the Board to be made over the ensuring Board meetings. 2 These are: • Asset management • Transfer of assets to HHSs • Doctors’ contracts • Valuation of assets • Occupational Health and Safety Chair Dominic Devine • Communication strategy • Community engagement strategy In other Board news, I would like to thank those board members who have re-nominated and new nominees. While we won’t know the outcome of the appointments until 17 May 2014, the Board will continue to work to improve health services. The next Board Chair’s forum is being held on 5 March 2014 in Brisbane and the following items are on the agenda: • Statewide adolescent mental health initiative • Performance management framework • Impact of national and state funding directions • Health renewal taskforce • Minister and DG update • NEST • Public service commission – workforce and organisational agenda • QLD trauma plan • Health practitioners expanded scope of practice I will report back next month on the Chairs meeting. The launch of the Strategic Plan is also is also on the horizon for April. E-cigarettes a danger to kids WIDE Bay Health Service and the police have joined forces to campaign against the use of e-cigarettes in the region. Even small doses of the nicotine-laced liquid used in e-cigarettes could prove fatal to a child if consumed. WBHHS Public Health Officer Dr Margaret Young and Officer in Charge of the Maryborough Criminal Investigation Branch Detective Senior Sergeant Nikki Colfs have issued a joint warning against the buying and selling of the vials. “The Wide Bay Public Health Unit (WBPHU) has identified a significant public health and safety risk in the Wide Bay area, posed by the illegal possession and sale of liquid nicotine products (e-liquid) intended for use with electronic cigarettes (e-cigarettes),” Dr Young said. Dr Young said the products are currently deemed to be regulated poisons and it is illegal for a person to obtain, possess and/ or sell these substances without approval from the chief executive (Queensland Health). Dr Young said these poisons are not packaged or labelled in accordance with the Standard for Uniform Scheduling of Medicines and Poisons,. She added they are being offered for sale without obligatory signal headings, warning statements, first aid advice or child proof enclosures. Det Sgt Colfs said police had recently arrested a number of people in the Wide Bay region and charged them with offences relating to the possession of the e-liquid. Up in smoke: Marketing claims around e-cigarettes have been shown to be false by investigations led by the Wide Bay Hospital and Health Service. The liquid used in the receptacles was shown to have high enough concentrations of nicotine to damage health and be potentially fatal if consumed by infants. Healthybyte Healthybyte Healthybyte Nursing Director Surgical Services Norma Stanley is developing a system to ensure the WBHHS reduces elective wait lists with a six month maximum wait from referral to surgery. Stats show Christmas cheer in the Wide Bay is most often interrupted by: gastro, vomiting, urinary tract infection, ear ache, reflux, virus, lower limb cellulitis, cough, sore throat and chest pain. The National Ageing Research Institute has identified that 10-15% of older people living in the community experience depression. This compared to only 6% of the wider population. Wide Bay Hospital and Health Service - Feb 2014 3 The WIDE BAY Wave Chief Executive’s Report THE strategic planning consultation process concluded recently. A revised plan is due for publication in April 2014. At the heart of this document is our staff and the importance of ensuring we provide a safe working environment as well as the proper training and support to assist staff undertake their individual roles. It is essential that all staff been afforded this guarantee and I will endeavour to ensure this takes place. Compliance to OHS is an essential and all department managers have a responsibility to ensure a safe working environment and access to all mandatory training. I fully expect us to be 100% compliant regardless as to whether audits are programmed. Excellence is not a target. It is delivering sustainable CE Adrian Pennington performance as an everyday way of working. Likewise, individual reviews and training plans will take place for every member of staff. We cannot develop health care without the support for our main asset, our staff. Of critical importance is two-way communication between staff and mangers. We need to be consistent with and communicate facts such as: 1. There will be no job losses in the ICU 2. There will be an intensivist in the ICU 3. The Hervey Bay ICU is and always will be a level 4 unit Handling uncertainty created by this story wasted a huge amount of resource that could have been better spent developing clinical services. In late April or early May 2014, a training strategy will be launched for all staff to see. I think you will all be surprised and excited with what is being put in place to take us forward. COO-ee North COO-ee South IT is once again a very busy time of year with a number of key project initiatives underway as well as a lot of time and energy going into ACHS survey preparation. EARLIER this month we had significant publicity about our Intensive Care Unit (ICU) at Hervey Bay. Currently, we have Christine Illett working as the clinical redesign project officer for the WBHHS. We we will only have the benefit of Chris’ skills for a short period as Chris and her husband will be relocating to Brisbane. WBHHS COO (North) Debbie Carroll Chris is working on developing a clinical redesign plan including identifying key project areas for the next three years for the executive leadership team consideration. Chris plans to visit key areas to obtain your feedback. In the North, February appears clinically to be our new August which is typically the busiest month of the year. I appreciate staff are working exceptionally hard to meet the demand of both elective and emergency services and I wish to thank and acknowledge the team’s hard work and extraordinary efforts. I also wish to recognise the Bundaberg elective surgery team for achieving all of the NEST targets. That is a remarkable achievement and cannot happen without everyone doing their bit, so congratulations. Also our Emergency Department has achieved 81% for the NEAT target which is a great credit to all. I would also like to acknowledge the Patient Travel Subsidy Scheme team who are now meeting the target timeframes which were previously flagged as a risk for the North. Well done to all involved. 4 Despite some rather alarming reporting in our local media, I can assure all staff that the ICU will always be an important and permanent feature in our hospital at Hervey WBHHS acting COO Bay. (South) Stephen Bell A working group of clinical directors is currently reviewing the medical staffing model for the ICU and a recommendation will be made to the Chief Executive and the Board within a few weeks. We will keep you informed of the outcome of this review. I would also like to take the opportunity to thank our dedicated and hard working staff in ICU who provided exemplary care to our patients at a time of great scrutiny and publicity by the media. The Clinical Decision Unit which is attached to the Hervey Bay Emergency Department has been open since September 2013. It has proven to be a great success. In its first three months of operation the number of admissions to the CDU has shown a gradual increase. In September 2013, there were 216 admissions and in January 2014 there were 269 (an average of 247 per month giving a total of 1248 admissions). Evidence shows that the use of the CDU as an alternative to direct inpatient admission for specific groups of patients has been highly effective in both improving patient outcomes and minimising unplanned re-presentations to Emergency Department. Dental wait lists plummet Voucher system brings its own dental rewards PUBLIC oral health care waiting lists have been slashed by 30 per cent across the Wide Bay Hospital and Health Service region. Latest figures show that between February and December 2013 the total number of people on the waiting list fell from 12,252 to 8,575. In the same reporting period, the number of people waiting two years or more for dental treatment fell from 9,291 to 4,558, a 51 per cent reduction. Wide Bay Hospital and Health Board Chair Dominic Devine said WBHHS oral health staff had been responsible for across-the-board improvements in waiting times. “Our dental health service inherited some of the biggest wait lists and some of the longest waiting times in Queensland and these figures show we are dealing with them,” Mr Devine said. Smile maker: Senior Dental Technician Paul Jeftic knows how to put a smile back on people’s faces. He makes dentures and orthodontics out of Maryborough Hospital for public health system clients. “We are developing an optimum public dental service and our hard work and planning is paying off for the people of Wide Bay. Dental care waiting lists in Childers have fallen from 77 months to 15 months since April 2013. “With new dental chairs planned for Maryborough, Hervey Bay and Bundaberg our capacity will continue to drive waiting lists down.” Dental care waiting lists in Maryborough have fallen from 98 months to 29 months since April 2013. Total public dental waiting lists across Queensland are down from 112,204 to 61,699, a level of activity which has exceeded Commonwealth performance target resulting in a $30 million reward payment for the Queensland Department of Health. Strategic Plan confronts some tough challenges THE Wide Bay Hospital and Health Service Strategic Plan due to be launched in April must chart a way forward in the face of immense pressures. The health service region is one of Australia’s most disadvantaged with 83% of its population in the two most disadvantaged categories. It ranks as the second most disadvantaged health service region in Queensland after Torres StraitNorthern Peninsula HHS. Socio-economic disadvantage is the largest cause of burden of disease in Queensland. The Australian Bureau of Statistics defines the relative socio-economic advantage and disadvantage of a region based on a number of census indicators such as education, occupation, employment,income, families and housing. About 45% of local income earners receive less than $400 per week, defined as ‘living below the poverty line’. Wide Bay Hospital and Health Service - Feb 2014 5 The WIDE BAY Wave Rotary Lodge on the move in Bundaberg AF ST FIL O R FP E AS the third anniversary of Rotary Lodge opening its doors draws closer, the goal of having it operate onsite at Bundaberg Hospital looks set to become a reality. Discussions with the Wide Bay Hospital and Health Services about viable options within the hospital campus have resulted in a house at 277 Bourbong Street being offered to the Bundaberg Health Services Foundation for patient accommodation. The Foundation has leased a premises at 116 Woongarra Street since March 2010 at an annual cost of $33,700 with the assistance of donations from the North Burnett and Bundaberg communities. “The Lodge in Woongarra Street was always an interim project with the long-term goal to establish suitable accommodation on hospital grounds,’’ Foundation manager Maria Burnet said. “The move onsite will have major savings for the Foundation, a local not-for-profit charity, with the WBHHS agreeing to a nominal lease amount of only $6500 per annum to cover asset maintenance costings. “The WBHHS will also continue to support the project with building maintenance once renovations are complete, linen supplies and lawn maintenance. “The Foundation is very grateful for the support of the WBHHS for the next exciting stage of Rotary Lodge which means not only substantial expense savings but allows patients and carers to be even closer to loved ones in hospital.’’ Since the opening of the Rotary Lodge, 1050 people have stayed there during treatment or while a family member was being treated. 6 George Big Rig Plint, executive director of Mental Health Services and AODS out on his beloved boat. Sunny Coast for Big Rig OUT fishing off Hervey Bay, George Big Rig Plint felt a heavy weight dragging at his hand line. “Now patients are treated in their communities where they live, often at home. At first he thought he was snagged on the bottom and then, to his surprise, he pulled up the fairly respectable golden trevally (pictured). “People aren’t removed from their normal lives and placed in an artificial environment. They are encouraged to maintain their family and employment and housing and their normal life.” He styles himself as a bloke who goes fishing rather than one who catches fish, so returning with a feed was gratifying. It is an instructive story, as George prepares to depart the Wide Bay Hospital and Health Service after 19 years. He was never really fishing for a new job, just new challenges, and was surprised when he hooked his new executive role. He starts as Service Director Sunshine Coast Mental Health on March 10 but will continue to live in Hervey Bay. George became director of the then Fraser Coast Mental Health Service 15 years ago. Since 2007, he has been executive director of WBHHS Mental Health Services. In 2013, AODS came under his control. George said he regards leading the establishment of the first integrated mental health service on the Fraser Coast as one of his career highlights. “A lot of people didn’t think we would be able to do it, he said. “Then of course, the service expanded to include Bundaberg and the rurals. “Our philosophy is to always ask ourselves the question ‘do we provide the kind of service that you as the clinician, or your family, would be happy with’. ” One of the most satisfying changes George has seen over time is the reduction in the stigma attached to mental illness. His career gives him a long term perspective on change in mental health. “People very much more open to treatment and discussion of mental illness now,” he said. “The biggest difference has been in the move away from the asylum care of 30 years ago,” George said. “You can walk in off the street now and be asked to be seen. That never would have happened 40 years ago. “It created institutional problems for patients rather than giving them real life choices. “People are successfully treated now and probably that wasn’t happening so often 50 years ago.” Teams bowl kids ward over Skittled: Bowlers Alicia Ruge, Brendan Williams, Timothy Read, Emily Coonan, Jaidon Kirby (back) and cyclist Mitch Dwyer raised big bucks for the Bundaberg kids ward. Marathon bowling event raises thousands IT is a great thrill when donors to the Bundaberg Health Services Foundation are able to visit the hospital and see exactly how and where their funds have been used to improve patient care. Recently, teens involved in two very successful fundraising activities in 2013 saw just what joy they can bring to sick children, their parents and staff. Members of the Bundaberg Junior Tenpin Bowling Association and bicycle rider Mitch Dwyer visited the children’s ward to see what equipment purchases had been made from their marathon bowling event and the Childers to Charity Bike Ride. The marathon bowling event raised $3931 which purchased a new Summer sizzle: Neil Nunn supports the BBQ served by Foundation volunteers Shane Hennessey and Connie Battley at Bundaberg Hospital. examination couch for the treatment room in the paediatric unit. which were deteriorating. The previous couch had been at a fixed height making it difficult to perform procedures. The new one has the ability to alter height and make the patient more comfortable. In the Childers To Charity, Mitch rode from Bundaberg to Childers Hospital and raised $3333. This amount was used to buy a new sofa bed for use by parents staying overnight. The previous beds had metal springs Members of the Truck Drive for Kids also saw their $8500 donation had been used to purchase a new blanket warmer for the Special Care Nursery and another new sofa bed for the children’s ward. This year’s Truck Drive for Kids is being held at the Bundaberg Recreational Precinct on Sunday, March 30. Funds raised for the Foundation are used to buy non-government funded equipment, the extras that make a stay more comfortable and help enhance care. Wide Bay Hospital and Health Service - Feb 2014 7 The WIDE BAY Wave Pollies talk health Government is fighting corruption in February MP for Hervey Bay Ted Sorensen. MP for Bundaberg Jack Dempsey. AFTER weeks of media hype and continued Labor Opposition propaganda that our ICU is closing down – which it is not - the last thing any of us want in my first Wide Bay Wave column is politics. I WISH to praise the staff and management of the Wide Bay Hospital and Health Service (WBHHS) whose hard work has resulted in outstanding outcomes for local Bundaberg patients. FEBRUARY is Fraud Awareness Month. It is sponsored by the Director-General. So instead, Wide Bay Health staff and consultants, take a big bow. This is why. The public oral health waiting list is down by 51%, with 4,733 less people waiting two years or more for dental appointments when we compare December 2013 with February 2013. Staff can find out more at http://qheps. health.qld.gov.au/fraud/html/awareness_ mth.htm Mary lives in Hervey Bay and recently confided in me that she is only alive today because of Wide Bay Health workers’ life-saving efforts - three times – and the fourth time, at the Mater Hospital in Brisbane. All this happened last year. But, she says, it was not only the “magnificent, dedicated doctors and nurses” who cared for her, but “our health service’s caterers, cleaners, reception staff, physios, social workers, X-ray teams and volunteers, among many” who gave her the expertise and will to come through. On February 23, three people came to me to praise Hervey Bay and Maryborough hospitals, echoing Mary’s sentiments. It is also indicative of this State Government’s 100 per cent commitment to healthcare excellence and reminds us that the LNP Government has increased the level of health spending by 11.59 per cent, or an extra $1.28b, compared to the level of spending under the former Labor Government. The LNP 2013-14 Budget allocated over $12.3b to health in Queensland. Wide Bay Health staff and consultants, take a big bow. You are simply the best. 8 While the decision to provide 2700 dental vouchers to locals on the waiting list has helped, plenty of the credit can be given to the staff of our public oral health clinic. The hard work of the staff and decisions of the management of the hospital has provided so many Bundaberg people with urgently-needed dental care and given the hope of shorter waiting times to those still needing treatment. Elective surgery wait lists exceeding national benchmarks, with 100% of our category one and category three patients being seen in the 30 day timeframe. The outpatient waiting list has fewer people waiting 12 months than any time in its history The Bundaberg Hospital emergency department is rated the best in Queensland. Congratulations on these outcomes and thank you to all the staff for your continuing hard work. I look forward to working with you so we can keep going forward. It aims to improve fraud, misconduct and corruption prevention, control and accountability. The website gives many practical examples of what fraud looks like in the workplace. For example, use of a corporate credit card to purchase non-departmental items for personal use, such as a television and car maintenance. Password security is highlighted as passing on your own password to a colleague can make you vulnerable. Timesheet fraud is common. The submitting of timesheets claiming certain hours worked when actual hours worked were far less. This can cost the department a significant amount in overpaid hours. False resume qualifications, theft of drugs and adjustment of the drug registry to suit are all areas of concern. False travel expenses for accommodation, travel, taxis and meals claimed but not incurred are also highlighted. For more information, please contact the Governance Branch on 3008 7353 or email [email protected] I’m a Lion and you’re gonna hear me roar MEMBERS of the mighty Brisbane Lions AFL team showed a more tender side during a recent visit to the Wide Bay. As part of a training camp with promotional overtones, members of the Lions squad visited the three major hospitals in the Wide Bay Health Service in February. In Hervey Bay, the group toured the kids ward and then general wards, winning over staff and patients with their easy going manner. In Bundaberg, the kids ward was popular again and in Maryborough Hospital the group toured the state of the art rehabilitation unit. Roaring around: Members of the Brisbane Lions AFL team pictured above in the Hervey Bay Hospital childrens ward as part of a Wide Bay tour that also took in Bundaberg and Maryborough hospitals. Mundubbera walks the talk THE Mundubbera Multi-Purpose Health Service has given a hand to the Healthy North Burnett initiative by hosting a nutrition night, blood pressure screening and other service. The initiative was set up three years ago as an off-shoot of the Mundubbera Community Development Association’s Fit for Living program. The program operates in Gayndah, and Eidsvold as well. Director of nursing Jan-Adele Hotz, said a $10,000 federal grant was used to keep the Health North Burnett initiative going. The Healthy North Burnett Awards were held recently to recognise achievements in running and walking. The preventative health care program is aimed at keeping the local population healthier for longer. Ms Hotz said the participation in the program was an effective way for the health service to be able to partner with community groups to promote healthy life choices. Kangaroos know grass is greener on the other side BIGGENDEN Multi-purpose Health Service could classify itself as one of the most Australian facilities in Queensland thanks to the arrival of a mob of hungry kangaroos. extent to which the long, dry spell is tightening its grip on the region. While the Aussie icons are a welcome sight for all living, working and healing in the hospital, the roos’ foraging in and around the hospital grounds shows the That, combined with the light irrigation in hospital grounds, provided enough green pick to attract the kangaroos to their haunt beside the nursing quarters. Director of Nursing Heather MacKellar said 33mm of rain fell on February 18. Wide Bay Hospital and Health Service - Feb 2014 9 The WIDE BAY Wave Challenges and opportunities Maryborough hospital has an enterprising aroma Full of beans: Ramin Sabzbalouch and his Daily Dose Espresso coffee stall have become fixtures in the main reception of Maryborough Hospital in the past six months. Ramin has worked out a lease with the Wide Bay Hospital and Health Service that has allowed him to express his inner entrepreneur. Performance-based contracts now going out to senior staff SENIOR Medical Officers and Visiting Medical Officer in the Wide Bay Hospital and Health Service are the first group offered a peformance-based contract. The new regime is being introduced by the Department of Health. The contracts are referred to as Framework Contracts for senior staff. WBHHS senior management and human resource personnel have been in discussions with professional and industrial representatives and senior staff. For more information on Framework Contracts visit: www.health.qld.gov.au/ medical/contracts/medical-contracts/ default.asp or http://qheps.health.qld. gov.au/scwbhsd/html/serv/hr_wkforce_ contracts.htm Stanford study shows that women think more before they laugh STANFORD University psychiatrist Allan L. Reiss, MD, recruited 20 male and female college students. Inside an MRI, the men and women looked at 70 cartoons flashed on a small 10 overhead screen and rated them on a funniness scale. Reiss discovered men and women process funny differently. The analytical region of women’s brains was more active than the men’s, suggesting women studied the cartoons more. If the cartoon was thought amusing, the reward region of their brains lit up noticeably more than the guys. Reiss believes women think more about whether they find something humorous. Rural Rounds All hail the humble Band-Aid THOUGH Band-Aid is the trademarked name for bandages sold by the Johnson & Johnson Company, the idea of an adhesive covering for a wound has been behind a small historical revolution in health care. The application of a band-aid like strip to a grazed knee or elbow has almost become a rite of passage for any kid. Applying these coverings to the wound, along with a stinging shot of iodine, was often only the beginning of the discomfort. There were two schools of Band-Aid removal: fast and slow. Earle Dickson was a cotton buyer for Johnson & Johnson when he invented the Band-aid in 1921. Rural Briefs Hot tips for rural future of the Wide Bay region EXPECT the WBHHS Strategic Plan to pledge to work closely with indigenous communities and health providers. There is a dedication afoot to ensuring that programs are aligned. Also that opportunities to develop and provide services that meet the health needs of Aboriginal and Torres Strait Islanders are grasped. There is also plenty of indication that the Strategic Plan will commit the Board and health service to seeking funding for infrastructure investment. According to the historical legend, his wife Josephine Dickson was always cutting her fingers in the kitchen while preparing food. Whether Mrs Dickson was happy to have her domestic clumsiness cited as an inspiration is unclear. At that time a bandage consisted of separate gauze and adhesive tape that you would cut to size and apply yourself. Mr Dickson noted it didn’t stay on long so he attached gauze to a piece of tape, and then covered the product with crinoline to keep it sterile. His boss, James Johnson, saw Earle Dickson’s invention and decided to manufacture Band-Aids. What other piece of medical dressing has such an iconic place in the hearts of those who have endured grazed knees and elbows. Rural health jumping Eyes and teeth a priority WBHHS Chief Operating Officer (North) Debbie Carrol said there was plenty of action in rural health in the past month. IT is understood the WBHHS and Board are going to commit significant additional funding to improve the range of rural specialist outpatient services. In Childers, the two renal dialysis selfcare beds opened December, 2013. Both patients now no longer require treatment so the health service is looking to relocate to an alternate rural site A variety of allied health assistance positions in the process of recruitment should be finalised by March 2014. A podiatrist position in process of recruitment should also be finalised March 2014. The development of low risk chemotherapy pathway is in preliminary discussions. Gayndah Hospital could be the site of future infrastructure works. Tele-health is a key system by which rural residents can access specialist advice. Staff accommodation in Monto, Eidsvold and Biggenden are being considered and other capital needs as identified. A Tele-health coordinator role will be recruited as the project officer has elected to return to their substantive position. Some of the specialities under investigation include ophthalmology by investing in technologies including Tele-medicine and Tele-health facilities. Also, there is planning underway for the health service to improve access to oral health services in the rural communities by developing a rural oral health plan in consultation with the local community. These are two of the pledges expected to be contained in the Strategic Plan to be launched in April. There will be plenty of emphasis in the next two years on improving access to a range of new and existing specialist and allied health services. Among these will be low risk chemotherapy, self care renal dialysis, ultrasound, radiography, pharmacy and podiatry. Wide Bay Hospital and Health Service - Feb 2014 11 The WIDE BAY Wave Media Moments Hervey Bay ICU here to stay despite rumour E-cigarettes stubbed out WHAT a day Saturday, February 8 was. FANTASTIC to see WIN, Channel 7, the Fraser Coast Chronicle and its sister paper the Bundaberg NewsMail backing the WBHHS and police in an effort to alert people to the dangers of e-cigarettes and the liquid that is used in them. Health Ministers and Director Generals alike were agog as the Fraser Coast Chronicle’s front page breathlessly reported the news that the Hervey Bay Hospital ICU was to close at the end of February with the loss of 10 jobs. Many people who struggle with cigarette addiction have been seduced by the apparent alternative e-cigarettes present. As made clear by WBHHS Public Health Unit head Dr Margaret Young in a wide ranging interview, e-cigarettes still do harm and the e-liquid can contain potentially fatal doses of nicotine if consumed by children. Alas, for the lovers of high drama, this little titbit was without substance. A strong aspect of this story was the co-operation between the health service and the police. Health Minister Lawrence Springborg, Wide Bay Hospital and Health Board Chair Dominic Devine and CE Adrian Pennington spent the next three days setting the record straight. Musical chairs in TV land FORMER WIN TV journalist Emily McCowatt got a bouquet last edition of the Wave for her hard work covering bread and butter health stories. Channel 7 cottoned on to her ability and went and poached her. Hervey Bay ED boss goes Andrew Haig Wide Bay Hospital & Health Service (South) Director of Emergency Department and Director of Medicine Andrew Haig is to say goodbye to the Fraser Coast at the end of March 2014. Dr Haig has been heading up the ED department at Hervey Bay Hospital since his appointment in June 2012. There are fewer high pressure environments in a hospital than ED and the motorbike riding boss was at the helm during 12 a period when population pressures on ED required more efficient ways of treating patients.. WBHHS (South) Chief Operating Officer (acting) Stephen Bell said innovative thinking about how to manage patient flow in ED had resulted in the introduction of the Clinical Decision Unit. This has been integrated with the Hervey Bay Emergency Department since September 2013. In September 2013 there were 216 admissions while in January 2014 there were 269. Andrew Haig: Hervey Bay Hospital Director of Emergency Department. One organ can change lives DONATELIFE Queensland is urging the Wide Bay families to use DonateLife Week, Australia’s national awareness week to promote organ and tissue donation, as a starting point for conversations about donating. To encourage more Australians to discuss the facts about organ and tissue donation, DonateLife in the Fraser Coast and Bundaberg regions held manned information displays at the Bundaberg and Hervey Bay hospitals, in various shopping centres and across the region. At the Bundaberg CBD Rotunda there was a promotion of organ donation with Men’s Shed Bundaberg which included a Crazy Haircuts fundraiser. in the event of our death, we also need to talk about whether we would like to become an organ and tissue donor.” Organ donation is a rare event. Less than 1% of hospital deaths occur in the specific circumstances where organ donation is possible. “With one organ and tissue donor able to transform the lives of 10 or more people, it’s a conversation that could one day save many lives.” “Having the chat can make a life-saving difference to so many people waiting for transplant surgery here in Queensland,” WBHHS CE Adrian Pennington said. You can register your donation decision on the Australian Organ Donor Register. “In the same way that we discuss what we want to have happen with financial assets For more information, visit www. donatelife.gov.au or contact your local hospital Intensive Care Unit. Noise abatement is a joint venture AS a Fraser Coast councillor with responsibility for the community health portfolio, I would like to bring to your attention a possible noise abatement project in the precinct around the Hervey Bay Hospital. I believe it is an emerging story that will show how officers of the FCRC and the WBHHS can and have been working closely to improve a difficult and longstanding impasse in regards to noise from an access road to the hospital. Since being elected to council in 2012, I have been made aware of a number of resident concerns raised about the evergrowing noise and traffic at the back end of hospital. and timing of the noise has become problematic for many neighbouring estate residents. This issue has been bubbling for nearly a decade. When the estate next to the Hervey Bay Hospital was built, noise complaints emerged as both the hospital and estate grew. Under the new WBHH Board structure and with the engagement between of our Compliance Officers and WBHHS facilities management, there has now been consideration given to this issue, from a public well-being viewpoint. Although their has been no illegal noise measurements (a number of thorough reports have been done), the frequency It is an issue that is being managed well and demonstrates collaboration between large organisations. Robert Garland Wide Bay Hospital and Health Service - Feb 2014 13 The WIDE BAY Wave Clinical governance creates a stronger health service CLINICAL governance gained prominence after the “Bristol Heart Scandal” in England in 1995. Dr Stephen Bolson, an anaesthetist, identified deficiencies in clinical care at the Bristol Royal Infirmary. These deficiencies contributed to the deaths of a high number of children following cardiac surgery. The need for good clinical governance was further highlighted by a number of well-publicised clinical disasters in Australia. Clinical governance is defined as “[A] system through which organisations are accountable for continuously improving the quality of their services and safeguarding high standards of care by creating an environment in which excellence in clinical care will flourish.” This definition embodies three key attributes: high standards of clinical care; transparent accountability; and continuous improvement. Dr Pieter Pike, WBHHS Executive Director WBHHS Executive Director of Clinical of Medical Services Governance, said the aims of clinical governance for the WBHHS are to ensure that the organisation has systems in place to monitor the quality of clinical practice. He said that these systems must function well and clinical practice must be reviewed and improved. “We are progressing well with the development of these and we are in the midst of implementing a robust reporting structure” Dr Pike said. The Wide Bay Wave can make a difference THE February edition of the Wide Bay Wave is our third monthly edition. The publication will now revert to a bimonthly. The next edition will be published in April. This rhythm will be trialled for six months when the schedule will be reviewed once again in search of a tempo that best suits the needs of the health service. In the January edition we had some notable achievements. Helping one of our first Tell, swap or sell clients Kylie Layzell sell her Holden Astra was not one of them. To show the level of dedication the Wave has to WBHHS staff, we have given it another burl in this edition. This time complete with a bright photo. If you wish to contribute material to the Wave contact the Editor Mat Nott: [email protected] Deadline is April 18. Thanks. Tell, swap or sell 2005 HOLDEN ASTRA. Manual. Under 140,000 kms, RWC. 6 mths rego. $5500 ONO – Kylie Layzell, Speech Pathology Department, Bundaberg Hospital Service. Registered until May 2014Ph 07 4150 2570. 2005 Holden Astra - $5500ono SPRAY CAN ART. Spray can artist with plenty of talent. Call for original pieces of modern art – Mel Huth, Ph 07 4155 1484 or Google Mel’s World of Spray Can Art for the Facebook page. Editor: The Tell, swap or sell segment in The Wide Bay Wave is designed to assist staff interact with each other, promote their skills, sell or buy something or get behind a worthwhile project. There is no cost to placing something in this space. Write to me at: mathew.nott@health. qld.gov.au Deadline for the next edition is April 18. 14 Have you even seen such a fine looking vehicle for the money? The Wide Bay Hospital and Health Board THE new Wide Bay Hospital and Health Board was announced on 17 May 2013. The Chair was announced on 13 June. The members were appointed by the Minister of Health for 12 months, effective from 18 May 2013 to 17 May 2014. The Board meets monthly and has three sub-committees: Audit Committee, Finance Committee, and Safety and Quality Committee. Members: Mr Dominic Devine – Chair, Mrs Barbara Hovard – Deputy Chair, Mr Gary Kirk, Ms Debbie Carroll, Mr Adrian Daniel, Ms Joy Jensen, Pastor Paul Dare, Mr Christopher Hyne and Mr Robert Evans. Dominic Devine Chair During the last 20 years Dominic has served on numerous business, community and industry boards and has been a member of the Australian Institute of Company Directors since 2006. Dominic has always been passionate about being involved in important community issues such as health, education and regional development. Barbara Hovard Christopher Hyne Deputy Chair and Board Member Board Member Barbara has local and state government experience in the Wide Bay region. She has served as Mayor and councillor on the Maryborough City Council and was previously employed as manager of organisational services at Maryborough Hospital. Christopher is ‘semi-retired’ from an executive position with Hyne Timber. Christopher was born in Maryborough in 1945 and has lived in Ferney (15 km south of Maryborough) since 1980. Robert Evans Joy Jensen Board Member Board Member Having served on several boards including Brisbane North Aspley Rugby League, Chair of Queensland Masters Swimming, Wide Bay TAFE and Wide Bay Rugby League Robert has returned to his real interest, the medical field. Joy has the unique distinction of having been the last mayor of the Perry Shire and the first mayor of the North Burnett Regional Council. Her background is in rural industry namely cattle and horses, and rural communities. Deborah Carroll Gary Kirk Board Member Board Member Deborah is the Executive Director of Nursing and Midwifery Services, WBHSS (North) and has worked across a number of health facilities in Queensland. She has undertaken significant postgraduate studies including a Masters of Health Administration and Information Systems and a Graduate Certificate in Health Service Planning. Gary has almost 40 years experience in the public education system in Queensland as a school teacher and later as principal until his retirement in 2010. He has contributed to the community for nearly two decades, and for the past two years he has operated a small business in the tourism sector. Adrian Daniel Paul Dare Board Member Board Member Prior to being appointed to the Board in 2012, Adrian had extensive hospital board, council and business experience in the Wide Bay region. Adrian has served as a member and deputy chairman of the Audit Committee of the Fraser Coast Regional Council and has served on hospital boards and retirement village board for more than 15 years from the mid-1970s. Paul spent six years working for Sikorsky Australia (Sikorsky is the manufacturer of the Blackhawk and Sea Hawk helicopters) as the ADF Customer Service Manager and Engineering Manager. In 2007, a change of direction was made and studies undertaken to allow Paul to become a pastor within Queensland Baptists. As a result of this Paul is now pastoring the Mundubbera Baptist Church. Wide Bay Hospital and Health Service - Feb 2014 15 Make more money Pay less tax BUSINESS ACCOUNTING & TAXATION • FREE initial consultation • Tax planning and advice • Business structuring including Trading Companies and Service Trusts • Accounting systems, record keeping and BAS • Self managed superannuation funds PERSONAL TAX RETURNS • Salary packaging knowledge • Rental properties, Professional preparation and advice HERVEY BAY • GOLD COAST • DARWIN • KATHERINE THERINE e: [email protected] t: 07 4128 2066 www.clm.net.au net au net.au
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