St. Andrew's Annual Report 2022 - 2023 by St Andrew's Hospital

We Care for Others

Annual Report 2022-2023

Our Values

We Work Together

We Care for Others

Acknowledgement of Country

Medical and surgical excellence

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 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.

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, present and emerging. 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.

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.

We Deliver Excellence

Contents 1

Chairman’s and CEO’s Report

Nursing and Clinical Services

Patient Safety and Quality

Publications And Conferences

Measuring Our Performance

Human Resources

Workplace Health and Safety

Patient Services

Finance

Supply Department

Information Systems

Engineering and Support Services

Clinical Placement Program for Students at St Andrew’s Hospital

Program Highlights

University of Adelaide Hub Highlights

Financial Report

Organisational Structure

Board Sub Committees

Board of Governors

St Andrew’s Hospital Foundation

Thank you

Chairman’s and CEO’s Report Welcome to the St Andrew’s Hospital 2022/23 Annual Report.

• Dr Mark Williams, Anaesthetist with Stace Anaesthetics worked at St Andrew’s with Dr David Hall, Spinal Surgeon for approximately 25 years.

We are both extremely proud of what this hospital has achieved during yet another demanding year. The complexity of delivering high quality health services with finite resources has always been a challenging task, however despite this we remain the largest independent private hospital in Australia, entrusted with the care of one in every seven South Australian patients treated in a private hospital.

• Dr Kim Moretti, Urologist has had a theatre list here at St Andrew’s for over 30 years.

All governments are faced with the imperative of maintaining a sustainable health system. The private hospital sector plays a pivotal role in this endeavour. Australian private hospitals have faced the continued impact of the COVID-19 pandemic, significantly increased costs, workforce shortages and shifts in workforce practices. These challenges are not exclusive to private hospitals; they affect the broader healthcare landscape, including public hospitals, primary care, aged care and disability services. It is essential that these areas are looked at as a system and not independently. St Andrew’s will continue to contribute to discussions and to work with all stakeholders on health system improvements. Despite the considerable challenges, St Andrew’s can take pride in the resolute manner in which it has addressed these issues while maintaining an unwavering commitment to patient safety and quality. Our commitment is supported by our highly regarded training and development initiatives, university partnerships and scholarship programs. These important areas are a focus within the report. The exceptional collaboration of our dedicated teams from all departments within the hospital is truly commendable. As highlighted in this report, they have collectively achieved so much in the past twelve months. Our commitment to our organisational culture remains our priority. Despite the hospital’s growth, evolving economic conditions and shifting work dynamics, the hospital remains a happy, vibrant and positive place to work. This is evident in our impressive staff retention levels and the amount of staff who have been recognised with long-service awards. We are also very grateful to our VMOs who often spend their entire career with us. On that note we had five of our highly respected VMOs retire after a long and distinguished career at St Andrew’s: • Dr Peter Sutherland OAM, Urologist (robotic) retired in December 2022 after more than 35 years operating at St Andrew’s. • Mr Michael Berce, Vascular Surgeon retired after more than 31 years at St Andrew’s working in both our theatres and angiography suites.

St Andrew’s Hospital

• Mr Andrew Hunter, Colorectal Surgeon has worked at St Andrew’s for 30 years, having both theatre and procedural lists. He was also a member of our Medical Advisory Committee. All of us at St Andrew’s thank Peter, Michael, David, Andrew and Mark for their wonderful contribution and wish them a long, happy and healthy retirement.

On May 18, the new development at 337 South Terrace was completed and commissioned providing a magnificent enhancement of the St Andrew’s precinct. Collaborating with Cambridge Medical Property and key providers GenesisCare and Jones Radiology to design a world class facility for South Australians. The goal of this new facility is to further support the patient journey at St Andrew’s. The building houses: • Clinpath Pathology (opening in April 2024). • GenesisCare (Adelaide Radiotherapy) radiotherapy service (2 x Linear Accelerators) providing patient access to an integrated cancer care service. • Jones Radiology – The St Andrew’s Breast Centre has relocated to this building with a new purpose-built state-of-the-art facility providing mammography, fine needle biopsy and breast surgeon consulting. Other services provided by Jones Radiology include CT scan (diagnostic), general X ray, ultrasound and bone mineral densitometry. • Cancer Research SA (CRSA) is a cancer research unit which helps and treats people with early and late-stage cancers. They work with Phase 1 (including first-in-human), Phase 2 and Phase 3 clinical trials. CRSA is also in partnership with universities and research groups across Australia and beyond for education and research work.

Our governance of the hospital continues to be strong and strategic. In November, we farewelled our long serving Deputy Chair, Dr Mary Sutherland OAM. Dr Jim Sweeney has taken on the role of Deputy Chair and we were fortunate to welcome Natalie Kelly to the Board in February 2023. Natalie has considerable experience in senior management in the health insurance industry. It is important to remain strategic during these challenging times and we have kept a focus on our master plan considering new developments for St Andrew’s. In conclusion, we would like to thank and acknowledge the entire St Andrew’s team, including our dedicated nursing staff, support service areas, visiting medical officers, volunteers, our Board and our Foundation, all of whom have contributed to another successful and positive year at St Andrew’s.

• Waverley Vascular Clinic has relocated from Waverley House to a lovely new consulting suite. • St Andrew’s Foundation offices – the foundation administration will relocate to this site, freeing up their office space at 321 for hospital use. • The St Andrew’s Wellbeing Centre - This new centre, made possible by a significant annual donation from our St Andrew’s Hospital Foundation, will provide a range of pre and post operative outpatient support, including cancer support groups, rehabilitation, exercise and counselling, to a range of our cancer and cardiac patients. The centre will provide an extension of the wonderful care we provide to our inpatients (opening in 2024).

Mr David Whitbread Chairman

Mr Stephen Walker Chief Executive Officer

2022-2023 Annual Report

Nursing and Clinical Services Clinical Education St Andrew’s provides education to the clinical team using a variety of modalities. These include bedside skills training and assessment, face-to-face workshops, study days, meetings and online training. This allows all staff to learn at a time convenient to them. Education evenings have proved to be a popular way to learn, as experts impart knowledge and skills in a relaxed environment outside of hours. Questions are encouraged and experiences are shared. The evenings are sponsored by our partners for the clinical team to enjoy a light meal and refreshments. Examples of some of the evenings include:

Ward/area-based in-service forms the bulk of the face-to-face training and education provided to clinical staff at St Andrew’s. For example: • The Critical Care Unit schedules weekly ICU in-service for both medical and nursing staff. The Clinical Educator and ICU consultants provide the training on topics such as cardiothoracic advanced life support, intra-aortic balloon pumps, positive pressure ventilation, difficult intubations and much more.

• Pain Management Evening: a valuable insight into the world of a chronic pain sufferer. Many of our patients who are admitted for an acute surgical procedure have a history of chronic pain.

• Ward staff attend training on topics such as chemotherapy precautions, cancer support services, specific medications, wound dressing selection, bedside transfusion checks, care of PICC lines, bladder scanning, pigtail drain management, and much more.

• Permanent Pacemaker Evening: an interactive evening as clinical staff were taken through the patient journey of a pacemaker insertion and the post-procedural care. Handy hints were welcomed on troubleshooting potential problems.

• The professional development of the perioperative staff continued in 2022/2023 with a focus on rotating staff through a variety of specialty clinics to build and consolidate skills. This was further strengthened through planned in-service education and activities.

• ARJO Education Evening: the selection and use of pressure relieving mattresses in pressure injury prevention, Flowtron active compression therapy to prevent VTE, and assessing and managing skin conditions related to pressure and incontinence.

Education with a difference was provided this year when a number of staff visited the Colebrook Reconciliation Park. A local Aboriginal Elder spoke and led us on a tour of The Stolen Generation memorial. This experience gave us a deeper understanding and appreciation of the cultural requirements for our patients, visitors and colleagues who identify as an Aboriginal and/or Torres Strait Islander person.

Clinical Post Graduate Scholarships The St Andrew’s Hospital Foundation financially supports nurses to undertake post graduate studies within their specialty. In 2022, several nurses were successful in their application for a scholarship to commence their studies in 2023. Scholarships benefit our patients as expert knowledge and research is brought back into the clinical areas and shared with colleagues. Nurses currently studying to expand their knowledge and skills in the following areas:

• Film Evening: the clinical team was treated to a night at the movies. Everybody’s Oma is a documentary that made Oma a world-wide celebrity through social media, as the family embraced caring for Oma’s dementia in increasingly whimsical ways. As Oma’s dementia deepened, the film depicted the heart-breaking effect dementia can have on the individual and the people close to them.

• Stomal Therapy • Critical Care • Cardiac

Daytime workshops are generally longer with a more structured form of face-to-face learning. Examples of the daytime workshops conducted include:

• Oncology • Acute Care

• IV cannulation training.

• Perioperative

• Recognising and responding to clinical deterioration.

• Recovery and Anaesthetics

• Managing skin tears and staging pressure injuries. • PICO negative pressure wound therapy and wound bed preparation. • Autotransfusion workshop relevant to the anaesthetic and theatre nurses. Online learning allows for flexible access to courses that are mostly created by our onsite educators; this ensures the courses reflect St Andrew’s policies and procedures. Over 10,000 courses have been completed by our staff this year. A number of new courses have also been created including Haemacue, Privacy of Personal Information, Radiation Safety and Emergency Response for RAI 131, Ventricular and Lumbar Drain Management, Intra-aortic Balloon Pump and Handling Cytotoxic Medications and Waste Safely which augments the existing courses provided externally by eviQ.

Our Graduate Nurses for classes 2021/22

St Andrew’s Hospital

To remain flexible and responsive to the needs of the clinical team, the perioperative educators have been trialling a range of scheduling practices to ensure maximum attendance at mandatory training such as Basic Life Support and Hazardous Manual Tasks training. Staff also maintain their skills and knowledge by attending conferences and seminars external to the hospital, and taking advantage of the generous study leave and financial supports within the hospital’s Nursing Enterprise Agreement. This enables networking opportunities as well as up to date information on current evidenced based practice. Examples of conferences attended are the Spark of Life Conference, ANZICS/ACCCN Intensive Care Annual Scientific Meeting, the Urological Nurses Society Study Day, Endoscopic Reprocessing Specialist Training, and the International Forum on Quality and Safety in Healthcare.

• Emergency Two of our senior management team within the Critical Care Unit completed a Professional Management program through the University of Adelaide which was also financially supported by the St Andrew’s Hospital Foundation. As a result, a project was undertaken that focused on the development of an education plan for nurses working within the Critical Care Unit. Through consultation and engagement with the CCU nursing team, the outcome of this project included the creation and implementation of online and face-to-face workshops to build skills and knowledge around a variety of ICU nursing practices, ensuring the staff have the skills to provide excellent care.

Graduate Nurse Program 36 of our 2021 and 2022 graduate nurses attended a combined graduation ceremony at The Gallery on Waymouth Street on the 20th February this year. Restrictions prevented us from holding a formal celebration the previous year due to the pandemic, this was a perfect opportunity to take off our masks and see everyone’s smiling faces as they were rewarded for their commitment to St Andrew’s and the nursing profession during their first professional year. Nurses were presented with a framed certificate and a commemorative St Andrew’s Hospital GNP badge. The finishing 2022 graduate nurses were asked to comment on their experiences within the program. This is some of what they said:

“

Better than all my expectations, I feel very lucky and blessed to be a part of St Andrew’s. The 12 months in the GNP has helped me learn so many skills. I believe that I received so much support this year. I definitely feel more independent and comfortable within myself to be able to work with very little support, knowing that my patients will be well cared for. The level of support gained from the TPP program - from the managers to coordinators and staff - has made my transition so effortless, allowing me the confidence I need to care for my patients. I am really happy I chose St Andrew’s for my grad program. I have felt supported and comfortable throughout the process. I received lots of support from the graduate coordinator, ward manager’s and nurses. I will highly recommend friends to apply for a RN job or GNP at St Andrew’s. I believe that I received a great amount of support this year, both with expanding my skills and for checkups on my mental and emotional well-being. The staff always seek opportunities for me to have exposure to skills and to complete tasks within our graduate workbooks.

”

2022-2023 Annual Report

Nursing and Clinical Services Continued As the 2022 Graduate Nurse Program drew to a close, 27 graduates commenced their nursing career at St Andrew’s in January and February 2023. When asked why they chose St Andrew’s for their Graduate Program, they said:

“

St Andrew’s is a reputable hospital and, after having a great experience undertaking a student placement at St Andrew’s, I was able to see its supportive environment. I had heard many positive comments about its Graduate Program. Good location and rotation preferences. Lots of room for growth. The large amount of support, the friendliness from the interviewers, the opportunities within the hospital and the flexibility they have for their staff. The work culture, being close to home and work-life balance. The large oncology focus was my first preference and what I am most passionate about. Because I received a personal call from the coordinators and was able to discuss where I wanted to work, as well as the possibility of a part-time position. I accepted because St Andrew’s considered/cared for me.

”

Through the Australian College of Critical Care Nursing Annual Education Meeting, the Critical Care Unit developed an accessible, visual log that tracks the graduate nurses’ clinical skill acquisition. CCU senior staff can now use this log when allocating the graduate to the care of a patient, so maintaining our commitment to safe patient care.

Following the evaluation of our 2022 Perioperative Graduate Nurse Program, minor changes were made to ensure we were catering to the needs of our nurses. We decreased the number of graduate positions so that we can remain true to our promise of providing a high level of support to our new and existing nurses. This maintained a sustainable balance between junior and skilled nurses within the perioperative department. The program commenced with a six-week structured, supportive and immersive experience in order to rapidly onboard new graduates to safely perform their role as a novice nurse, practicing more independently over time, in line with the National Safety and Quality Healthcare Standards.

St Andrew’s Hospital

• Graduates worked set shifts with their designated educator. This included daily clinical immersion time and attending supporting lectures, practical sessions or in-services. One day per week during the orientation phase, all graduates attended a group perioperative meeting that included the ‘debriefing’ of critical incidents, goal-setting for the coming week, and emotional wellbeing support to assist in the transition to independent professional practice. • A modified version of this orientation phase will be implemented mid-year for graduates swapping between recovery and anaesthetics. An in-depth evaluation of the program was completed at six weeks in early 2023, where all respondents reported that they felt supported in their transition to the RN role, believing they were provided with the necessary skills and knowledge. The perioperative team will continue on this pathway in 2024. The educators across the ward and perioperative areas maintain close relationships, share resources and learn from each other’s experience. This ensures that organisation goals are promoted and communication channels are always open when managing the Graduate Program and clinical education in general.

Preceptor Workshops Our existing, more senior nurses play a key role in providing support to our new and junior nurses. To that end, a number of preceptor workshops were conducted early in 2023 to impart skills and provide resources and suggestions on how to precept new and junior staff. This program will continue to be provided on an annual basis.

BGL Celebration of Academic Excellence After the hiatus of prize-giving ceremonies since 2020 due to COVID, this year, the College of Business Government and Law at Flinders University hosted a new event to celebrate the academic excellence of their students. Ms Wiley (Director Nursing and Clinical Services) attended the inaugural BGL Celebration of Academic Excellence on Tuesday 2 May 2023, at Alere in the Flinders University campus. The event recognised and celebrated the accomplishments of the university’s highest achieving students. St Andrew’s Hospital sponsored two prizes: Academic Excellence and Health Administration. Ms Wiley had the opportunity to spend time with a number of the prize winners and significantly, one of our sponsored prize winners, Ms Vivienne Maxwell who was the winner of the award in Health Administration. Vivienne has partnered with St Andrew’s for a number of years, providing an outstanding physiotherapy service with her business partner, Ms Dashi Soodan, and their team of highly skilled physiotherapists. This provided synergy between Vivienne’s academic achievements and the care she provides to St Andrew’s patients; a true demonstration of the clinical excellence St Andrew’s is known for. The event provided a unique platform to share knowledge and experience with students eager to learn from industry professionals. It took the form of curated

‘speed networking’ which consisted of three rounds. Each round provided the chance to meet and chat informally with several students, including our prize recipient, and other industry representatives.

The Winners of the Awards were: Prize for Academic Excellence – Ms Wendy Sutton Prize in Health Administration – Ms Vivienne Maxwell (as pictured with Ms Jacquie Wiley)

Vale Andrew Swain On a sad note, our dear friend and architect Andrew Swain sadly passed away on June 7, 2023. Andrew provided architectural guidance to the hospital for many years and, together with his work business partner and friend Mark Wiltshire and the rest of the team at Wiltshire Swain Architects, was responsible for the award-winning design of our Eastern Clinical Development.

Vale Lindy Irwin Lindy Irwin (enrolled nurse) passed away on March 1, 2023. Lindy worked at St Andrew’s on the third floor for more than 26 years as an enrolled nurse. She was a long-term member of the breast care team, organising the breast care lunch from its infancy, where the first event took the form of a morning tea, evolving over time to become the annual lunch. Lindy cared for and supported many patients and their families over her years with us, and for that we are so very grateful. 2022-2023 Annual Report

Nursing and Clinical Services Continued

Patient Safety and Quality

SA Nursing and Midwifery Excellence Awards

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 through our organisational values and our safety and quality framework. We strive to achieve this by always putting our patients’ needs at the centre of what we do, taking the time to connect with and listen to our consumers and staff. This is further supported through the active participation of consumers and Visiting Medical Officers in our clinical governance committees.

On Friday night 12th May, we had the privilege of attending the South Australian Nursing and Midwifery Excellence Awards at the Convention Centre. Two of the three St Andrew’s nurses who were nominated for Excellence Awards were announced as finalists on the night. We were delighted when RN Ms Fiona Bolton was awarded Excellence in Practice – Registered Nurse, a well-deserved winner for the care she provides to patients in her role as Stomal Therapy Nurse. Fiona has been outstanding in Stomal Therapy, imparting her knowledge and support to not only St Andrew’s patients and staff, but to nurses across Adelaide and regional South Australia. Some of her achievements are: • Member of the Australian Association of Stomal Therapy Nurses for 15 years, and President since 2021. • Convactec invitee to travel to North Carolina to assist with the redesign of appliances for the improvement of patient experience and quality of life. • Member of the SA research team in the area of parastomal hernia development. • Newly-elected Treasurer Elect of the World Council of Enterostomal Therapists, having been invited to travel to Boston this year. Fiona is a nurse who is passionate about the care she provides, and we at St Andrew’s are proud to have her contribution recognised by her peers.

Hospital Accreditation

Another source of pride is Ms Chelsea Clark, RN in Anaesthetics and Recovery, who was a finalist in the category of Excellence in Practice Early Career Nurse/Midwife. Chelsea is recognised by her team as an outstanding nurse, always placing the patient at the centre of her care, and working quickly to develop patient rapport and trust, a difficult task in a perioperative environment. As an early career registered nurse, Chelsea demonstrates a skill level well above her year level. She is the ultimate professional, collaborating with peers for best patient outcomes, showing resilience, and maintaining a formidable toughness during the recent challenges in healthcare. We are lucky to have her as a member of the St Andrew’s team. We also celebrated the nomination of Ms Lisa Walter, Clinical Manager, Cardiac Unit in the prestigious category of Excellence in Leadership and Governance. Lisa has long been recognised as an outstanding senior clinician and a highly regarded leader, developing a high performing team and inspiring staff to become their best selves. She ensures her team provides best practice, underpinned by best evidence-based care. Lisa is known as the ‘go-to’ person for St Andrew’s new staff, as well as being a mentor for other clinical managers, and this no doubt contributed to her successful application for the Associate Director of Nursing, Wards role.

St Andrew’s Hospital

St Andrew’s Hospital 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. From July 2023, mandatory short notice assessment to the National Safety and Quality Health Service (NSQHS) Standards will replace the existing model of announced assessments of hospital and day procedure services. St Andrew’s welcomes this model of assessment which supports the continuous implementation of the Standards and ensures the assessment outcome reflects day-to-day practices, identifies gaps, and supports health service organisations to improve safety and quality systems and processes.

Quality Improvement The St Andrew’s team is committed to improving patient safety and quality. Both Tina Donaldson (Quality and Risk Manager) and Dr Tamara Page (A/Prof Innovations in Quality and Safety) work collaboratively to lead and support the development of innovative patient safety and quality improvement projects and research opportunities for nurses. Our consumers are also an integral part of this process assisting to co-design improvement projects with fantastic results. In 2022, this collaborative approach has seen our teams go the extra mile to improve patient safety and quality improvement with the following projects, grants and publications achieved:

Transforming parastomal hernia risk assessment for with a stoma in the Australian context A team of investigators, including one of our Stomal Therapists, Ms Fiona Bolton, is developing a National Risk Assessment tool for prevention of parastomal hernias in ostomates. A retrospective case note review was conducted in 2022/3 alongside our Northern Adelaide Local Health Network peers, and the tool is currently being developed with a view to being piloted. A Medical Research Future Fund (MRFF) Clinician Researchers – Applied Research in Health Grant has been submitted to support this work.

A review of Hypothermia Prevention Strategies for urology surgical patients An implementation project, based on the recommendations from the blood management usage review in urology surgical patients in 2022 is underway, led by Ms Kathryn Humphries, our Recovery Clinical Educator. Policies, procedures and forms are being updated, with a staff education session planned for August 2023. This work is being supported by a grant from the University of Adelaide, Adelaide Nursing School.

Lost specimens, lost confidence: Multidisciplinary review of processes in a private hospital Specimen losses are not unheard of and there are many reasons this may occur. The outcomes can be devastating for a patient awaiting results, with a delayed diagnosis and potentially further interventions necessary. One way to ensure all aspects contributing to an identified issue that needs improving is process-mapping complex scenarios. A multidisciplinary team at St Andrew’s Hospital, alongside our major pathology provider Clinpath Laboratories, is exploring several solutions to identify problems which may occur throughout any scenario where specimens are retrieved.

2022-2023 Annual Report

Publications and Conferences

Measuring Our Performance

Accepted

Performance measurement continues to be an integral part of informing us on patient safety and quality, and how well we are meeting the needs of our patients. Our performance measurement includes clinical indicator monitoring, audits, independent stakeholder surveys, patient feedback mechanisms and accreditation surveys.

E-posters at the International Forum on Quality and Safety in Healthcare being held in Melbourne include: • Lost specimens, lost confidence: multidisciplinary review of processes in a private hospital. Presented by Ms Renee McHugh, CM Theatre. • A review of Hypothermia Prevention Strategies for urology surgical patients. Presented by Ms Kathryn Humphries, Recovery Clinical Educator. • Development of a National risk assessment tool for prevention of parastomal hernia.

Submitted • Journal of Perioperative Practice: A review of Perioperative Hypothermia Prevention Strategies for Urology Surgical Patients. • Journal of Patient Experience: What Matters to You? Day: Where care matters most! • Blood2023 Conference: A review of Hypothermia Prevention Strategies for Urology Surgical Patients. • Supporting People with Cancer Grant application submitted with the aim to reduce the impact of, and better support people affected by breast cancer.

This year, our ambassadors – our graduate nurses - did a fabulous job promoting the day with the wonderful support from our friends at the Halifax Street Children’s Centre and Preschool. Our graduates had the opportunity to enhance their ‘soft skills’ while collecting valuable information for the hospital from its consumers. On the day, we invited patients throughout the hospital to write what matters to them on a handmade leaf. The children of the centre beautifully decorated the leaves which were then gathered by our graduate nurses and, for two weeks, were displayed on a ‘feedback tree’ in the coffee shop.

What mattered most to the patients in St Andrew’s Hospitals in 2023? Forty percent of our participating patients (74) stated: Friendly, kind, compassionate, smiling, understanding staff who listen and provide safe, comfortable, timely care, providing them a good outcome. Being discharged and home to their family was their priority. Not at all dissimilar to what our graduate nurses expressed.

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 Hospital:

Patient Satisfaction Very Satisfied 75.46%

In 2022, 93% of the feedback received indicated patients were ‘satisfied’ or ‘very satisfied’ with the care they received. True to our values, our patients provided positive comments about our staff, recognising them as welcoming, caring, cheerful, friendly, efficient, helpful and professional in the excellent care they provide.

Satisfied 17.57% Neither 4.59% Dissatisfied 1.53% Very Dissatisfied 0.83%

The information received represented the diversity of our patients’ values, beliefs and needs, and has been collated and reviewed as part of our commitment to continue to provide them with the best possible care.

‘What matters to you?’ Day Once again, St Andrew’s Hospital celebrated ‘What matters to you?’ Day on Tuesday 6 June. As healthcare professionals, we want to take time to connect with our patients, listen with compassion, and promote caring, kind human interactions. Asking ‘What matters to you?’ is about having meaningful conversations to understand what matters to the individual, their families and carers. These conversations can help make informed decisions about a person’s health and care. When we engage with individuals about their health and care decisions, it can greatly improve their wellbeing and outcomes.

Reconciliation Action Plan (RAP) St Andrew’s is committed to forging a better ongoing relationship with Aboriginal and Torres Strait Islander peoples. An important component of this journey is the creation of a Reconciliation Action Plan (RAP) to guide and chart our progress. We are pleased to have achieved a significant milestone, with the St Andrew’s Reflect RAP document conditionally approved in March 2023 by Reconciliation Australia. We thank Uncle Tamaru for his guidance through this process and we look forward to connecting and improving our relationships with Aboriginal and Torres Strait Islander peoples.

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

1.5

1.62 DAYS

1.56 DAYS

1.55 DAYS

2021-22

2022-23

0.5

Occupied Bed Days Over time, the average occupied bed days has not varied significantly. Bed days have been affected by the pandemic over the last three years.

2020-21

6,000 5,000 4,000

5023

4703

4974

3,000 2,000 1,000 0 9

St Andrew’s Hospital

2020-21

2021-22

2022-23 2022-2023 Annual Report

Measuring Our Performance Continued Hand Hygiene Higher rate is a good result. The hospital hand hygiene rate is 85.4% and the national benchmark is 80%. Hand hygiene is one of the ways to reduce the Staphylococcus aureus bacteraemia rate.

Human Resources

100%

75%

85.4%

80%

50%

25%

Falls Lower rate is a good result. The hospital rate of falls is 0.099% which is lower than the ACHS private national average of 0.241%. This is an outstanding result.

SAH rate

National benchmark

0.250%

0.241 %

0.200% 0.150% 0.100%

Staphylococcus aureus Bacteraemia Rate Lower rate is a good result. The hospital rate for Staphylococcus aureus bacteraemia rate is 1.163 and the Australian standard rate is 1.00.

0.050%

0.099 %

0.000%

SAH falls

ACHS benchmark

1.300 1.200

Throughout 2022-23, the HR team supported the hospital to recruit, orientate and welcome 171 new employees to the hospital community. We continue to receive excellent feedback from new employees about our recruitment and onboarding processes, with feedback received via our recruitment and new hire surveys, delivering an overall satisfaction rating of 4.5 out of 5. The experience for our candidates and new employees has been enhanced with the continued use and refinement of our electronic recruitment and onboarding system, StandTalent (originally implemented in 2021-22). We have seen a small increase in employee turnover over the past 12 months, reflecting broader changes in the employment landscape which has seen increased workforce mobility. Despite this, our voluntary employee turnover continues to sit below industry averages and our average length of service is eight years. We again recognised the long-standing service of over 100 employees as part of our Service Awards program, including 13 employees with more than 20 years’ service. A key achievement for the HR team this year was the launch of our new Employee Reward and Recognition Program, StandOut! Based on our revised organisational values (We Work Together, We Deliver Excellence, and We Care for Others), the program enables any employee to nominate another member of the St Andrew’s team for exceptional demonstration of our values. Using a QR code, employees can easily nominate one of their workmates, and each month one person is drawn at random from those nominated during the month to win a gift voucher. All nominees are recognised by SEC and this achievement is circulated via internal communication to all staff. Since inception, we have received a whopping 341 nominations. Some of the lovely comments provided as part of these nominations are:

Theatre nurse, nominated for the value ‘We Care for Others’: She always portrays a positive attitude towards work that has influenced most of her colleagues. She is very passionate about her patients and a very dedicated nurse overall. Sterilisation technician, nominated for the value ‘We Work Together’: This person has a very caring nature and is a quick thinker. She communicates with all and strives to do her very best each and every day. She is a very hard worker and is always willing to help others. Orderly, nominated for the value ‘We Deliver Excellence’: He is always extremely helpful. No matter how busy he is, you can always rely on him to get a job done. He is polite and friendly to every patient he transports. A fine example of delivering excellence to both patients and staff. Thank you for everything you do for us. An important milestone for the hospital was achieved this year with the commencement of negotiations towards new Enterprise Agreements for our support services employees. These are the first Enterprise Agreement for this group of employees under the Fair Work bargaining system, with the previous agreement being negotiated in 2008 under the Work Choices regime. The negotiations have provided employee representatives with a valuable opportunity to talk openly and transparently with hospital leadership on their views and ideas about the current employment terms and conditions offered by the hospital. The negotiations also enable the hospital to align with other counterpart hospitals as we move under the Modern Award framework. Pleasingly both agreements were voted up by employees.

1.100 1.000

1.163

0.900

1.000

0.800 0.700 0.600 0.500 0.400 0.300 0.200 0.100 0.000

St Andrew’s Hospital

SAH rate

Australian standard rate

2022-2023 Annual Report

Workplace Health and Safety Over the past year, we have continued to implement actions from our Workplace Health and Safety (WHS) Improvement Plan, which has resulted in further improvements to our lost time injury frequency rate (LTIFR), hazard reporting culture, and incident analysis. Through these improvements we have reduced the number of lost time injuries sustained across the hospital, by 45% over the past two years. Hazard reports have also increased considerably, allowing early recognition and intervention. We continue to be supported by a group of highly engaged Health and Safety representatives (HSRs). The WHS team continued to support our leaders to manage hazards and risks within their work areas, some of which have required a multipronged approach with the introduction of new safe work procedures, training, coupled with new equipment and other engineering controls. We have continued to support workers to recover and successfully return to work, with the vast majority being returned to either their pre-injury role or another suitable position within the hospital. The hospital continues to take a proactive approach to the management of workplace injuries, with a number of employees taking advantage of the support provided through our early intervention program, which provides up to five allied health sessions for minor injuries sustained within the workplace.

Patient Services A key achievement for the WHS team this year was the successful completion of our evaluation for the renewal of our self-insurance registration with Return to Work SA. Throughout the evaluation we were able to provide evidence to demonstrate our alignment with the Self-Insurance Performance Standards, and continued improvement of both our injury prevention and injury management programs and processes. Our new registration period will run until April 2027, with a mid-term review to be undertaken in 2025. This year, the WHS team also delivered improvements to our WHS training offerings, with new online training being delivered, along with further refinements to our manual handling training (provided by Pinnacle Workplace Consultants) and the introduction of training for our front-line staff on managing aggressive behaviours. With the continued importance and focus on psychological safety in the workplace, we also partnered with Natalie Bottroff and Associates (nb&a), to deliver mental health first aid training for two groups of front-line leaders. Feedback from the program was extremely positive with participants reporting that they were able to readily implement the learnings.

Over the past year, the Patient Services team has continued to deliver exceptional service to our patients through the management of admission processes and front-of-house support. We regularly receive comments and compliments about the high standards of customer service our people demonstrate on greeting and orientating patients. Throughout this year, the Patient Services team undertook a number of process improvement projects, led by a small group of employees who were selected from within the team and trained in Lean Six Sigma principles.

This team spent time mapping, analysing, and re-designing a number of key processes currently used by the Patient Services team, with a view to identifying opportunities to improve the speed of the processes, reduce waste and improve error rates. This included our online admission system, management of patient consents, and preparation of patient files prior to admission. We will continue to work collaboratively with key internal stakeholders to identify opportunities for improvement within these and other work processes.

Congratulations to the following 2022 Employee Service Award recipients 35 Years

15 Years

5 Years

Mr Steven Kotlowy

Ms Alyce White

Ms Agnes Magumura

Ms Hannah Wiggins

Ms Toni Thomas

Ms Cara Roesler

Ms Alana Pitcher

Ms Jackie Centofanti

Mr David Stuart

Ms Alice Krige

Ms Jane Mcguire

Ms Glenda Worthington

Ms Alison Packer

Ms Joanne Burrows

Mr John Foster-Borg

Ms Althea Lange

Ms Jordan Woodards

Mr Adrian Saunders

Ms Kathryn Wright

Ms Amie Threadgold

Ms Katherine Neef

Ms Carolyn-Anne Nieckarz

Ms Meaghan Pilkington

Mr Andrew Bald

Ms Lorraine Van Gemert

Ms Jo Pegler

Ms Michele Mcguire

Ms Angela Dichiera

Ms Michelle Rocco

Ms Lisa Mucklow

Ms Michelle Benton

Ms Ashleigh Cooper

Ms Michelle Lewis

Ms Nasreen Routh

Mr Brian Glennon

Mr Paul Wood

Ms Rebecca Tanner

Ms Carla Equizi

Ms Rachel Stephenson

Mr Robert Arbon

Ms Catherine Bindel

Ms Robyn Hutchins

Ms Anne-Marie Nordin

Ms Roslyn Daly

Ms Charmaine Murray

Ms Sarah Watts

Ms Jacquie Furmage

Ms Simone Tolladay

Ms Chloe Wigzell

Ms Sarah Morris

Ms Julie Molnar

Ms Clara Pietraroia

Ms Seida Ahmetagic

Ms Kellie Lindner

Mr David Whitbread

Ms Shev Mackellar

Ms Emily Principe

Ms Simone Tulloch

Ms Angela Barrett

Ms Enza Jones

Ms Sonia Capaldi

Ms Ann Mandorlo

Ms Erica Perry

Ms Sue Redden

Ms Caitlin Woods

Ms Erin O’shaughnessy

Mr Taylan Morris

Ms Claire Ortner

Mr Ernie Arganosa

30 Years

25 Years

Ms Linda Jarratt Ms Trudy Unger

20 Years Ms Anne-Louise Pudney Ms Constance Reardon Ms Fiorella Romano Mr Greg Laing Ms Heather Grady Ms Jane Knight Mr Joseph Habib Ms Karen Kowalick Ms Kathryn Reval Ms Kathryn Mackenzie Mr Peter Cooper Mr Sean Dennis

10 Years

Mr Colin Hill Mr Damir Sarovovic Ms Frances Peters Mr Garry Crispin Ms Helen Forbes Ms Jane Growden Ms Karyn Verity Ms Kathryn Roberts Mr Maged Shenouda Ms Maria Dias Ms Nicole Murphy Ms Rhea Mcinerney Ms Sophia Drew Ms Stella Ioannou

St Andrew’s Hospital

2022-2023 Annual Report

Finance Clinical Information Services This year has been marked by significant achievements and transformations, showcasing the dedication and commitment of our team in improving healthcare documentation, coding accuracy, and revenue optimisation. Below, are key milestones and accomplishments of the year. • In recognition of the evolving role of our department, we underwent a strategic rebranding initiative and changed our name to Clinical Information Services (CIS). This name change better reflects the expanded scope and the broader clinical impact of our services in the healthcare ecosystem. • St Andrew’s took a proactive approach to enhance the quality of clinical documentation by implementing the Clinical Documentation Improvement Program (CDIP). This initiative involved collaboration with Clinical Documentation Improvement Australia (CDIA), St Andrew’s healthcare providers and clinical staff to promote precise and comprehensive documentation practices. • To further augment our efforts in optimising services, we appointed a Clinical Documentation Specialists (CDS), Mr Adrian Saunders (previous ADON) whose primary focus is to work with medical, nursing and allied staff and ensure clear, accurate and detailed clinical documentation. This initiative will result in better communication among healthcare providers, improved safe patient care and increased efficiency. • The creation of the Clinical Coding Audit Coordinator (CCAC) (Ms Enza Jones) position has significantly reinforced our internal audit processes. By conducting regular clinical coding and documentation audits, we can identify areas of improvement, streamline operations, and maintain compliance with industry standards. • Throughout the year, Clinical Coding consistently met all data submission and reporting deadlines. In maximising the benefits of new technology for effectiveness and efficiently, CIS played a valuable role in supporting data-driven decision-making by Clinical Costing, and strengthened relationships to improve operational processes.

St Andrew’s Hospital

Supply Department • The achievements and transformations experienced by Clinical Information Services (formerly Health Information Services) in FY22-23 highlight our unwavering commitment to providing high-quality healthcare information management. With proficient clinical coders, successful implementation of the Clinical Documentation Improvement Program, and the appointment of CDA and a CCAC, CIS is well-positioned for continued growth and success. • We bade a fond farewell to our esteemed Health Information Manager, Ms Lorraine VanGemert, who retired after 5 years of exceptional service and leadership. Lorraine’s invaluable contributions paved the way for the growth and professional development of the department. • With the departure of Lorraine, we welcomed Ms Terry Seery as the new Clinical Information Manager (CIM). Terry brings a wealth of experience and fresh ideas to the position.

Clinical Costing The Clinical Costing Analyst supports executive and management staff throughout the hospital with the provision of costing and activity information. This information is used to analyse and aid in decision making and strategic planning. Quarterly costing and revenue reports have become standard inclusions in Finance and Audit Committee and Angiography Co-Ownership reporting. Undertaken this financial year have been routine reporting runs, assessing potential financial impact to the hospital with proposed removal of items from the Approved Prostheses Schedule, health fund contract renewal rates and a new funding model design for one of our major funds.

Payroll St Andrew’s headcount continued upwards to 824 at the end of June. There are many projects underway within the department. We have recruited to the role of Business Systems Analyst, Ms Tracy Willacey, who is project managing the implementation of the Asset Maintenance System PBRC, along with documentation of administrative practices. We have upgraded from Epicor to Epicor Kinetic enterprise resource planning software which is primarily for manufacturing and distribution with functionality for materials planning, scheduling, manufacturing and manufacturing execution and inventory control.

Patient Billing The finance team has been working with PowerHealth Solutions to develop a new billing system that meets the evolving needs of our organisation; Power Billing and Revenue Collection (PBRC). The new system integrates advanced features such as automated billing, real time payment processing and streamlined claims management, ensuring a seamless and timely revenue cycle. We are closely approaching the testing phase of the system and look forward to providing a further update once implemented.

We have seen a stabilising in the supply team, with the new Inventory Controller position being filled, bringing a focus on the governance of our 4,000+ SKUs and, more importantly, a focus on reducing excess stock holdings across the 28 Supply Department managed areas throughout St Andrew’s. The purchasing team has a renewed focus on reducing back orders, implementing a structured approach to capturing the many alternate products reverted to during the 12 months. Relationship building and gaining a greater understanding of products has been an essential part of the team’s agility when sourcing urgent items no longer available through our regular supply. The warehouse team continues to do an exceptional job in maintaining the 8,000+ bin locations across the hospital, ensuring stock levels are maintained. The first full 12 month cyclic stocktake was completed with great results, and with the plan to roll this out across all of our warehouse locations. The supply team has been working diligently in reducing slow-moving items through resetting of levels and reorder points, renegotiating pricing on products, returning excess or no longer required products for credits. These are attempts to reduce costs and offset the current unavoidable pricing increases impacting suppliers, and therefore having a roll-on effect to customers.

The new patient billing software system will replace the current 20+ year old system, and commenced in November 2022. This is progressing well with PBRC due to ‘go live’ in November 2023.

The public sector continues to request assistance from St Andrew’s to accommodate public patients, predominantly robotic surgery. The costing system plays a pivotal role in providing costing and revenue data that is used to facilitate the quoting process for this type of work. In the latter part of 2022/23, St Andrew’s entered into non-disclosure agreements with two interstate hospitals. For the first time, St Andrew’s will be able to benchmark costing and activity information with other hospitals and allow for open discussion around focal areas.

2022-2023 Annual Report

Information Systems

Engineering and Support Services

This year, we reviewed and implemented improvements to the online patient admissions function, utilising modern technologies to request and gather information important for the care of the patient during their stay. This included the ability to effectively communicate, not only in the days leading up to the day of admission, but also following their discharge.

The 2022/23 financial year was characterised by the tight fiscal pressures at all levels.

Improvements have been identified in a number of administrative functions, to gain efficiencies in the recording and processing of a patient’s episodic events encountered during their stay. New systems have been recommended to be implemented in the immediate future. Integration of core systems has been expanded. Communication between the hospital’s Patient Administration System (PAS) and new clinical systems has become the norm, achieving the goal of reducing duplication and time spent on administrative tasks. An IT security focus has been to remain pro-active in prevention, but being able to re-act quickly. St Andrew’s has a layered approach when implementing its security solution. No one system is solely relied upon, but multiple systems. This ensures that if an attacker penetrates one layer of protection, they will be stopped by a subsequent one. Production server hardware and operating systems have been replaced or upgraded to ensure technology currency. Disaster systems have also recently been improved to accommodate a required load should it be necessary. New production core network switching has also recently been installed with all systems and devices now migrated across. The improved speed and reliability of the new underlying infrastructure is evident. Work has already begun on improving the disaster recovery environment.

The need to be firmly focused on efficiency 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.

Dietary Services

Security Guard Services

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

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

Maintenance

This high standard of meal service is provided by our Dietary Services Department on a paddock-toplate 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.

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 has quickly settled into the hospital community while providing a friendly efficient service to us all.

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 8 of the ESMP), include: • Patient bedrooms: refurbishment of patient rooms, from shared ensuites to rooms with dedicated individual ensuites (ongoing).

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.

Cleaning Services ISS Healthcare Services has continued to provide a high level of cleaning services to St Andrew’s. The ISS leadership team, consisting of Ms Elizabeth Day and Ms Suzanna Radenovic, manage a team of ISS staff that is always seeking ways to improve while continuing to deliver a high standard of service to the hospital. 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.

• Hydraulic stacks: replacement of sewer stacks (ongoing). • Water reticulation: replacement of the existing hydraulic water infrastructure with capacity for future expansion. • Fire protection: fire compartment barrier upgrades (ongoing). Continuation of the next stage of updating the fire protection system to addressable heads (ongoing). 17

St Andrew’s Hospital

2022-2023 Annual Report

Clinical Placement Program for Medical Students at St Andrew’s Hospital

University of Adelaide Hub Upgrade

The hallmark of the medical students’ placement at St Andrew’s Hospital is the welcoming, team environment in which the University of Adelaide students find themselves. Feedback from the medical students indicates their appreciation of the orientation, ongoing communication, and the readily available contact person to assist them in a new clinical setting.

The University of Adelaide has invested in upgrading the Technology Hub at St Andrew’s Hospital. The students now have direct access to the university via three new computers. It provides students a platform to review unfamiliar procedures as well as research and platform their presentations. The space is utilised during session breaks, optimising time management during their busy schedule.

The four-week program for the 6th year MBBS student can be quite a rigorous process, requiring a commitment in time through the weeks, while also maintaining their study and other life commitments. The Clinical Placement Facilitator provides support to the students where they need any program modifications or additional support.

All students are encouraged to engage and participate in the program as a member of the team. They are provided a comprehensive orientation to the organisation, including relevant policies and an understanding of working in a safe environment. The respectful and collegiate culture the students find themselves in is critical to their successful learning, and they often comment positively on the environment at St Andrew’s.

Dr Vinod Aiyappan

Dr Anand Nathan

Dr James Aspinall

Dr Victoria Nisenblat

Dr Michael Berce

Dr Anu Raju

The greatest asset enjoyed by the program is the generosity of the consultants, anaesthetists, surgical assistants, nursing and administrative staff, in imparting their knowledge and experiences to the students.

Dr Janne Bingham

Dr Peter Sage

Dr John Bolt

Dr Luay Samaraie

Dr Melissa Bochner

Dr Tarik Sammour

The program is also supported by the administrative staff of Clinpath, Advara HeartCare (formerly GenesisCare Cardiology), Jones Radiology, GenesisCare Radiation Therapy, South Terrace Oncology, and GenesisCare Adelaide Oncology and Haematology. It would not be possible to offer such a varied experience to the students without their assistance in planning the sessions.

Dr Randall Brown

Dr Maria Santos

Dr Catherine Cartwright

Dr Bob Singh

Dr Rick Catterwell

Dr Raj Singh-Rai

Dr Daniel Cehic

Dr Michael Smith

Dr Georgy Chacko

Dr Richard Smith

Dr Evelyn Cheng

Dr Nick Solanki

Dr Marianne Chapman

Dr Luigi Sposato

Dr Jonathon Cho

Dr Govindarajan Srinivasan

Feedback is actively sought from students both by the university and the hospital, and is used in adjusting the program to ensure students have the best opportunity to increase their knowledge and skills. The following statements show how well the program performs in this aspect:

Dr Trevor Collinson

Dr Peter Steele

Dr Rodney Cooter

Dr Peter Sutherland

Dr Sommit Dan

Dr Karen Teo

Dr James Dickson.

Dr Leong Tiong

Dr Patrick Disney

Dr Michelle Thomas

Dr Nick Edwards

Dr Sarah Thompson

• Fabulous for my learning.

Dr Mary-Ann Fox

Dr William Thompson

• It was great being exposed to a wide variety of surgeries.

Dr John Fraser

Dr Charles Tie

Dr Andrew Fuller

Dr Paul Van Minnen

• Very helpful, not only for learning about breast and endocrine surgery but also getting a varied exposure to many different things.

Dr Phillip Game

Dr Paul Varley

Dr Anurag Gupta

Dr Thomas Vaughan

Dr Jack Harbison

Dr Fabiano Viana

Dr Alex Hubczenko

Dr Marcus Wagstaff

Dr John Jaccarini

Dr David Walsh

Dr Tom Jaensch

Dr David Walters

Dr Arman Kahokehr

Dr Darren Waters

Dr David King

Dr Suranga Weerasooriya

Dr Steve Kinnear

Dr Michelle Wellman

Dr James Kollias

Dr Adam Wells

Dr Quoc Lam

Dr Richard Wells

Dr Jerrett Lau

Dr Mary White

Dr Sonia Latzel

Dr Robert Whitfield

Dr Matthew Lawrence

Dr Roger Woods

Dr Mark Lewis

Dr Philip Worley

Dr Chen Wen Liew

Dr Michael Worthington

Dr Simon Macklin

Dr Alex Wurm

Dr William McLeay

Dr Glenn Young

Dr Joe Montarello

Dr Robert Young

Dr Jamie Morton

Dr Raymond Yu

• All surgeons were very welcoming to have students quiz them throughout the surgery; they were very open to being asked questions.

The academic year of 2023 will see 23 students complete a placement at St Andrew’s Hospital. Surgical electives are offered in:

• More welcoming than I have had at any other placement.

• Breast Endocrine Surgery Supervised by Dr Melissa Bochner • Surgical Urology Supervised by Dr John Bolt with Dr Rajinder Singh-Rai, Dr Richard Wells and Dr Arman Kahokehr

Program Highlights A suture workshop, conducted by Dr Quoc Lam with the assistance of Dr Sean Lee, was identified as a highlight for this year’s cohort of medical students. Dr Lam kindly spent an afternoon with the students presenting the many techniques of suturing, a practical tutoring program, working alongside the students. Students appreciated the immediate feedback they received during the session, allowing them to correct and improve their skills during this practice.

St Andrew’s Hospital

St Andrew’s Hospital greatly appreciates the continuing commitment, expertise, and generous service, enthusiastically given to the students and the hospital by specialists, their rooms, and St Andrew’s staff and patients.

• Medical Cardiology Supervised by Dr Peter Sage Other areas of contact for the students include sessions with stomal therapists, breast centre and breast care nurses, SA Fertility, the hospital chaplain, Intensive Care Unit, cardiac and robotic surgery. St Andrew’s Hospital and the University of Adelaide have worked together for 14 years, and the ongoing strong relationship ensures the program continually develops to meet and exceed the requirements of the cohort.

Dr Nick Murray

2022-2023 Annual Report 2 0

Financial Report

Organisational Structure Board of Governors

Statement of Financial Position as at 30 June 2023 (Extract from audited accounts)

Chief Executive Officer Mr Stephen Walker

Current assets

2022/23 $,000

2021/22 $,000

26,711

27,251

Non-current assets

179,507

Total assets

206,218

132,198 159,449

Current liabilities

20,951

23,153

Non-current liabilities

69,356

20,539

Total liabilities

90,307

43,692

Net assets Total accumulated funds

115,911 115,911

115,757 115,757

Auditors BDO Chartered Accountants Level 7 420 King William Street Adelaide SA 5000

Bankers Commonwealth Bank of Australia 96 King William Street Adelaide SA 5000 ANZ Bank 121 King William Street Adelaide SA 5000

Lawyers St Andrew’s Statistics

2022/23

2021/22

Occupied bed days

57,359

54,970

Separations

37,083

Average length of stay

35,272

1.54 days

1.56 days

Theatre procedures

16,840

16,119

Day Suite procedures

6,856

6,432

Emergency Department attendances

3,303

3,421

Emergency Department admissions

893

979

Emergency Department average waiting time Workforce statistics – employees

38.71 minutes

27.32 minutes

819

820

Director Nursing and Clinical Services

Hospital Coordinators Ms Caroline Guest / Ms Sarah Myers

Ms Jacquie Wiley

Night Duty Coordinators 2023 Ms Anitha Adolfus Ms Jojjy Joseph Mr Damir Sarovovic

Associate Director Nursing – Wards Mr Adrian Saunders (to June 2022) Ms Lisa Walter Associate Director Nursing – Theatres and Procedural Areas Mr Dale Broomfield Clinical Documentation Specialist Mr Adrian Saunders Clinical Manager Theatre Ms Renee McHugh / Ms Leandra Spencer Clinical Manager Recovery/ Anaesthetics Ms Sharon Blaney

DW Fox Tucker Level 14 100 King William Street Adelaide SA 5000

Clinical Manager/Procedural Suite Ms Sharon Maslen

HWL Ebsworth Lawyers Level 21 Westpac House 91 King William Street Adelaide SA 5000

Clinical Manager – 3rd Floor Ms Donna King

Laity Morrow 25 Grenfell Street Adelaide SA 5000

Clinical Manager – 2nd Floor Ms Liz Knight/Ms Heather Grady

Clinical Manager – Cardiac Ward Ms Carly Omand Clinical Manager – 4th Floor Ms Jan Hannigan Clinical Manager – Angiography Suite Ms Joyce Restell Clinical Manager – Critical Care Unit Ms Emma Baker/Ms Elise Boase Clinical Manager – Emergency Service Ms Carla Zampatti Clinical Manager – Day Chemotherapy Suite Ms Lisa Mucklow Bookings Manager Ms Julie Arthur Quality and Risk Manager Ms Tina Donaldson

St Andrew’s Hospital

Case Manager Ms Elizabeth Jones Pre Admission Coordinator Mr Anita Ritzau Infection Control Coordinator Ms Linda Jarratt Clinical Educator Recovery/ Anaesthetics Ms Jenny Slade/Ms Kathryn Humphries

Director of Human Resources Ms Rachel Stephenson HR Manager Ms Alina Gerhardy Safety & Wellbeing Manager Ms Carly Leaker Patient Services Manager Ms Maureen Westo Director of Engineering and Support Services Mr Peter Cooper Maintenance Controller Mr James Crinson Dietary Services Manager Mr Paul Smith

Clinical Education Coordinator Ms Alison Sarles

Biomedical Engineer Mr Maged Shenouda

Graduate Nurse Coordinator Ms Kerry Holm

Director of Medical Services

Clinical Educator, Theatre Ms Naomi Kingscott Clinical Educator, CCU Mr Duncan Bamford

Director of Finance Mr Garry Crispin

Dr Paul Gaetjens

Director of Information Systems Mr Greg Laing

Director Of Critical Care Unit Dr Alex Wurm (to June 2023)

Financial Accountant Mr Stuart Campbell

Director of Foundation

Management Accountant Mr Jon Goldsmith

Coordinating Chaplain

Ms Jenny Parsons

Rev Peter Morel (to May 2023)

Payroll Manager Ms Sue Redden Clinical Costing Analyst Ms Amanda Frankham Supply Manager Ms Jules Jardine Health Information Manager Ms Terry Seery Business Systems Analyst Ms Tracy Willacey

2022-2023 Annual Report 2 2

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

Board of Governors Patient Safety & Quality Committee

Risk Management 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 Dr Tamara Page

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 Ms Rachel Stephenson

Chair Mr D Whitbread BEc, FCA, FAICD

Deputy Chair Dr J Sweeney MBBS, FRACS

Board Members

Ex Officio Member

Ms S M Daw GAICD, FGLF (03)

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

Dr D Cehic MBBS, FRACP, FCSANZ

Ms S C Furey BEc (Acc), LLB (Hons), LLM, FCA, GAICD Ms Natalie Kelly BCom (Honours), MCom, GAICD Mr T Lambert BE (Civil), MEnvSt, GradDip BusMgt Dr D J Walters MBBS, FAICD, FRACS

2 3 St Andrew’s Hospital

Peer Review Committee

Capital & Development Committee

Dr Rod Cooter (Chair) Mr Stephen Walker Dr James Moore Dr Richard Wells Dr David King Dr Rob Young Dr Paul Gaetjens Ms Jacquie Wiley

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

Finance & Audit Committee

WHS Committee

Ms Sonya Furey (Chair) Mr Stephen Walker Mr David Whitbread Dr Daniel Cehic Mr Jim Sweeney Mr Garry Crispin Ms Jacquie Wiley Ms Natalie Kelly

Mrs Rachel Stephenson (Chair) Mr Stephen Walker Mr Chris Mouratidis Mr Dale Broomfield Mr Peter Cooper Mrs Carly Leaker Rev Peter Morel

Medical Advisory Committee

Credentials 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 Dr Michelle Thomas

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 Dr Sid Selva-Nayagam Dr Sommit Dan

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

2022-2023 Annual Report 2 4

St Andrew’s Hospital Foundation

We truly believe we have the most wonderful hospital right here in Adelaide. From its people, to its community of patients and families, to its specialist partners and its idyllic location. It is a very special place and, as its Foundation, it is our greatest joy to ensure it is supported in any way that it needs. Our support takes many forms, due to the generous and diverse interests of our benefactors. Our volunteer service has for many years been the super power behind our support. Volunteers welcome patients and walk with them to wherever they need to go in the hospital. They also provide warm and tasty comforts in our Coffee Shop. We know a visit to the hospital can bring with it certain anxieties, which is why our experienced volunteers make time to ensure everyone feels supported and welcome. We also work closely and collaboratively with the clinical teams to ensure they have what they need to learn, grow and innovate. What this actually looks like is over 40 scholarships, a joint Associate Professorship with the University of Adelaide, cutting edge equipment purchases, and patient-centered events.

2 5 St Andrew’s Hospital

Our Board consists of volunteer community leaders, philanthropists, and strategic advisers who are united in their efforts to expand and enrich the support network around St Andrew’s Hospital. The Board and Foundation team members seek to attract, encourage and honour acts of generosity by creating and nurturing relationships that will be beneficial to the future success of the Hospital. The Foundation team also helps the hospital to share its stories, report on important activities, and raise awareness of all the many excellent undertakings of our hospital. Thank you to all our supporters, past and present, who have provided us with the opportunity to support St Andrew’s Hospital.

Ms Jenny Parsons Director

Mr Eric Granger, FUniSA FAICD Chairman 2022-2023 Annual Report 2 6

Thank you Patron Mrs Lan Le

Board Mr Eric Granger, Chairman Mr Kristen Raison Ms Jennifer Rees Ms Susy Daw

Retired Board Members Ms Margot Coles Ms Amanda Seaton Dr Mary Sutherland OAM

Bequests The Estate of Mrs Jessie Mary Arthur The Estate of Mrs Betty Doreen Smith

Donors Anonymous Mr Robert Adam Mrs Marjorie Ahrens Ms Margaret Baker Mr Brenton Barrett & Mrs Sharon Barrett Mr Ben Beamond Mr John Bishop AO Mrs Margaret Blake Miss Jezreel Blanco Ms Pamela Buchdahl Ms Carolyn Byrne Mr Michele Cervelli B Challen Mr Robert Chappell Mrs Denise Cotterill Mrs Irena Day Mr Earnest Eastman Dr Andrew Fuller & Dr Karyn Fuller Mrs Lorena Gagliardi Mr Peter Gartner & Mrs Beverley Gartner Mr Francis Gordon Mr Roger Gore Mrs Elisabeth Grilz Mr Rudolf Grilz Mr Rod Grundy Miss Rosalie Harding Dr Hugh Harley & Mrs Josephine Harley Mr Richard Haynes & Mrs Wendy Haynes Mr Jeffrey Helps Mr Geoffrey Hennig 2 7 St Andrew’s Hospital

Mr Cedric Horn Mr Richard Johnson Mr Christopher Johnston Mr Nick Kelemen Mr Garry Lea Mr James Lehman Dr Rebecca Lewicki Mr Cristiano Luisotti Miss Helen Mickan Ms Janice Millham Mr Roy Minge Mr Paul Mulroney Mr Benjamin Oborn Mr John Olsson Mr Lindsay Oxlad & Mrs Lynn Oxlad Mrs Luisa Pannozzo & Mr Costanzo Pannozzo The Peggy Charitable Foundation Hon Carolyn Pickles Prof Brian Priestly Mr Colin Raison Dr Michael Randle & Mrs Margaret Randle Mr Philip Sanders Mrs Jocelyn Schultz Ms Amanda Seaton Mr Vincent Slattery Mr David Smith Ms Tara Smith Mr Bruce Spangler & Mrs Carolyn Spangler Mrs Shirley Stone Mr Steve Swartz & Mrs Bev Swartz Dr David Taplin & Mrs Fran Taplin K Thamm Mrs Susan Thyer Ms Di Trethewie Ms Kim Trimbell Mr Guy Tunstill Mr Malcolm Tyrrell Mrs Lorraine Venn & Mr Brian Venn Ms Dawn Volle Mr Ian Wallage Mr Brian Ward Mr John Waschl Mr Thomas Webster Dr Charles Wong Mrs Sau Wong Mr Barry Worrall

Medical Education and Research Fund (MERF) Donors Dr James Aspinall Dr Michael Berce Dr Randall Brown Dr Rick Catterwell Dr Mary Chapman Dr Evelyn Cheng Dr Jonathon Cho Dr Trevor Collinson Dr Sommit Dan Dr James Dickson Dr Patrick Disney Dr Nick Edwards Dr Mary-Ann Fox Dr Andrew Fuller Dr Phillip Game Dr Anurag Gupta Dr Jack Harbison Dr John Jaccarini Dr Tom Jaensch Dr Arman Kahokehr Dr David King Dr Steve Kinnear Dr James Kollias Dr Quoc Lam Dr Jerrett Lau Dr Matthew Lawrence Dr Mark Lewis Dr James McLean Dr Bill McLeay Dr Joe Montarello Dr James Moore Dr Jamie Morton Dr Naila Mouratova Dr Nick Murray Dr Kurian Mylankal Dr Martin Oehler Dr Peter Sage Dr Luay Samaraie Dr Tarik Sammour Dr Simon Sandler Dr Maria Santos Dr Raj Singh Rai Dr Michael Smith Dr Richard Smith Dr Nick Solanki Dr Govindarajan Srinivasan Dr Peter Sutherland Dr Karen Teo Dr Michelle Thomas Dr Sarah Thompson Dr Charles Tie Dr Paul Varley Dr Paul van Minnen

Dr Fabiano Viana Dr Marcus Wagstaff Dr David Walsh Dr David Walters Dr Adam Wells Dr Richard Wells Dr Mary White Dr Robert Whitfield Dr Roger Woods Dr Philip Worley Dr Alex Wurm Dr Glen Young Dr Robert Young Dr Raymond Yu HPS Genesis Care Clinpath

Volunteers Mrs Lauri Benton Ms Sharon Bernhardt Ms Ann Boehm Mrs Caroline Bryant Mr Garry Burchell Ms Ada Byford Mrs Marisa Cheese Mrs Colleen Cleland Mrs Denise Cotterill Mrs Jennifer Coulls Mrs Kaye Darcy Miss Victoria DiSisto Mrs Barbara Dunstan Mrs Anne Eastwood Ms Julienne Elbe Ms Alison Evans Miss Tara Evans Mrs Lynlee Fox Mr Mark Fullerton Mrs Jennifer Gilliland Mrs Judy Greenway Mr William Grierson Mrs Ros Griffiths Mr Geof Gutte Mrs Eleanor Harding Ms Jill Highett Ms Pamela Hughes Mrs Marcia Hyde Mr Alan Kohler Mrs Brenda Kroning Mr Geoffrey Lake Mrs Anna Lawrence Mr Neville Lawrence Mrs Sandra Lindop Mrs Robyn Macpherson Mrs Joanna Maddern Mrs Margaret Marslen

Ms Bronte McGair Ms Kristin McKay Mr Mark McKeever Mrs Suzanne Moyle Mrs Judi Noblet Mrs Kathleen O’Connell Ms Robyn Octoman Mrs Susan Oke Ms Jessica Ortega Villafranca Mrs Jennifer O’Sullivan Mr Henry Pead-Ferenczi Mrs Shirley Pearce Mrs Rebecca Poon Ms Maureen Potter Mrs Janet Rawcliffe Mrs Delma Reed Mrs Denise Reynolds Mrs Heather Roach Mr John Roach Miss Cheryl Russell Mrs Reena Sharma Ms Robyn Shilcock Ms Margaret Sutherland Ms Carol Swarbrick Mrs Raelene Thorpe Mrs Valerie Turnbull Mrs Lorraine Venn Mr Michael Venning Mrs Barbara Whitford Mrs Mary Withers

With sincere thanks to those volunteers who retired this year. Ms Chloe Arbon Ms Diva Bernardi Ms Denise Brockhouse Mrs Margaret Brown Mrs Christine Burgess Mr Nicholas Correll Miss Susan Holbrook Ms Dianne Lane Mr Bill Mitchell Mr Robert Morgan Mr Raymond Mules Mrs Barbara Richards Ms Margaret Sanderson Ms Jayne Stephens Ms Jayne Turner Mr Kevin Whitby

Corporate & Foundations Breast Cancer Care Supporters West Beach SLSC Pink & Blue Swim GPA Andrew Ursini Charitable Fund

St Andrew’s Classic Golf Day 2022 Supporters Clinpath GenesisCare Jones Radiology Adelaide Anaesthetic Boileau Business Technology BDO Australia DW Fox Tucker Evans + Ayers Hood Sweeney HPS HWL Ebsworth Laity Morrow Pulse Anaesthetics S. Edwards Commercial Building Services South Terrace Urology Wiltshire Swain

St Andrew’s Breast Care Luncheon 2022 Supporters GenesisCare Jones Radiology VUCA Amoena Cancer Care Centre Dragons Abreast Adelaide Lift Cancer Care Services Lymphoedema Association SA Pink Lotus Australia SA Mobile Breast Care Simply Olive & Bee

2022-2023 Annual Report 2 8

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