Business Plan 2018-2019 - Together Achieving Better Health - Nepean Blue Mountains Local ...
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Together Achieving Better Health
Business Plan
2018-2019
Business Plan 2018 – 2019 2
2018
Contents
-2019
Building a hospital for the future 2
Our values and vision 4
Demographics – our community and our staff 6
Highlights from 2017/2018 8
The year ahead 10
+ Healthy people and communities 11
+ Better patient and consumer experiences 12
+ Talented, happy and engaged workforce 14
+ Responsible governance and financial management 15
+ Hub for research and innovation 16
3 nbmlhd.health.nsw.gov.au Together Achieving Better Health
Section Heading
Building a
hospital for
the future
The NSW Government has committed at least $1 Right:
billion to the Nepean Redevelopment which will
Artist impression
Designs pending further
deliver a major expansion and upgrade of Nepean consultation
Hospital and our community-based health services.
It is an opportunity to design, deliver and operate a
truly world class hospital that will allow us to provide
new, innovative models of care.
Stage 1
Construction of the $550 million first stage of the The first stage of the redevelopment includes:
redevelopment is ongoing and is expected to be complete
in 2021. When complete, it will deliver Penrith and its
surrounding suburbs contemporary, integrated care that
meets the needs of our growing District. It will also help to
strengthen Nepean Hospital’s position as a leading tertiary,
teaching, research and referral hospital in NSW. A new clinical A new and expanded More than 12 new
services block Emergency Department operating theatres
Stage 2 18 birthing suites in new
accommodation - an
A new Neonatal Intensive
Care Unit with additional cots
More than 200 additional
overnight beds
In March 2018, the NSW Government committed at least increase of ten
a further $450 million for the Nepean Redevelopment to
continue the transformation of Nepean Hospital. Planning
for Stage 2 will commence in late 2018 and construction will
follow after Stage 1.
A new helipad A new multi-storey car park An expansion of the Nepean
to support the expansion Cancer Care Centre
of services
2 nbmlhd.health.nsw.gov.au Together Achieving Better Health Business Plan 2018 – 2019 3
Our values and vision Section Heading
Our vision Proudly accredited
Together
by White Ribbon
We will drive innovation and
excellence in health service delivery
Achieving and provide safe, equitable, high quality,
accessible, timely and efficient services
Better Health that are responsive to the needs of Nepean Blue Mountains Local Health District has
patients and the community. been recognised by White Ribbon Australia as
an organisation that has committed to stopping
Our values
violence against women. We are now an accredited
White Ribbon Workplace.
Our values support our vision, shape our culture Our organisation has demonstrated effective leadership, resource
and reflect our principles and beliefs. allocation, communication, HR policy development and training to
create a safer and more respectful workplace.
Health CORE Value As a District we have taken steps to:
NSW s
04 01 + Increase the knowledge and skills of staff and managers to
address issues of violence against women.
Empowerment Collaboration
+
S
Enhance the capacity of workplaces to respond to the issue of
Safety violence against women.
+ Change the attitudes and behaviours that allow violence against
R A
women to occur.
Resource Agility and
effectiveness District responsiveness
SAFER
Values
The District is proud to be officially recognised as a workplace pioneer
that is contributing national cultural change to prevent and respond to
E F
violence against women.
Excellence Fairness
and equity
03 02
Respect Openness
4 nbmlhd.health.nsw.gov.au Together Achieving Better Health Business Plan 2018 – 2019 5
Demographics – our community and our staff
Our changing
community
2,729 5,195
Babies
born
Nursing and Midwifery Staff
Lithgow
Hawkesbury
11,079
Elective
surgeries
811
Medical Staff
Portland Tabulam Health Centre
8,339
632
Emergency surgical
procedures
Lithgow Hospital Hawkesbury
District Health Allied Health Staff
Blue
Service
Mountains
Blue Mountains District Springwood
Penrith
84,566
Admissions
to hospital
90 1 mil+
Anzac Memorial Hospital Hospital Oral Health Staff Community and
outpatient occasions
Nepean Hospital
of service
1,429
Clinical Support, Administration, Management
and Miscellaneous Staff
OUR CHANGING COMMUNITY
120,661
20
Presentations to 99
373,205 464,072
Emergency Research
Department proposals
Research and Academic Staff
residents in 2016 residents in 2036
5,711 Total Staff
6 nbmlhd.health.nsw.gov.au Together Achieving Better Health Business Plan 2018 – 2019 7Highlights from 2017/2018
Highlights from
2017/2018
Our dedicated staff
have delivered
many innovative
projects in 2017
- 2018 to help us
achieve our aims.
1 2 3 4 5
HEALTHY BETTER TALENTED, RESPONSIBLE HUB FOR
PEOPLE AND PATIENT AND HAPPY AND GOVERNANCE RESEARCH
COMMUNITIES CONSUMER ENGAGED AND FINANCIAL AND
EXPERIENCES WORKFORCE MANAGEMENT INNOVATION
Established Australia’s first Implemented the Leading Refined and implemented the Developed and launched the Achieved recognition at the
family obesity service. Better Value Care (tranche 1) NBMLHD Aboriginal NBMLHD Strategic Plan NSW Health Quality and
– Osteoarthritis Chronic Care Workforce Strategy and 2018-23. Innovation Awards for a
Developed the Penrith Health
Program service in NBMLHD, expanded our Allied Health number of our initiatives,
Action Plan with Penrith City Involved junior medical
which has been acknowledged Aboriginal Workforce. including our High Risk
Council and Nepean Blue officers and junior nurses on
as an exemplar service across Influenza Screening Test,
Mountains Primary Health Provided free, onsite and root cause analysis teams as
the state. Chronic Obstructive
Network (NBMPHN) – continuing education for all observers or participants in
Pulmonary Disease project
another first. Opened the Hawkesbury staff through our annual the review of major incidents.
and The Patient’s Voice – a
Living Cancer Trust Allied Health Professional
Implemented the Healthy Expanded our consumer patient delivered handover.
Chemotherapy Unit and Development workshops.
Food and Drink in NSW engagement through
completed a $1.17 million Continued to be a leader in
Health Facilities for Staff and Achieved accreditation as workshops held in
upgrade of the Blue Mountains Australian robotics surgery,
Visitors Framework, a White Ribbon Workplace. partnership with Health
District Anzac Memorial significantly enhancing
removing sugary drinks from Consumers NSW and
Hospital Emergency patient outcomes through
sale and ensuring all our food NBMPHN.
Department. the use of robotic surgery.
outlets provide healthy menu
options, including reduced Enabled the early discharge of Continued to lead the state
portion sizes. patients that have undergone in Telehealth achievements,
hip or knee replacement, including our District-wide
with a significant reduction Telepsychiatry services.
in length of inpatient stay
through effective provision of
Primary Care and Community
Health services.
8 nbmlhd.health.nsw.gov.au Together Achieving Better Health Business Plan 2018 – 2019 9The year ahead
The year
1
HEALTHY
PEOPLE AND
ahead COMMUNITIES
To support our commitment
to healthy people and
communities we will:
Work with our partners to develop and implement Improve
Health Plans for priority areas, including regional surveillance
mental health and suicide prevention, Aboriginal and public health
health, Aboriginal mental health and child and management of
youth health acute rheumatic fever
and rheumatic heart disease
Work with the NBMPHN to further develop the Health
Pathways Information Portal, facilitating input from Implement the Housing for Health program
specialist services and general practice with local community housing organisations
Expand and encourage access to health promotion Undertake qualitative research into the
and risk reduction programs across the District, such reasons for parents not consenting to human
as healthy weight and active living programs, targeted papillomavirus vaccination in the adolescent
oral health programs, domestic violence routine school vaccination program
screening and infant health strategies
Enhance our responsiveness to major incidents and
Use innovative communications to build greater disasters through the appointment of appropriately
confidence in our hospitals and services, improve trained and skilled disaster staff
health literacy and support vulnerable populations to
Continue to work with St John of God Health Care to
achieve better healthcare
provide appropriate local healthcare services to
people of the Hawkesbury
FROM THE CHIEF EXECUTIVE
The size of our District and the range of socioeconomic statuses in our
community are continuing challenges, but this is also a time of great opportunity.
The NSW Government has committed at least $1 billion to the Nepean
Redevelopment for a new hospital, community-based health facilities and a
multi-storey car park. This will enable us to better plan for the services our
communities will need into the future and to shape the way we deliver healthcare.
There will also be great opportunities for our District from the Western Sydney
City deal – a formal partnership between the Australian Government, NSW
Government, and the local governments of the Western Sydney region.
By working with our partners, particularly with the NBMPHN, Councils,
education providers and non-government organisations, we can improve
the health of our community.
10 nbmlhd.health.nsw.gov.au Together Achieving Better Health Business Plan 2018 – 2019 11The year ahead
2
BETTER PATIENT To support our commitment to
better patient and consumer
AND CONSUMER experiences we will:
EXPERIENCES Develop an NBMLHD Integrated Care Framework Implement the accreditation recommendations of
the Review of seclusion, restraint and observation of
Establish the NBMLHD HealthCare Neighbourhood,
consumers with a mental illness in NSW Health
including Healthcare Homes Stage 1
facilities document
Support consumer participation and work towards the
Implement the Towards Normal Birth policy for
use of Patient Related Outcome Measures and Patient
Aboriginal Mothers
Related Experience Measures
Develop a dedicated specialist multi-disciplinary
Implement the Compassionate Care framework
bariatric advisory and management team to improve
Reduce hospital stays for patients with Chronic care co-ordination from ED/admission to discharge for
Obstructive Pulmonary Disease through holistic care patients with bariatric needs
Develop early referral management and transfer of
Begin the development of the Hawkesbury Centre
care processes, rapid service response, and medical for Oral Health
support for chronic and complex care patients in
Develop strategies to improve waiting times
the community
for dental services
Implement a redesign project to achieve stronger
Build and open the Renal Dialysis unit at the Blue
integration of services to improve the journey of
Mountains District Anzac Memorial Hospital
patients experiencing violence, abuse and neglect
in NBMLHD Complete Clinical Services Plans to support future
health service delivery and facility developments,
Implement new or enhanced community-based Drug
particularly one hospital in the Blue Mountains and
and Alcohol services
new Community Health Centres
Strengthen the hub and spoke model for our hospitals
Continue to plan, support and implement funded
by introducing clinical streams and service line
capital works programs, including Nepean Hospital
management for our patients
redevelopment Stages 1 and 2
Improve access to and care for patients with a disability
Support better health for the community through
and ensure a seamless transition of service delivery for
improved access to information about health services
the patient during the implementation of National
Disability Insurance Scheme (NDIS)
Complete Information Communications Technology
(ICT) Networks and Telephony upgrade and develop
Provide a comprehensive rehabilitation model at one
NBMLHD’s ICT strategy in conjunction with the
Blue Mountains site
business and clinical needs and the requirements of
Implementation of Assertive Mental Health and Drug the Nepean Hospital redevelopment.
and Alcohol community treatment teams
FROM THE CHIEF EXECUTIVE
One of the key challenges in improving patient and consumer experiences is the integration of primary
healthcare in the community with acute clinical care in hospitals. An example of this is the disjointed nature of
medical record systems across the health system, from primary care to the hospital setting.
The Nepean Redevelopment provides the opportunity to better integrate hospital and primary care services
through purpose built facilities that deliver new models of care. The integration of these systems will support
faster access to care, shorter hospital stays and greater well-being.
Engaging with our community and learning from their feedback will also help us develop more effective and
appropriate services that match need to delivery. This continuous dialogue will help to enhance our reputation
as a professional, trusted and approachable provider of world-class healthcare.
12 nbmlhd.health.nsw.gov.au Together Achieving Better Health Business Plan 2018 – 2019 13The year ahead
3 4
TALENTED, HAPPY RESPONSIBLE
AND ENGAGED GOVERNANCE
WORKFORCE AND FINANCIAL
MANAGEMENT
To support our commitment to Develop succession planning within Nursing and
a talented, happy and engaged Midwifery, including rotation and transition strategies,
workforce we will: cadetships and traineeships To support our commitment to
Develop innovative models to attract and retain a strong responsible governance and
Design and deliver a District-wide organisational clinical workforce at both Lithgow and Portland, financial management we will:
culture and performance improvement strategy, including the ‘Grow your own’ strategy and establishing
including embedding the Talent Management Program Lithgow as a recognised Registrar placement Embed a business partnering model with Patient Improve corporate
Implement action plans to address the results of the Safety and Quality, Finance and Workforce People and governance and
Further develop the ICT organisational structure to
People Matter Survey 2017/18 Culture to better support responsible governance and implement strategies to
meet the needs of the District moving forward
financial management drive financial performance
Ensure all senior and junior medical staff have Work towards a 30 percent reduction in staff illnesses and accountability at Nepean Hospital
completed performance appraisals, mandatory Select and implement a peer reporting framework that
and musculoskeletal injuries by 2022
training and appropriate credentialing encourages a culture of reporting unprofessional Improve capacity to monitor activity performance,
Support staff development by inviting them to present behaviour that threatens patient or co-worker safety clinical outcomes and patient flow in Primary Care and
Ensure all senior medical staff have Ministry of Health at the inaugural NBMLHD Together Achieving Better Community Health
Scopes of Clinical Practice approved by MDAAC Support and promote safe and high quality care
Health Conference in November 2018
through a patient safety and quality framework and Conduct a review of printed publications, identifying
Improve junior medical officer wellbeing through Support staff to participate in redesign training to build the implementation of the Clinical Excellence opportunities to reduce publication costs and waste
mentoring, resilience training and reducing knowledge across the organisation Commission programs and ensure consistency of information provision
rostered overtime
Improve collaboration and staff engagement Continue to enhance the governance and management Continue to enable a culture of lean thinking principles
Develop and publish the Drug and Alcohol Workforce opportunities through better communication and of hospital and patient data/information (including through training and education to improve
Plan 2018 -2021 an improved intranet site collection, protection, access and quality) productivity and enable efficiencies
Continue to implement the Aboriginal Workforce Strengthen relationship with Nova Employment and the Continue to refine financial and other data availability,
Strategy 2018-2021 Disability Scheme for employment within the Total analytics and performance reporting to enable
Rollout the Finance Directorate restructure to build a Asset Management team effective decision making
sustainable finance workforce
FROM THE CHIEF EXECUTIVE
Our staff are, without question, our greatest asset and the $1 billion Nepean Redevelopment provides a once in
a lifetime opportunity for staff to shape hospital care for the future. With such a significant investment, we have
a great opportunity to grow our leadership capability and build an engaged and resilient workforce. FROM THE CHIEF EXECUTIVE
While an exciting opportunity, the Nepean Redevelopment also presents the challenge of growing, recruiting With our rapidly growing population and the opportunities presented by the $1 billion Nepean Redevelopment,
and retaining an appropriately skilled workforce for a much larger hospital. This is in addition to facing an it is even more important that we ensure current funding is used as efficiently as possible and that adequate
aging workforce profile and an increasingly competitive employment market. Lithgow and Blue Mountains recurrent funding is attained to meet future need.
Hospitals face further workforce challenges due to their regional locations.
We can achieve this through strong business partnerships with internal stakeholders and by providing our staff
Collaboration with our education partners in The Quarter, Penrith will provide opportunities to meet with the tools, skills and knowledge they need to make informed decisions that will enable us to deliver high
these challenges. quality, cost-efficient patient care.
14 nbmlhd.health.nsw.gov.au Together Achieving Better Health Business Plan 2018 – 2019 15The year ahead Section Heading
5
HUB FOR
RESEARCH AND
INNOVATION
To support our commitment to
being a hub for research and
innovation we will:
Host the inaugural Nepean Together Achieving Better
Health Conference in November 2018, which
incorporates the Nepean Research Day
Promote our research through a specially developed,
district-wide research publication
Seek and support opportunities for the development
of a research institution at Nepean Hospital
Continue to encourage a culture of leading-edge
translational research and innovation
Partner with Medrobotics and the University of
Implement local and state-wide strategies to improve
Technology Sydney (UTS) to further education,
research and ethics processes, including REGIS
training and research in robotic surgery
state-wide ethics approval system
Undertake a collaborative project with UTS and
Continue to foster research across all disciplines, for
Mental Health to apply ‘design’ methodology to the
example through the newly established Associate
acute care setting
Professor of Midwifery position
Plan for a clinical school in conjunction with one
Establish a Drug and Alcohol quality and
hospital in the Blue Mountains
research group
Define the procedures and regulatory requirements
Seek opportunities to expand Telehealth applications
surrounding medical equipment involved in research
and innovations throughout NBMLHD and beyond
to streamline the clinical trial process
Collaborate with our partners in The Quarter, Penrith
to identify additional research opportunities
FROM THE CHIEF EXECUTIVE
We are committed to ensuring research, development and innovation are seen as business as usual throughout
our District so we can continue to improve patient care, service delivery and business culture. We will continue
to support translational research, taking discoveries from the laboratory to the bedside.
Using leading-edge design and technology will allow us to deliver innovative solutions and world-class,
evidence-based services and facilities.
16 nbmlhd.health.nsw.gov.au Together Achieving Better Health Business Plan 2018 – 2019 17Nepean Blue Mountains Local Health District PO Box 63 Penrith NSW 2751 Telephone: (02) 4734 2000 Fax: (02) 4734 3737 Web: www.nbmlhd.health.nsw.gov.au Email: NBMLHD-mail@health.nsw.gov.au Facebook: www.facebook.com/NBMLHD Twitter: @NBMLHD YouTube: Nepean Blue Mountains Local Health District © Nepean Blue Mountains Local Health District. This work is copyright. It may be produced in whole or in part for study or training purposes subject to the inclusion of acknowledgement of the source and no commercial usage or sale. Reproduction for purposes other than those indicated requires permission from Nepean Blue Mountains Local Health District.
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