NSW HEALTH ORGANISATIONS
NSW HEALTH ORGANISATIONSNSW Ministry of Health.164Statutory health corporationsAgency for Clinical Innovation.165Bureau of Health Information.166Cancer Institute NSW.167Clinical Excellence Commission.168Health Education and Training Institute.168NSW Kids and Families.169Specialty health networksJustice Health & Forensic Mental Health Network.170The Sydney Children’s Hospitals Network.171Health Administration CorporationNSW Ambulance. 172Health Infrastructure. 173HealthShare NSW. 174NSW Health Pathology. 174Local health districts.176Affiliated organisationsSt Vincent’s Health Network.201Annual Report 2013–14NSW Health OrganisationsNSW Health163
NSW Ministry of Health73 Miller StreetLocked Mail Bag 961North Sydney NSW 2059Telephone:Facsimile:Website:Business hours:Secretary:9391 90009391 9101www.health.nsw.gov.au9:00am – 5:00pm, Monday to FridayDr Mary FoleyKey achievements for 2013–14The NSW Ministry of Health continued working toward achievinggoals set out in NSW 2021 and the NSW State Health Planincluding: Developed the NSW State Health Plan: Towards 2021(launched by the Minister for Health in June 2014) whichdraws together and builds upon existing plans, programs andpolicies and sets out priorities across the system for thedelivery of ‘the right care, in the right place, at the right time’for everyone. Also developed a reporting framework tomonitor progress in achieving our objectives. Developed the Rural Health Plan: Towards 2021 through theMinisterial Advisory Committee for Rural Health, which waslaunched by the Minister for Health on 7 November 2014 andsets out strategies to improve health and healthcare for thoseliving in rural and remote communities. Rolled out the Quit for New Life program across the State todeliver smoking cessation care to mothers of Aboriginalbabies during their pregnancy. Contributed to obesity prevention and treatment through theHealthy Children Initiative with:– Live Life Well at School reaching over 76 per cent of allprimary schools in NSW–M unch and Move has reached 82 per cent of all centrebased child care services–G o4Fun reached over 3800 children and families. Launched the Get Healthy at Work program in 2014 with 153businesses registering for the program and a further 18businesses participating in the developmental stages. Theprogram has reached approximately 4300 workers. Made the Get Healthy Information and Coaching Serviceavailable to employees to improve health and health-relatedgoals as part of the Healthy Lifestyle program. Continued to support Aboriginal communities across NSW tolose weight through the Knockout Health Challenge. In 2014,30 communities are involved. Co-hosted the international AIDs conference in Melbourne. Commenced a partnership with NSW Sport and Recreationand the Department of Ageing Disability and Home Care inNovember 2013 to increase physical activity opportunities forolder people through the Aquatic Recreational Institute. Developed and launched the NSW Service Plan for Peoplewith Eating Disorders 2013-2018 in September 2013 Worked with other Government agencies on the preparationof a whole of whole of government response to the MentalHealth Commission’s draft Strategic Plan for Mental Health,which seeks to improve care for those experiencing a mentalillness. Convened two highly successful Symposia bringing togethera total of 1500 consumers, clinicians and clinical support staffto share ideas for patient care improvement. Held the 15th Annual NSW Health Awards showcasing theexcellent work done by team, individuals, volunteers andgroups from across the State. Continued to deliver NSW Hospital in the Home, a program ofdefined service delivery models providing (acute andpost-acute) care delivered in the home (including ResidentialAged Care Facilities), clinics or other settings as a substitutionfor hospital admission. Expanded the NSW ComPacks program and over 16,000 carepackages were made available. Provided funding through the Non-Government OrganisationGrants Program to over 80 organisations. Initiated the Grants Management Improvement Program toimprove the administration of funding to the nongovernment sector. Achieved the State National Elective Surgery Targets. Achieved the Council of Australian Governments agreed 71per cent National Emergency Access Target in 2013. Expanded the Whole of Hospital Program across NSW to 44sites, an increase of 21 sites on the previous year. Delivered Service Agreements with local health districts,networks and pillars for 2013-14 to clearly articulateperformance obligations and accountabilities. Oversaw the implementation of the NSW Ambulance andAeromedical (Rotary Wing) Retrieval Services in NSW. Introduced a series of new community palliative care servicesacross NSW to offer patients, families and carers improvedchoice about their care at the end of life. Announced the Integrated Care in NSW Strategy in March2014. This Strategy includes a Planning and Innovation Fundto provide seed funding for innovative integrated careinitiatives at the local level to support the bigger integratedcare picture over time. Continued to invest in the development and rollout of keytools like the Activity Based Management Portal to giveclinicians and managers the information they need to deliverbetter patient outcomes. Developed the Blueprint for eHealth in NSW (launched by theMinister for Health in December 2013) which sets out thevision for technology led improvements in patient care;established eHealth NSW as an operation entity; establishedeHealth Executive Council to provide strategic advice andguidance on technology investments; appointed a ChiefExecutive to lead eHealth NSW and a Chief ClinicalInformation Officer to lead clinician engagement in planningand implementing new eHealth technologies. Funded research to evaluate nurse practitioner models of careto highlight innovative services to grow the nurse practitionerworkforce and improve access to services in NSW. Held the inaugural NSW Nursing and Midwifery ExcellenceAwards in September 2013. Successfully introduced ‘Take the lead’ for Nursing andMidwifery Unit Managers to provide ongoing professionaldevelopment and networking opportunities.164 NSW Health Annual Report 2013–14 NSW Health Organisations
Offered scholarships in partnership with the Department ofEducation and Communities and TAFE NSW for 300 Diplomaof Nursing training places to recognise the vital role EnrolledNurses fulfil in hospitals and health services. Launched the Small Acts of Kindness film to support a caring,compassionate culture and healthcare system. Implemented work, health and safety awareness strategiesincluding Safe Work Week promotion, Seasonal Influenzavaccination program, Australian Red Cross Blood donationsand Workstation Clean-Up Days. Supported the WorkCover Authority of NSW, Hazard A Guess,a young workers’ injury prevention campaign and theHomecomings campaign, emphasising the importance ofworkplace safety for workers, family and other members. Decreased reportable Injury/Illness incidents by 13, comparedwith the previous year. Reduced energy consumption by 2% as highlighted in theAuditor General’s Performance Audit of Building Energy Usein NSW Public Hospitals.Statutory health organisationsAgency for Clinical InnovationLevel 4, Sage Building67 Albert AvenueChatswood NSW 2067Telephone:Facsimile:Website:Business hours:Chief Executive:9464 46669464 4728www.aci.health.nsw.gov.au8.30am – 5.00pm, Monday to FridayDr Nigel LyonsYear in reviewThe Agency for Clinical Innovation works with clinicians,consumers and managers to design and promote betterhealthcare for NSW. The Agency provides valuable expertise inservice redesign and evaluation; specialist advice on healthcareinnovation; initiatives including guidelines and models of care;implementation support; knowledge sharing and continuouscapability building.Over the past year, the Agency has strengthened partnershipswith local health districts and networks, Medicare Locals andhealthcare providers. The Agency for Clinical Innovation hasworked with its partner agencies to streamline communicationsand improve understanding of shared initiatives, in particularthrough the Excellence and Innovation in Healthcare web portal.The Agency for Clinical Innovation supports clinical networks,taskforces and institutes who lead the design of evidencebased initiatives that transform the experience and deliveryof healthcare. A new focus for next year will be identifyingbetter ways to engage consumers in the redesign of healthcaredelivery.A priority for the Agency continues to be supporting the NSWhealth system to identify, understand and develop strategies toaddress unwarranted variation in clinical practice.Dr Nigel Lyons, Chief ExecutiveKey achievements for 2013–14 Established the Electronic Persistent Pain OutcomeCollaboration through provision of seed funding. TheCollaboration will facilitate national benchmarking of patientoutcomes achieved through pain clinics. The Agency has beenthe lead in developing a minimum dataset for the project andassisted in the establishment of software in 17 of the 19 sitesacross NSW. Continued as a partner in the NSW Knockout HealthChallenge with the NSW Office of Preventive Health, the NSWMinistry of Health and NSW Rugby League. This projectengages Aboriginal communities through their associationwith rugby league, in particular the NSW Aboriginal RugbyLeague Knockout using Aboriginal rugby league players asambassadors, advocating healthy lifestyle behaviours. TheKnockout Health Challenge is a community-based programrun as a healthy competition between communities with themost successful communities awarded incentives to promotelocal health initiatives. Developed and implemented the Culture Health CommunitiesActivity Challenge which is an innovative internet andpedometer-based program to increase physical activity inprimary school children. Pedometer steps are used to takestudents on a ‘virtual journey’ around the world. This programwas piloted in nine schools in 2014. Targeted schools arethose with significant numbers of Aboriginal students whichleverage community groups involved in the NSW KnockoutHealth Challenge. Finalised and disseminated Nutrition Standards forConsumers of Inpatient Mental Health Services in NSW todefine the types and amounts of foods that must be offeredon the menu for people admitted to inpatient mental healthfacilities. Collaborated with NSW Ambulance and local health districtson the State Cardiac Reperfusion Strategy to improve healthoutcomes for all patients with an Acute Coronary Syndromeand to specifically reduce the time from symptom onset toreperfusion for patients with an ST Segment ElevationMyocardial Infarction. Led the development and implementation of Criteria LedDischarge – a statewide initiative to reduce the amount oftime that patients spend in hospital unnecessarily. Under thisinitiative a senior medical clinician with a multidisciplinaryteam identifies eligible patients and documents a set ofdischarge criteria. Stroke Reperfusion Program improves early access tothrombolysis for ischaemic stroke patients. The program aimsto improve pre-hospital assessment by paramedics foridentification of stroke through a validated standardisedassessment tool, to improve in-hospital reception,assessment and management of stroke patients to achieveearly access to safe reperfusion and to improve mechanismsacross the whole patient journey to deliver effectiverehabilitation.Annual Report 2013–14NSW Health OrganisationsNSW Health165
Launched the Minimum Standards for the Management of HipFracture in the Older Person in June 2014. The Standards aredesigned to improve the outcomes of patients with fracturedhips requiring surgery and management in NSW. Thedocument and tools developed to assist implementation canbe downloaded from the Excellence and Innovation inHealthcare Portal at www.eih.health.nsw.gov.au. Created a Nurse Delegated Emergency Care Framework toprovide appropriate, timely and high-quality patient care tolow-risk and low-acuity patients in emergency departmentsin rural and remote NSW. The Framework will enable timelyprovision of care in emergency department settings bycredentialed registered nurses for low risk, low acuitypresentations. This framework is designed for hospitals thatdo not have 24 hours a day, seven days a week medical officercoverage. There are seven sites in NSW that are participatingin the initial roll-out phase and the first site started in March2014. Worked with the Cancer Institute NSW, Surgical ServicesTaskforce and NSW upper gastro-intestinal surgeons on TheRare and Complex Cancer Surgery Project – providinganalysis of NSW data on volume-outcome relationships inoesophageal and pancreatic curative surgical resections forthe period 2005-08. The Project confirmed that highersurgical procedure volumes are associated with a reducedin-hospital and 90 day mortality, and an improved one yearconditional survival rate. Following discussion of theseanalyses, the general consensus amongst the Agency/CancerInstitute NSW/Surgical Services Taskforce and NSW uppergastro-intestinal surgeons, was that the evidence created animperative for change and consolidation of services. Aprocess has been adopted to identify the NSW hospitalnetworks where the specialist multidisciplinary managementof these patients will be focused.Bureau of Health InformationLevel 11, Sage Building67 Albert AvenueChatswood NSW 2067Telephone:Facsimile:Website:Business hours:Chief Executive:9464 44449464 4445www.bhi.nsw.gov.au9.00am – 5.00pm, Monday to FridayDr Jean-Frederic LevesqueYear in reviewThe Bureau of Health Information continued in its role ofproviding independent reports to government, the communityand healthcare professionals on the performance of the NSWpublic health system. Our reporting focuses on accessibility,appropriateness, effectiveness, efficiency, equity andsustainability.In 2013–14, the Bureau expanded its series of reports andadopted a new integrated performance assessment frameworkto ensure that the complexity of healthcare is reflected in ourreporting. In addition to publishing 11 reports, the Bureau ofHealth Information launched a new interactive online portal,Healthcare Observer that enables users to access accurate andcomparable data about the healthcare system.166NSW HealthAnnual Report 2013–14The Bureau of Health Information continued to manage theNSW Patient Survey program, developing and rolling out fournew surveys during the year. This year has also seen the Bureauengage more actively with clinicians, both in the development ofrelevant measures and in the dissemination of our reports.Dr Jean-Frederic Levesque, Chief ExecutiveKey achievements for 2013–14 Developed a new performance framework which bringstogether information about the performance of thehealthcare system. This framework incorporates differentperspectives on performance – from the patient’s point ofview and from a system perspective – and looks at theaspects of accessibility, appropriateness, effectiveness,efficiency, equity and sustainability. Launched a new interactive online portal – HealthcareObserver – that allows users to access accurate andcomparable data about the NSW healthcare system. Itprovides dynamically generated content and enhances theability of users to understand and interpret data using simplevisualisations. Managed the NSW Patient Survey which asks differentgroups of people in NSW about their healthcare experiences.The Bureau of Health Information continued running theAdult Admitted Patient Survey and published the first resultson Healthcare Observer. The Bureau also developed andimplemented four new surveys looking at patient experiencesof emergency departments, outpatient clinics and childrenand young peoples experience of hospital care. Published its fourth annual performance report, Healthcare inFocus 2013 – How does NSW measure up? The Healthcare inFocus series takes a wide ranging look at the NSW health system,comparing performance with Australia and ten other countries. Published four Hospital Quarterly reports which look at NSWpublic hospital performance in three modules: admittedpatients, emergency department and elective surgery. It alsoprovides performance profiles for up to 85 NSW hospitals andeach local health district in NSW. Published an Insights Series report – 30-day mortalityfollowing hospitalisation, five clinical conditions, NSW, July2009–2012 which provides an analysis of 30-day mortalityfollowing hospitalisation for five clinical conditions. TheInsights Series provides in-depth analyses in selectedperformance areas, highlighting variation in care provided topatients with a particular disease or those with specificcharacteristics. Published two volumes of Patient Perspectives: Mental healthservices in NSW public facilities which drew on the selfreported experiences of 5000 people who used mentalhealth services in February 2010 and February 2011. ThePatient Perspectives series provides information about whatpatients are saying about their healthcare experiences. Published three issues of Spotlight on Measurement, a newseries which provides in-depth analysis of methods andtechnical issues relevant to the Bureau’s work. Worked collaboratively with a number of organisationsincluding the Cancer Institute NSW, the Agency for ClinicalInnovation, the Kolling Institute’s Clinical and PopulationPerinatal Health Research Group and the IMPACT Centre ofResearch Excellence to collaboratively assess inequalities inaccess to care for vulnerable populations using theInternational Health Policy Survey of the CommonwealthFund.NSW Health Organisations
Expanded stakeholder engagement initiatives by visiting anumber of hospitals and local health districts to talk about theBureau’s work and learn from healthcare experts to find outhow the Bureau’s research can be used at a local level. Alsopresented at a number of state and international conferencesand launched a seminar series – Challenging Ideas. Consulted with a broad range of experts both locally andinternationally who guided and informed the Bureau ofHealth Information’s work. This was achieved through anumber of advisory committees and the peer review process,through which performance reporting or subject matterexperts provide feedback on the Bureau’s draft reports.Cancer Institute NSWLevel 9, 8 Central AvenueAustralian Technology Park, EveleighPO Box 41Alexandria NSW 1435Telephone:Facsimile:Website:Business hours:8374 56008374 3600www.cancerinstitute.org.au8:30am – 5pm, Monday to FridayChief Executive:Professor David CurrowYear in reviewCancer remains the single biggest cause of premature deathin our community, which makes ca
164 NSW Health Annual Report 2013–14 NSW Health Organisations NSW Ministry of Health 73 Miller Street. Locked Mail Bag 961 North Sydney NSW 2059. Telephone: 9391 9000 Fa
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