Calvary Health Care Ltd Annual Report 2014–15

Calvary Health Care Bruce (Calvary) delivers public health and hospital services from its Bruce campus and from Clare Holland House in Barton.

Calvary's services are available to any person in need. The services deliver highly professional and quality clinical care, providing comfort and healing to ACT residents and people from surrounding communities.

Calvary Health Care Bruce provides services on behalf of the ACT Government. The principles of this partnership are described in the Calvary Network Agreement; funding and services are negotiated annually and formalised in the Calvary Performance Plan.

Calvary Health Care Bruce is a fully accredited health service comprising 275 beds across the Bruce and Barton campuses. The modern facilities are recognised for contemporary and multidisciplinary team-based care, which is provided by a dedicated, well prepared and highly professional workforce. At both campuses the natural environment contributes to holistic healing.

Calvary Health Care Bruce is Canberra’s second major public hospital and provider of health service. It works in partnership with other acute care, primary care and community-based services. These partnerships are documented formally in the ACT Clinical Services and Network Services Plans. They are underpinned and made effective by clinicians at all levels and in all services being committed to every patient receiving the most appropriate care at the appropriate time in the appropriate setting.

The ACT Government and Calvary are committed to expanding the services on the campus to meet the needs of the growing ACT population.

Calvary enjoys a good reputation in the Canberra community for the services it provides and the care it delivers. It is well understood in the local community that people of all faiths, and people without a professed faith, enjoy equal access to Calvary’s services and that all faith rituals and cultural practices are respected and accommodated.

Services provided by Calvary Health Care Bruce include:

  • a 24/7 Emergency Department

  • intensive and coronary care

  • medical and surgical inpatient services

  • maternity services

  • aged care and rehabilitation services

  • voluntary psychiatric services

  • specialist outpatient clinics

  • the Hospital in the Home service.

Calvary Health Care Bruce is a teaching hospital associated with the Australian Catholic University, the Australian National University (ANU) and the University of Canberra.

Calvary Health Care Bruce operates the ACT Specialist Community Palliative Care Service. This comprises:

  • Clare Holland House, the 19-bed inpatient specialist palliative care service

  • palliative care outpatients clinics

  • a community-based domiciliary palliative care service.

Calvary services in the ACT continue the mission of the Sisters of the Little Company of Mary by responding to the needs of the communities we serve.

Achievements

During 2014–15, Calvary delivered:

  • 56,321 Emergency Department presentations

  • 5,255 elective surgery procedures

  • 1,615 emergency surgery procedures

  • 1,833 births

  • 26,498 cost weights total activity.

During 2014-15, Calvary continued enhancing services and facilities at the Bruce campus and at Clare Holland House. This occurred through:

  • refining patient flow processes

  • improving discharge planning

  • following up patients after complex treatment

  • expanding the Calvary Hospital in the Home program and other service modalities designed to reduce or avoid inpatient admissions where other service options can provide a safe and less disruptive patient experience

  • refining efficient and rapid admission of patients from the Emergency Department to a surgical or medical inpatient setting

  • maintaining a 24-hour emergency surgery capability

  • enhancing the parallel operation in Maternity Services where the midwifery care model and the more traditional maternity model of care continue in parallel

  • embedding the efficient operations of the Rapid Assessment and Planning Unit, Medical Assessment and Planning Unit and Stroke Service Unit, which were established in 2013–14

  • increasing the services in specialist outpatient clinics

  • improving liaison and placement services for patients transitioning to Aged Care and Retirement residential situations

  • enhancing palliative care services to those in residential aged care settings, and providing support for staff in these settings in support of quality end of life care.

Facility enhancements in the reporting period included:

  • continuing the program of replacing floor coverings in public and clinical areas in accordance with environmental hygiene and infection-control best practice

  • continuing refurbishment of patient rooms in Medical and Surgical Units to:

  • heighten infection-control measures

  • increase patient and staff safety

  • improve the amenity of patient rooms and public areas

  • refurbishing public toilets in the Xavier and Marian buildings

  • increasing general medical and surgical and intensive care unit (ICU) bed capacity.

These enhancements were completed with negligible disruption to clinical services and minimal effects on patient and visitor amenity.

Calvary would like to highlight the partnership of our facilities team, our diverse group of contractors, and the guidance of Barmco Mana Partnership in the ongoing process of accommodating new and contemporary clinical services within the existing footprint of buildings on the Calvary Health Care Bruce campus. The principles and philosophies of this partnership embody our value of stewardship.

Multistorey car park construction

Construction commenced on the 700+ space multistorey car park at the Calvary Health Care Bruce campus in late 2014. This project will be completed in late 2015.

The car park is funded by the ACT Government and is the foundation for future growth and expansion of services at Calvary. It has been recognised for some time that the available parking on the Calvary Bruce campus was:

  • inadequate for existing activity levels

  • an impediment to growing Calvary’s capacity to meet the health and hospital needs of the expanding populations of North Canberra, Gungahlin and Molonglo.

This barrier will effectively be removed; the commissioning the multistorey car park will enable construction of a new stand-alone Calvary Private Hospital to commence in late 2015.

Issues and challenges

As with all Australian public health and hospital services, Calvary Health Care Bruce shares the challenge of meeting the growing needs of the community in an environment where state and territory governments, and the Commonwealth Government, endeavour to contain growing health costs.

The concurrent factors of longer life expectancy, an ageing population, improved management of chronic conditions, and the consistent emergence of new and expensive health practices and technology, represent a challenge at both network and individual facility levels.

Calvary is wholly committed to working with ACT Health to address these challenges.

Calvary remains committed to ensuring the community and patients and their carers know that in their time of need services will be available and delivered with respect and compassion by a highly trained and committed workforce and that the quality of care will never be compromised.

Future directions

The ACT Government Health Infrastructure Program (HIP) and the Bruce Precinct Master Plan are the basis for extensive consultation focused on the future of Calvary in its own right, and its role as a network provider as ACT public health services continue to expand.

The general expansion of the public hospital capacity at Calvary Bruce has been foreshadowed and will be assisted by:

  • relocating Calvary Private Hospital from the sixth floor of the Xavier Building later in this decade

  • transferring rehabilitation services to the new subacute hospital at the University of Canberra.

While infrastructure growth and service enhancement are significant and enduring, a key aspect of Calvary’s future direction is ongoing community engagement and expanding and refining the processes that strengthen the contribution of community providers and hospital-based services to patient centred care.

Consumer engagement is a performance measure in contemporary health services; but it also critical to improving the patient experience and enhancing patient satisfaction. Calvary aims to continually explore ways to ensure that each of the almost 65,000 recipients each year experiences an individually fulfilling episode of care that provides the best possible health outcomes.

Calvary strives to make every member of the Calvary workforce more aware and more accountable about consumer and carer engagement and involvement in care planning.