Calvary Health Care Ltd Annual Report 2015-16

Calvary Public Hospital Bruce (Calvary) is a fully accredited health service comprising 300 beds across the Bruce campus and Clare Holland House in Barton. Calvary is committed to providing contemporary and multidisciplinary team-based care, which is delivered by a dedicated, qualified and professional workforce. At both campuses the natural environment supports personal wellbeing and holistic healing.

Calvary delivers public health and hospital services on behalf of the ACT Government. The Calvary Network Agreement formalises this arrangement, with an annual Calvary Performance Plan negotiated to determine the services to be provided over the financial year. These governance arrangements are subject to ongoing review and enhancement.

As a member of the ACT Local Hospital Network with defined roles and service delineation, Calvary delivers high-quality clinical care, providing comfort and healing to ACT residents and people from surrounding communities. Calvary has formal protocols and practical working relationships that ensure patients with particular conditions and treatment requirements not available at Calvary are seamlessly transitioned or transferred to Canberra Hospital or interstate for specialty services.

Calvary is a teaching hospital associated with the Australian Catholic University, the Australian National University and the University of Canberra. In this role, and through the contribution of emerging clinical practitioners, Calvary is at the forefront of contemporary health service and acute care practices.

Services provided by Calvary 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
  • Hospital in the Home service.

Calvary operates the ACT Specialist Community Palliative Care Service from Clare Holland House campus in Barton. This Service comprises:

  • Clare Holland House, which is a 19-bed inpatient specialist palliative care unit
  • palliative care outpatients’ clinics
  • community-based palliative care services
  • Calvary-Australian Catholic University Palliative Care Research Centre.

The demand for palliative and end-of-life care is rising rapidly as a result of longer life expectancy, an ageing population and improved chronic diseases management. The ACT Specialist Community Palliative Care Service is a national leader in the development of interdisciplinary and multidisciplinary treatment and care plans for palliative care patients. These plans ensure that patients’ care is coordinated between all their care providers including their GP, specialists, residential care supervisor and the specialist palliative care team.

Activity achievements

During 2015–16, Calvary delivered:

  • 27,214 Calvary Public Hospital, Bruce admissions
  • 354 Clare Holland House admissions
  • 57,530 Emergency Department presentations
  • 5,383 elective surgery procedures
  • 1,730 emergency surgery procedures
  • 1,775 babies born.

Other achievements

The dynamic nature of health and hospital services along with the increasing demand on those services requires Calvary to continuously review processes and procedures related to patient care. During 2015–16, this included:

  • Calvary achieved unconditional accreditation against the National Safety and Quality in Health Service Standards following a survey conducted by the Australian Council on Healthcare Standards (ACHS) in 2015.
  • Restructuring the organisation to establish clinical streams that foster multidisciplinary care planning and enable the more efficient planning, allocation and management of resources across the streams.
  • Redefining management roles and responsibilities to support the Clinical streams model.
  • Completing the development and review of the Non-Admitted Patient Model of Care and finalising the 2016–17 implementation plan for this initiative.
  • Enhancing the efficient operations of the Rapid Assessment and Planning Unit, Medical Assessment and Planning Unit and Calvary Stroke Service. A National Stroke Foundation audit completed in 2015–16, found the Calvary Stroke Service to be a national leader in a number of areas of stroke diagnosis and treatment.
  • Establishing a dedicated short-stay surgical ward known as 3S General. This initiative recognises the significantly different postoperative care required for various surgical procedures.
  • Calvary, in partnership with SITA Environmental Solutions, expanded its waste management programs to develop 26 waste management streams (including multiple clinical waste streams) that are ‘sorted at source’. This program has been strongly supported by staff and is endorsed by the Calvary group policy on environmental stewardship. In 2015, Calvary was the 2015 ACT Government No Waste Business Award winner.
  • Calvary individuals and teams were named recipients of a number of excellence awards. These include:
    • The Calvary Public Hospital Bruce Lymphoedema Senior Management and Clinical Team were named the recipients of both the 2016 Award for Allied Health Team Excellence and the 2016 Allied Health Professionals of the Year.
    • Calvary Midwife Hana Sayers was named ACT Midwife of the Year in the 2016 ACT Health Excellence Awards.
    • The Calvary Emergency Department Team was named Team of the Year in the 2016 ACT Health Excellence Awards.
    • Calvary’s Christine Falez RM was awarded the Excellence In Leadership Practice in the 2016 ACT Health Excellence Awards.
    • Matt Luther NP from Calvary was awarded the Excellence In Management Practice in the 2016 ACT Health Excellence Awards.
    • Amelia Druhan RM from the Calvary Maternity Unit was named Midwife of the Year in the 2016 Australian College of Midwifery Awards.
    • The Calvary Palliative Aged Care Consultancy Team were finalists in the 2016 HESTA National Nursing Team Excellence Awards.
    • Calvary Domestic Services Manager Greg Robertson was the recipient of the Minister’s Award for Leadership in the 2016 ACTSmart Business Sustainability Awards.
Improved community access

The ongoing development in the Molonglo and Gungahlin townships continues to expand the geographical and population catchments for whom Calvary is their closest acute care public hospital and health service.

The ACT Government and Calvary are committed to expanding the services to meet the needs of the growing ACT population. Over recent years, a rolling program of refurbishment and re-engineering has been formulated and implemented on the Calvary campus.

In the past 12 months this program has seen:

  • a campus-wide upgrade of electrical services
  • the continued upgrading of patient rooms to conform to contemporary hygiene and infection control standards
  • enhancements to public areas, including toilets and the main hospital entry.

The 720 space multi-level car park on the southern side of the Calvary Bruce campus opened in December 2015. This car park provides convenient and flexible parking for patients and visitors, and features additional disability permit parking and improved disability access to Calvary Hospital entry points.

The refurbishment of a Specialist Outpatients’ Clinic area in Calvary’s Lewisham Building has also been completed. This purpose-built clinic area includes consultation and procedure rooms. The new area will provide an accessible and comfortable setting for Outpatient Clinic patients.

Issues and challenges

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 for all health services at both network and individual facility levels.

As with all Australian public health and hospital services, Calvary 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.

Calvary is wholly committed to working with ACT Health to provide economically sustainable responses to these challenges while ensuring patients and their families receive patient-centred, high-quality care and treatment.

Most importantly, Calvary remains dedicated to ensuring the community is informed and confident that in their time of need services will be available and delivered with respect and compassion by a highly trained and committed workforce.

Future directions

Imminent projects for Calvary Public Hospital are the refurbishment of a number of operating theatres, and the upgrade of medical imaging services. These projects will be undertaken with as little disruption as possible to normal services.

The operational priority for Calvary will be to further refine the clinical stream modelling across all acute services. This model, which integrates medical, nursing and allied health services into a single care team, supports:

  • multidisciplinary care plans and treatment
  • improved patients’ outcomes
  • reduced length of stay
  • consistent patient flow in Calvary’s acute care settings.

Construction of a new Calvary Bruce Private Hospital has commenced, with the facility expected to open in mid-2017. The 100-bed Private Hospital will include a range of clinical and hospitality features to facilitate contemporary clinical services and offer an unparalleled hospitality experience for patients.