Dave Pugsley
Toowoomba,QLD
Summary
Accomplished Health Service Leader recognised for leveraging strong team leadership, innovation and development to drive forward progress in large and complex health organisations. Highly organised, detail-oriented leader skilled in directing high-performing teams to develop solutions and solve operational and technical problems. Success implementing systems across multiple operations with superior organisational and communication skills.
Passionate about rural healthcare, attracting and retaining health professionals in rural communities and driving strategic and operational priorities to ensure patients receive the right care, closer to home.
Overview
13
13
years of professional experience
Work History
Acting Executive Director Rural
Darling Downs Hospital And Health Service
01.2023 - 01.2023
- Operational accountability for 15 hospitals, 3 multi-purpose health service, 5 outpatient clinics, 2 private practice clinics and 6 residential aged care facilities
- Operating budget of $260M and head count 1700 (1350 FTE)
- Responsible for the leadership, governance, day-to-day operational and performance management of the Rural and Aged Care services Division in the delivery of safe and quality services in a manner that supports coordination of care across the continuum.
- Collaborate with key partners and engage with practitioner groups and stakeholders to contribute to an integrated and connected healthcare system ensuring that their needs, expectations, and interests are included in health service planning and evaluation.
- Exercising of appropriate contract, financial and human resource delegations within the scope of the position
Manager Rural Operations
Darling Downs Hospital And Health Service
09.2022 - Current
- Support Executive Director to provide operational responsibility and accountability for 15 hospitals, 3 multi-purpose health service, 5 outpatient clinics, 2 private practice clinics and 6 residential aged care facilities.
- Lead and influence clinical management to ensure Rural Division meets its strategic and operational objectives
- Lead projects to drive operational agenda, process improvement reviews and monitoring of KPIs
- Build networks with groups internally and externally to maintain contemporary knowledge and up to date understanding of management and organisation strategies for the Rural network
- Provide leadership in planning and development of health programs and services consistent with identified population needs, applying performance indicators to demonstrate outcome-driven resource management and program service delivery
- Responsible for implementing rural vacancy management and workforce recruitment, attraction, and retention strategies to reduce current level of turn over and agency/locum usage across the Rural Division of DDH.
- Leading the operationalisation and accreditation of primary/general practice in the Rural Division and ensure optimal resource allocation and maximisation of revenue opportunities relating to general practice including, but not limited to, mixed billing and practice incentive payments.
- Manage funding initiatives identified in service level agreement to maximise revenue and activity opportunities in Rural Health and Aged Care.
- Maximise and achieve an optimal balance of funding between ABF, Private, Block, MPHS, 19.2/RRMBS & Aged Care
- Lead and operationalise contemporary patient flow models in Rural to ensure optimal utilisation of bed stock across Rural facilities, including the use of virtual arrangements as required
Senior Finance Manager
Darling Downs Hospital And Health Service
11.2018 - 08.2022
- Support the Executive Director, Management and DDH Executive Team to implement health care service delivery in line with DDHHS strategic vision and objectives, including the development of annual business plans incorporating clinical activity levels, workforce, quality requirements, and operating and capital budget.
- Manage a team to provide quality financial outcomes for the client group, specifically contributing toward a $9M turnaround in operating position from FY2020 to FY2021 (Rural Health).
- Coordinate the process of operating budget and forecast preparation for Toowoomba Hospital. Previously coordinated the process of operating budget and forecast preparation for Rural Health and Aged Care (24 Facilities including Acute, MPHS, Aged Care and Private Practice).
- Provide monthly reporting analysis and advice on performance in terms of expenditure, FTE, activity and other KPI’s as per service level agreement.
- Highlight key variances to trend and actively influence decision-making processes within an activity-based funding environment.
- Operational performance management activities including data analysis and investigation, reporting and recommendations to Executive and Management team
- Monitoring and analysing data from relevant information systems in relation to patient activity levels, budget, financial position and forecasts, human resource and workplace health and safety indicators.
- Develop and maintain appropriate reporting systems, policies, procedures and guidelines to facilitate effective performance, financial and resource management.
- Establish systems and processes which provide performance evaluation and information to the DDHHS on Own Source Revenue vs Weighted Activity Unit payments as required
- Reviewing revenue targets and implementing recommendations regarding how to meet and exceed these targets.
- Develop effective relationships with a range of stakeholders including senior executives, clinical professionals and corporate support staff. Provide responsive, business-focused advice which supports management and clinical service delivery needs within a large, complex rural health environment.
- Provide financial support and advice pertaining to the evaluation of various service level models
- Respond to department requests for information including at parliament level
- Maintain an up-to-date technical knowledge, including new accounting and finance-related developments, relevant legislation, and industry standards and trends in activity-based funding.
- Key health service lead in the roll out of Accounting Information System to large and complex business which included process development around procure to pay activities within a rural setting
Acting Director Management Accounting
Darling Downs Hospital And Health Service
10.2019 - 01.2020
- Managed a team of 45 FTE across Revenue, Travel and Business Management services for Darling Downs Health
- Led the DDH transition of accounting/procurement system FAMMIS to s4 HANA (SAP). Actively influenced multiple stakeholder groups at a state level to achieve best practice procurement and purchasing outcomes for the state
- Supported the Chief Finance Officer, Chief Executive and other members of the Executive Management Committee with matters relating to finance and business management
Senior Business Performance Officer
Pathology Queensland
12.2013 - 10.2018
- Provided leadership and direction across accounting and business performance functions for Pathology Queensland, a service within Health Support Queensland (Department of Health) providing state-wide Pathology services with a $300M operating budget
- Create, manage and monitor annual operating budget of $300M with over 1580 FTE across a multidisciplinary state-wide organisation
- Created dynamic systems and reports to enable timely and efficient monthly reporting against budget variances for expense, revenue, activity and workforce measures
- Implemented Differential Pricing Model which incorporated activity-based costing principles to calculate a price per test across 35 laboratories
- Development of regression model used to enable accurate forecasting of revenue to allow management to make decisions regarding end of year financial positions
- Provide professional advice and information to progress briefs and business cases
- Created activity / workforce metrics which showed the number of requests per FTE per hour over a 24-hour period to internally benchmark against various sites
- Developed cost model for complex program unit within Pathology Queensland
- Worked to contribute value-adding management accounting services to a complex health service which contributes toward effective decision-making including refining key performance indicators
- Applied accrual and cost accounting to increase business performance, for example the revision of payment and recovery methods for Medical Doctors working between hospitals and Pathology as part of client requirements.
Trust Fund Coordinator
Pathology Queensland
05.2010 - 12.2013
- Coordinated the administrative and financial management of the Study, Education and Research Trust Fund (SERTF)
- Developed complex reports on trust fund activity for the Senior Director, Finance and Chief Executive, HSQ
- Contributed to budget management for the branch/division by monitoring and reviewing budget and prepared briefs to the Chief Executive, Director-General and Minister
Education
Bachelor of Commerce (Accounting) -
University of South Australia
MBA - Business And Health Service Management
Southern Cross University
Online06.2024
High School Diploma -
Marist College Ashgrove
BrisbaneSkills
- Health Service Operational and Strategic Planning
- Negotiation
- Management Team Leadership and Development
- Project Oversight
- Approachable and Outgoing
- Budgeting and Financial Management
- Adaptable and Flexible
- Change and Growth Management
- Build Revenue Streams
Additional Information
- Awarded an Australia Day Achievement Award in 2011 for “Outstanding Dedication and Contribution to the State Emergency Service”
- Nominated for HSQ Staff Award for Costing and Pricing Project and Business Management Services to Pathology Queensland
- Vice President for Chiselhurst Kindergarten, Toowoomba
Timeline
Acting Executive Director Rural
Darling Downs Hospital And Health Service
01.2023 - 01.2023
Manager Rural Operations
Darling Downs Hospital And Health Service
09.2022 - Current
Acting Director Management Accounting
Darling Downs Hospital And Health Service
10.2019 - 01.2020
Senior Finance Manager
Darling Downs Hospital And Health Service
11.2018 - 08.2022
Senior Business Performance Officer
Pathology Queensland
12.2013 - 10.2018
Trust Fund Coordinator
Pathology Queensland
05.2010 - 12.2013
Bachelor of Commerce (Accounting) -
University of South Australia
MBA - Business And Health Service Management
Southern Cross University
High School Diploma -
Marist College Ashgrove
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