Table 3: Child and Adolescent Health Service senior officers Area of responsibility Title Name Basis of appointment Aboriginal Services Executive Director Leah Bonson Substantive Child and Adolescent Health Service Chief Executive Philip Aylward Term contract and Adolescent Community Health Executive Director Mark Morrissey Substantive Child and Adolescent Mental Health Service Executive Director Mark Morrissey Acting Child and Adolescent Mental Health Service Clinical Director Dr Caroline Goossens Term contract Clinical Planning and Reform Executive Director Lisa Brennan Substantive Finance and Business Executive Director Gordon Haywood Substantive Governance and Performance Executive Director Debbie Bryan Substantive Medical Services Executive Director Dr Mark Salmon Substantive Nursing and Patient Support Services Executive Director Anne Bourke Substantive Paediatric Medicine Clinical Care Unit Chairperson Dr Geoff Knight Term contract Paediatric Medicine Clinical Care Unit Nursing Director Anne Stynes Substantive Perth Children’s Hospital Executive Director Greg Italiano Term contract Surgical Services Clinical Care Unit Chairperson Dr Farrell Term contract Surgical Services Clinical Care Unit Nursing Director Carrie Dunbar Substantive Workforce Executive Director Graham Coleman Substantive Metropolitan Health Service 2013–14 North Metropolitan Health Service
Average cost per home based hospital patient day $211 $289 $78 Average cost per client receiving contracted palliative care services N/A $1,359 N/A Average cost per emergency department attendance $628 $614 $14 Average cost per doctor attended episode in an outpatient clinic for Metropolitan Health Service hospitals $618 $591 $27 Average cost per non-admitted occasion of service for Metropolitan Health Service hospitals $141 $325 $184 Average cost per non-admitted hospital based occasion of service for rural hospitals $162 $558 $396 Average cost per trip of Patient Assisted Travel Scheme $57 $23 $34 Outcome 2: Enhanced health and wellbeing of Western Australians through health promotion, illness and injury prevention and appropriate continuing care. Key effectiveness indicators: Loss of life from premature death due to identifiable causes of preventable disease Breast cancer Cervical cancer 2.4 0.3 2.1 0.6 0.3 0.3 Rate of hospitalisations for gastroenteritis in children (0-4 years) ≤3.8 3.8 0.0 Rate of hospitalisation for selected respiratory conditions Asthma, by age group: 0–4 years 5–12 years 13–18 years 19–34 years 35+ Acute Bronchitis (0-4 years of age) Bronchiolitis (0-4 years of age) Croup (0-4 years of age) ≤3.1 ≤1.8 ≤0.2 ≤0.4 ≤0.6 ≤0.1 ≤7.0 ≤1.6 3.6 2.7 0.7 0.5 0.7 0.1 9.3 2.2 0.5 0.9 0.5 0.1 0.1 0.0 2.3 0.6 Rate of hospitalisation for in older persons 0.5% reduction per annum 30.2 -0.4 Rate of childhood dental screening Percentage of eligible school children who are enrolled in the School Dental Service program Pre-primary program Primary program Secondary program ≥72% ≥79% ≥72% 84.6% 73.0% 87.5% 12.6 6.0 15.5
based Percentage of school children who are free of dental caries ≥65% 66.3% 1.3 Dental health status of target clientele Average number of DMFT for school children (age 12 0.90–1.5 0.65 N/A Average number of DMFT for adults N/A 10.3 N/A Access to dental treatment services for eligible people People who accessed Dental Health Services People who completed dental treatment Emergency Non-Emergency >17% 50% 50% 16% 39% 61% 1.0 11 11 Average waiting times for dental services <14 months 13 months 1 month Percentage of contacts with public mental health non-admitted services within seven days prior to admission to a public mental health inpatient unit 70% 51.5% 18.5 Percentage of contacts with public mental health non-admitted services within seven days post discharge from public mental health inpatient units 75% 56.1% 18.9 Key efficiency indicators: Average cost per capita of Population Health Units $77 $94 $17 Average cost per breast screening $145 $158 $13 Average cost of service for school dental service $134 $135 $1 Average cost of completed courses of adult dental care $376 $341 $35 Average cost per bed-day in specialised mental health inpatient units $1,051 $1,575 $524 Average cost per three month period of care for community mental health $2,413 $2,083 $330 Note: Actual results to target for the following key performance indicators are reported as per total population in the summary table above. Aboriginal and non-Aboriginal population results are provided in the Disclosure and Compliance section of this report. Rate of hospitalisations for gastroenteritis in children (0-4 years) Rate of hospitalisation for selected respiratory conditions Rate of hospitalisation for falls in older persons.
Target The 2012 target by preventable disease: Preventable disease Target (in years) Breast cancer 2.4 Cervical cancer 0.3 The 2011 National Person Years of Life Lost per 1,000 population is used as the target. Improved or maintained performance will be demonstrated by a result or equal to the target. Results In 2012, the person years of life lost for breast and cervical cancer were 2.1 and 0.6 per 1000 population respectively. Neither target was met (see Table 23). 23: Person years of life lost due to premature death associated with breast and cervical cancer, 2003–2012 Condition Calendar years 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 Target Breast cancer 2.8 2.3 2.3 2.7 2.5 2.9 2.5 2.2 2.2 2.1 2.4 Cervical cancer 0.3 0.4 0.4 0.4 0.4 0.3 0.5 0.4 0.3 0.6 0.3 Notes: Age-standardised Person Years of Life Lost per 1,000 population. The 2012 deaths are preliminary. The following ICD 10 were used: Breast cancer C50 to C50.9 (females only) Cervix cancer C53 to C53.9 (females only). Data source/s: Epidemiology Branch, Australian Bureau of Statistics.
Other financial disclosures Pricing policy The National Health Reform Agreement sets the policy framework for the charging of public hospital fees and charges. Under the Agreement, if an eligible person receives public hospital services as a public patient in a public hospital or a publicly contracted bed in a private hospital, they are treated ‘free of charge’. The majority of hospital fees and charges for public hospitals are set under Schedule 1 of the Hospitals (Services Charges) Regulations 1984 and the Hospitals (Services Charges for Compensable Patients) Determination 2005. These hospital fees are reviewed annually on 1 July. Please refer to the Department of Health’s Annual Report 2013–14 for further information on the pricing policy. Capital works WA Health has a substantial Asset Investment Program that facilitates remodelling and development of health infrastructure. Program initiatives include the continuation of major projects to reconfigure metropolitan general and tertiary hospitals, and significant investment in regional hospital infrastructure. Please refer to the Department of Health’s Annual Report 2013–14 for financial details of the full Metropolitan Health Service capital works program. Employment profile Government agencies are required to report a summary of the number of employees, by category, in comparison with the preceding financial year. 35 shows the year-to-date (June 2014) number of Metropolitan Health Service full time equivalent employees (FTE) for 2012–13 and 2013–14. Table 35: Metropolitan Health Service total full time employees by category Category Definition 2012–13 2013–14 Administration & clerical Includes all occupations together with patient-facing (ward) clerical support staff. 4,923 5,175 Agency Includes FTE associated with the following occupational categories: administration and clerical, medical support, hotel services, site services, medical salaried (excludes visiting medical practitioners) and medical sessional. 404 373 Agency nursing Includes workers engaged on a ‘contract for service’ Does not include workers employed by NurseWest. 143 128 Assistants in nursing Support registered nurses and enrolled nurses in delivery of general patient care. 167 174 Dental nursing Includes registered dental nurses and dental clinic assistants. 294 304
Appendix 1: Metropolitan Health Service addresses and locations North Metropolitan Health Service Street address: Hospital Avenue, NEDLANDS WA 6009 Postal address: Locked Bag 2012, NEDLANDS WA 6009 Phone: (08) 9346 3333 Fax: (08) 9346 3759 Email: scgh.webmaster@health.wa.gov.au Web: Sir Charles Gairdner Hospital Street address: Queen Elizabeth II Medical Centre Hospital Avenue NEDLANDS WA 6009 Postal address: Locked Bag 2012 NEDLANDS WA 6009 Phone: (08) 9346 3333 Fax: (08) 9346 3759 Email: scgh.webmaster@health.wa.gov.au Web: North Metropolitan Health Service Public Health and Ambulatory Care Street and postal address: 54 Salvado Road WEMBLEY WA 6014 Phone: (08) 9380 7700 Fax: (08) 9380 7719 Email: NMHS.PHACSQ@health.wa.gov.au Web: North Metropolitan Health Service Mental Health Street address: 83 Fairfield Street MT HAWTHORN WA 6016 Postal address: Private Bag 1 CLAREMONT WA 6910 Phone: (08) 9242 9642 Fax: (08) 9242 9644 Email: Web: Swan Kalamunda Health Service Street address: Eveline Road MIDDLE SWAN WA 6056 Postal address: PO Box 195 MIDLAND WA 6936 (08) 9347 5400 Fax: (08) 9347 5410 Web: www.nmahs.health.wa.gov.au Osborne Park Hospital Street and postal address: Osborne Place STIRLING WA 6021 Phone: (08) 9346 8000 Fax: (08) 9346 8008 Women and Newborn Health Service Street address: King Edward Memorial Hospital for Women