Milestones

Milestones21 years of tenacity…

1996
Bringing the scale of medical error to national attention
 
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1999
Report to the State Coroner of Victoria and VIC Attorney-General:
ACCORDING DUE WEIGHT
 
 
Submission to NSW Legislative Council:
PARLIAMENTARY INQUIRY INTO NEW SOUTH WALES HEALTH CARE COMPLAINTS COMMISSION
 
 
Nomination by doctors:
AUSTRALIAN HUMANITARIAN AWARD
 
 
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2000
Participation:
HEALTH INFORMATION FOR CONSUMERS: HOW CAN MEDICARE HELP?
 
 
Participation:
e-HEALTH: ELECTRONIC MEDICAL RECORD ISSUES
 
 
Report to State Coroners of Victoria, NSW, SA, WA:
MEDICAL ADVERSE EVENTS AND THE CORONIAL EXPERIENCE OF FAMILIES
 
 
Report to Standing Committee of Attorneys-General:
CORONIAL SYSTEMS AUSTRALIA-WIDE AND THEIR BENEFITS
 
 
Report to State Coroner of Victoria and Victorian Institute of Forensic Medicine:
THE IMPORTANCE OF THE NATIONAL CORONERS INFORMATION SYSTEM [NCIS] AND THE DEVELOPMENT OF A SPECIALIST “MEDICALS” MODULE 
 
 
Report publication:
MEDICAL ADVERSE EVENT DEATHS: THE DATA 
 
 
Report publication:
THE AGED AND MEDICAL ADVERSE EVENTS: A PARADOX OF CARE 
 
 
Report to Australian Council for Safety and Quality in Health Care:
MEDICAL ADVERSE EVENTS AND FAMILIES
 
 
Report to Federal Ministers for Family and Community Services, and Health and Aged Care:
MEDICAL ADVERSE EVENTS AND ACCESS TO JUSTICE
 
 
Submission to Queensland Attorney-General:
QUEENSLAND DRAFT CORONERS BILL 2000
 
 
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2001
Participation:
3rd NATIONAL HEALTH CARE COMPLAINTS CONFERENCE
 
 
Presentation to Consultative Committee Group:
NSW HEALTH CARE COMPLAINTS COMMISSION
 
 
Participant Consumer Reference Network:
AUSTRALIAN COUNCIL FOR SAFETY & QUALITY IN HEALTH CARE
 
 
Report publication:
MEDICAL INDEMNITY CRISIS: WHAT ABOUT THE FAMILIES?
 
 
Report publication:
MEDICAL BOARDS, NATIONAL STANDARDS, TORT LAW AND MEDICAL REFORM 
 
 
Submission to NSW Attorney-General:
INQUIRY INTO MATTERS ARISING FROM THE POST MORTEM AND ANATOMICAL EXAMINATION PRACTICES OF THE NSW INSTITUTE OF FORENSIC MEDICINE
 
 
Report publication:
MEDICAL ADVERSE EVENTS AND DEATH CERTIFICATES: THEY DON’T ADD UP
 
 
Presentation NSW Parliament House:
MEDICAL INDEMNITY FORUM
 
 
Participation:
3rd NATIONAL HEALTH CARE COMPLAINTS CONFERENCE
1. “GETTING BETTER TOGETHER USING COMPLAINTS TO IMPROVE THE QUALITY OF OUR HEALTH SERVICES”;
2. “THE BLACK STUMP HOSPITAL SCANDAL: ADVERSE EVENTS, WHISTLE BLOWERS AND THE ROLE OF THE MEDIA” (HYPOTHETICAL).
 
 
Presentation to young doctors:
“FACING MISTAKES HEAD-ON SAVES TIME, RESOURCES & REPUTATIONS”, INTERN AND HMO EDUCATION SESSIONS, THE ALFRED HOSPITAL, PRAHRAN

 

 
Consultation with Advisory Committee to NSW Minister for Health:
NSW COUNCIL OF QUALITY IN HEALTH CARE
 
 
Consultation on redress following a medical adverse event:
NATIONAL PATIENT SAFETY FOUNDATION, BOSTON MA USA
 
 
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2002
Liaison on incentive to implement compensation schemes:
US DEPARTMENT OF VETERANS’ AFFAIRS HQ, WASHINGTON DC USA

 

 
Liaison on valuable lessons of ethical, moral and sensible legal decision-making:
VETERANS’ AFFAIRS (VA) MEDICAL CENTER, LEXINGTON KY USA
 
 
Participant:
NATIONAL MEDICAL INDEMNITY LITIGATION WORKSHOP ON LEGAL CHANGE AND ADMINISTRATIVE REFORM, PRIME MINISTER’S SUMMIT, CANBERRA
 
 
Sponsoring student project:
“TRUSTING MEDICINE”, UNIVERSITY OF TECHNOLOGY JOURNALISM SCHOOL
 
 
Provision of storylines:
ABC TV DRAMA “MDA”
 
 
Participation with Assoc Professor Dr Stephen Bolsin, Geelong Hospital, Barwon Health:
PERSONAL PERFORMANCE MONITORING IN HEALTH CARE
 
 
Participant:
NSW HEALTH CLINICAL GOVERNANCE STEERING COMMITTEE

 

 
Sponsoring student project:
“MEDICAL MISHAPS”, UNIVERSITY OF TECHNOLOGY SYDNEY JOURNALISM SCHOOL
 
 
Working group:
“OPEN DISCLOSURE PROJECT”, AUSTRALIAN COUNCIL FOR SAFETY AND QUALITY IN HEALTH CARE
 
 
Participation:
PRIME MINISTER’S MEDICAL INDEMNITY TASKFORCE, CANBERRA
 
 
Participant at State Coroner’s Office of Victoria:
NATIONAL CONSULTATIVE WORKSHOP ON IMPROVING THE VALUE OF CORONIAL DATA FOR PATIENT SAFETY INITIATIVES
 
 
Report publication:
“INHOSPITABLE HOSPITALS: HOW THEY PERFORM”
 
 
Report publication:
THE “ROLLER COASTER” DEATH AND INJURY TOLL
 
 
Submission on Medical Indemnity “Crisis”:
A RESCUE PACKAGE FOR PATIENTS TO AVOID LITIGATION
 
 
Submission to Treasury:
“REVIEW OF THE LAW OF NEGLIGENCE”
 
 
Report to the Prime Minister, all Ministers for Health and Australian Medical Association;
Submission to Treasury, Federal Minister for Revenue, and Assistant Treasurer, Prime Minister’s Medical Indemnity Task Force:
A RESCUE PACKAGE FOR PATIENTS, DOCTORS, HOSPITALS AND GOVERNMENT TO AVOID LITIGATION
As discussed on ABC Lateline with Tony Jones and Lorraine Long 
Report requested by the USA Veterans’ Affairs Department, Washington DC, and the NHS, London UK
 
 
Opening Address:
NATIONAL FORUM ON CORONIAL INFORMATION, STATE CORONER’S OFFICE OF VICTORIA
 
 
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2003
 
Challenge to Melbourne public hospitals to release their medical error rate:
7 VICTORIAN HOSPITALS RELEASING THEIR MEDICAL ERROR DATA TO THE MEDIA FOR THE FIRST TIME
 
 
Panel participant:
“FRAMEWORK DEVELOPMENT FOR EFFECTIVE CONSUMER INVOLVEMENT IN IMPROVING HEALTH SERVICES”, VICTORIAN QUALITY COUNCIL AND DEPARTMENT OF HUMAN SERVICES
 
 
Open discussion with The Alfred Hospital CEO:
“TELLING THE TRUTH”, ALFRED WEEK “SAFETY FIRST”
 
 
Report publication:
AUSTRALIAN HOSPITALS: MONITORING THEIR PERFORMANCE
 
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2004
 
Submission to Australian Senate and cross-examination:
INQUIRY INTO HEPATITIS C AND BLOOD SUPPLY IN AUSTRALIA
 
 
Report publication:
INHOSPITABLE HOSPITALS: THE BLACK LIST
 
 
Consultation by NSW Premier’s Department:
COMPLETE RESTRUCTURE OF THE NSW HEALTH CARE COMPLAINTS COMMISSION
 
 
Submission to NSW Legislative Council and cross-examination:
PARLIAMENTARY INQUIRY INTO COMPLAINTS HANDLING PROCEDURES IN NSW HEALTH
 
 
Submission to Commissioner Bret Walker SC:
SPECIAL COMMISSION OF INQUIRY INTO CAMPBELLTOWN AND CAMDEN HOSPITALS
 
 
Report publication:
UNDER-PERFORMING NURSING HOMES
 
 
Presentation with Clinical Support Deputy Director, Royal Children’s Hospital, Melbourne:
“REAL-TIME IN-DEPTH EXAMINATION OF AN ADVERSE EVENT IN A CHILDREN’S HOSPITAL”, NATIONAL MEDICO LEGAL CONGRESS

 

 
Consultation and analysis of MEAG data and media issues:
MATER HEALTH SERVICES, BRISBANE

 

 
Participation panel member:
“ACCOUNTABILITY VERSUS A JUST CULTURE: LIFELONG PARTNERS OR MORTAL ENEMIES?”, VICTORIAN QUALITY COUNCIL FORUM

 

 
Presentation and panel participant:
“PRIVATE HEALTH INSURANCE: SUSTAINING OUR HEALTH SYSTEM”, AHIA NATIONAL CONFERENCE
 
 
Presentation:
“THE PATIENT’S PERSPECTIVE”, AHIA NATIONAL CONFERENCE
 
 
Panel participant:
“LESSONS FOR HEALTH FUNDS: WHAT KEY HEALTHCARE QUALITY AND SAFETY ISSUES NEED TO BE ADDRESSED BY THE PRIVATE HEALTH SECTOR?”, AHIA NATIONAL CONFERENCE
 
 
Participant in Medical Indemnity Stakeholder Forum:
“EXPOSING THE LACK OF TRANSPARENCY WITHIN HOSPITALS AND ASSESSING HOW THEY CAN BECOME MORE OPEN”, 13th NATIONAL MEDICO-LEGAL CONGRESS
 
 
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2005
 
Submission and cross-examination by Victoria Parliamentary Inquiry:
VICTORIA LAW REFORM CORONERS’ ACT 1985 DISCUSSION PAPER
 
 
Assistance to Commissioner Anthony Morris QC:
BUNDABERG HOSPITAL COMMISSION OF INQUIRY QUEENSLAND
 
 
Presentation:
“MANAGING ADVERSE EVENTS”, NATIONAL MEDICO-LEGAL CONGRESS
 
 
Co-founder of coalition of action groups monitoring how governments respond to inquiries:
PARLIAMENTARY ACTION GROUP
 
 
Consultation:
“DEATHS IN HOSPITALS”, NORTHERN IRELAND HUMAN RIGHTS COMMISSION
STATE CORONER’S OFFICE OF VICTORIA
STATE CORONER’S OFFICE OF NSW
 
 
Panel member participant:
“MANAGING ADVERSE EVENTS”, 14th NATIONAL MEDICO-LEGAL CONGRESS
 
 
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2006
 
Report publication:
INHOSPITABLE HOSPITALS
 
 
Consultation on patient safety and hospital death investigation:
JAPANESE DELEGATION FROM JAPAN PUBLIC HEALTH ADMINISTRATION AND POLICY FOR THE MINISTER FOR HEALTH, LABOUR AND WELFARE, STATE CORONER’S OFFICE OF VICTORIA
 
 
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2007
 
Report publication:
OUR CARING INSTITUTIONS AT WORK
 
 
Report publication:
10 YEARS MONITORING HOSPITALS – WHICH IS THE WORST HOSPITAL IN AUSTRALIA?
 
 
Sponsoring student project:
“TRUSTING MEDICINE”, UNIVERSITY OF TECHNOLOGY JOURNALISM SCHOOL
 
 
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2008
 
Getting criminal doctor scandal to air after ringing the alarm bells for 5 years
HUNDREDS BETRAYED BY DOCTOR
COLLATERAL DAMAGE
GRAEME REEVES: SECRETS AND LIES
REEVES LINKED TO 15 DEATHS
 
 
Assistance to NSW Police Force:
NSW POLICE FORCE ESTABLISHING STRIKE FORCE TARELLA TO INVESTIGATE MEDICAL MALPRACTICE OF FORMER OBSTETRICIAN AND GYNAECOLOGIST GRAEME REEVES
 
Consultation with NSW Ministers for Health:
TO UNDERTAKE TO COMPENSATE HARMED PATIENTS OF FORMER DR REEVES
 
 
Submission and consultation with The Hon Justice Deirdre O’Connor:
AMENDMENTS TO NSW MEDICAL PRACTICE ACT 1992, NSW PARLIAMENT LEGISLATIVE CHANGES
 
 
MEAG’s exposé drove Reportable Misconduct legislative changes:
UNDER THE MEDICAL PRACTICE ACT THAT “PLACE AN OBLIGATION ON ALL MEDICAL PRACTITIONERS IN NSW TO REPORT CERTAIN TYPES OF MISCONDUCT BY OTHER MEDICAL PRACTITIONERS TO THE NSW MEDICAL BOARD”, NSW PARLIAMENT
 
 
MEAG’s exposé drove media to excel:
3 WALKLEY AWARDS FOR EXCELLENCE IN AUSTRALIAN JOURNALISM, INCLUDING THE GOLD WALKLEY, BY INVESTIGATIVE JOURNALIST ROSS COULTHART AND PRODUCER NICK FARROW FOR THEIR REPORTING AND COVERAGE OF THE “BUTCHER OF BEGA” EXPOSÉ
 
 
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2011
 
Criminal doctor Graeme Reeves jailed for his crimes of grievous bodily harm, indecency and sexual assault
 
 
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2012
 
Submission to the Australian Senate Standing Committee on Community Affairs:
THE ROLE OF GOVERNMENT AND THE THERAPEUTIC GOODS ADMINISTRATION (TGA) REGARDING MEDICAL DEVICES, PARTICULARLY POLY IMPLANT PROTHÈSE (PIP) FRENCH BREAST IMPLANTS
NOTE: The Senate slapped a privacy injunction on our submission. The truth too hot to handle!  “The Committee” had to protect itself from further embarrassment as its “expert medical advisor” had inserted dud PIP implants into his patients.  Conflict of interest an understatement!
 
 
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2015  
Criminal doctor Graeme Reeves indicted for manslaughter of patient