St Andrew's Hospital Annual Report 2021/22

We Work Together Annual Report

Acknowledgement of Country

On 21 March 2018, the Kaurna people were recognised as native title holders for lands around Adelaide and on which St Andrew’s sits.

St Andrew’s Hospital acknowledges that we are on the traditional Country of the Kaurna people of the Adelaide Plains and pays respect to Elders past and present.

We recognise and respect their cultural heritage, beliefs and relationship with the land. We acknowledge that they are of continuing importance to the Kaurna people living today.

We also extend that respect to other Aboriginal Language Groups and other First Nations.

Medical and surgical excellence

St Andrew’s is a 240-bed private hospital overlooking Adelaide’s south-eastern parklands. It houses twelve state-of-the-art operating theatres; a 28-bed cardiac unit; an 18-bed critical care unit; an emergency department including an after-hours chest pain unit; a new procedural suite complete with DOSA (Day of Surgery Admission); an angiography suite; and South Australia’s most comprehensive private cancer-care facility.

In addition to these facilities, we believe that we have some of the best people in South Australia working at St Andrew’s. This belief is supported by the team’s numerous national quality and clinical excellence awards.

Chairman’s and CEO’s Report

We are delighted to present you with the St Andrew’s 2021-22 Annual Report.

The report provides an overview of what we have accomplished during the course of the year, highlighting our departmental and organisational achievements. It demonstrates the commitment of our staff and visiting medical officers (VMOs), and the vibrant happy culture that exists at St Andrew’s.

Whilst the past year has presented us with considerable challenges, we are so proud of the way that our people have worked together as a team to deal with them and make us even stronger. The pandemic has continued, and we have seen governments reset and refine how the community and hospitals respond. This has resulted in all hospitals, including St Andrew’s, facing inconsistent activity levels with elective surgery shut downs, continuity of supply issues, rising costs, nursing shortages and, ultimately, having to operate the hospital in a dynamic and difficult environment. Our priority throughout all of this has been the safety and wellbeing of our patients, visitors, staff and VMOs which has been successfully achieved through the teamwork of all involved at St Andrew’s. A sporting quote comes to mind: ‘One thing about championship teams is that they’re resilient. No matter what is thrown at them, no matter how difficult the situation, they find a way to overcome adversity.’

The pandemic has made us all rethink how we achieve our goals, and I know that we will retain some of these new ways of working.

We have reviewed our strategy and developed our new and exciting Strategic Plan for 2022–2025. This plan was developed in conjunction with our staff, key stakeholders and our Board. The plan has also refreshed our vision:

To be the leading private hospital in South Australia, with a supportive culture where relationships matter, teamwork counts and care exceeds expectations. We are confident that our new Strategic Plan prepares us well to meet future challenges, while being positioned at the leading edge of emerging opportunities.

Our strong governance has continued with all Board members responsible for chairing a Board sub committee and providing an annual summary of activities throughout the year. In November 2022, we will farewell our long serving Board member and Deputy Chair, Dr Mary Sutherland. Mary has had a long association with St Andrew’s as an anaesthetist, working on and chairing sub committees, our Foundation and, of course, our Board. Her advice, experience, knowledge and personality will be sadly missed.

We have also refreshed our Constitution during the course of the year, to make it more contemporary and to reflect our role as a private hospital.

Construction of our new building at 334-337 South Terrace has progressed extremely well during the course of the year and should be ready for occupation in March 2023. The state-of-the-art building will house a new GenesisCare radiotherapy facility complete with two linear accelerators;

Jones Radiology CT scan with breast centre (mammography and fine needle biopsy); Cancer Research SA and their clinical trials centre; and medical consulting rooms.

On 5 January 2022, we reached an incredible 5,000 robotic cases performed at St Andrew’s on our DaVinci Xi. Our experienced robotic team is widely known across the country for its expertise, excellent patient outcomes and volume of procedures performed. In fact, our DaVinci robot is the busiest in the southern hemisphere, and our program is something we are extremely proud of.

As a nation, we are facing a skills shortage, and this has presented us with recruitment challenges in a range of areas, particularly in nursing. Our focus, though, is clearly on the retention of our staff, and we do our very best to make St Andrew’s a happy and enjoyable place to work. Whilst we have seen some increase in our staff turnover rates, our turnover continues to be lower than the industry average which is testament to our positive culture and supportive leadership. We have had some key areas where we have needed to recruit skilled nursing staff and we have been successful in our efforts, adding to our wonderful nursing team. As you will see in this report, we are highly focused on providing a safe, supportive environment for all our staff with excellent opportunities for education and development. From a clinical perspective, our commitment to patient safety and quality is demonstrated by the joint appointment with the University of Adelaide, Dr Tamara Page, Associate Professor of Nursing, Innovations in Quality and Safety. Dr Page commenced in November 2021 and has already had a very positive impact.

In September 2021, we had our organisational-wide accreditation survey with the Australian Council of Healthcare Standards (ACHS). The survey was conducted using a hybrid model with two surveyors on site and two undertaking the survey remotely, and it worked extremely well. All of the surveyors were glowing about St Andrews’ achievements and exceptional culture. Following the survey, we received formal notification from the ACHS that we had maintained our full accreditation until 24 March 2025.

In conclusion, we would like to thank and acknowledge the entire St Andrew’s team, including our dedicated nursing staff, support services areas, visiting medical officers, volunteers, our Board and our Foundation, all of whom have contributed to another successful and remarkable year at St Andrew’s.

Until next time, stay safe, happy and healthy.

Walker Chief Executive Officer

David Whitbread Chairman

Stephen

2021-2022

Continued to manage COVID safe processes with our priority being the safety and wellbeing of our patients, staff and VMOs

Launched our 2022–2025 Strategic Plan

Submitted our first Reconciliation Action Plan to Reconciliation Australia

Safety and Quality –Red Tray Project ensuring good nutrition for patients

Achieved an Australian first of 5,000 robotic procedures by our DaVinci Xi

Established a new joint position with the University of Adelaide, Professor of Nursing, Innovations in Quality and Safety

Maintained accreditation with the Australian Council of Healthcare Standards until 24 March 2025

Commenced next phase of the Master Plan

Structured development plan for new and junior staff in peri-operative areas

R U OK? Day

Nursing and Clinical Services

Clinical Education

Once again, we are very pleased to report that our Graduate Nurse Program continues to train, support, mentor and coach a number of high-performing newly registered nurses committed to delivering quality care to our patients. In 2022, 31 graduate nurses commenced their Transition to Professional Practice Program at St Andrew’s, an increase from 17 the previous year.

With the current healthcare sector challenges faced by all hospitals during the pandemic, St Andrew’s took this opportunity to boost the hospital’s nursing workforce.

The first group of graduate nurses launched their careers at St Andrew’s on 10 January 2022. Our final graduate commenced on 30 May 2022. As always, the ethos of St Andrew’s was evident as staff across each area welcomed and supported the new nurses as they settled into their teams.

The perioperative education team expanded this year, recruiting another two educators from our senior staff cohort. The team introduced a highly structured eight-week orientation program to assist the newly registered perioperative nurses to make the transition to an independent, beginner level practitioner.

The graduates’ rosters mirrored that of their designated area educator, allowing daily clinical immersion time and attendance at lectures, practical sessions and in-services.

The graduates met as a group once a week to support each other, debrief about critical incidents and share learning moments experienced during the previous week. They then set their weekly goals before returning to their clinical area.

As the recovery and anaesthetics graduates swap places mid-year, a similar, yet shorter transition model will be implemented.

Eight weeks into the perioperative program, a detailed evaluation was conducted and found that all graduates agreed they felt supported in their transition to professional practice and were provided with the skills required to perform their beginner role. This supportive approach will be continued within the perioperative environment in 2023.

The clinical team on the wards also supported their graduate nurses by mirroring the rosters of a nursepreceptor for the first month. After the first three-to-four weeks, the graduates made the following comments:

‘

The GNP Coordinators have been extremely supportive in helping me to transition into my first nursing job.’

‘

A very well-supported program; very supportive nurses and Clinical Manager.’

‘ We really appreciate the CCU nurses who have checked in on us and our progress throughout our first month.’

‘ Transitioning from a student nurse to a Registered Nurse can be a daunting time, but the support I have received as a GNP from the staff has been amazing, and I feel so comfortable after only a few weeks.’

The Graduate Coordinator and clinical educators on the wards and units touch base frequently with the graduates, providing an opportunity for them to discuss their progress, set goals, and clarify clinical protocols. The ward study program of five full days is changed to reflect the needs of the graduate nurses each year. This year, focus was on growing the different skills and knowledge for each graduate in their respective specialty areas.

The 2021 graduate nurses completed their course in early 2022. Each graduate completed a range of skills assessments and workbooks that complimented their clinical training objectives. The program culminates in each graduate presenting to their peers and clinical managers. The quality of their work is impressive, with each nurse demonstrating a mature understanding of policy and well-developed links between Safety and Quality theory and practice. The assignment requires the graduates to demonstrate how risk screening on admission, followed by ongoing assessments throughout the patient journey at St Andrew’s, enables the nurse, in collaboration with the Healthcare team, to design, implement and evaluate individual nursing plans of care aimed at achieving each person’s healthcare goals. Congratulations to the graduates for exceptional work.

In-service and Ongoing Education

The clinical educators coordinated workshops on a variety of topics to ensure nurses are abreast of the latest evidenced-based practice and protocols. These workshops included:

• Orthopaedic procedures, including anaesthetic management mobilisation, wound management and surgical techniques.

• ICU renal dialysis allowing nurses to hone their skills on setting up and maintaining an effective dialysis circuit on the critically ill patient.

• Management of chest pain to ensure patients receive immediate review and timely interventions.

• Negative pressure wound therapy that has been shown to enhance wound healing and decrease the patient’s discomfort and need for frequent dressing changes.

• Intravenous cannulation to facilitate timely treatment for patients requiring intravenous therapy and medications essential for their care.

• Male urethral catheterisation.

• Communication with patients about their pain management needs.

• Magnetic resonance imaging (MRI) safety.

• Managing chest drains.

In addition to the clinical education program for all clinical areas, we have maintained a focus on infection control given the COVID-19 environment across the state. We have ensured staff are well versed in the areas of hand hygiene, and the donning and doffing of personal protective equipment to ensure patient safety is maintained at the highest level.

Staff have attended a number of conferences, which have included:

• International Forum on Quality and Safety in HealthCare

• ACORN Conference

• Professional and Social Responsibility for Health Leaders

• Patient Journey Mapping

Online Learning

Online learning has become an integral part of our education program during the pandemic. Many clinical courses were made available to our staff, expanding their knowledge base at a time that is convenient to them. Over 6,000 courses were completed by the St Andrew’s staff throughout the year. Examples of the clinical courses available include: Delirium and Cognitive Impairment, Pressure Injury Prevention, Advance Care Directives, Arterial Blood Gas Analysis, Clinical Transfusion Practice, Hand Hygiene and Donning and Doffing PPE.

Mandatory Training

St Andrew’s continually maintains impressive statistics that demonstrate staff remain skilled in all mandatory training requirements. This includes Advanced Life Support for both adults and paediatrics, as well as Basic Life Support. A Laerdal Advanced Resuscitation

manikin, funded by the St Andrew’s Hospital Foundation, has increased the simulation capabilities within our high acuity areas. Training is as realistic as possible, with the ability to incorporate real time use of the hospital’s new defibrillators, enabling staff to be confident in their use and prepared should an emergency arise.

Associate Professor of Nursing, Innovations in Quality and Safety

In November 2021, in collaboration with the University of Adelaide, we appointed Dr Page in the role of Professor of Nursing, Innovations in Quality and Safety, an inaugural appointment to support the hospital’s safety and quality initiatives. Since commencing, Dr Page has engaged with nursing staff to participate in innovation and research opportunities. Utilising literature searches and evidence-based policy development, some topical projects have commenced, including:

Breast Cancer Care

• Article regarding support provided to our breast cancer patients by our Breast Care Team. Page, T. (2022)

Solidarity, support and acceptance: a celebration of the person, not the disease, Supportive Care in Cancer.

• Scoping review in progress to identify what supports are available for breast cancer patients’ post-surgical treatment to enhance their quality of life and self-image.

• Questionnaires to be conducted using the International Consortium for Health Outcome Measurement (ICHOM) International Data collection QoL and body image survey tools, which will also allow us to internationally benchmark.

• Supporting People with Cancer Grant application to be completed to reduce the impact of and better support people affected by breast cancer.

Nursing and Clinical Services

South Australian Inpatients Diabetes Survey (SAIDS)

11-15 July was National Diabetes Week; 10.7% of St Andrew’s inpatients on 15 July had a diabetes diagnosis. The SAIDS was approved by the St Andrew’s Human Research and Ethics Committee (SAHREC) and was conducted to assess the bedside care for patients with diabetes in South Australian hospitals, to explore the patients’ experience, and to understand the current hospital workforce availability. The full South Australian report and St Andrew’s individual report will be completed in August.

Parastomal Hernia

A St Andrew’s stomal therapy nurse, Fiona Bolton, is an investigator in a project aiming to develop a National Risk Assessment tool for prevention of parastomal hernias in ostomates, aimed at improving care and quality of life. This is subsequent to Fiona’s involvement in the National Survey of 156 stomal therapy nurses and 10 ostomates (people with an ostomy). SAHREC approval was gained for this retrospective case note review and Dr Page and Fiona will be conducting this alongside of their Northern Adelaide Local Health Network (NAHLN) peers.

Blood Management Committee Grant

Kathy Humphries is heading a review of blood management usage in urology surgical patients and any associated thermoregulation characteristics. Dr Page is assisting with literature searches and data analysis. Additional research opportunities will be reviewed post the completion of this study and a journal article is in progress.

Research

A survey will be released in the next month to all members of the nursing division, challenging our current practice and looking for innovative ideas to continue providing medical and surgical excellence to our consumers. Dr Page is looking forward to receiving the completed surveys which will enable her to provide support and direction to team members.

New Position: Theatre Resource Manager

This year, we made further investment in our people and processes within theatres with the introduction of the Theatre Resource Manager (TRM). The TRM ensures efficient and cost-effective utilisation and allocation of theatre staff, equipment and consumables for allocated theatres. This role is accountable for operational clinical nursing care decisions in the theatres on a dayto-day basis at the point of care. The TRM acts as a resource person to ensure nursing activities within the theatre suite are undertaken in a safe, competent and professional manner.

Continuity of staffing in line with their specific skillset has and will continue to prove invaluable since this role was established. This is especially true with COVID-19 creating additional pressures for our workforce.

Capital Equipment

This year, there were many capital equipment purchases made to support our patient outcomes specific to their care in theatres. Three large capital purchases of note are:

1. Trident HD System

St Andrew’s Hospital is recognised within the state for breast cancer treatment and surgeries. In respect to these surgeries, there is nothing more important than having accurate information to support clinical practice. Thanks to the additional generous donation of Ros and Peter Griffiths through the St Andrew’s Hospital Foundation, the hospital acquired not one, but two new Trident HD Systems for use in our operating rooms. This next-generation solution taps the power of Hologic’s proven detector technology to generate sharp, highly detailed images for rapid sample verification right in the theatre at point of care, enabling the surgeon to more easily identify the tissue that needs to be removed due to disease. This all occurs in the operating theatre without transporting breast specimens for identification, subsequently reducing theatre time for the patient.

2. Fluoroscan Insight Mini C-Arm

Due to increasing demand for in operating room imaging, St Andrew’s this year purchased an additional Fluoroscan Insight Mini C-Arm. The Mini C-arm Extremities Imaging System is designed specifically for operating rooms providing options for imaging across multiple clinical specialties. It facilitates greater positioning, flexibility and convenient mobility and its efficient design produces outstanding image quality and, subsequently, best patient care.

3. Midas Rex MR8 Upgrade

St Andrew’s has very recently undertaken an evaluation process, with assistance from our Visiting Medical Officers, to decide a model for upgrading our fleet of medical drills. The MR8 Midas Rex system is the newest high speed drill platform with a lower operating temperature, less chatter, improved visibility of the surgical site, and better cutting performance. The recent purchase of seven MR8 sets will allow this precision system to be within our surgeons’ hands for continued improved patient outcomes within the operating theatre.

Breast Care Team: Outstanding Recognition

At St Andrew’s, we all understand that breast cancer is the most common cancer affecting Australian women, with 20,000 diagnosed annually. Our cancer service is the most comprehensive private cancer facility in South Australia, offering patients of the hospital – as well as patients of our affiliated surgeons – the medical expertise, innovation and care expected from a centre of excellence. This significant resource, our excellent partnerships, and our exceptional Breast Care team make the St Andrew’s Breast Clinic staff stand out from our peers.

This is reinforced with the announcement that the St Andrew’s Breast Care Team has been nominated, yet again, and reached the finals of the SA Health and Midwifery Excellence Awards for 2022. The team has now been recognised as a provider of excellence in healthcare five times in the last six years the Awards have been held. An outstanding achievement for the team and for St Andrew’s as a whole.

Vale Dr Chiron Bartholomeusz

Our dear friend and colleague, Dr Chiron Bartholomeusz passed away on 23 May 2022. Chiron was a consultant physician at St Andrew’s for well over 20 years.

He chaired our Mortality and Morbidity Committee and was a member of our Medical Advisory Committee. Chiron was a highly regarded and well respected member of the St Andrew’s and broader medical community, and he will be greatly missed.

Patient Safety and Quality

St Andrew’s is committed to delivering excellence in patient care and clinical services.

Our goal to provide safe and high-quality care for all our patients is articulated to all our staff and volunteers via the safety and quality framework which defines that the care provided at St Andrew’s is patient-focused, driven by information, and organised for safety. Our consumers and Visiting Medical Officers play an important role in ensuring patient safety and quality through active participation in our clinical governance committees.

Hospital Accreditation

St Andrew’s is accredited with the Australian Council on Healthcare Standards (ACHS). Accreditation is recognised as an important driver for safety and quality improvement. It is a healthcare accreditation body’s public recognition of an organisation’s achievement of set accreditation standards and its level of performance in relation to those standards. In September 2021, the hospital underwent a successful organisation-wide assessment with the ACHS to verify the hospital’s compliance with the second edition of the National Safety and Quality Health Service Standards (NSQHSS). The assessors spent time –in person and virtually – talking with staff, patients and key committee members, as well as reviewing documentation, systems, results and practices. The feedback from the assessment team was very positive, including a comment in the final report:

‘ The assessors found the organisation was well prepared for assessment and participated enthusiastically with knowledge of their hospital, their patients and staff responsibility.’

The hospital also continues to maintain accreditation under the national Diagnostic Imaging Accreditation Scheme (DIAS) Standards.

Quality Improvement

The St Andrew’s team is committed to improving patient safety and quality. Where possible, we work with our consumers to co-design quality improvement projects with fantastic results. In 2021, the Blood Management Committee was successful in a grant application to the SA Blood Management Council for funding to undertake a project titled A review of hypothermia prevention strategies for surgical patients. The goal of the project is to identify opportunities for clinical practice improvement to decrease the incidence of perioperative hypothermia in urology patients and subsequent requirement for transfusion. The project will be led by the Clinical Educator in Recovery.

‘What matters to you?’ Day

Once again, St Andrew’s celebrated ‘What matters to you?’ Day on Thursday 9 June. On the day, we invited patients throughout the hospital to write what matters to them on a handmade leaf. The leaves were then gathered by our staff and, for two weeks, displayed on a tree in the coffee shop. With 52 of our patients responding, we received valuable feedback and enjoyed seeing our patients, staff and volunteers interact in this meaningful way. The information received represented the diversity of values, beliefs and needs of our patients, and has been collated and reviewed as part of our commitment to providing them with the best possible care. ‘What matters to you?’ Day provided us with an opportunity to celebrate everything our teams do each day to ensure our patients receive care tailored to their individual needs.

What matters to you?

1. Communication Felt listened to, information, updates.

2. Staff Caring, empathetic, professional, friendly.

3. Meals

4. Environment/ facilities

Décor, noise, cleanliness, equipment.

5. Health

6. Care individual, prompt, competent, safe.

7. Family/Loved ones support

8. Other Garden, consider what others don’t have in healthcare, education, sleep, rain, a balcony for fresh air.

Measuring Our Performance

Patient feedback continues to be an integral part of informing us on patient safety and quality.

Our desire and ability to continually measure how well we are performing across the organisation underpins our commitment to delivering excellence and continuous improvement. This performance measurement includes clinical indicator monitoring, audits, independent stakeholder surveys, patient feedback mechanisms and accreditation surveys.

The hospital’s participation in the ACHS Clinical Indicator Program enables us to benchmark our results against our peers. A large number of other performance indicators are monitored internally. Action is taken to address performance indicator results which fall outside expected norms. The following is a sample of performance indicators that are measured and monitored to further improve quality and patient safety at St Andrew’s:

Patient Satisfaction

In 2021, 94% of the feedback received indicated patients were ‘satisfied’ or ‘very satisfied’ with the care they received. Many patients also provide positive comments about our staff, recognising them as welcoming, caring, cheerful, friendly, efficient helpful and professional in the excellent care they provide.

Very Satisfied 76.19% Satisfied 17.18% Neither 4.29% Dissatisfied 1.52% Very Dissatisfied 0.83%

Length of Stay

Over time, we have seen a decreasing length of stay (time in hospital) as well as surgeries now being performed as day surgery.

Occupied bed days

Over time, the average occupied bed days has not varied significantly. Bed days have been affected by COVID-19 over the last three years.

2 1.5 0.5

0

1

Hand Hygiene

A higher rate is a good result. The hospital hand hygiene rate is 84.5% and the national benchmark is 80%. Hand hygiene is one of the ways to reduce the Staphylococcus aureus bacteraemia rate.

Staphylococcus aureus bacteraemia rate

A lower rate is a good result. The hospital rate for Staphylococcus aureus bacteraemia rate is 0.811 which is below the Australian standard of 1.000.

Falls

The hospital monitors its falls rate in a number of ways, included are the total number of falls and falls that occur in patients over the age of 65, the high-risk group of patients for falling. Falls are also monitored by the area that the fall occurred in, and if any injury occurred as a result of a fall.

The lower the rate, the better the result. The rate of falls is 0.158% which is lower than the ACHS private national average of 0.231%. This is an outstanding result.

50%

100% 75% 25%

84.5% 80% 0%

SAH rate National benchmark

0.000 0.100 0.200 0.300 0.400 0.500 0.600 0.700 0.800 0.900 1.000 1.100

0.811

1.000

0.250% 0.200%

0.150% 0.100% 0.050%

SAH rate Australian standard rate

0.231%

0.158% St Andrew’s Hospital 9

0.000%

Reconciliation Action Plan (RAP)

In early 2022, St Andrew’s established a Reconciliation Action Plan Working Group. The working group, under the guidance of Kaurna Elder Uncle Tamaru, is assisting to prepare and lodge our first Reconciliation Action Plan (RAP) with Reconciliation Australia. This is a plan that outlines the steps St Andrew’s will take to demonstrate our commitment to Reconciliation. For example, we will increase the awareness of Aboriginal and Torres Strait Islander culture. We can achieve this through training but also by promoting the history, culture and language of the Kaurna people who are the traditional owners of the land on which the hospital is built.

Human Resources Division

This includes the design and implementation of a new employee recognition program for the hospital. StandOut! is a peer-based recognition program through which any employee can nominate another, using QR codes positioned around the hospital. Each month, all nominees are acknowledged publicly, with one randomly selected and rewarded with a $250 gift voucher. All nominees receive a personalised written acknowledgement of their nomination from the Staff Executive Committee (SEC).

A significant body of work for the team this year was supporting the Nursing Division with their negotiations towards a new enterprise agreement. This included conducting background research and comparative analysis, financial modelling, maintaining records of negotiation meetings and internal communications, supporting the employee voting process and submission of documents to the Fair Work Commission. The new agreement was ratified by the Fair Work Commission in June 2022.

Over the past year, the Human Resources team has continued to support leaders across the hospital in managing their teams to deliver safe, high-quality care to our patients.

While our turnover remains below industry average, as with most other organisations, we have experienced some increased employee turnover during the past year. As such, our focus has been on developing and implementing strategies to both attract and retain key talent across the hospital. This has included reviewing our employee branding strategies, enhancing our presence on social media, improving partnerships with local and interstate recruitment agencies, running targeted recruitment campaigns overseas (including participation in three UK based recruitment expos), and developing a suite of online videos showcasing our wonderful culture and leaders.

Throughout the year, we successfully recruited and onboarded 219 new employees. Approximately half of these were nurses, and the remainder were in clinical support or administrative roles. Of note were 12 overseas nursing candidates who commenced with us in early 2022, some of whom had been delayed from starting for up to a year due to the COVID-19 border closures. We also onboarded 31 new nurse graduates, almost double the number we previously took on as part of our Graduate Nurse Program. We now proudly employ a total of 820 employees, representing a growth of approximately 15% over the past five years.

To support our existing employees, we have enhanced internal communications, implemented a range of employee wellbeing initiatives, and reviewed our recognition and reward processes.

Another significant achievement for the HR team was the configuration and implementation of a new online recruitment system, StandTalent. Through this new system we have been able to streamline a number of internal processes, such as offer approvals and distribution of contracts to candidates, and achieve improved internal reporting capability. Along with the recruitment system, we have a new onboarding platform which enables new starters to compete pre-commencement paperwork online, and access improved information about their new workplace prior to commencement. This has helped to reduce the hospital’s environmental footprint by reducing paperbased records, whilst also improving the time taken to add new employees to the payroll system, with all of the information automatically transferred from the onboarding portal into payroll.

This year, we also celebrated some significant service milestones for a number of our long-serving employees, with 62 employees receiving awards for 10 years of service or more.

Of note, we celebrated the following employees who had achieved more than 30 years’ service:

Lynlee Moses Registered Nurse

Rina Levicki Medical Records Supervisor

Gill Skinner Registered Nurse

Vicki Venning Enrolled Nurse

Rosalie Collins Registered Nurse

Jane Heywood Registered Nurse

Margaret Ireland Registered Nurse

Susan Mariner Registered Nurse

Jenny Slade Clinical Educator

Janet Mitchell Registered Nurse

We also introduced service awards for the large number of employees reaching the milestone of five years or more of service.

We would like to acknowledge the following longserving employees who retired over the past year:

years

Christine Oakes Enrolled Nurse

Gizella Toth Physiotherapy Assistant Virginia Meredith Registered Nurse

Barb Uffelmann Night Duty Hospital Coordinator

Meredith Staggs Patient Services Manager

Carmel Goodwin Patient Accounts Officer

Joanne Castree Clinical Coder

Workplace Health and Safety (WHS)

The WHS team has continued to support staff and leaders in the identification and control of various workplace safety hazards.

This year we developed our first WHS Improvement Plan. The plan was devised by analysing our past injury and incident performance, conducting extensive research, and consulting with health and safety representatives, leaders and members of the WHS Committee. The plan includes strategies in the areas of culture and leadership, risk minimisation, injury management and continuous improvement, all aimed towards achieving our goal of zero harm. We are pleased to report that, through these strategies and a range of other initiatives, we were successful in reducing the number of lost time workplace injuries sustained by 20% as at the end of the financial year, and we are now looking at how we can improve return-to-work rates through increased collaboration with injured workers and their medical providers.

Over the past year, the WHS team has also focused on increasing communication and consultation with our employees about workplace health and safety matters, to establish a greater sense of shared responsibility in the area of WHS. This has included working more closely with HSRs, educating staff about the importance of hazard reporting, and sharing ‘good news stories’ about hazards that have been identified and resolved. We have also developed a suite of new online training modules that have helped staff to understand how they can contribute to the creation of a safer workplace for all on a practical level.

Our Employee Wellbeing Program has also continued to be an important part of our overall safety and employee engagement strategy, with a range of communications and initiatives being rolled out across various aspects of wellness such as mental health, physical wellbeing, social connectedness, and financial health.

This year, we have also partnered with a local safety specialist, Pinnacle Workplace Consultants, to design a new manual handling training program for employees. This involved extensive consultation with leaders, and analysis of injury and incident trends, to develop course content that was highly tailored to the needs of each individual work area. The training commenced in May 2022 and initial feedback was extremely positive.

The HR and WHS teams have also supported the hospital as we continue to manage the impacts of the COVID-19 pandemic. This has included undertaking extensive N95 mask fit testing for new and existing employees, maintaining records of employee COVID-19 vaccinations, providing advice in relation to entitlements associated with COVID-19 absences, and managing staff communications regarding restrictions.

Patient Services

In July 2021 the Patient Services team moved under the leadership of the HR Division. Throughout the year this team continued to work collaboratively with clinical staff to deliver high quality administration services to our patients both prior to and during their stay. Whilst many of our patients feel apprehensive about coming into hospital, we continue to receive feedback from our patients about how they are put at ease by the friendly and empathetic service our administration staff provide to them.

During the year we have continued to refine our online patient admission system, delivered through Personify, to optimise take up of the system and support patients to complete their pre-admission forms efficiently. We also commenced an improvement project which aims to increase the efficiency of a number of our existing administrative processes, to optimise the patient experience and minimise errors or re-work.

Information Systems

Having constant, reliable Trakcare access is critical in an acute care hospital setting. During this year we scoped, planned and implemented a significant upgrade of the Trakcare system (T2021). The purpose of upgrading to the latest version was more than just maintaining currency for support reasons. The latest version also provides many advanced clinical features. We plan to investigate these features throughout the coming months. T2021 allows for the Medicare 2022 required change to the web services communications medium. This allows for a higher level of security across patient invoice processing directly with Medicare and the health funds, a timely review that has also improved efficiencies and turn-around.

Our Sharepoint Intranet now hosts the most current suite of Hospital Policies and Procedures. The in-house developed Document Management System utilising Microsoft technologies provides for a common user-friendly interface for all.

The goal was to place the most current documents within easy reach while keeping archived versions available, if and when, they may be required.

Security firewall capabilities have been upgraded and improved. A refresh of the many PC desktop systems and production host servers have been completed progressively throughout the year. Phone systems are now all consolidated to align with the hospital preferred digital solution.

The option of working from home due to the on-going challenges presented by COVID-19 continues. Security and privacy measures have been continuously refined to ensure work can continue as seamlessly as possible, regardless of where you are. Virtual meetings have now become the norm.

Cyber-security awareness is now well entrenched throughout. Appropriate policies and procedures will continue to be reviewed and improved upon into the future.

The Trakcare system KPI once again measured in excess of 99.99% available.

Finance

This year, COVID-19 has had its impact on the hospital’s performance as with many other businesses across South Australia. In January and February 2022, we experienced further elective surgery restrictions in the state, and faced uncertainties about our planned activity and performance for 2021-22. Product supply lines continued to be disrupted by shipping issues and international logistics and, along with raw material shortages, threatened the supply of medical and surgical consumables needed to run the hospital, particularly personal protective equipment like masks and gloves. Prices of essential items became increasingly costly. Inability to recruit overseas nurses put pressure on our recruitment efforts, resulting in increased costs.

The year ahead was to be challenging and we planned accordingly. However, throughout this difficult time, we maintained a solid financial performance, allowing us to keep our long-term commitments to programs such as our Engineering Services Masterplan and our regular capital spending program.

Our finance team continues to work closely with other staff around the hospital, providing key support services such as billing, payroll, accounts payable, accounting and financial reporting. The team takes on the responsibility for collecting and distributing our money and ensuring that our financial commitments to employees, contractors and suppliers are met on time. In a national economy that is becoming increasingly precarious, we have a reliable team looking after our finances.

Clinical Costing Analyst

Our Clinical Costing Analyst continues to work with management and staff throughout the hospital to strengthen our understanding and management of clinical costs. The Revenue and Clinical Costing Working Group has been established to discuss and address areas of interest, specialist activity, and issues that impact revenue and clinical costs at St Andrew’s.

Quarterly costing and revenue reports are routinely provided to the Finance & Audit Committee.

The Clinical Costing Analyst now provides ad-hoc theatre utilisation and hospital activity reports to clinical staff, and has assessed the funding impact of changes to MBS item numbers and prosthetic item listings.

The Clinical Costing Analyst is currently engaged with key staff in Finance, Supply and Theatre to enhance the capture of medical and surgical supply usage enabling the hospital to better understand and manage these significant costs. The Power Performance Management (PPM) costing system was used to identify the impact of COVID-19 in the 2019-20 financial year when hospital surgical activity was restricted for the first time, and again in January/February of 2021-22.

Our participation in the annual Private Hospital National Hospital Cost Data Collection continues.

Supply Department

2021 saw the arrival of Jules Jardine as Supply Manager to the team. The first six months of this financial year was centred around strengthening the team, building consistency in processes through training and creation of standard operating procedures (SOPs) for core supply department tasks. In the latter half of the financial year, the focus switched to inventory optimisation strategies for consumable inventory throughout the hospital.

Personal Protective Equipment (PPE) stock levels continued to be managed to ensure the minimal impact on SAH operations. With the sourcing of N95 masks and rapid antigen tests requiring a high level of attention, the professionalism and commitment of the supply team ensured a smooth transition to the increased PPE requirements.

The global market conditions have continued to present the supply department with challenges. The global pandemic, raw material shortages, supply chain disruption, and the war in Ukraine have led to escalating costs and shortages. The supply team has had to manage an exorbitant number of lines where product is not available, working closely with clinical teams across the hospital and suppliers to identify potential alternate products. Many challenges presented themselves when predicting problems that may occur if products could not be sourced.

To combat the rising costs, the team has identified key areas/functions that will lead to improved supply chain operations and inventory optimisation. Some initiatives include:

• Strengthening relationships between supply department and key suppliers and their representatives to create a more collaborative supply chain

• Creation of KPIs to focus on reduction of excess, surplus and expired stocks to reduce costs and optimise inventory being purchased and held Pre-COVID-19 (2019) saw a change in the way inventory was managed throughout the hospital, moving from an imprest type system to multiple warehouses throughout the hospital managed by the supply department. Refining this change since implementation, however, was hampered by the pressures of the pandemic. A renewed focus on these 8,000+ stock locations is now being rolled out, with the supply chain principles of right item, right time, right place being key to planning.

Although this has been a challenging time globally for supply chains, the supply team is motivated to be part of the solution and continue to provide a high level of service to St Andrew’s. Initiatives that will be rolled out over the next 12 months will bring with them opportunities for cost savings through inventory optimisation, process improvement, and team growth and skills development.

Health Information Management

The Health Information Service continued to streamline and enhance services and performance despite the ongoing challenges of COVID-19 through agile and creative solutions.

The Clinical Coding unit has farewelled four staff with minimal impact on service provision as the result of an ongoing proactive recruitment and training development program which has been in place for several years. The unit currently employs two trainee coders who have completed their formal qualifications in clinical classification and are now being mentored through an internal development program. In early 2022, we were pleased to be able to provide a professional placement for a first year La Trobe University graduate-entry Master of Health Information Management student. The student has subsequently been offered a trainee position at the hospital while completing her studies.

A successful upgrade to the new National ICD-10-AM/ ACHI/ACS Clinical Classification 12th Edition was achieved, effective for all data from 1 July 2022. This upgrade was required to meet legislative reporting and patient billing processes at both the state and national level. All Clinical Coding staff have successfully completed online training to demonstrate competency requirements to support this change.

The Health Information Service is also overseeing the delivery of new legislated reporting requirements as a result of changes to the SA Private Hospital Health Care Regulations which came into effect on 1 July 2022. This includes new reporting of non-admitted emergency care service events and sentinel events. Support to the hospital’s participation in My Health Record is also being provided.

The first step of the St Andrew’s clinical documentation improvement program has been achieved in partnering with the nationally recognised leader in this field (CDIA). An audit was conducted that assessed the quality of our medical record documentation to substantiate the care and treatment provided to patients admitted to the hospital.

This audit was able to identify key areas for improvement to ensure our hospital funding better reflects our patient complexity. The findings have provided a successful proof of concept to underpin the rollout of the program.

The Health Information Service continues to be represented on a number of state and national committees in the health information and coding fields.

Payroll Services

Payroll Services has continued to experience a growth of workload due to the increase in headcount within St Andrew’s.

St Andrew’s worked with other private hospitals as part for the SA Health Viability Agreement, resulting in Payroll Services working closely with our managers to roster staff at their average hours worked 12 months prior to entering the agreement. Each fortnight, Payroll Services was required to compare the staff’s actual earnings for the fortnight to their 12-month average earnings, and pay a top-up if required.

Payroll Services was one of the major stakeholders in the delivery of the online recruitment system, StandTalent, an onboarding system, and has worked closely with HR to ensure the implementation of the system.

The payroll team continued to collaborate with HR during the St Andrew’s Hospital Nursing Enterprise Agreement 2021-2023 bargaining period, providing financial modelling for changes in terms and conditions.

The finalisation of the St Andrew’s Hospital Nursing Enterprise Agreement 2021-2023 resulted in 481 back payments, reflecting the growth in clinical staff over the three years. St Andrew’s approached automations solutions company, Simplyai, to assist with these back payments. Simplyai delivers on automation technology, executing high volume repetitive tasks reducing personnel’s risk of errors, labour costs and fatigue. Simplyai assisted Payroll Services to deliver 481 back payments in 10 hours, and within the fortnight pay period after the enterprise agreement was accepted by the clinical staff.

Engineering and Support Services

The 2021-22 financial year brought more than its share of interesting tasks and exciting challenges, especially with regards to the need to be flexible, adaptive and creative in engineering and support services.

The combined teams met every challenge and fulfilled their goals and objectives in support of St Andrew’s.

Engineering and Support Services consists of the:

• Facility management services

• Engineering and maintenance services

• Minor and major projects

• Biomedical services

• Dietary services

• Cleaning services

• Security services

• Waste management and grounds maintenance services

• Lease (property) management

• Management of service level agreements (hospital plant and clinical equipment)

Maintenance

The Maintenance Department provides preventative and corrective maintenance services to the hospital, including the predictive and remedial components of the plant, equipment, the built form and environs.

Engineering Services Master Plan (ESMP)

The ESMP is a program that the hospital has committed to, ensuring all major fixed plant and equipment throughout the hospital is replaced or upgraded in a timely and efficient manner.

Projects completed for this year (Year 7 of the ESMP), include:

• Replacement of sewer stacks (ongoing)

• Back flow prevention devices (ongoing)

• Refurbishment of patient rooms (from shared ensuites to rooms with dedicated individual ensuites (ongoing))

• Fire compartment barrier upgrades (ongoing)

• Continuation of the program to update and replace the water reticulation plant and infrastructure (ongoing)

• Replacement and relocation of the boiler feedwater infrastructure

• Continuation of the next stage of updating the fire protection system to addressable heads (ongoing)

Dietary Services

Since 2005, St Andrew’s has been one of the few Australian hospitals to retain Hazard Analysis Critical Control Points (HACCP) accreditation.

This high standard of meal service is provided by our Dietary Services Department on a paddock-to-plate basis, where meals are all freshly cooked and designed by dieticians to support patients’ needs such as modified textures and special dietary foods including gluten free, lactose free, low potassium, and low fibre, high protein modified consistencies.

With the prolonged impact of COVID-19 limiting some of the staff cafeteria patronage, we have introduced take-away meals. The same quality food is available to be taken from the hospital in purpose-made containers.

Biomedical Engineering Services

St Andrew’s Biomedical Engineering Services Department is staffed by three qualified and experienced biomedical engineers who have continued to supply an excellent standard of service, providing invaluable support to the new and exciting technologies being employed in St Andrew’s theatres. In particular, our biomedical engineers have contributed to all cardiac procedures performed in St Andrew’s over the year.

Security Guard Services

This year we have enjoyed the in-house security guard service. The advent of our own in-house security service (which began in April 2021) has proved to be a major benefit to the hospital. The team have quickly settled into the hospital community while providing a friendly efficient service to us all.

Cleaning Services

Having recently celebrated eight years of association, ISS Healthcare Services has continued to provide a high level of cleaning services to St Andrew’s. ISS Key Account Manager, Cathy Palmer, recently retired after providing outstanding cleaning services to the hospital for many years.

It’s with a great deal of pleasure the hospital welcomes newly-appointed ISS Key Account Services Manager, Elizabeth (Liz) Day, and ISS Cleaning Services Site Supervisor, Suzana Radenovic. Liz and Suzana are quickly learning the many requirements of St Andrew’s with respect to cleaning services.

In addition to the provision of the cleaning services (which is inclusive of making of beds in all the ward areas), ISS carries out the specialised services for the theatre, Vancomycin Resistant Enterococci (VRE) and Methicillin / Multi Resistant Staphylococcus Aurea (MRSA) cleaning schedules.

We continue to work with our major contracting services to create innovative ways to improve the quality of services to the hospital.

Human Research and Ethics Projects

All research is administered by the St Andrew’s Human Research and Ethics Committee. We adhere to National Health and Medical Research Council (NHMRC) Guidelines in the conduct of all research and projects. The HREC’s role is to review research proposals that involve human participants to ensure they meet approved ethical standards and guidelines. It is also the committee’s role to ensure the safety of individuals involved in clinical trials run at St Andrew’s.

We work closely with our growing network of clinicians and research partners, such as the University of Adelaide, Cancer Research SA (CRSA) and GenesisCare to turn scientific discovery into the best possible treatments, care, and outcomes for our patients and their families.

This year has seen a collaboration between St Andrew’s and CRSA undertaking clinical trials at St Andrew’s. CRSA is a thriving, fully operational cancer clinical trial unit at St Andrew’s, and while CRSA is only a fledging unit just over 12 months old, it has already seen more than 40 cancer patients receive access to novel therapies on trial. St Andrew’s is committed to providing excellence in cancer care and enabling state-of-the-art gold standard therapies.

There are currently 14 open clinical trials at CRSA with a view to 30 open trials by the end of 2022. CRSA Director A/Prof Rohit Joshi is particularly excited about the phase 1 Suplexa trial, and states:

‘ This represents a new technology of removing a patient’s immune cells with a simple blood draw, re-engineering them, and then transfusing them back into the patient with a hope to kill the cancer. We are offering this to patients with any metastatic solid tumour who have limited treatment options left, and whilst we have a lot to learn, it is just so fulfilling and wonderful to be involved with these new innovative cancer therapies at the outset of their development.’

St Andrew’s is a recognised leader in medical research and innovation.

Medical Education

Clinical Placement Program at St Andrew’s: 2021-22

St Andrew’s continues to support the University of Adelaide Year 6 MBBS students. The university and the hospital have worked collaboratively to enhance the learning of the medical students who have been selected to undertake a placement at St Andrew’s. The selection opportunity arises in the year prior to placement and is largely influenced by the program’s reputation, the experiences of predecessors and the availability of positions.

The program is a four-week placement in the specialities of breast and endocrine surgery and oncology; surgical urology and oncology; and medical, surgical and interventional cardiology. During the academic year, St Andrew’s can accommodate six students simultaneously, providing a diverse, interesting and practical exposure in their selected area.

Key to the success of the program is the ongoing commitment of the specialist consultants who generously share their knowledge, time and exposure to their private patients with the medical students. Dr Melissa Bochner, Dr John Bolt and Dr Peter Sage have extended further, acting as senior mentors and supervisors to their respective students. Dr Quoc Lam conducted a full morning suture workshop for 11 students which was highly valued by all who attended. This workshop was also supported by Mr David Carney of Johnson & Johnson, who supplied much of the suture practice equipment. The consensus of feedback for this workshop was very positive and complimentary:

‘

A very beneficial, interesting and engaging practice in a safe environment. I greatly appreciated this opportunity. Thank you for your time and resources.’

The surgical and medical components of the student placement incorporate ward rounds, patient consultations and interactions, treatment planning, and the ability to scrub and be at the table for interventional and surgical procedures. These experiences are under the direct guidance of medical consultants and nurse specialists. The opportunities allow the student to observe the professional practice within the private hospital setting. It becomes an enlightenment for many students familiar with public hospital and university-based simulation experiences. Speciality specific learning opportunities are scheduled in areas of St Andrew’s chemotherapy suite, GenesisCare radiotherapy and oncology, robotic and cardiac surgery, anaesthesia, critical care, stomal therapy, breast clinic and breast care. Clinpath Pathology also hosts the students at their Mile End laboratory for a comprehensive tour of the anatomical facility and discussion with a histopathologist. Reverend Peter Morel offers his considerable knowledge in the realm of grief.

His presentation entitled Sharing Sad News is particularly insightful which students expressed as:

‘ A different perspective on grief and a reminder of what patients might be going through.’ and ‘very beneficial, valuable strategies to deliver bad news, highly relevant to the role of a doctor.’

Along with the South Australian community, COVID-19 has significantly impacted on the learning experiences of the medical student cohort, with the suspension of medical students. During 2022, the effect was predominately noted by the easing of South Australia’s community COVID-19 restrictions. Consequently, several students contracted COVID during the time of their placement. Individual plans were modified to ensure the comprehensive experiences expected during placement were achieved, following their return to health. The total number of students placed at St Andrew’s during 2021-2022 reached 19.

The Clinical Placement Facilitator position was vacated by Leanne Batten in February 2022. Moving into this role is Registered Nurse Heather Crosby, who has worked in the perioperative environment since 1983 and who has been at St Andrew’s since 2003. Heather has extensive experience in a variety of specialties and her recent roles at the hospital have included Clinical Nurse – Plastics Breast and Endocrine surgery, and Clinical Nurse – Perioperative Education.

The University of Adelaide, clinical placement team, St Andrew’s nursing staff, visiting medical officers, and administrative staff working collaboratively, is pivotal to the ongoing success of the program.

Continuing this excellent and innovative program is dependent on the cooperative attitude established within the culture of St Andrew’s and all stakeholders.

The comments below express the value of the program to students:

‘ Thank you so much for arranging the amazing placement. I really enjoyed my time at SAH. I liked how friendly and approachable everyone was. I was made to feel comfortable and to step out of my comfort zone to approach theatre staff and to be part of the team.’

‘ I really appreciated all of the education provided by the staff, doctors and nurses. There wasn’t a day where I felt like a burden. I really liked how we had a wide variety in terms of exposure. Pathology and imaging sessions were amazing with maximum guidance by the doctor. I cannot thank you enough for my time there and would definitely recommend the program to my juniors.’

The

Breast Endocrine specialists

Dr Janne Bingham

Dr Melissa Bochner

Dr Randall Brown

Dr Rodney Cooter

Dr James Dickson

Dr Evelyn Cheng

Dr Trevor Collinson

Dr James Kollias

Dr Quoc Lam

Dr William McLeay

Dr Adam Sandler

Dr Marcus Wagstaff

Dr David Walters

Dr David Walsh

Dr Robert Whitfield

Anaesthetic specialists

Dr John Jaccarini

Dr Tom Jaensch

Dr Steve Kinnear

Dr Bob Singh

Urology specialists

Dr James Aspinall

Dr John Bolt

Dr Rick Catterwell

Dr Jonathon Cho

Dr Andrew Fuller

Dr Arman Kahokehr

Dr Nick Murray

Dr Raj Singh Rai

Dr Michael Smith

Mr Peter Sutherland Dr Richard Wells

Intensive Care specialists

Dr Alex Wurm

Dr Nick Edwards

Dr Mary Chapman

Cardiology specialists

Dr Vinod Aiyappan

Dr Julie Bradley

Dr Daniel Cehic

Dr Georgy Chacko

Dr Patrick Disney

Dr James Edwards

Dr Jerrett Lau

Dr Joe Montarello

Dr Jamie Morton

Dr Peter Sage

Dr Luay Samaraie

Dr Maria Santos

Dr Govindarajan Srinivasan

Dr Peter Steele

Dr Karen Teo

Dr Charles Tie

Dr Fabiano Viana

Dr Michael Worthington

Dr Glen Young

Dr Robert Young

Specialist surgeons

Dr Michael Berce

Dr Sommit Dan

Dr Phillip Game

Dr Anurag Gupta

Dr Jack Harbison

Dr David King

Dr Matthew Lawrence

Dr Mark Lewis

Dr Naila Mouratova

Dr James McLean

Dr James Moore

Dr Kurian Mylankal

Dr Martin Oehler

Dr Tarik Sammour

Dr Simon Sandler

Dr Richard Smith

Dr Nick Solanki

Dr Michelle Thomas

Dr Sarah Thompson

Dr Paul Van Minnen

Dr Paul Varley

Dr Roger Woods

Dr Philip Worley

Dr Adam Wells Dr Raymond Yu

St Andrew’s and University of Adelaide collaboration continues to be a highly valued selective for the medical students. It is with grateful thanks we recognise the ongoing expertise and support of the program supervisors –Dr Melissa Bochner, Dr John Bolt, Dr Peter Sage and all contributing consultants listed below:

Organisational Structure

Board of Governors

Chief Executive Officer Mr Stephen Walker

Director of Nursing and Clinical Services

Jacquie Wiley

Associate Director Nursing Wards and Privacy Officer Adrian Saunders

Associate Director Nursing Theatres and Procedural Areas Nicole Russell-Higgins (to September 2021) Dale Broomfield (from September 2021)

Clinical Manager Theatre Renee McHugh / Leandra Spencer

Clinical Manager Recovery / Anaesthetics Sharon Blaney Clinical Manager / Procedural Suite Sharon Maslen

Clinical Manager – 2nd Floor Liz Knight / Heather Grady

Acting Clinical Manager –3rd Floor Chloe Wigzell / Jenny Duurland

Clinical Manager – Cardiac Ward Lisa Walter

Clinical Manager – 4th Floor Janet Hannigan

Clinical Manager –Angiography Suite Joyce Restell

Clinical Manager –Critical Care Unit Edel Silke

Clinical Manager –Emergency Service Carla Zampatti

Clinical Manager –Day Chemotherapy Suite Elizabeth Hamra / Lisa Mucklow

Bookings Manager

Julie Arthur

Quality and Risk Manager Tina Donaldson

Hospital Coordinators

Caroline Guest / Sarah Myers

Night Duty Coordinators

Barb Uffelmann (to September 2021) Richard Robinson (from September 2021) Anitha Adolfus

Case Manager Elizabeth Jones

Pre Admission Coordinator

Tricia Fanning (to August 2021) Anita Ritzau (from December 2021)

Infection Control Coordinator Linda Jarratt

Clinical Educator Recovery / Anaesthetics Jenny Slade / Kathryn Humphries

Clinical Education Coordinator Alison Sarles

Graduate Nurse Coordinator Kerry Holm

Clinical Educator, Theatre Naomi Kingscott

Clinical Educator, CCU Duncan Bamford

Director of Finance Garry Crispin

Management Accountant

Jason Mallon (to December 2021) Jon Goldsmith (from December 2021)

Financial Accountant Stuart Campbell

Payroll Manager Sue Redden

Clinical Costing Analyst Amanda Frankham

Supply Manager Jules Jardine

Health Information Manager Lorraine Van Gemert

Director of Human Resources Rachel Stephenson

HR Manager Alina Gerhardy

Safety & Wellbeing Manager Carly Leaker

Patient Services Manager

Meredith Staggs (to December 2021) Paul Griffin (to June 2022)

Director of Engineering and Support Services

Peter Cooper

Maintenance Controller James Crinson Dietary Services Manager Paul Smith

Biomedical Engineer Maged Shenouda

Director of Medical Services Dr Paul Gaetjens

Director of Information Systems Greg Laing

Director of Critical Care Unit Dr Alex Wurm

Director of Foundation Jenny Parsons (from November 2021)

Coordinating Chaplain Rev Peter Morel

Board Sub Committees

We thank our Board Sub Committee members, many of whom are currently visiting medical officers at St Andrew’s who volunteer their time.

Patient Safety & Quality Committee

Mr Jim Sweeney (Chair)

Mr Stephen Walker

Mr Geoff Lake

Ms Jacquie Wiley

Mr Adrian Saunders

Ms Tina Donaldson

Mr Dale Broomfield

Ms Deidre Galezowski

Dr Paul Gaetjens

Risk Management Committee

Ms Susy Daw (Chair)

Mr Stephen Walker

Ms Jacquie Wiley

Mr Peter Cooper

Mr Greg Laing

Ms Tina Donaldson

Ms Deidre Galezowski

Mr Garry Crispin

Mrs Rachel Stephenson

Medical Advisory Committee

Dr David Walters (Chair)

Mr Stephen Walker

Ms Jacquie Wiley

Dr Markus Nikitins

Dr Alex Wurm

Dr Andrew Hunter

Dr Nicholas Murray

Dr Sonia Latzel

Dr Peter Sage

Dr John van Essen

Dr Simon Sandler

Dr Richard Wells

Dr Paul Gaetjens

Dr Sandy Patel

Board Sub Committees are made up of the following committee members. The committees provide recommendations for action to the Board of Governors.

Finance & Audit Committee

Ms Sonya Furey (Chair)

Mr Stephen Walker

Mr David Whitbread

Dr Daniel Cehic

Mr Jim Sweeney

Mr Garry Crispin Ms Jacquie Wiley WHS Committee

Mrs Rachel Stephenson (Chair)

Mr Stephen Walker

Mr Chris Mouratidis

Mr Dale Broomfield

Mr Peter Cooper

Mrs Carly Leaker Rev Peter Morel

Capital & Development Committee

Mr Trevor Lambert (Chair)

Mr Stephen Walker

Ms Sonya Furey

Mr David Whitbread

Mr Peter Cooper

Mr Stuart Campbell Mr Garry Crispin

Ms Jacquie Wiley

Human Research & Ethics Committee

Rev Richard Miller (Chair)

Mr Stephen Walker

Mr David Whitbread

Rev Peter Morel

Mr Geoff Lake

A/Prof Glenn Young Ms Joan Sedsman

Prof Robert Fraser AM

Ms Cate Davis

A/Prof Susan Neuhaus OAM

Mr Adam Ritchie

Credentials Committee

Dr Daniel Cehic (Chair)

Mr Stephen Walker

Dr Andrew Fuller

Dr Mark Lewis

Dr Roger Woods

Dr Rob Culver

Dr Nicholas Marks Dr Gareth Lyttle Dr Neisha Wratten

Dr Paul Gaetjens

Dr Sandy Patel Ms Jacquie Wiley

Peer Review Committee

Dr Mary Sutherland OAM (Chair)

Mr Stephen Walker

Dr James Moore

Dr Richard Wells

Dr Rod Cooter

Dr Rob Young Dr Paul Gaetjens

Ms Jacquie Wiley

Board of Governors

Board Members

Dr D Cehic MBBS, FRACP, FCSANZ Ms S M Daw GAICD, FGLF (03)

Ms S C Furey BEc (Acc), LLB (Hons), LLM, FCA, GAICD

Mr T Lambert BE (Civil), MEnvSt, GradDip BusMgt

Mr J L Sweeney MBBS, FRACS

Dr D J Walters MBBS, FAICD, FRACS

Rear (L-R): Jacquie Wiley, Jim Sweeney, Trevor Lambert, Daniel Cehic, Garry Crispin, Sonya Furey. Front (L-R): David Walters, Susy Daw, David Whitbread, Stephen Walker, Mary Sutherland, Richard Miller.

Ex Officio Member Rev R Miller Min.Dip., Grad.Dip.Ed. The Moderators Alternate, SA Synod Uniting Church in Australia

Chair Mr D Whitbread BEc, FCA, FAICD Deputy Chair Dr M F Sutherland MBBS, FFARACS, FANZCA

St Andrew’s Hospital Foundation

A letter of thanks from the Foundation Director and the Chair of the Foundation Board

On behalf of the St Andrew’s Hospital Foundation, we would like to thank you, our donors, for your essential and unwavering support during the second year of the COVID-19 pandemic.

If there is one lesson we have learned from these pandemic times, it is never to undervalue relationships and connections. Our St Andrew’s community of volunteers, friends, devoted supporters, grateful patients, and bequestors have never failed to show up for us, and have made it possible for us to help St Andrew’s Hospital during some of its most challenging times.

One of the core ways we provide support is through equipment. This year, we made possible the purchase of two Trident HD specimen radiography systems, an automated thermal disinfecting sonic irrigator workstation, four electric lift recliner chairs, 176 communication boards, an ultrasound machine for our Emergency Department, and a vaccine fridge.

Through our Medical Education and Research Fund, we supported eight scholarships and the muchanticipated Joint Professorial Appointment with the University of Adelaide. It was been a joy to see Dr Page settle into the clinical team and work to support research achievements.

We have also supported over 80 volunteers to contribute meaningfully to the hospital, either through the coffee shop, patient transport or other ways. Volunteers represent such an important community of helpers who make a significant difference to the experience of St Andrew’s staff and patients on a daily basis.

In addition, this year, the Foundation has taken on the external communications for St Andrew’s Hospital. This resulted in the launch of the 2022-2025 Strategic Plan and the roll-out on social media of initiatives such as R U OK? Day, Reconciliation Week, NAIDOC Week and International Nurses Day. Supporting hospital operations with our time, our skill and, with funding, is one of the really special things about our relationship.

Thank you for your support, particularly as we are both new to our roles, to help ensure that St Andrew’s Hospital Foundation is a thriving partner of St Andrew’s Hospital.

Jenny Parsons Director

Eric Granger, FUniSA FAICD Chairman

Thank you

Patron

Mrs Lan Le

Chairman

Mr Eric Granger FUniSA FAICD

Board Members

Ms Margot Coles

Ms Kristen Raison

Ms Jennifer Rees

Ms Amanda Seaton Dr Mary Sutherland OAM

Bequests

Estate of Mr William Frederick Fechner

Donors

Mr Robert Adam

Mrs Mary-Rose Andrews

Anonymous

Ms Zoi Athanasopoulos

Mr Brenton & Mrs Sharon Barrett

Ms Sandy Bellinger

Mr Malcolm Biggs

Mr John Bishop AO

Mrs Margaret Blake

Miss Jezreel Blanco

Mrs Sharon Boyd

Mrs Christine Brazier

Mrs Amy Bredon

Ms Lorraine Brinsden

Ms Pamela Buchdahl

Mr Peter Burgess

Mr Frank & Mrs Laura Camporeale

Mrs Tania Capone

Mr Keith Casperson

Rev Don &

Mrs Lesley Catford

Mr Michele Cervelli

Ms Caroline Chapman

Mr Robert Chappell

Mrs Lynn Christian

Mrs Adrienne Copley

Mrs Denise Cotterill

Ms Maren Cowley

Mrs Pauline Craven

Mr Keith & Mrs Janet Crawford

Mr Gary Dawe

Mr John & Mrs Susan Dearman

Mr Ian Dempster

Dr Christopher Dibden

Mr Lindsay Doherty

Mr Kent &

Ms Suzanne Donaldson

Mr Max Duhring

Mr Geoffry Dunk

Dr Christopher Farmer

Mr William Fechner

Dr Peter Franklyn

Prof Robert Fraser AM

Mr Graeme French

Mr Lee Fuller

Ms Gail & Mr Peter Gago

Ms Suzanne Galpin

Mr John Gazley

Ms Danielle Gibb

Hon Roger

Goldsworthy AO &

Mrs Lyn Goldsworthy

Ms Claire Goodwin

Mr Frank Gordon Mrs Elisabeth Grilz

Mr Rudolf Grilz

Mr Rod Grundy Miss Rosalie Harding Dr Hugh & Mrs Josephine Harley Mrs Lola Harman

Ms Prudence Hart Mr Richard & Mrs Wendy Haynes

Mr Jeffrey Helps Ms Rosemary Higgins

Dr Alex & Mrs Natalia Hubczenko

Mr Dave Hutton

Ms Judith Jays Mrs Yasmine Johnson

Mr Christopher Johnston

Mr Nick Jones

Mr Ronald & Mrs Judy Kelton

Dr Michael Kitchener

Ms Emma Kittle

Mr David Klingberg AO & Mrs Margaret Klingberg

Mr Geoffrey Lake Mrs Heather Langton

Mr Garry Lea

Mr James Lehman Mrs Tina & Mr Keith Lloyd Mrs Christine Locher Ms Klementine Lutz Mrs Heather Mackenzie

Mr Michael & Mrs Lesley Madigan

Prof Peter Malycha AM

Mrs Franciska Marshall

Mrs Barbara Marshall Mr Andrew McArthur

Mr Michael McAuley

Mr Murray McFarlane

Mrs Jennifer Measday

Miss Helen Mickan

Mr Bruce Muhlhan

Mr Philip Myers

Mr Jakeb Noble

Dr Richard Num

Mr Benjamin Oborn

Mr John Olsson

Mr Justin Omond

Mrs Heather Oster

Mrs Luisa & Mr Costanzo Pannozzo

Ms Jenny Parsons Mrs Joan Paterson

Mrs Robin Pawson

Mr Frank Pepper Mrs Chris Pinnington Mr Neville Pledge Mr Sydney Pryor Mrs Elizabeth Pryzibilla Mr Tim Pryzibilla Mrs Rosalie Scutter Mr Colin Raison

Dr Michael & Mrs Margaret Randle Ms Jennifer Rees

Dr Sally Reid Mrs Barbara Richards Mr Andrew Richardson Mrs Helena Roberts

Mrs Sharyn Rogers

Ms Amanda Seaton

Mr David Seaton OAM & Mrs Beverley Seaton

Ms Desma Shillaker

Mr Vincent Slattery

Mr David Smith

Mr Richard Smithson

Mr Bruce & Mrs Carolyn Spangler

Mrs Barb Stace

Miss Jenny Steele Scott OAM

Sterling Foundation Mr Andrew Stoler Mr Peter Sutherland OAM & Dr Mary Sutherland OAM

Mr Steve & Mrs Bev Swartz

Mr Bredan Taggart Dr David & Mrs Fran Taplin Mr Kym Teh Mrs Barbara Thomas Mr Erik Tils Ms Di Trethewie Mrs Ros Tucker Mrs Ella Tyler

Mr Malcolm Tyrrell Mrs Lorraine & Mr Brian Venn

Ms Karyn Verity

Ms Dawn Volle

Ms Diana Wallfried

Mr Brian Ward

Mr John Waschl

Mrs Rae Watson

Mr Richard Weate

Mr Harry Wellens

Mr Stephen White

Miss Janine Williamson

Mrs Chammy Wong

Mrs Sau Wong

Mrs Jacqualine Woodward

Mr Quintin Young

Medical Education &

Research

Fund Donors

Dr Vinod Aiyappan

Dr Michael Berce

Dr Janne Bingham

Dr Melissa Bochner

Dr John Bolt

Dr Julie Bradley

Dr Randell Brown

Dr Rick Catterwell

Dr Daniel Cehic

Dr Georgy Chacko

Dr Jonathan Cho

Dr Trevor Collinson

Dr Rod Cooter

Dr James Dickson

Dr Patric Disney

Dr Nick Edwards

Prof Robert Fraser AM

Dr Patrick Game

Dr Tom Jaensch

Dr Arman Kahokehr

Dr David King

Dr Steve Kinnear

Dr Jim Kollias

Dr Jerrett Lau

Dr Mark Lewis

Dr Guy Ludbrook

Dr James McLean

Dr Bill McLeay

Dr Joe Montarello

Dr Jamie Morton

Dr Nick Murray

Dr Kurian Mylankal

A/Prof Susan Neuhaus

Dr Rob Parkyn

Dr Peter Sage

Dr Luay Samaraie

Dr Simon Sandler

Dr Varjeet (Bob) Singh

Dr Mike Smith

Dr Richard Smith

Dr Bogdan Solomon

Dr Peter Steele

Dr Michelle Thomas

Dr Sarah Thompson Dr Charles Tie

Dr Paul Varley

Dr Fabiano Viana

Dr Marcus Wagstaff

Dr David Walsh

Dr David Walters

Dr Adam Wells

Dr Richard Wells

Dr Robert Whitfield

Dr Alex Wurm

Dr Robert Young

Volunteers

Ms Chloe Arbon

Mrs Lauri Benton

Ms Diva Bernardi

Ms Ann Boehm

Ms Denise Brockhouse

Mrs Margaret Brown

Ms Caroline Bryant

Mr Garry Burchell

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ISO 14001 EMSEnvironmental Management Systems

Paper is manufactured by a mill that is accredited with ISO 14001, the international standard for organising and achieving continual improvement in environmental management systems. This standard reviews the total manufacturing process and seeks continuous improvement in aspects such as energy efficiency, waste reduction and pollution control.

Printed using vegetable based inks.