Connection issue 3_winter_2015
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This document summarizes the key points of Peninsula Health's Strategic Clinical Services Plan for 2015-2025. The plan addresses increasing demand for services due to population aging and chronic disease. It outlines capacity requirements and future investment needs. The highest demand area is expected to be integrated ambulatory services. The plan details strategies for each of Peninsula Health's sites and timelines for short, medium, and long term goals. The overall aim is to meet forecast clinical needs through infrastructure development, new models of care, partnerships, and technology.
![and there was one local guy not progressing through the
course as well as everyone else. That’s when I realised that I’m
not just relying on myself to do the right thing, but also the
whole team.
“I looked at this guy and thought ‘please don’t be coming with
me’ and guess what, he did!”
Ms Heriot drew on her experience as a Nurse Unit Manager to
address the issue.
“Every time I saw him I felt uncomfortable and I thought ‘I’ve
got to do some one-on-one training’.”
After spending some time with him Ms Heriot soon discovered
the reason why he wasn’t progressing through the training.
He couldn’t read or write. With Ms Heriot’s support he was
soon flourishing.
“He turned out to be one of the really good workers.”
As Nurse Supervisor, Ms Heriot’s job was to train Liberian
health workers about triaging patients. What Ms Heriot
thought would be a reasonably straight forward job turned out
to be far more complex.
“You just take it for granted coming from a well-developed
healthcare system. They were not prepared at all to start
with. I sometimes wonder how it didn’t get any worse. Their
level of triage (prioritising patients’ treatments based on
the severity of their condition) experience was nowhere near
where it should have been - some of them had never triaged
before. We had to discuss nearly every scenario, every type of
presentation, every issue.”
When Ms Heriot arrived in Liberia the Community Care
Centre where she was supposed to be working was still under
construction. Not one to sit around and wait, Ms Heriot had
the local workers working every day, acting out scenarios in
the incomplete building. It was an unexpected challenge.
“When we first started we didn’t have running water so we
had the workers pretending to wash their hands. But then
when we did get running water people still pretended to wash
their hands because they learnt that behaviour. We had to re-
teach them everything they had learnt in the mock training.”
Once the Community Care Centre opened Ms Heriot had to
face another heartbreaking challenge – turning away sick
people.
“We weren’t set up to take care of non-Ebola patients and it
was hard turning people away, particularly for the locals.
We had a baby turn up that looked really unwell. We couldn’t
do anything for that baby and it died a couple hours later.
That was really hard for everyone.
“It’s a very emotive issue but you have to go back to the basic
triage principles. If you give CPR to someone who has Ebola
you put everyone in danger. It was for the good of the greater
community.”
By teaching locals the fundamentals of triaging and infection
control, Ms Heriot imparted knowledge and skills that will
help locals ensure future outbreaks don’t have the same
devastating effect.
“I sometimes underestimate the impact of the end product,”
Ms Heriot said.
“When I left the feedback from other staff was, ‘thank God
you did the ground work with the team.’ They [locals] need to
own the infection-control process because eventually we [the
international staff] all go home.”
After Ms Heriot’s mandatory quarantine period she returned to
work as an Infection Control nurse at Peninsula Health. When
asked what Ms Heriot took home from the experience the answer
was simple. Empower others so they can help themselves.
CONNECTION I 7
Local health workers practicing removing
their infection prevention clothes
Ms Heriot (centre) with some of her team
Breaking News
As this publication was going to print Kim was notified that she
had been successful in obtaining a WHO position as an Infection
Control Consultant to aid in the Ebola Outbreak response and
health systems recovery effort for a three-month deployment.](https://image.slidesharecdn.com/connectionissue3winter2015-150821070108-lva1-app6891/85/Connection-issue-3_winter_2015-9-320.jpg)
![16 I CONNECTION
The agonising
wait
Words I Eliza Keck
Neil Batchelor has battled cancer and severe pancreatitis
for years.
In 2010 he was referred to Peninsula Health’s Head of
Endoscopy, Dr Leon Fisher, who decided Neil needed a
diagnostic test using an Endoscopic Ultrasound (EUS)
machine.
The test is non-invasive, low-risk and takes less than
an hour to complete.
But there isn’t an EUS machine on the Mornington Peninsula.
The local resident was put on a waiting list at the Royal
Melbourne Hospital.
This posed a significant challenge for Neil.
“I can’t drive in the city and they said I couldn’t go home
on public transport.
“In the end my daughter had to take the whole day off work
to take me in,” Neil said.
Since his first procedure, Neil has been seeing
Dr Fisher regularly for treatment.
“I’ve had 18 ERCP’s [Endoscopic retrograde
cholangiopancreatography] at Frankston in the past
five years but they don’t give Dr Fisher the same level
of detail as an EUS machine.”
Without this machine, not only do local residents like Neil
have to travel further, but they also have to wait longer
for diagnosis and therefore treatment.
Recently Neil was put on a waiting list once again.
This time he had to travel to Epworth Hospital, but he
doesn’t regret the long journey.
“During the procedure they found a cyst. All the other tests
hadn’t shown anything. It shouldn’t have been there.
“Because of the EUS machine they could treat it then and
there. It could have been much worse.
“Having an EUS machine at Frankston Hospital would
make a tremendous difference. It can do so many things;
it is amazing how many people it could help.”
Neil, pictured with his wife Val,
has to travel to the city for treatment
“Because of the EUS machine they could treat it then
and there. It could have been much worse.”
HELP DETECT AND TREAT CANCER SOONER
An Endoscopic Ultrasound (EUS) and Endoscopic Bronchial Ultrasound (EBUS) machine
helps doctors diagnose life-threatening illnesses like pancreatic cancer, lymphoma
and lung cancer.
Having the machine available locally will mean faster and more accurate diagnosis
for people like Neil Batchelor living in our community.
And faster diagnosis leads to faster treatment.
But the machine is expensive. That’s why we need your help to raise $500,000.
Your donation today will help detect – and treat – cancer sooner. Every dollar
counts and takes us a step closer to our goal.
To make a tax deductible gift today call our Fundraising Coordinator,
Renee Mazzoni, on 03 9788 1284 or visit peninsulahealth.org.au/cancer. We’ve reached
10% of our goal –
help us reach 100%.
Every dollar counts!
$500,000
$50,000
$100,000
$200,000
$300,000
$400,000
OUR GOAL
$](https://image.slidesharecdn.com/connectionissue3winter2015-150821070108-lva1-app6891/85/Connection-issue-3_winter_2015-18-320.jpg)
Connection issue 3_winter_2015
- 1. Future directions Strategic Clinical Services Plan 2015-2025 Ebola: lessons from the frontline Research World-first patient safety research at Peninsula Health Driven to make a difference Georgie Fraser, the new generation of volunteers Follow us on Peninsula Health connectionYOUR FREE QUARTERLY MAGAZINE FROM PENINSULA HEALTH • ISSUE 3 • WINTER 2015
- 2. Thursday October 8th 2015 9.30am - 2.00pm New Peninsula Church 370 Craigie Road, Mount Martha, Melways:146 A11 Come along and find out how to lead a healthy and active life. • Health screenings, workshops and care planning • Demonstrations, displays and entertainment • FREE entry, light refreshments and accessible parking For more Expo information: Andie Murphy, Peninsula Health T: (03) 5971 9173 | E: amurphy@phcn.vic.gov.au FREE buses from Frankston, Mornington, Blairgowrie and Hastings: To book a bus seat call (03) 9784 8597 Bus RSVPs close 5pm Friday 2nd October Celebrate the 10th Ageing Well Expo
- 3. CONNECTION I 1 WelcomeT his is an exciting new era for Peninsula Health. Earlier this year we opened the $81 million development at Frankston Hospital with its three new state-of-the- art wards. But our ambition to provide world-class healthcare does not end there. Indeed, the redevelopment is just the beginning. As part of our continued drive to provide better facilities and services for patients we have now completed our 10-year Strategic Clinical Services Plan 2015-2025. Peninsula Health provides the majority of the speciality services required by our community. Our clinical services challenge of the future will differ from those of the past. As the only public healthcare provider on the Mornington Peninsula we will need to continue to increase our service capability and capacity, and invest in supporting infrastructure, education, research and training to achieve our goals. The Strategic Clinical Services Plan will help us to identify and respond to changes in demand for public health services over the next 10 years. We will continue to provide high-quality care in meeting the needs of our local population. We will be driven by innovation, and we will aspire to excellence as the premier academic health research facility on the Mornington Peninsula. This edition of Connection highlights the key features of our Strategic Clinical Services Plan. It also celebrates the achievements of our younger generation of volunteers and staff as well as the experience and knowledge of staff who have been with us for many years. With over 30 years’ experience in emergency nursing we are proud of the efforts Kim Heriot, who visited Liberia and imparted her knowledge and skills to fight the Ebola crisis. At the other end of the spectrum, we welcome the drive and enthusiasm of volunteer Georgie Fraser, and Jason Kelly, a young surgical intern, passionate about end-of-life care. Our Strategic Clinical Plan aims to drive our future clinical strategy whilst at the same time ensuring that the excellent work we do continues. We have developed strong ties with academic institutions. As a teaching hospital of Monash University, and through affiliation with other educational institutions, we participate strongly in undergraduate and postgraduate training in the health professions and aim to increase our research profile over the next 10 years. Community engagement is at the heart of everything we do. In November we hold our Annual General Meeting (AGM) and I invite you to join us at our AGM and take the opportunity to learn more about what we do through this magazine and our social media channels. Sue Williams I Chief Executive Officer Contents Cover story Ebola Lessons from the frontline 6 Future directions Strategic Clinical Services Plan 2015-2025 2 In Profile Jason Kelly on end-of-life-care 4 Driven to make a difference Georgie Fraser, the new generation of volunteers 8 Your health Diet and obesity 10 Simulation Centre Virtual teaching moves to Frankston 12 Research World-first simulation patient safety research at Peninsula Health 13 In Brief Peninsula Health news 14 The agonising wait Local residents on waiting lists for life-saving tests 16 Acting Director, Corporate and Community Relations Amy Johnston Connection is a free quarterly publication from the Corporate and Community Relations group at Peninsula Health. This magazine is distributed across our campuses at Frankston, Hastings, Mornington and Rosebud, and mailed to our volunteers, supporters and donors. You can also download it from our website. To subscribe or be removed from the mailing list please contact us below. Writers Eliza Keck Claire Polatidis Silvia Dropulich Editor Silvia Dropulich Layout and Design George Ovlachi Corporate and Community Relations Peninsula Health PO Box 52 Frankston Vic 3199 Telephone 03 9788 1501 peninsulahealth.org.au Peninsula Health acknowledges and pays respect to the traditional people of this region, known as the Myone Buluk of the Boon Wurrung language group of the greater Kulin Nation and bestows the same courtesy to all other First Peoples, past and present, who now reside in the region. Cover: Imparting our knowledge and skills to fight the Ebola crisis in Liberia. PeninsulaHealth @PeninsulaHealth PeninsulaHealth
- 4. 2 I CONNECTION Future directions Overview - Peninsula Health Strategic Clinical Service Plan 2015-2025 Increasing demand due to the health burdens of age and chronic disease will affect all Australian communities, and particularly those on the Peninsula. Constrained resources and technological and medical advances will require us to continually improve and refine our models of care to provide the services to meet this demand. As the only public healthcare provider on the Peninsula, we will need to continue to increase our service capability and capacity, and to invest in its supporting infrastructure, including education, training and research, to help us achieve these aims. Future demands Capacity requirements at Peninsula Health are expected to increase significantly over the next decade and will require future investment in hospital infrastructure and the development of innovative models of care. The highest demand area over the term of the plan is expected to be in integrated ambulatory services. Future site profiles • Frankston Hospital will require significant growth in inpatient services, theatres, diagnostic imaging and ambulatory services. • Options to address access and capacity issues at Rosebud Hospital need to be explored, and the service profile refined to better meet the needs of the local population, including direct-admission beds, day surgery/procedures, and increased ambulatory services. • The Mornington Centre is a major subacute site and is expected to grow. Co-location of the Mornington Community Health Service to the Mornington Centre would be beneficial. Golf Links Road is an established rehabilitation and palliative care site. Future plans should consider the best service delivery model for all subacute services, including consolidation of services and co-location with acute services. • Hastings provides community health and ambulatory services. Opportunities to expand Peninsula Health’s renal dialysis service to include Hastings will be explored together with increasing the capacity at Hastings to include diagnostic, specialist consulting, community health and rehabilitation and community mental health services. • Mt Eliza Centre services are scheduled to relocate to other sites within the next two years. Our current position Peninsula Health consists of 12 main sites and nearly 900 beds, two emergency departments, 24 dental chairs and more than 90 consulting spaces located across the Frankston and Mornington Peninsula local government areas (LGAs). • The Mornington Peninsula and Frankston LGAs have a combined population of 279,621 and this is forecast to grow to 330,119 by 2026-27. • 81 per cent of Peninsula Health’s acute and subacute inpatients are public patients funded by the State and Commonwealth governments. • Peninsula Health’s catchment has some unique demographic features, including low levels of forecast population growth and higher rates of population ageing; a mix of wealth and extreme disadvantage; and specific local indicators of disadvantage. • High volume services provided at Peninsula Health include dental services, community health and rehabilitation services, maternity, orthopaedic, renal dialysis, chemotherapy and emergency department services. • Maternity services and orthopaedic services collectively account for 47 per cent of all acute specialist clinics provided at Peninsula Health.
- 5. CONNECTION I 3 Immediate term 2016-17 • Address the immediate need for additional mental health capacity. Short-term options include psychiatric assessment beds within the Emergency Department and development of a Mental Health Service Plan which facilitates refurbishment/ creation of additional contemporary inpatient beds at Frankston Hospital. • Develop an additional theatre with hybrid radiological capacity to support increased interventional procedures. • Increase ambulatory capacity through the development of an integrated ambulatory care plan. • Facilitate integration of services through the redesign of models of care around the patient journey. • Consolidate an academic and research centre at Frankston Hospital (including simulation centre) with increased academic leadership positions (funded through the sale of Mt Eliza Centre. • Relocate remaining areas from Mt Eliza Centre to Frankston. • Implement renal services plan and develop renal services at Hastings. Short term 2018-19 • Increase ambulatory service capacity at Frankston Hospital and agreed local pathways of care across Peninsula Health, including ambulatory/diversion and substation models. • Enhance surgical capacity through implementation of a defined plan for day surgical services and endoscopy. • Continue to develop service capability through formal partnerships with tertiary institutions (for example neurosurgery, thoracic surgery, dermatology) and through increasing local capability (e.g. heamatology, breast surgery). • Implement IT clinical service initiatives in line with the Peninsula Health IT Strategy. Medium term 2021-22 • Inpatient mental health service redevelopment at Frankston Hospital and additional community service mental health service capacity. • Rosebud Hospital redevelopment and service reconfiguration. • Additional bed equivalents at Frankston Hospital and subacute bed equivalents at determined sites to accommodate medical and surgical inpatient requirements. • Additional support services requirements (theatres/day procedures/endoscopy/radiology etc) across sites as required. • Relocation of the Mornington Community Health Service. • Relocation of the Frankston Community Centre services and potentially Community Mental Health services into an integrated health services hub. Longer term By 2026-27, we hope to have met forecast demand and capacity requirements through infrastructure development, new models of care and enhanced use of technology; addressed capability gaps in medical and surgical subspecialty areas through local development and/or partnerships; and positioned ourselves as the premier academic and health research facility on the Peninsula. Future directions How we will achieve our goals • Increase our capability and capacity through formal service, workforce, training and academic partnerships with tertiary health services, private providers and academic institutions. • Increase our alliances with community and primary providers to provide pathways for person-centred management of chronic and complex conditions. • Continue to implement innovative health workforce models. • Utilise state-of-the-art clinical technology to support information collection and sharing, and innovative models of care. • Foster a culture of redesign, research and innovation that leads to continuous improvement. • Base our future expenditure on strong financial costing models and sustainable sources of revenue. • Continue to nurture our partnerships with consumers and the broader community to ensure their input into our future planning and service delivery.
- 6. 4 I CONNECTION Jason Kelly, Surgical Intern In Profile Words I Eliza Keck Most people don’t like to think about death. Twenty-four- year-old Surgical Resident Jason Kelly is not like most people. “I have a huge interest in end-of-life care. Some doctors think dying is always a poor outcome, but someone dying without pain and with dignity is a fantastic outcome,” Dr Kelly said. “I think that every doctor’s lying if they say that death doesn’t affect them. The most confronting part of medicine is the end-of-life care, and if you can be comfortable with that then there’s not a lot you’ll feel uncomfortable with. It’s a big barrier we need to cross.” Dr Kelly recalls the impact of seeing his first patient die. “It was five years ago. Dorothy Smith*. I’ll remember that name until the day I die. She was an old lady who died without her family by her side. That was very confronting for me. She died alone, in distress in an Intensive Care Unit bed. “After that I decided that everyone dies, but as doctors we can help people die with dignity, in comfort and pain free. And in some cases I think that has the potential to be the best outcome.” Given his interest in end-of-life care, specialising in surgery seems like an unusual choice for Dr Kelly. “Surgeons actually have a lot to do with end-of-life care, especially in Orthopaedics, which is what I’m in now. Lots of very old people come in with broken hips but they might be too sick to operate on, or they get sick after the surgery and we make sure they are nice and comfy and we facilitate their passing,” Dr Kelly said. Dr Kelly is the first to admit that he’s not your average intern. “The most confronting part of medicine is the end-of-life care.”
- 7. Dr Jason Kelly letting surgical patient Kurt know he’s ready to go home “I’m weird. I like night surgery and I know a lot of people hate it. You’re on the floor from 8pm to 9am and you cover every surgical patient in the hospital overnight. “I have coffee. Lots of coffee,” he added with a grin. Dr Kelly has been working at Peninsula Health since his first internship in 2013. As a medical student living in the city, he admits he wasn’t initially thrilled about travelling an hour each day to the Mornington Peninsula. “I planned to just do my internship and go back to the city. Instead I enjoyed working at Peninsula Health so much I moved here. “I’ve gained so much more experience here, and I think that allows us to be not only competent but also more independent and more confident in our abilities. “The units are smaller so you get really good face-to-face time with registrars and consultants, and the consultants in theatre are fantastic,” he added. Since Dr Kelly started at Peninsula Health the Surgical Services Unit has grown dramatically. “Last year we only had seven surgical HMOs (Hospital Medical Officer); this year we’ve got 14 and we’re expecting to expand further in the near future. “We’ve got two new 32-bed surgical wards, the new AAA (Acute Assessment and Admissions) unit and early next year we will be opening a Vascular Interventional Hybrid theatre as well.” So what’s next for Dr Kelly? “I want to stay here for the next five years because the facilities are amazing,” he said. “When you talk to patients on the new wards they always say they can’t believe they’re in a hospital. “In the next six months or so I’m hoping to take some time off work and volunteer with Doctors without Borders or the Red Cross,” Dr Kelly said. “I’d either work in a trauma hospital in South Africa or South East Asia or do disaster relief work.” *name changed for patient privacy “... everyone dies, but as doctors we can help people die with dignity, in comfort and pain free.” Dr Jason Kelly and Mr Paul Miller CONNECTION I 5
- 8. 6 I CONNECTION Words I Eliza Keck In October 2014 one word featured in almost every news update around the world – Ebola. It was the most searched word on the internet. The first US case of the deadly virus was announced and the World Health Organization (WHO) reported that Liberia alone was recording between 300 and 400 new cases each week. WHO had declared it an epidemic and the death toll was expected to rise. In October 2014, with 30 years of nursing experience behind her, Infection Control Nurse Kim Heriot made a courageous decision. She decided to travel to the heart of the outbreak - Liberia. “I wanted to do something totally different – and give something back,” Ms Heriot said. “I’ve had a fairly easy life compared to somebody in a third-world country.” When Ms Heriot heard international aid organisation Save the Children was recruiting for medical professionals, she signed up. “From the time they contacted me to when I was on the plane was less than a fortnight. That included interviews, medicals, vaccinations, online training, organising the house, the dog and getting leave signed off here at Peninsula Health.” The media caught wind of Ms Heriot’s story and she made headlines. One question was asked over and over, was she worried? “No, I wasn’t worried about going. It’s hard to explain why. I knew that if I did the right thing I’d be fine, so I felt comfortable. “That is until I went to the five-day WHO training program “They were not prepared at all to start with. I sometimes wonder how it didn’t get any worse.” Ebola: lessons from the frontline Ms Heriot with a group of local and international workers
- 9. and there was one local guy not progressing through the course as well as everyone else. That’s when I realised that I’m not just relying on myself to do the right thing, but also the whole team. “I looked at this guy and thought ‘please don’t be coming with me’ and guess what, he did!” Ms Heriot drew on her experience as a Nurse Unit Manager to address the issue. “Every time I saw him I felt uncomfortable and I thought ‘I’ve got to do some one-on-one training’.” After spending some time with him Ms Heriot soon discovered the reason why he wasn’t progressing through the training. He couldn’t read or write. With Ms Heriot’s support he was soon flourishing. “He turned out to be one of the really good workers.” As Nurse Supervisor, Ms Heriot’s job was to train Liberian health workers about triaging patients. What Ms Heriot thought would be a reasonably straight forward job turned out to be far more complex. “You just take it for granted coming from a well-developed healthcare system. They were not prepared at all to start with. I sometimes wonder how it didn’t get any worse. Their level of triage (prioritising patients’ treatments based on the severity of their condition) experience was nowhere near where it should have been - some of them had never triaged before. We had to discuss nearly every scenario, every type of presentation, every issue.” When Ms Heriot arrived in Liberia the Community Care Centre where she was supposed to be working was still under construction. Not one to sit around and wait, Ms Heriot had the local workers working every day, acting out scenarios in the incomplete building. It was an unexpected challenge. “When we first started we didn’t have running water so we had the workers pretending to wash their hands. But then when we did get running water people still pretended to wash their hands because they learnt that behaviour. We had to re- teach them everything they had learnt in the mock training.” Once the Community Care Centre opened Ms Heriot had to face another heartbreaking challenge – turning away sick people. “We weren’t set up to take care of non-Ebola patients and it was hard turning people away, particularly for the locals. We had a baby turn up that looked really unwell. We couldn’t do anything for that baby and it died a couple hours later. That was really hard for everyone. “It’s a very emotive issue but you have to go back to the basic triage principles. If you give CPR to someone who has Ebola you put everyone in danger. It was for the good of the greater community.” By teaching locals the fundamentals of triaging and infection control, Ms Heriot imparted knowledge and skills that will help locals ensure future outbreaks don’t have the same devastating effect. “I sometimes underestimate the impact of the end product,” Ms Heriot said. “When I left the feedback from other staff was, ‘thank God you did the ground work with the team.’ They [locals] need to own the infection-control process because eventually we [the international staff] all go home.” After Ms Heriot’s mandatory quarantine period she returned to work as an Infection Control nurse at Peninsula Health. When asked what Ms Heriot took home from the experience the answer was simple. Empower others so they can help themselves. CONNECTION I 7 Local health workers practicing removing their infection prevention clothes Ms Heriot (centre) with some of her team Breaking News As this publication was going to print Kim was notified that she had been successful in obtaining a WHO position as an Infection Control Consultant to aid in the Ebola Outbreak response and health systems recovery effort for a three-month deployment.
- 10. Words I Claire Polatidis Future paramedic Georgie Fraser is the face of a new generation of volunteers. Studying a Bachelor of Emergency Health at Monash University and working two part-time jobs, the twenty-two-year-old has a hectic schedule. But Georgie makes it a priority to volunteer weekly at Frankston Hospital. “I’ve always wanted a career in health and after finishing my Bachelor of Health Science at Latrobe, I looked at the Peninsula Health website for volunteering opportunities. “Since starting earlier this year, I can see that my interaction with patients is already benefitting my study in Emergency Medicine. It helps with my confidence and communication skills as I get to know patients and their stories.” Georgie is part of the Speak Up volunteer group, run through the Pharmacy Department, and she visits patients to ask whether they understand their medication or have any concerns. “Usually, we volunteer in pairs and speak with patients across wards following their surgeries. Some patients are hesitant about voicing their concerns to medical staff and with our encouragement they often feel more confident during their time at the hospital.” Georgie will soon join the ACE (Accident and Care in Emergency) volunteers in the new Emergency Department to further her experience with patients. “I am looking forward to helping people who are stressed, as well as seeing the various illnesses and conditions that patients experience.” She sees the role of volunteers as integral to the health service. “Patients appreciate the efforts of people who really want to share their time with them. Likewise, I always feel more positive after spending time with them.” “Now that my grandparents have passed away, my discussions with elderly patients are particularly meaningful. Learning a little more about their lives can expand your outlook on things – so volunteering is perfect for students and those interested in health. Volunteering, just like working in Emergency Medicine, is about helping people, giving something back and it’s interesting because every day is different.” Volunteering If you are interested in volunteering at Peninsula Health, contact our Volunteer Team on 03 9788 1536 or email communityparticipation@phcn.vic.gov.au Georgie Fraser Driven to make a difference 8 I CONNECTION “I always feel more positive after spending time with patients.”
- 11. Senior Project Manager Paul Ormrod at the entrance of the new Outpatients Area 1 Words I Claire Polatidis The project transforms the old Emergency Department into 20 consultation rooms and other treatment areas to provide a range of healthcare services for day patients. Project Manager Paul Ormrod explained the benefits: “This development brings the Women’s and Children’s Outpatient Unit into the main hospital building. An expanded Orthopaedic Outpatients Unit is co-located in the area, providing patients and clinicians much easier access to Radiology services. “The works were funded by the remainder of the Building A project, which included the new Emergency Department, opened earlier this year. Re-purposing most of the office equipment into the new clinical areas made significant cost savings to the new area,” Mr Ormrod added. Spring into the new Outpatients Area Previously, the Women’s and Children’s unit was located in an old building on the other side of Hastings Road. In its new location, there are better facilities to offer ante-natal care, birthing classes, paediatric appointments and gynaecological services. The Orthopaedic Outpatients Unit will see both elective patients needing to see Orthopaedic surgeons, as well as hospital patients needing follow-up appointments after surgery or treatment in the Emergency Department. Outpatients Model of Care Project Manager Nicholas McInnes said: “We have done a lot of work to improve our scheduling and workflows so that patients can be seen more quickly. “The clinicians and specialists were involved in the layout of their dedicated areas and we also incorporated the consumer’s perspective throughout the planning to make sure the solutions were practical. Clinical areas are grouped and colour coded to help patients navigate where they need to go. A new patient flow management system alerts clinicians when patients are ready to be seen, and allows them to track patients at every step of their outpatient journey. Patients can now use self-check-in kiosks and screens in the waiting areas alert the patient when it is their turn.” CONNECTION I 9 Frankston Hospital’s new Outpatients Area 1 is a day-unit facility combining Women’s and Children’s services and an expanded Orthopaedic Unit. It opens for business early September 2015.
- 12. 10 I CONNECTION Words I Silvia Dropulich Excess weight, especially obesity, is a major risk factor for cardiovascular disease, Type 2 diabetes, some musculoskeletal conditions and some cancers, according to the Australian Institute of Health and Welfare. As the level of excess weight increases, so does the risk of developing these conditions. Being overweight can hamper the ability to control or manage chronic disorders and as the level of excess weight increases, so does the risk of developing these conditions. Peninsula Health dietitian Erin Farnbach attributes obesity to many factors, high among them, is the fact that we are getting 35 per cent of our calories from the discretionary food group. “That’s 35 per cent of calories coming from non-core foods like chips, biscuits and pastry,” she said. “We don’t move as much, our plates have gotten bigger, and we are eating more. Eating is often done on autopilot – we don’t even know what we consume.” According to Ms Farnbach, maintaining a healthy diet at home is sometimes difficult – people are often busy so planning is essential. People living alone may be less inclined to cook or choose a takeaway option. To help you stay healthy we have provided some great but simple recipes that are easy to make and suitable for one person. These recipes have been supplied to Connection magazine courtesy of the Nutrition Australia Qld Division by funding from the Australian Government, 2005. Diet and obesity Healthy eating and physical activity are important for a healthy active life. An excess energy intake, even a small amount over a long period, will cause weight gain. Your Health Top tips for health Ms Farnbach’s top tips for keeping you healthy include: • Don’t diet - a healthy lifestyle does not depend on what foods you avoid – it depends on what you eat • Eat breakfast - eating breakfast does not have to occur the moment you wake up • Listen to your body – stop eating when you are full • When you eat, concentrate on eating – don’t watch TV or do other tasks at the same time • Don’t focus on weight goals – focus on being healthy instead. Healthy behaviours make us healthy.
- 13. Ingredients • 1 teaspoon oil • 1 medium onion, diced • 1 clove garlic, chopped • 1/2 teaspoon ground ginger • 1/4 teaspoon curry powder • 150g (51/2 oz) pumpkin, cubed • 1 medium potato, cubed • 1 cup hot stock • 3/4 cup milk • 1 tablespoon chopped parsley Serve with • pepper, 2 tablespoons natural yoghurt, bread Pumpkin, Potato and Parsley Soup Prep Time: 10 minutes Cooking Time: 20 minutes Serves: 2 Preparation 1. Heat oil in a medium saucepan, add onion, garlic, ginger and curry powder. Gently fry for 2 minutes. 2. Add pumpkin and potato and cook for 5 minutes, stirring occasionally. 3. Add stock, cover and bring to the boil. Reduce heat and simmer for 10 minutes. 4. Mash/blend pumpkin mixture until smooth. 5. Add milk and heat through. 6. Top with yoghurt, pepper and serve with bread. CONNECTION I 11 Easy and Healthy Recipes Ingredients • 200g (7oz) chicken, cut into strips • 2 teaspoons oil • 1 medium onion, sliced • 1 small carrot, sliced • 1 celery stalk, sliced • 1/2 large capsicum, sliced • 1/2 cup frozen/fresh beans, chopped • 1/3 x 440g can corn kernels, reserve 2 tablespoons of liquid Marinade • 1 tablespoon honey • 1 tablespoon salt reduced soy sauce • 1 tablespoon sweet chilli sauce or tomato sauce • 1/2 teaspoon ground ginger Serve with 150g rice or noodles, cooked Honey and Soy Vegetable Chicken Stir-Fry Prep Time: 14 minutes Cooking Time: 12 minutes Serves: 2 Preparation 1. Combine marinade in a dish. Add chicken and coat in mix. Allow to marinate while preparing the vegetables. 2. Heat oil in a frypan or wok. Add onion, stir-fry for 2 minutes. 3. Add chicken and marinade, allow to cook through. 4. Add remaining vegetables and corn liquid, cover and allow to simmer for 6-10 minutes. Ingredients • 2 sheets filo pastry, cut in half • 1 teaspoon oil • 1/2 x 410g can pie apples • 2 tablespoons sultanas • 4 dried apricots, quartered • 1 teaspoon cinnamon • 1 teaspoon sugar (optional) • 2 teaspoons milk • 1 tablespoon nut pieces (e.g. almond flakes) • 1/2 teaspoon nutmeg Vanilla Yoghurt • 1 cup natural yoghurt • 1 teaspoon honey • 1/2 teaspoon vanilla essence Fruit Strudel with Vanilla Yoghurt Prep Time: 10 minutes Cooking Time: 15 minutes Serves: 2 Preparation 1. Place one sheet of filo on a lightly oiled tray. Place next sheet of filo pastry on top. Lightly brush the sheet with oil and place last 2 sheets on top. 2. Place apples along one width of the pastry, sprinkle with sultanas, apricots, cinnamon and sugar (optional). Fold sides in, brush edges lightly with milk and roll up like a parcel, ensuring the join is placed on the tray. 3. Brush top with oil and sprinkle on nut pieces and nutmeg. 4. Bake at 200ºC until pastry is golden (about 15 minutes). 5. Combine all ingredients for Vanilla Yoghurt, mix and serve with Strudel. Ingredients • 2 eggs • 1 teaspoon margarine, melted • 2 tablespoons self-raising flour • 1/3 cup milk • 2 slices lean ham, diced • 1/2 medium onion, diced • 2/3 cup grated cheese • 1 medium tomato, sliced • 2/3 cup Vegetable Stir-Fry or 1/3 x 440g can corn kernels Serve with • lettuce leaves, torn • 1 tomato, sliced • 1/3 cucumber, sliced • 1/2 carrot, grated or sliced • 1/3 x 440g can corn kernels, drained • 2 bread rolls Quick and Easy Quiche Prep Time: 8 minutes Cooking Time: 30 minutes Serves: 2 Preparation 1. Combine the eggs, margarine, flour and milk in an oven-proof dish, mix well. 2. Add ham, onion, 1/3 cup cheese, Stir-Fry (or corn), top with tomato and remaining cheese. 3. Bake at 180ºC for 30 minutes or until set. 4. Serve with bread and salad vegetables.
- 14. 12 I CONNECTION Words I Claire Polatidis Medical teams tackle a wide range of challenges every day. They need to be prepared for the unexpected and respond quickly, with each person aware of what they need to do in a crisis. A child with a wheezy cough can quickly deteriorate. A patient allergic to an antibiotic may have a life-threatening reaction. A car-accident victim could experience sudden chest pains. These scenarios are played out every day at Peninsula Health’s Simulation Centre. Director of Clinical Training Dr Kathy McMahon explains: “Using the Simulation facilities we can create realistic clinical scenarios for staff and students to act out. Our state-of-the-art mannequins register vital signs such as heartrate, breathing and blood pressure, and they become a virtual patient.” The computerised feedback instantly shows the participants the result of their actions. Medical teams can also incorporate the human factor, such as their communication in a crisis. Currently based at the Mount Eliza campus, the Simulation Centre is preparing to move to Frankston Hospital where it will complement the teaching and training facilities offered there. Simulation Centre – virtual teaching to move to Frankston “Our experienced medical and teaching staff are committed to patient care and safety. They will soon be able to incorporate virtual training and more team training at Frankston Hospital, the major medical teaching centre for the region.” Using simulation facilities can create realistic clinical scenarios Dr Kathy McMahon
- 15. World-first simulation patient safety research at Peninsula Health Words I Eliza Keck Peninsula Health is partnering with Monash University and Monash Health to conduct world-first research into the impact of providing falls prevention training to undergraduate health professionals. “We hope to deliver a world-first economic analysis to determine the impact of falls prevention simulation on inpatient falls, and demonstrate the relevance of this research across a broad range of health settings,” said Peninsula Health researcher, Dr Cylie Williams. “Accidental falls are one of the most common and costly threats to patient safety in healthcare institutions. “By conducting this research, we hope to find a cost-effective way to reduce the incidence of falls in hospitals.” Dr Williams said undergraduate health professionals are ideally suited to participate in the study. “Students generally have the most time to talk to patients while they’re on wards and they will already be training in the simulation centre so it makes sense to incorporate falls prevention communication in their training.” The idea to conduct the study came from research by the Australian and New Zealand Falls Prevention Society. “They found that falls prevention strategies just aren’t being taught at an undergraduate level or if it is, it’s at a very limited level with a lot of non-evidence based or old-evidence based interventions. “A lot of the time students practice with a peer in the classroom, which is very different to real situations,” said Dr Williams. Dr Williams said the inter-professional simulation training will also enable better cohesion between doctors, nurses and allied health professionals. “We’re hoping to have tutors from a variety of disciplines because everyone looks at falls slightly differently, depending on their discipline.” The research will begin later this year. CONNECTION I 13 Dr Cylie Williams “Accidental falls are one of the most common and costly threats to patient safety in healthcare institutions.”
- 16. Retiring after nearly 50 years of service Gay Ellis retired recently after nearly 50 years with Peninsula Health. Gay started working at Frankston Hospital in 1966. She remembers a very different hospital in the sixties. There was only one theatre and surgeons would travel from the city to operate. The hospital depended on local GPs who shared a roster to cover admissions to the Emergency Department (known then as Accident and Emergency). “Since then I have seen the hospital grow to two, four and now eight theatres although I won’t be working to see the ninth one,” she said. After taking some time off to have three children, Gay returned in 1974 working nightshifts for 18 years so she could care for her family during the day. She progressed to Associate Nurse Unit Manager before transferring to day shifts. Mother of four and grandmother of eight, Gay plans to stay in touch with her good friends at Frankston. Her positive energy and commitment to patients is legendary. Thank you for your years of service to the community Gay. In Brief: Words I Silvia Dropulich Inaugural Award Recognises Physiotherapist Congratulations to Peter Hough, the inaugural winner of the Noosh McGrath Excellence in Physiotherapy Award. Established earlier this year, this Peninsula Health award recognises the dedication and commitment of the late Noosh McGrath, a senior neurological physiotherapist at Golf Links Road. Peter, who has worked at Peninsula Health for 27 years, is a Senior Inpatient Physiotherapist at the Mornington Centre. He received the award for his commitment to patient centred care, excellence in physiotherapy service provision, and patient and staff advocacy. Volunteers give decades towards building a healthy community Twenty-one people across the Mornington Peninsula with a combined 325 years of serving the community were recognised at the Peninsula Health Volunteer Appreciation event in May. Two volunteers celebrated 25 years of service to Peninsula Health. Norman Summers, a member of the Men’s Auxiliary and a regular at the Frankston Integrated Health Centre help desk, and Frankston Hospital Pink Lady Margaret Jay were the longest serving volunteers to be recognised Peninsula Health has a strong volunteer base of more than 750 people giving their time and energy to make a positive difference. More than 400 volunteers attended Peninsula Health’s Volunteer Appreciation event, held annually for National Volunteers Week. 14 I CONNECTION
- 17. In Brief: Words I Silvia Dropulich New machine touches a generous nerve Local patients undergoing surgery are at less risk of nerve damage than ever before thanks to a state-of-the-art Nerve Integrity Monitor purchased with funds generously donated by the Harry Secomb Foundation, managed by Perpetual Trustees. The state-of-the art machine identifies, confirms and monitors nerve function to help reduce the risk of nerve damage during surgical procedures. Top three local health issues Lung disease, violence against women and children, and diabetes are the main issues facing the Mornington Peninsula community, according to Dr Helen Keleher, adjunct professor at Monash University. Dr Keleher was speaking at Peninsula Health’s annual Open Access event in May. The City of Frankston is in the top three areas in Victoria for the number of family violence incidents; rates of death from lung cancer are significantly higher in Frankston and slightly higher in the Mornington Peninsula Shire than Victoria overall; and around 7 per cent of Frankston residents have reported as having Type 2 Diabetes (1.5 times the Victorian average). International Nurses Day Peninsula Health CEO Sue Williams paid a special tribute to nurses on International Nurses Day on 12 May. “I would like to acknowledge the incredible work that our nurses do at Peninsula Health,” Ms Williams said. “As the single largest profession in the health workforce, there are myriad career paths that a nurse can take. In my experience, both as a nurse and now as a CEO, all nurses choose to work with the same fundamental goal: to ensure our patients and clients get the best quality of care.” Peninsula Health Volunteer Wins 2015 Minister for Health Volunteer Award Julian Conlon, Chair of Peninsula Health’s Gay Lesbian Bisexual Transgender Intersex and Queer (GLBTIQ) Community Advisory Group, has won the Outstanding Individual Achievement by a Volunteer: Supporting Diversity Award at the 2015 Minister for Health Volunteer Award. Julian’s win marks the sixth year in a row a Peninsula Health volunteer or volunteer group has won a Minister for Health Volunteer Award. Frankston Hospital’s Stage 3 Volunteer Team, of which Julian was a member, was also nominated in the Innovation category and the President of Frankston Hospital’s Pink Ladies Auxiliary, Pauline Ellerby, was nominated for a life-time achievement award for her 24 years of service. CONNECTION I 15
- 18. 16 I CONNECTION The agonising wait Words I Eliza Keck Neil Batchelor has battled cancer and severe pancreatitis for years. In 2010 he was referred to Peninsula Health’s Head of Endoscopy, Dr Leon Fisher, who decided Neil needed a diagnostic test using an Endoscopic Ultrasound (EUS) machine. The test is non-invasive, low-risk and takes less than an hour to complete. But there isn’t an EUS machine on the Mornington Peninsula. The local resident was put on a waiting list at the Royal Melbourne Hospital. This posed a significant challenge for Neil. “I can’t drive in the city and they said I couldn’t go home on public transport. “In the end my daughter had to take the whole day off work to take me in,” Neil said. Since his first procedure, Neil has been seeing Dr Fisher regularly for treatment. “I’ve had 18 ERCP’s [Endoscopic retrograde cholangiopancreatography] at Frankston in the past five years but they don’t give Dr Fisher the same level of detail as an EUS machine.” Without this machine, not only do local residents like Neil have to travel further, but they also have to wait longer for diagnosis and therefore treatment. Recently Neil was put on a waiting list once again. This time he had to travel to Epworth Hospital, but he doesn’t regret the long journey. “During the procedure they found a cyst. All the other tests hadn’t shown anything. It shouldn’t have been there. “Because of the EUS machine they could treat it then and there. It could have been much worse. “Having an EUS machine at Frankston Hospital would make a tremendous difference. It can do so many things; it is amazing how many people it could help.” Neil, pictured with his wife Val, has to travel to the city for treatment “Because of the EUS machine they could treat it then and there. It could have been much worse.” HELP DETECT AND TREAT CANCER SOONER An Endoscopic Ultrasound (EUS) and Endoscopic Bronchial Ultrasound (EBUS) machine helps doctors diagnose life-threatening illnesses like pancreatic cancer, lymphoma and lung cancer. Having the machine available locally will mean faster and more accurate diagnosis for people like Neil Batchelor living in our community. And faster diagnosis leads to faster treatment. But the machine is expensive. That’s why we need your help to raise $500,000. Your donation today will help detect – and treat – cancer sooner. Every dollar counts and takes us a step closer to our goal. To make a tax deductible gift today call our Fundraising Coordinator, Renee Mazzoni, on 03 9788 1284 or visit peninsulahealth.org.au/cancer. We’ve reached 10% of our goal – help us reach 100%. Every dollar counts! $500,000 $50,000 $100,000 $200,000 $300,000 $400,000 OUR GOAL $
- 19. Thank you We are so grateful to our wonderful donors and supporters. Their extraordinary generosity helps give the highest quality of care to our patients and their families. In the last quarter we received the following donations over $1,000 • All Saints Anglican Opportunity Shop • Blairgowrie Senior Citizens Club • Mr Donald Clifton • Dromana Dee’s • Endeavour Court No 2, The Order of the Amaranth Inc • Esso Resources Australia • Estate of the late Ruby Allison • Estate of the late Paul Douglas Daniel • Estate of the late Sylvia Harris • Harry Secomb Foundation, managed by Perpetual Trustees • Joe White Bequest • Mrs Dorothy Kenny • Lions Club of Dromana • The Michael and Janet Buxton Foundation • Peninsula Boys Car Enthusiasts • Rosebud Country Club • Rosebud Hospital Kiosk Auxiliary • Rosebud Rock’n’Rods Festival • Rotary Club of Mornington Inc • Rotary Club of Sorrento Inc • Mr Greg Shalit Ms Miriam Faine • Sorrento Golf Club • Sorrento/Portsea RSL Women’s Auxiliary • Mr Mrs Woods We would also like to thank and acknowledge our many anonymous donors for their ongoing support. Donate today Yes, I want to help give the highest quality of care to patients and their families. I would like to give: All donations over $2 are tax deductible. Please give generously. I would like to give to: Where it is needed most Frankston Hospital Rosebud Hospital Palliative Care Aged Care Mental Health Community Health Payment details I would like to pay by: Cheque Credit Card Credit card details VISA MasterCard Card Number Expiry date: Cardholder’s name: …………………………………………………………………… Cardholder’s signature:……………………………………………………………… Your details Name/s:……………………………………………………………………………………… Address: …………………………………………………………………………………… Postcode:………………………………State: ………………………………………… Phone:………………………………………………………………………………………… Email: ………………………………………………………………………………………… Please return to: Fundraising Team Peninsula Health PO Box 52 FRANKSTON VIC 3199 Please send me information about how I can: host my own fundraiser include Peninsula Health in my Will become a regular monthly donor volunteer my time $25 $ ……………………………………… (an amount of my choice) $50 $100 $250 $500 (giving us your email address helps us to reduce our postage costs) Peninsula Health respects your privacy and observes the provisions of the Privacy Act 2001. To change your communication preferences, please call us on 03 9788 1284. ABN 52 892 860 159 Peninsula Health Supporter Hotline: 03 9788 1284 engagement@phcn.vic.gov.au www.peninsulahealth.org.au/donatenow
- 20. MEPACS Your 24/7emergency call system If you live independently, or have an elderly relative who lives alone, MEPACS provides peace of mind that help is always just moments away. At the touch of a button we’ll respond quickly at any time of the day or night and organise help straight away … from a family member, a neighbour or an ambulance. To find out if you qualify, or for more information, call us on 1800 451 300 or visit mepacs.com.au Dependable. Reliable. Affordable. Personal Assistance Call ServiceA service from Peninsula Health Peninsula Health