Our work Our year 2015-16 Annual Report
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A message from our Chair and CEO We are proud to present Our work, Our year. We believe it provides valuable insights into the key issues affecting Aboriginal and Torres Strait Islander people in the Brisbane and Logan community and how we are working towards reinstating the wellbeing of our people: person by person, family by family, generation by generation.
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At a glance—our highlights
Healthy bodies, healthy us
3
Supporting our community with chronic illness
8 12
Healthy smiles, healthy us
15
No shame in talkin about it—social health and wellbeing
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Our youth, our future
18
Keeping our mob together
Supporting vulnerable women and children
19 20
Looking after our elders
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Connecting with our community
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Leading the way: meet our Board
Our financial health
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Our year ahead Artwork: Contemporary Connection • Artist: Elaine Chambers-Hegarty
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O LY G BIL
RHAM, CH AIR
A message from our Chair & CEO
URRIE, C DY C EO JO
Although a challenging year, have seen some great achievements and set new directions for our future.
“ It is extremely satisfying to look back over the year and know that our people and the community’s lives have been made all the better by the work of our organisation and dedication of our staff”
You will see highlights of our year throughout this report, our work a testament to the expertise and dedication of our staff. Our staff are central to our ability to deliver on needs of our clients and community. We sincerely thank current and former staff of ATSICHS for their professionalism and commitment to our people and our community. In particular Wayne Ah Boo, who led the organisation as CEO for six years, departing at the end of last year. The community and our clients are at the centre of everything we do, and we humbly acknowledge them for taking control of their health. For these achievements are not just ours to celebrate. They are our peoples and our community’s. We embrace our role as leaders. Only some seven years ago saw the creation of the Institute of Urban Indigenous Health. It is through our partnership with them that we are able to deliver the quality of services that we do. As we move into the future it is vitally important that we continue to build and consolidate on the key role that it plays in setting the agenda of Indigenous health and wellbeing in South East Queensland. We would also like to thank the Board and Senior Management team, past and present, who enable us to deliver on our vision—to be world leaders in Indigenous health and social support services being provided in an urban setting. Finally, thank you to all of those who have come before us who have contributed to the legacy we have created over the last 40 plus years. We have had another great year, with great achievements being realised as a direct result of our joint commitment and efforts.
At a glance...
A TSICHS Brisbane is a not-for-profit community owned health and human services organisation delivering on the unique health needs of Aboriginal and Torres Strait Islander people in greater Brisbane and Logan. We are determined to create a flourishing future and lasting legacy for our people and our community. W e are the largest, most comprehensive Aboriginal Medical Health Service in Queensland, and Australia’s second oldest. W e pride ourselves on providing health and community services, our way— supporting our people and community in pursuit of our commitment to create a flourishing future and lasting legacy for them and their families.
Our Work, Our Year
1
Key Highlights... We grew, with 43, 029 visits to our doctors.
We implemented a quality management system.
We expanded our dental services, with 6, 799 visits to our dentists and a 24% increase in denture and lab work.
We introduced new models of service—re-focussing our social health and youth services to better align with our community needs.
We supported our most in need clients with our care coordinators providing 20, 347 episodes of care.
We upgraded our patient software system to MMEX so our patient information system is better— meaning better connections for our patients.
Our patients made 16, 631 visits to our team of allied health and medical specialists. We are in the process of expanding Jimbelunga our aged care service, which will mean an extra 19 beds.
We are proud to have been approached to take over management of Joyce Wilding, increasing the numbers of mums and children accessing support and providing wrap around health services.
We welcomed a new senior management team committed to improving primary health care and community services for our people.
Key Facts Founded: 1973 Our staff: 252 We have: 5 medical clinics, 2 dental clinics, a mums and bubs program, an aged care facility, family and child safety services, social and emotional wellbeing program and a youth service. Our patients: we have 8,030 active patients on our books, which represents over 70% of our community accessing our services.
Our specialists: we have a range of visiting specialists including child, family & maternal health, ophthalmology, paediatrician, cardiologist, gynaecologist, dermatologist, geriatrician & endocrinologist
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2015-16 Annual Report I ATSICHS Brisbane
We offer: in conjunction with IUIH we provide a range of allied health services including physiotherapy, audiology, diabetes education, dietician, occupational therapy, podiatry & speech pathology
Healthy bodies, healthy us
We operate five medical clinics that provide comprehensive general and specialty medical services to our community in the greater Brisbane and Logan area.
Our clinical services are committed to providing what our community want, because our people want to live longer and be healthy.
Our health services are provided by a dedicated team of doctors, nurses, Indigenous health workers, allied health professionals and administration staff.
We implement progressive programs that promote enjoyment, participation and happiness in the health journey.
Our teams are committed to providing access to quality health assessments that lead to positive health outcomes for individuals and families.
We proudly commit to partnership opportunities that deliver the best services to our patients across the lifespan.
Our Work, Our Year
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Highlights of our work this year... Our allied health and specialist services have increased meaning, more wraparound care and more appointments available when our patients require them.
We introduced a nurse diabetes educator to our Logan clinic providing improved health care for clients with diabetes.
We are delivering more care into the homes of our people who depend on our services and support.
We continue to partner with IUIH to provide better services, better promotion and better engagement with our community.
We were award winners for superior consumer engagement meaning our consumer feedback is important to our organisation.
We have a full complement of GPs, including GP relievers to improve continuity of care providers and service delivery.
We welcomed new leadership through a new senior management team committed to improving primary health care service delivery.
We completed new health check days with new schools in the region promoting better health to our young people.
Our patient information system is better—meaning better connections for our patients to our clinicians and clinics.
We strengthened our clinical governance processes with a focus on providing the highest quality health service to our community.
+
2402 NEW PATIENTS
8030
ACTIVE PATIENTS
3 VISITS IN THE LAST 2 YEARS
43,029 PATIENT VISITS TO OUR DOCTORS
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2015-16 Annual Report I ATSICHS Brisbane
3584
HEALTH CHECKS
An Aboriginal and Torres Strait Islander health check is a full health assessment completed yearly with our patients. It marks the very important beginning of a health journey for an individual.
1142 1080
CARE PLANS
Care plans are done annually and assist those who have a chronic illness to work with our medical staff to find the best ways to manage their health throughout that year.
450
TEAM CARE ARRANGEMENTS
Team Care arrangements are discussed at the time of care plans. A team care arrangement ensures our patients are provided with the support they need from our team of health professionals i.e. allied health, Aboriginal health worker
1166 CARE PLAN
REVIEWS
A review of care plans and team care arrangements can be done every three months, the medical team work with patients make any necessary changes that they may need in the initial plan.
GP MENTAL HEALTH TREATMENT PLANS
Mental health treatment plans are done on a yearly basis and are reviewed every three months. Mental health treatment plans are very much like a care plan but specifically for mental health care needs. Our clients work with the medical team to achieve their desired outcomes.
Our Work, Our Year
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Logan mums and bubs Logan Mums and Bubs provides a contemporary and modern approach to family medicine for Aboriginal and Torres Strait Islander families in the Logan area. Traditional services such as ante-natal and post-natal care are provided in a personalised culturally appropriate service delivery environment. Our families feel safe and secure when visiting the service and prefer it when seeking support on lactation, immunisation, contraception advice and child health and development check ups.
Overall our model promotes: B etter access for our clients to ‘in house’ children’s speech and OT. Better access to an ‘in house’ paediatrician on a regular basis. Community engagement activities that promote culture, birthing and healthy families—belly casting, murals by local people, community days, health check days and a children’s book launch in local dialects.
Clinically our model promotes: Increased uptake of women’s health services i.e. screening for women’s cancers. Higher than average pap smear rates Logan Mums and Bubs achieves a higher rate of women screened on a consistent basis. Logan Mums & Bubs
State AMS average
Australia AMS average
Pap smear rate1 (2 years)
38%
28%
31%
Pap smear rate (3 years)
44%
35%
40%
Pap smear rate (5 years)
52%
41%
48%
AMS: Aboriginal Medical Service; 1. Rate = % of women aged 18-69 who have had a pap smear in the timeframe
Why are we achieving these rates: Our clinic boasts 50% Indigenous staff, 100% female staff with 80% full time staff. We provide a holistic wrap around service which includes family medicine, addressing acute and chronic presentations. Our systems are efficient and linked—we actively recall our patients for routine checks.
Going forward Our clinics are focussed on providing the best possible care for our clients. Our focus for our health services will be on providing more services where there is need. 6
2015-16 Annual Report I ATSICHS Brisbane
Improved diabetes results for patients who access our Logan clinic for diabetes care... cohort of patients who were at high risk for complications from A diabetes showed dramatic improvement over a six-month period with their Hba1c test on average reduced by 2.2%. p to date research indicates that these reductions will lead to U substantially improved health outcomes in the years to come.
15%
reduction in all-cause mortality
40%
reduction in fatal and nonfatal heart attack
50%
reduction in diabetes related deaths
he flow on effect will be profound—improved quality T of life for our patients, contributing to stronger families and communities.
How we are achieving this improvement Upskilling of one of our full-time nurses to become a diabetes educator who is now available every day in the clinic to: 1. connect, support and follow up patients who have diabetes 2. provide clinical support to our GPs and education to the clinic team 3. facilitate access to Endocrinologist consultation via telehealth.
Our work in action...
Rory* is a 40-year-old man who visits our Logan clinic. He admits he wasn’t managing his diabetes very well and wanted some help... When talking with the team he said, “Look I’ve been working hard and raising a family and I got no time for my own health.” He had recently retired and wanted to make some changes. Rory spoke to our Diabetes Nurse, “I’m ready to take control… and yeah, let’s try that new medicine.” Our nurse told Rory the medicine had to be injected twice each day and gave him a demonstration on how it is done. “Well that looks easy enough,” Rory said. So after a demonstration and some practice, he went home to start his new medicine. After only a couple of months Rory noticed his blood sugar levels had changed and his overall management had improved. Rory and the team at Logan reduced his health risks, he feels better and he’s taking control of his health. Anne Finch, Registered Nurse, Diabetic Nurse Educator, Logan Clinic *To protect our clients’ privacy name and image are changed
Our Work, Our Year
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Supporting our community with chronic illness Our care coordinators help manage all the health needs of our clients with chronic illnesses. Chronic disease amongst our clients and community is prevalent due to social, emotional, economic, physical and genetically exposed components and or barriers. Across our five clinics, 492 patients are enrolled on the Care Coordination and Supplementary Services Program (CCSS) and are actively receiving care and coordination from our care coordinators. The higher volume and complexity of patients’ chronic disease remains with our Logan clinic with 140 patients actively enrolled on CCSS. Woolloongabba’s list also remains heavy with 137 patients enrolled on the program. Northgate’s enrolment has increased significantly with many of our clients identified as requiring care coordination support. The program currently has 111 patients actively enrolled at Northgate. Browns Plains currently has 71 patients receiving care coordination and this number continues to steadily rise. Acacia Ridge Care Coordination program is now fully up and running, has seen the enrolment numbers start to progressively rise, to meet the needs of chronic disease patients.
What illnesses are identified as chronic illnesses? Diabetes Mellitus COAD (Chronic Obstructive Airway Disease) Emphysema Asthma Heart disease, stroke, other vascular disease Osteoarthritis Chronic kidney disease Developmental delay, autism spectrum disorders
“ People come in and ask for us by name—wanting to tell us there stories, how their week has been, some of our elderly clients ring up to ‘check in’ let us know they are doing well, which is good because it means we can trouble shoot and be on top of things to prevent hospital admissions or things going wrong, because we are always in the loop”
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2015-16 Annual Report I ATSICHS Brisbane
Highlights of our work this year... I ncrease in visits to allied health services Services which have been increased to assist patients enrolled in CCSS are Occupational Therapy, Optical and Diabetic Nurse Educators. Funding has been secured for a further two years from North and South PHNs for continuation of the CCSS program. Astounding results An external audit into the IUIH Care Coordination program over a period of eight months revealed astounding results. The evaluation and final report was prepared and written by The Wardliparingga Aboriginal Research Unit by Dr Brita Pekarsky.
As with ATSICHS patients enrolled on the CCSS program the report supported the growing number of clients requiring CCSS to a staggering increase across the south-east of 29% per month for the years of 2014 and 2015. erioperative care of cataract patients P This year we joined the IUIH eye health team, who are responsible for perioperative care of cataract patients. Many ATSICHS patients have been amongst the list of surgery recipients with remarkable results.
It found that CCSS contributed heavily to the influx of numbers in patient’s receiving implemented, in-depth care plans pertaining to their chronic disease.
Our work in action...
Michelle* is a 32-year-old woman who has been on the CCSS program for three months. She currently lives with her family and has a long history of intermittent homelessness and mental health substance use. She is obese and also has DM II... In the short time that Michelle has been on our program I have worked very closely with her to coordinate her care and to get her to and from many of her specialist and doctor appointments and reviews. Some of the specialists that she has been involved with are a hematologist, gynecologist, diabetic educator, dietician, podiatrist, dentist and mental health services. When I first started working with Michelle she struggled with activities of daily living as she had severe iron deficiency anaemia—she struggled to shower and dress herself, cook meals, and do her house work, etc. Three months on and although Michelle still has a long way to go in regards to her mental and physical health she says that this is the best that she has felt in a very long time and is feeling so much better both mentally and physically. Pearl Heke, Care Coordinator, Acacia Ridge *To protect our clients’ privacy name and image are changed
Our Work, Our Year
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Care coordinators are in place to ensure that our patients have the opportunity to access and receive the best possible care timed for when it is most needed
Logan
They do this by providing clinical care such as clinical reviews in our clinic or at the patient’s home, wound management, blood pressure or blood sugar checking and attending appointments with patients. They also work tirelessly behind to scenes arranging allied health and specialist appointments, transport to medical appointments, social supports and wellbeing checks – this is care coordination.
Care coordination services
1753 EOC
6158 EOC
Care coordination
Total 7911 EOC
Direct clinical care by the care coordinator
EOC = episode of care
Supplementary services
7107
Allied health visits
Gabba
2613
Specialist visits
Care coordination services
3766 EOC
Care coordination
1066 EOC
Supplementary services
Allied health visits
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2015-16 Annual Report I ATSICHS Brisbane
EOC
Direct clinical care by the care coordinator
EOC = episode of care
2991
Total 4832
635
Total 3626
supplementary services
Specialist visits
Total 9720
supplementary services
Browns Plains
2440 EOC
Care coordination
Total 2971 EOC
Direct clinical care by the care coordinator
Care coordination services Total 3300
1036 EOC
2264 EOC
EOC
Care coordination
Care coordination services 802 EOC
531 EOC
Care coordination services
Acacia Ridge
Direct clinical care by the care coordinator
531 EOC
Northgate
Total 1333 EOC
Care coordination
Direct clinical care by the care coordinator
Supplementary services
Supplementary services
supplementary services
Allied health visits
Total 1592
423
901
Total 1095
supplementary services
Specialist visits
Allied health visits
Specialist visits
175
Supplementary services
691
EOC = episode of care
277
EOC = episode of care
818
EOC = episode of care
Total 598
supplementary services
Allied health visits
Specialist visits
Our Work, Our Year
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Healthy smiles, healthy us We provide a wide range of oral health and dental services through our dental clinics at Woolloongabba and Logan working to improve the oral health of our clients. Our team is made up of senior dentists, dentists, dental technicians (based in Woolloongabba), dental assistants and final year dental students. We support the training of dental students, by providing clinical placements for final year dental students throughout the year.
Our dental clients
3043 MALES
1862 51+ Years 1313 41-50 Years 1152 31-40 Years 1248 21-30 Years
3756 FEMALES
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2015-16 Annual Report  I  ATSICHS Brisbane
827 11-20 Years 404 0-10 Years
6799
Total dental patient visits
Highlights of our work this year... Increase in patient visits and denture work We saw a 6% increase in patient visits from 6,406 in 2014-15 to 6,799 this year. There was also 24% increase in denture/lab work from 377 in the previous year to 469. We also started undertaking some orthodontic cases. Expanding our service Funding was approved for the extension of our Woolloongabba dental lab and an additional surgery. This work will be completed by the end of 2016. Working with our community for our community During the year we formed a number of key partnerships including: placements of 5th year University of Queensland dental students, vocational placements for Certificate III in Dental Assisting students from Southbank TAFE and worked with IUIH on denture and crown & bridge referrals and dental student placement.
Health promotion is at the core of our work During the year we participated in a number of health promotion activities including NAIDOC where we gave away toothbrushes, toothpaste and oral health information. Our dental assistants also worked with the Murri School focussing on oral health promotion activities with the students and their families. Ensuring our staff are skilled To ensure our dental staff are up-to-date all staff attended Infection Control Update Radiation Safety Training, CPR and completed the First Aid and Hand Hygiene Australia Module. Other courses included: World Congress in Dental Traumatology, Practical Oral Surgery, Dental Assistant’s Conference and Analgesia/Nitrous Oxide Training.
Our work in action...
Over the school holidays, while swimming in the pool, accidents are bound to happen! Vernon cracked his tooth. He thought he couldn’t smile again! Big shout out to the Woolloongabba Dental Clinic.
Now he can’t stop smiling. Adelaide Saylor, Mum
Our Work, Our Year
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Denture and crown work 18
Relines
121 44
140 60
Repairs
Crown work
Treatment statistics 1525 Extractions
1354
Emergency exams 332
Surgical extractions
71
1056
Cleaning & periodontal treatment
2001 Fillings
1357 Examinations
283
Root Canal Treatments 14
2015-16 Annual Report I ATSICHS Brisbane
FULL DENTURES
Fissure Sealants 340
PARTIAL DENTURES
Temporary Fillings
No shame in talkin about it Our Social Health team comprises a multidisciplinary team of psychologists, social workers and counsellors who provide free accessible mental health services for Indigenous people residing in the wider Brisbane and Logan area.
Highlights of our work this year... Refocussing our service Over the past year we have seen a significant positive growth in the mental health services we provide. Previously there were two separate mental health teams—the Woolloongabba Healing Centre and the Logan Social Health Team. A revamped approach was created by merging the two teams, creating one single team to help service all of our clinic locations—from Northgate all the way through to Browns Plains. No matter which clinic families visit, we now have services available. A new single mental health team The Social Health Team is made up of more qualified staff, including a social health manager, senior psychologist/clinician, two psychologists, two social workers, a counsellor and a child and youth psychologist. Together the new team provides a range of mental health and social support services, assessment and therapies to help individuals and families cope with challenges in their life. Expanding our client base The Social Health Team also began delivering mental health services to children, young people and their families. This is a first for ATSICHS Brisbane. Our child and youth psychologist works with families in managing complex behaviours, learning difficulties of children, substance misuse in adolescents and underlying trauma.
Going forward The new Social Health Team will provide group programs and expand our Social Health team to provide more comprehensive mental health and social wellbeing services at our Northgate clinic. Overall, the new single team is all about working together, across our entire community.
“ Our new single team is all about working together, across our entire community, no matter which clinic a family visit, we now have services available”
Our Work, Our Year
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Our youth, our future
Our Youth Service (AYS) provides support to young people—from help with school issues, finding a job or relevant training, building family connections, housing, health care, coping with stress and mental health issues, to accessing drug and alcohol treatment. Our Youth Service works in community to build a brighter future for our young people.
Highlights of our work this year... Refocussing our service The ATSICHS Youth Service formerly known as the Indigenous Youth Health Service (IYHS) has had some positive wins this year. We are on a path to developing a sustainable youth service that builds flourishing young people in our community. To do this, we have gone from three (3) full-time Case Workers and two (2) casual Case Workers to now having a comprehensive team of six (6) full-time Youth Case Managers. We have also employed and additional two (2) Junior Support Workers in our efforts to build a youth-led strategy to the services we provide.
Expanding our services The Youth Service has also begun delivering school health checks and wellbeing screening at local schools. This approach helps identify young people who are at-risk of experiencing challenges in their life before it escalates to a bigger problem. This is the new ATSICHS youth service approach—providing support earlier. A more targeted focus Our bolstered youth team has also placed a more targeted focus on supporting young people to achieving goals. One such example includes one of our youngest team members’ success in re-engaging a young girl back into school.
“Providing support earlier” 16
2015-16 Annual Report I ATSICHS Brisbane
Our work in action...
As the youngest member of the Youth Service team, Marlee has found he is able to help create positive change in a young person’s life by relating to the young person on their level... On Marlee’s first day with AYS, he met Taylor* a young 15-year-old girl who had previous trouble with the law. Taylor had not been enrolled in school for sometime. Through casual conversation and genuine interest, Marlee was able to identify her interests and, with another Case Manager, took Taylor on a tour of a flexible learning centre which offered a flexible approach to schooling. While on the tour, Marlee noticed she became agitated and claimed other students were staring at them. Marlee pulled on his previous experience of a similar situation and, through genuine concern and a little bit of humour, Marlee was able to reassure Taylor. Marlee continued to relate to her on a social and cultural level and through their time together was able to build a positive relationship. Through this positive relationship, Taylor is now attending school with the support of Marlee and the Youth Service team. Marlee, AYS Youth Worker (pictured) *To protect our clients’ privacy name has changed
“ACPA sees its partnership with ATSICHS as vital to ensuring the health and wellbeing of our students...” Young and emerging indigenous artists face a number of challenges in learning their craft. To help build resilient creative performing artists, ACPA seeks to support each learner with access to advice, counselling and mentoring in the broad range of skills needed to live and work in contemporary Australian society. By partnering with ATSICHS, ACPA gives our students additional, personal support. The range of services available to our students encompasses all potential impediments to a student achieving their potential. These services are all the more important for a young person coming from a regional or remote community for the first time to study in Brisbane. ACPA is confident that this partnership will lead to better student outcomes such as retention and graduates well equipped with life skills that supports their creative practice. Dr Dimitri Kopanakis, CEO, Aboriginal Centre for the Performing Arts
Our Work, Our Year
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Keeping our mob together Our Indigenous Family and Child Support Service (IFACSS) team comprises of a range of family support, advocacy and foster and kinship care staff who support families in keeping children in culture and growing resilient families.
Highlights of our work this year... Growing our service offering Over the past year we have continued to grow the suite of child protection services to further empower our families. The IFACSS team now includes a new program—Intensive Family Support and the Family and Child Connect (FaCC) service. The Intensive Family Support service works with families in their home to overcome the challenges of parenting and build the confidence of parents to facilitate personal and family empowerment.
Working in partnership This year we have worked in partnership with Kurbingui Youth Development and Mercy Community Services to deliver the Queensland Government’s new Family and Child Connect (FaCC)—a service that helps families connect with the right service, at the right time. The partnership approach is a stepping stone for ATSICHS in further working closely with other Aboriginal Community Controlled Organisations and mainstream non-government services into the future. Supporting children who are in care of the child protection system Our growth has also shown promising signs with our bolstered response to support children who are in care of the child protection system. To date, we have worked with 20 families to reconnect and reunify parents with their children. Our focus has also been on increasing kinship care when children are unable to live at home. Keeping children with extended family members (kinship) is a positive path and already we have supported 56 kinship placements.
oving forward M A core focus in the next 12 months is boosting kinship care with a new overhauled plan to keep families together and our children in culture.
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2015-16 Annual Report I ATSICHS Brisbane
Supporting vulnerable women and children The Joyce Wilding Hostel is an 18–room, 27–bed facility that provides shortterm accommodation for vulnerable women and children. Meals and access to a range of health and social supports are also provided. The hostel has been a long–standing accommodation refuge for vulnerable women and children since the 1970s. As an established service in the Brisbane community, we were approached to take over responsibility of the Hostel in late 2015 to ensure it continued to operate.
Highlights of our work this year... Increasing tenancy rates The hostel has traditionally operated as a crisis accommodation and transition housing service, targeting Aboriginal and Torres Strait Islander women and their children who are homeless or at risk of homelessness. Since assuming responsibility, we have successfully managed to increase the tenancy rates from less than 15% room occupancy rate in November 2015 to 94% room occupancy rate as at June 2016. During this period there was also an increase of residents to 75.
Providing a safety net The importance of Joyce Wilding Hostel is about providing a safety net for women and children that have nowhere else to live. The Joyce Wilding Hostel safety net is becoming stronger. Our plan is to further improve our ability to provide better services in the coming year.
“Providing a safety net for our women and their kids”
Our Work, Our Year
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Looking after our Elders
Jimbelunga provides residential aged care services with a bed capacity and licensing for 55 residents. We provide our residents with the highest standards of aged care in a supportive and caring environment and culturally appropriate framework. We are focused on improving and expanding to meet the growing demand for culturally appropriate residential aged care services in Brisbane, underpinned by an ageing population and increasing demand for higher care services.
Highlights of our work this year... Increasing our capacity The first stage of the new build and expansion project has been completed and our residents have settled in. The next stage involves the refurbishment of the existing nursing home building known as Casuarina, which will see sees the rooms turned into large sized single rooms with shared ensuites and a new seven bed secure unit (formerly known as dementia units). The final stage will see relocation of our residents into Casuarina and the demolition of our three small units and a new building built that will link directly to the stage 1 building. Due date for completion is February 2017. Waiting lists Jimbelunga has an extensive waiting list for both male and female residents. We pride ourselves on word of mouth throughout local communities and hospitals which has allowed us to continue to have waiting lists. From low care who require minimal assistance through to people who are in hospital or home with full-time carers and require a high level of clinical care. We have daily enquiries about Jimbelunga and the care it provides to both Indigenous and non-Indigenous people.
Increase in referrals There has been a significant increase in the number of referrals for admission into Jimbelunga Nursing Centre as our practice nurses and social workers and IUIH work with Jimbelunga on how to go about placing people in the community into care. Jimbelunga is working close with our clinics for guidance and needs for potential placement of people in our residential aged care facilities. Post graduate program Jimbelunga took on two new graduate registered nurses as part of ATSICHS post-graduate program, who were placed for a period of six months. During this time, they experienced a cross-section of clinical scenarios. One of the placements has decided they can make a difference in the aged care industry and is now part of the team at Jimbelunga.
“ Jimbelunga will increase its bed occupancy to 74, which means an increase of 19 new beds for residents at the completion of the project” 20
2015-16 Annual Report I ATSICHS Brisbane
Connecting with our community We believe it is important that the voice of our clients and community is heard.
We are award winners... ATSICHS Brisbane won the Consumer Engagement Award in the National Australian General Practice Accreditation Ltd (AGPAL) & QIP’s Excellence Awards. We were also runners up in the Aboriginal Medical Service of the Year category. The awards were announced at the AGPAL and QIP conference in Brisbane on Friday, May 27. The Awards recognise excellence in practices, organisations or services that constantly go above and beyond to implement and embed quality improvements, have teams that love to innovate, demonstrate dedicated approaches to patient and consumer services and/or care, and have a clear understanding of relevant industry standards. Our Acacia Ridge Clinic’s Murri School Immunisation ‘catch up’ Program was featured in the submission— a unique initiative with outstanding outcomes benefiting the school community enormously. The Murri school has approximately 250 children ranging from prep to year 12. Our clinic is situated on the grounds of the school. This assists our clinic team to engage regularly with the students to build up rapport with them, their parents and staff. It also allows the students to have easy access to the range of services and programs offered by the clinic.
The clinic was successful in winning a GSK $20,000 grant and used these funds for a Murri School Immunisation ‘catch up’ Program. When screening students, it was discovered that over 50% of children weren’t ‘up-to-date’ with their immunisations. It was also identified that a high number of students had missed their 4-year-old immunisations (MMR, INfanrix IPV) and either had no HEP A vaccine or none at all. There were also gaps in other age groups with a range of vaccinations. To encourage the students and community to get involved in the Immunisation ‘catch up’ Program the clinic ran a successful art competition with the winner taking home $500 and their art work featuring on t-shirts with the slogan ‘Hey you mob…watch the date to vaccinate!’ The t-shirt were a hit with the students—with many coming knocking on the clinic door asking if they needed immunisations and even asking for their needles. This created a great opportunity to promote the program and educate the students about the importance of immunisation.
“ People get to come in and have a voice and have a say in their health care. You can see a sense of empowerment when people leave the room” Our Work, Our Year
21
Leading the way: meet our Board
Our Board put our vision for the future into action—we are world leaders in Indigenous health and social support services being provided in an urban setting. They set our strategic direction and ensure we are the most effective organisation we can be.
HAM, CHAI R GO R
DR
BR
SHANNON ETT
H NA KARI
IATE PROFESS
IND EP EN DE
OR CT RE DI
C SO AS
SKILLS-BASED
T N
N JO
LLIS WI
OG
EN
CANUTO
OR
Y ND O C
AN ,
DE
PUTY CHAIR
B
Y IL L
AND
To read more about our board and the extensive experience that they bring to our organisation go to our website at www.atsichsbrisbane.org.au 22
2015-16 Annual Report I ATSICHS Brisbane
RE W
V NI
Our financial health
This year we continued to build on our financial base, ensuring sustainability and growth of our services and programs for our people and our community.
.5%
6%
TOTAL $31,982,777
e Incom Other ,589 $1,909 e 43 m ,8 co 91 $1 l In nta 914 ces Re 57, i 3 rv $1, Se al nt
9%
13%
Me $2 dica ,91 0,9 re 09
Commonwealth Government Operating Grants $15,826,563
ernment State Gov rants G g tin ra Ope $4,227,535
49%
Co Go mm Gr ver onw an nm e ts e a $5 nt C lth ,55 a 8,4 pita 24 l
Our main sources of funding comes from Federal Government grants. These include the Department of Health, Prime Minister and Cabinet and Human Services. At a state level we are funded by the Queensland Department of Communities, Disability and Child Safety and receive money for a number of programs through the Institute for Urban Indigenous Health. We also generate money through Medicare.
4.5%
De
Where our money comes from
17%
Where our money goes
*This excludes capital grants
72%
2%
22%
4%
Employee expenses $18,373,549
Administration $684,045
Operational $5,715,025
Depreciation & amortisation $1,025,435
TOTAL* $25,798,054
Our Work, Our Year
23
Our Medicare Our financial Our financial income performance position We work hard to deliver sustainable services for the future of our community. Each year we reinvest our income from Medicare into our services and developing new programs.
TOTAL $3,102,752
94% Medicare $2,910,909
6% Dental services $191,843
Revenue $31,982,777
Expenses $25,798,054
Surplus* $6,184,723
Total assets $47,050,385
Total liability $5,546,196
Total equity $41,504,189
*Capital grant funding for Jimbelunga
We have had another solid year. Our financial position remains strong with net assets of
ue reven Other 89 ,5 $1,909
14%
$31,982,777
$
e
m co in e 6 ic 66 rv 60, Se 4,4
$41.5 MILLION $6.2 MILLION
TOTAL
6%
An increase of
e nu ve 22 t re 12,5 6 an Gr $25,
from $35.3 million in 2014-15.
80%
This snapshot of our financial health is taken from our 2015-16 Financial Statements, which is available in full from our website at www.atsichsbrisbane.org.au. 24
2015-16 Annual Report  I  ATSICHS Brisbane
Our year ahead Our story is rich and vibrant from our humble beginnings at Red Hill to where we are now. ATSICHS today is going through a dynamic period of growth, change and renewal. We are consolidating and building on the strengths of our core programs, and improving the quality and accessibility of our services. At the same time, we need to respond to existing and emerging unmet needs of our clients and communities. Our 2016 strategic planning process gave us a unique opportunity to look back at our beginnings and celebrate, but more importantly look forward to our future.
Our Community, Our Future, Our Way commits us to four strategic priorities that seek to broaden and improve our primary health care and community services, and ensure we are operating in the most efficient and effective way possible. To be of most benefit to our clients and communities we work with now and into the future, we need to strengthen and sustain our organisation. Central to this is our commitment to be more accountable to, and open with, stakeholders by improving how we measure and report our outcomes to them.
Contact us
Aboriginal and Torres Strait Islander Community Health Service Brisbane (ATSICHS) 55 Annerley Road (PO Box 8112) Woolloongabba QLD 4102 3240 8900 admin.reception@atsichsbrisbane.org.au 3391 6196 For detailed and up to date information about ATSICHS Brisbane visit our website at www.atsichsbrisbane.org.au To get a copy of this report you can download it from our website or email marketing@atsichsbrisbane.org.au
We hope that in the future our clients and our community will say: I was diagnosed early. I understand, so I make good choices and decisions about my health and wellbeing. I get the treatment and care that is best for me and my life. My family, my kids and my community are well supported. I am treated with dignity and respect—my culture is vibrant and valued. The story of ATSICHS is adapting and changing. The next chapter of our story is just beginning.
atsichsbris
ATSICHSBris
Our Work, Our Year
25
www.atsichsbrisbane.org.au