Part two: Health operations
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© Copyright, State of Victoria, Department of Health, 2011
Published by the Funding and Information Policy Branch, Department of Health, Melbourne, Victoria. This publication is copyright, no part may be reproduced by any process except in accordance with the provisions of the Copyright Act 1968. This document is also available in PDF format on the internet at: www.health.vic.gov.au/pfg Authorised by the State Government of Victoria, 50 Lonsdale Street, Melbourne.
Part two: Health operations i
Glossary of acronyms and abbreviations 28
Introduction 30
1. Service delivery 31 1.1 Hospitals and health services 31 1.1.1 Small rural health services 31 1.1.2 Emergency departments 32 1.1.3 State Trauma System 32 1.1.4 Critical care services 33 1.1.5 Surgical services 33 1.1.6 Maternity Services 34 1.1.7 Neonatal services 35 1.1.8 Acute medicine 35 1.1.9 Cancer services 36 1.1.10 Palliative care 37 1.1.11 Renal health 37 1.1.12 Subacute services 38 1.1.13 Specialist clinics 41 1.1.14 Pharmaceuticals 41 1.1.15 Organ and tissue donation 42 1.1.16 Health Innovation and Reform Council 43 1.1.17 Improving service delivery 43 1.1.18 Victorian Health Services Performance website 44 1.2 Ambulance services 44 1.3 Mental health 45 1.3.1 Broader policy direction 45 1.3.2 Service delivery requirements 46 1.3.3 Reporting changes for 201112 46 1.3.4 Key policies and guidelines 46 1.4 Drug services 47 1.4.1 Broader policy direction 47 1.4.2 Service delivery requirements 47 1.4.3 Key policies and guidelines 48 1.5 Aged care 48 1.5.1 New Aged Care Assessment Program requirements 48 1.6 Primary, community and dental health 49 1.6.1 Community Health Program 49 1.6.2 Dental Health Program 50 1.6.3 NURSE-ON-CALL 50 1.7 Aboriginal health 51
2. Accountability, compliance and reporting 53 2.1 Organisational obligations 53 2.1.1 Hospitals accountability agreements 53 2.1.2 Non-government organisations accountability agreements 53 2.1.3 Registered community health centres accountability agreements 54 2.1.4 Clinical governance 54 2.1.5 Clinical risk management 54 2.1.6 Consumer, carer and community participation requirements 55 2.1.7 Goods and services tax 56 2.1.8 Risk management 56 2.1.9 Fire risk management 57 2.1.10 Privacy 57 2.1.11 Intellectual property 58 2.2 Hospitals and health services 58 2.2.1 Health service accreditation 58
2.2.2 Hospital admission policy 59 2.2.3 Data integrity 60 2.2.4 Overview of acute health data collections 61 2.2.5 Commonwealth/State reporting requirements 63 2.2.6 Procurement and purchasing requirements 64 2.2.7 Capital works and equipment 64 2.2.8 Workforce requirements 65 2.2.9 Credentialling and defining scope of clinical practice 65 2.2.10 Ethical review of multi-site clinical trials 66 2.2.11 Core hospital-based outcome indicators 66 2.2.12 Cultural and linguistic diversity 67 2.2.13 Community advisory committees 68 2.2.14 Primary care and population health advisory committees 68 2.2.15 Integrated cancer services 68 2.2.16 Blood Matters Program 69 2.3 Ambulance services 69 2.4 Mental health services 70 2.4.1 Data collection requirements and reporting timelines 70 2.5 Drug services 70 2.5.1 Data collection requirements and reporting timelines 70 2.6 Aged care 70 2.7 Aboriginal health 70 2.8 Primary and community health 71 2.9 Public health 71 2.10 National Healthcare Agreement 71
3. Funding 72 3.1 General information 72 3.1.1 Organisation funding 72 3.1.2 Funding adjustments 72 3.1.3 Price Indexation 73 3.1.4 Indexation and enterprise bargaining 73 3.1.5 Treatment of variations to throughput 74 3.1.6 Funding for throughput above target 75 3.1.7 Funding recall policy 76 3.1.8 Redirection of funds by health services 77 3.2 Health services 78 3.2.1 Changes to range or scope of services 78 3.2.2 Revenue 78 3.2.3 Cash flow to hospitals 79 3.2.4 Funding for interstate patients 79 3.2.5 Treatment of asylum seekers 79 3.2.6 Compensable patients 79 3.2.7 Hospital medical officers on rotation to external hospitals 83 3.2.8 Accountability for visiting medical officer payments 83 3.2.9 Casemix 83 3.2.10 Weighted Inlier Equivalent Separation 84 3.2.11 Victorian Ambulatory Classification and Funding System 84 3.2.12 Non-admitted Emergency Services Grant 85 3.2.13 Payments for specified purposes 85 3.2.14 The Casemix Rehabilitation and Funding Tree 86 3.2.15 Non-admitted Patient Radiotherapy Funding 86 3.2.16 Renal health 87 3.2.17 Subacute ambulatory care 87 3.2.18 Transition Care Program 87 3.2.19 Palliative care 88 3.2.20 Rehabilitation, Restorative Care and Geriatric Evaluation and Management 89 3.2.21 Small rural health services 90 3.2.22 Perinatal autopsy service 90
3.2.23 Health Technology Program 91 3.2.24 Support and self help group grants 91 3.2.25 Long service leave 91 3.2.26 Medical indemnity insurance premium 91 3.3 Ambulance services 92 3.3.1 Halving of the Ambulance Victoria membership subscription scheme fees 92 3.4 Mental health funding 92 3.4.1 Clinical care funding and prices 92 3.4.2 New mental health activities 93 3.4.3 Outputs and outcomes 93 3.5 Drug services 95 3.5.1 Drug prevention and control funding and prices 95 3.5.2 Drug treatment and rehabilitation services funding and prices 95 3.5.3 New drug services activities 96 3.5.4 Outputs and outcomes 96 3.6 Aged care 97 3.6.1 Public sector residential aged care 97 3.6.2 Supported Residential Services and accommodation support 98 3.6.3 Aged Care Assessment program 98 3.6.4 Seniors programs and participation 98 3.6.5 Home and community care fees policy 98 3.7 Dental health 98 3.7.1 Dental Health Program funding model 98 3.7.2 Dental Health Program Fees Policy 99 3.8 Aboriginal health 99 3.8.1 Simplified funding and reporting 99 3.8.2 Block funding model 99 3.9 Health protection 100 3.9.1 Arbovirus Surveillance and Control Program extension 100 3.9.2 Expansion of vaccine-preventable disease surveillance through the Victorian Infectious Diseases Reference Laboratory 100 3.10 Primary health 100 3.10.1 Integrated health promotion requirements 100 3.10.2 Home and Community Care and Primary Health Programs Fees Policy 100 3.11 Workforce 101 3.11.1 Training and Development Grant 101 3.11.2 Research 101 3.11.3 Postgraduate nursing and midwifery funding 103 3.11.4 Rates and additional conditions of funding 103
4. Budgets 105 Table 17: Acute health services expenditure budgets 201011 and 201112 105 Table 18: Acute health services (hospitals) modelled budgets 201011 and 201112 111 Table 19: Non-admitted services grant (NAESG) 116 Table 20: Acute Health Non-Admitted Patient Grant Initial Model Budgets (VACS Funded Hospitals) 2010–11 and 2011–12 121 Table 21: Small rural health services budgets 201011 and 201112 123 Table 22: Mental health expenditure budgets 201011 and 201112 by funding stream 132 Table 23: Mental health expenditure budgets 201011 and 201112 by service type 135 Table 24: Registered community health centres budgets 201011 and 201112 139 Table 25: Local Government providers 201011 and 201112 144 Table 26: Non-government providers 201011 and 201112 150
5. Price Tables 161 Table 27: Acute services 201112 161 Table 29: PDRSS unit prices 163 Table 30: Drug services - unit prices 164 Table 31: Ageing, aged and home care output group - unit prices, 2011–12 165
Table 32: Primary, community and dental health output group - unit prices, 2011–12 167 Table 33: Agency Classification and Dental health unit prices, 2011–12 168
Appendix 1: Service Standards & Guidelines 169 Table 34: Small rural health services - service standards and guidelines 169 Table 35: Mental health services’ service standards and guidelines 170 Table 36: Drug services’ service standards and guidelines 172 Table 37: Ageing, aged and home care service standards and guidelines 175 Table 38: Primary, community and dental health service standards and guidelines 179
Appendix 2: Activity target tables 180 Table 39: Victorian acute admitted activity targets (WIES18) 201112 (includes growth WIES) 180 Table 40: 2010–11 Victorian acute admitted activity targets (WIES18) (including the impact of private patient revenue reform on private WIES) 184 Table 41: 2010–11 Victorian acute admitted activity targets (WIES18) 186 Table 43: Victorian Ambulatory Classification System (VACS) targets 201112 190 Table 44: Non-admitted radiotherapy activity (WAU) targets 201112 191 Table 45: Specialist inpatient palliative care activity targets 201112 192 Table 46: 2011–12 Subacute targets: beddays and weighted units 194 Table 47: Subacute Ambulatory Care (SACS) activity targets 201112 196 Table 48: Post acute care activity targets 201112 197 Table 49: Mental Health Service Performance Indicators 198
Appendix 3: Data collection specifications 199 A3.1 Hospitals and health services 199 A3.1.1 Financial information 199 A3.1.2 Victorian Admitted Episodes Dataset 199 A3.1.3 Victorian Emergency Minimum Dataset 201 A3.1.4 Elective Surgery Information System 203 A3.1.5 Victorian Integrated Non-Admitted Health Minimum Dataset 204 A3.1.6 Agency Information Management System 205 A3.1.7 Victorian Cost Data Collection 206 A3.1.8 Victorian Health Incident Management System 206 A3.1.9 Sentinel event reporting 207 A3.1.10 VICNISS Hospital Acquired Infection Surveillance System 207 A3.1.11 Cleaning Standards for Victorian Public Hospitals 207 A3.1.12 Victorian Audit of Surgical Mortality 207 A3.1.13 Consultative councils reporting requirements 208 A3.1.14 Victorian Perinatal Data Collection 209 A3.1.15 Cardiac surgery database 210 A3.1.16 Victorian Patient Satisfaction Monitor 210 A3.1.17 Critical care and neonatal reporting 210 A3.1.18 Maternity services reporting 210 A3.1.19 Radiotherapy services reporting 210 A3.1.20 Health Services Payroll and Workforce Minimum Employee Dataset 211 A3.1.21 Training and Development Grant reporting requirements 211 A3.2 Small rural health services reporting 213 A3.3 Ambulance services reporting frequency 215 A3.4 Mental health services: data collection requirements and reporting timelines 216 A3.4.1 Client Management Interface/Operational Data Store 216 A3.4.2 Mental Health Triage Minimum Data Set 216 A3.4.3 Electroconvulsive therapy register 216 A3.4.4 Psychiatric disability rehabilitation support services 217 A3.4.5 Mental Health Establishment National Minimum Dataset 217 A3.5 Drug services: data collection requirements and reporting timelines 217 A3.5.1 Alcohol and Drugs Information System 217 A3.5.2 Needle and Syringe Program Information System 218 A3.5.3 Drugs and Poisons Information System 218 A3.5.4 Opioid Replacement Therapy Dispenser Census 218
A3.6 Aged Care reporting 219 A3.7 Primary and dental health reporting 222 A3.7.1 Dental Health Program Dataset reporting 222 A3.8 Public Health data collection and reporting requirements 224 A3.9 Aboriginal health: Data collection requirements and reporting timelines 225 A3.9.1 Aboriginal Health Promotion and Chronic Care Partnership 225 A3.10 Aged Care: Data collection requirements and reporting timelines 226
Appendix 4: Performance targets and monitoring 229 Table 63: Ageing, aged and home care performance targets and monitoring 229 Table 64: Primary and dental health performance targets and monitoring 233 Table 65: Public health performance targets and monitoring 235
Appendix 5: Changes to specific-purpose grants 236 Table 66: Amalgamated specified grants from 1 July 2011 236 List of block grants incorporated into the relevant price within each peer group 238
Appendix 6: Health Services relevant to Premium Allocation Model 239
Appendix 7: Outputs and activities tables 240 Table 67: Small rural health services - outputs and activities 240 Table 68: 201112 Public health - outputs and activities 242 Table 69: 201112 Primary and Dental health - output and activities 245 Table 70: 201112 Aged and Home Care - output and activities 248
Glossary of acronyms and abbreviations
ACAP Aged Care Assessment Program ACAS Aged Care Assessment Services ACCO Aboriginal community-controlled organisations ACCHO Aboriginal community controlled health organisations ACP Advanced Care Planning ACSQHC Australian Commission on Safety and Quality in Health Care ADIS Alcohol and Drugs Information System AHPACC Aboriginal Health Promotion and Chronic Care Partnership AIMS Agency Information Management System AMA Australian Medical Association AR-DRG Australian Refined Diagnosis Related Group ATO Australian Taxation Office AV Ambulance Victoria BPCLE Best Practice Clinical Learning Environment CALD Culturally and Linguistically Diverse CAMHS Child and Adolescent Mental Health Services CCOPMM Consultative Council on Obstetric and Paediatric Mortality and Morbidity CHI Core hospital-based outcome indicator CMI Client Management Interface CPN Clinical Placement Network CRAFT Casemix Rehabilitation and Funding Tree CRM Clinical Risk Management CSDP Cardiac surgery database project DAPIS Drugs And Poisons Information System DRG Diagnosis Related Group DTF Department of Treasury and Finance DuV Dental Unit of Value DVA Department of Veterans’ Affairs (Commonwealth) EBA Enterprise Bargaining Agreement ECIICN Emergency Care Improvement and Innovation Clinical Network ECT Electroconvulsive therapy EFT Equivalent full time EOI Expression-of-interest ESIS Elective Surgery Information System GEM Geriatric Evaluation and Management GST Goods and Services Tax HACC Home and Community Care HARP Hospital Admission Risk Program HBPCCT Hospital Based Palliative Care Consultancy Teams HDSS Health Data Standards and Systems HICAR Health Information Collection and Reporting HIP Health Independence Programs HIV Human Immunodeficiency Virus HMO Health Medical Officer HPV Health Purchasing Victoria HRA Health Records Act 2001 (Vic) HSA Health Service Agreement HSUA Health Services Union Association ICS Integrated Cancer Services 2 ICU Intensive Care Unit IHBOS Intensive Home Based Outreach Services IPA Information Privacy Act 2000 (Vic)
Page 28 LAOS Limited Adverse Occurrence Screening LOS Length of Stay MBS Medical Benefits Schedule MDS Minimum Employee Dataset MoU Memorandum of Understanding NAESG Non-admitted Emergency Services Grant NATA National Association of Testing Authorities NGO Non-Government Organisation NHA National Healthcare Agreement NHT Nursing Home Type NBCSP National Bowel Cancer Screening Program ODS Operational Data Store ORT Opioid Replacement Therapy PAC Post Acute Care PARC Prevention and recovery care PBS Pharmaceutical Benefits Scheme PDRSS Psychiatric Disability Rehabilitation and Support Services PMCV Postgraduate Medical Council of Victoria PRS/2 Patient Reporting System – Second version QDC Quarterly Data Collection SACS Sub-acute Ambulatory Care Services SAVVI Supporting Accommodation for Vulnerable Victorians Initiative SDE Secure data exchange SDQ Strengths and Difficulties Questionnaire SOII Surgical Outcomes Information Initiative SOP Statement of Priorities SRHS Small Rural Health Service SRS Supported Residential Services STI Sexually Transmissible Infection T&D Training and Development TAC Transport Accident Commission TCP Transition Care Program VACCDI Victorian Advisory Committee on Casemix Data Integrity VACS Victorian Ambulatory Classification System VAED Victorian Admitted Episode Dataset VASM Victorian Audit of Surgical Mortality VCCAMM Victorian Consultative Council for Anaesthetic Mortality and Morbidity VCDC Victorian Cost Data Collection VCPC Victorian Clinical Placements Council VEMD Victorian Emergency Minimum Dataset VHIMS Victorian Health Incident Management System VICC Victorian ICD Coding Committee VICNISS Victorian Hospital Acquired Infection Surveillance System VIDRL Victorian Infectious Diseases Reference Laboratory VINAH Victorian Integrated Non-Admitted Health VPDC Victorian Perinatal Data Collection VPSM Victorian Patient Satisfaction Monitor VQC Victorian Quality Council VSCC Victorian Surgical Consultative Council WAU Weighted Activity Unit WIES Weighted Inlier Equivalent Separation
Page 29 Introduction
It is a condition of funding for organisations and service providers that they comply with requirements contained in these Victorian health policy and funding guidelines 2011–12 (the Guidelines). In general terms, organisations in receipt of funding are expected to: • deliver the volume of services for which departmental funding is provided • deliver quality services consistent with prescribed standards and guidelines • deliver services that are accessible, inclusive and responsive to the diversity of the Victorian community • provide agreed data and reporting to meet accountability and planning requirements • work with the Department of Health (the department) to develop new approaches to service delivery. Under the National Healthcare Agreement (NHA), health services must provide clinically appropriate healthcare to eligible persons who choose to use state-funded health services. Health services are required to comply with Medicare principles, which guide the delivery of services at Victorian public hospitals. These obligations, along with other requirements for public health services are outlined in the accountability, compliance and reporting requirements section of these Guidelines. More detail on the department’s expectations of funded organisations is included in this part of the Guidelines, which is split into five sections: 1. Service delivery - outlines the department’s expectations in relation to how desired health outputs and outcomes are to be delivered, including relevant policies and service standards. 2. Accountability, compliance and reporting - details the policy, medico-legal, operational and reporting obligations of Victorian funded organisations, as well as some financial obligations. 3. Funding - provides an overview of the mechanisms used to fund organisations. 4. Budgets - provides the budget tables and modelled budgets for each relevant program area. 5. Price tables - provides the unit prices for each relevant program area. These Guidelines are a functional document that articulates the policy, performance and financial framework within which state government-funded health sector entities operate. They are a reference for funded organisations regarding the parameters that they are expected to work to and within, as well as the funding linked to various services, in order to achieve the expected outcomes of the Victorian Government (the government). To the extent of any inconsistencies or ambiguities between these Guidelines and any legislation, regulations and contractual obligations with the State of Victoria acting through the Department of Health or the Secretary to the Department of Health, the legislative, regulatory and contractual obligations will take precedence.
Page 30 1. Service delivery
The Victorian health system has served our community well over many decades but faces new challenges in meeting future demands. The rise of chronic and complex conditions and the growing need to provide individuals with access to information about their health and healthcare will continue to exert pressure on the current service system. The Victorian system consists of a range of services that are delivered across a broad range of settings. These services cater for the full range of healthcare needs, from prevention and primary health services that are typically delivered in community-based settings through to acute and emergency care services provided in hospital settings. However, as demand changes, we need to continue to review health service configuration to ensure it is able to fulfil people’s preference for health services to be close by and available when they need them. Organisations that are funded by the department (funded organisations) are expected to provide clinically- and cost-effective care. This will contribute towards achieving a sustainable and productive health system which delivers high quality outcomes to the Victorian community. This section outlines what funded organisations are expected to do to achieve this and the expected health outputs and outcomes. It outlines the key policies governing the service as well as any service standards, guidelines or performance indicators for each health sector area. The new policy initiatives and program changes outlined in Part one: Key changes and new initiatives of the Guidelines are explained in further detail in this section.
1.1 Hospitals and health services Patients require care and services across the illness continuum of care and in a range of settings. To ensure patients can access services when they need them, interdependent services must be coordinated. The department of Health plays a role in coordinating and managing this. All health services must work together, through both formal and informal partnerships to provide the full range of services required by the community. This partnerships approach minimises service duplication and supports higher quality outcomes especially for health services that provide low volume, specialised or statewide services. Responding to the health and wellbeing of rural Victoria is an important priority for the government and the wider community. The new Victorian Health Priorities Framework 2012–2022 and the Metropolitan Health Plan articulate a set of principles and seven reform priorities which will guide the future development and operation of the Victorian health system. The government is also currently developing the Rural and Regional Health Plan 2012-2022 as part of its commitment to more comprehensive planning. This plan will align to the Victorian Health Priorities Framework 2012–2022 which articulates the government’s vision for a high-quality and sustainable rural health system.
1.1.1 Small rural health services The small rural health services (SRHS) approach enables flexibility in funding and service delivery to meet local needs in smaller Victorian towns. It encourages services to plan and manage health service delivery to meet local community needs and to be active in collaborative planning and service delivery arrangements with neighbouring health service providers. This is supported by the ability to use acute health program and primary health program funds flexibly. SRHS are required to deliver services consistent with the requirements as outlined in Appendix 1.
Page 31 1.1.2 Emergency departments Emergency departments are designed to deliver short episodes of time-critical care and treat people who are experiencing a medical emergency that is life threatening or could cause serious or ongoing disability. Emergency departments also treat less urgent cases when alternative care is not available. There are currently 40 metropolitan and rural emergency departments in Victoria, with most providing care 24 hours a day. Initiatives to improve emergency department services, facilities and waiting times are a priority for the government. A range of general and hospital-specific initiatives designed to improve and extend emergency access are being implemented across Victoria. Applying redesign principles to care delivery and implementing best practice models of care will continue to be a priority in 201112, to ensure health services meet demand for emergency care, and patients receive timely and appropriate care. Models of care include short-stay observation units, fast track services, medical assessment and planning units, early access to senior clinician assessment, emergency department care coordination, medi-hotels and co-located after hours general practice clinics. In addition to continuing to implement best practice models of care, Victoria has also initiated a number of projects to improve the responsiveness of emergency care through: • integrating the emergency department patient satisfaction survey into the overall Victorian Patient Satisfaction Monitor so that Victoria can respond quickly to patient and carer needs • further expanding linkages between ambulance services and emergency departments through additional funding to improve the timeliness of ambulance patient transfers and the piloting of ambulance arrivals boards to provide ‘real time’ notification of acute ambulance arrivals • continuing to utilise the Emergency Care Improvement and Innovation Clinical Network (ECIICN) to actively engage clinicians working in Victorian emergency departments to build sustainable improvements and innovation in the delivery of emergency care. In 201112 the ECIICN will initiate a project that examines sustaining the Management of Clinical Aggression - Rapid Emergency Department Intervention training program, improving early pregnancy bleeding management, and improving paediatric procedural sedation in emergency departments. Further information on the ECIICN can be found at: www.health.vic.gov.au/clinicalnetworks/emergency Further information regarding initiatives to improve emergency department services, facilities and waiting times is available at: www.health.vic.gov.au/emergency
1.1.3 State Trauma System Staged levels of care to enable trauma patients to receive appropriate definitive management are provided by the State Trauma System. Adult major trauma services are located at the Alfred Hospital and the Royal Melbourne Hospital. The paediatric major trauma service is located at the Royal Children’s Hospital. Specialist major trauma services are located at the Austin for spinal cord injury and at St Vincent’s Hospital for microsurgery. Major trauma services will continue to receive specified funding to provide definitive care to most of the state’s major trauma caseload either through primary triage or secondary transfer, and deliver leadership and support to the system as a whole. Health services are required to follow the trauma triage guidelines, under which they are eligible for a trauma appropriateness payment for the transfer of a major trauma patient to a major trauma service. Further information regarding the system and its funding is available at: www.health.vic.gov.au/trauma
Page 32 1.1.4 Critical care services Patients with life-threatening or potentially life-threatening conditions are treated by critical care services. Critical care is delivered within a specialist unit and includes intensive care beds (ICU) supported by a variable number of high dependency beds. Victoria’s public hospital critical care units are multipurpose in nature, providing ICU, high dependency unit and coronary care unit or a combination of these functions within a single unit. However, not all ICUs have an high dependency unit or coronary care unit incorporated within their unit. Funding for an additional six adult ICU equivalent beds will be provided to create new bed capacity in targeted health services in the 201112 financial year. Further information about the critical care program, including relevant policies and guidelines, is available at: www.health.vic.gov.au/criticalcare
1.1.5 Surgical services Provision of timely surgery in Victorian health services, including emergency and elective surgery is a priority for the government. Elective surgery is surgical care that, in the opinion of the treating clinician, is necessary and admission for which can be delayed for more than 24 hours. The Elective surgery access policy provides directions to health services on management of elective surgery. The policy aims to ensure that the provision of elective surgery meets the following principles. • Referrals for elective surgery are clinically appropriate and represent the most suitable treatment for the patient’s condition. • Patients are provided with easy-to-understand information about access to elective surgery and their rights and responsibilities. • Patients waiting for elective surgery are fully informed about, and have consented to the procedure. • Waiting list management services are provided in an efficient, patient-focused manner. • The elective surgery waiting list is managed to ensure patients are treated equitably within clinically- appropriate timeframes and with priority given to patients with an urgent clinical need. • Health services minimise the time patients are not ready for care through early, active management of co-morbidities and fitness for surgery. • The scheduling of surgery is undertaken in consideration of anticipated demand and available capacity. • Health services minimise the impact and inconvenience to patients whose surgery they postpone. • The elective surgery waiting list is managed to promote the most effective use of available resources. • Health services exercise discretion to avoid disadvantaging patients in the case of hardship, misunderstanding and other extenuating circumstances. • There is valid and reliable reporting of access to elective surgery, to the community and to patients. A focus on improving and reducing waiting times for patients awaiting elective surgery will continue in 201112. The Statement of Priorities targets for elective surgery for 1 July 2011–30 June 2012 will include elective surgery admissions as well as the following targets for timeliness of access.
Table 3: Elective surgery categories
Performance benchmark Victorian Statement of Priorities targets
Category 1– Urgent 100 per cent of patients admitted within 30 days
Category 2 – Semi-urgent 80 per cent of patients waiting less than 90 days
Category 3 – Non-urgent 90 per cent of patients waiting less than 365 days
Page 33 Achievement of these targets will be supported by a ‘first on first off’ policy to ensure that those patients not requiring urgent surgery are scheduled for surgery in chronological order. Health services and professional bodies, including the Royal Australasian College of Surgeons, will be consulted during development of the policy during 201112. The department will also continue support of health services to balance elective and emergency surgery. This will include funding for five health services to undertake pilot projects to design, implement and trial consultant-led emergency general surgery models of care. A central evaluation of the pilot projects will document the models and evaluate the costs and outcomes of the new models of care compared to the previous models. During 201112, the department will also: • evaluate the capacity and demand for endoscopy services to understand current and future demand for services • conduct an audit program of health service waiting list data. Further information about the surgical services program, including relevant policies and guidelines is available at: www.health.vic.gov.au/surgery
1.1.6 Maternity Services Health services that provide public maternity care work towards providing high-quality maternity services throughout Victoria, including birthing services. The Capability framework for Victorian maternity and newborn services (2010) has been developed to assist health services across the state to plan and make informed decisions about the provision of maternity and newborn care based on service capability and risk. The department will work with health services to map existing services to this framework to inform service development. All Victorian health services providing birthing services are required to report against ten key maternity performance indicators annually. The indicators span a range of domains of care and address both process and outcome measures for the three phases of maternity care. The department provides an annual Victorian maternity services performance indicators report of hospital-identified data at both statewide and individual hospital levels to enable health services to: • track their own performance trends • compare results with services of similar profile • focus on priority areas • regularly review and plan for performance improvement within a continuous quality framework • evaluate improvement programs and provide feedback to relevant stakeholders. The focus of work in 201112 is on developing sustainable rural maternity services that provide high quality care to women in these areas. New and ongoing initiatives to support rural maternity services will include: • postgraduate training for specialist rural general practitioners which will include obstetrics • increased number of midwives through enhanced supervision in rural settings, in line with the ‘Rural and regional health overhaul’ election commitment • supporting the employment of Division 1 and enrolled (Division 2) nurses undertaking midwifery training in rural health services • capital upgrades in rural health services including Bendigo and the maternity units at both the Echuca and Mildura Base Hospitals. Further information about maternity services is available at: www.health.vic.gov.au/maternitycare
Page 34 The Maternity and Newborn Clinical Network aims to improve outcomes for women and their babies by decreasing unnecessary variation in clinical practice. In 201112, the network is focusing on three major areas: induction of labour, keeping mothers and babies together in hospital, and obesity in pregnancy. The network has developed audit tools for obesity and induction of labour and is working with all maternity services in Victoria to ensure evidence is used to drive practice change. Further information about the network can be found at: www.health.vic.gov.au/clinicalnetworks/maternity
1.1.7 Neonatal services Neonatal services provide care for sick babies in the period immediately following their birth, including premature and low birth weight babies and babies born with congenital or other conditions which compromise their health or survival. The neonatal service system comprises four neonatal intensive care units, 20 special care nurseries and the Newborn Emergency Transport Service. Rural and metropolitan maternity and neonatal services will benefit from the amalgamation of the Neonatal Emergency Transport Services, Perinatal Emergency Referral Service and Paediatric Emergency Transport Service, to be co-located at the new Royal Children’s Hospital. Funding for an additional three neonatal intensive care unit cots will be provided in the 201112 financial year. The Neonatal services guidelines have been developed to support health services in the provision of care appropriate to the needs of infants and their families. This document guides the delineation of levels of hospital neonatal care across Victoria to ensure that the care provided has regard for safe and appropriate practices. Areas of responsibilities are defined for individual hospitals within a comprehensive healthcare system. Adherence to the Neonatal services guidelines will ensure that women and their babies are cared for in facilities providing the required level of care. These guidelines are incorporated in the Capability framework for Victorian maternity and newborn services (2010) and are available at: www.health.vic.gov.au/neonatal/servicesguidelines Further information about neonatal services is available at: www.health.vic.gov.au/neonatal
1.1.8 Acute medicine Public hospitals are the major providers of acute inpatient services. Medical emergencies are the most common reason for admissions to a multi-day, acute hospital inpatient bed. In mid 2011, projects to redesign the acute medical inpatient journey for patients expected to have a stay of less than 72 hours will be completed at four health services. The outcome of these initiatives will be shared across the sector and utilised to drive new service delivery models. Also underway is the development of effective discharge policy and analysis in acute inpatient care. Further information about the medical inpatient program is available at: www.health.vic.gov.au/medicalinpatient
Page 35 1.1.9 Cancer services Victoria has a strong cancer system which includes a linked sophisticated network of cancer services and cancer centres with support through hub-and-spoke models. The system also includes screening and cancer prevention programs, networked palliative care services, a range of specialised patient support services and a strong translational research agenda through the Victorian Cancer Agency. Victoria’s Cancer Action Plan 2008–2011 builds upon and develops this system, with the aim of improving survival rates and providing Victorians with support at all stages of their cancer journey. The plan contains initiatives which span prevention and screening, diagnostics, treatment, survivorship, recurrence and palliative care. It outlines a medium-term vision for cancer reform that will offer standardised and high-quality cancer care to all Victorians, regardless of whether they live in metropolitan, regional or rural Victoria. With the plan significantly implemented, work has commenced on planning for the next stage of Victoria’s cancer reform agenda. More information on cancer services in Victoria is available at www.health.vic.gov.au/cancer/index
Integrated cancer services Integrated cancer services (ICS) are partnerships between health services to achieve coordinated planning and improvement of cancer services. The integrated service model is promoted through eight geographically-based and one speciality-based (paediatrics) ICS. All public health services that treat cancer patients are expected to be active members of the ICS for their region and: • implement best practice models of care • improve the integration of care through system coordination and integration • systemically monitor processes and outcomes of care. The host organisations are required to hold funds on behalf of the ICS, and act as employers for ICS staff. Host organisations need to ensure the appropriate human resource management, fiscal management processes and accounting procedures are in place. The ICS governance groups are responsible for decision making regarding the use of funds, in accordance with the priority areas outlined above. Host organisations and the ICS governance groups must agree to any charges levied for infrastructure support. These charges must be reflected in the ICS budget. More information on ICS can be found at: www.health.vic.gov.au/cancer/integrated/index
Chemotherapy services In 201112, field testing of new chemotherapy agents will continue to be supported on a submission basis through the Victorian Policy Advisory Committee on Clinical Practice and Technology. Further information about Victorian chemotherapy services is available at: www.health.vic.gov.au/cancer/cancer_projects/chemotherapy
Radiotherapy services Public radiotherapy services in Victoria are provided on a hub and spoke model through four major tertiary hospitals - Peter MacCallum, Alfred Health, Austin Health, Barwon Health. The three metropolitan and three regional spoke sites are operated by Peter MacCallum, Alfred Health and Austin Health. Radiotherapy is largely outpatient based and funded under a specific complexity-based model that reflects the various components of treatment across all radiotherapy modalities (megavoltage, superficial/orthovoltage and brachytherapy). The model incorporates a significant component
Page 36 (45 per cent) for associated patient services, including allied health and supportive care, patient transport and accommodation, and pharmacy/pathology/imaging services. Radiotherapy services are expected to continue to work with the department during 201112 on the development of a new funding model and service improvement activities including the statewide brachytherapy review, the update of the Victorian Radiotherapy Service Plan and the Victorian Radiotherapy Minimum Dataset. Further information about Victorian radiotherapy services is available at: www.health.vic.gov.au/radiotherapy
1.1.10 Palliative care In Victoria, palliative care is provided by an integrated and designated service system funded to provide specialist interdisciplinary palliative care in a range of settings. Palliative care is provided by inpatient, consultancy, community and statewide services. The Palliative Care Program provides specialist services that address specific issues such as the management of pain and other symptoms associated with a terminal illness and to provide psychological, social and spiritual support where required or if requested. The Palliative Care Program aims to achieve an integrated service across all aspects of care. This is supported by the underlying principles of the Palliative Care Program, which are: • Care is holistic, multidisciplinary and client-centred. • Care includes medical, nursing, allied health and volunteer services. • Support is provided for families and friends, including grief and bereavement support. • Patients can make informed choices about their care including the type of care and where the care is delivered. • Service delivery is seamless between the locations where care is delivered, whether that be in the community or in a healthcare facility. Health services with a palliative care consultancy team will receive additional funding to: • increase consultancy team capacity to respond to referrals • focus on the introduction of end-of-life pathways across key health service programs. Funding will be allocated to support the Victorian Palliative Medicine Training Program to develop training positions in paediatric palliative medicine and support the Centre for Palliative Care. Remaining 201112 funding will be allocated to support growth in community palliative care, expanding the unassigned bed fund, after hours care, workforce initiatives in aged and disability services, and improving access for culturally and linguistically diverse (CALD) and Aboriginal communities. In rural regions, nominated health services will hold funds for region-wide services overseen by the relevant Regional Palliative Care Consortium. Further information about palliative care services is available at: www.health.vic.gov.au/palliativecare/index
1.1.11 Renal health Victoria’s renal service system supports a number of options for renal replacement therapy. The department remains committed to supporting home dialysis as an option for patients. During 201112 the department will further support services to increase kidney transplantation and home dialysis rates. In recognition of the increase in availability of organs with the ongoing success of the national reform on organ and tissue donation, along with innovation in live transplantation and paired kidney exchange
Page 37 programs, additional funding will be made available in 201112 to support increased kidney transplantation. Home dialysis maximises personal self management, reduces the need for relocation and travel, and provides flexibility around dialysis sessions enabling patients to meet lifestyle commitments. In 201112 the department will continue to work with health services to increase home dialysis rates. During 201112 the department will also work with services to develop consistent conservative care pathways, innovation in treatment and service options. The department will also support the development of innovative models of care that enable greater utilisation of existing renal in-patient and satellite infrastructure. A statewide service planning exercise will be finalised in 201112 which will acknowledge this work while identifying priorities for growth. For further information refer to the website: www.health.vic.gov.au/renaldialysis
1.1.12 Subacute services Subacute care includes a number of programs that support the independence of older people and people with chronic and complex healthcare needs in hospital and in the community, as well as providing secondary consultation and advice to other health and community care teams. The policy document Planning the future of Victoria’s subacute service system aims to establish a process to guide the planning of subacute services to ensure equity and consistency of service delivery. More information on subacute services is available at: www.health.vic.gov.au/subacute
Health independence programs The Health independence program guidelines (HIP guidelines) provide health and community services with direction for more closely aligning Hospital Admission Risk Program (HARP) services, subacute ambulatory care services (SACS) and post acute care (PAC) services. The objective of integrated HARP, SACS and PAC guidelines is to enable a better client journey across the care continuum as people transition from hospital to home or to prevent hospitalisation. HARP, SACS and PAC services will be required to continue to participate in the implementation of the HIP guidelines and develop in accordance with those guidelines. In 201112 implementation of the HIP guidelines will focus on assessment, transition and exit, interdisciplinary approach and care coordination. Further information on the HIP guidelines can be found at: http://health.vic.gov.au/subacute
Post acute care services Post acute care services (PAC) services support hospitals to manage bed demand by ensuring that people who no longer need acute care are able to safely return home with an appropriate package of community-based supports. People being discharged from hospital, including emergency departments, acute services and subacute services, are eligible for PAC services if assessed as requiring short-term, community-based supports to assist them to recuperate in the community and to ensure a safe and timely discharge. The need for these services must be linked to their hospital presentation to qualify for PAC. Further information about PAC services is available at: www.health.vic.gov.au/pac
Subacute ambulatory care services SACS provide time-limited interdisciplinary rehabilitation in a community setting. SACS focus on working with people who have a physical disability, are frail, chronically ill or recovering from traumatic injury or illness, to regain and/or maintain optional function, and to allow people to maximise their independence. They are available to people of all ages and may follow a hospital stay, hospital day attendance or may
Page 38 be accessed directly from the community. SACS can be delivered in a client’s home or at an ambulatory care centre. SACS also provides a range of specialist clinics that provide assessment, diagnosis, intervention, management, education and support to clients with specific medical conditions. These clinics are continence, cognitive, dementia and memory services, falls and balance, movement disorders, chronic pain management, chronic wound management, polio, and transition of young adults with complex medical needs. In 201112, the department has specifically increased funding for cognitive, dementia and memory services, chronic pain management and wound clinics. It is expected that health services will maintain sustained effort across all SACS services, with additional activity associated with funding for these three priority clinics increasing as a proportion of overall SACS activity. Health services must ensure that clients requiring SACS on transition from a hospital stay have priority of access to these services and that care is effectively maintained. Further information about SACS is available at: www.health.vic.gov.au/subacute
Hospital Admission Risk Program HARP aims to prevent avoidable hospital presentations and admissions by providing intensive care coordination and specialist medical and multidisciplinary care in the community/ambulatory setting. The target group is people with complex needs and moderate to severe chronic disease who frequently present to hospital. HARP provides care coordination, self-management support, management of psychosocial issues, links between hospital and community services and access to specialist medical services. HARP services include hospital and community-based services. Program streams include: • chronic heart disease • chronic respiratory disease • diabetes • other chronic disease requiring integrated care • complex aged care • people with complex psychosocial needs • people with other complex needs requiring integrated care. HARP services are required to regularly evaluate the effectiveness and efficiency of their program and a guiding framework for evaluation will be provided in 201112. Further information about HARP services is available at: www.health.vic.gov.au/harp/index
Transition Care Program The Transition Care Program (TCP) is a jointly funded initiative between the Commonwealth and states and territories. It aims to reduce inappropriate long stays in acute and subacute inpatient beds and improve patient flow. The program supports patients who no longer require hospital care and would benefit from further care to maximise their functioning in a more appropriate care setting. This service is provided at health services, residential aged care facilities or in people’s homes. By the end of 201112, Victoria will have 1,000 TCP places implemented across ten metropolitan and nine rural and regional health services. Further information about the TCP is available at: www.health.gov.au/internet/main/publishing.nsf/Content/ageing-policy-transition
Restorative care Restorative care supports patients who no longer require hospital care and are ineligible for the national TCP, but would benefit from further care to maximise their functioning in a more appropriate care setting. This service is provided at health services, residential aged care facilities or in people’s homes.
Page 39 Clients appropriate for admission to restorative care should have identified goals which can be met within the 12-week time limits of the program. Transfers to restorative care can also occur from the emergency department or directly from the community. Restorative care delivered in a hospital setting will be treated as an admitted episode and subject to subacute recall policy. Restorative care delivered in a residential or community bed will be treated as a non-admitted episode and recall will be applicable for health services achieving less than 95 per cent occupancy.
Inpatient Rehabilitation Rehabilitation has a focus on working with people who have a physical disability, are frail, chronically ill or recovering from traumatic injury or illness, to regain and/or maintain optimal function, and to allow people to maximise their independence and return to, or remain in, their usual place of residence. There are specialist rehabilitation services for amputee, major head injury, spinal and paediatrics and general rehabilitation services for clinical groups including stroke/neurological, orthopaedic and cardiopulmonary conditions.
Paediatric rehabilitation services The Victorian Paediatric Rehabilitation Service provides care for children and adolescents up to 18 years of age and their families and/or carers across the state. The service is targeted to children and adolescents who, as a result of injury, medical/surgical intervention, or functional impairment, are likely to benefit from a program of developmentally-appropriate, time-limited, goal-focused interdisciplinary rehabilitation. Inpatient and ambulatory paediatric rehabilitation services are provided at the Royal Children’s Hospital and Southern Health. Ambulatory paediatric rehabilitation services are also provided at Eastern Health, Barwon Health, Bendigo Health and Ballarat Health Service. Further information about Victorian Paediatric Rehabilitation Service is available at: www.health.vic.gov.au/vprs/index
Advance care planning
Advance care planning (ACP) is a process of planning for future health and personal care whereby the person’s values, beliefs and preferences are made known so they can guide decision making at a future time when that person cannot make or communicate their decisions. There are two main aspects to ACP: 1. Appointing a substitute decision maker. 2. Discussing and/or documenting a person’s wishes for care. There are five guiding principles for ACP implementation: 1. ACP is person centred. 2. ACP is founded on best available evidence. 3. All Victorians have access to ACP and to information about their rights under laws that are relevant to ACP. 4. ACP is integrated across the healthcare system and provided in a coordinated way. 5. Health services take responsibility for assisting people with ACP. ACP programs are required to participate in service development and provide an update on advance care planning activities to the department. Further information about ACP is available at: www.health.vic.gov.au/dementia/strategies/advanced-care-planning
Page 40 1.1.13 Specialist clinics Specialist (outpatient) clinics provide scheduled services to non-admitted patients. The overarching policy framework which guides specialist clinics reform is the Victorian public hospital specialist clinics strategic framework. A Specialist Clinics Advisory Committee has been established to provide advice regarding specialist clinic reform and make recommendations to the department on the broad strategic directions for improving the provision of specialist clinic services. From 201112, to facilitate timely and equitable access to specialist clinic services across the state, the government will: • improve transparency by making information on waiting lists and waiting times for specialist outpatient services available to referring clinicians and the public on a new dedicated website by December 2011 • create a $20 million outpatient improvement fund over four years to assist specialist outpatient services to treat more patients in a timely manner and for the purchase of equipment or minor capital works to address local needs • invest $7 million over four years to employ nurse coordinators who will improve patient access and care coordination, and help drive reform projects • develop guidelines for clinical prioritisation of patients requiring specialist treatment, in consultation with health services and key stakeholders • develop data transparency measures, including waiting measures, for specialist (outpatient) clinics. From 1 July 2011, Victorian Ambulatory Classification System (VACS)-funded and large non-VACS- funded health services will be required to report patient-level data through the Victorian Integrated Non- Admitted Health (VINAH) minimum dataset. Refer to Appendix 3 for more detail. Further information about specialist clinics is available at: www.health.vic.gov.au/outpatients
1.1.14 Pharmaceuticals Victoria is committed to improving the continuum of care for patients moving between hospital and the community. As part of this strategy, the Commonwealth and Victorian Governments have been working together to improve the way patients get their medication by bringing the Commonwealth's Pharmaceutical Benefit Scheme (PBS) to public hospitals. Hospitals are required to provide treatment, including pharmaceuticals, at no charge to their patients, unless hospitals are participating in the programs outlined below.
Pharmaceutical reform The reforms are designed to make it safer, easier and more convenient for patients to receive adequate medication, and to bring public hospitals on to a more equal footing with private hospitals. Hospitals participating in pharmaceutical reform agreement have access to the PBS, the Repatriation PBS for non-admitted and admitted patients on discharge as well as a Commonwealth subsidised list of pharmaceuticals for same-day admitted patients requiring chemotherapy. Hospitals participating in the pharmaceutical reform agreement are also required to incorporate into their practice the Australian Pharmaceutical Advisory Council’s guidelines to achieve the continuum of quality use of medicines between the hospital and the community. Further details on pharmaceutical reforms are available at: www.health.vic.gov.au/pbsreform
Page 41 Highly Specialised Drugs Program The Highly Specialised Drugs Program provides Commonwealth funding for certain specialised medications that are used for the treatment of chronic conditions and are supplied through hospitals. For hospitals to be eligible for funding the patient must: • attend a hospital • be same-day admitted or non-admitted • be under appropriate specialised medical care • meet the specific clinical indications for each medication • be an Australian resident in Australia (or other eligible person). The prescribing doctor must be affiliated with the specialised hospital unit. Hospitals are paid on actual usage, less a patient co-payment, via claims submitted to Medicare Australia or the department. Further information about the Highly Specialised Drugs Program is available at: www.health.vic.gov.au/hsdp
Special Authority Program The Special Authority Program provides Commonwealth funding for trastuzumab available as the brand Herceptin® to public hospital patients. For hospitals to be eligible for funding, the patient must: • attend a hospital • be a same-day admitted or non-admitted patient • meet the specific clinical indications for the medication • be an Australian resident in Australia (or other eligible person). Hospital medical practitioners must make a written application to Medicare Australia for an authority to prescribe subsidised trastuzumab. Hospitals are paid the Commonwealth agreed price, less a patient co- payment, via claims submitted to Medicare Australia. Further information on prescribing under the program is available at: www.medicareaustralia.gov.au/provider/pbs/highly-specialised-drugs/complex-authority-drugs
1.1.15 Organ and tissue donation The Australian Organ and Tissue Donation Authority, in partnership with the department, funds the operational costs of the DonateLife in Victoria organ donation organisation and the employment of clinical staff dedicated to organ donation. Hospital medical directors and senior nurses of organ and tissue donation will be based in a number of metropolitan and regional health services. The Australian Organ and Tissue Donation Authority also provides support funding directly to health services for the extra costs associated with organ donation. To access this funding, health services should contact DonateLife in Victoria at www.donatelife.gov.au/The-Network/VIC/Contact-us Further details regarding organ and tissue donation are available at: www.health.vic.gov.au/organdonation
Page 42 1.1.16 Health Innovation and Reform Council In 201112, the government will establish the Health Innovation and Reform Council to lead continuing improvements to the health system. It will advise key directions for improvement and will build on the existing review, advice and consultative bodies that operate on a statewide, metropolitan and local level to improve Victoria’s health system. One such body will be the Commission for Hospital Improvement. The Commission will be responsible for developing, managing and co-ordinating programs and best practice management strategies to facilitate hospital improvement in emergency department treatment, elective surgery management and waiting list reduction in all Victorian public hospitals. The Commission will also focus on cutting unnecessary re-admissions to Victorian hospitals and reaching the benchmark of the national average, improving quality and reducing costs, implementing major transparency initiatives and ensuring integrity of performance data.
1.1.17 Improving service delivery Health service reform and innovation includes multiple initiatives with the aim of improving the efficiency and effectiveness of health services through reducing variation, waste and duplication of effort in care processes. Core hospital-based outcome indicators (CHIs) flag areas of potential improvement for health services. CHIs are discussed in more detail in the accountability, compliance and reporting section of this document. The department is facilitating the development of an environment within Victoria’s health services system where: • continuous improvement is part of the culture of each organisation, and the whole system • useful resources are available and easy to access • knowledge sharing within and across health services and the department is common practice • people working within health services have the skills (or are provided opportunities for developing the skills) to implement and manage change effectively • policy is developed/revised to align with evidence-based improvements • evidence is used to support innovation and improvement.
Redesigning Hospital Care Program
The Redesigning Hospital Care Program is a statewide initiative to drive significant health system improvements through applying process redesign methodologies in public hospitals. Organisations participating in the program will continue to be supported in 201112 through a range of funding and redesign capability building activities. Health services will be required to provide reports on progress and outcomes from the improvement work they undertake. The Redesigning Hospital Care Program is working collaboratively with clinical networks and program areas to support a range of initiatives in 201112 including: • development of tools to further strengthen the evidence base for identification and the diagnosis of problems, impacting on patient outcomes and efficiency • further development and implementation of a robust ‘return on investment’ model that can be used at the program and local health service level • consolidation and expansion of capability building including the development of a capability for redesign measurement tool for health services to measure their capability to successfully undertake improvement work in their organisation. Further information can be found at www.health.vic.gov.au/redesigningcare/index
Page 43 The Victorian Quality Council
The Victorian Quality Council (VQC) is the Ministerial advisory council on quality and safety in healthcare and is responsible for fostering better quality health services in Victoria by working with stakeholders to develop useful tools and strategies to improve health service safety and quality. The VQC’s third term covers the four-year period from July 2008–June 2012. The 22 members appointed for this term comprise a mix of clinicians, consumers, managers and academics and represent both the public and private sectors. The VQC pursues work against its strategic priorities via its working groups, which address the areas of clinical leadership, patient journey (culture and communication, patient transfer, health literacy), and metrics and monitoring for healthcare quality improvement. The VQC focuses on sustainable strategies that: • facilitate access to data and information to effectively prioritise, monitor and manage quality and safety • facilitate the systemic take up of evidence-based practices • test and integrate appropriate practice and management innovations. Further information regarding the strategic direction and work undertaken by the VQC is available at: www.health.vic.gov.au/qualitycouncil
1.1.18 Victorian Health Services Performance website The new Victorian Health Service Performance Website, released 30 June 2011, provides a centralised source of performance data for a variety of users including but not limited to the Victorian population, health services, the government and departments. It includes real-time status of Hospital bypass and Hospital Early Warning System and estimated time to treatment for non-urgent emergency department patients.
Additional information and performance measures will be incorporated onto the website over time. The website can be accessed at: www.health.vic.gov.au/performance
1.2 Ambulance services Ambulance Victoria (AV) is the sole provider of emergency ambulance services in Victoria, and also provides the majority of non-emergency transport for Victorians. AV provides the following services: • emergency medical response and pre-hospital care • emergency medical transport by road or air • non-emergency patient transport (including road and air stretcher transport, transport between medical facilities, and clinic transport for walking and wheelchair patients) • major incident management and response • retrieval services • community education. The Ambulance Service Act 1986 sets out high level objectives for AV. These are to: • respond rapidly to requests for help in a medical emergency • provide specialised medical skills to maintain life and to reduce injuries in emergency situations and while moving people requiring those skills • provide specialised transport facilities to move people requiring emergency medical treatment. • provide service for which specialised medical or transport skills are necessary • foster public education in first aid. The full cost of ambulance treatment and/or transport applies to people who are not insured against the cost of ambulance services. The fees do not apply to Victorian Pensioner Concession Card or Health Care Card holders.
Page 44 Some health insurance policies may include ambulance cover, however some policies may not cover more than one emergency ambulance trip per year, or the full costs of air transport or non emergency transport fees. The Ambulance Membership Subscription Scheme is offered as a cost effective way for Victorians to be fully insured against user fees. From 1 July 2011, AV membership fees will be $75 a year for families and $37.50 a year for singles. Further information about AV is available at: www.health.vic.gov.au/ambulance AV’s key performance targets and performance indicators are agreed each year in the Statement of Priorities. The Statement of Priorities for AV is available at: www.health.vic.gov.au/hospitals/sops
1.3 Mental health Victoria provides a range of mental health services, including acute inpatient and outpatient care in hospitals, community based primary mental healthcare and early intervention services, and forensic mental healthcare. Specialised services are available for children, adolescents, adults, and elderly mental health patients. Mental health services aim to provide treatment, care and support for people suffering from mental illnesses, and their carers and families.
1.3.1 Broader policy direction The Victorian Government Coalition Plan for Mental Health identifies the need to reinvigorate and rebalance the reform program articulated in Mental Health Reform Strategy 2009–2019. This will involve a stronger focus on ensuring more Victorians with mental health problems can access earlier, effective treatment and support and addressing key issues impacting on their longer-term recovery, such as access to stable housing and employment. Providing alternatives to inpatient care where possible, more effective approaches to involving families and carers and building a robust, sustainable specialist mental health workforce are areas of priority attention. This will contribute to better coordination of mental health services and an integrated and comprehensive response for people with complex needs. These outcomes will be delivered through targeted new investment underpinned by a comprehensive program of evaluation and research, service redevelopment, practice change and partnership development. Key strategy development activity that will commence in 201112 includes the development of an eating disorder strategy incorporating prevention, early detection and treatment, a new Victorian suicide prevention strategy, a comprehensive mental health workforce strategy, and a carer strategy to better involve carers in service planning and service delivery. The government is committed to a new Mental Health Act that provides a legislative framework for the treatment and care of people with a mental illness while at the same time protecting their rights. Following an additional period for public comment on the Exposure Draft Mental Health Bill and a series of round table meetings with consumers, carers and other stakeholders to discuss critical areas of reform, the government is considering changes to the Exposure Draft Mental Health Bill. The government will ensure that the Bill that is introduced into Parliament reflects the views of the mental health sector, people with a mental illness and their families and carers.
Page 45 1.3.2 Service delivery requirements Services are delivered on either a ‘service hour’ (for community-based services) or a ‘bed day’ (for inpatient services) basis. Activity targets for 201112 are outlined in Appendix 2.
Clinical care performance indicators In 2010–11, the department released performance indicator reports for child and adolescent mental health services (CAMHS), older persons and extended treatment services (community care unit, prevention and recovery care (PARC), and extended care) that had been successfully trialled and accepted. These reports along with the adult performance indicator reports are provided quarterly to the area mental health services and are used to inform discussions between them and the department about any performance and/or service delivery concerns. In 201112, targets for seclusion and post-discharge contacts will be extended to CAMHS and aged services. These will be articulated in the Statement of Priorities. Bi-annual meetings have been established between the department and the health services’ senior management to discuss any of the above mentioned concerns and to jointly identify and discuss strategies to address topics of interest (for example: implementation of adult initiatives). It will monitor the treatment settings against the targets set out in the Appendix 2.
1.3.3 Reporting changes for 201112 In 201112, the department will continue to work with Adolescent Mental Health Services (AMHS) to improve performance by extending and enhancing the existing suite of reports. It is planned to develop and trial a suite of performance indicators for forensic and also develop a report that can more accurately identify and report on performance for youth (aged between 12–25 years old) services. The existing adult performance report will be enhanced to include some additional performance measures and provide a more meaningful picture of the service delivery, for example average treatment days, basis compliance and case re-referral.
1.3.4 Key policies and guidelines The Chief Psychiatrist clinical practice guidelines provide specialist advice on various aspects of clinical service. The current guidelines are posted at: www.health.vic.gov.au/mentalhealth/cpg The revised National Standards for Mental Health Services (2010) were released in late 2010. These standards are applicable to all funded clinical and non-government mental health services. It is anticipated that services will commence work to implement the revised standards over the course of 2011. Accreditation frameworks for services delivering specialist mental healthcare treatment and care will transition to reference these standards in 2011–2012. As a condition of funding, organisations are required to adhere to the service standards and guidelines applicable to the funded activity including program management circulars and the Chief Psychiatrist clinical practice guidelines that have been issued by the department (see Appendix 1 for further detail of standards and guidelines by activity). Program management circulars and the Chief Psychiatrist clinical practice guidelines both inform mental health practitioners and services about the operation and clinical issues in relation to the Mental Health Act. Program management circulars articulate or clarify departmental policy on key aspects of service provision. These are posted on the following web-site: www.health.vic.gov.au/mentalhealth/pmc Organisations can obtain copies of the relevant standards and guidelines from their department program and service adviser, or in some instances, via the internet through the department’s Funded Agency Channel at: https://fac.dhs.vic.gov.au/home.aspx Further information on mental health services is available at: www.health.vic.gov.au/mentalhealth
Page 46 1.4 Drug services Through its funded organisations, the department provides a range of services for people needing assistance to manage drug and alcohol dependencies. Services provided include, but are not limited to: • counselling • consultancy and continuing care • outpatient, home-based, residential and rural withdrawal • residential rehabilitation • peer support and youth outreach • specialist pharmacotherapy service • Koori community alcohol and drug worker and resource services.
1.4.1 Broader policy direction The government is committed to developing a Victorian Alcohol and Other Drug strategy as part of its commitment to a whole-of-government approach and in response to the Victorian Auditor-General’s report, Managing Drug and Alcohol Prevention and Treatment Services (2011). The commitment to a whole-of-government approach will seek to reduce the incidence and impact of drug and alcohol abuse on individuals, families and the community. The key policy objectives of the government’s strategy will include decreasing the current rates of alcohol and drug abuse in Victoria, reducing the amount of harm that alcohol and drug abuse causes in the community, and to increase treatment options so that people with an alcohol or drug problem can get help when they need it. The government’s strategy will also address the issues of a fragmented system raised in the Auditor-General’s report. This will include a comprehensive drug and alcohol workforce strategy; ensuring drug and alcohol information is monitored and collected on outcomes as well as processes; and analysing appropriate price and funding models for alcohol and drug treatment services.
1.4.2 Service delivery requirements Organisations are required to report on achievement of activity targets. Activity is measured through an outcomes-based episode of care measure. Activity targets represent the minimum acceptable level of service provision. In addition, organisations are required to report on the average number of days between screening of clients and commencement of community-based or inpatient treatment services. For 201112, the department has introduced two new treatment and rehabilitation output measures: 1. Number of new residential withdrawal clients. This measure is intended to show the volume of withdrawal clients who have not accessed a residential withdrawal service within the last five years. This measure is a proxy for the extent to which the system is responding to increasing population demand as opposed to providing more services to existing clients. 2. Percentage of residential rehabilitation courses of treatment greater than 65 days. Evidence suggests that retention in treatment is an important factor in recovery hence the department considers this to be a reasonable proxy measure of quality/effectiveness. Development of additional performance indicators (as recommended by the Auditor-General’s review of drug services, Managing Drug and Alcohol Prevention and Treatment Services (2011)) has commenced.
Page 47 1.4.3 Key policies and guidelines Appendix 1 lists the service standards and guidelines that apply to funded aged care services. Where organisations receive funding for an activity or service, it is a condition of funding that they adhere to the service standards and guidelines listed under the relevant activity. Organisations can obtain copies of the relevant standards and guidelines from their departmental program and service adviser or can be obtained from the drug-related services internet site: www.health.vic.gov.au/aod Organisations are required to deliver services in line with the Victorian Alcohol and Other Drugs Client Charter. Copies of the charter are available at: www.health.vic.gov.au/aod
1.5 Aged care Aged care programs provide residential and rehabilitation care for older people, along with support and assistance to enable them to remain independently in their own homes. These programs include: • home and community care • aged care assessment services • residential aged care services • supported residential services • personal alert Victoria • Victorian eyecare services • dementia services • services supporting care relationships • low cost accommodation support • seniors programs and participation. Information on these programs can be found at: www.health.vic.gov.au/agedcare Appendix 1 lists the service standards and guidelines that apply to funded a services. Where organisations receive funding for an activity or service, it is a condition of funding that they adhere to the service standards and guidelines listed under the relevant activity. Policies and guidelines for aged care services can be found at: www.health.vic.gov.au/agedcare/policy/index
1.5.1 New Aged Care Assessment Program requirements In February 2006 the Council of Australian Governments agreed to improve and strengthen the Aged Care Assessment Program (ACAP), with a focus on the timeliness and consistency of assessments by aged care assessment services (ACAS). The focus on timeliness will be strengthened in 201112 with the introduction of new timeliness measures. Previously the average number of days between referral and assessment was measured with separate targets for people living at home and those in hospital. The new measures are a better indicator of responsiveness to people with needs of high and medium urgency regardless of the assessment setting.
New timeliness measures are: • the percentage of priority 1 and 2 clients assessed within the appropriate time – community-based assessment: target 85 per cent • the percentage of priority 1 and 2 clients assessed within the appropriate time – hospital-based assessment: target 85 per cent Priority categories are assigned to referrals according to the degree of urgency of response required based on information available at the time of referral. Priority 1 referrals are considered to require an immediate response (within 48 hours) and priority 2 (within 14 days).
Page 48 Consistency of assessment practice has been enhanced by the roll-out of the electronic Victorian comprehensive assessment form to all ACAS to standardise the collation of information about clients and their carers. It is a new requirement that all ACAS members meet the national minimum training standards, which will also support greater consistency of practice and enhance service quality.
1.6 Primary, community and dental health Primary healthcare services seek to intervene early to maximise health and wellbeing outcomes. An effective primary healthcare system is essential in improving the health of a population and reducing inequalities. Primary and community health services aim to improve the health and wellbeing of Victorians by delivering a number of programs primarily through community health services. Program- specific standards and guidelines are outlined in Appendix 1.
1.6.1 Community Health Program The Community Health Program delivers public allied health (audiology, dietetics, exercise physiology, physiotherapy, podiatry, occupational therapy and speech therapy), counselling and casework, health promotion and nursing services. Services provided by the Community Health Program are targeted particularly to disadvantaged populations, such as people with the poorest health and greatest economic and social needs. Most of the Community Health Program funding supports flexibility in the delivery of services, and enables local community health services to develop models of care that meet the needs of their local communities. However, specific initiatives have been funded over the last six years to build the capacity of community health services to deliver more services to particular population groups, especially those with chronic or complex conditions. Some community health initiatives are listed below. Further information about the Community Health Program is available at: www.health.vic.gov.au/pch/commhealth/services
Diabetes Self-management Program The Diabetes Self-management Program assists people with Type 2 diabetes to improve their capacity to manage the condition, prevent diabetes complications, and improve their health and wellbeing. The program builds on the work already being done by general practitioners and community health services and provides services such as allied health, nursing and psychosocial support to assist people in the community, particularly in rural areas, that are living with diabetes. Services are provided using multidisciplinary approaches and include education, care coordination and self-management support. Funding supports the delivery of flexible services and models of care that meet the needs of local population groups. These include site-based services, outreach services, telephone services and/or group programs. Further information about the Diabetes Self-management Program is available at: www.health.vic.gov.au/pch/icdm/diabetes
Page 49 Early Intervention in Chronic Disease Program The Early Intervention in Chronic Disease Program builds on the work already being done by community health services. It aims to provide services to people with chronic disease, including allied health, nursing and psychosocial support, to improve their capacity to manage the condition and prevent complications. Services are provided using multidisciplinary approaches and include education, care coordination and self-management support. Funding supports the delivery of flexible services and models of care that meet the needs of local population groups. These include site-based services, outreach services, telephone services and/or group programs. The program targets people with a diagnosed chronic disease having difficulty managing their condition. It aims to provide early intervention services that support people to be good self-managers of their health, so as to maintain good health and wellbeing, and to prevent future complications. Further information about the Early Intervention in Chronic Disease Program is available at: www.health.vic.gov.au/pch/icdm/early_intervention
Refugee Health Nurse Program The Refugee Health Nurse Program seeks to optimise the long-term health of refugees by promoting accessible and culturally appropriate healthcare services that are innovative and responsive to the unique needs of refugees. The program improves the response of health services to refugee health needs by building organisation capacity, supporting networking, professional development and advocacy with other providers. The program is based in community health services and employs community health nurses, with expertise in working with CALD and marginalised communities, to provide a coordinated health response to newly arrived refugees. Further information about the Refugee Health Nurse Program is available at: www.health.vic.gov.au/pch/refugee/nurse_program
1.6.2 Dental Health Program The Dental Health Program provides public dental care to eligible clients through the Royal Dental Hospital and 54 community health services and rural hospitals (operating from 79 clinics). Through the Dental Health Program, people requiring routine dental care are placed on a waiting list, while children, Indigenous clients, eligible pregnant women, refugees and asylum seekers are offered the next available appointment for care. People with urgent needs are given priority and will be assessed within 24 hours. Further information about the Dental Health Program is available at: www.health.vic.gov.au/dentistry
1.6.3 NURSE-ON-CALL NURSE-ON-CALL is a telephone-based health call centre providing general health advice and information to Victorians 24 hours a day, seven days a week from anywhere in Victoria at the cost of a local call. Governance, reporting and program and service delivery requirements are described in Primary Health Branch Funded organisation requirements 2009–10 to 2011–12 which is available at: www.health.vic.gov.au/pch/downloads/primary_funded_org_req.pdf
Page 50 1.7 Aboriginal health The Aboriginal Health Program aims to close the health gap for Aboriginal Victorians in partnership with the Victorian Aboriginal community and key stakeholders. The program is focused on helping to achieve the six ambitious targets included in the National Indigenous Reform Agreement, including closing the gap in life expectancy within a generation and to halve the gap in mortality rates for Indigenous children under five within a decade. Each region has developed Closing the Health Gap plans. Several policies and programs are in place to help close the gap in life expectancy between Aboriginal and non-Aboriginal Victorians, including: • Improving Care for Aboriginal and Torres Strait Islander Patients program • Aboriginal Health Promotion and Chronic Care Partnership (AHPACC) program • Koori Maternity Services program • Eye Health Subcommittee of the Victorian Advisory Council on Koori Health, established to oversee eye health initiatives • Tobacco Strategy projects • Koori Alcohol Action Plan • Victorian Aboriginal Suicide Prevention and Response Action Plan 2010–2015. Funded organisations should ensure that they comply with requirements contained in these policies and programs when providing services to Aboriginal Victorians. Further information on Aboriginal Health initiatives can be found at: www.health.vic.gov.au/aboriginalhealth/
Round table reporting In February 2010, funded Aboriginal organisations were asked to implement round table reporting. The objectives of roundtable reporting are: • to provide funded Aboriginal organisations with an opportunity to talk with their funding body about their organisation and their community, rather than just service provision • to improve the consistency and quality of information being reported by funded Aboriginal organisations and receive feedback • to reduce the administrative burden on funded Aboriginal organisations by using the meeting to address and replace current reporting requirements.
Aboriginal Health Promotion and Chronic Care Partnership initiative The directions for the AHPACC program are now published in AHPACC Strategic Directions 2011–14, available at: www.health.vic.gov.au/aboriginalhealth/programs/partnership_program The review has defined six core activities as part of the AHPACC initiative: 1. Service and program delivery 2. New settings for services and programs 3. Community engagement and advocacy 4. Organisational change and development for cultural safety 5. Workforce development 6. Partnerships and inter-sectoral collaboration. In the new funding model, 50 per cent of allocated service hours are to be allocated to direct service delivery, and the remainder to the other five functions of the program.
Page 51 Within the service delivery the following five services have been defined: • Assertive outreach • Care coordination • Clinical disease management • Health checks • Community-driven health promotion programs. The review also developed a program logic model which defines outcomes and key external influences. New reporting requirements have also been introduced, which will be trialled in 201112 and amended if necessary.
Page 52 2. Accountability, compliance and reporting
The department monitors organisation performance to ensure that funds are directed to appropriate services and that the government’s objectives for health are achieved. Data and reports submitted by organisations help the department in this monitoring role. This information also contributes to planning and policy development. As part of the Victorian Health Priorities Framework 2012–2022, the government has committed to the development of a Health Outcomes Framework that encompasses the measurement of patient experiences, health outcomes (specifically including a focus on quality and safety), efficiency and effectiveness. The framework will not generate any unnecessary additional data reporting burden for health services and will provide a framework for coordinating existing state and national reporting processes. In addition, the government has committed to reviewing the existing legislative approaches that drive governance and accountability arrangements for health services such as the Health Services Act as amended by the Health Services (Governance) Act 2000, the Mental Health Act 1986 and the Mental Health Regulations 1998. This section details the state and national policy, medico-legal, reporting, operational and some financial obligations of government-funded organisations. Funded organisations are also expected to comply with the reporting definitions and timelines as detailed in this section of the Guidelines. Funded organisations should refer to their Statement of Priorities, Health Service Agreements or service agreement for any specific conditions of funding and performance requirements.
2.1 Organisational obligations 2.1.1 Hospitals accountability agreements Hospitals (through their health service) are required to agree to either a Statement of Priorities (SOP), or a Health Service Agreement (HSA), which are the key accountability agreements between health services and the Minister for Health. The SOP and HSAs, as applicable, require hospitals and health services to comply with these Guidelines. The SOP, to be agreed by board chairs of public health services and the Minister before 1 October of the relevant year, outlines the key performance expectations and targets for the year for the relevant health services. SOP agreements with the Secretary of the department for sub regional and local health services will mirror this approach in 201112. The SOPs are available at: www.health.vic.gov.au/hospitals/sops Health service agreement business rules listing the conditions applicable to local health services that have a service agreement are available at: www.dhs.vic.gov.au/facs/bdb/fmu/service-agreement The Victorian Health Services Performance Monitoring Framework sets out the business rules for monitoring performance in Victorian health services and is available at: www.health.vic.gov.au/hospital-performance/index
2.1.2 Non-government organisations accountability agreements The department funds over 600 community service organisations to provide services to individuals and community groups in Victoria. The department’s contractual relationship with these funded organisations is managed through service agreements. These service agreements set out key accountabilities, including performance requirements, for services to be delivered by the organisation, the funding to be paid by the department and the requirement that funded organisations comply with these Guidelines. The service agreements are part of the framework established by the department for the funding, delivery and monitoring of services provided on the state’s behalf by community service organisations. These Guidelines provide contextual information to support the service agreements. Page 53 2.1.3 Registered community health centres accountability agreements The Health Services Legislation Amendment Act 2008 provides a framework for community health centre governance and accountability including a voluntary registration scheme and performance standards. The 38 community health centres that are registered under the framework receive community health and dental funding from the department and are subject to ongoing monitoring arrangements. The monitoring process requires registered community health centres to annually confirm that they comply with all performance standards. In addition, each registered community health centre is required to notify the department within 30 days every time a significant change occurs to their organisation’s governance, management and core operating policies. Further information is available at: www.health.vic.gov.au/pch/service_providers/gov_monitoring
2.1.4 Clinical governance All health services are required to ensure their clinical governance policies are in line with the Victorian clinical governance policy framework: Enhancing clinical care (2008). Health services are required to measure and monitor compliance with the policy and report on this in their annual quality of care report under the framework’s quality and safety domains: • Consumer participation. • Clinical effectiveness. • Effective workforce. • Risk management. Compliance at state level is monitored through accreditation mechanisms. Links to the policy and tool kit can be found at: www.health.vic.gov.au/clinrisk/publications/clinical_gov_policy
2.1.5 Clinical risk management The Victorian Health Incident Management System (VHIMS) is a standardised (metadata standards based) dataset and methodology for incident management. VHIMS dataset has been designed to enable health services and the department to undertake statewide aggregation, data analysis and trend identification of multi-severity clinical incident data from across Victoria. VHIMS is supported by the Victorian Health Incident Management policy. The department is committed to developing a culture and environment that: • promotes an open and positive approach to incident management • recognises that most incidents occur because of problems with systems rather than individuals • emphasises continuous improvement • facilitates the safety of patients, staff and others. The Victorian Health Incident Management policy provides guidance for health services (and organisations) on best practice principles and governance of incident management, including open disclosure. Further information is available at: www.health.vic.gov.au/clinrisk/vhims/index The Limited Adverse Occurrence Screening (LAOS) program in small rural hospitals contributes significantly to promoting Clinical Risk Management (CRM) in rural health services. Small rural health services are required to incorporate the LAOS program into their CRM framework where appropriate. Information on this program is available at Appendix 3 and at: www.health.vic.gov.au/clinrisk
Page 54 2.1.6 Consumer, carer and community participation requirements Consumer, carer and community participation in healthcare is outlined in the department’s policy Doing it with us not for us: strategic direction 2010–13. To achieve the priority actions set out in the policy, all funded organisations are required to actively support and promote consumer, carer and community participation at all levels of healthcare, including support for community advisory committees. The policy’s new comprehensive suite of participation standards and performance indicators should be reported on in the annual quality of care report. The policy and new indicators are available at: www.health.vic.gov.au/consumer
Australian Charter of Healthcare Rights in Victoria The Australian Charter of Healthcare Rights in Victoria is based on the Australian Charter of Healthcare Rights, and is aligned with the Victorian Charter of Human Rights and Responsibilities Act 2006. It describes and promotes the rights of patients, consumers and family members using the Victorian healthcare system. It specifies seven healthcare rights: access, safety, respect, communication, participation, privacy and comment. These rights are applicable across all funded organisations in Victoria, including public and private hospitals, general practice clinics, medical specialists, aged care and disability services, mental health services, registered community health centres and allied health providers. The aim of the Australian Charter of Healthcare Rights in Victoria is to ensure that healthcare is provided in a manner that embodies the seven healthcare rights, and is safe and of high quality. The Australian Charter of Healthcare Rights in Victoria should be distributed and available at all funded organisations. It can be ordered in English, easy English and 25 other community languages, as well as Braille and audio file, from: www.health.vic.gov.au/patientcharter
Complaint management Funded organisations are required to have effective and responsive complaint management systems in place to deal with complaints in a timely and appropriate way. Resources for health services to manage complaints are provided by the Office of the Health Services Commissioner and can be accessed via their website at: www.health.vic.gov.au/hsc Train-the-trainer modules are provided on complaint management and increasing health service providers’ understanding and awareness on the Health Records Act 2001. The health service’s collection of complaint data should be integrated into VHIMS.
Reporting on quality of care All Victorian health services, multipurpose services and registered community health centres are required to produce an annual quality of care report. The quality of care report for 2010–11 must be submitted to the department by Wednesday 26 October 2011 for assessment against the minimum reporting requirements and guidelines. Further information, including contact details, is provided at: www.health.vic.gov.au/consumer
Page 55 2.1.7 Goods and services tax Funded organisations are required to be registered with the Australian Taxation Office (ATO), to have an Australian Business Number, and to provide business activity statements (as required) to the ATO. Each organisation’s management is responsible for ensuring that their organisation is compliant with goods and services tax (GST) and meets the reporting obligations. The government will not be responsible for the inability of funded organisations to identify and claim all input credits owing to them. The ATO has ruled (GSTR 2006/11 Appropriations) that funding from the department to public-funded organisations and other Victorian public service-owned entities such as Ambulance Services is outside the scope of GST pursuant to section 9-15(3)(c) of the Goods and Services Tax Act 1999. This has been confirmed in the ATO private binding ruling number 70297 dated 24 January 2007 provided to the department. From 1 July 2007, funding from the department to funded organisations (other than denominationals) no longer attracts GST. Funded organisations should be aware that transactions between services are not covered by Ruling GSTR 2006/11 and remain as normal taxable supplies, although some items may receive differing treatment such as GST-free medical services. Commercial type sales of goods or services to the department should continue to be treated as taxable supplies that include the imposition of GST. Funded organisations should seek independent taxation and financial advice for their individual circumstances.
2.1.8 Risk management Risk management is an essential component of good corporate governance for all funded organisations. The Health Services Act 1988, Public Administration Act 2004 and Financial Management Act 1994 require funded organisations to have effective and accountable risk management systems and strategies in place. To further ensure that risks are being managed in a consistent manner, some funded organisations are required under Standing Direction 4.5.5 of the Minister for Finance and the Victorian Government Risk Management Framework (March 2011) to attest in their annual reports that: • they have risk management processes in place that are consistent with the risk management standard AS/NZS ISO 31000 Risk management – principles and guidelines • these risk management processes are effective in controlling risks to a satisfactory level • a responsible body or audit committee verifies that view. An organisation’s risk management framework can comprise of the following: • risk management policy and risk management plan • risk registers and risk profiles • incident reporting system (VHIMS) • risk management tools, templates and training • business continuity and emergency management plans. These processes assist funded organisations in developing a risk management culture encompassing clinical and all other operational activities. Ultimately this will help minimise claims losses and achieve best practice quality care within a robust corporate governance framework.
Page 56 2.1.9 Fire risk management
Health and safety Health services are responsible for ensuring that they comply with all laws, regulations and mandatory standards relating to fire protection (from external threats, such as wildfire), fire suppression (fire within the hospital) health, and general safety which apply to any premises from which the hospital operates irrespective of whether the relevant regulatory requirements place the obligation upon the owner or occupier of those premises. Health services are also responsible for ensuring that they comply with the department’s Capital development guidelines: Series 7 (Fire Risk Management) in so far as they are relevant to the health service.
Operational readiness Health services must ensure that appropriate operational readiness measures are developed, implemented and reviewed. In doing so, health services should plan to be resilient organisations and prepare for and respond to emergencies in accordance with the 'all hazards' approach. This includes, but is not limited to fire emergency management procedures, evacuation procedures and adequately trained staff to implement these procedures. Additionally, the health service must ensure that essential services are maintained.
Client placement At the time of client placement in any premises, health services must ensure the premises complies with all laws relating to fire protection, health, and general safety which apply to any premises from which the hospital operates. The health service must also ensure that the premises are suitable for the client to be evacuated reasonably, taking into account the fire systems installed, and the evacuation capacities of the client. Where any relevant change occurs which may affect the client’s ongoing ability to evacuate safely, the suitability of the placement must be reassessed and appropriate action taken.
Certificate of fire safety compliance Metropolitan health services shall complete and return Certificate No. 6 of fire safety compliance for 2010–11 to the department by 30 September 2011. Completed certificates are to be submitted to: [email protected] or Director Capital Projects and Service Planning Level 4, 50 Lonsdale Street MELBOURNE VIC 3000 Rural and regional health services shall complete and return Certificate No. 6 of fire safety compliance for 2010–11 to their respective regional fire risk management coordinator by 30 September 2011.
2.1.10 Privacy The obligations of the funded organisation in respect of collection, use and disclosure of ‘personal’ and ‘health information’ (as defined by the Information Privacy Act 2000 (Vic) (IPA) and the Health Records Act 2001 (Vic) (HRA)) are set out in those Acts and in the relevant agreement between the parties. Funding is provided on the condition that, in respect to the collection, use and disclosure of personal and health information (as defined by the IPA and the HRA), the funded organisations (including their employees, officers, agents, subcontractors and any person employed by or engaged by a subcontractor): • must comply with both the IPA and the HRA, including any amendments made over time • must take reasonable steps to ensure that its employees, officers, agents and subcontractors (including any person employed by or engaged by a subcontractor) comply with the requirements outlined in this clause.
Page 57 2.1.11 Intellectual property The rights and obligations of the parties in respect of ownership and management of intellectual property are set out in the relevant agreement between the parties. Funding is provided on the condition that the rights and obligations of the parties in respect of ownership and management of intellectual property are that: • the intellectual property of each party, which exists prior to 1 July 2011, remains the property of that party. All intellectual property developed by the funded organisation with funding provided by the department vests in the funded organisation unless the department advises the funded organisation otherwise in writing • the funded organisation grants to the State of Victoria a licence to use all the intellectual property which vests or was vested in the funded organisation that relates to the performance of the funded activities that is required to allow the State of Victoria to enjoy the full benefit of providing the funding to the funded organisation • the funded organisation will ensure that it obtains all the necessary consents (including moral rights consents) in order to grant the licence referred to above • immediately following a written request by the department, the funded organisation will deliver to the department all materials covered by the licence referred to above. • the funded organisation must not accept co-funding or involve anyone in providing services without the department’s prior written consent if that will impact in any way on intellectual property ownership or the State of Victoria’s rights in respect of the use of any intellectual property as set out above.
2.2 Hospitals and health services Hospital circulars provide updates on healthcare changes that affect health services during the year. Hospitals circulars are available at: www.health.vic.gov.au/hospitalcirculars/index
2.2.1 Health service accreditation All health services and public hospitals are required to be accredited by a body or entity which has been accredited by: • the International Society for Quality in Health Care Inc or • the Joint Accreditation System of Australia and New Zealand. These two organisations accredit or certify accrediting organisations to survey healthcare services against standards for the delivery of healthcare. The department has responsibility for verifying the accreditation status of health services and public hospitals. All health services are required to provide a copy of their hospital accreditation survey or consent to the release of a summary report directly from their accrediting body. In the event of a high-priority recommendation, the department requires an action plan addressing the issue(s) within one month of being notified of the high-priority recommendation. During 201112, the Australian Commission on Safety and Quality in Health Care will progress the implementation of the Australian Health Service Safety and Quality Accreditation Scheme. This scheme includes the ten new national accreditation standards which will apply to all health services including small rural health services as well as public dental services in community health services. Health services will be required to report under this new national scheme within an 18 month transition phase commencing 1 July 2011. Confirmation of this implementation process will be provided through the department. Further information on accreditation is available at: www.health.vic.gov.au/accreditation
Page 58 Medical testing In September 2004, the Premier, on behalf of the State of Victoria, entered into a Memorandum of Understanding (MoU) with the National Association of Testing Authorities, Australia (NATA) in recognition of NATA’s role as the national authority in Australia for the accreditation of laboratories and an accreditor of inspection bodies. One of the undertakings made by the signatories to that MoU was that: ‘the State of Victoria and NATA where appropriate will encourage service providers in all sectors of the Victorian economy to adhere to the principles of good laboratory practice embodied in NATA’s relevant accreditation criteria, [and] to have such adherence recognised through NATA accreditation’. In addition to that MoU, another MoU that specifically relates to pathology laboratories was entered into by NATA and the Chief Health Officer on behalf of the department. That MoU embodies the spirit of cooperation between the department and NATA in relation to the protection of public health. On the basis of these undertakings, it is a condition of funding that: • Any public hospital or public health service operated laboratory, whose principal function it is to conduct pathology services1, must obtain and maintain NATA/Royal College of Pathologists of Australasia (RCPA) accreditation, for the pathology services it provides. • Any pathology service required for a public, private or compensable admitted patient of a public hospital or public health service must only be requested from a laboratory that holds NATA/RCPA accreditation for the type of service required. • Any pathology service required for a patient attending an outpatient clinic of a public hospital or public health service must only be requested from a laboratory that holds NATA/RCPA accreditation for the type of service required. • The conduct of any pathology services provided for a public hospital or public health service that are not under the direct management control of a NATA/RCPA accredited pathology laboratory (for example, services provided by research laboratories, specialist clinical laboratories or at the Point of Care) must be overseen by a pathology laboratory that is accredited by NATA/RCPA for the relevant scope of services. Further information is available at: www.health.gov.au/internet/main/publishing.nsf/Content/health- pathology-accred-index.htm
2.2.2 Hospital admission policy Public health services are required to admit patients in accordance with the Hospital Admission Policy, available at: www.health.vic.gov.au/hdss An eligible person's priority for receiving hospital services must not be determined by: • whether the person has health insurance • the person's financial status or place of residence • whether the person intends to elect or elects to be treated as a public or private patient. A person’s status as a Medicare ineligible asylum seeker is not to be a determinant of a person’s priority for receiving hospital services (refer to Hospital Circulars 27/2005 and 29/2008).
1 Pathology services, for the purposes of these guidelines, is any service, excluding those conducted solely for research purposes, that subjects human tissue, fluids or body products to analysis for the purposes of: • prevention, diagnosis or prevention of disease • advising on ways to improve overall health and/or wellbeing • advising on nutritional status and/or dietary needs, and/or • advising on genetic constitution or risk. Page 59 Health services will ensure that an eligible person, at the time of admission, or as soon as practicable thereafter, elects or confirms in writing whether they wish to be treated as a public patient or a private patient and that this election process conforms to the National Standards for Public Hospitals Admitted Patient Election Processes. Health services will ensure that any ineligible person is appropriately identified as such in the Victorian Admitted Episodes Dataset (VAED). Health services admitting Medicare ineligible asylum seekers are to report these patients to the VAED with the account class code MF – Ineligible Asylum Seeker as requested in Hospital Circular 27/2005. Health services will make every effort to verify the place of residence of interstate patients. Health services will ensure that all patients admitted to hospital are asked whether they are of Aboriginal or Torres Strait Islander descent. The identification of Indigenous status is a mandatory data item to be reported by hospitals to the VAED. Aboriginal and Torres Strait Islander patients identified on the VAED will be funded at a 30 per cent loading to the nominated Weighted Inlier Equivalent Separation (WIES) payment for 2011–12.
2.2.3 Data integrity Accurate data are critical for health service performance monitoring, reporting, policy and planning and maintaining public confidence. Health service boards of management are accountable for the accuracy of reported data. Boards are expected to make data integrity the responsibility of their audit committee, and ensure that data accuracy is subject to appropriate controls, including regular internal audit. In 2011–12, health services are required to: • maintain board and board audit committee scrutiny of data integrity practices • complete implementation of security improvements for elective surgery and emergency department information technology systems, including implementation of unique user identity and password controls, and the activation of transaction logs • implement recommendations from audits conducted at their health services • make a data quality attestation in the health service’s annual report • comply with standing direction 3.4.13 of the Minister for Finance titled Information Collection and Management. To ensure continuing integrity, a rolling three year audit program has commenced. From 2011, every public hospital will have their VAED, Elective Surgery Information System (ESIS) and Victorian Emergency Minimum Dataset (VEMD) data collection, recording and reporting practices audited at least once in each three-year period. These audits will cover data accuracy and health service compliance with department policies and business rules. In addition, other data integrity audits may be undertaken. This may include data integrity audits at NGOs, as occurred for the first time in 2010–11. The Office of Data Integrity has also prepared Data integrity guidelines for health services which are available at: www.health.vic.gov.au/divisions/office-data- integrity
Page 60 2.2.4 Overview of acute health data collections Data reporting and analysis are core elements of the hospital monitoring and funding system. The department operates a number of data collections on different aspects of health service activity for which reporting requirements are outlined in Appendix 3, including: • VAED for admitted patient activity • VEMD for designated emergency department activity • ESIS for monitoring elective surgery waiting lists • VINAH Minimum Dataset (MDS) for non-admitted patient activity • Victorian Perinatal Data Collection (VPDC) for all birth episodes • Victorian Cost Data Collection (VCDC) for patient-level costs • Financial data (F1)/Common Chart of Accounts (CCOA), VACS and other non-admitted and financial data collected through the Agency Information Management System (AIMS) • Minimum Employee dataset for payroll data • AIMS primarily used to collect summary level financial and statistical information. These data collections are reviewed on an annual basis to ensure that they are relevant for performance monitoring against current operational priorities as well as providing up-to-date indicators of ongoing clinical activity trends. The department remains committed to balancing the resources required to collect and report data against the need for quality data for monitoring, planning and fulfilment of the department’s own reporting obligations. This is achieved through various consultative committees and reference groups for specific data collections and feedback received through specific department program areas. Proposed changes to data collections are released for comment and final specifications for change published by 31 December prior to the financial year to which they apply. The Health Data Standards and Systems (HDSS) bulletin provides advice on data quality issues to health services that contribute to the VAED, VEMD, ESIS, VINAH and AIMS. The bulletin is the primary method by which amendments to standards and reporting timelines are published during the year. Health services should ensure that appropriate staff subscribe to the HDSS bulletin to remain up to date with any changes. The HDSS bulletin is issued electronically via both web and email and is free of charge. Subscriptions may be arranged through the HDSS help desk: [email protected]
Changes for 201112 There are four major areas of development that may lead to data collection changes in 201112 and/or 2012–13. Any impact of these developments on reporting obligations specified in these Guidelines will be notified through the HDSS bulletin.
Health Information Collection and Reporting project The department is currently replacing the technical infrastructure on which the data collections operate through its Health Information Collection and Reporting (HICAR) project. These will be fully tested prior to implementation and health services will be further advised on the nature and timing of any changes to submission processes.
Direct Data Acquisition The department is currently undertaking a Direct Data Acquisition (DDA) development project aimed at those health services that utilise the patient administration system provided through HealthSMART. This project aims to assist health services using this system to meet their reporting obligations by simplifying the process for extracting data from patient management systems. Once fully tested, DDA would be expected to replace the current data extraction, validation and submission methods. Further information and any impact on reporting processes, obligations or time frames will be advised in due course.
Page 61 Victorian Health Integrated Minimum Dataset development The department is currently conducting a major review and redevelopment of the VAED, VEMD and ESIS data collections into the Victorian Health Integrated Minimum Dataset to significantly enhance and streamline the level of integration between these data collections. Data submission processes will be consolidated, derived data removed and replaced with transactional data. The department will work with health services through 201112 toward implementing changes in 2012–13.
VINAH dataset From 1 July 2011, health services will be required to report patient-level data through VINAH for acute specialist clinics (outpatients) and SACS activity. Outpatient data is currently reported through the AIMS S2_111 and S92_111 returns. The S2 and S92 returns will continue for the first year of implementation. The department will continue to consult with affected health services to implement this change.
Elective Surgery Information System The department has changed the timeline for hospitals submitting data to ESIS. From 2011–12, all activity for the full month must be complete and without errors by the 14th day of the following month, or the prior business day.
Victorian Emergency Minimum Data Set The department has revised the timeline for hospitals submitting data to the VEMD. From 2011–12, all presentations for the full month must be complete and without errors by the 10th calendar day of the following month, or the prior business day.
Consultative mechanisms The department has established a number of consultative mechanisms for the major health service data collections. The department has four advisory committees which involve health services in consultation on specific aspects of the VAED collection. They are the Victorian Advisory Committee on Casemix Data Integrity (VACCDI), the Victorian ICD Coding Committee (VICC), the VEMD Reference Group and the ESIS Reference Group. VACCDI comprises representatives of metropolitan and rural health services, the department, VICC, Clinical Costing Standard Association of Australia and the Victorian Healthcare Association. VACCDI is responsible for reviewing and making recommendations regarding casemix data quality issues. A sub-committee of VACCDI has been established to specifically review the patient level cost data to validate its use in establishing cost weights and future funding models. The Victorian Clinical Costing User Group has been established to provide advice to the department and the health sector on best practice standards for the implementation of the national Australian Hospital Patient Costing Standards in Victorian health services and other costing initiatives to improve the quality and use of cost data. VICC comprises expert coders from both health services and the department and is responsible for answering coding queries. The committee works with the National Casemix and Classification Centre and relevant national authorities in the ongoing development of the Australian coding classification and standards. The VEMD Reference Group is the mechanism for provision of feedback, advice and review for the VEMD and to advise the department on emergency department data issues. The ESIS Reference Group performs the same functions for the ESIS data collection. A Statutory Reporting Data Reference Group is a forum for health services and the department to consider any issues affecting the capacity of health services to meet their statutory reporting obligations. The group will also provide a conduit for advice to the department about how it can best feed reported
Page 62 information back to health services to assist in their own performance management and planning processes. The VINAH MDS Specialist Clinics Reference Committee is responsible for ensuring a consistent approach to the collection of VINAH data within the specialist clinics program. The committee will have an emphasis on but not limited to: • VINAH definition development for specialist clinics • business rule development in regards to the VINAH data flow • best practice development for specialist clinics process flow. There is also a VINAH MDS HealthSMART Reference Committee for Specialist Clinics, which is responsible for ensuring a consistent and best practice approach to the collection of the VINAH MDS for Health Services using the HealthSMART PCMS (iSOFT iPM) software within their specialist clinics program. Further information on these collections is contained in their respective collection manuals, located on the HDSS website: www.health.vic.gov.au/hdss Consultation on the data collections hosted through the AIMS is managed through the relevant departmental program area.
2.2.5 Commonwealth/State reporting requirements Health services may receive payments arising from Commonwealth/State agreements. Funding received under such arrangements is subject to each program’s specific conditions of funding. Health services receiving funding under Commonwealth/State programs are required to submit regular statistical and financial reports for the monitoring of activity, payment of grants and acquittal to the Commonwealth. The information required, format and timelines for individual programs are detailed in the relevant contractual documentation and the guidelines applicable to the appropriate Commonwealth/State programs. The National Partnership Agreement on Hospital and Workforce Reform outlines a commitment by the Commonwealth and all jurisdictions to implement activity-based funding. This requires the classification, costing and reporting of all admitted and non-admitted care provided in public hospitals over the next four years of the agreement.
Page 63 2.2.6 Procurement and purchasing requirements
Compliance with Health Purchasing Victoria policies and directions Under the Health Services Act 1988, the Chief Executive Officer of a public hospital must provide to Health Purchasing Victoria (HPV) on request, and within the period specified in the request, audited reports stating compliance with HPV purchasing policies and HPV directions. Public health services are also required to provide HPV with information and data relating to the supply of goods and services and the management and disposal of goods. Public hospitals and health services must conduct periodic reviews of compliance with HPV policies, directions and any HPV agreement applicable to the health service, using an appropriate compliance monitoring strategy, such as an internal audit program. The chief executive of the hospital must report the result of these reviews to the board of their hospital, and to HPV. The health service must also provide to HPV through the annual HPV compliance survey, a report that the health service has undertaken an assurance process and provide copies of the relevant reports to HPV.
Openness and probity in purchasing, tendering and contract activities Health services should ensure that the following overlapping probity directives are met: • Health services must, as a minimum requirement, adopt the standards of probity required under Victorian Government Purchasing Board guidelines. • Health services are required to ensure their probity controls take into consideration the recommendations contained in the Ombudsman’s report; Probity controls in public hospitals for the procurement of non-clinical goods and services.
2.2.7 Capital works and equipment Health services must obtain the approval of both the department and the Department of Treasury and Finance (DTF) prior to seeking to borrow funds from third parties and prior to entering into third party finance arrangements for capital works and equipment expenditure. A health service must not to enter into any expenditure (including finance leases) related to equipment purchases and capital works, where the estimated total costs or total end costs of the works exceeds 10 per cent of the annual revenue of the health service or $2 million, whichever is the lesser amount, unless: • the health service has provided a detailed business plan relating to the proposed expenditure to the Secretary of the department • the expenditure has been approved by the Secretary of the department. The approval of the Secretary of the department in relation to any expenditure referred to the above clause does not imply or in any way obligate the provision of any financial support for the works by the Secretary or the department. Whilst the department does not place restrictions on the particulars of operating leases, the proposal must comply with the DTF Prudential Risk Management Framework. A financial evaluation must be performed on all operating leases greater than 12 months and for capital value worth more than $1 million.
Page 64 2.2.8 Workforce requirements Detailed information on workforce reporting requirements is provided in Appendix 3. This includes reporting requirements for Training and Development Grants, the Clinical Placement Networks and Best Practice Clinical Learning Environment Framework, early graduate and postgraduate nursing programs and the Health Services Payroll and Workforce Minimum Employee Dataset.
Karreeta Yirramboi - Victorian Aboriginal Public Sector Employment and Career Development Action Plan 2010–2015. The Karreeta Yirramboi plan details the direct action government underway to increase capability of Aboriginal participation in the Victorian public sector workforce. Under the plan, which was developed in partnership with the Aboriginal community, public health employers of more than 500 employees are required to develop an Aboriginal Employment Plan. The document can be accessed at: www.health.vic.gov.au/aboriginalhealth/workforceplan/index To support the growth of Aboriginal employment, the department has prepared the Employer Training Funding Guide July 2010 and the Health Workforce and Management Resource Guide February 2011, which are available at: www.health.vic.gov.au/aboriginalhealth/publications
2.2.9 Credentialling and defining scope of clinical practice The department has a suite of clinical engagement policies and processes and is working closely with senior medical staff and health services to facilitate safe, high-quality healthcare. The Credentialling and defining the scope of clinical practice for medical practitioners in Victorian health services policy 2007 (updated 2009) applies to all senior medical staff (including dentists) appointed to a Victorian public health service. Health services should fully implement the policy by October 2012. In 2009 the policy was expanded to also include the credentialling of general practitioners and visiting medical officers who provide services to residents of publicly operated residential aged care facilities. To support the implementation of the Credentialling and defining the scope of clinical practice policy the department has now developed a performance development and support process for senior medical staff in Victorian public health services. Partnering for performance, released in April 2010, supports the process of regular review of a doctor’s performance throughout the credentialling cycle and provides guidance to organisations and senior doctors to assist in enhancing performance. During 2011 the department is providing training to assist doctors to implement Partnering for performance. Further information is available at: www.health.vic.gov.au/clinicalengagement
Page 65 2.2.10 Ethical review of multi-site clinical trials The government continues to encourage clinical trial activity within health services. In particular, the department has established a system for streamlining the ethical review of multi-site clinical trials. Governance of the new system is provided by the Consultative Council for Human Research Ethics (www.health.vic.gov.au/cchre), which is accountable to the Minister for Health. Health services that participate in research projects involving human subjects at more than one site are required to: • sign the standard memorandum of understanding between the Consultative Council for Human Research Ethics and the health service for the purpose of facilitating the central ethical review system’s operation • comply with all matters agreed in the memorandum of understanding, including acceptance of a single ethics review decision by an accredited human research ethics committee and the reporting and research governance obligations associated with the conduct of clinical trials • assist the consolidation of research activity information concerning Victoria’s public hospital sector by using the Australian Research Ethics Database to enter data for all research governance assessments and ethics applications for single and multi-site studies involving human subjects. Health services hosting a reviewing human research ethics committee accredited by the Consultative Council for Human Research Ethics are required to conduct sufficient ethical reviews to maintain expertise in clinical trial review.
2.2.11 Core hospital-based outcome indicators In November 2009 the Australian Health Ministers’ Conference endorsed the recommendation by the Australian Commission on Safety and Quality in Health Care (ACSQHC) that all Australian hospitals routinely review reports based on a series of CHI. The ACSQHC developed a suite of CHI through broad consultation between ACSQHC and all states and territories. CHI reveal where patient outcomes are within the expected range for the state and peer hospitals, significantly better than expected or potentially in need of improvement. In broad terms the CHIs examine areas of in-hospital mortality, unplanned readmissions and hospital acquired infections. Victoria has added two indicators to the CHI suite that measure specific in-hospital morbidities. With the exception of the indicators for hospital-acquired infections, the CHI utilise routinely collected hospital administrative data as an information source. The CHI are: In-hospital mortality: • Hospital standardised mortality ratios • Death in low mortality diagnostic related groups • Death following treatment for acute myocardial infarction • Death following treatment for heart failure • Death following treatment for pneumonia • Death following treatment for stroke. Unplanned readmission: • Following treatment for acute myocardial infarction • Following treatment for heart failure • Following treatment for knee replacement • Following treatment for hip replacement • Following treatment for paediatric tonsillectomy and adenoidectomy.
Page 66 Hospital acquired infection: • Staphylococcus aureus bacteraemia • Clostridium difficile.
Victorian CHI: • Post-operative deep venous thrombosis or pulmonary embolism • Hospital acquired pressure ulcers. The ACSQHC developed the CHI to flag areas of potential improvement and not as definitive measures of patient care. Health services are required to investigate outcomes that vary from state and peer group rates to understand whether the variation is clinically significant, and whether improvements in processes of care are required. The department anticipates that from the second quarter of 2011–2012 all CHIs will become part of the quarterly Program Report for Integrated Service Monitoring that provides a broad view of performance across a range of services.
2.2.12 Cultural and linguistic diversity A culturally competent healthcare system will support efforts to increase the capacity of the healthcare system to design, implement, and evaluate culturally and linguistically competent services to address health disparities among populations from CALD backgrounds and to promote health and mental health equity. The government has committed to the development of a Refugee Health and Wellbeing Plan. The current Cultural responsiveness framework: guidelines for Victorian health services is a tool to further strengthen the capacity of health services to respond to the needs of CALD patients. The standards specified in the framework require that all health services demonstrate the following: a whole-of-organisation approach in planning and review, leadership for planning by senior management, provision of accredited interpreters to patients who require one, inclusive practice in care planning for patients, participation of CALD consumers in the planning, improvement and review of programs, and provision of professional development opportunities for staff at all levels across the organisation to enhance their cultural responsiveness. These standards bring together key legislative, policy, governance and accreditation frameworks which apply to all Victorian public hospitals, and are a strategy to align cultural responsiveness with quality and safety in healthcare delivery. Health services are guided to achieve the standards by a range of measures and sub-measures which can be tailored to the needs of individual health services and their communities. The Language Services Policy guides the provision of language services and outlines critical points for the provision of interpreters and translated material. The cost of language service provision is recognised within the complexity grant. All hospitals and health services are required to ensure completion of two data elements in the VAED, VEMD and VINAH collections relating to preferred language spoken and interpreter required, as proxy measures of local demand for language services. Health services are required to develop and submit a Cultural diversity plan covering at least a three-year planning cycle to the department. Reporting on achievements towards the standards is staggered over time and commences in 2011 in health services’ annual quality of care reports. Further information about reporting requirements, submission details, the Cultural responsiveness framework and the department’s Cultural and Linguistic Diversity Policy is available at: www.health.vic.gov.au/cald
Page 67 2.2.13 Community advisory committees Health services scheduled under the Health Services Act 1988 required to have a community advisory committee should continue to work with their committee to ensure that consumer, carer and community participation is integrated into service development, quality improvement planning and other relevant activities across all levels of their health service. A community participation plan covering a one to three year period is to be developed as part of each health service’s strategic plan. It must outline the role of the community advisory committee, health service board and executive management to ensure that consumers, carers and community members are involved in service development and quality improvement. The community participation plan, dependent on rolling period, is to be lodged with the department as part of the health service’s overall strategic plan by 30 November 2011. The plan should address the key areas outlined in How to develop a community participation plan available at: www.health.vic.gov.au/consumer/pubs/howto A report monitoring the progress towards meeting the targets, outputs and outcomes articulated in the community participation plan is to be lodged with the department by 30 November each year. Submission details are available at: www.health.vic.gov.au/consumer/pubs/howto.htm Similarly, any changes to the plan, as part of the hospital’s review cycle, should be forwarded to the department as part of this annual report.
2.2.14 Primary care and population health advisory committees Health services scheduled under the Health Services Act 1988 are required to have a Primary Care and Population Health Advisory Committee. Health Services should continue to work through these committees to consider the broader needs of the community.
2.2.15 Integrated cancer services A detailed reporting schedule for ICS, which identifies requirements and dates/timelines, will be provided in July 2011. Accountability requirements of the ICS governance groups are to: • provide an annual review and report of progress against current strategic plan • provide advice of any mid-term amendments to the memorandum of understanding and governance group terms of reference • provide half-yearly financial statements (for periods ending 31 December and 30 June) • participate in an annual site meeting • participate in the department’s cancer reform meetings and workshops • provide an annual report (for 201112) • conduct an annual forum • participate in processes to evaluate the impact of cancer reform activities, including reporting outcomes for specified Victorian Cancer Action Plan targets and milestones. Further information about integrated cancer services is available at: www.health.vic.gov.au/cancer/integrated/index
Page 68 2.2.16 Blood Matters Program As part of the ongoing commitment to safe transfusion practice the Blood Matters program monitors transfusion practices against guidelines and developing performance indicators. Performance reporting through participation in audits and surveys on clinical practice and governance is required. Health services will be advised of the audits to be conducted in 2011–2012. Serious Transfusion Incident Reporting continues as a voluntary reporting system for serious adverse events with transfusion of blood or blood components including near-miss incidents. The department funds a part-time role of ‘transfusion trainer’ in some rural hospitals and the requirements associated with funding have been communicated directly to relevant health services. Funding is also provided for ‘transfusion nurses’ for some metropolitan and regional health services. The following conditions are applicable to the ‘transfusion nurse’ funding: • Employment of an appropriately trained nurse such as provided through the Graduate Certificate in Transfusion Practice. • The ‘transfusion nurse’ operates within an effective hospital transfusion governance structure. • Alignment to strategic program directions. These include: – Patient Blood Management, a program approach to safe and appropriate transfusion care, as defined on the Blood Matters website – a focus on cancer-specific activity, in addition to existing hospital-wide transfusion practice. – use of performance indicators, including specific ones communicated by Blood Matters. • Transfusion nurses at the regional hospitals will work in conjunction with the transfusion trainers in their region. • Annual progress reports to the Blood Matters Program are required, in accordance with a Blood Matters template and including cancer-related transfusion activities conducted by the health service. Transfusion reports are also required as part of the minimum reporting requirements of the 201112 quality of care report. Further details can be found at: www.health.vic.gov.au/best/
2.3 Ambulance services The department is working with AV to provide unit record data in order to align data requirements with those of other health services. Until this process is finalised, the current reporting requirements for both emergency and non-emergency services are outlined in Appendix 3. This is for all activities including: • fixed-wing transport • road transport • patients’ satisfaction • community emergency response teams.
Page 69 2.4 Mental health services 2.4.1 Data collection requirements and reporting timelines Information about mental health clinical services relevant to funding, activity and performance monitoring is collected by the department through a range of channels including: • Client Management Interface/Operational Data Store (CMI/ODS) • Mental Health Triage MDS • Electroconvulsive therapy (ECT) register • Quarterly data collection (QDC) for disability services. • Quarterly Psychiatric Disability Rehabilitation and Support Services (PDRSS) activity • Annual Mental Health Establishments collection • VAED • VEMD. The collections form an essential underpinning of public accountability for service provision, with the outputs from these collections contributing to a range of national datasets, as well as performance measurement and monitoring for Commonwealth, state and departmental purposes. More detailed information on reporting requirements and timelines is provided in Appendix 3.
2.5 Drug services 2.5.1 Data collection requirements and reporting timelines Information about alcohol and drug treatment services relevant to funding, activity and performance monitoring is collected through a range of channels including: • Alcohol and Drugs Information System (ADIS) • Needle and Syringe Program Information System • Drugs & Poisons Information System (DAPIS) • Opioid Replacement Therapy (ORT) Dispenser Census. More detailed information on reporting requirements and timelines is provided in Appendix 3.
2.6 Aged care Data collection requirements and timelines for Ageing, Aged and Home Care services are provided in Appendix 3.This includes information for Home and Community Care (HACC) and ACAS through a range of channels including: • HACC National Minimum data set • ACAP Data collection • HACC fees data collection • Residential services data collection. Where relevant, funded organisations should adhere to the requirements contained in these Guidelines. The performance targets and monitoring requirements for ageing, aged and home care services are outlined in Table 63 at Appendix 4.
2.7 Aboriginal health AHPACC reporting requirements in 201112 are detailed in Appendix 3. Aboriginal community-controlled organisations (ACCOs) are able to complete the ‘Service Coordination and Integrated Chronic Disease Management Survey’, which many organisations use to provide evidence for the Quality Improvement Council and Australian Council of Health Standards. However, its completion is not a mandatory requirement of the AHPACC program funding for ACCOs.
Page 70 2.8 Primary and community health The reporting requirements for organisations funded under primary and community health programs are outlined in Primary health branch funded organisation requirements 2009–10 to 2011–12. This document is available at: www.health.vic.gov.au/pch/downloads/primary_funded_org_req.pdf The performance targets and monitoring requirements for primary and dental health are outlined in Table 64 at Appendix 4.
2.9 Public health Data collection and reporting requirements for public health are provided in Table 59 at Appendix 3. The performance targets and monitoring requirements for public health are outlined in Table 65 at Appendix 4.
2.10 National Healthcare Agreement The National Healthcare Agreement (NHA) is an agreement between the Commonwealth of Australia and the State of Victoria to provide jointly funded healthcare for eligible persons who choose to use state-funded health services from 1 July 2009. The NHA commits the Commonwealth and Victoria to comply with the Medicare principles, which guide the delivery of services at Victorian public hospitals. Public hospitals and health services in Victoria must ensure that their services are provided in accordance with the terms of the NHA. The Medicare principles agreed to in the NHA include: • Eligible persons are to be given the choice to receive, free of charge as public patients, health and emergency services of a kind or kinds that are currently, or were historically provided by hospitals. • Access to such services by public patients, free of charge, is to be on the basis of clinical need and within a clinically appropriate period. • Arrangements are to be in place to ensure equitable access to such services for all eligible persons, regardless of their geographic location. The NHA between Victoria and the Commonwealth is available at: www.coag.gov.au/intergov_agreements/federal_financial_relations Public hospitals and health services in the State of Victoria must meet additional obligations and business rules, which are related to the NHA. These obligations are related to the NHA principles and state that health services are to: • provide public patients with access to all services provided to private patients in public hospitals • provide service planning, capital works and adequate infrastructure for public hospitals and community health facilities to meet future needs • provide and fund patient assistance travel schemes and ensure that public patients are aware of how to access the scheme • ensure that eligible persons who have elected to be treated as private patients have done so on the basis of informed financial consent • provide and fund pharmaceuticals for public and private inpatients and for public non-admitted patients in public hospitals (except where Pharmaceutical Reform arrangements are in place) • maintain a Public Patients Hospital Charter, an independent complaints body and to ensure that patients are aware of how to access these provisions • provide public health, community health, home and community care, public dental, deliver vaccines purchased by the Commonwealth under national immunisation arrangements and health promotion programs • continue to provide agreed national minimum datasets • regulate health services and professions and provide clinical training programs for undergraduates and specialists.
Page 71 3. Funding This section provides an overview of the different mechanisms used to fund organisations. Budget and Price Tables are provided in the relevant sections of these Guidelines. For a more detailed explanation including the technical specifications of the funding mechanisms and a list of the cost weights, refer to Part three: Technical guidelines. In line with the outcomes identified in the Victorian Health Priorities Framework 2012–2022, the government has committed, over time, to developing a resource allocation model that is sensitive to population health needs, promotes productivity improvements and a more sustainable system. The refinement and expansion of the Victorian casemix funding for inpatient and other health services to ensure the Victorian health service system can meet future population health needs, along with considering new funding models such as packages of care for targeted patient groups, such as those with chronic and complex care needs, is identified as a key part of future work.
3.1 General information
3.1.1 Organisation funding There are a range of organisation types that receive health funding including public hospitals, SRHS, registered community health centres, local governments and non-government organisations. Modelled budgets are included in the Budget section of these Guidelines and include agencies that receive in total more than $1 million in health funding. The funding models vary across the activities depending on the nature of the service to be delivered. The Price Tables section of these Guidelines outlines the unit price funding for services funded on activity.
3.1.2 Funding adjustments Each year, funding to organisations may be adjusted in relation to: • additional funding received through state and Commonwealth budget processes for growth in service volume • additional one-off or recurrent funding for new program initiatives • indexation to funding • approved award adjustments for some programs to cover wage and other cost increases where agreed by government as part of an enterprise bargaining agreement (EBA) settlement • changes to the relative costs of service delivery for services when prices are weighted across a range of services • savings or productivity requirements levied on funding • integration of agency-specific grants or block funding with unit price activity funding.
Page 72 3.1.3 Price Indexation Price indexation mechanisms are in place to ensure departmental funding provided to organisations keeps pace with predictable and one-off cost increases. The applicable departmental indices are outlined below. The price indexation provided to health services is distinct to the non-government organisation (NGO) and Community Services price indexation due to the nature of their funding, services and cost structures. A DTF-set rate of indexation is provided annually to ensure health services can sufficiently meet cost increases.
Table 4: Price indexation
Service Rate Source
NGO Price A standard rate of 3.14 per cent for 201112 will After the allocation of the initial 201112 base Index be applied to recurrent and fixed term funding budgets, adjustments will occur in July 2011 due except where there is an agreed rate for to indexation applied to some departmental services being delivered. funding. The price escalation model is designed Indexation is not applied to non-recurrent to cover wage outcomes of 3.3 per cent applying funding. to 80 per cent of funding and standard consumer price index (CPI) of 2.5 per cent applying to the Community In 201112, the agreed community service remaining 20 per cent of funding for the Services Price organisation indexation rate of 3.14 per cent will forthcoming year. Index apply to psychiatric disability rehabilitation and Clinical services are indexed at a range of rates, drug services. This is the final year this rate will taking into account the appropriate EBAs. apply.
3.1.4 Indexation and enterprise bargaining
Expiring agreements and enterprise bargaining During the 201112 financial year, a number of key industrial instruments will all reach their nominal expiry dates and will be subject to renegotiation. The negotiation of new agreements will be guided by government wages policy. The expiring industrial instruments apply to the employee groups listed in the following table.
Table 5: Expiring industrial instruments
Employee group Nominal expiry date
General Nurses 1 November 2011
Psychiatric Staff 1 November 2011
Allied Services and Administrative Staff1 31 August 2011
Health Professionals1 30 June 2011
Medical Scientists 31 December 2012 Notes: 1. In this year’s enterprise bargaining round the allied services, administrative and health professionals will bargain as a single group.
Wages policy Government wages policy is for wage increases of 2.5 per cent. Higher increases are possible provided they are offset through bankable savings achieved either by way of productivity improvement, or by trading off existing entitlements. The 2.5 per cent per annum indexation is automatically funded each year through the State Budget process.
Page 73 Budgeting for new agreements Enterprise bargaining settlements are rarely timed to coincide with the commencement of a financial year. Therefore, there may be part-year cost effects in any given financial year relating to both expiring and new enterprise bargaining outcomes. Budget indexation, on the other hand, does apply on a full financial year basis. Health services must identify and account for indexation as it relates to supporting increased wage and salary costs. Where new EBAs take effect, or are likely to take effect, in a financial year, health services must keep indexation funding available for such increases. This remains true even when enterprise bargaining processes become protracted or complex and remains unresolved at the end of the financial year in which settlement was expected to occur and have cost effect.
Non-expiring agreements There are a number of industrial instruments that remain in effect throughout 201112 under which further pay increases will be payable. These include industrial instruments applying to the following employee groups:
Table 6: Non-expiring agreements
Employee group Pay increase (%) Wage increase date
Biomedical Engineers 2.5 11 August 2011
General Dentists 3.25 31 May 2012
Dental/Oral Therapists 3.25 31 May 2012
Health Maintenance Staff 3.25 4 May 2012
Medical (AMA) 3.25 1 October 2011
3.1.5 Treatment of variations to throughput Monthly budgets, cash flow percentages reflecting pay cycles and throughput targets will be nominated by the organisation at the commencement of the financial year. Hospital cash flow percentages will be adjusted to reflect these percentages. Actual throughput against target will be monitored on a monthly basis by the department. Annual targets will be subject to a mid-year review, and any reallocation of throughput will result in adjustments to the original monthly targets.
Nursing home type It is expected that public health services will have limited use of DVA and non-DVA nursing home type (NHT) care in 201112. Therefore there will be no targets or funding cash-flowed for public health services. Unavoidable use of NHT will be paid at the appropriate rate following discussion with individual health services and the department. NHT days will be paid on the basis of actual activity for rural health services.
Page 74 Interim payments for long-stay, high-cost patients The department will consider interim payment for long-stay patients who have accumulated significant amounts of WIES, or bed days, and who remain unseparated at 30 June 2012. Health services may apply to the department for special consideration for individual admitted patient episodes. Applications for special consideration must indicate the number of WIES or bed days; for WIES-funded episodes the interim Diagnosis Related Group (DRG) must also be indicated. Under no circumstances should agreement to fund an interim payment result in a statistical separation. If the department agrees to provide an interim payment, the hospital will be asked to designate the episode as a contracted patient, using a specific contract/spoke identification code. When the patient is finally separated, the payment will be adjusted accordingly. For example, the interim amount will be deducted from the final payment. The final DRG may differ from the interim DRG due to the addition of further complications, co-morbidities, and procedures, in which case the payments will be adjusted to reflect actual activity. Interim payments for long-stay, high cost patients will be considered on a case-by-case basis. Whilst interim payments are not governed by strict length-of-stay (LOS) or WIES criteria, a patient might be recognised as a long stay, high cost patient if the patient is: • still in hospital at 30 June 2012 and LOS already exceeds a year • still in hospital at 30 June 2012, LOS already exceeds six months and the patient might reasonably be expected to still be in the hospital at 31 December 2012 • still in hospital at 30 June 2012, LOS already exceeds six months and the patient is in receipt of significant mechanical ventilation.
3.1.6 Funding for throughput above target The department recognises that the level of patient demand for hospital services fluctuates. In recognition of the difficulty of achieving absolute precision, activity above target is funded according to Table 7.
Table 7: Funding for throughput above target
Service Funding for throughput above target
Acute admitted patients Throughput between 0 and 2 per cent above the target will be paid at $1,300 per WIES. Any public activity above 2 per cent will not attract additional funds. Funding for DVA and Transport Accident Commission (TAC) activity is uncapped.
Subacute inpatient Throughput between 0 and 2 per cent above target will be paid at half the relevant rate. No payment will be made for activity greater then 2 per cent above target.
Palliative care Inpatient palliative care Throughput between 0 and 2 per cent above target will be paid at half the relevant rate. No payment will be made for activity greater than 2 per cent above target.
Community palliative care In 201112 the activity level of each community palliative care will not be subject to additional payments when compared to interim budget.
Page 75 3.1.7 Funding recall policy The department allocates funding matched to expected activity levels for healthcare services. Funding recalls will be triggered by a drop in service activity, below targeted levels. Recall of funds is also dependent on accurate and timely data submission. Funded organisations should ensure they adhere to the requirements as specified in these Guidelines.
Table 8: Funding recall policy 2011–12
Service Funding recall policy
Metropolitan Health 0–2 per cent below target $1,300 per WIES Services and Rural Group B hospitals 2–3 per cent below target $1,950 per WIES 3–5 per cent below target $2,450 per WIES
5 per cent below target Full WIES rate
Other Hospitals Rural Group C recall $1,300 per WIES
SRHS No recall
VACS When considering whether recall applies the department will consider throughput across both VACS encounters and VACS Allied Health occasions of service within the health service, with 100 per cent of any shortfall between the combined funding of targets and actual activity subject to recall. DVA activity is subject to recall for 100 per cent of any shortfall between actual activity and target. DVA activity above target is fully funded. The cut-off date for notification of new clinics for evaluation by the VACS Clinical Panel is 23 March 2012.
PAC and SACS PAC and SACS activity levels will continue to be monitored for volume and complexity during 201112. In the case of a negative variance of more than 5 per cent, recall may be applied.
Subacute inpatient Where total public non-DVA inpatient subacute care activity is between 0 and 2 per cent below target, funding associated with the below target portion will be recalled at half the relevant rate. Where actual activity is below 98 per cent of target, payments will be adjusted to reflect activity actually undertaken. DVA activity is funded to actual activity. When determining whether recall applies, the department will consider throughput across subacute inpatient funding streams within a health service (transition care, nursing home type or palliative care activity is not included). Health services should note that significant under or over activity in any stream should be discussed with the department.
Transition Care Program Recall may be applicable for health services achieving less than 95 per cent occupancy in the bed and home-based components of the program. In 201112, as part of their accountability for the program, health services will be able to notify the department in a timely manner of any occupancy concerns.
Palliative care Inpatient palliative care Where total public non-DVA inpatient palliative care activity is between 0 and 2 per cent below target, funding associated with the below target portion will be recalled at half the relevant rate. Where actual activity is below 98 per cent of target, payments will be adjusted to reflect activity actually undertaken. DVA activity is subject to recall for 100 per cent of any shortfall between actual activity and target.
Community palliative care All community palliative care services have an interim target for the number of contacts in 201112. In 201112 the activity level of each community palliative care will not be subject to funding recall when compared to interim budget.
Page 76 Service Funding recall policy
Bowel cancer screening Health services that are designated providers for the National Bowel Cancer Screening Program (NBCSP) will be required to use a specified funding arrangement code (refer to VAED manual for reporting specifications) for NBCSP-generated colonoscopies. Use of this code will flag NBCSP-generated episodes. Designated providers will also be required to collect a limited range of other data for state-level program monitoring and evaluation purposes. Designated providers will be paid for actual activity based on the specified funding arrangement code identified in the VAED. This activity is funded separately as additional WIES and will not be taken into account when measuring activity against Target A WIES as specified in Appendix 2. Payments may be subject to adjustment if the health services’ WIES target is not achieved.
ICS Unexpended ICS funds may be subject to recall by the department. Recall will depend on the outcomes achieved by the ICS against targets in Victoria’s Cancer Action Plan and alignment of proposed ICS expenditure with statewide priorities for cancer reform.
Non-admitted radiotherapy Underperformance will be recalled at the full rate.
Dialysis services Payments for maintenance dialysis services are progressively paid to health services, based on their targets. Health services that provide services that exceed their targets will have their renal budgets adjusted accordingly. Conversely, if there are services where the numbers of patients are less than the forecasted targets, that funding will be recalled and re-distributed within the maintenance dialysis service system. Health services will have their renal budget updated as a prior year adjustment to reflect actual activity (either positively or negatively).
Primary health funding The primary health funding approach recall policy stipulates that target-related approach recall policy funding may be recalled if an organisations under performs for the full year by more than 5 per cent. The amount potentially subject to recall is the amount beyond that 5 per cent variance from the target. Where an organisation over performs by more than 5 per cent, the department will confirm that a quality service is being provided. Further information on the primary health funding approach recall policy is available at: http://docs.health.vic.gov.au/docs/doc/Primary-Health-Programs--Recall-Policy- and-Guidelines
3.1.8 Redirection of funds by health services Where total earnings for a funded program exceed the expenses incurred in delivery of the full quantity of services specified in the SOP or HSA, the surplus may be used by the health service for any purpose connected with its agreed function. This clause does not apply if there is a contrary arrangement regarding unexpended funding provided for a specially identified purpose.
Page 77 3.2 Health services 3.2.1 Changes to range or scope of services Before health services undertake a significant change in the range or scope of services, the planning implications of such a move must be discussed with and agreed to by the department. Health services should contact the relevant officer in the Hospital and Health Service Performance Division of the department or the relevant regional officer for rural services. The Executive Director, Hospital and Health Service Performance, must provide approval before a hospital may significantly alter its services. Hospitals participating in SRHS-funding are exempt from this arrangement and should refer to the SRHS guide at: www.health.vic.gov.au/ruralhealth/hservices/small
3.2.2 Revenue Hospital fees and charges Health services will raise fees and charges in accordance with the department’s manual; Fees and charges for acute health services in Victoria: a handbook for public hospitals, available at: www.health.vic.gov.au/feesman/ Health services are permitted to raise fees for the following non-admitted patient services: • dental services • spectacles and hearing aids • surgical supplies • prostheses, however the following categories of prostheses must be provided free of charge: – artificial limbs – prostheses which are surgically implanted, either permanently or temporarily or are directly related to a clinically necessary surgical procedure • external breast prostheses funded by the National External Breast Prostheses Reimbursement Program • other services, as agreed between the Commonwealth and Victoria. Only upon admitted patient separation may a hospital raise fees for: • pharmaceuticals at a level consistent with the PBS statutory co-payments, aids, appliances and home modification. Payments and revenue from treating private patients From 1 July 2011, the department will remove the inpatient acute, subacute and palliative care private patient revenue targets for health services. Instead, these targets have been moved into the price paid by the department for private patient activity. As a result: • there will be a reduction in the price paid for private admitted and subacute activity • the department will cease to provide funding for WorkSafe, TAC rehabilitation and ineligible activity. As is current practice, health services will bill WorkSafe, TAC rehabilitation and ineligible patients directly for these services. Health services’ activity targets will be adjusted to reflect the change department funded activity. Health services will be able to retain all revenue derived from private and third-party sources. Implementing these reforms will result in a more transparent, accurate and equitable allocation of department funding for private patients based on actual activity levels. Outpatient revenue targets are not included in these reforms and will be reviewed during 2011–12.
Page 78 3.2.3 Cash flow to hospitals Health services will receive 24 payments per annum from the department based on the agreed monthly cash flow percentages as agreed upon at the commencement of the financial year. Payments are subject to the requirement that health services meet the conditions of funding outlined in these Guidelines. Health services may occasionally require cash flow in advance to meet service demand fluctuations. If required, health services may put in a request for a cash advance. Any cash advanced will be adjusted annually to match the health services funding amount provided by the department.
3.2.4 Funding for interstate patients The NHA provides for jurisdictions to enter into agreements to adjust for costs incurred where admitted patient services are provided to eligible persons who are residents of other respective states or territories. In Victoria, public health services provide admitted and non-admitted services to eligible residents of other jurisdictions as public patients (if the patient so elects) and at no charge as required under the Medicare principles and the NHA. The services provided by Victorian public health services to residents of other Australian jurisdictions (who are not normally a Victorian resident) is part of the health services normal throughput target and is not counted as additional throughput or funded separately.
3.2.5 Treatment of asylum seekers A person’s status a Medicare ineligible asylum seeker is not to be a determinant of a person’s priority for receiving hospital services. Hospitals are required to provide Medicare ineligible asylum seekers with full medical care under the same arrangements that apply to all Victorian residents. Patients in this category are not to be billed with the exception of some non-admitted services. Funding for these patients is provided by the department as part of normal public patient throughput. Refer to hospital circulars 27/2005 and 29/2008 for more information.
3.2.6 Compensable patients
Department of Veterans’ Affairs patients The major features of ongoing payment arrangements for eligible Department of Veterans’ Affairs (DVA) veterans have been retained for 201112. Payment for DVA services will continue to attract a premium for throughput-based services and be paid for patients who elect to be treated as a veteran and on a reconcilable basis as detailed below. DVA treatments attract a negotiated price (premium) higher than public WIES rates to enable public providers to compete on a more equitable basis with private providers. Health services should note that: • The DVA Agreement prohibits organisations from raising any charges directly on an eligible veteran except where provided for under Commonwealth legislation. This prohibition does not, however, prevent organisations from charging a cost for the provision of personal services such as for access to television and/or telephone services at the facility. • The DVA Agreement prohibits subcontracting of DVA patient services to a private hospital or facility. Where a bed is not available for a DVA patient the patient is to be formally discharged and transferred to the private hospital. Subcontracting for transition care is exempt from this requirement. Note that hospitals will not be paid separately by DVA for eligible veterans in transition care as discussed further below.
Page 79 For 201112, as in previous years, separate capped public targets and uncapped veterans’ estimates will be incorporated into hospital and mental health service provider budgets as applicable. DVA will continue to fund a majority of public hospital acute, post acute and mental health services for veterans on the basis of outputs at prices that allow the department to pay providers to cover costs of training, research and other items. The government is reimbursed for actual work done after confirmation of eligibility by DVA. This means veteran throughput is uncapped. DVA funding cannot be substituted for other services for non-veterans, for example, DVA WIES under performance cannot be substituted or converted into public WIES. Payment requires an exact match of submitted veteran data with DVA records. The rate of rejection of records submitted by hospitals is generally between one and two per cent, however, for mental health service providers the rejection rate has historically been much higher. Many of these eligible veteran rejections are due to organisations not collecting sufficient information from the veteran to allow for an exact matching of veteran data by DVA. It is imperative that organisations ensure that patients formally elect to be treated as a veteran at each admission and that they collect and provide to the department the eligible veteran’s name, DVA unique identifier, date of birth and sex. The department will not accept any risk for assumed revenue lost by not meeting DVA eligibility requirements. Health services are required to reclassify rejected records as public and transmit the revised records to the department, as is the case with other rejected compensable records. For each hospital, the department will estimate eligible DVA patient/client/attendee throughput for the following services, which attract a premium: Admitted patient services: • WIES • Subacute services, e.g. rehabilitation, GEM and palliative care • PAC • Victorian Maintenance Dialysis Program • NHT maintenance care • Mental health services. Non-admitted patient services: • VACS encounters • Allied health occasions of service (in VACS-funded hospitals) • Non-admitted radiotherapy weighted activity units (WAU). The premium to both the private patient WIES price and public price for other services is payable for all eligible DVA patients matched with DVA records, as reported in the VAED or appropriate outpatient data system, including numbers in excess of the estimate. If health services do not achieve the DVA target, any funding that has been cash flowed will be recalled at the full DVA rate. It is imperative that health services ensure that their own records and reporting to the department are complete, comprehensive and timely. Under the current DVA Hospital Services Arrangement with Victoria if the hospitalisation of an eligible veteran is likely to exceed a continuous period of 35 days, DVA still requires that health services ensure that the veteran’s status is reviewed and that either: • a certificate similar to that previously required under Section 3B of the Health Insurance Act 1973 is completed by a medical practitioner and forwarded to: Public Hospital Contract Manager c/o Department of Veteran Affairs 300 La Trobe Street Melbourne VIC 3000 Or • the beneficiary is reclassified to a NHT patient and the changed status and payment adjusted accordingly.
Page 80 Where an admitted veteran’s length of stay is greater than 35 days and the health service has not forwarded an acute care certificate to DVA, reimbursement will be made at the NHT patient payment rate. For all throughput-based services included in this section, final payment for treatment of veterans will only be authorised after: • the veteran’s eligibility has been confirmed by DVA • the veteran’s DVA unique identifier and veteran details reported to the department exactly match those held by the DVA for each eligible patient/resident/attendee. Health services should ensure that patients firstly, are recognised as DVA veterans and secondly, that the appropriate records for DVA are in place. Health services should be aware that in the event that these two criteria are not met, they will need to retrospectively reclassify patients. It should be noted that, to date, the department has borne the risk for ineligible veteran records. This decision was made in recognition of timing of the reconciliation process. As the timing of reconciliation process improves, this requirement will continue to be strictly enforced in 201112 and hospital funding adjusted. Eligible veterans will not be covered under the DVA arrangement if they: • do not elect to be treated as a DVA patient • elect to be public patients under the NHA • are other compensable patients, such as TAC and WorkSafe Victoria patients • elect to use their private health insurance. Veterans who are reclassified to NHT patients may be charged a patient contribution, in line with the provisions of the Health Insurance Act 1973. Experience has shown that those health services that actively develop service quality and marketing plans and employ veteran or patient liaison officers are more likely to retain DVA patients. Eligible veterans and war widow(er)s have access to a wide range of benefits and services through the DVA. These include (but are not limited to) hospital, medical and allied health services, respite and convalescent care, rehabilitation aids and appliances, assistance with transport and accommodation allowance. Further details can be obtained under DVA facts or health from the internet at: www.dva.gov.au/Pages/home.aspx
DVA and the Transition Care Program The Transition Care Program is available to all members of the Australian community including DVA- entitled patients as there are no separate funding arrangements in place for DVA-entitled patients. DVA will however fund the patient contribution for veterans who are former prisoners of war.
DVA and restorative care Hospitals should note that in 201011 DVA agreed to separately fund veterans' access to the Restorative Care Program on a reconcilable basis for eligible veterans. This funding methodology will continue in 201112.
DVA and subacute ambulatory care services In 2011–12, SACS-funded services will be block funded for DVA patients with the aim of moving to throughput-based service provision in 201213.
Transport Accident Commission patients WIES funding of Transport Accident Commission (TAC) admitted patients in public hospitals, health services and separate trauma-related specified payments will continue to apply in 201112. TAC WIES throughput is uncapped (refer to Hospital circular 4/2008).
Page 81 Rates for Rehabilitation 1 and Rehabilitation 2 will be paid at the TAC specific rate. All other services will be paid at the public rate. TAC rates may be viewed at: www.dhs.vic.gov.au/feesandcharges/index Funding for TAC patients is provided to the department by the TAC. This is cash flowed to health services throughout the year and adjusted to actual at year end based on data reconciled with the TAC. Separate uncapped TAC WIES targets are incorporated into hospital budgets for 201112 based on throughput previously reported in the VAED. Health services will continue to receive WIES throughput and trauma specific payments for TAC patients from the department. Hospitals, however, will need to continue to charge TAC directly for the specialist medical and imaging costs associated with these admitted patient episodes, rehabilitation and non- admitted patient services. For the department to receive payment from TAC, TAC must accept the claim and issue a claim number. The patient information reported by the health services to the department via Patient Reporting System – Second version (PRS/2) must match those held by TAC for each admitted patient separation. Details of the new data elements required to assist in this process are published in the specifications for revision to PRS/2 and the VAED as updated at: www.health.vic.gov.au/hdss/ The department will pay a rate applicable for all accepted TAC patients matched with TAC records (as reported in the VAED) including numbers in excess of the target. If hospitals do not achieve the TAC target, any funding which has been cash flowed will be recalled at the full TAC rate. It is imperative that health services ensure that their own records are complete, comprehensive and timely. The department will cash flow TAC funding to accepted TAC cases. Where a TAC claim is later rejected, the department will automatically fund the claim using public WIES in the prior year adjustment process unless the hospital has exceeded its WIES target. Health services should ensure that TAC records are updated in the PRS/2 with monthly information fed back by the department. This will ensure that updated records will be accepted by TAC and minimises delays in reconciling activity and payment for records with TAC. Health services should ensure they proactively identify and resolve errors before sending data to the TAC or the department. Errors that are not accurately corrected by health services such as an incorrect date of birth continually cycle through both the department and the TAC databases and remain unmatched and consequently unfunded. This requires additional review, reconciliation and problem solving by the health service, department and the TAC. Health services are required to ensure that information is entered with a high level of accuracy to minimise errors. Health services should also be proactive in identifying and remedying anomalies prior to transmitting data to the VAED. Patients are required to complete and sign a TAC claim form and health services should make themselves aware of the form’s specific requirements. Where health services data does not exactly match the details a patient has entered on a claim form there will be significant delays in payment from the TAC while health services, the TAC and the department address these errors. Where a claim is not accepted by TAC, either: • additional or corrected information is required to be transmitted by health services to allow the claim to be accepted, or • claims should be retrospectively reclassified to reflect the patient’s care type and changed preferences indicated by the patient on the form of election for admission. Any resulting health service funding adjustments will be undertaken through the prior year adjustment process.
Page 82 WorkSafe Victoria WorkSafe Victoria patients treated in Victorian public hospitals and health services are directly funded by WorkSafe insurers. This process will continue in 201112 at the rates agreed with WorkSafe Victoria on behalf of health services, by the department. Any amendments to the current services and prices will be documented in advisory circulars and on the department’s fees and charges website at: www.health.vic.gov.au/feesman/index
3.2.7 Hospital medical officers on rotation to external hospitals Many training programs for Hospital Medical Officers (HMOs) involve a rotation to a site other than their parent health service. The parent health service is responsible for managing and paying the annual leave of HMOs on rotation, and where annual (or other) leave is planned within the rotation period, both health services should approve this leave. The external health service is not to pay out annual leave, as this is included in the overheads paid to the parent health service (refer to Hospital circular 2/2005). The parent health service will make every endeavour to organise suitable relief when a seconded HMO takes other leave (either planned or unexpected) for greater than one week. The parent health service will also make every endeavour to ensure that the relieving HMO has commensurate experience and skills to ensure that the expected level of service in the external health service can continue to be provided. These arrangements for the managing and payment of annual leave and assistance with extended absences also apply to registrars on rotation to external health services.
3.2.8 Accountability for visiting medical officer payments Health services that have engaged medical practitioners on a fee-for-service basis are required to establish and maintain appropriate accountability procedures over these payments. These financial controls are in addition to standard employment conditions for providers, such as regular review of credentials and clinical privileges. The type of accountability measures to be established will vary according to the size of the organisation and the extent to which fee-for-service arrangements are used. Accountability measures include: • the installation and use of purpose-specific software to monitor and audit claims • conducting a regular manual audit of fee-for-service claims – comprehensive or random establishment and/or review of guidelines and procedures governing the administration and payment of fee-for-service costs ensuring that contractual agreements are current for all providers who are remunerated on a fee-for-service basis, and that all such contracts clearly specify applicable rates and conditions of payment reviewing trends in service delivery and outputs for patient care provided on a fee-for-service basis • the department, from time to time, requiring organisations to report on the nature and extent of fee- for-service claims and the accountability measures that have been put in place to monitor claims.
3.2.9 Casemix Casemix-based funding is an activity-based method of allocating funds that provides funding to purchase an agreed volume of work at an agreed price. It is the main funding model currently used in Victorian healthcare services for reimbursement of the cost of admitted patient care. Casemix refers to the use of classifications that bundle patient care episodes into clinically coherent and resource homogeneous groups. Casemix commonly means the mix of types of patients treated by a hospital.
Page 83 The essence of casemix funding is that hospitals are funded for the amount and type of work they undertake. Casemix is a more equitable method of funding than historical or block funding and encourages efficiency because hospitals are funded according to industry standards and for like services. Patient-based funding is clearly appropriate for patient services but not all hospital services are related to the provision of current patient services, nor are all services equivalent. It is for these reasons that separate/additional funding is provided for training and development, specified grants for selected services; and to strengthen the availability of services (waiting list bonuses, and so on). More detail on the casemix funding model is provided in Part three: Technical guidelines, including the formulation of cost weights, an explanation of the inliers and outliers and WIES co-payments. Further information on casemix is also available at: http://www.health.vic.gov.au/casemix
3.2.10 Weighted Inlier Equivalent Separation In 201112 the unit of measure for casemix adjusted throughput will be known as WIES18. WIES18 cost weights have been developed based on 2009–10 inpatient cost data as reported by 59 Victorian public hospitals to the Victorian Cost Data Collection. Full technical details for WIES18 are contained in the Part three: Technical guidelines. The following changes from the 201011 funding model (WIES17) have been introduced this year: • The version 6.0 AR-DRG O60Z (Vaginal Delivery) has been split into three DRGs, namely O60A (Vaginal Delivery W Catastrophic or Severe CC), O60B (Vaginal Delivery W/O Catastrophic or Severe CC) and O60C (Vaginal Delivery Single Uncomplicated W/O Other Condition); this change more closely aligns funding with costs reported across a wider range of maternity health services. • WIES18 is formulated to account for the anticipated impact on DRG grouping (and hence WIES18 allocation) arising from the adoption of 7th Edition ICD-10-AM coding for diabetes and for anaemia in neoplasm and chronic disease. • For DRGs D12Z (Other Ear, Nose, Mouth and Throat Procedures) and N11Z (Other Female Reproductive System OR Procedures), WIES18 same-day cost weights are based on the actual cost of same-day cases to more closely align funding with reported costs. • For DRGs: C61B (Neurological and Vascular Disorders of the Eye W/O CC), E73B (Pleural Effusion W Severe or Moderate CC), H61B (Malignancy of Hepatobiliary System, Pancreas W/O Catastrophic CC), I67B (Septic Arthritis W/O Catastrophic or Severe CC), M06B (Other Male Reproductive System OR Procedures W/O CC) and T60 (Septicaemia W/O catastrophic CC), WIES18 one-day cost weights are based on the actual cost of one-day cases to more closely align funding with reported costs. • Percutaneous aortic valve replacements (using percutaneous balloon aortic valvuloplasty) will not be WIES-funded in 201112 as this device/procedure is not approved by the Therapeutic Goods Administration. • WIES18 cost weights exclude all reported S100 and PBS drug costs from same-day cases across all DRGs except L61Z (Haemodialysis) and R63Z (Chemotherapy). This change recognises that S100 and PBS drug costs for same-day inpatients are funded through Commonwealth reimbursement and that reported S100 and PBS drug costs have increased markedly since 200809.
3.2.11 Victorian Ambulatory Classification and Funding System VACS is a form of casemix model and an outpatient classification and monitoring system used in VACS-funded hospitals. From 1 July 2011, 18 health services will be VACS funded. This includes the introduction of Werribee Mercy Hospital, Williamstown Hospital, Angliss Hospital, Sandringham Hospital and Sandringham Health service to VACS funding in 201112.
Page 84 VACS provides a more equitable and accountable system than the historically based outpatient non- admitted grants provided to Victorian public hospitals prior to the introduction of VACS. In addition to VACS, smaller Victorian public hospitals remain funded through the traditional non-admitted outpatient grants. VACS hospitals report patient visits as either bundled encounters, or occasions of service. Encounters refer to visits within one of the 35 VACS-weighted medical/surgical clinic categories, whereas occasions of services refer to visits within one of the 11 VACS allied health unweighted categories. The department routinely calculates the VACS weights for the 35 medical/surgical clinic categories using costing data provided by VACS hospitals, to determine annual budgets and targets. Allied Health targets and budgets are calculated at a common set rate. Technical details relating to VACS 201112 and the calculation of health services funding is available in Part three: Technical guidelines. For more information on the VACS funding model visit: www.health.vic.gov.au/vacs/
3.2.12 Non-admitted Emergency Services Grant Patients admitted through emergency departments are funded as part of the general casemix funding including WIES payments, training and development and specified grants. Emergency departments provide different levels of service and provide services to non-admitted as well as admitted patients. The heterogeneity, shortness of time of treatment and need to keep administration to a minimum means that classification and costing will always be approximate. The Non-admitted Emergency Services Grant (NAESG) recognises there is an availability component provided by the hospital in terms of its general services and in the emergency department itself, regardless of the level of attendances. This grant also recognises the level of non-admitted activity. Because of the difficulty in identifying the precise availability costs, the proportion provided is allocated on the proportion of non-same day emergency WIES as the best available measure. This grant is provided to hospitals with emergency departments with a 24-hour service. More detail on the calculation for the NAESG is provided in Part three: Technical guidelines.
3.2.13 Payments for specified purposes Additional payments are provided to hospitals each year for specific, agreed services. Where the grant is based on a particular level of service and there is a significant reduction in such services, the grant may be reduced during the course of the financial year. A significant change is defined as a reduction in service levels of more than ten per cent.
Specified grants review In 201112 the number of acute health grants has been reduced through: • identifying grants that could be amalgamated into broader grant descriptions that capture the same funding intentions. The amalgamation of grants will only impact the number of funding lines and reporting processes and will not affect the total amount of grants funding received by health services. A list of grants affected by this work is provided in Table 66 at Appendix 5. • the roll up of a number of block grants into the relevant price within each peer group. This has included EBA, defined benefits superannuation and bonus funding grants. In addition a proportion of the previous savings are also being rolled into price. A list of grants affected by this work is provided at Appendix 5.
Page 85 3.2.14 The Casemix Rehabilitation and Funding Tree VicRehab is the funding system for Victoria's Designated Rehabilitation Units with 20 beds or more. The Casemix Rehabilitation and Funding Tree (CRAFT) is the classification model that underpins VicRehab. As well as CRAFT funding (episode based), VicRehab also incorporates Level 1 bed-day funding (a higher funding rate for the first post-acute episode of rehabilitation for amputee, spinal and major head injury/trauma patients), and Special Level 2 bed-day funding for amputee, spinal, major head injury/trauma and burns patients where the rehabilitation is not the first post-acute episode. Because these patients are relatively few in number and highly variable in length of stay and cost, they are funded on a bed-day rate rather than an episode-based rate to reduce the financial risk to health services. More detail on the CRAFT model is provided in Part three: Technical guidelines.
3.2.15 Non-admitted Patient Radiotherapy Funding The department funds admitted and non-admitted patient services provided by public health services. Admitted patients are funded under the casemix system and non-admitted patients are funded under the Non-admitted Patient Radiotherapy Funding model. Under this model, the various components of a course of radiotherapy (consultations, simulation, dosimetry and treatment) are weighted by the cost weights, developed for non-admitted services. The Non-admitted Patient Radiotherapy Funding model is comprised of: • a variable payment per weights activity unit (WAU) up to set targets for public, DVA and private patient categories • a DVA premium (where applicable) above the combined variable and associated department cost payment • a private revenue target. The radiotherapy budget is calculated as follows: (target non-DVA WAUs x price per WAU) plus (Target DVA WAUs x price per WAU x 1.21) less the private revenue target. Health services (including their spokes) that are funded under the Non-admitted Patient Radiotherapy Funding model are: • The Alfred • Austin Health • Geelong Hospital • Peter MacCallum Cancer Centre. More information on funding non-admitted radiotherapy activity is provided at: www.health.vic.gov.au/radiotherapy/funding
Page 86 3.2.16 Renal health The department will provide additional funding in 201112 to support increased kidney transplantation. The annual recurrent budget for dialysis is paid through a two-tier funding model that includes a capitation grant paid to the hub hospitals and a variable (WIES) payment paid directly to the in-centre and satellite providers. Capitation grants cover a set of costs that are not covered by the WIES case payment, and are associated with treatment provided to patients managed within the service network. There is great variability across the state in the uptake of home dialysis, and the incentive payment for home haemodialysis specifically has not realised an increase in rates. Therefore in 201112 the department will amend capitation payments to acknowledge the benefits of both home haemodialysis and peritoneal dialysis. In 201112 there will be two capitation payments for facility dialysis and home dialysis. The home dialysis capitation payment will comprise an average of the 201011 peritoneal and home dialysis payments, bringing the new home payment to $50,988. The policy of 201011 to increase home haemodialysis rates statewide to 10 per cent will be replaced with a consolidated statewide home dialysis rate, including peritoneal and home haemodialysis, of 35 per cent. Home dialysis rates will be audited throughout 201112. Funding for dialysis services will continue to be based on actual activity in 201112. Health services are encouraged to quarantine their renal budgets until all adjustments have occurred. In 201112, the WIES cost weight for DRG L61Z remains at 0.0591. Further detail on the dialysis funding model can be found in Part three: Technical guidelines. Further information about capitation grant rates and renal services funding is available at: www.health.vic.gov.au/renaldialysis
3.2.17 Subacute ambulatory care Subacute ambulatory care refers to non-admitted services that are provided generally through community rehabilitation centres or on a non-admitted basis at extended care centres, and major subacute facilities. The SACS framework and consolidated funding streams, comprising state (non-DVA) SACS funding and DVA SACS funding, enable health services to use the funds to deliver flexible services in a range of care settings in response to clients’ identified needs. Health services will need to ensure that clients requiring SACS on transition from a hospital stay, have priority of access to these services and the client’s continuum of care is effectively maintained. The SACS funding and targets for 201112 are included at Appendix 2.
3.2.18 Transition Care Program The TCP is jointly funded by the Commonwealth and state and territory governments. Daily care fees for recipients of the TCP are determined by the Commonwealth under the Aged Care Act 1997. Maximum care fee charges must not exceed 84 per cent of the basic single age pension for care delivered in a bed-based setting and 17.5 per cent of the basic single age pension for care delivered in a home-based setting. Such fees may be adjusted twice yearly (March and September) in line with the CPI, which also affects the age pension payment. Commonwealth Government subsidies are provided directly to health services by Medicare Australia and paid on a monthly advance and acquit basis for occupied places. Health services are required to submit a monthly claim form directly to Medicare Australia for payment.
Page 87 Commonwealth Government subsidies are paid for up to 12 weeks (with provision for an extension of up to six weeks) for each client, up to the maximum number of approved TCP places at each health service. The Victorian Government subsidy in 20112 for bed-based places is $139 per patient per day and for home-based places is $36 per patient, per day. Where a TCP client stay exceeds the specified timeframe, the department will consider providing health services with further financial support. To access this additional funding health services must notify and provide a report to the department of any potential discharge challenges on a quarterly basis. Where a person is occupying a bed-based place, the government will provide payment of the Commonwealth subsidy. Where a person is occupying a home-based place, payment will be based on actual costs incurred (up to a maximum of the full home-based TCP payment rate). The department will then make payment in arrears based on actual separated activity beyond 18 weeks. Data will be monitored on a regular basis to contain risk for both health services and the department. If costs appear unsustainable, the department will review the way these cases are managed. Any modifications to the approach will be discussed with health services in advance of any change.
3.2.19 Palliative care Funding for designated palliative care beds is at the palliative care bed day rate. Palliative care targets are established for inpatient services for non-DVA and DVA activity (see Appendix 2). Funding for DVA activity is uncapped while state funded non-DVA activity is capped. Health services in rural areas that have exceeded their bed day targets may be able to convert WIES to palliative care after consultation with the department. Changes to targets at a rural or metropolitan health service can only be undertaken after consultation and agreement with the department. All community palliative care services have an interim target for the number of contacts in 201112. In 201112 the activity level of each community palliative care will not be subject to funding recall or additional payments when compared to interim budgets.
Unassigned bed fund The primary aim of the unassigned bed fund is to fund the hire or purchase of equipment or services that will allow palliative care clients to remain at home without compromising their quality of care when they would otherwise require admission or an inpatient setting. The unassigned bed fund is designed to fund services or equipment that a community palliative care service would not normally provide as part of its standard service or which are over and above the level of usual service provision. Services with unassigned bed funding must be able to monitor and acquit unassigned bed fund expenditure separate from universal budget reporting. Guidelines for expenditure of the unassigned bed fund are available at: www.health.vic.gov.au/palliativecare/ubf
Page 88 3.2.20 Rehabilitation, Restorative Care and Geriatric Evaluation and Management Rehabilitation, Geriatric Evaluation and Management (GEM) and restorative care services are delivered in both inpatient (admitted) and ambulatory (non-admitted) settings. Funding for rehabilitation, GEM and restorative care inpatient services is based on output based funding. In 201112, there will continue to be a mixture of episode-based and per diem funding. Further information regarding rehabilitation, GEM and restorative care is available at: www.health.vic.gov.au/subacute Admitted rehabilitation, GEM and restorative care are subject to the subacute wrap and recall, which are outlined in these Guidelines.
Rehabilitation Details of the Casemix and Rehabilitation Funding Tree (CRAFT) that underpins the VicRehab funding system, and the CRAFT calculator for determining episode payments can be found in Part three: Technical guidelines, and at: www.health.vic.gov.au/casemix Funding for designated subacute rehabilitation units with less than 20 beds is on a per diem basis. General rehabilitation services in non-designated acute hospitals continue to be funded through the casemix funding arrangements. For 201112, DVA rehabilitation funding in VicRehab organisations will continue to be on a per diem basis for both Level 1 and Level 2 rehabilitation. Level 1 and Level 2 rehabilitation services in designated non-VicRehab organisations will continue to be funded on a per diem basis. These rates along with CRAFT funding rates are provided in Part three: Technical guidelines.
Geriatric evaluation and management GEM services for both VicRehab and non-VicRehab organisations will be funded on a per diem basis in 201112.
Page 89 3.2.21 Small rural health services The SRHS funding model and the SRHS output group was introduced in 200304 and includes 44 SRHS that deliver public admitted acute services. A number of other services such as bush nursing centres and community health services that are located in smaller rural towns are also included in the SRHS output group. The model gives organisations more flexibility in determining service type and volume and more opportunity to be active in the planning and management of health service delivery to meet local needs, to involve the community and to be active in collaborative planning and service delivery arrangements with neighbouring health service providers. The funding is organised in the following outputs: • small rural services acute health • small rural services aged care • small rural services HACC • small rural services primary health. Small rural health services outputs and activities are provided in Appendix 7. Funding to organisations under service agreements is provided at the activity level and is organised under one or more service plans. Each service plan covers one or more related activities.
Table 9: Small rural health services - service plans
Service plan Activity no. Activity name Bush Nursing Hospitals – 35051 Acute Health - Bush Nursing Hospitals Acute Health Small Rural Health 35002 Small Rural - Annual Provision - Minor Works (INVEST) Services 35010 Small Rural - Aged Support Services
35011 Small Rural - Residential Aged Care 35024 Small Rural - Flexible Health Service Delivery 35025 Small Rural - TAC - Acute Health 35026 Small Rural - DVA - Acute Health 35028 Small Rural - Acute Health Service System Development and Resourcing 35030 Small Rural – HACC Health Care and Support 35036 Small Rural - DVA HACC 35042 Small Rural - Drugs Services 35048 Small Rural - Primary Health Flexible Services 35052 Small Rural - Specified Services
3.2.22 Perinatal autopsy service The Consultative Council on Obstetric and Paediatric Mortality and Morbidity (CCOPMM) is the advisory body to the Minister for Health on maternal, perinatal and paediatric mortality and morbidity. The information CCOPMM obtains through the Perinatal Autopsy Services is critical for it to fulfil its statutory functions under the Public Health and Wellbeing Act 2008. Currently health and pathology services are required to submit individual invoices to receive this funding, with the funding being provided at an agreed rate, to services within Victoria undertaking perinatal autopsies. A review of this service is currently being conducted and it is anticipated that referral guidelines will be available in the later part of 2011. Further information can be obtained by contacting the Clinical Councils Unit on 9096 7022.
Page 90 3.2.23 Health Technology Program Health technology includes prostheses, implantable devices, diagnostic tests, medical or surgical procedures and high cost pharmaceuticals. In 201112, the department will continue to work closely with health service new technology committees around information sharing, supporting collaborative ventures between health services and enhancing local processes supporting local health technology uptake. In order to facilitate the submission and implementation processes for the 201213 New Technology Program, the department will call for an expression-of-interest (EOI) for funding in June 2011, to close July 2011. Health services will be notified of short-listed EOIs, which are to be developed into full submissions, in August/September 2011, deadline November 2011. The deadlines have been brought forward from previous years to enable implementation from July 2012. Information about the Health Technology Program, proformas for EOIs and full submissions and documents informing improvements to the department’s approach to enhancing decision making and appropriate uptake of health technology is at: www.health.vic.gov.au/newtech
3.2.24 Support and self help group grants Grants are available to assist and support self-help groups within health services and the community with operational and administration costs. The grants will enable patients to support each other, cope with their conditions and improve the overall patient experience and wellbeing. Further information on the support and self help group grants is available at: www.health.vic.gov.au/pch
3.2.25 Long service leave The department assumes the liability arising from the net increase in the long service leave provision of public health services. Refer to Hospital Circular 14/2009 for more details on funding, accounting and reporting of long service leave, in effect from 1 July 2009. In 201112, the department will continue to assume the liability arising from the net increase in the long service leave provision of public hospitals and health services. As in 201011, the department will fund an amount of 2.8 per cent through the funding model as a contribution to an organisation’s long service leave liability. The difference between this contribution and the health service’s annual provision will be accounted for by services through the creation of a non-cash long service leave revenue and receivable from the department for the same amount. More details are found in Hospital Circular 14/2009.
3.2.26 Medical indemnity insurance premium The department, in conjunction with the Victorian Managed Insurance Authority, has developed the Premium Allocation Model to be used as a tool to inform risk management practices. For health services listed at Appendix 6, the model will be used to determine the cost of its medical indemnity insurance premium (only) payable by a health service to the Victorian Managed Insurance Authority. It bases its determination on a combination of past claims performance and clinical service risk profiles and then allocates a premium for health service’s clinical risk profile. The model has been under trial since January 2008 and will now be implemented in relevant health services on 1 July 2011. While the information provided by the tool will be useful for all clinical areas within relevant health services, its use will be critical for clinical risk managers and how they integrate it with existing risk management practices and tools. Arrangements for the funding of medical indemnity premiums for all other health services, and all health services’ non-medical indemnity premiums, such as public liability insurance premiums, will remain unchanged from 201011.
Page 91 3.3 Ambulance services AV is currently funded through a mix of the following sources: • government grants • membership fees • third party patient fees from hospitals, WorkSafe and TAC • full fee paying patients. The government has provided funding of $369.9 million in 201112, an increase of 26 per cent from 2010–11, as a contribution to operational costs and capital improvements. Other major revenue received by AV is collected as a fee for service payment or through the ambulance membership subscription scheme. Further information about ambulance fees is available at: www.health.vic.gov.au/ambulance/fees
3.3.1 Halving of the Ambulance Victoria membership subscription scheme fees From 1 July 2011 the cost of AV membership will be halved to provide more affordable access to ambulance services and reduce the cost of living pressures on Victorians. Additional government funding has been provided to support this initiative.
3.4 Mental health funding Mental health services are provided in both inpatient and community-based services. Inpatient services, including forensic inpatient services, are funded via a mix of fixed-bed availability grants (block funding) and variable activity-based bed day funding. Grants are calculated based on historical funding allocations. Community-based services are funded through variable equivalent full time (EFT) rates depending on historical funding allocations. Targets for the number of service hours to be provided are set per health service, and calculated on the hours of service provided per clinician, adjusted for historical and projected service levels.
3.4.1 Clinical care funding and prices Mental health clinical services are funded through three main mechanisms: 1. Specified grants – block funding/historical 2. Unit funding – available bed days and EFT 3. Submissions.
Bed-based services New recurrent funding is to be allocated in 201112 to enable the commissioning of four new acute inpatient beds as part of transitioning the adolescent beds to the new Royal Children’s Hospital, and extending funding to enhance bed capacity at the vacated site at Footscray. Block funded grants paid in 201011 for bed-based services have been incorporated into the 201112 inpatient bed-day prices.
Ambulatory services EFT prices for clinical ambulatory service outputs vary depending on historical funding allocations adjusted for CPI and award increases.
Page 92 3.4.2 New mental health activities The following table shows new mental health activities introduced during 201011 and for new programs commencing during 201112.
Table 10: New mental health activity descriptions
Activity Activity Name Description Number
15061 Care Coordination Care coordination supports recovery and addresses social exclusion of clients with severe mental illness and multiple needs by coordinating care and providing practical support to access the range of mental and general health and social support services to achieve symptom stability, long term recovery, social and family engagement including improved housing stability.
15275 Carer Support Program - The Mental Health Carer Support Fund Brokerage are discretionary Brokerage funds accessed by carers of people with mental illness receiving treatment from area mental health services and a selection of statewide specialist services. The funds meet some of the direct and indirect costs related to the caring role to promote and sustain a caring relationship.
15365 National Perinatal Depression The intention of the plan is to improve early detection of antenatal Initiative and postnatal depression and to provide better support and treatment for expectant and new mothers experiencing depression.
3.4.3 Outputs and outcomes
Psychiatric rehabilitation support services performance targets Funding for PDRSS activities is output based. Organisations should use the Funded Agency Channel to determine their targets for PDRSS services and note that these represent the minimum deliverables expected for the funding provided.
Table 11: PDRSS targets as per Service Delivery: Budget Paper No.3
Bed days Clients receiving Contact Hours psychiatric disability (‘000) support services
Target to be achieved 87,000 12,500 1,183,000
Ambulatory output measures In 201011 the department established formal ‘service hours’ targets for community activity, in view of the expected introduction of activity-based funding across all hospital services over the next two to four years. Service hours are the same as contact hours, except that group sessions for registered clients are measured from a clinician perspective (i.e. clinician hours). This is done by dividing the recorded group session duration by the number of registered clients, and multiplying by the number of clinicians delivering the session. The department undertook modelling in 201011 in order to determine an appropriate funding rate per service hour. This has been indexed for 201112 with a new funding rate of $331 per service hour to be used in setting targets. Targets for 201112 take into account the full year effect of new funding provided during 201011 and are provided in Table 12.
Page 93 Table 12: Ambulatory, inpatient and residential targets
Community-based services Inpatient services
Ambulatory Available beds1 service 2 3 hours PARC CCU Aged Acute Non- Health service Resid’l acute
Alfred Health 64,000 10 20 30 73
Austin Health 47,400 204 874 284
Ballarat Health 41,000 20 325 35 12
Barwon Health 53,900 102 12 45 246 3
Bendigo Health 61,100 10 12 30 34 8
Eastern Health 110,400 202 443 60 117
Goulburn Valley Health 29,700 10 10 20 20
Latrobe Regional Hospital 61,000 10 14 10 37 6
Melbourne Health 187,000 40 80 152 215 26
Mercy Public Hospitals Inc 39,200 10 20 37
Mildura Base Hospital 17,000 12
NE Vic Mental Health Services7 36,000 26 15 20
Peninsula Health 48,400 20 48 44
Royal Children's Hospital 31,000 12
South West Health Care 29,000 2 145 15 3
Southern Health 118,700 20 40 94 1536 20
St Vincent's Health 50,000 20 60 64
Forensicare 5,000 40 78
TOTAL 1,029,800 140 340 630 1,039 184 Notes: 1. Available bedday targets derived by multiplying bed figures by 365, except Austin Health since the new veterans ward to be commissioned in 2010–11 will have 20 beds, five fewer than at present. 2. Includes six day places (four at Barwon Health and two at Eastern Health). 3. Includes four specialist statewide (borderline personality disorder) beds at Spectrum. 4. Includes specialist brain disorder beds at Royal Talbot campus. 5. Includes 26 beds in associated health services - 12 for Ballarat, 14 for South West Health Care. 6. Excludes additional beds to be opened in 2010–11 (40 PARC and 33 acute inpatient), and temporary closures associated with the Dandenong Hospital redevelopment. 7. North East Victoria Mental Health Services is composed of Beechworth Health, Albury-Wodonga Health (Wodonga Campus Mental Health Service) and Northeast Health Wangaratta Mental Health Services.
Page 94 3.5 Drug services Funding for drug treatment and rehabilitation services is based on an outcome-focussed model. The model requires clients to achieve at least one nominated significant treatment goal in a given course of treatment to be counted as an episode of care for funding purposes. The model acknowledges that not all courses of treatment will result in a significant treatment goal being achieved, and this is taken into account in setting both unit prices and activity targets. In addition, some activities (for example, research) are funded via block grants.
3.5.1 Drug prevention and control funding and prices The main mechanisms for funding drug prevention and control activities are specified grants (block funding/historical funding) and submissions.
3.5.2 Drug treatment and rehabilitation services funding and prices The Victorian Auditor-General’s report ‘Managing drug and alcohol prevention and treatment services’, tabled in Parliament on 2 March 2011, highlights the need to implement sector reforms and specifically recommends a review of the unit prices and the measures used to derive unit prices. The government is currently considering the reform of the treatment system and this process will address the issue of funding. Funding for drug treatment and rehabilitation services is based on an outcome-focussed model which requires clients to achieve at least one nominated significant treatment goal in a given course of treatment to be counted as an episode of care for funding purposes. The formal definition of an episode of care is a completed course of treatment undertaken by a client under the care of an alcohol and drug worker, which achieves at least one significant treatment goal. The model acknowledges that not all courses of treatment will result in a significant treatment goal being achieved, and this is taken into account in both unit prices set and targets expected. Unit prices are based on one of the following approaches for: • an equivalent full-time worker (38 hours per week) • a residential service whose outputs are separations per bed per annum based on average lengths of stay • a service where a team of workers may be involved in order to deliver the required episodes of care • other services. While most alcohol and other drug services are funded on the basis of an episode of care, some grants, such as research, are funded on the basis of a block grant.
Page 95 3.5.3 New drug services activities The following table shows new drug services activities introduced during 201011 and for new programs commencing during 201112.
Table 13: New drug services activity descriptions
Activity Activity Name Description Number
34084 Therapeutic Counselling Therapeutic counselling, consultancy and continuing care to provide a range of interventions, appropriate to the needs of clients within the spectrum of problematic alcohol and other drug use, to assist change in substance using behaviour
34214 Severe Substance Dependence Specified services provided under the Severe Substance Treatment Withdrawal Services Dependence Treatment Act, including coordination of client care, individual care planning and ensuring clients are linked into services in their local area that provide appropriate care and support.
3.5.4 Outputs and outcomes Organisations should use the Funded Agency Channel to determine their targets for drugs services and note that these represent the minimum deliverables expected for the funding provided. Organisations consequently may report higher levels of service delivery.
Table 14: Alcohol and drug services output measures
Measure or indicator Unit Government target
Average working days between screening of client and Number of days 3 commencement of community-based drug treatment
Average working days between screening of client and Number of days 6 commencement of residential drug treatment
While the department will be examining all output measures as part of the wider alcohol and other drug reform agenda for 201112, the department has introduced one new drug prevention and control output measure and three new treatment and rehabilitation output measures: • Number of telephone, email and in person responses to queries and requests for information on alcohol and drug issues (through the Alcohol and Drug Foundation). • Number of new residential withdrawal client.: This measure is intended to show the volume of withdrawal clients who have not accessed a residential withdrawal service within the last five years. This measure is a proxy for the extent to which the system is responding to increasing population demand as opposed to providing more services to existing clients. • Percentage of residential rehabilitation courses of treatment greater than 65 days. Evidence suggests that retention in treatment is an important factor in recovery hence the department considers this to be a reasonable proxy measure of quality/effectiveness.
Page 96 3.6 Aged care
Ageing, Aged and Home Care funding is distributed according to the following programs: • HACC services • ACAS assessment, projects and evaluation • Residential aged care supplements • Carer support services • Victorian Eyecare services • Low cost accommodation support programs • Dementia services • Seniors health promotion • Victorian seniors festival • Positive ageing programs • Healthy and active living • Seniors card and companion card
New activities for 201112 are outlined in Table 15.
Table 15: Additional ageing, aged and home care services activity descriptions for 201112
Activity Activity Name Description Number
13352 Victorian Seniors Festival Events and activities associated with the Victorian Seniors Festival including grants to local councils, Victorian Senior of the Year and festival communications and publicity.
13354 Elder Abuse Prevention Implementation of the elder abuse prevention strategy including Strategy funding for Seniors Rights Victoria, communications and awareness raising, professional education and communication education.
13355 Seniors Community Programs Grant Programs for older people in the community such as Community Registers
13356 Information and Lifelong Recurrent funding programs for seniors information and support Learning including U3A Growth Strategy and Seniors Information Victoria.
3.6.1 Public sector residential aged care In 201112, the department will continue to provide top up funding to public sector residential aged care services to support viability of small rural services, services supporting residents with specialised care needs and additional cost of public sector workforce. The department has consolidated pre-existing block funding and EBA-related unit priced funding provided to high care places in to a new ‘High Care Supplement’ to be provided to all eligible operational high care beds on a standardised unit price basis. This change is to be introduced concurrent with changes to private patient revenue changes in the acute/subacute program. Transitional arrangements will be implemented for organisations where a net reduction in funding is projected.
Page 97 3.6.2 Supported Residential Services and accommodation support In 201112, a range of community service organisations will continue to receive funding for a range of initiatives that aim to: • improve the viability of pension level Supported Residential Services (SRS) and quality of life of residents of those services (via the SRS Supporting Accommodation for Vulnerable Victorians Initiative (SAVVI)) • improve the oral health of pension level SRS residents, and help secure stable tenancies for people who are homeless or at risk of homelessness. A range of changes to the SAVVI guidelines will be introduced over 201112 to streamline processes and simplify reporting where possible.
3.6.3 Aged Care Assessment program ACAS continue to focus on the timely delivery of consistent, high quality assessments for people needing access to health and aged care services. In 201112 ACAS projects will support this emphasis through: • implementing guidelines to streamline assessment pathways between ACAS and HACC Assessment services • consolidating linkages with acute and subacute services • improving efficiencies in ACAS business processes • strengthening the delivery of statewide training. Ongoing evaluation of the program is provided by the Lincoln Centre for Research on Ageing.
3.6.4 Seniors programs and participation The former Office of Senior Victorians has moved from the Department of Planning and Community Development to the Department of Health. The Office of Senior Victorians responsibilities of population ageing policy, positive ageing programs, healthy and active living, elder abuse prevention, Seniors Card and the Victorian Seniors Festival have been incorporated into the department.
3.6.5 Home and community care fees policy The fees policy for HACC services can be found at: www.health.vic.gov.au/pch/service_providers/fees
3.7 Dental health
3.7.1 Dental Health Program funding model The Dental Health Program funding model is an activity-based model where the activity measure is a completed course of care. There are three courses of care types: emergency, general and denture care. The relativities between the weighted average values of these courses of care types are 1:2:6. The funding unit for the Dental Health Program funding model is a Dental Unit of Value (DuV). There are four different DuV prices based on organisation size and throughput. Organisations will be set DuV targets based on their total service delivery funding. For performance monitoring courses of care will be converted to DuVs: emergency course of care=1 DuV, general course of care=2 DuVs and a denture course of care = 6 DuVs.
Page 98 The voucher schemes established under the Dental Health Program will be retained under the new funding model. There will be no change to the payment arrangements for treatment completed under a voucher. Private practitioners participating in the voucher schemes will be paid at dental item level at the rate set by government (state rate). An allowance will apply for Indigenous and refugee clients and will be used when organisations monitor their performance against targets. An organisation will deliver a reduced number of DuVs when treating identified clients. In addition to the activity based component, the new funding model has a grants component. Grants will provide funding for student clinical placements and region/state wide activities such as managing the itinerary for the mobile vans or regional recall of children. Under the new model organisations will receive a recurrent service delivery budget with DuV targets, and block grant funding (where applicable) for non- target related activities. Funding will be cashflowed in monthly instalments. Organisation budgets will be indexed annually in accordance with the departmental funding model NGO rate.
3.7.2 Dental Health Program Fees Policy Fees for public dental services apply to: • people aged 18 years and over, who are health care or pensioner concession card holders or dependants of concession card holders • children aged 0 – 12 years who are not health care or pensioner concession card holders or not dependants of concession card holders. Further information on the policy, including a fees schedule and exemptions, is available at: www.health.vic.gov.au/dentistry/policy/publicfees
3.8 Aboriginal health
3.8.1 Simplified funding and reporting The Simplified Funding and Reporting Project is a joint initiative between the department and Department of Human Services. The project aims to: • provide flexibility in funding to Aboriginal funded organisations, including Aboriginal community controlled health organisations (ACCHOs), to reflect community needs • reduce the administrative burden on Aboriginal organisations funded by the department and Department of Human Services • improve reporting and rationalise data requirements.
3.8.2 Block funding model This new way of funding provides a funded Aboriginal organisation with greater freedom in the way funding is allocated within each departmental ACCHO services activity to meet the needs of the community. Funded Aboriginal organisations are now able to redirect any recurrent funds between service activities, through negotiations with their program and service adviser or program manager.
Page 99 3.9 Health protection 3.9.1 Arbovirus Surveillance and Control Program extension Twelve municipal councils throughout the state (Murray Valley area Mildura, Swan Hill, Gannawarra, Campaspe, Moira, Wodonga, Shepparton; Gippsland area Wellington, East Gippsland; Bellarine area Geelong, Surfcoast, Queenscliffe) are funded by the department to undertake mosquito surveillance and management programs through the use of sentinel chickens. Funding is matched by the participating councils. Mosquito vector surveillance includes adult mosquito trapping and virus isolation. Mosquitoes are trapped from 24 sites along the Murray River, and are processed for the presence of viruses. Because of the widespread detections of Murray Valley Encephalitis virus in the flocks of sentinel chickens, it has been agreed that the surveillance program will continue through the winter months, to track the prevalence of the virus over time. Participating councils will be given additional funding to continue the program according to the same model, and in accordance with the program guidelines for the arbovirus surveillance and control program. Councils will be advised as to the funding allocation process.
3.9.2 Expansion of vaccine-preventable disease surveillance through the Victorian Infectious Diseases Reference Laboratory The Epidemiology Unit at the Victorian Infectious Diseases Reference Laboratory (VIDRL) undertakes a number of surveillance activities on our behalf, including influenza and varicella surveillance. Block funding has been provided to VIDRL to include expansion of surveillance of hospitalised cases of influenza in 201112. This will improve understanding of the risk factors associated with severe influenza and allow calculation of the vaccine effectiveness against hospitalisation with influenza for the current year. An additional one session per week of one of the epidemiologist’s time will be purchased to assist with expert analysis of all vaccine-preventable diseases. Regular reports of the agreed surveillance indicators will be supplied to the department to contribute to our regular surveillance reports.
3.10 Primary health 3.10.1 Integrated health promotion requirements Some of the information in the document Primary Health Branch Funded Organisations Requirements 2009 10 to 2011 12 is no longer relevant and has been superseded by new requirements designed to strengthen integrated health promotion approaches. The new requirements are outlined in the document Changes to Section B.7 Integrated Health Promotion in the Primary Health Branch funded organisations requirements 2009–10 to 201112, which can be located at www.health.vic.gov.au/pch/ihp/index
3.10.2 Home and Community Care and Primary Health Programs Fees Policy This policy is applicable to services funded by the Victorian Home and Community Care (HACC) Program and a range of Victorian primary health programs. Important components are that there are no fees for: • any services to children under 18 years of age from low income families • counselling/casework for people of low and middle income.
Page 100 Fee revenue from primary health programs can be used to enhance service delivery, either by providing additional services, or undertaking activities to improve service delivery. Inability to pay cannot be used as a basis for refusing a service to people who are assessed as requiring a service. Fees and income levels are indexed annually in January. Further information on the policy is available at: www.health.vic.gov.au/pch/service_providers/fees or at: www.health.vic.gov.au/hacc/downloads/pdf/fees_policy.pdf
3.11 Workforce
3.11.1 Training and Development Grant The Training and Development (T&D) Grant was introduced into the original casemix formula to recognise the additional costs inherent in the teaching, training and research activities of teaching hospitals. It comprises five streams of funding: • complexity • research • professional-entry clinical placements • early graduate funding • postgraduate medical, nursing and midwifery funding.
Complexity It is assumed that health services that provide undergraduate and postgraduate education to health professionals have a more complex and a more expensive patient mix than other hospitals. Furthermore, given the limitations of diagnosis related groups (DRGs) to measure complexity, the T&D Grant was introduced to compensate for the complexity of workload as well as teaching, training and research activities. The complexity component of the T&D grant is based on a share of complex WIES within DRGs and is determined by the following three steps: 1. identify complex DRGs 2. identify the most complex cases in complex DRGs 3. estimate each hospital’s proportion of WIES associated with complex cases in complex DRGs More detail on the complexity funding formula and distribution of complex WIES is provided in Part three: Technical guidelines.
3.11.2 Research Administration of operational infrastructure support for biomedical research institutes is the responsibility of the Department Business and Innovation. However, the department maintains a strong involvement with a wide range of programs that relate to medical research. In 201112, funding will be provided for public health research capability development and targeted project initiatives in priority areas. The department’s support for cancer research is provided through the Victorian Cancer Agency. Research infrastructure grants are also provided to the major teaching hospitals as part of the T&D Grant and $24.2 million will be allocated in 201112.
Page 101 Professional-entry student placements Under its commitment to the National Partnership Agreement on Hospital and Health Workforce Reform (Schedule B: Workforce Enablers) 200809 to 201213, the Victorian Government has increased the subsidy for student placements to $35.74 million for 201112 (a 95 per cent increase compared with 200910). Payments to health services are based exclusively on their proportion of total (weighted) clinical placement activity for students enrolled in a professional-entry higher education course of study in medicine, nursing, midwifery and allied health. Further information regarding eligibility and definitions can be accessed at: www.health.vic.gov.au/workforce/placements/funding
Transition to practice - early graduate funding Early graduate funding provides payments to health services to contribute to the cost of supervision and on-the-job training in the first year for nursing, midwifery and allied health graduates, and the first two years for medical graduates. Some allied health students undertaking professional practice placements are also supported through this stream. For further details regarding this funding stream refer to: www.health.vic.gov.au/workforce
Early graduates - allied health Some allied health students undertaking professional practice placements are supported through the early graduate stream. The aim of this stream of funding is to ensure that new allied health graduates make a positive transition into the public sector health workforce, and are encouraged to stay working within this sector. Support for allied health professions early graduates will move to an activity based funding model in 201112 with the number and breadth of allied health professions supported in 201112 increasing within existing funding. The T&D Grant currently supports education and training for positions to varying degrees, depending on the professional group and position.
Early graduates - medical The T&D Grant provides subsidies for prevocational positions for postgraduate years one and two. Positions have been targeted to areas and disciplines of high need. Clinical training has also been supported in an expanded range of settings, such as general practices and areas within hospitals that traditionally have not been used for clinical training of early medical graduates. Project funds are also available under the Developing Organisational Capacity program to assist health services to expand supervisory and education capacity in preparation for increasing numbers of medical graduates.
Early graduates - nursing and midwifery Funding under the early graduate stream for nurses and midwives includes support for programs for graduates of Bachelor of Nursing, Bachelor of Midwifery, double degree (nursing/midwifery) and masters degrees leading to initial registration as a nurse or midwife. A review of the nursing and midwifery components of the T&D Grant is currently underway with the objective of better aligning activity levels with costs of delivering programs. Particular focus of the review in 2011 12 includes; monitoring the impact of graduate maternity programs and combined nursing/midwifery programs on the number of overall graduate programs, a funding approach for graduate programs that reflects economies of scale and the development of a collaborative approach to graduate nurse programs for health services, particularly in regional Victoria.
Page 102 3.11.3 Postgraduate nursing and midwifery funding Details of eligibility and reporting requirements for postgraduate nursing and midwifery funding are set out in the specific program guidelines available on the Nursing in Victoria website: www.health.vic.gov.au/nursing
Postgraduate nursing programs In 201112, the postgraduate program stream includes postgraduate studies that lead to an award classification of graduate certificate, graduate diploma or master’s level studies. Eligible postgraduate education programs must include a requirement for supervised clinical support. Masters level studies that lead to endorsement as a nurse practitioner may be eligible however individuals receiving Nurse Practitioner Candidate Support Packages are excluded.
Postgraduate midwifery programs There are two streams of funding for postgraduate midwifery: Employment model In this model postgraduate midwives are employed by the health service for a minimum of 24 hours per week in a maternity service area. This comprises all or part of the clinical placement component of the program. Clinical placement model In this model supernumerary postgraduate midwifery students undertake supervised clinical placement in a maternity service area of a health service as part of the program. Student midwives must undertake a minimum of 50 days placement at the health service during the academic year in a maternity service area. Pro rata funding may be provided for those health services that accommodate a large number of students undertaking clinical placement for periods of less than 50 days. A review of the two midwifery postgraduate streams of the T&D Grant is underway and will affect places funded for postgraduate intakes commencing in the 2012 academic year. The review will incorporate the impact of changes to the Nursing and Midwifery Board of Australia registration requirements for midwifery as well as the drivers for the different models and effective delivery modes for postgraduate midwifery training. Notification of changes to health services will be made by October 2011.
3.11.4 Rates and additional conditions of funding The number of funded positions supported by the T&D Grant is limited by the total grant pool. Funding for all positions and programs is based on the academic year, and is dependent on adequate reconciliation of all funded places where requested. Where programs or training positions include a period of rotating placements, participating organisations are required to ensure that the host organisation receives a portion of the grant equal to the length of the rotation. Where positions remain unfilled by staff that meet criteria approved by the department or program activity by the hospital is not at funded level, the T&D Grant will be adjusted to reflect actual performance. The programs should conform to the most recent versions of guidelines (where available) for medical and allied health graduates, including guidelines and standards set by the Australian Health Practitioner Registration Authority. Early graduate nurse and midwife programs, postgraduate nurse and midwife programs must meet the criteria set out in the relevant guidelines available on the Nursing in Victoria website: www.health.vic.gov.au/nursing
Page 103 Table 16: Training and Development Grant rates in 2011–12
Training and Development Grant Rate per EFT ($)1
Medical postgraduate year 1 33,579
Medical postgraduate year 2 36,731
Early graduate nurse transition 17,152
Postgraduate education – nurses (postgraduate certificate, postgraduate diploma and masters) 16,455
Postgraduate midwifery nurses – employment model 20,186
Postgraduate midwifery nurses - Clinical Placement Model 3,958
Pharmacy trainees 28,141
Medical radiation interns 26,860
Medical biophysics placements 16,629
Physiotherapists grade 1, year 2 19,188
Occupational therapists grade 1, year 2 19,188
Speech pathologists grade 1, year 2 19,188
OT, SP and PT grade 1, year 3 (entry level, rural) 19,825
Medical laboratory science placements 16,629
Page 104 4. Budgets
Table 17: Acute health services expenditure budgets 201011 and 201112
2010–11 expenditure budget 201112 expenditure budget Variable Variable Maternity Payments Maternity Payments Training & Services Including Training & Services Including Non - Develop- Specified Specified Elective Non - Develop- Specified Specified Elective Health Admitted ment Grants Grant Surgery Total Admitted ment Grants Grant Surgery Total service $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s Metropolitan Alfred Health 64,811.7 18,306.4 148,540.3 496.4 321,565.8 553,720.6 69,535.8 18,330.0 147,644.5 528.5 339,588.5 575,627.3 Austin Health 56,544.0 16,654.9 116,834.8 0.0 250,964.5 440,998.2 58,122.7 16,804.3 113,443.8 0.0 262,784.7 451,155.5 Calvary Health Care Bethlehem Limited 10.4 487.7 21,365.0 0.0 0.0 21,863.2 10.7 503.5 21,667.9 0.0 0.0 22,182.1 Eastern Health 56,484.3 14,191.2 99,129.6 1,994.8 283,112.2 454,912.2 60,175.8 14,284.9 96,870.8 2,080.3 298,625.2 472,037.1 Melbourne Health 53,448.1 16,810.9 99,566.8 0.0 259,141.3 428,967.1 56,665.6 16,907.5 94,900.2 0.0 271,861.6 440,335.0 Mercy Public Hospitals Inc. 25,512.0 5,494.2 22,070.7 3,409.8 114,409.7 170,896.4 27,101.9 5,490.2 18,689.2 3,232.4 121,930.9 176,444.6 Northern Health 33,841.6 8,571.1 66,473.3 989.2 140,915.9 250,791.1 35,973.2 8,657.7 66,001.4 1,038.4 147,324.0 258,994.7 Peninsula Health 27,996.8 7,052.1 68,015.4 1,039.8 166,517.8 270,621.8 30,426.1 7,100.8 64,594.4 1,167.1 186,060.3 289,348.7 Peter MacCallum Cancer Institute 9,406.8 5,243.4 60,042.1 0.0 48,166.6 122,858.9 9,685.3 5,333.9 62,675.4 0.0 51,000.0 128,694.7
Page 105 2010–11 expenditure budget 201112 expenditure budget Variable Variable Maternity Payments Maternity Payments Training & Services Including Training & Services Including Non - Develop- Specified Specified Elective Non - Develop- Specified Specified Elective Health Admitted ment Grants Grant Surgery Total Admitted ment Grants Grant Surgery Total service $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s Royal Children's Hospital 41,447.0 9,357.0 84,546.5 0.0 147,603.3 282,953.8 43,130.7 9,404.6 85,352.9 0.0 155,660.4 293,548.5
Royal Victorian Eye & Ear Hospital 24,892.2 1,683.4 4,800.7 0.0 32,190.4 63,566.6 26,191.9 1,689.8 3,065.5 0.0 34,707.8 65,655.0
Royal Women's Hospital 30,864.3 4,494.4 24,054.3 2,654.9 86,712.2 148,780.1 32,371.0 4,455.1 23,037.4 2,699.2 88,543.9 151,106.5
Southern Health 94,068.8 27,762.5 162,143.5 3,236.2 492,999.9 780,211.0 100,579.7 28,010.7 155,767.4 3,484.9 525,148.9 812,991.5
St. Vincent's Health 38,108.0 14,112.2 99,637.4 0.0 174,326.2 326,183.8 39,586.8 14,240.8 97,536.3 0.0 181,818.6 333,182.6
Western Health 59,232.3 11,856.2 76,241.0 1,530.7 261,865.9 410,726.2 62,487.8 11,891.0 74,839.0 1,759.2 276,644.9 427,621.8
Total Metropolitan 616,668.4 162,077.5 1,153,461.4 15,351.9 2,780,491.7 4,728,050.9 652,044.8 163,105.1 1,126,086.2 15,990.0 2,941,699.6 4,898,925.7
Barwon South Western
Barwon Health 35,270.3 9,090.6 57,212.9 904.8 175,736.0 278,214.7 37,702.2 9,126.8 55,031.2 974.5 192,957.5 295,792.2
South West Healthcare 8,582.0 1,648.8 10,826.3 316.1 48,631.0 70,004.3 9,173.5 1,657.3 12,133.2 301.0 51,557.4 74,822.4
Page 106 2010–11 expenditure budget 201112 expenditure budget Variable Variable Maternity Payments Maternity Payments Training & Services Including Training & Services Including Non - Develop- Specified Specified Elective Non - Develop- Specified Specified Elective Health Admitted ment Grants Grant Surgery Total Admitted ment Grants Grant Surgery Total service $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s Western District Health Service 4,171.2 1,044.4 4,459.5 104.1 18,705.1 28,484.4 4,333.2 1,054.2 4,642.4 94.5 19,599.4 29,723.7
Colac Area Health 2,283.8 247.0 2,015.3 108.3 12,492.8 17,147.2 2,351.6 254.7 2,227.3 109.7 14,078.9 19,022.3
Portland District Health 2,805.5 346.7 997.6 15.0 13,637.7 17,802.4 2,887.9 357.6 1,239.6 26.3 14,126.6 18,637.9
Lyndoch Warnambool 0.0 15.9 1,012.4 0.0 0.0 1,028.4 0.0 16.5 1,030.6 0.0 0.0 1,047.0
Total Barwon South Western 53,112.8 12,393.5 76,524.1 1,448.3 269,202.6 412,681.3 56,448.5 12,467.0 76,304.3 1,505.9 292,319.7 439,045.4
Grampians
Ballarat Health Service 19,507.2 4,690.4 32,331.4 516.4 84,586.9 141,632.3 20,752.2 4,739.0 30,836.0 514.8 92,684.0 149,526.0
Wimmera Health Care Group 6,205.3 1,091.6 4,876.5 145.6 25,783.1 38,102.1 6,461.2 1,099.2 4,362.2 140.9 27,569.7 39,633.2
Djerriwarrh Health Services 5,207.9 198.1 6,946.4 311.6 15,709.1 28,373.2 5,381.5 204.1 6,976.0 383.9 16,322.2 29,267.6
East Grampians Health Service 537.2 154.1 2,295.4 32.1 9,402.9 12,421.6 553.0 158.9 2,015.7 39.7 10,474.1 13,241.4
Page 107 2010–11 expenditure budget 201112 expenditure budget Variable Variable Maternity Payments Maternity Payments Training & Services Including Training & Services Including Non - Develop- Specified Specified Elective Non - Develop- Specified Specified Elective Health Admitted ment Grants Grant Surgery Total Admitted ment Grants Grant Surgery Total service $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s Stawell Regional Health 905.2 186.6 1,403.528.1 8,135.9 10,659.3 931.8 192.5 1,412.9 26.9 8,679.5 11,243.6
Total Grampians 32,362.8 6,320.8 47,853.1 1,033.8 143,618.0 231,188.5 34,079.6 6,393.7 45,602.9 1,106.2 155,729.4 242,911.7 Loddon Mallee
Bendigo Health Care Group 17,811.1 5,314.2 39,195.5 515.5 82,403.5 145,239.8 19,035.3 5,379.9 40,494.2 547.3 88,550.2 154,006.9
Echuca Regional Health 3,954.9 697.7 2,787.2 111.4 19,438.2 26,989.4 4,206.1 701.1 2,436.3 113.8 20,298.9 27,756.2
Mildura Base Hospital 7,650.4 1,782.9 18,218.5 352.5 42,559.7 70,564.0 7,836.2 1,798.7 18,168.9 337.4 44,025.4 72,166.6
Swan Hill District Hospital 3,667.4 310.7 3,456.4 101.7 16,152.1 23,688.2 3,748.0 320.5 3,140.0 104.8 16,923.2 24,236.7
Kyabram and District Health Services 335.1 101.1 233.9 52.2 9,391.2 10,113.4 345.1 104.3 9.9 43.6 10,250.4 10,753.2
Maryborough District Health 1,818.1 176.5 960.4 48.3 10,007.5 13,010.9 1,871.6 182.0 466.2 39.9 10,796.1 13,355.8
Castlemaine Health 611.1 158.2 7,012.224.1 8,516.9 16,322.5 629.1 163.3 7,276.3 26.3 9,137.2 17,232.1
Total Loddon Mallee 35,847.9 8,541.3 71,864.1 1,205.6 188,469.1 305,928.1 37,671.4 8,649.8 71,991.8 1,213.1 199,981.4 319,507.4
Page 108 2010–11 expenditure budget 201112 expenditure budget Variable Variable Maternity Payments Maternity Payments Training & Services Including Training & Services Including Non - Develop- Specified Specified Elective Non - Develop- Specified Specified Elective Health Admitted ment Grants Grant Surgery Total Admitted ment Grants Grant Surgery Total service $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s Hume
Goulburn Valley Health 12,725.2 3,473.7 21,160.9 441.1 61,024.9 98,825.8 13,634.6 3,516.6 20,540.9 433.5 63,997.0 102,122.6
Northeast Health Wangaratta 7,458.0 1,837.0 9,374.7 250.9 41,631.3 60,551.9 7,881.1 1,846.6 9,092.6 256.0 44,642.2 63,718.4
Albury Wodonga Health 5,532.5 1,493.5 80,032.7 590.0 41,143.8 128,792.4 5,744.6 1,498.1 80,750.4 603.9 44,366.7 132,963.7
Benalla & District Memorial Hospital 1,143.6 120.4 1,412.4 59.3 11,990.3 14,725.9 1,177.3 124.2 1,452.0 54.9 12,714.5 15,522.8
Total Hume 26,859.2 6,924.6 111,980.6 1,341.3 155,790.3 302,896.0 28,437.5 6,985.4 111,835.9 1,348.3 165,720.4 314,327.5
Gippsland
Bairnsdale Regional Health Services 5,359.4 706.1 7,270.0 144.5 24,160.9 37,640.8 5,604.0 728.4 6,938.5 148.4 25,118.8 38,538.0
Central Gippsland Health Service 5,945.0 1,409.6 5,446.1 198.1 29,012.1 42,010.9 6,216.6 1,421.8 4,649.9 210.9 30,808.7 43,307.9
Latrobe Regional Hospital 9,407.3 4,107.1 20,278.6 419.5 71,004.8 105,217.4 9,858.0 4,156.4 20,179.1 427.9 74,243.8 108,865.2
Page 109 2010–11 expenditure budget 201112 expenditure budget Variable Variable Maternity Payments Maternity Payments Training & Services Including Training & Services Including Non - Develop- Specified Specified Elective Non - Develop- Specified Specified Elective Health Admitted ment Grants Grant Surgery Total Admitted ment Grants Grant Surgery Total service $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s West Gippsland Healthcare Group 5,290.7 1,452.0 6,638.8 393.4 29,808.8 43,583.7 5,575.4 1,467.9 5,670.0 401.8 31,260.8 44,376.0
Gippsland Southern Health Service 2,672.6 109.5 1,552.9 103.4 10,099.8 14,538.2 2,751.3 113.0 1,091.7 96.1 10,780.7 14,832.8
Bass Coast Regional Health 3,635.2 461.1 3,352.8 66.7 14,355.5 21,871.4 3,742.0 476.0 3,194.5 81.6 14,878.6 22,372.7
Total Gippsland 32,310.2 8,245.4 44,539.3 1,325.5 178,442.0 264,862.4 33,747.3 8,363.6 41,723.7 1,366.7 187,091.4 272,292.6
Total Rural Regions 180,493.0 42,425.6 352,761.3 6,354.4 935,522.0 1,517,556.3 190,384.3 42,859.5 347,458.5 6,540.1 1,000,842.2 1,588,084.6
Total State 797,161.4 204,503.1 1,506,222.7 21,706.3 3,716,013.7 6,245,607.2 842,429.1 205,964.5 1,473,544.7 22,530.1 3,942,541.8 6,487,010.3 Notes: 1. Above budgets for 2010–11 and 2011–12 include private patient revenue targets (changed from previous financial years) 2. DVA and TAC Targets have been adjusted to estimated actuals. 3. Public and Private WIES targets have been adjusted to reflect anticipated public/private shift. 4. Recurrent budget may be less than the published budget from previous financial year due to reductions in budgets resulting from inclusion of private patient revenue; decreased TAC / DVA activity and public to private patient mix changes. These changes better reflect actual revenue earned by agencies. 5. A proportion of the Variable Payments budget is non-recurrent in 2011–12.
Page 110 Table 18: Acute health services (hospitals) modelled budgets 201011 and 201112
2010–11 expenditure budget 201112 expenditure budget Ageing, Primary, Ageing, Primary, Acute Acute aged & Drug Mental community Public aged & Drug Mental community Public health Total health Total home services health & dental health home services health & dental health services services Health care health care health service $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s Metropolitan Alfred Health 553,721 8,091 100 42,525 1,715 6,872 613,024 575,627 8,724 103 43,765 1,768 7,088 637,075 Austin Health 440,998 2,340 799 44,827 0 6 488,970 451,156 2,869 824 46,307 0 6 501,162 Calvary Health Care Bethlehem Limited 21,863 217 0 0 0 0 22,080 22,182 224 0 0 0 0 22,406 Dental Health Services Victoria1 21 0 0 0 125,424 0 125,445 22 0 0 0 128,687 0 128,709 Eastern Health 454,912 7,632 8,222 78,062 3,292 0 552,120 472,037 7,870 8,453 80,381 3,395 0 572,136 Melbourne Health 428,967 5,697 0 143,653 0 7,859 586,176 440,335 6,345 0 147,820 0 8,106 602,606 Mercy Public Hospitals Inc 170,896 0 0 23,626 70 0 194,592 176,445 0 0 24,206 72 0 200,723 Northern Health 250,791 7,005 0 0 0 0 257,796 258,995 7,236 0 0 0 0 266,231 Peninsula Health 270,622 8,003 1,77029,560 5,480 0 315,435 289,349 8,209 1,825 30,405 5,652 0 335,440 Peter MacCallum Cancer Institute 122,859 1,398 0 0 0 0 124,257 128,695 1,442 0 0 0 0 130,137 The Royal Children's Hospital 282,954 17 152 13,338 278 437 297,176 293,548 17 157 14,356 287 444 308,809
Page 111 2010–11 expenditure budget 201112 expenditure budget Ageing, Primary, Ageing, Primary, Acute Acute aged & Drug Mental community Public aged & Drug Mental community Public health Total health Total home services health & dental health home services health & dental health services services Health care health care health service $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s The Royal Victorian Eye and Ear Hospital 63,567 0 0 0 0 0 63,567 65,655 0 0 0 0 0 65,655 The Royal Women's Hospital 148,780 0 750 404 233 0 150,167 151,107 0 773 412 241 0 152,533 Southern Health 780,211 14,751 5,069 93,431 9,858 337 903,657 812,992 15,167 5,228 96,621 10,167 338 940,513 St Vincent's Health 326,184 4,656 2,151 38,669 250 132 372,042 333,183 4,812 2,219 40,025 258 136 380,633 Western Health 410,726 3,942 5,296 0 0 373 420,337 427,622 4,513 5,462 0 0 384 437,981 Victorian Institute of Forensic Mental Health 188 0 0 38,274 0 0 38,462 0 0 0 38,986 0 0 38,986 Total Metropolitan 4,728,260 63,749 24,309 546,369 146,600 16,016 5,525,303 4,898,950 67,428 25,044 563,284 150,527 16,502 5,721,735 Barwon South West Barwon Health 278,215 17,797 1,905 31,871 3,879 89 333,756 295,792 17,623 1,965 32,811 4,001 92 352,284 South West Healthcare 70,004 2,775 281 14,366 1,542 0 88,968 74,822 2,972 289 14,780 1,590 0 94,453 Western District Health Service2 31,049 4,899 0 95 1,236 0 37,279 32,386 5,104 0 98 1,275 0 38,863 Colac Area Health 17,147 2,917 317 0 526 0 20,907 19,022 3,064 326 0 543 0 22,955 Portland District Health 17,802 1,444 523 0 1,588 0 21,357 18,638 1,449 539 0 1,638 0 22,264
Page 112 2010–11 expenditure budget 201112 expenditure budget Ageing, Primary, Ageing, Primary, Acute Acute aged & Drug Mental community Public aged & Drug Mental community Public health Total health Total home services health & dental health home services health & dental health services services Health care health care health service $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s Lyndoch Warrnambool Inc 1,028 11 0315 0 0 1,354 1,047 11 0 324 0 0 1,382 Total Barwon South West 415,245 29,843 3,026 46,647 8,771 89 503,621 441,707 30,223 3,119 48,013 9,047 92 532,201 Grampians Ballarat Health Services 141,632 12,351 0 27,450 896 0 182,329 149,526 11,951 0 28,225 924 0 190,626 Wimmera Health Care Group 38,102 5,055 0 0 1,162 0 44,319 39,633 4,868 0 0 1,199 0 45,700 Djerriwarrh Health Services 28,373 2,950 36 0 2,136 0 33,495 29,268 3,094 37 0 2,203 0 34,602 East Grampians Health Service 12,422 2,468 0 0 738 0 15,628 13,241 2,113 0 0 761 0 16,115 Stawell Regional Health 10,659 1,473 0 205 1,055 0 13,392 11,244 1,386 0 212 1,089 0 13,931 Total Grampians 231,188 24,297 36 27,655 5,987 0 289,163 242,912 23,412 37 28,437 6,176 0 300,974 Loddon Mallee Bendigo Health Care Group 145,240 16,056 0 34,661 739 15 196,711 154,007 16,410 0 35,649 762 16 206,844 Echuca Regional Health 26,989 2,488 185 0 687 0 30,349 27,756 2,444 191 0 709 0 31,100
Page 113 2010–11 expenditure budget 201112 expenditure budget Ageing, Primary, Ageing, Primary, Acute Acute aged & Drug Mental community Public aged & Drug Mental community Public health Total health Total home services health & dental health home services health & dental health services services Health care health care health service $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s Mildura Base Hospital 70,564 0 0 9,974 0 0 80,538 72,167 0 0 10,262 0 0 82,429 Swan Hill District Health 23,688 2,823 293 0 1,253 0 28,057 24,237 2,749 302 0 1,292 0 28,580 Kyabram and District Health Services 10,113 1,920 0 0 1,005 0 13,038 10,753 1,983 0 0 1,037 0 13,773 Maryborough District Health Service 13,011 3,322 199 0 650 0 17,182 13,356 3,383 205 0 671 0 17,615 Castlemaine Health 16,322 4,141 0 0 0 0 20,463 17,232 3,640 0 0 0 0 20,872 Total Loddon Mallee 305,927 30,750 677 44,635 4,334 15 386,338 319,508 30,609 698 45,911 4,471 16 401,213 Hume Goulburn Valley Health 98,826 6,649 152 17,894 1,279 0 124,800 102,123 6,703 157 18,413 1,319 0 128,715 Northeast Health Wangaratta 60,552 2,479 0 9,514 631 0 73,176 63,718 2,427 0 9,787 651 0 76,583 Albury Wodonga Health 128,792 1,464 0 6,433 592 5 137,286 132,964 1,510 0 6,621 610 5 141,710 Benalla and District Memorial Hospital 14,726 2,056 4 0 1,216 0 18,002 15,523 1,923 4 0 1,255 0 18,705 Total Hume 302,896 12,648 156 33,841 3,718 5 353,264 314,328 12,563 161 34,821 3,835 5 365,713
Page 114 2010–11 expenditure budget 201112 expenditure budget Ageing, Primary, Ageing, Primary, Acute Acute aged & Drug Mental community Public aged & Drug Mental community Public health Total health Total home services health & dental health home services health & dental health services services Health care health care health service $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s Gippsland Bairnsdale Regional Health Service 37,641 2,190 0 0 212 0 40,043 38,538 2,246 0 0 219 0 41,003 Central Gippsland Health Service 42,011 5,666 0 0 790 0 48,467 43,308 5,615 0 0 815 0 49,738 Latrobe Regional Hospital 105,217 0 0 35,080 0 0 140,297 108,865 0 0 36,104 0 0 144,969 West Gippsland Healthcare Group 43,584 3,585 0 0 864 0 48,033 44,376 3,871 0 0 891 0 49,138 Gippsland Southern Health Service 14,538 3,777 308 0 378 0 19,001 14,833 3,873 317 0 390 0 19,413 Bass Coast Regional Health 21,871 3,700 48 0 45 0 25,664 22,373 3,559 50 0 47 0 26,029 Total Gippsland 264,862 18,918 356 35,080 2,289 0 321,505 272,293 19,164 367 36,104 2,362 0 330,290 Total rural regions 1,520,118 116,456 4,251 187,858 25,099 109 1,853,891 1,590,748 115,971 4,382 193,286 25,891 113 1,930,391 Total State 6,248,378 180,205 28,560 734,227 171,699 16,125 7,379,194 6,489,698 183,399 29,426 756,570 176,418 16,615 7,652,126 Note: 1. There has been a change in the reporting methodology associated with Dental Health Services Victoria (classified under Metropolitan Hospital against the Primary & Dental Care Output Group) within the 2011–12 Health Services Policy and Funding Guidelines. In the 2010–11 Policy and Funding Plan, the budget for Dental Health Services Victoria (DHSV) were disaggregated into DHSV and numerous other agency providers administered by DHSV. These providers include Health Services and Community Health Centres. In the 2011–12 Health Services Policy and Funding Guidelines, the total budget for Dental Health Services Victoria will be reflected as a single allocation against DHSV, as DHSV is the direct recipient of the funding. The Primary & Dental Care Output Group total will remain unchanged. 2. Western District Health Service includes Small Rural Services funding for Coleraine
Page 115 Table 19: Non-admitted services grant (NAESG) Availability Total Allocation Allocation allocation Weighted for Non based on Total with non- weighted sameday non-same Triage Emergency Co- allocation Total indexation admitted non- emergency day Triage cat 6 department located Transfer (without allocation Health NAESG2010/11 (Jan-Dec admitted WIES17 emergency cat 6 Allocation models of GP Initiative indexation) (with Service Hospital ($) 2010) activity ($) 2010 WIES ($) cases ($) care ($) clinics1 Funding ($) indexation2) Metropolitan Health Services Alfred The Alfred 20,526,513 67,484 4,658,163 44,217 15,717,247 1 85 812,459 0 203,187 21,391,141 21,994,209 Health Sandringham and District Memorial Hospital 4,319,314 42,005 2,899,397 4,402 1,564,647 0 0 0 0 0 4,464,044 4,590,937 Alfred Health total 24,845,826 109,489 7,557,560 48,619 17,281,894 1 85 812,459 0 203,187 25,855,185 26,585,146 Austin Austin Health Hospital 19,430,448 87,021 6,006,663 35,940 12,775,272 1 85 1,257,972 0 203,187 20,243,179 20,813,988 Eastern Angliss Health Hospital 6,475,172 57,610 3,976,574 5,745 2,042,111 64 5,416 646,198 0 0 6,670,298 6,860,532 Box Hill Hospital 13,048,509 57,490 3,968,271 23,479 8,345,770 221 18,701 1,115,401 0 203,187 13,651,330 14,034,664 Maroondah Hospital 11,483,680 72,828 5,027,030 16,225 5,767,204 151 12,778 1,026,826 0 203,187 12,037,025 12,374,405 Eastern Health total 31,007,360 187,928 12,971,874 45,449 16,155,085 436 36,895 2,788,425 0 406,374 32,358,653 33,269,601 Melbourne Royal Health Melbourne Hospital 19,599,409 70,369 4,857,250 40,235 14,301,885 188 15,909 1,046,276 0 203,187 20,424,507 21,000,311 Mercy Mercy Public Hospital for Hospitals Women Inc. (Heidelberg) 1,653,396 22,139 1,528,133 508 180,622 0 0 0 0 0 1,708,755 1,757,329 Werribee Mercy Hospital 4,904,374 47,835 3,301,846 4,059 1,442,622 204 17,263 296,443 0 0 5,058,174 5,202,254
Page 116 Availability Total Allocation Allocation allocation Weighted for Non based on Total with non- weighted sameday non-same Triage Emergency Co- allocation Total indexation admitted non- emergency day Triage cat 6 department located Transfer (without allocation Health NAESG2010/11 (Jan-Dec admitted WIES17 emergency cat 6 Allocation models of GP Initiative indexation) (with Service Hospital ($) 2010) activity ($) 2010 WIES ($) cases ($) care ($) clinics1 Funding ($) indexation2) Mercy Public Hospitals Inc. total 6,557,770 69,974 4,829,979 4,567 1,623,244 204 17,263 296,443 0 0 6,766,928 6,959,583 Northern Northern Health Hospital 13,934,156 81,931 5,655,356 21,077 7,491,888 160 13,540 995,693 177,000 203,187 14,536,664 14,946,028 Peninsula Frankston Health Hospital 14,274,144 71,500 4,935,337 23,312 8,286,320 203 17,178 1,384,414 112,000 203,187 14,938,436 15,297,425 Rosebud Hospital 2,684,710 29,166 2,013,187 2,133 758,311 36 3,046 0 0 0 2,774,544 2,913,795 Peninsula Health total 16,958,854 100,666 6,948,524 25,445 9,044,631 239 20,225 1,384,414 112,000 203,187 17,712,980 18,211,221 Royal Royal Children's Children’s Hospital Hospital 11,966,559 80,058 5,526,075 16,681 5,929,352 15 1,269 670,240 200,000 0 12,326,936 12,678,504 Royal Royal Victorian Victorian Eye & Ear Eye & Ear Hospital Hospital 3,630,828 49,064 3,386,694 1,029 365,698 0 0 0 0 0 3,752,391 3,859,072 Royal Royal Women’s Women’s Hospital Hospital 2,570,439 34,452 2,378,076 783 278,426 0 0 0 0 0 2,656,502 2,732,014 Southern Casey Health Hospital 6,596,520 63,575 4,388,334 5,972 2,122,661 2 169 296,435 0 203,187 7,010,786 7,204,587 Dandenong Campus 13,837,472 65,090 4,492,899 24,212 8,606,235 0 0 1,010,664 160,000 203,187 14,472,985 14,879,513 Monash Medical Centre 18,575,493 85,645 5,911,699 32,230 11,456,264 5 423 1,611,181 160,000 203,187 19,342,754 19,888,481 Southern Health total 39,009,485 214,310 14,792,933 62,413 22,185,159 7 592 2,918,279 320,000 609,561 40,826,525 41,972,581
Page 117 Availability Total Allocation Allocation allocation Weighted for Non based on Total with non- weighted sameday non-same Triage Emergency Co- allocation Total indexation admitted non- emergency day Triage cat 6 department located Transfer (without allocation Health NAESG2010/11 (Jan-Dec admitted WIES17 emergency cat 6 Allocation models of GP Initiative indexation) (with Service Hospital ($) 2010) activity ($) 2010 WIES ($) cases ($) care ($) clinics1 Funding ($) indexation2) St St Vincent’s Vincent's Hospital Health 11,910,285 53,766 3,711,271 21,564 7,665,024 0 0 903,186 0 203,187 12,482,668 12,832,563 Western Sunshine Health Hospital 10,444,759 78,871 5,444,110 11,147 3,962,286 27 2,285 1,341,111 0 203,187 10,952,979 11,260,092 Western Hospital 12,566,875 45,771 3,159,351 24,905 8,852,602 353 29,872 914,951 0 203,187 13,159,962 13,528,957 Williamstown Hospital 1,932,737 28,444 1,963,385 22 7,806 300 25,387 0 0 0 1,996,578 2,053,269 Western Health total 24,944,371 153,086 10,566,846 36,074 12,822,694 680 57,543 2,256,062 0 406,374 26,109,519 26,842,319 Metro total 226,365,791 1,292,113 89,189,101 359,876 127,920,251 1,931 163,405 15,329,449 809,000 2,641,431 236,052,637 242,702,931 Rural & Regional Health Services Albury Wodonga Wodonga Regional Health Health 3,929,490 42,491 2,932,941 3,166 1,125,387 32 2,708 0 0 0 4,061,037 4,176,476 Bairnsdale Bairnsdale Regional Regional Health Health Service Service 2,409,598 21,475 1,482,303 2,835 1,007,873 2 169 0 0 0 2,490,346 2,561,137 Ballarat Ballarat Health Health Services Services 8,927,545 68,835 4,751,414 11,135 3,957,924 86 7,278 493,386 0 203,187 9,413,189 9,675,472 Barwon Geelong Health Hospital 14,853,432 74,344 5,131,671 25,424 9,037,031 3 254 1,144,244 0 203,187 15,516,387 15,952,762 Bass Coast Bass Coast Regional Regional Health Health 2,143,005 15,000 1,308,396 1,552 833,140 0 1,469 0 0 0 2,143,005 2,205,964
Page 118 Availability Total Allocation Allocation allocation Weighted for Non based on Total with non- weighted sameday non-same Triage Emergency Co- allocation Total indexation admitted non- emergency day Triage cat 6 department located Transfer (without allocation Health NAESG2010/11 (Jan-Dec admitted WIES17 emergency cat 6 Allocation models of GP Initiative indexation) (with Service Hospital ($) 2010) activity ($) 2010 WIES ($) cases ($) care ($) clinics1 Funding ($) indexation2) Bendigo Bendigo Health Hospital Care Group 7,782,364 56,704 3,914,054 10,841 3,853,377 1 85 266,789 0 203,187 8,237,492 8,466,118 Central Central Gippsland Gippsland Health Health Service Service 2,365,833 21,248 1,466,661 2,750 977,496 11 931 0 0 0 2,445,088 2,514,594 Echuca Echuca Regional Regional Health Health 1,940,105 19,367 1,336,855 1,876 666,855 16 1,354 0 0 0 2,005,064 2,062,064 Goulburn Goulburn Valley Valley Health Health 6,003,309 42,865 2,958,795 7,656 2,721,368 40 3,385 503,991 0 0 6,187,539 6,363,916 Latrobe Latrobe Regional Regional Hospital Hospital 5,367,894 38,572 2,662,438 7,154 2,542,836 0 0 331,453 0 0 5,536,727 5,694,430 Mildura Mildura Base Base Hospital Hospital 4,383,157 37,453 2,585,253 5,462 1,941,573 37 3,131 0 0 0 4,529,957 4,658,723 Northeast Northeast Health Health Wangaratta Wangaratta 3,461,490 25,564 1,764,603 5,092 1,810,044 33 2,793 0 0 0 3,577,439 3,679,136 South West South West Healthcare Healthcare - Warrnambool 4,241,060 34,379 2,373,044 5,655 2,010,084 1 85 0 0 0 4,383,213 4,507,816 Swan Hill Swan Hill District District Hospital Hospital 1,983,915 20,423 1,409,694 1,799 639,289 16 1,354 0 0 0 2,050,338 2,108,618
Page 119 Availability Total Allocation Allocation allocation Weighted for Non based on Total with non- weighted sameday non-same Triage Emergency Co- allocation Total indexation admitted non- emergency day Triage cat 6 department located Transfer (without allocation Health NAESG2010/11 (Jan-Dec admitted WIES17 emergency cat 6 Allocation models of GP Initiative indexation) (with Service Hospital ($) 2010) activity ($) 2010 WIES ($) cases ($) care ($) clinics1 Funding ($) indexation2) West West Gippsland Gippsland Healthcare Healthcare Group Group 2,574,643 23,670 1,633,841 2,880 1,023,670 39 3,300 0 0 0 2,660,812 2,736,451 Western Hamilton District Base Health Hospital 1,701,898 15,000 1,035,387 2,032 722,150 16 1,354 0 0 0 1,758,890 1,808,889 Wimmera Wimmera Health Base Care Hospital Group 2,280,327 19,722 1,361,335 2,795 993,406 23 1,946 0 0 0 2,356,687 2,423,680 Rural & Regional total 76,349,063 577,113 40,108,686 100,102 35,863,504 356 31,595 2,739,864 0 609,561 79,353,209 81,596,246 Total 302,714,854 1,869,226 129,297,787 459,978 163,783,755 2,287 195,000 18,069,312 809,000 3,250,992 315,405,846 324,299,177 Notes: 1. Funding for co-located GP clinics decreased at some sites in recognition of increased Commonwealth funding. 2. Indexation is only allocated to recurrent 2010–11 funding and not to new 2011–12 growth funds.
Page 120 Table 20: Acute Health Non-Admitted Patient Grant Initial Model Budgets (VACS Funded Hospitals) 2010–11 and 2011–12
2010–11 budget 2011–12 budget Re- Emerg- Allied current Emerg- Allied Total Health ency Non VACS Health Non- ency Non VACS Health Non- Service/ Services Base VACS Variable Teaching Services Specified Elective Admitted Services Base VACS Variable Teaching Services Specified Elective Admitted Hospital Grant Grant Funded Grant Grant Grant Grants Surgery Grant Grant Grant Funded Grant Grant Grant Grants Surgery Grant Campus $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s Alfred Health 24,133.8 8,398.6 1,083.9 21,570.2 4,580.0 2,856.5 2,375.6 0.0 64,998.6 26,585.1 9,195.3 0.0 23,273.9 4,714.6 3,210.6 2,745.4 0.0 69,725.0 Austin Health 20,145.1 8,589.4 0.0 17,385.2 4,370.8 5,204.0 1,598.1 582.5 57,875.0 20,814.0 8,841.7 0.0 17,636.6 4,499.2 5,453.4 1,645.1 598.9 59,488.8 Eastern Health 31,153.4 4,264.9 1,663.7 17,098.3 2,030.6 863.2 0.0 223.7 57,297.9 33,269.6 4,467.7 0.0 19,957.1 2,090.3 995.4 0.0 230.0 61,010.0 Melbourne Health 19,599.6 6,124.2 0.0 23,313.0 3,474.2 1,760.9 0.0 78.0 54,349.8 21,000.3 6,304.1 0.0 24,719.3 3,576.3 1,909.8 0.0 80.2 57,590.1 Mercy Public Hospitals Inc. 6,676.9 1,676.0 2,885.5 12,336.3 1,021.2 951.4 0.0 0.0 25,547.3 6,959.6 2,644.7 0.0 14,747.6 1,051.2 1,735.0 0.0 0.0 27,138.1 Northern Health 13,976.9 3,887.9 780.3 11,885.5 1,754.9 2,186.3 0.0 39.2 34,510.9 14,946.0 4,002.1 0.0 13,430.8 1,806.5 2,433.6 0.0 40.3 36,659.3 Peninsula Health 16,568.5 2,371.2 0.0 6,691.2 1,350.6 1,119.3 0.0 57.1 28,158.0 18,211.2 2,440.9 0.0 7,242.5 1,390.3 1,247.9 0.0 58.7 30,591.5 Peter MacCallum Cancer Institute 0.0 2,309.6 0.0 4,152.9 905.0 2,063.2 0.0 0.0 9,430.7 0.0 2,377.4 0.0 4,272.2 931.6 2,128.5 0.0 0.0 9,709.7 Royal Children’s Hospital 11,813.4 6,978.5 0.0 14,378.9 2,663.3 4,466.8 1,345.2 15.9 41,661.9 12,678.5 7,733.5 0.0 14,187.9 2,741.5 4,608.6 1,384.7 16.3 43,351.0 Royal Victorian Eye & Ear Hospital 3,347.5 2,342.7 0.0 13,772.9 1,248.9 4,287.5 330.1 0.0 25,329.5 3,859.1 2,411.5 0.0 14,320.8 1,285.6 4,423.4 339.8 0.0 26,640.1
Page 121 2010–11 budget 2011–12 budget Re- Emerg- Allied current Emerg- Allied Total Health ency Non VACS Health Non- ency Non VACS Health Non- Service/ Services Base VACS Variable Teaching Services Specified Elective Admitted Services Base VACS Variable Teaching Services Specified Elective Admitted Hospital Grant Grant Funded Grant Grant Grant Grants Surgery Grant Grant Grant Funded Grant Grant Grant Grants Surgery Grant Campus $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s Royal Women’s Hospital 2,678.8 3,348.8 0.0 22,006.6 1,866.5 1,027.1 159.3 0.0 31,087.0 2,732.0 3,447.2 0.0 23,275.0 1,921.3 1,059.7 163.9 0.0 32,599.2 Southern Health 38,559.6 10,742.6 0.0 33,937.5 5,592.1 4,444.1 1,323.6 447.4 95,046.8 41,972.6 11,358.2 0.0 35,875.8 5,756.3 4,802.6 1,362.5 460.0 101,588.0 St. Vincent's Health 12,205.1 5,642.2 0.0 16,176.9 3,117.1 1,458.9 0.0 338.8 38,939.0 12,832.6 5,808.0 0.0 16,642.4 3,208.7 1,598.2 0.0 348.4 40,438.2 Western Health 25,713.3 5,785.9 2,163.1 20,892.4 3,193.3 2,311.6 0.0 168.5 60,228.2 26,842.3 6,436.2 0.0 24,209.6 3,287.1 2,560.4 0.0 173.3 63,509.0 Ballarat Health Services 8,827.0 2,175.0 0.0 7,296.0 630.3 710.2 0.0 0.0 19,638.5 9,675.5 2,238.9 0.0 7,497.8 648.8 825.8 0.0 0.0 20,886.8 Barwon Health 14,759.9 2,971.5 0.0 13,863.4 1,485.9 2,199.5 111.1 0.0 35,391.2 15,952.8 3,058.8 0.0 14,808.3 1,529.6 2,362.3 114.3 0.0 37,826.2 Bendigo Health Care Group 7,957.7 1,324.0 0.0 7,125.2 368.0 1,163.5 0.0 0.0 17,938.3 8,466.1 1,362.9 0.0 7,707.0 378.8 1,251.0 0.0 0.0 19,165.7
Djerriwarrh 0.0 861.5 0.0 2,402.7 0.0 1,055.8 0.0 0.0 4,320.0 0.0 886.8 0.0 2,491.4 0.0 1,089.3 0.0 0.0 4,467.4 Total 258,116.3 79,794.4 8,576.4 266,285.1 39,652.7 40,129.4 7,242.9 1,951.1 701,748.5 276,797.3 85,015.8 0.0 286,296.0 40,817.6 43,695.6 7,755.7 2,006.1 742,384.1
Page 122 Table 21: Small rural health services budgets 201011 and 201112
2010–11 expenditure budget 201112 expenditure budget
Ageing, Primary, Ageing, Primary, Acute Acute aged & Drug Mental community Public aged & Drug Mental community Public health Total health Total home services health & dental health home services health & dental health services services care health care health
Health service $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s
Barwon South West
Balmoral Bush Nursing Centre Inc 0 401 0 0 0 0 401 041400 00 414 Casterton Memorial Hospital 3,193 983 0 0 32 0 4,208 3,190 1,116 0 0 33 0 4,339 Cobden District Health Services Inc. 172 0 0 0 0 0 172 177 0 0 0 0 0 177 Dartmoor & District Bush Nursing Centre Inc 0 305 0 0 0 0 305 031400 00 314 Hesse Rural Health Service 1,600 1,074 0 0 488 0 3,162 1,629 1,139 0 0 526 0 3,294 Heywood Rural Health 2,156 482 0 0 0 0 2,638 2,175 516 0 0 0 0 2,691 Lorne Community Hospital 1,906 689 0 0 47 0 2,642 1,962 770 0 0 49 0 2,781 Moyne Health Services 3,026 1,355 0 0 6 0 4,387 3,177 1,454 0 0 6 0 4,637
Page 123 2010–11 expenditure budget 201112 expenditure budget
Ageing, Primary, Ageing, Primary, Acute Acute aged & Drug Mental community Public aged & Drug Mental community Public health Total health Total home services health & dental health home services health & dental health services services care health care health
Health service $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s
Otway Health and Community Services 2,238 680 0 0 126 0 3,043 2,298 750 0 0 130 0 3,178 Terang and Mortlake Health Service 4,504 1,139 0 0 1,049 0 6,692 4,678 1,221 0 0 1,082 0 6,981 Timboon and District Healthcare Service 3,296 836 0 0 239 0 4,371 3,380 898 0 0 247 0 4,524 Barwon South West total 22,091 7,944 0 0 1,987 0 32,022 22,666 8,591 0 0 2,072 0 33,329 Gippsland
Cann Valley Bush Nursing Centre Inc 0 339 0 0 0 0 339 036200 00 362 Dargo Bush Nursing Centre Inc 0 170 0 0 0 0 170 017600 00 176 Ensay Bush Nursing Centre Inc 0 90 0 0 0 0 90 0950 0 0 0 95 Gelantipy District Bush Nursing Centre Inc 0 123 0 0 0 0 123 012800 00 128 Heyfield Hospital Inc. 78 0 0 0 0 0 78 80 0 0 0 0 0 80
Page 124 2010–11 expenditure budget 201112 expenditure budget
Ageing, Primary, Ageing, Primary, Acute Acute aged & Drug Mental community Public aged & Drug Mental community Public health Total health Total home services health & dental health home services health & dental health services services care health care health
Health service $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s
Kooweerup Regional Health Service 4,458 1,209 0 0 0 0 5,667 4,493 1,293 0 0 0 0 5,786 Mallacoota District Health & Support Service Inc 0 427 0 0 0 0 427 0 44100 00 441 Nowa Nowa Community Health 0 0 0 0 229 0 229 0 0 0 0 236 0 236 Omeo District Health 1,389 578 0 0 6 0 1,973 1,388 617 0 0 6 0 2,010 Orbost Regional Health 4,865 1,138 0 0 416 0 6,419 5,023 1,256 0 0 429 0 6,709 South Gippsland Hospital 4,439 398 0 0 124 0 4,962 4,456 421 0 0 128 0 5,006 Swifts Creek Bush Nursing Centre Inc 0 270 0 0 0 0 270 028000 00 280 The Buchan Bush Nursing Association Inc 0 286 0 0 0 0 286 029600 00 296 Yarram and District Health Service 4,183 1,213 0 81 347 0 5,823 4,250 1,306 0 83 358 0 5,997
Gippsland total 19,412 6,241 0 81 1,122 0 26,856 19,690 6,671 0 83 1,157 0 27,602
Page 125 2010–11 expenditure budget 201112 expenditure budget
Ageing, Primary, Ageing, Primary, Acute Acute aged & Drug Mental community Public aged & Drug Mental community Public health Total health Total home services health & dental health home services health & dental health services services care health care health
Health service $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s
Grampians
Ballan & District Soldiers Memorial Bush Nursing Hospital and Hostel Inc 94 421 0 0 0 0 515 97 434 0 0 0 0 531 Beaufort and Skipton Health Service 3,591 1,139 0 0 124 0 4,853 3,909 1,181 0 0 127 0 5,217 Dunmunkle Health Services 1,033 952 0 0 660 0 2,645 1,027 952 0 0 680 0 2,659 East Wimmera Health Service 8,620 3,134 0 0 491 0 12,244 8,809 3,362 0 0 506 0 12,677 Edenhope and District Memorial Hospital 2,868 831 0 0 55 0 3,754 3,016 876 0 0 57 0 3,949 Elmhurst Bush Nursing Centre Inc 0 253 0 0 0 0 253 026300 00 263 Harrow Bush Nursing Centre Inc 0 299 0 0 0 0 299 031000 00 310 Hepburn Health Service 6,834 2,929 0 0 862 0 10,624 7,060 3,135 0 0 889 0 11,083
Page 126 2010–11 expenditure budget 201112 expenditure budget
Ageing, Primary, Ageing, Primary, Acute Acute aged & Drug Mental community Public aged & Drug Mental community Public health Total health Total home services health & dental health home services health & dental health services services care health care health
Health service $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s
Lake Bolac Bush Nursing Centre Inc 0 343 0 0 0 0 343 035500 00 355 Neerim District Soldiers' Memorial Hospital Inc 77 0 0 0 0 0 77 79 0 0 0 0 0 79 Rural Northwest Health 6,772 1,735 0 0 483 0 8,989 7,279 1,797 0 0 498 0 9,574 West Wimmera Health Service 10,533 3,657 0 223 1,353 0 15,766 11,387 3,365 0 229 1,395 0 16,376 Woomelang & District Bush Nursing Centre Inc 0 268 0 0 0 0 268 027600 00 276 Grampians total 40,422 15,960 0 223 4,026 0 60,631 42,663 16,306 0 229 4,153 0 63,350 Hume
Alexandra District Hospital 4,743 231 0 0 358 0 5,332 4,941 238 0 0 369 0 5,549
Alpine Health 9,262 2,420 0 0 253 0 11,935 9,284 2,523 0 0 261 0 12,068 Beechworth Health Service 3,313 1,912 0 2,700 263 0 8,188 3,494 1,672 0 2,769 271 0 8,206 Cobram District Health 4,827 1,288 0 0 119 0 6,235 5,053 1,219 0 0 123 0 6,395
Page 127 2010–11 expenditure budget 201112 expenditure budget
Ageing, Primary, Ageing, Primary, Acute Acute aged & Drug Mental community Public aged & Drug Mental community Public health Total health Total home services health & dental health home services health & dental health services services care health care health
Health service $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s
Euroa Health Inc 233 28 0 0 0 0 261 239 29 0 0 0 0 268 Indigo North Health Inc 0 972 0 0 452 0 1,425 0 1,179 0 0 467 0 1,645 Kilmore and District Hospital, The 8,864 1,126 0 0 0 0 9,990 9,011 1,074 0 0 0 0 10,085 Mansfield District Hospital 5,067 1,195 0 0 96 0 6,358 5,219 1,196 0 0 99 0 6,513 Mitchell Community Health Service 0 1,918 185 0 1,208 0 3,311 0 1,978 191 0 1,246 0 3,415 Nagambie Hospital Inc 148 0 0 0 0 0 148 152 0 0 0 0 0 152 Nathalia District Hospital 1,907 640 0 0 0 0 2,547 1,944 786 0 0 0 0 2,730 Numurkah and District Health Service 5,475 1,225 0 0 195 0 6,895 5,539 1,378 0 0 201 0 7,119 Seymour District Memorial Hospital 9,829 1,329 0 0 74 0 11,232 10,021 1,436 0 0 77 0 11,533
Page 128 2010–11 expenditure budget 201112 expenditure budget
Ageing, Primary, Ageing, Primary, Acute Acute aged & Drug Mental community Public aged & Drug Mental community Public health Total health Total home services health & dental health home services health & dental health services services care health care health
Health service $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s
Tallangatta Health Service 3,087 948 0 0 186 0 4,220 3,210 1,006 0 0 191 0 4,408 Upper Murray Health and Community Services 3,149 1,203 0 0 100 0 4,451 3,190 1,373 0 0 103 0 4,665 Walwa Bush Nursing Hospital Inc 0 0 0 0 328 0 328 0 0 0 0 374 0 374 Yackandandah Bush Nursing Hospital Inc 76 0 0 0 0 0 76 78 0 0 0 0 0 78 Yarrawonga District Health Service 6,321 1,467 0 0 536 0 8,324 6,721 1,576 0 0 552 0 8,849 Yea and District Memorial Hospital 1,892 407 0 0 303 0 2,601 2,048 452 0 0 312 0 2,812
Hume total 68,193 18,308 185 2,700 4,471 0 93,857 70,144 19,114 191 2,769 4,647 0 96,865 Loddon Mallee
Boort District Health 1,905 548 0 0 0 0 2,453 2,045 555 0 0 0 0 2,600 Cobaw Community Health Services Limited 0 548 90 30 1,065 0 1,733 0 565 93 31 1,099 0 1,788
Page 129 2010–11 expenditure budget 201112 expenditure budget
Ageing, Primary, Ageing, Primary, Acute Acute aged & Drug Mental community Public aged & Drug Mental community Public health Total health Total home services health & dental health home services health & dental health services services care health care health
Health service $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s
Cohuna District Hospital 4,015 625 0 0 0 0 4,640 4,336 689 0 0 0 0 5,025 Dingee Bush Nursing Centre Inc 0 287 0 0 0 0 287 029700 00 297 Gisborne and District Community Health and Hospital Board Inc 0 821 0 0 545 0 1,366 0 868 0 0 562 0 1,430 Inglewood and Districts Health Service 1,494 652 0 0 457 0 2,604 1,608 731 0 0 471 0 2,811 Kerang District Health 5,317 1,459 0 0 0 0 6,776 5,515 1,596 0 0 0 0 7,111 Kyneton District Health Service 7,397 1,039 0 0 0 0 8,436 7,613 1,085 0 0 0 0 8,698 Lockington & District Bush Nursing Centre Inc 0 257 0 0 0 0 257 0 265 0 0 0 0 265
Maldon Hospital 949 600 0 0 0 0 1,549 975 666 0 0 0 0 1,641 Mallee Track Health and Community Service 3,234 1,966 0 0 0 0 5,200 3,287 2,294 0 0 0 0 5,581
Page 130 2010–11 expenditure budget 201112 expenditure budget
Ageing, Primary, Ageing, Primary, Acute Acute aged & Drug Mental community Public aged & Drug Mental community Public health Total health Total home services health & dental health home services health & dental health services services care health care health
Health service $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s
Heathcote Health 1,647 791 0 0 105 0 2,543 1,705 732 0 0 109 0 2,546 Northern District Community Health Service 328 149 0 1,072 0 1,548 338 154 0 1,105 0 1,597 Robinvale District Health Services 4,936 973 0 200 193 0 6,301 4,932 1,248 0 200 199 0 6,579 Rochester and Elmore District Health Service 3,911 1,354 0 0 0 0 5,265 4,160 1,413 0 0 0 0 5,573 Loddon Mallee total 34,805 12,248 239 230 3,437 0 50,959 36,176 13,343 246 231 3,545 0 53,542 Small rural total 184,923 60,700 424 3,234 15,044 0 264,325 191,339 64,025 437 3,312 15,575 0 274,688
Note: SRHS budgets include Bush Nursing Hospitals
Page 131 Table 22: Mental health expenditure budgets 201011 and 201112 by funding stream
2010–11 expenditure budget 201112 expenditure budget
Service Service System System Ambulatory Inpatient PDRSS Residential Capacity Total Ambulatory Inpatient PDRSS Residential Capacity Total
Health service $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s
Major Providers
Austin Health 14,997.8 26,179.6 0 369.0 3,280.7 44,827.1 15,445.9 27,271.5 0 380.0 3,209.3 46,306.7
Alfred Health 19,681.7 15,421.4 0 4,861.4 2,560.3 42,524.9 20,262.2 16,008.0 - 5,011.2 2,483.4 43,764.8
Eastern Health 37,002.2 27,105.4 - 9,990.1 3,964.0 78,061.7 38,099.3 28,162.2 - 10,297.5 3,822.1 80,381.1
Melbourne Health 61,834.5 52,569.0 255.1 20,511.1 8,483.0 143,652.7 63,660.6 54,498.2 261.5 21,133.5 8,266.6 147,820.3
Mercy Public Hospitals Inc 10,136.9 7,944.0 - 3,919.1 1,626.3 23,626.3 10,437.6 8,145.4 - 4,036.0 1,587.1 24,206.1
Peninsula Health 14,604.0 9,422.4 - 4,070.3 1,463.4 29,560.1 15,041.8 9,768.0 - 4,189.3 1,405.5 30,404.7
Royal Children's Hospital 8,993.1 2,860.6 96.8 - 1,387.2 13,337.8 9,258.9 3,618.1 99.7 - 1,378.9 14,355.6
Royal Women's Hospital - - - - 403.8 403.8 - - - - 412.3 412.3
Southern Health 39,156.2 37,714.0 - 10,974.7 5,586.1 93,430.9 40,883.8 39,010.5 - 11,304.2 5,422.5 96,621.1
St. Vincent's Health 16,211.2 13,644.6 - 4,742.2 4,071.2 38,669.3 17,041.7 14,039.7 - 4,892.8 4,051.1 40,025.3
Victorian Institute of Forensic Mental Health 2,812.9 34,544.3 - - 916.7 38,273.8 2,638.3 35,598.5 - - 749.2 38,985.9
Total Major Providers 225,430.4 227,405.3 351.9 59,438.0 33,742.8 546,368.4 232,770.1 236,120.0 361.2 61,244.5 32,788.2 563,284.0
Barwon South Western
Barwon Health 18,018.3 7,981.2 - 4,361.1 1,509.9 31,870.6 18,558.1 8,308.4 - 4,498.1 1,446.8 32,811.4
Page 132 2010–11 expenditure budget 201112 expenditure budget
Service Service System System Ambulatory Inpatient PDRSS Residential Capacity Total Ambulatory Inpatient PDRSS Residential Capacity Total
Health service $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s
Lyndoch Warrnambool - - - 315.2 - 315.2 - - - 324.1 - 324.1
South West Healthcare 9,600.5 3,771.8 - 248.4 745.6 14,366.2 9,885.0 3,929.1 - 255.7 710.5 14,780.3
Western District Health Service - - - 95.2 - 95.2 - - - 97.5 - 97.5
Total Barwon South Western 27,618.8 11,753.0 0.0 5,019.9 2,255.5 46,647.2 28,443.1 12,237.5 0.0 5,175.3 2,157.3 48,013.3
Grampians
Ballarat Health Services 13,817.1 9,392.6 - 3,111.9 1,128.3 27,449.9 14,227.0 9,732.7 - 3,206.9 1,058.9 28,225.4
Stawell Regional Health - - - 204.8 - 204.8 - - - 211.7 - 211.7
West Wimmera - - - 223.1 - 223.1 - - - 229.1 - 229.1
Total Grampians 13,817.1 9,392.6 0.0 3,539.8 1,128.3 27,877.8 14,227.0 9,732.7 0.0 3,647.7 1,058.9 28,666.3
Loddon Mallee
Bendigo Health Care Group 19,559.4 8,976.3 - 3,889.9 2,235.4 34,661.1 20,143.7 9,320.9 - 4,010.4 2,174.4 35,649.5
Mildura Base Hospital 6,305.3 2,634.7 - - 1,034.3 9,974.3 6,492.3 2,742.8 - - 1,027.2 10,262.3
Total Loddon Mallee 25,864.7 11,611.1 0.0 3,889.9 3,269.7 44,635.4 26,636.0 12,063.8 0.0 4,010.4 3,201.6 45,911.8
Hume
Beechworth Health Service - - - 2,677.1 22.7 2,699.8 - - - 2,768.9 - 2,768.9
Goulburn Valley Health 9,611.7 4,421.0 - 3,327.3 534.2 17,894.2 9,892.7 4,602.6 - 3,429.6 488.3 18,413.1
Northeast Health Wangaratta 4,566.7 4,615.2 - - 332.2 9,514.1 4,702.0 4,777.2 - - 307.6 9,786.7
Albury Wodonga Health 4,683.4 - - 974.5 774.9 6,432.8 4,822.4 - - 1,022.7 775.8 6,620.9
Total Hume 18,861.8 9,036.3 0.0 6,979.0 1,663.9 36,540.9 19,417.0 9,379.8 0.0 7,221.2 1,571.7 37,589.7
Page 133 2010–11 expenditure budget 201112 expenditure budget
Service Service System System Ambulatory Inpatient PDRSS Residential Capacity Total Ambulatory Inpatient PDRSS Residential Capacity Total
Health service $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s
Gippsland
Latrobe Regional Hospital 19,999.8 9,110.8 - 3,510.2 2,459.2 35,080.1 20,593.7 9,490.7 - 3,616.2 2,403.1 36,103.7
Total Gippsland 19,999.8 9,110.8 0.0 3,510.2 2,459.2 35,080.1 20,593.7 9,490.7 0.0 3,616.2 2,403.1 36,103.7
Total Rural Regions 106,162.2 50,903.7 0.0 22,938.8 10,776.6 190,781.4 109,316.9 52,904.3 0.0 23,670.8 10,392.6 196,284.7
Bouverie Centre 888.5 - - - 421.2 1,309.8 915 - - - 432 1,346.7
Total State 332,481.2 278,309.0 351.9 82,376.8 44,940.7 738,459.5 343,001.8 289,024.3 361.2 84,915.4 43,612.6 760,915.3 Notes: 1. 2010–11 and 2011–12 expenditure budgets are recurrent only. 2. 2011–12 expenditure budget includes four new inpatient beds at Royal Children’s Hospital & extension of the Eating Disorders pilot. 3. An allocation of $1.28 million for Mental Health Inpatient Services for 12 beds in the North Western Region is still to be determined.
Page 134 Table 23: Mental health expenditure budgets 201011 and 201112 by service type
2010–11 expenditure budget 201112 expenditure budget
Service Service System System Child & Capacity Child & Capacity Adole- Develop- Adole- Develop- Adult Aged scent Forensic PDRSS ment Specialist Total Adult Aged scent Forensic PDRSS ment Specialist Total
Region $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s
Major Providers
Austin Health 26,100.6 - 11,651.9 - - 3,554.8 3,519.8 44,827.1 27,191.1 - 11,999.9 - - 3,491.6 3,624.0 46,306.7
Alfred Health 29,114.3 5,985.9 3,734.0 142.8 - 2,560.3 987.5 42,524.9 30,106.1 6,167.2 3,843.2 148.0 - 2,483.4 1,016.8 43,764.8
Eastern Health 47,874.5 11,718.6 10,535.1 142.8 - 3,964.0 3,826.6 78,061.7 49,547.6 12,073.5 10,849.6 148.0 - 3,822.1 3,940.2 80,381.1
Melbourne Health 96,848.9 21,321.8 9,931.8 428.4 255.1 8,483.0 6,383.7 143,652.7 100,088.5 21,961.5 10,225.5 444.1 261.5 8,266.6 6,572.8 147,820.3
Mercy Public Hospitals Inc 19,565.3 - - 142.8 - 1,943.0 1,975.3 23,626.3 20,111.2 - - 148.0 - 1,913.2 2,033.7 24,206.1
Peninsula Health 20,020.9 7,176.1 899.6 - - 1,463.4 - 29,560.1 20,680.5 7,386.2 932.5 - - 1,405.5 - 30,404.7
Royal Children's Hospital 155.5 - 10,250.1 - 96.8 1,450.9 1,384.4 13,337.8 205.4 - 11,180.5 - 99.7 1,444.5 1,425.5 14,355.6
Royal Women's Hospital - - - - - 403.8 - 403.8 - - - - - 412.3 - 412.3
Southern Health 59,677.3 13,773.8 11,645.4 142.8 - 5,902.7 2,288.8 93,430.9 61,627.6 14,182.8 11,992.0 148.0 - 5,748.6 2,922.0 96,621.1
Page 135 2010–11 expenditure budget 201112 expenditure budget
Service Service System System Child & Capacity Child & Capacity Adole- Develop- Adole- Develop- Adult Aged scent Forensic PDRSS ment Specialist Total Adult Aged scent Forensic PDRSS ment Specialist Total
Region $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s
St. Vincent's Health 24,675.9 7,853.8 - 142.8 - 4,071.2 1,925.6 38,669.3 25,398.8 8,095.1 - 148.0 - 4,051.1 2,332.3 40,025.3
Victorian Institute of Forensic Mental Health - - 136.6 37,220.5 - 916.7 - 38,273.8 - - 136.6 38,100.1 - 749.2 - 38,985.9
Total Major Providers 324,033.4 67,830.0 58,784.6 38,362.8 351.9 34,713.9 22,291.8 546,368.4 334,956.9 69,866.3 61,159.8 39,284.3 361.2 33,788.1 23,867.4 563,284.0
Barwon South Western
Barwon Health 21,915.4 5,306.8 2,761.3 142.8 - 1,509.9 234.3 31,870.6 22,656.5 5,470.9 2,847.8 148.0 - 1,446.8 241.3 32,811.4
Lyndoch Warrnambool - 315.2 - - - - - 315.2 - 324.1 - - - - - 324.1
South West Healthcare 10,591.6 1,826.2 1,175.3 - - 745.6 27.5 14,366.2 10,951.5 1,879.8 1,210.2 - - 710.5 28.3 14,780.3
Western District Health Service - 95.2 - - - - - 95.2 - 97.5 - - - - - 97.5
Total Barwon South Western 32,507.0 7,543.4 3,936.6 142.8 0.0 2,255.5 261.8 46,647.2 33,608.0 7,772.3 4,057.9 148.0 0.0 2,157.3 269.6 48,013.3
Grampians
Ballarat Health Services 19,633.7 4,401.4 2,286.5 - - 1,128.3 - 27,449.9 20,278.0 4,534.2 2,354.3 - - 1,058.9 - 28,225.4
Stawell Regional Health - 204.8 - - - - - 204.8 - 211.7 - - - - - 211.7
Page 136 2010–11 expenditure budget 201112 expenditure budget
Service Service System System Child & Capacity Child & Capacity Adole- Develop- Adole- Develop- Adult Aged scent Forensic PDRSS ment Specialist Total Adult Aged scent Forensic PDRSS ment Specialist Total
Region $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s
West Wimmera - 223.1 - - - - - 223.1 - 229.1 - - - - - 229.1
Total Grampians 19,633.7 4,829.3 2,286.5 0.0 0.0 1,128.3 0.0 27,877.8 20,278.0 4,975.0 2,354.3 0.0 0.0 1,058.9 0.0 28,666.3
Loddon Mallee
Bendigo Health Care Group 23,030.7 5,673.2 3,423.0 - - 2,235.4 298.7 34,661.1 23,792.9 5,845.6 3,529.0 - - 2,174.4 307.5 35,649.5
Mildura Base Hospital 6,839.9 1,035.8 1,064.4 - - 1,034.3 - 9,974.3 7,072.8 1,066.3 1,095.9 - - 1,027.2 - 10,262.3
Total Loddon Mallee 29,870.6 6,709.0 4,487.4 0.0 0.0 3,269.7 298.7 44,635.4 30,865.8 6,911.9 4,625.0 0.0 0.0 3,201.6 307.5 45,911.8
Hume
Beechworth Health Service 2,228.7 471.2 - - - - - 2,699.8 2,281.3 487.6 - - - - - 2,768.9
Goulburn Valley Health 12,249.5 3,328.1 1,782.4 - - 534.2 - 17,894.2 12,664.0 3,429.6 1,831.3 - - 488.3 - 18,413.1
Northeast Health Wangaratta 7,361.3 1,820.6 - - - 332.2 - 9,514.1 7,605.1 1,874.1 - - - 307.6 - 9,786.7
Albury Wodonga Health 4,044.3 - 1,613.6 - - 774.9 - 6,432.8 4,183.6 - 1,661.5 - - 775.8 - 6,620.9
Total Hume 25,883.8 5,619.9 3,396.0 0.0 0.0 1,641.2 0.0 36,540.9 26,734.0 5,791.3 3,492.8 0.0 0.0 1,571.7 0.0 37,589.7
Page 137 2010–11 expenditure budget 201112 expenditure budget
Service Service System System Child & Capacity Child & Capacity Adole- Develop- Adole- Develop- Adult Aged scent Forensic PDRSS ment Specialist Total Adult Aged scent Forensic PDRSS ment Specialist Total
Region $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s
Gippsland
Latrobe Regional Hospital 25,065.7 4,675.0 2,737.4 142.8 - 2,459.2 - 35,080.1 25,919.7 4,814.2 2,818.5 148.0 - 2,403.1 - 36,103.7
Total Gippsland 25,065.7 4,675.0 2,737.4 142.8 0.0 2,459.2 0.0 35,080.1 25,919.7 4,814.2 2,818.5 148.0 0.0 2,403.1 0.0 36,103.7
Total Rural Regions 132,960.7 29,376.7 16,844.0 285.6 0.0 10,753.9 560.5 190,781.4 137,405.5 30,264.8 17,348.5 296.0 0.0 10,392.6 577.1 196,284.7
Bouverie Centre 125.9 - - - - 421.2 762.7 1,309.8 130 - - - - 431.8 785 1,346.7
Total State 457,120.0 97,206.7 75,628.6 38,648.4 351.9 45,889.1 23,614.9 738,459.5 472,492.0 100,131.1 78,508.3 39,580.3 361.2 44,612.5 25,229.8 760,915.3 Notes: 1. 2010–11 and 2011–12 expenditure budgets are recurrent only. 2. 2011–12 expenditure budget includes four new inpatient beds at Royal Children’s Hospital & extension of the Eating Disorders pilot. 3. An allocation of $1.28 million for Mental Health Inpatient Services for 12 beds in the North Western Region is still to be determined.
Page 138 Table 24: Registered community health centres budgets 201011 and 201112
2010–11 expenditure budget 201112 expenditure budget Ageing, Primary, Acute Aged & Primary aged & Drug Mental community Public Acute Drug Mental Public health Total home & dental Total home services health & dental health health services health health services care care care health Health service $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s Barwon South West Bellarine Community Health Ltd 175 2,318 1,793 4,286 180 2,273 1,849 4,302 Barwon South West total 175 2,318 1,793 4,286 180 2,273 1,849 4,302 Eastern Metropolitan Inner East Community Health Service 1,622 1,741 3,362 1,715 1,816 3,531 Knox Community Health Service Ltd 1,366 45 2,196 3,607 1,508 46 2,286 3,840 Manningham Community Health Services Ltd 1,455 1,094 2,549 1,545 1,169 2,714 MonashLink Community Health Service Limited 1,837 2,137 3,975 1,977 2,262 4,240 Ranges Community Health 865 2,063 2,928 900 2,148 3,048
Page 139 2010–11 expenditure budget 201112 expenditure budget Ageing, Primary, Acute Aged & Primary aged & Drug Mental community Public Acute Drug Mental Public health Total home & dental Total home services health & dental health health services health health services care care care health Health service $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s Whitehorse Community Health Service Limited 1,489 385 2,270 4,144 1,624 398 2,395 4,416 Eastern Access Community Health 2,386 1203,968 2,545 9,018 2,573 125 4,092 2,655 9,445 Eastern Region total 11,019 550 3,968 14,046 29,583 11,842 569 4,092 14,731 31,234 Gippsland Gippsland Lakes Community Health 171 2,574 822 1,861 5,428 176 2,666 806 1,920 5,567 Latrobe Community Health Service 757 9,940 1,987 336 3,413 16,433 779 10,433 2,092 346 3,589 17,239 Bass Coast Community Health Service 180 805 244 1,348 2,577 185 850 531 1,110 2,676 Gippsland total 1,107 13,320 3,053 336 6,622 24,438 1,140 13,948 3,429 346 6,619 25,482 Grampians Ballarat Community Health 60 344 730615 2,338 104 4,191 62 354 753 634 2,412 107 4,322 Grampians Community Health 852 918417 648 2,834 879946 430 668 2,923 Grampians total 60 1,196 1,648 1,031 2,986 104 7,025 62 1,234 1,699 1,064 3,080 107 7,246
Page 140 2010–11 expenditure budget 201112 expenditure budget Ageing, Primary, Acute Aged & Primary aged & Drug Mental community Public Acute Drug Mental Public health Total home & dental Total home services health & dental health health services health health services care care care health Health service $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s Hume Goulburn Valley Community Health Service 639 930 1,569 659 959 1,618 Ovens & King Community Health Service 2,039 536 1,108 3,682 2,128 553 1,142 3,823 Gateway Community Health 486399 618 72 1,575 502411 637 74 1,624 Hume total 2,039 1,662 399 2,655 72 6,826 2,128 1,714 411 2,738 74 7,066 Loddon Mallee Bendigo Community Health Services Limited 542 2,321 2,65259 5,574 592 2,393 2,737 61 5,783 Castlemaine District Community Health Limited 103 314 729 1,147 107 324 774 1,205 Sunraysia Community Health Services Limited 540 2,912 813 2,307 6,571 555 3,023 838 2,448 6,865 Loddon Mallee total 540 3,557 3,447 5,688 59 13,292 555 3,722 3,556 5,959 61 13,853
Page 141 2010–11 expenditure budget 201112 expenditure budget Ageing, Primary, Acute Aged & Primary aged & Drug Mental community Public Acute Drug Mental Public health Total home & dental Total home services health & dental health health services health health services care care care health Health service $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s North and West Metropolitan Banyule Community Health 1,071 581 2,439 4,091 1,182 599 2,515 4,296 Darebin Community Health Service 2,075 376 3,926 6,377 2,229 388 4,160 6,777 Dianella Community Health 1,720 8814,022 6,622 1,803 908 4,148 6,859 Doutta Galla Community Health Service 2,942 3,811 2,991 9,745 3,135 3,930 3,337 10,402 Isis Primary Care Ltd 8,264 1,549 7,379 17,192 8,691 1,595 7,679 17,965 Merri Community Health Services Limited 8,018 137 1,027 3,270 12,452 8,457 141 1,059 3,373 13,031 Nillumbik Community Health Service Ltd 2,141 862 3,002 2,234 1,077 3,311 North Richmond Community Health Limited 1,161 199 591 154 1,770 547 4,422 1,470 206 708 159 1,825 676 5,044 North Yarra Community Health 812 647 426 2,167 4,051 866 1,260 440 2,235 4,800
Page 142 2010–11 expenditure budget 201112 expenditure budget Ageing, Primary, Acute Aged & Primary aged & Drug Mental community Public Acute Drug Mental Public health Total home & dental Total home services health & dental health health services health health services care care care health Health service $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s Plenty Valley Community Health Ltd 1,442 249 2,877 4,569 1,593 257 3,025 4,875 Sunbury Community Health Centre 1,095 1,384 2,479 1,213 1,427 2,641 Western Region Health Centre Ltd 1,862 4883,466 2,760 8,576 1,962 1,502 3,575 2,870 9,909 North & West total 1,161 31,642 4,617 9,765 35,846 547 83,579 1,470 33,571 6,450 10,071 37,672 676 89,910 Southern Metropolitan Bentleigh- Bayside Community Health 1,437 1,862 3,299 1,544 1,920 3,464 Central Bayside Community Health Services Limited 2,434 448299 2,344 5,526 2,650 462 308 2,418 5,839 Inner South Community Health Service Limited 1,390 4,034 5792,565 3,777 571 12,916 1,705 4,265 911 1,954 3,896 624 13,355 Southern total 1,390 7,906 1,027 2,864 7,983 571 21,741 1,705 8,460 1,373 2,263 8,234 624 22,658 Registered Community Health Centre total 4,433 72,997 16,005 18,362 77,620 1,354 190,770 5,113 77,177 18,790 18,247 80,883 1,543 201,752
Page 143 Other health providers budgets 201011 and 201112 Table 25: Local Government providers 201011 and 201112 The following table shows the health funding to Local Government Authorities that receive >$1million from specific health outputs.
2010–11 expenditure budget 201112 expenditure budget
Primary, Primary, Ageing, Ageing, Drug Mental community Public Drug Mental community Public aged & Total aged & Total services health & dental health services health & dental health home care home care care care Local Government $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s
Banyule City Council 3,929 3,929 4,032 4,032
Bass Coast Shire Council 1,690 1,690 1,767 56 1,823
Baw Baw Shire Council 2,286 2,286 2,369 2,369
Bayside City Council 4,069 4,069 4,262 4,262
Brimbank City Council 4,155 4,155 4,334 4,334
Campaspe Shire Council 1,974 1,974 2,052 2,052
Casey City Council 6,935 6,935 7,402 7,402
Central Goldfields Shire Council 1,081 1,081 1,116 1,116
City of Ballarat 3,747 3,747 3,876 3,876
Page 144 2010–11 expenditure budget 201112 expenditure budget
Primary, Primary, Ageing, Ageing, Drug Mental community Public Drug Mental community Public aged & Total aged & Total services health & dental health services health & dental health home care home care care care Local Government $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s
City of Boroondara 5,336 5,336 5,503 5,503
City of Darebin 5,588 36 5,624 5,788 37 5,824
City of Greater Geelong 9,114 140 49 9,303 9,531 222 51 9,804
City of Kingston 11,356 11,356 11,776 11,776
City of Manningham 5,569 5,569 5,247 5,247
City of Maroondah 3,836 3,836 4,008 4,008
City of Port Phillip 3,247 3,247 3,349 3,349
City of Stonnington 3,280 3,280 3,435 3,435
City of Whitehorse 6,594 6,594 6,872 6,872
Colac Otway Shire Council 1,003 1,003 1,041 1,041
Frankston City Council 3,787 3,787 3,977 3,977
Page 145 2010–11 expenditure budget 201112 expenditure budget
Primary, Primary, Ageing, Ageing, Drug Mental community Public Drug Mental community Public aged & Total aged & Total services health & dental health services health & dental health home care home care care care Local Government $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s
Glen Eira City Council 5,347 5,347 5,637 5,637
Glenelg Shire Council 1,212 1,212 1,250 1,250
Greater Bendigo City Council 5,690 5,690 5,905 5,905
Greater Shepparton City Council 2,747 2,747 2,833 2,833
Hepburn Shire Council 1,033 1,033 1,069 1,069
Hobsons Bay City Council 3,406 3,406 3,580 3,580
Hume City Council 4,478 4,478 4,889 4,889
Knox City Council 4,273 4,273 4,442 4,442
Latrobe City Council 3,551 3,551 3,673 3,673
Macedon Ranges Shire Council 1,628 1,628 1,679 1,679
Page 146 2010–11 expenditure budget 201112 expenditure budget
Primary, Primary, Ageing, Ageing, Drug Mental community Public Drug Mental community Public aged & Total aged & Total services health & dental health services health & dental health home care home care care care Local Government $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s
Maribyrnong City Council 2,551 2,551 2,648 2,648
Melbourne City Council 2,111 2,111 2,345 2,345
Melton Shire Council 2,520 2,520 2,805 2,805
Mildura Rural City Council 2,143 2,143 2,225 2,225
Monash City Council 6,853 6,853 7,383 7,383
Moonee Valley City Council 3,915 3,915 4,048 4,048
Moorabool Shire Council 1,338 1,338 1,393 1,393
Moreland City Council 5,328 5,328 5,472 5,472
Mornington Peninsula Shire Council 6,705 6,705 6,979 6,979
Mount Alexander Shire Council 1,133 1,133 1,191 1,191
Page 147 2010–11 expenditure budget 201112 expenditure budget
Primary, Primary, Ageing, Ageing, Drug Mental community Public Drug Mental community Public aged & Total aged & Total services health & dental health services health & dental health home care home care care care Local Government $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s
Municipal Association of Victoria 1,048 1,048 89 1,160 1,249
Nillumbik Shire Council 1,089 1,089 1,131 1,131
Rural City of Wangaratta 2,508 2,508 2,587 2,587
Shire of Yarra Ranges 5,476 77 5,553 5,659 79 5,738
South Gippsland Shire Council 1,181 1,181 1,218 1,218
Southern Grampians Shire Council 1,131 1,131 1,167 1,167
Swan Hill Rural City Council 1,131 1,131 1,167 1,167
The City of Greater Dandenong 6,586 6,586 6,966 103 7,069
Warrnambool City Council 1,623 1,623 1,695 1,695
Page 148 2010–11 expenditure budget 201112 expenditure budget
Primary, Primary, Ageing, Ageing, Drug Mental community Public Drug Mental community Public aged & Total aged & Total services health & dental health services health & dental health home care home care care care Local Government $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s
Whittlesea City Council 4,141 4,141 4,569 4,569
Wodonga City Council 1,420 1,420 1,465 1,465
Wyndham City Council 3,837 3,837 4,347 4,347
Yarra City Council 2,909 2,909 2,994 2,994
All other LGAs (<$1m) 14,023 397 14,420 14,517 410 109 15,035
Local Government total 203,592 216 433 1,097 205,339 212,755 103 301 447 1,376 214,981
Page 149 Table 26: Non-government providers 201011 and 201112 The following shows the health funding to non-government organisations that receive >$1million from specified health outputs.
2010–11 expenditure budget 201112 expenditure budget
Ageing, Primary, Ageing, Primary, Acute Acute aged & Drug Mental community Public aged & Drug Mental community Public health Total health Total home services health & dental health home services health & dental health services services care care care care
Organisation $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s
Alzheimer's Disease and Related Disorders Association of Victoria Inc 2,686 2,686 2,849 2,849
Anglicare Eastern 21 89377 990 21 921 79 1,022
Anti-Cancer Council of Victoria 419 3,682 4,101 430 4,582 5,012
Aspire, A Pathway to Mental Health Inc. 48 1,596 1,644 50 1,645 1,695
Australian College of Optometry 5,592 28 5,620 5,767 58 5,825
Page 150 2010–11 expenditure budget 201112 expenditure budget
Ageing, Primary, Ageing, Primary, Acute Acute aged & Drug Mental community Public aged & Drug Mental community Public health Total health Total home services health & dental health home services health & dental health services services care care care care
Organisation $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s
Australian Community Support Organisation Inc 7,632 714 8,346 7,872 736 8,608
Australian Drug Foundation Inc 1,057 1,057 1,090 1,090
Australian Greek Welfare Society Ltd 991 991 1,159 1,159
Australian Red Cross Blood Service Victoria 5,483 5,483 5,636 5,636
Ballarat District Nursing and Healthcare Inc 3,177 3,177 3,276 3,276
Baptcare Ltd 2,163 192 2,355 2,233 198 2,431
Beyond Blue Limited 3,500 3,500 3,500 3,500
BreastScreen Victoria Inc. 32,679 32,679 36,593 36,593
Page 151 2010–11 expenditure budget 201112 expenditure budget
Ageing, Primary, Ageing, Primary, Acute Acute aged & Drug Mental community Public aged & Drug Mental community Public health Total health Total home services health & dental health home services health & dental health services services care care care care
Organisation $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s
Brotherhood of St Laurence 3,663 3,663 3,856 3,856
Caraniche Pty Ltd 560 560 1,155 1,155
Care Connect Limited 4,797 4,797 4,948 4,948
Carers Association Victoria Inc 2,015 179 2,194 3,185 185 3,370
Centacare, Catholic Diocese of Ballarat Inc 1,555 1,271 2,826 1,742 1,311 3,054
Co.As.It. - Italian Assistance Association 1,420 1,420 1,532 1,532
Diabetes Australia - Victoria 1,366 2,846 4,212 1,409 3,082 4,491
ERMHA Inc 2,088 3,138 5,225 2,153 3,236 5,389
Page 152 2010–11 expenditure budget 201112 expenditure budget
Ageing, Primary, Ageing, Primary, Acute Acute aged & Drug Mental community Public aged & Drug Mental community Public health Total health Total home services health & dental health home services health & dental health services services care care care care
Organisation $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s
Family Planning Victoria Inc 3,445 357 3,802 3,584 275 3,859
Gippsland and East Gippsland Aboriginal Co- operative Limited 415 768 234 1,417 393 792 242 1,427
Goulburn Valley Family Care Inc 901 27 64 992 929 28 66 1,023
Hanover Welfare Services 43 86792 1,002 44 894 95 1,033
Healthcare Chaplaincy Council of Victoria Inc 1,214 107 1,322 1,234 111 1,345
Jewish Care (Victoria) Inc. 1,586 1,586 1,662 1,662
Koroit Health Services Inc 936 936 1,147 1,147
La Trobe University 860 117 1,310 881 176 3,345 886 121 1,347 909 312 3,573
Page 153 2010–11 expenditure budget 201112 expenditure budget
Ageing, Primary, Ageing, Primary, Acute Acute aged & Drug Mental community Public aged & Drug Mental community Public health Total health Total home services health & dental health home services health & dental health services services care care care care
Organisation $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s
Loddon Mallee Housing Services Limited 1,357 216 1,573 1,390 222 1,612
Mallee Family Care Inc 976 976 1,007 1,007
MECWA 7,288 7,288 7,983 7,983
Mental Illness Fellowship Victoria 25 6,748 6,773 26 6,960 6,986
Mildura Aboriginal Corporation 340 342124 262 1,068 350 353 127 270 1,100
Mind Australia 42 73 17,004 17,119 44 75 17,538 17,657
Moira Healthcare Alliance Inc 1,776 1,776 2,054 2,054
Neami Limited 4,279 4,279 5,720 5,720
Page 154 2010–11 expenditure budget 201112 expenditure budget
Ageing, Primary, Ageing, Primary, Acute Acute aged & Drug Mental community Public aged & Drug Mental community Public health Total health Total home services health & dental health home services health & dental health services services care care care care
Organisation $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s
Ngwala Willumbong Co-operative Limited 78 1,005 69 1,152 79 1,036 71 1,187
Norwood Association Inc 1,578 1,578 1,628 1,628
Odyssey House, Victoria 3,333 3,333 3,729 3,729
Pathways Rehabilitation & Support Services Limited 43 2,507 2,550 45 2,586 2,630
Peninsula Support Services Inc 209 1,687 1,896 215 1,737 1,953
Prahran Mission 115 3,213 3,328 118 3,429 3,548
Royal District Nursing Service Limited 300 81,573 92 507 82,472 309 85,178 95 523 86,105
Page 155 2010–11 expenditure budget 201112 expenditure budget
Ageing, Primary, Ageing, Primary, Acute Acute aged & Drug Mental community Public aged & Drug Mental community Public health Total health Total home services health & dental health home services health & dental health services services care care care care
Organisation $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s
Rumbalara Aboriginal Co- operative Limited 763 26546 167 1,241 873 274 48 172 1,366
SNAP Gippsland Inc 1,143 1,143 1,171 1,171
Southern Mental Health Association Inc 1,424 1,424 1,468 1,468
St Laurence Community Services Inc 4,169 4,169 4,399 4,399
St Luke's Anglicare 77 2,598 2,676 80 2,680 2,760
St Vincent de Paul Aged Care & Community Services 854 802 92 1,748 881 827 95 1,803
The Mental Health Research Institute of Victoria 1,488 1,488 1,535 1,535
Page 156 2010–11 expenditure budget 201112 expenditure budget
Ageing, Primary, Ageing, Primary, Acute Acute aged & Drug Mental community Public aged & Drug Mental community Public health Total health Total home services health & dental health home services health & dental health services services care care care care
Organisation $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s
The Salvation Army (Victoria) Property Trust - Western 480 2,878454 3,812 495 2,968 468 3,931
The Salvation Army (Victoria) Property Trust- Barwon 1,692 458 2,150 1,745 472 2,217
The Salvation Army (Victoria) Property Trust- Eastern 1,162 1,627 366 67 3,223 1,199 1,678 378 69 3,324
The Salvation Army (Victoria) Property Trust- Hume 612 808 1,419 631 843 1,474
The Salvation Army (Victoria) Property Trust- Southern 1,130 1,130 2,071 2,071
The University of Melbourne 251 1,359 219 5,695 7,524 258 169 1,578 226 5,873 8,105
Page 157 2010–11 expenditure budget 201112 expenditure budget
Ageing, Primary, Ageing, Primary, Acute Acute aged & Drug Mental community Public aged & Drug Mental community Public health Total health Total home services health & dental health home services health & dental health services services care care care care
Organisation $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s
The Victorian Foundation for Survivors of Torture Inc 356 1,495 1,852 368 1,564 1,931
Uniting Aged Care Eastern 1,118 1,118 1,277 1,277
Uniting Aged Care Victoria and Tasmania 1,063 1,063 1,107 1,107
Uniting Care Moreland Hall 4,935 4,935 5,090 5,090
UnitingCare Ballarat Parish Mission 654 1,468 112 2,234 675 1,514 115 2,304
UnitingCare Community Options 4,149 4,149 4,279 4,279
Very Special Kids 1,139 1,139 1,173 1,173
Page 158 2010–11 expenditure budget 201112 expenditure budget
Ageing, Primary, Ageing, Primary, Acute Acute aged & Drug Mental community Public aged & Drug Mental community Public health Total health Total home services health & dental health home services health & dental health services services care care care care
Organisation $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s
Victorian Aboriginal Community Controlled Health Organisation Inc 253 698 676 1,628 261 714 698 1,673
Victorian Aboriginal Health Service Co-operative Limited 905 971,226 118 131 2,475 962 79 1,405 121 135 2,702
Victorian AIDS Council Inc 4,213 4,213 4,410 4,410
Victorian Clinical Genetics Services Limited 5,502 1,235 6,737 5,664 1,273 6,937
Victorian Cytology Service Inc 16 11,682 11,698 17 12,076 12,093
Victorian Health Promotion Foundation 33,769 33,769 34,829 34,829
Page 159 2010–11 expenditure budget 201112 expenditure budget
Ageing, Primary, Ageing, Primary, Acute Acute aged & Drug Mental community Public aged & Drug Mental community Public health Total health Total home services health & dental health home services health & dental health services services care care care care
Organisation $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s $'000s
Villa Maria Society 1,410 1,410 1,537 1,537
Vision Australia Limited 2,246 2,246 2,373 2,373
Wesley Mission Victoria 2,653 594 3,247 2,894 612 3,506
Windana Drug & Alcohol Recovery Inc. 4,246 4,246 4,379 4,379
Women's Health Victoria Inc 600 1,047 1,647 618 1,080 1,698
Youth Projects Inc 1,119 1,119 1,963 1,963
YSAS Pty Ltd 8,618 8,618 10,133 10,133
All other non- government (<$1m) 3,969 41,947 6,985 16,067 9,791 6,667 85,424 4,038 45,609 7,521 16,674 10,665 7,787 92,294
Non- government total 19,754 191,245 53,301 77,903 20,684 104,314 467,201 20,263 203,741 59,278 82,066 21,975 112,448 499,771
Page 160 5. Price Tables
Table 27: Acute services 201112
Payment All Major Rural Rural Rural Rural Rural hospitals provider group B group B group B group group C $ s >14000 7500- 5000- B $ WIES $ 14000 7500 <5000 WIES $ Public Private WIES $ WIES $ WIES $ Inpatients
Public WIES 181 - - 3,867 4,025 4,141 4,270 4,288 4,394
Private WIES 18 - - 2,932 3,054 3,146 3,240 3,252 3,345
Nursing Home Type ------Patient (per diem rate) 218
TAC WIES 18 - - 3,467 3,459 3,558 3,493 3,506 3,607
DVA WIES 18 - - 3,953 4,117 4,240 4,368 4,384 4,510 Subacute
CRAFT (episode - RWU) 14,537 13,483 ------
Rehabilitation Level 1 (per diem rate) 670 622 ------
Rehabilitation Level 2 (per diem rate) 554 514 ------
Geriatric Evaluation & Management (per diem rate) 554 514 ------
Admitted Patient Palliative Care - Metro (per diem rate) 566 525 ------
Admitted Patient Palliative Care - Rural (per diem rate) 571 530 ------
Transition Care Program bed places (per diem rate) 143 N/A ------
Transition Care Program home places (per diem rate) 37 N/A ------
Restorative Care Program (per diem rate) 384 N/A------
Non-admitted patients
VACS payment per weighted encounter 184 N/A ------VACS allied health per occasion of service 65 N/A ------Radiotherapy per WAU 266 N/A------Notes: 1. Renal WIES payments for 2011–12 are the same as Public WIES 18 rates.
Page 161 Table 28: Mental health - bed day rates applicable to clinical bed based services 201112 Service element Funded unit 2011–12 metro 2011–12 rural unit price ($) unit price ($)
Inpatient Adult Acute Available Bed Day 578 581
Aged Acute Available Bed Day 528 531
CAMHS Acute Available Bed Day 628 631
Youth Acute Available Bed Day 628 631
Acute Specialist Available Bed Day 696 699
Extended Care Adult Available Bed Day 506 509
ECT co-payment Procedure Block grant Block grant
Residential Community Care Unit Available Bed Day 347 350
Adult PARC Available Bed Day 411 411
Youth PARC Available Bed Day 492 492
Aged Persons Nursing Home Available Bed Day 89 89 Supplement
Aged Persons Hostel Supplement Available Bed Day 80 80 Notes 1. The bed day rates are based on 100 per cent availability of the funded beds, regardless of actual occupancy.
Page 162 Table 29: PDRSS unit prices Service element Funded unit 2011–12 unit price ($)
Aged intensive support Client 6,717
Care Coordination Block grant -
Home based outreach Standard (T3) Client contact hour 101.75 support Moderate (T6) Client contact hour 101.75
Intensive (T30) Client contact hour 50.87
Mutual Support and Standalone (high availability) Weighted block grant 181,209 Self Help (MSSH) Standalone (low availability) Weighted block grant Varies
Individual support referral and advocacy Client contact hour 31.36
Information development and dissemination Block grant -
MSSH group support1 Contact hour (group) 83
Groups education and training1 Contact Hour (group) 282.78
Volunteer coordination1 Hour 36.34
Planned Respite In home Client contact hour 28.33
Community Client contact hour 28.33
Residential Client contact hour 28.33
Psychosocial Day Drop in Client contact hour 15.71 Programs High cost integrated Client contact hour 79.38
Standard integrated Client contact hour 32.88
Specialist Client contact hour 29.01
Residential Support Client contact hour 87.97 Rehabilitation 24 hour Available bed day 153.01
Non 24 hour Available bed day 122.31
Special Client Packages Block grant -
Supported 24 hour On-site small facilities (0-11 beds) Available bed day 118.71 Accommodation 24 hour On-site small facilities (> 11 beds) Available bed day 41.56
Non 24 hour On-site Cluster (0-11 beds) Available bed day 77.47
Non 24 hour On-site Cluster (> 11 beds) Available bed day 57.60
Non 24 hour On-site Other facilities (>11 Available bed day 77.47 beds) Notes 1. Standalone MSSH statewide specialist (high availability) receives a 50 per cent discount of the standard price. 2. The Home Based Outreach (T30) rate is half the HBOS (T3&T6) rate $50.87 because matched hours of direct and indirect service is not assumed. This program is still being evaluated.
Page 163 Table 30: Drug services - unit prices
Service element Funded unit 2011–12 unit price ($)
Alcohol & Drug Alcohol & Drug Supported Accommodation – Metro Episodes of care 4,703 Supported Accommodation Alcohol & Drug Supported Accommodation – Rural Episodes of care 6,270 Rural & Metro Drug Diversion Episodes of care 4,703
Counseling Counsel Consult & Continuing Care Episodes of care 844.28 Consultancy and Continuing Care Extended Hours Capacity Episodes of care 1,056 Post Rehabilitation Episodes of care 1,687
Youth CCCC Episodes of care 844.28
Home-based withdrawal Episodes of care 1,420
ACCO Services – Koori Community A & D Resource Centre - Model 1 Episodes of care 576.65 Drug Services Koori Community A & D Resource Centre - Model 2 Episodes of care 1,781
Koori Community A & D Resource Centre - Model 3 Episodes of care 1,781
Koori Community Alcohol and Drug Worker Block grant -
Mobile Overdose Mobile Overdose Response Service (MORS) Episodes of care 5,527 Response
Outpatient Withdrawal Outpatient Withdrawal Episodes of care 462.21
Youth Outpatient Withdrawal Episodes of care 462.21
Peer Support Episodes of care 530.20
Residential Drug Residential Drug Withdrawal - 12 Beds Episodes of care 2,470 Withdrawal Residential Drug Withdrawal - 4 Beds Episodes of care 7,502
Residential Drug Withdrawal - 6 Beds Episodes of care 3,674
Residential Adult Residential Rehabilitation Episodes of care 12,776 Rehabilitation
Rural Withdrawal Episodes of care 1,420
Specialist Community Pharmacotherapy Service Episodes of care 2,563 Pharmacotherapy Program Specialist Pharmacotherapy Service Episodes of care 2,563
SSDT Withdrawal Services Block grant -
Therapeutic Counseling Episodes of care -
Women’s Alcohol & Rural Women’s Alcohol & Accommodation Episodes of care 6,270 Drug Supported Accommodation Women’s Alcohol & Drug Supported Episodes of care 4,703 Accommodation
Youth Alcohol & Drug Metro Episodes of care 1,609 Supported Accommodation Rural Episodes of care 6,270
Youth Outreach Episodes of care 1,400
Youth Residential Drug Withdrawal Episodes of care 7,879
Page 164 Table 31: Ageing, aged and home care output group - unit prices, 2011–12
Program Area Service 201112 Funded unit Unit Price ($) Aged Support Supporting Accomm. for Cluster Plans 5,228.00 Plans Services Vulnerable Victorians Expenditure Plans (KPOM) 9,877.00 Plans Facility Cost Relief 3,486.00 Beds HACC Primary HACC Linkages Packages HACC - Linkages Packages 14,010.00 Packages Health, Community Care HACC Domestic Assistance HACC - Domestic Assistance 30.26 Hours and Support HACC Respite HACC - Respite 31.25 Hours
HACC Planned Activity Planned Activity Group - Core Hours 12.29 Group - core HACC Planned Activity Planned Activity Group - High Hours 17.32 Group - high HACC Volunteer Hours of Coordinator Time Hours 35.88 Coordination HACC Allied Health Counselling 91.88 Hours Dietetics 91.88 Hours HACC - Allied Health 91.88 Hours Occupational Therapy 91.88 Hours Physiotherapy 91.88 Hours Podiatry 91.88 Hours Speech Therapy 91.88 Hours HACC Delivered Meals HACC-Delivered Meals 1.54 Meals HACC Property Maintenance HACC - Property Maintenance 44.01 Hours RDNS HACC Allied Health Counselling 67.42 Hours Dietetics 67.42 Hours Occupational Therapy 67.42 Hours Physiotherapy 67.42 Hours Podiatry 67.42 Hours RDNS - HACC - Allied Health 67.42 Hours Speech Therapy 67.42 Hours HACC Nursing HACC Nursing (KPOM) 84.21 Hours
RDNS Top-up 12.01 Hours HACC Personal Care HACC - Personal Care 34.58 Hours RDNS Top-up 31.57 Hours ACCO Services - Aged and HACC - Allied Health 91.88 Hours Home Care HACC - Counselling 91.88 Hours HACC - Delivered Meals 1.54 Meals HACC - Domestic Assistance 30.26 Hours HACC - Nursing 84.21 Hours HACC - Occupational Therapy 91.88 Hours HACC - Personal Care 34.58 Hours HACC - Physiotherapy 91.88 Hours HACC - Planned Activity Group / Hours 12.29 Core
Page 165 Program Area Service 201112 Funded unit Unit Price ($) HACC Primary ACCO Services - Aged and HACC - Podiatry 91.88 Hours Health, Home Care HACC - Property Maintenance 44.01 Hours Community Care (cont.) and Support HACC - Respite 31.25 Hours (cont.) HACC - Volunteer Coordination 35.88 Hours Planned Activity Group - High 17.32 Hours Residential Aged Public Sector Residential Low Care Supplement Occupied Bed 5.43 Care Aged Care Supplement Days High Care Supplement Occupied Bed 58.66 Days Public Sector Residential Aged Occupied Bed 11.59 Care Supplement Days Residential Aged Care Nursing Home Complex Care Occupied Bed 35.58 Complex Care Supplement Supplement Days Rural Small High Care 1-10 Places Occupied Bed 9.49 Supplement Days 1-20 Places Occupied Bed 7.12 Days 1-30 Places Occupied Bed 5.94 Days
Page 166
Table 32: Primary, community and dental health output group - unit prices, 2011–12
2010–11 Program Area Service Funded unit Unit price ($)
Community Health Care FARREP FARREP - Direct Care 91.88 Hours IHSHY ISHY - Counselling | Casework 91.88 Hours ISHY - Nursing 84.21 Hours Womens Health Womens Health - Nursing 84.21 Hours Womens Health -Counselling | Casework 91.88 Hours Family Planning Family Planning - Counselling | Casework 91.88 Hours Family Planning - Nursing 84.21 Hours Aboriginal Services and Support Case Coordination 91.88 Hours Integrated Chronic Disease Management Integrated Chronic Disease 91.88 Hours Nursing 84.21 Hours Diabetes Self Management Community Health Diabetes Self Management 91.88 Hours Refugee Health Nurses Refugee Health Nursing 84.21 Hours Healthy Mothers Healthy Babies Allied Health 91.88 Hours Nursing 84.21 Hours Kids Life Children's Weight Management 91.88 Hours Community Health Allied Health 91.88 Hours Nursing 84.21 Hours ACCO Services - Primary Health AHPACC - Case Coordination 91.88 Hours IHSHY - Counselling, Casework 91.88 Hours
Page 167
Table 33: Agency Classification and Dental health unit prices, 2011–12
Agency Classification Description Loading (%) DuV price ($)
A Base price NIL 123.60
B Less than four chairs AND annual throughput of 2000- 3999 course of cares 4.8 129.53
C Less than four chairs AND annual throughput of 1000- 1999 course of cares 11.4 137.69
D Less than four chairs AND annual throughput of < 999 course of cares 13.8 140.66
Designated specialist/special Dental services delivered by the Royal Dental Hospital needs specialist and special needs clinics 55 191.58
Page 168
Appendix 1: Service Standards & Guidelines
Table 34: Small rural health services - service standards and guidelines
Activity Activity name Service standards and guidelines description no. 35002 Small Rural - Annual Provision Infection Control Guidelines for the Prevention of Transmission of - Minor Works (INVEST) Infectious Diseases in the Health Care Setting, Commonwealth Government Department of Health and Ageing (January 2004) Primary Health Policy and Funding Guidelines 2006–07 to 2008–09 Small Rural Health Services Guide 2003–04 and Updates Language Services Policy, Department of Human Services - March 2005 35010 Small Rural - Aged Support The Home and Community Care National Standards Instrument Services and Guidelines, Commonwealth Department of Health and Ageing (2000) Small Rural Health Services Guide 2003–04 and Updates 35011 Small Rural - Residential Aged Care Act 1997 as amended Aged Care Commonwealth Department of Health and Ageing, Residential Care Manual 2005 Small Rural Health Services Guide 2003–04 and Updates 35024 Small Rural - Flexible Health Small Rural Health Services Guide 2003–04 and Updates Service Delivery 35025 Small Rural - TAC - Acute Small Rural Health Services Guide 2003–04 and Updates Health 35026 Small Rural - DVA - Acute Small Rural Health Services Guide 2003–04 and Updates Health 35028 Small Rural - Acute Health Small Rural Health Services Guide 2003–04 and Updates Service System Development and Resourcing 35030 Small Rural - HACC Health The Victorian HACC Program Manual Care and Support Small Rural Health Services Guide 2003–04 and Updates 35036 Small Rural - DVA HACC The Victorian HACC Program Manual Small Rural Health Services Guide 2003–04 and Updates 35042 Small Rural - Drugs Services Victoria’s Alcohol and Drug Treatment Services - The Framework for Service Delivery, Department of Human Services 1997 Supported Accommodation Assistance Program and Alcohol and Drug Treatment Services Guide, 1997 Specialist Assessment Form for Alcohol and Drug Treatment Services, 2000 Assessment and Intervention Tool for Youth Alcohol and Drug Treatment Services, prepared by Turning Point Alcohol and Drug Centre Inc for Department of Human Services, 2004 Small Rural Health Services Guide 2003–04 and Updates DHS Incident Reporting Departmental Instruction, 2005 Incident Reporting Protocol for the Alcohol and Drug Sector, 2005 Drug Treatment organisations receiving government funding are required to accept referrals from COATS in a timely manner and provide drug treatment services to forensic clients 35048 Small Rural - Primary Health Small Rural Health Services Guide 2003–04 and Updates Flexible Services 35052 Small Rural - Specified Small Rural Health Services Guide 2003–04 and Updates Services
Page 169
Table 35: Mental health services’ service standards and guidelines
Service standards and guidelines description Activity number
Accreditation Standards and Outcomes for Residential 15049, 15250 Aged Care Services
Aged Persons Mental Health Intensive Community 15352 Treatment Program Statement
Aged Persons Psychosocial Rehabilitation in Mental Health 15082
Child & Adolescent Services - Framework for Service 15026, 15028, 15031, 15058, 15300 Delivery
Cultural responsiveness framework All
Evaluation of Consumer Participation in Victoria's Mental 15264 Health Services
Expanding support and treatment options within mental 15057 health services Prevention and recovery care services Service Guidelines
General Adult Community Mental Health Services 15007, 15008, 15056, 15057, 15099, 15200, 15202, Guidelines for Service Provision 15252, 15320, 15350, 15351, 15356, 15357
Mental Health Act (1986) and Amendments 15005, 15006, 15007, 15008, 15009, 15012, 15014, 15019, 15022, 15026, 15028, 15031, 15032, 15041, 15049, 15054, 15056, 15057, 15058, 15061, 15062, 15063, 15064, 15065, 15066, 15067, 15068, 15069, 15070, 15071, 15074, 15075, 15076, 15077, 15078, 15079, 15082, 15083, 15084, 15085, 15086, 15087, 15088, 15089, 15090, 15091, 15092, 15093, 15094, 15095, 15096, 15097, 15098, 15099, 15200, 15202, 15203, 15204, 15252, 15262, 15264, 15265, 15266, 15267, 15274, 15275, 15300, 15320, 15321, 15351, 15352, 15355, 15356, 15357, 15359, 15360, 15361, 15365, 15366, 15451
Mental Health Carer Support Program Guidelines 15274, 15275
Mental Health Homeless Program. Intensive Home Based 15063 Outreach Psychiatric Disability Rehabilitation Support Guidelines (October 2003) (IHBOS linked to Victorian Homeless Strategy Only)
Mental Health Homelessness Program July 2002 (IHBOS 15063 linked to Victorian Homelessness Strategy Only)
Mobile Support and Treatment Services Guidelines for 15008, 15009 Service Provision 95 0003
National Action Plan for Promotion, Prevention, Early 15262 Intervention
National Outcomes and Casemix Protocols 2002 15059
National Standards for Mental Health Services 15005, 15006, 15007, 15008, 15009, 15012, 15014, 15019, 15022, 15026, 15028, 15030, 15031, 15032, 15041, 15049, 15054, 15056, 15057, 15058, 15070, 15071, 15072, 15073 15099, 15200, 15202, 15203, 15204, 15250, 15251, 15252, 15255, 15264, 15265, 15266, 15267, 15272, 15274, 15275, 15300, 15320, 15321, 15350, 15351, 15352, 15353, 15354, 15355, 15356, 15357, 15358, 15359, 15360, 15361, 15366
Page 170
Service standards and guidelines description Activity number
PDRSS Agency Implementation Guidelines - 8 August 15062, 15063, 15064, 15065, 15066, 15077, 15078, 2005 15082, 15090
Procedure for Relationships between Office of the Public 15006, 15012, 15014, 15022, 15030, 15031, 15041, Advocate- Community Visitors Program and DHS Mental 15049, 15057, 15250, 15255, 15353, 15354, 15360 Health Branch and Mental Health Services
Psychiatric Crisis Assessment and Treatment Services 15005, 15008, 15204, 15355 Guidelines for Service Provision 1994
Psychiatric Disability Rehabilitation and Support Services - 15057, 15061, 15062, 15063, 15064, 15065, 15066, Guidelines for Service Delivery 15067, 15068, 15069, 15075, 15076, 15077, 15078, 15079, 15084, 15087, 15088, 15089, 15090, 15091, 15092, 15093, 15094, 15095, 15096, 15097, 15098, 15099, 15365, 15451
Quarterly Data Collection (QDC) Data Guide, October 15062, 15063, 15064, 15065, 15066, 15067, 15068, 2002, revised 2004 15069, 15075, 15077, 15078, 15082, 15087, 15090, 15099
Relevant Authorities Fire Safety Standard 15078
Standards for Psychiatric Disability Support Services 15061, 15062, 15063, 15064, 15065, 15066, 15067, 15068, 15069, 15075, 15076, 15077, 15078, 15079, 15082, 15084, 15087, 15088, 15089, 15090, 15091, 15092, 15093, 15094, 15095, 15096, 15097, 15098, 15099, 15365, 15451
Statewide Dual Diagnosis Initiative, August 2000 15056
The PDRSS Young Persons Residential Rehabilitation 15077, 15079 Program. Revised Guidelines and Information - February 2005. (Young Persons Program only).
Veterans Hospital Circular 17 1998 15012, 15022, 15041, 15049, 15250
Victoria’s Mental Health Service - Improved Access 15005, 15006, 15007, 15008, 15009, 15019, 15026, Through Coordinated Care 1995 (as applicable) 15028, 15032, 15054, 15056, 15058, 15072, 15073, 15099, 15200, 15204, 15252, 15274, 15275, 15300, 15320, 15350, 15351, 15352, 15355, 15356, 15357, 15358, 15359, 15360
Victoria s Mental Health Service The Framework for 15019, 15022, 15049, 15058, 15073, 15250, 15352 Service Delivery - Aged Persons Services, May 1998 95 | 0179 (as applicable)
Victorian Guidelines for Consumer Participation in Mental 15264 Health Services, March 1996
Victoria's Mental Health Services - The Framework for 15005, 15006, 15007, 15008, 15009, 15012, 15030, Service Delivery 15032, 15041, 15054, 15056, 15057, 15070, 15071, 15072, 15099, 15200, 15202, 15203, 15204, 15252, 15255, 15267, 15320, 15321, 15350, 15351, 15353, 15354, 15355, 15356, 15357, 15358, 15359, 15360, 15361
Victoria Police Mental Health Protocol 2010 15005, 15006, 15007, 15008, 15009, 15012, 15014, 15019, 15022, 15026, 15028, 15030, 15031, 15032, 15041, 15049, 15054, 15056, 15057, 15058, 15060, 15070, 15071, 15072, 15073, 15200, 15202, 15203, 15204, 15250, 15251, 15252, 15255, 15264, 15265, 15266, 15267, 15272, 15274, 15300, 15320, 15321, 15350, 15351, 15352, 15353, 15354, 15355, 15356, 15357, 15358, 15359, 15360, 15361
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Table 36: Drug services’ service standards and guidelines
Service Standards and Guidelines description Activity number
Alcohol in the Workplace - Guidelines for developing a workplace 34009 alcohol policy
Assessment and Intervention Tool for Youth Alcohol and Drug 34041, 34045, 34046, 34048, 34049, 34051, Treatment Services, (prepared by Turning Point Alcohol and Drug 34053, 34056, 34060, 34064, 34075, 34078, Centre Inc for Department of Human Services) 2004 34080, 34084, 34202, 34204, 34205, 34206, 34208
Child Wellbeing and Safety Act, 2005 34001, 34003, 34004, 34006, 34009, 34021, 34040, 34041, 34042, 34043, 34044, 34045, 34046, 34047, 34048, 34049, 34050, 34053, 34054, 34056, 34057, 34058, 34059, 34060, 34061, 34062, 34064, 34065, 34066, 34068, 34069, 34070, 34071, 34074, 34075, 34078, 34079, 34080, 34082, 34083, 34084, 34200, 34201, 34202, 34203, 34204, 34205, 34206, 34207, 34208, 34209, 34210, 34211, 34212, 34213, 34214
Children, Youth and Families Act, 2005 34001, 34003, 34004, 34006, 34009, 34021, 34040, 34041, 34042, 34043, 34044, 34045, 34046, 34047, 34048, 34049, 34050, 34053, 34054, 34056, 34057, 34058, 34059, 34060, 34061, 34062, 34064, 34065, 34066, 34068, 34069, 34070, 34071, 34074, 34075, 34078, 34079, 34080, 34082, 34083, 34084, 34200, 34201, 34202, 34203, 34204, 34205, 34206, 34207, 34208, 34209, 34210, 34211, 34212, 34213, 34214
Clinical Treatment Guidelines for Alcohol and Drug Clinicians - Co- 34001, 34004, 34006, 34009, 34021, 34040, occurring acquired brain injury / cognitive impairment and alcohol 34041, 34042, 34043, 34044, 34045, 34046, and other drug use disorders 34047, 34048, 34049, 34050, 34053, 34054, 34056, 34057, 34058, 34059, 34060, 34061, 34062, 34064, 34065, 34066, 34068, 34069, 34070, 34071, 34074, 34075, 34079, 34080, 34082, 34083, 34084, 34200, 34201, 34202, 34203, 34204, 34205, 34206, 34207, 34208, 34209, 34210, 34211, 34212, 34213
Clinical Treatment guidelines for Methamphetamine dependence 34001, 34004, 34006, 34009, 34021, 34040, and treatment 34041, 34042, 34043, 34044, 34045, 34046, 34047, 34048, 34049, 34050, 34053, 34054, 34056, 34057, 34058, 34059, 34060, 34061, 34062, 34064, 34065, 34066, 34068, 34069, 34070, 34071, 34074, 34075, 34079, 34080, 34082, 34083, 34084, 34200, 34201, 34202, 34203, 34204, 34205, 34206, 34207, 34208, 34209, 34210, 34211, 34212, 34213
Code of Practice for Running Safer Dance Parties (2004) 34004
Cultural diversity guide 34001, 34003, 34004, 34006, 34009, 34021, 34040, 34041, 34042, 34043, 34044, 34045, 34046, 34047, 34048, 34049, 34050, 34053, 34054, 34056, 34057, 34058, 34059, 34060, 34061, 34062, 34064, 34065, 34066, 34068, 34069, 34070, 34071, 34074, 34075
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Service Standards and Guidelines description Activity number
COATS, Community Correctional Services & Drug Treatment 34001, 34003, 34004, 34006, 34009, 34021, Services Protocol 34040, 34041, 34042, 34043, 34044, 34045, 34046, 34047, 34048, 34049, 34050, 34053, Drug Treatment organisations receiving government funding are 34054, 34056, 34057, 34058, 34059, 34060, required to accept referrals from COATS in a timely manner and 34061, 34062, 34064, 34065, 34066, 34068, provide drug treatment services to forensic clients 34069, 34070, 34071, 34074, 34075, 34079, 34080, 34082, 34083, 34084, 34200, 34201, 34202, 34203, 34204, 34205, 34206, 34207, 34208, 34209, 34210, 34211, 34212, 34213
Drugs, Poisons and Controlled Substances Act 1981 Victoria, 34061, 34070 Reprint No. 6 Act No 9719 1981
Incident Reporting Protocol for the Alcohol and Drug Sector (2008) 34001, 34004, 34006, 34021, 34040, 34041, 34042, 34043, 34044, 34045, 34046, 34047, AOD sector incident reporting protocol, supplement to IR 34048, 34049, 34050, 34051, 34053, 34054, instructions March 2008 (May 2009) 34056, 34057, 34058, 34059, 34060, 34061, 34062, 34064, 34065, 34066, 34068, 34069,
34070, 34071, 34074, 34075, 34079, 34080, 34082, 34083, 34084, 34200, 34201, 34202, 34203, 34204, 34205, 34206, 34207, 34208, 34209, 34210, 34211, 34212, 34213, 34214
Interagency Protocol between Victoria Police and Nominated 34041, 34045, 34046, 34049, 34056, 34062, Agencies (2004) 34071, 34074, 34078, 34079, 34084, 34202, 34204, 34207, 34208
Management Response to Inhalant Use - Guidelines for the 34041, 34045, 34046, 34049, 34056, 34062, Community Care and Drug and Alcohol Sector (2005) 34071, 34074, 34078, 34079, 34202, 34204, 34207, 34208
Victorian Policy for Maintenance Pharmacotherapy for Opioid 34047, 34057 Dependence (2006)
National Clinical Guidelines and Procedures for the Use of Methadone in the Maintenance Treatment of Opioid Dependence (2003)
National Clinical Guidelines and Procedures for the Use of Buprenorphine in the Maintenance Treatment of Opioid Dependence (2006)
Third National Hepatitis C Strategy 2010–2013 34070
National Hepatitis B Strategy 2010–2013
Sixth National HIV Strategy 2010–2013 34070
Second National Sexually Transmissible Infections Strategy 2010–2013
Third National Aboriginal and Torres Strait Islander Blood Borne Viruses and Sexually Transmissible Infections Strategy 2010–2013
Needle and Syringe Program – National Strategic Framework 34070 2003–2013
Victorian Amphetamine-Type Stimulant (ATS) and Related Drugs 34070 Strategy 2009–2012
National Amphetamine-Type Stimulant (ATS) Strategy 2008–2011
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Service Standards and Guidelines description Activity number
Protocol between Drug Treatment Services & Child Protection for 34001, 34004, 34006, 34021, 34040, 34041, working with parents with alcohol & other drug issues 34042, 34043, 34044, 34045, 34046, 34047, 34048, 34049, 34050, 34051, 34053, 34054, 34056, 34057, 34058, 34059, 34060, 34061, 34062, 34064, 34065, 34066, 34068, 34069, 34070, 34071, 34074, 34075, 34079, 34080, 34082, 34083, 34084, 34200, 34201, 34202, 34203, 34204, 34205, 34206, 34207, 34208, 34209, 34210, 34211, 34212
Severe Substance Dependence Treatment Act 2010 34001, 34003, 34004, 34006, 34009, 34021, 34040, 34041, 34042, 34043, 34044, 34045, 34046, 34047, 34048, 34049, 34050, 34053, 34054, 34056, 34057, 34058, 34059, 34060, 34061, 34062, 34064, 34065, 34066, 34068, 34069, 34070, 34071, 34074, 34075, 34079, 34080, 34082, 34083, 34084, 34200, 34201, 34202, 34203, 34204, 34205, 34206, 34207, 34208, 34209, 34210, 34211, 34212, 34213
Shaping the Future - The Victorian Alcohol and Other Drug Quality 34001, 34003, 34004, 34006, 34009, 34021, Framework April 2008 34040, 34041, 34042, 34043, 34044, 34045, 34046, 34047, 34048, 34049, 34050, 34053, 34054, 34056, 34057, 34058, 34059, 34060, 34061, 34062, 34064, 34065, 34066, 34068, 34069, 34070, 34071, 34074, 34075, 34079, 34080, 34082, 34083, 34200, 34201, 34202, 34203, 34204, 34205, 34206, 34207, 34208, 34209
SHPA Standards of Practice for Australian Poisons Information 34003 Centres
Specialist Assessment Form for Alcohol and Drug Treatment 34001, 34042, 34043, 34044, 34045, 34049, Services, 2000 34050, 34051, 34053, 34059, 34060, 34065, 34066, 34068, 34069, 34074, 34075, 34078, 34079, 34080, 34082, 34083, 34084, 34201, 34202, 34203, 34205, 34206, 34208, 34209, 34210, 34211, 34212, 34213, 34214
Supported Accommodation Assistance Program and Alcohol and 34043, 34046, 34047, 34057, 34059, 34061, Drug Treatment Services Guide, 1997 34062, 34071, 34082, 34201, 34207
Victoria s Alcohol and Drug Treatment Services - The Framework for 34001, 34004, 34040, 34041, 34042, 34043, Service Delivery, Department of Human Services 1997 34044, 34045, 34046, 34047, 34048, 34049, 34050, 34051, 34053, 34054, 34056, 34057, 34058, 34059, 34060, 34061, 34062, 34064, 34065, 34066, 34068, 34069, 34071, 34074, 34075, 34078, 34079, 34080, 34082, 34083, 34084, 34200, 34201, 34202, 34203, 34204, 34205, 34206, 34207, 34208, 34209, 34210, 34211, 34212, 34213, 34214
Victorian Needle and Syringe Program Operating Policy and 34070 Guidelines, Department of Health (revised Nov 2008)
Working with Children Act, 2005 34001, 34003, 34004, 34006, 34009, 34021, 34040, 34041, 34042, 34043, 34044, 34045, 34046, 34047, 34048, 34049, 34050, 34053, 34054, 34056, 34057, 34058, 34059, 34060, 34061, 34062, 34064, 34065, 34066, 34068, 34069, 34070, 34071, 34074, 34075, 34078, 34079, 34080, 34082, 34083, 34084, 34200, 34201, 34202, 34203, 34204, 34205, 34206, 34207, 34208, 34209, 34210, 34211, 34212, 34213, 34214
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Table 37: Ageing, aged and home care service standards and guidelines
Activity No. Activity Name Service Standards & Guidelines Description
13004 ACAS Projects Aged Care Assessment & Approval Guidelines: Commonwealth Dept of Health & Ageing 2006
Commonwealth Framework for Determining Delegation to Positions on Aged Care Assessment Teams, Commonwealth Dept of Health and Ageing, October 2005
Aged Care Act 1997, as amended
Aged Care Assessment Program Operational Guidelines, Commonwealth Department of Health and Ageing (2002)
Service Coordination Tool Templates and associated guidelines; Victorian Service Coordination Practice Manual, Primary Care Partnerships, Victoria 2007
Commonwealth Department of Health & Ageing ACAP Financial Guidelines November 2004
Disability Services –Aged Care Assessment Services Protocol: Younger People with a Disability (DHS, 2009)
Protocol between Victorian Aged Care Assessment Services and Aged Persons Mental Health (APMH) (DHS,2008)
Transition Care Training Handbook for ACATs, Commonwealth Department of Health & Ageing, 2006
13005 ACAS Assessment Aged Care Assessment & Approval Guidelines: Commonwealth Dept of Health & Ageing 2006
Commonwealth Framework for Determining Delegation to Positions on Aged Care Assessment Teams, Commonwealth Dept of Health and Ageing, October 2005
Aged Care Act 1997, as amended
Aged Care Assessment Program Operational Guidelines, Commonwealth Department of Health and Ageing (2002)
Service Coordination Tool Templates and associated guidelines; Victorian Service Coordination Practice Manual, Primary Care Partnerships, Victoria 2007
Commonwealth Department of Health & Ageing ACAP Financial Guidelines November 2004
Disability Services –Aged Care Assessment Services Protocol: Younger People with a Disability (DHS, 2009)
Protocol between Victorian Aged Care Assessment Services and Aged Persons Mental Health (APMH) (DHS,2008)
Transition Care Training Handbook for ACATs, Commonwealth Department of Health & Ageing, 2006 Guidelines for streamlining pathways between ACAS and HACC Assessment Services
13015 HACC Linkages The Victorian HACC Program Manual Packages HACC fees data collection
13022 HACC Capital The Victorian HACC Program Manual Development
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Activity No. Activity Name Service Standards & Guidelines Description
13023 HACC Service The Victorian HACC Program Manual Development
13024 HACC Assessment The Victorian HACC Program Manual Guidelines for streamlining pathways between ACAS and HACC Assessment Services
13026 HACC Domestic The Victorian HACC Program Manual Assistance
13027 HACC Respite The Victorian HACC Program Manual
13031 Public Sector Aged Care Act 1997, as amended Residential Aged Care Supplement Commonwealth Department of Health and Ageing, The Residential Care Manual 2009
13033 Carer Support (in A Victorian charter supporting people in care relationships and Information Kit home-out of home) The Victorian HACC Program Manual
13035 Carer Support- A Victorian charter supporting people in care relationships and Information Kit Flexible Respite The Victorian HACC Program Manual
13036 Carer Support- 24hr A Victorian charter supporting people in care relationships and Information Emergency booking Kit The Victorian HACC Program Manual service
13037 Carer Support and A Victorian charter supporting people in care relationships and Information Kit Respite Coordination The Victorian HACC Program Manual Program
13038 HACC Service The Victorian HACC Program Manual System Resourcing SRS Service Co-ordination and Support Program Service Activity Report, Guidelines and Proforma
13043 HACC Flexible Community Connection Program Quality Standards Framework and Data Service Response Collection Guidelines 2001 The Victorian HACC Program Manual
SRS Service Co-ordination and Support Program Service Activity Report, Guidelines and Proforma
13044 HACC Transition The Victorian HACC Program Manual Payment
13056 HACC Planned The Victorian HACC Program Manual Activity Group - Core
13057 HACC Planned The Victorian HACC Program Manual Activity Group - High
13059 Residential Aged Aged Care Act 1997, as amended Care Complex Care Supplement Commonwealth Department of Health and Ageing, Residential Care Manual 2009
13063 HACC Volunteer The Victorian HACC Program Manual Coordination
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Activity No. Activity Name Service Standards & Guidelines Description
13082 Low Cost Community Connection Program Quality Standards Framework and Data Accommodation Collection Guidelines 2001 Support Flexible Care Fund Guidelines for the Older Persons High Rise Support Program August 2002
Flexible Care Fund Guidelines for the Housing Support for the Aged Program May 2002
Flexible Care Fund Guidelines for the Community Connection Program August 2001
Older Persons High Rise Support Program Submission Guidelines 2001
Housing Support for the Aged Program Submission Guidelines 2000
13096 HACC Allied Health The Victorian HACC Program Manual
13097 HACC Delivered The Victorian HACC Program Manual Meals
13099 HACC Property The Victorian HACC Program Manual Maintenance
13107 Rural Small High Aged Care Act 1997, as amended Care Supplement Commonwealth Department of Health and Ageing, The Residential Care Manual 2009
13109 ACAS Evaluation Aged Care Assessment Program Operational Guidelines: Commonwealth Dept of Health & Ageing 2006
Commonwealth Framework for Determining Delegation to Positions on Aged Care Assessment Teams, Commonwealth Dept of Health and Ageing, October 2005
Aged Care Act 1997, as amended
Service Coordination Tool Templates and associated guidelines; Victorian Service Coordination Practice Manual, Primary Care Partnerships, Victoria 2007
Commonwealth Department of Health & Ageing ACAP Financial Guidelines November 2004
Disability Services –Aged Care Assessment Services Protocol: Younger People with a Disability (DHS, 2009)
Protocol between Victorian Aged Care Assessment Services and Aged Persons Mental Health (APMH) (DHS,2008)
Transition Care Training Handbook for ACATs, Commonwealth Department of Health and Ageing, 2006
13130 HACC Volunteer The Victorian HACC Program Manual Coordination - Other
13131 RDNS HACC Allied The Victorian HACC Program Manual Health
13155 Dementia Services Program Guidelines - Support for carers of people with dementia including younger people with dementia, December 2008
Support and Links Service Program Statement 2006–09
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Activity No. Activity Name Service Standards & Guidelines Description
13156 Seniors Health The Victorian HACC Program Manual Promotion Commonwealth Department of Health and Ageing, The Residential Care Manual 2009
Older Persons High Rise Support Program Guidelines
13217 HACC Minor Capital The Victorian HACC Program Manual
13223 HACC Nursing The Victorian HACC Program Manual
13224 DVA HACC The Victorian HACC Program Manual
13226 HACC Personal The Victorian HACC Program Manual Care
13227 ACCO Services - Commonwealth Department of Health and Ageing, The Residential Care Aged and Home Manual 2009 Care Aged Care Act 1997 (as amended)
The Victorian HACC Program Manual
13301 Aged Quality Aged Care Act 1997, as amended Improvement Commonwealth Department of Health and Ageing, The Residential Care Manual 2009
13302 SRS Supporting Supporting Accommodation for Vulnerable Victorians Program Facility Cost Accommodation for Relief Guidelines (2007) Vulnerable Victorians Initiative
13303 SAVVI Supporting SAVVI Supporting Connections Service Specifications (December 2008) Connections SAVVI Supporting Connections Interim Flexible Funds Guidelines (February 2009)
13352 Victorian Seniors VSF Community Grants Program Guidelines Festival
13354 Elder Abuse Contract Guidelines and schedules Prevention Strategy
13355 Seniors Community Funded Program Guidelines Programs
13356 Information and Funded Program Guidelines Lifelong Learning
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Table 38: Primary, community and dental health service standards and guidelines
Activity No. Activity Name Service Standards & Guidelines Description
27010, 27011, Dental Health www.health.vic.gov.au/dentistry/index 27017, 27019 27020, 27023 27024, 27025 27026, 27028 27029
28047, 28062 Community Health www.health.vic.gov.au/pch/index 28085, 28086 www.health.vic.gov.au/pch/commhealth/index
28080, 28085 Maternal Health www.health.vic.gov.au/pch/cyf/mothers_babies 28086
28082, 28085 Child Health www.goforyourlife.vic.gov.au 28086 www.health.vic.gov.au/pch/cyf/child_health_teams www.health.vic.gov.au/pch/cyf/kidslife
28021, 28066 Young People www.health.vic.gov.au/pch/cyf/index 28085, 28086 www.health.vic.gov.au/pch/cyf/ihshy
28015, 28016 Women’s Health www.health.vic.gov.au/vwhp 28018, 28050 www.health.vic.gov.au/healthpromotion/index 28063, 28064 www.health.vic.gov.au/vwhp/farrep 28068, 28067 http://www.health.vic.gov.au/vwhp/publications/genderdiversity.htm 28085, 28086 http://www.health.vic.gov.au/vwhp/wellbeing/launch.htm
28071, 28085 Aboriginal Health www.health.vic.gov.au/communityhealth/aboriginal_health 28086 www.health.vic.gov.au/koori www.health.vic.gov.au/__data/assets/pdf_file/0019/270154/cultural- respect-framework.pdf
28072, 28074 People with Chronic www.health.vic.gov.au/pch/icdm/index 28081, 28085 Disease 28086
28048, 28076 Culturally Diverse www.dhs.vic.gov.au/multicultural/index 28085, 28086 Groups www.health.vic.gov.au/pch/downloads/rhnp www.dhs.vic.gov.au/multiculturalstrategy/language-services www.healthtranslations.vic.gov.au www.dhs.vic.gov.au/multiculturalstrategy/cultural-diversity-guide
28054 Partnerships and www.health.vic.gov.au/pcps/about/index 28087 System Support www.health.vic.gov.au/pcps/about/index.htm#reporting www.health.vic.gov.au/pcps/coordination/index www.health.vic.gov.au/communityhealth/gps/chs www.health.vic.gov.au/communityhealth/gps/position_statement www.health.vic.gov.au/pcps/hp/index
Notes: 1. Organisations in receipt of funds associated with activity 28085 and 28086 should note that these funds can be applied flexibly across the broad range of programs and initiatives to meet the needs of the local community.
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Appendix 2: Activity target tables
Table 39: Victorian acute admitted activity targets (WIES18) 201112 (includes growth WIES)
2010–11 WIES 201112 WIES Target A Target A Including including 2011–12 elective 2010–11 elective 2011–12 Total WIES % WIES Health Service surgery Renal DVA TAC Total WIES surgery Renal DVA TAC Total WIES Movement Movement
Major providers Austin Health 65,222 1,805 1,738 918 69,683 66,475 1,800 1,738 918 70,931 1,248 1.79% Alfred Health 79,933 1,165 1,451 6,719 89,268 81,471 1,045 1,451 6,719 90,686 1,418 1.59% Eastern Health 74,426 1,594 1,488 415 77,923 75,802 2,182 1,488 415 79,887 1,964 2.52% Melbourne Health 64,060 1,980 727 3,924 70,691 66,429 1,794 727 3,924 72,874 2,183 3.09% Mercy Public Hospitals Inc. 31,304 318 184 6 31,812 31,888 220 184 6 32,298 486 1.53% Northern Health 37,416 0 463 96 37,975 38,204 0 463 96 38,763 788 2.08% Peninsula Health 42,508 576 1,844 320 45,248 45,962 674 1,844 320 48,800 3,552 7.85% Peter MacCallum Cancer Institute 13,775 0 155 0 13,930 14,225 0 155 0 14,380 450 3.23% Royal Victorian Eye and Ear Hospital 9,403 0 142 3 9,548 9,403 0 142 3 9,548 0 0.00% Southern Health 128,645 1,847 979 551 132,022 133,727 1,962 979 551 137,219 5,197 3.94% St. Vincent’s Health 46,080 721 427 138 47,366 46,631 692 427 138 47,888 522 1.10% Western Health 67,705 1,430 1,181 268 70,584 69,053 1,549 1,181 268 72,051 1,467 2.08% Royal Children’s Hospital 41,885 21 0 457 42,363 42,148 13 0 457 42,618 255 0.60% Royal Women’s Hospital 23,908 0 8 11 23,927 23,962 0 8 11 23,981 54 0.23%
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2010–11 WIES 201112 WIES Target A Target A Including including 2011–12 elective 2010–11 elective 2011–12 Total WIES % WIES Health Service surgery Renal DVA TAC Total WIES surgery Renal DVA TAC Total WIES Movement Movement Major Providers 726,270 11,457 10,787 13,826 762,340 745,380 11,931 10,787 13,826 781,924 19,584 2.57% Non-Metropolitan Barwon South Western 69,822 975 2,582 478 73,857 71,772 955 2,582 478 75,787 1,930 2.61% Grampians 36,425 955769 288 38,437 37,405 847 769 288 39,309 872 2.27% Loddon Mallee 46,294 942 1,780 260 49,276 46,519 971 1,780 260 49,530 254 0.52% Hume 37,868 4811,389 249 39,987 38,632 554 1,389 249 40,824 837 2.09% Gippsland 42,358 9391,414 259 44,970 42,546 992 1,414 259 45,211 241 0.54% Non-metropolitan totals 232,767 4,292 7,934 1,534 246,527 236,874 4,319 7,934 1,534 250,661 4,134 1.68% State totals 959,037 15,749 18,721 15,360 1,008,867 982,254 16,250 18,721 15,360 1,032,585 23,718 2.35% Barwon South Western Barwon Health 47,129 718 1,621 319 49,787 48,966 718 1,621 319 51,624 1,837 3.69% South West Healthcare 11,747 112397 88 12,344 12,054 115 397 88 12,654 310 2.51% Western District Health Service 4,633 46 266 36 4,981 4,499 47 266 36 4,848 -133 -2.67% Colac Area Health 3,125 44 128 20 3,317 3,125 44 128 20 3,317 0 0.00% Portland District Health 3,188 55170 15 3,428 3,128 31 170 15 3,344 -84 -2.45% Barwon South Western 69,822 975 2,582 478 73,857 71,772 955 2,582 478 75,787 1,930 2.61%
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2010–11 WIES 201112 WIES Target A Target A Including including 2011–12 elective 2010–11 elective 2011–12 Total WIES % WIES Health Service surgery Renal DVA TAC Total WIES surgery Renal DVA TAC Total WIES Movement Movement Grampians Ballarat Health Services 22,463 355272 182 23,272 23,343 288 272 182 24,085 813 3.49% Wimmera Health Care Group 6,305 111 284 93 6,793 6,405 104 284 93 6,886 93 1.37% Djerriwarrh Health Service 3,319 45046 6 3,821 3,319 402 46 6 3,773 -48 -1.26% East Grampians Health Service 2,338 39 88 5 2,470 2,338 53 88 5 2,484 14 0.57% Stawell Regional Health 2,000 079 2 2,081 2,000 0 79 2 2,081 0 0.00% Grampians 36,425 955 769 288 38,437 37,405 847 769 288 39,309 872 2.27% Loddon Mallee Bendigo Health Care Group 21,300 380586 154 22,420 21,500 374 586 154 22,614 194 0.87% Mildura Base Hospital 10,013 235447 82 10,777 10,013 268 447 82 10,810 33 0.31% Echuca Regional Health 4,620 97180 14 4,911 4,620 110 180 14 4,924 13 0.26% Swan Hill District Hospital 3,825 119161 3 4,108 3,850 105 161 3 4,119 11 0.27% Kyabram and District Health Service 2,225 28 130 1 2,384 2,225 28 130 1 2,384 0 0.00% Maryborough District Health Service 2,225 83 177 6 2,491 2,225 86 177 6 2,494 3 0.12% Castlemaine Health 2,086 0 99 0 2,185 2,086 0 99 0 2,185 0 0.00% Loddon Mallee 46,294 942 1,780 260 49,276 46,519 971 1,780 260 49,530 254 0.52%
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2010–11 WIES 201112 WIES Target A Target A Including including 2011–12 elective 2010–11 elective 2011–12 Total WIES % WIES Health Service surgery Renal DVA TAC Total WIES surgery Renal DVA TAC Total WIES Movement Movement Hume Goulburn Valley Health 14,859 176464 164 15,663 15,109 186 464 164 15,923 260 1.66% Northeast Health Wangaratta 10,077 120 357 71 10,625 10,379 154 357 71 10,961 336 3.16% Albury Wodonga Health1 10,200 185302 11 10,698 10,412 214 302 11 10,939 241 2.25% Benalla and District Memorial Hospital 2,732 0 266 3 3,001 2,732 0 266 3 3,001 0 0.00% Hume 37,868 481 1,389 249 39,987 38,632 554 1,389 249 40,824 837 2.09% Gippsland Latrobe Regional Hospital 17,482 291349 151 18,273 17,670 328 349 151 18,498 225 1.23% Bairnsdale Regional Health Service 5,419 245 358 46 6,068 5,419 280 358 46 6,103 35 0.58% Central Gippsland Health Service 7,034 126 205 28 7,393 7,034 135 205 28 7,402 9 0.12% West Gippsland Healthcare Group 6,997 103 194 29 7,323 6,997 105 194 29 7,325 2 0.03% Gippsland Southern Health Service 2,329 0 133 4 2,466 2,329 0 133 4 2,466 0 0.00% Bass Coast Regional Health 3,097 174175 1 3,447 3,097 144 175 1 3,417 -30 -0.87% Gippsland 42,358 939 1,414 259 44,970 42,546 992 1,414 259 45,211 241 0.54% Notes: 1. A proportion of the Target A including Elective Surgery WIES target is non-recurrent in 2011–12.
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Table 40: 2010–11 Victorian acute admitted activity targets (WIES18) (including the impact of private patient revenue reform on private WIES)
Target A Including Elective 2010–11 Health Service Surgery Renal DVA TAC Total WIES
Major Providers
Austin Health 65,222 1,805 1,738 918 69,683
Alfred Health 79,933 1,165 1,451 6,719 89,268
Eastern Health 74,426 1,594 1,488 415 77,923
Melbourne Health 64,060 1,980 727 3,924 70,691
Mercy Public Hospitals Inc. 31,304 318 184 6 31,812
Northern Health 37,416 0 463 96 37,975
Peninsula Health 42,508 576 1,844 320 45,248
Peter MacCallum Cancer Institute 13,775 0 155 0 13,930
Royal Victorian Eye and Ear Hospital 9,403 0 142 3 9,548
Southern Health 128,645 1,847 979 551 132,022
St. Vincent’s Health 46,080 721 427 138 47,366
Western Health 67,705 1,430 1,181 268 70,584
Royal Children's Hospital 41,885 21 0 457 42,363
Royal Women's Hospital 23,908 0 8 11 23,927
Major Providers totals 726,270 11,457 10,787 13,826 762,340 Non-metropolitan
Barwon South Western 69,822 975 2,582 478 73,857
Grampians 36,425 955 769 288 38,437
Loddon Mallee 46,294 942 1,780 260 49,276
Hume 37,868 481 1,389 249 39,987
Gippsland 42,358 939 1,414 259 44,970
Non-metropolitan totals 232,767 4,292 7,934 1,534 246,527 State totals 959,037 15,749 18,721 15,360 1,008,867 Barwon South Western
Barwon Health 47,129 718 1,621 319 49,787
South West Healthcare 11,747 112 397 88 12,344
Western District Health Service 4,633 46 266 36 4,981
Colac Area Health 3,125 44 128 20 3,317
Portland District Health 3,188 55 170 15 3,428
Barwon South Western totals 69,822 975 2,582 478 73,857
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Target A Including Elective 2010–11 Health Service Surgery Renal DVA TAC Total WIES
Grampians
Ballarat Health Service 22,463 355 272 182 23,272
Wimmera Health Care Group 6,305 111 284 93 6,793
Djerriwarrh Health Service 3,319 450 46 6 3,821
East Grampians Health Service 2,338 39 88 5 2,470
Stawell Regional Health 2,000 0 79 2 2,081
Grampians totals 36,425 955 769 288 38,437 Loddon Mallee
Bendigo Health Care Group 21,300 380 586 154 22,420
Mildura Base Hospital 10,013 235 447 82 10,777
Echuca Regional Health 4,620 97 180 14 4,911
Swan Hill District Hospital 3,825 119 161 3 4,108
Kyabram and District Health Service 2,225 28 130 1 2,384
Maryborough District Health Service 2,225 83 177 6 2,491
Castlemaine Health 2,086 0 99 0 2,185
Loddon Mallee totals 46,294 942 1,780 260 49,276
Hume
Goulburn Valley Health 14,859 176 464 164 15,663
Northeast Health Wangaratta 10,077 120 357 71 10,625
Albury Wodonga Health 10,200 185 302 11 10,698
Benalla and District Memorial Hospital 2,732 0 266 3 3,001
Hume totals 37,868 481 1,389 249 39,987
Gippsland
Latrobe Regional Hospital 17,482 291 349 151 18,273
Bairnsdale Regional Health Service 5,419 245 358 46 6,068
Central Gippsland Health Service 7,034 126 205 28 7,393
West Gippsland Healthcare Group 6,997 103 194 29 7,323
Gippsland Southern Health Service 2,329 0 133 4 2,466
Bass Coast Regional Health 3,097 174 175 1 3,447
Gippsland totals 42,358 939 1,414 259 44,970
Note: Includes projected DVA/TAC and Public/Private shift activities for 2008–09.
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Table 41: 2010–11 Victorian acute admitted activity targets (WIES18)
Target A Including Elective 2010–11 Health Service Surgery Renal DVA TAC Total WIES Major Providers
Austin Health 65,881 1,805 1,738 918 70,342
Alfred Health 81,373 1,165 1,451 6,719 90,708
Eastern Health 75,308 1,594 1,488 415 78,805
Melbourne Health 65,497 1,980 727 3,924 72,128
Mercy Public Hospitals Inc. 31,920 318 184 6 32,428
Northern Health 38,190 0 463 96 38,749
Peninsula Health 42,817 576 1,844 320 45,557
Peter MacCallum Cancer Institute 13,939 0 155 0 14,094
Royal Victorian Eye and Ear Hospital 9,454 0 142 3 9,599
Southern Health 131,408 1,847 979 551 134,785
St. Vincent’s Health 46,776 721 427 138 48,062
Western Health 69,235 1,430 1,181 268 72,114
Royal Children's Hospital 42,341 21 0 457 42,819
Royal Women's Hospital 24,975 0 8 11 24,994
Major Providers totals 739,114 11,457 10,787 13,826 775,184
Non-metropolitan
Barwon South Western 70,335 975 2,582 478 74,370
Grampians 36,599 955 769 288 38,611
Loddon Mallee 46,524 942 1,780 260 49,506
Hume 38,121 481 1,389 249 40,240
Gippsland 42,505 939 1,414 259 45,117
Non-metropolitan totals 234,084 4,292 7,934 1,534 247,844
State totals 973,198 15,749 18,721 15,360 1,023,028
Barwon South Western
Barwon Health 47,496 718 1,621 319 50,154
South West Healthcare 11,835 112 397 88 12,432
Western District Health Service 4,650 46 266 36 4,998
Colac Area Health 3,138 44 128 20 3,330
Portland District Health 3,216 55 170 15 3,456
Barwon South Western totals 70,335 975 2,582 478 74,370
Grampians
Ballarat Health Service 22,540 355 272 182 23,349
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Target A Including Elective 2010–11 Health Service Surgery Renal DVA TAC Total WIES Wimmera Health Care Group 6,368 111 284 93 6,856
Djerriwarrh Health Service 3,336 450 46 6 3,838
East Grampians Health Service 2,343 39 88 5 2,475
Stawell Regional Health 2,012 0 79 2 2,093
Grampians totals 36,599 955 769 288 38,611
Loddon Mallee
Bendigo Health Care Group 21,366 380 586 154 22,486
Mildura Base Hospital 10,093 235 447 82 10,857
Echuca Regional Health 4,639 97 180 14 4,930
Swan Hill District Hospital 3,852 119 161 3 4,135
Kyabram and District Health Service 2,248 28 130 1 2,407
Maryborough District Health Service 2,232 83 177 6 2,498
Castlemaine Health 2,094 0 99 0 2,193
Loddon Mallee totals 46,524 942 1,780 260 49,506
Hume
Goulburn Valley Health 15,037 176 464 164 15,841
Northeast Health Wangaratta 10,117 120 357 71 10,665
Albury Wodonga Health 10,230 185 302 11 10,728
Benalla and District Memorial Hospital 2,737 0 266 3 3,006
Hume totals 38,121 481 1,389 249 40,240
Gippsland Latrobe Regional Hospital 17,545 291 349 151 18,336
Bairnsdale Regional Health Service 5,444 245 358 46 6,093
Central Gippsland Health Service 7,065 126 205 28 7,424
West Gippsland Healthcare Group 7,006 103 194 29 7,332
Gippsland Southern Health Service 2,332 0 133 4 2,469
Bass Coast Regional Health 3,113 174 175 1 3,463
Gippsland totals 42,505 939 1,414 259 45,117
Note: Includes projected DVA/TAC and Public/Private shift activities for 2008–09
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Table 42: 2010–11 Victorian acute admitted activity targets (WIES17) (net of one-off reversals)
Target A Including Elective 2010–11 Health Service Surgery Renal DVA TAC Total WIES Major Providers
Austin Health 66,260 1,805 1,749 924 70,738
Alfred Health 81,542 1,165 1,454 6,733 90,894
Eastern Health 75,490 1,594 1,491 416 78,991
Melbourne Health 65,865 1,980 731 3,947 72,523
Mercy Public Hospitals Inc. 31,188 318 181 6 31,693
Northern Health 38,176 0 463 96 38,735
Peninsula Health 42,832 576 1,845 320 45,573
Peter MacCallum Cancer Institute 14,184 0 158 0 14,342
Royal Victorian Eye and Ear Hospital 9,433 0 142 3 9,578
Southern Health 131,346 1,847 979 551 134,723
St. Vincent’s Health 47,020 721 429 139 48,309
Western Health 69,074 1,430 1,178 267 71,949
Royal Children's Hospital 42,336 21 0 457 42,814
Royal Women's Hospital 24,770 0 8 11 24,789
Major Providers totals 739,516 11,457 10,808 13,870 775,651
Non-metropolitan
Barwon South Western 70,273 975 2,578 478 74,304
Grampians 36,512 955 767 288 38,522
Loddon Mallee 46,421 942 1,774 260 49,397
Hume 37,999 481 1,385 249 40,114
Gippsland 42,345 939 1,408 259 44,951
Non-metropolitan totals 233,550 4,292 7,912 1,534 247,288
State totals 973,066 15,749 18,720 15,404 1,022,939
Barwon South Western
Barwon Health 47,566 718 1,623 319 50,226
South West Healthcare 11,809 112 396 88 12,405
Western District Health Service 4,613 46 264 36 4,959
Colac Area Health 3,092 44 126 20 3,282
Portland District Health 3,193 55 169 15 3,432
Barwon South Western totals 70,273 975 2,578 478 74,304
Grampians
Ballarat Health Service 22,527 355 272 182 23,336
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Target A Including Elective 2010–11 Health Service Surgery Renal DVA TAC Total WIES Wimmera Health Care Group 6,344 111 283 93 6,831
Djerriwarrh Health Service 3,309 450 46 6 3,811
East Grampians Health Service 2,329 39 87 5 2,460
Stawell Regional Health 2,003 0 79 2 2,084
Grampians totals 36,512 955 767 288 38,522
Loddon Mallee
Bendigo Health Care Group 21,333 380 585 154 22,452
Mildura Base Hospital 10,115 235 448 82 10,880
Echuca Regional Health 4,649 97 180 14 4,940
Swan Hill District Hospital 3,837 119 160 3 4,119
Kyabram and District Health Service 2,212 28 128 1 2,369
Maryborough District Health Service 2,205 83 175 6 2,469
Castlemaine Health 2,070 0 98 0 2,168
Loddon Mallee totals 46,421 942 1,774 260 49,397
Hume
Goulburn Valley Health 15,054 176 465 164 15,859
Northeast Health Wangaratta 10,102 120 356 71 10,649
Albury Wodonga Health 10,117 185 299 11 10,612
Benalla and District Memorial Hospital 2,726 0 265 3 2,994
Hume totals 37,999 481 1,385 249 40,114
Gippsland
Latrobe Regional Hospital 17,549 291 349 151 18,340
Bairnsdale Regional Health Service 5,437 245 358 46 6,086
Central Gippsland Health Service 6,993 126 203 28 7,350
West Gippsland Healthcare Group 6,960 103 193 29 7,285
Gippsland Southern Health Service 2,302 0 131 4 2,437
Bass Coast Regional Health 3,104 174 174 1 3,453
Gippsland totals 42,345 939 1,408 259 44,951
Note: DVA and TAC WIES include estimated actuals for 2010–11.
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Table 43: Victorian Ambulatory Classification System (VACS) targets 201112
Metropolitan Health Non DVA DVA Elective Surgery Service/ VACS Weighted Allied Health VACS Weighted Allied Health VACS Weighted Allied Health Occasions Hospital Campus Encounters Occasions of Service Encounters Occasions of Service Encounters of Service
Alfred Health 125,100 49,139 1,151 212 0 0
Austin Health 94,303 58,150 1,283 21,457 3,031 634
Eastern Health 108,337 15,246 104 56 1,166 238
Melbourne Health 134,297 29,381 39 1 407 81
Mercy Public Hospitals Inc 80,150 26,693 0 0 0 0
Northern Health 72,980 37,440 11 0 204 42
Peninsula Health 39,179 19,194 151 4 297 63
Peter MacCallum Cancer Institute 22,521 32,145 578 501 0 0
Royal Children's Hospital 77,108 70,901 0 0 74 42
Royal Vic Eye and Ear Hospital 77,373 67,477 379 479 0 0
Royal Women's Hospital 126,491 16,303 3 0 0 0
Southern Health 194,801 73,859 146 23 2,332 476
St. Vincent's Health 90,221 24,490 188 82 1,782 315
Western Health 131,445 39,391 107 0 880 175
Ballarat Health Services 40,709 12,705 33 0 0 0
Barwon Health 80,182 36,208 247 113 0 0
Bendigo Health Care Group 41,882 19,246 3 0 0 0
Djerriwarrh Health Service 13,540 16,758 0 0 0 0
Grand total 1,550,619 644,726 4,423 22,928 10,173 2,066
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Table 44: Non-admitted radiotherapy activity (WAU) targets 201112
Radiotherapy - Base Variable Radiotherapy - DVA Health Service Grand Total Payment (incl. Associated Costs) Base Variable
Alfred Health 70,134 1,834 71,968
Austin Health 50,867 1,725 52,592
Peter Maccallum Cancer Institute 212,599 5,393 217,992
Barwon Health 26,850 991 27,841
Total 360,450 9,943 370,393
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Table 45: Specialist inpatient palliative care activity targets 201112
Inpatient Palliative Care : Palliative Care: Private Palliative Private Inpatient Palliative Care: Health Service Palliative care Inpatient DVA - Inpatient DVA - Care: Inpatient - Palliative Care - Grand Total Inpatient - Metro rural Metro Rural Metro Rural
Metropolitan
Austin Health 0 4,950 274 0 550 0 5,774
Calvary Health Care Bethlehem Limited 0 11,585 698 0 2,081 0 14,364
Eastern Health 0 6,682 392 0 3,544 0 10,618
Melbourne Health 0 3,082 195 0 568 0 3,845
Mercy Public Hospitals Incorporated 0 4,107 300 0 0 0 4,407
Northern Health 0 7,131 212 0 1,127 0 8,470
Peninsula Health 0 3,619 188 0 1,246 0 5,053
Southern Health 0 5,831 125 0 101 0 6,057
St Vincent's Hospital Melbourne Limited 0 6,868 633 0 5,034 0 12,535
Western Health 0 3,888 134 0 52 0 4,074
Metropolitan total 0 57,743 3,151 0 14,303 0 75,197
Rural
Albury Wodonga Health 730 0 0 13 0 0 743
Bairnsdale Regional Health Services 352 0 0 0 0 13 365
Ballarat Health Services 1,444 0 0 80 0 746 2,270
Barwon Health 3,095 0 0 329 0 1,658 5,082
Bass Coast Regional Health 343 0 0 47 0 22 412
Bendigo Health Care Group 2,019 0 0 130 0 901 3,050
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Inpatient Palliative Care : Palliative Care: Private Palliative Private Inpatient Palliative Care: Health Service Palliative care Inpatient DVA - Inpatient DVA - Care: Inpatient - Palliative Care - Grand Total Inpatient - Metro rural Metro Rural Metro Rural
Central Gippsland Health Service 730 0 0 103 0 0 833
Colac Area Health 291 0 0 20 0 74 385
Djerriwarrh Health Services 669 0 0 34 0 61 764
East Grampians Health Service 365 0 0 0 0 0 365
Gippsland Southern Health Service 336 0 0 0 0 29 365
Goulburn Valley Health. 520 0 0 38 0 72 630
Latrobe Regional Hospital 1,168 0 0 41 0 0 1,209
Mildura Base Hospital 730 0 0 7 0 0 737
Northeast Health Wangaratta 686 0 0 13 0 44 743
Portland District Health 351 0 0 21 0 14 386
South West Healthcare 2,111 0 0 10 0 25 2,146
West Gippsland Health Care Group 730 0 0 25 0 0 755
Western District Health Service 337 0 0 14 0 28 379
Wimmera Health Care Group 340 0 0 37 0 25 402
Rural total 17,347 0 0 962 0 3,712 22,021
Grand total 17,347 57,743 3,151 962 14,303 3,712 97,218
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Table 46: 2011–12 Subacute targets: beddays and weighted units
Rehab Rehab Metropolitan Health Rehab Rehab Rehab Rehab Restorative Level 1 Level 2 GEM GEM TCP TCP Service Hospital Level 1 Level 1 Level 2 Level 2 Care Spinal (Non (CRAFT) (Non-DVA) (DVA) Bedday Homeday Campus (Non-DVA) (DVA) (Non-DVA) (DVA) Bedday DVA) RWU Alfred Health 0 6,341 382 1,051 722 824 32,280 1,560 24,804 7,296 3,231 Austin Health 3,449 1,977 0 389 1,081 750 22,654 2,875 7,855 9,585 1,460 Calvary Health Care Bethlehem Limited 0 00000 10,41782000 Eastern Health 0 1,400 80 754 1,001 1,051 30,397 1,737 26,280 8,030 2,190 Melbourne Health 0 2,132 0 560 130 410 29,881 1,311 10,575 12,400 4,015 Mercy Public Hospitals Inc. 0 00000 002,1901,4600 Northern Health 0 0 0 700 763 698 27,706 1,563 8,202 15,179 3,650 Peninsula Health 0 2,245 32 427 1,861 896 22,882 3,160 14,839 5,475 1,460 Royal Children's Hospital 0 3,0660000 00000 Southern Health 0 1,076 0 5,785 690 1,196 36,626 1,284 21,761 10,950 1,460 St Vincent's Health 0 696 0 16 1,194 807 19,106 2,346 10,950 9,155 1,460 Western Health 0 360 0 375 116 569 29,130 2,789 10,950 11,340 4,015 Albury Wodonga Health 0 004,151230 00000 Bairnsdale Regional Health Service 0 002,7904980 1,971338000 Ballarat Health Service 0 1,239 118 1,560 494 284 14,492 747 13,862 9,117 0 Barwon Health 0 1,970 0 290 1,308 566 10,588 1,351 11,720 6,050 1,825 Bass Coast Regional Health 0 005800 2,077224000 Benalla and District Memorial Hospital 0 00000 0000730
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Rehab Rehab Metropolitan Health Rehab Rehab Rehab Rehab Restorative Level 1 Level 2 GEM GEM TCP TCP Service Hospital Level 1 Level 1 Level 2 Level 2 Care Spinal (Non (CRAFT) (Non-DVA) (DVA) Bedday Homeday Campus (Non-DVA) (DVA) (Non-DVA) (DVA) Bedday DVA) RWU Bendigo Health Care Group 0 2,17371 1,820 744 369 15,476 1,908 17,099 10,704 2,884 Central Gippsland Health Service 0 0046300 2,422204000 Colac Area Health 0 00000 0000730 Gippsland Southern Health Service 0 00000 68948000 Goulburn Valley Health 0 00 340 557 300 4,335529 12,712 13,077 1,460 Latrobe Regional Hospital 0 1,2860 1,760 204 239 6,041 567 7,941 6,372 0 Mildura Base Hospital 0 0 0 2,558 254 0 1,975 106 3,896 2,436 0 Castlemaine District Community Health Limited 0 005,3366970 1,36997000 Western District Health Service (Hamilton) 0 0 0 1,735 0 0 0 68 365 365 0 Northeast Health Wangaratta 0 003,1812190 2,308261000 Portland District Health Service 0 00000 001,452726694 South West Healthcare 0 1000 4,507 261 0 3,8170 2,920 3,990 0 West Gippsland Healthcare Group 0 00000 1,03420900823 Wimmera Health Care Group 0 00000 1,388224000 Total 3,449 26,061 683 40,606 12,817 8,959 331,061 25,588 210,373 143,707 32,087
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Table 47: Subacute Ambulatory Care (SACS) activity targets 201112 SACS Non-DVA Paediatric SACS SACS DVA Targets Health Service Targets 2011–12 Targets 2011–12 2011–12 (CSE) (CSE) (CSE) Metropolitan Alfred Health 39,850 600 Austin Health 23,750 680 Calvary Health Care Bethlehem Limited 6,600 Eastern Health 57,650 1,042 1,812 Melbourne Health 42,300 615 Mercy Public Hospitals Inc (Werribee) 5,700 65 Northern Health 45,600 525 Peninsula Health 36,500 2,410 Royal Children's Hospital 3,903 Southern Health 66,800 3,996 919 St. Vincent's Health 30,750 1,100 Western Health 27,900 220 Rural and Regional Albury Wodonga Health 11,800 300 Bairnsdale Regional Health Service 7,330 215 Ballarat Health Services 22,400 884 412 Barwon Health 27,200 1,115 925 Bass Coast Regional Health 5,700 275 Benalla & District Memorial Hospital 1,750 40 Bendigo Health 24,200 1,110 1,000 Castlemaine Health 10,200 240 Central Gippsland Health Service 3,200 10 Colac Area Health 2,400 205 Djerriwarrh Health Services 3,750 50 Echuca Regional Health 5,050 370 Goulburn Valley Health 11,600 250 315 Latrobe Regional Hospital 12,250 160 Lyndoch Warrnambool 7,000 580 Mildura Base Hospital 3,900 130 Northeast Health Wangaratta 12,750 800 Seymour Health1 4,350 275 South West Healthcare - Warrnambool 9,400 300 Swan Hill District Hospital 3,500 90 West Gippsland Healthcare Group 8,020 435 Western District Health Service 3,900 324 Wimmera Health Care Group 4,400 460 Yarram & District Health Service1 2,300 270 Total 591,750 12,300 17,127 Notes: 1. Small rural hospital funding model. Targets are expressed in Client Service Events (CSE). Refer to the VINAH MDS Manual: www.health.vic.gov.au/hdss/vinah
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Table 48: Post acute care activity targets 201112
PAC Non-DVA PAC DVA Targets Post Acute Care Targets2011–12 2011–12 Health Service Service (Completed (Completed Episodes) Episodes)
Metropolitan
Austin Health Austin 1,809 40
Eastern Health Eastern 3,814 30
Inner South Community Health Service Inner South East 2,278 20
Melbourne Health Melbourne 2,290 32
North Richmond Community Health Inner Melbourne 1,963 18
Northern Health Northern 1,902 10
Peninsula Health Peninsula 2,261 60
Royal Children's Hospital RCH 825
Southern Health Southern 4,811 18
Western Health Western 4,178 17
Rural and Regional
Albury Wodonga Health Wodonga 823 13
Bairnsdale Regional Health Service East Gippsland 732 40
Ballarat Health Service Central Highlands 1,163 11
Barwon Health Barwon 2,385 15
Bendigo Health Care Group Loddon Mallee 2,432 90
Goulburn Valley Health Goulburn 1,031 50
Latrobe Regional Health Service Latrobe & Wellington 1,318 20
Mildura Base Hospital Northern Mallee 588 30
Northeast Health Wangaratta Wangaratta 877 34
Seymour and District Memorial Hospital1 Seymour 624 14
South West Healthcare Wannon 1,532 70
Stawell Regional Health Grampians 1,180 45
West Gippsland Health Group South West Gippsland 1,184 40
Total 42,000 717
Notes: 1. Small rural hospital funding model. In 2011–12, DVA targets have switched from days of service to completed episodes of care.
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Table 49: Mental Health Service Performance Indicators
Older Person Government Measure or indicator Unit Adult report CAMHS report report Target
28-day readmission rate per cent Yes No Yes < 14
Adult Services Only
Pre-admission contact per cent Yes Yes1 Yes 60
Adult Services only
Post discharge follow up per cent Yes Yes1 Yes 75
To extend to all age ranges
Total seclusion rate episodes Yes Yes Yes < 20 per 1,000 bed days To extend to all age ranges
HoNOS2 compliance - all per cent Yes Yes Yes > 85 inpatient, all ages
HoNOS2 compliance – per cent Yes Yes Yes > 85 ambulatory, all ages
Emergency department per cent Yes No No 80 presentations departing to a mental health bed within 8hrs
Basis/SDQ3 Compliance Per cent No Yes Yes > 85
Case Re-referral rate Per cent No Yes No TBD4 Notes: 1. Slight variation in definition as results attributed to client’s home AMHS not the separating AMHS as for adult and older person. 2. HoNOS refers to Health of the Nation Outcome Scale and is a key mental health consumer outcome measure that has been implemented nationally. 3. Basis and Strengths and Difficulties Questionnaire (SDQ) are used by the consumer's and/or carer's (SDQ only) to present their views on behaviour to inform discussions with the AMHS. There are collected as part of the Outcome Measures suite at predefined points of time. 4. To be reported and actively monitored by health services and the department with a view to determining a suitable target in 2012–13.
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Appendix 3: Data collection specifications
A3.1 Hospitals and health services Health services are required to comply with standard definitions for reporting financial and statistical data as set out in the 201112 versions of the VAED manual, AIMS public hospital user manual, Instructions for completing the annual return, VEMD manual, ESIS manual, VINAH manual and any other amending documentation prepared by the department. The health service or SRHS will code patient episodes reported to the VAED in accordance with the current Australian Coding Standards, current Victorian additions to the Australian Coding Standards and any amending documents issued by the department. The health service will provide data to the department as specified in the Health Service Agreement, in this document and any amending documentation. The hospital will provide AIMS data to the department electronically via the HealthCollect web portal at: https://www.healthcollect.vic.gov.au/ and in accordance with the timelines specified in the AIMS Public Hospital User Manual. To assist with the calculation of the prior year adjustment, all AIMS forms in respect of the 201011 financial year must be completed by 10 September 2011.
A3.1.1 Financial information F1 financial returns for all hospitals and health services (including SRHSs), at the entity level, are required twelve days after the end of the month for which the financial data is provided (for example, the F1 for July is required by 12 August).
A3.1.2 Victorian Admitted Episodes Dataset The VAED contains the core set of clinical, demographic, administrative and financial data about every admitted patient episode occurring in Victorian hospitals. Maintaining the accuracy of the VAED is critical to ensuring accurate and equitable funding outcomes. The PRS/2 system provides reconciliation reports for data quality monitoring and activity measures against agreed WIES targets and, where applicable, rehabilitation throughput for admitted patients (CRAFT report). PRS/2 also provides extracts of activity by episode for DVA and the TAC so that funding from those sources can be acquitted on a regular basis according to the actual activity of hospitals. Additionally, VAED reports on service utilisation by patients from other states and territories are used for interstate funding adjustments. Analyses and consolidated activity data are provided from the VAED to meet the department’s reporting obligations to the Commonwealth Government and to various research institutes. Further information on PRS/2 and the VAED is contained in the VAED Manual at: www.health.vic.gov.au/hdss/vaed/index
Transmission of admitted patient data Health services or other organisations in receipt of funding under any of the following programs must transmit data to the VAED minimum dataset: Restorative Care Program Victorian Maintenance Dialysis Program (VMDP) Admitted mental health services Palliative care inpatient Victorian paediatric rehabilitation services (VPRS) admitted Hospital in the Home
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Rehabilitation, GEM Health services will transmit admitted patient data to the VAED via PRS/2 according to the timelines detailed in clauses below. Admission and separation details for any month are to be transmitted in time for the VAED file consolidation on the 10th day of the following month. Diagnosis and procedure and subacute details in any month must be transmitted in time for the VAED consolidation on the 10th day of the second month following. Data for the 201112 financial year must be completed in time for the VAED file consolidation on 10 August 2012. Any final corrections must be transmitted before consolidation of the VAED database on 10 September 2012. It is the health service’s responsibility to ensure that data are transmitted to the VAED to meet the processing schedule for inclusion in the PRS/2 file consolidation on the 10th of each month. VAED data (sent electronically) must be received by 5pm on the 10th of each month, regardless of the actual day of the week. VAED (sent on physical media) must be received by 12pm (noon) on the 10th of the month. WIES, SRHS variable payments and subacute payments will be: paid in full for data originally submitted in accordance with the deadlines specified in the clauses above, even if data is subsequently amended paid at a reduced rate (50 per cent), if the data has not been submitted in accordance with the deadlines specified in clauses above but has been submitted by the 10th day of the month following the respective deadline that was missed not recognised for payment, if data has not been submitted in accordance with the deadlines specified in the clauses above and has not been submitted by the 10th day of the month following the respective deadline that was missed. This clause applies to all account classes including DVA. If difficulties are anticipated in meeting the relevant data transmission timeframes for either admission and separation data, or diagnosis and procedure data, the hospital or health service must contact the department indicating the nature of the difficulties, remedial action being taken, and the expected transmission schedule. A proforma to assist this process is provided on the HDSS website together with contact details for submission. The proforma is available at: www.health.vic.gov.au/hdss/vaed/index Health services are encouraged to flag any emerging difficulties at the earliest opportunity, to enable the department to gauge whether or how best it can assist to resolve these difficulties. Health services are also encouraged to use the forum provided by the Statutory Reporting Data Reference Group to raise issues which may also be of interest or concern to other health services, and share knowledge and experience in resolving them. All hospitals and health services are required to ensure completion of two data elements in the VAED relating to preferred language spoken and interpreter required, as proxy measures of local demand for language services.
Exemptions for late submission penalties Exemptions for late submission of admission and separation (E-record) data may be granted to health services maintaining a consistently high level of timely data submission. Exemptions for late submission of admission and separation (E-, V- records) data and diagnosis and procedure (X-, Y- and S-records) data will also be considered for circumstances that are beyond the control of the health service. Software problems are, of themselves, insufficient justification for late submission of data. Health services are expected to have arrangements in place with their software vendor to ensure that statutory reporting requirements are met. Health services undertaking the PRS/2 data submission testing process are exempted from penalties for the applicable months of data as per the testing period agreement.
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Submissions for exemption from late penalties will only be considered if received prior to the appropriate consolidation deadline outlined in the clauses above. Under no circumstances will consideration of exemption from late penalties be given to submissions received after 5pm on 10 September 2012. For any period that the health service is unable to supply unit record data, the health service is required to submit aggregate data. Additional penalties may apply for failure to submit aggregate data when required.
Admitted mental health services Providers of admitted mental health services must transmit data for admitted mental health patients to the VAED via PRS/2 according to the timelines and specifications outlined in this document, the VAED manual and any amending documentation. Where health services are non-compliant with the timelines and specifications, the department may apply a penalty for each non-compliant record no greater than the amount of the applicable notional bed-day rate published in these Guidelines.
Victorian Maintenance Dialysis Program (VMDP) Centre and satellite providers report unit record data to the VAED. In-centre/parent providers report a number of aggregate patient data items for their service network to the AIMS. Where satellites are within hospital dialysis units under the complete management of the parent unit and do not have direct data reporting facilities, the parent provider reports to the VAED. Both WIES and capitation payments are made fortnightly in advance. The WIES payment is made directly to in-centre and satellite providers and the capitation payment is made to the parent hospital to fund its service network.
Restorative care Restorative care clients are admitted hospital patients where the bed-based service is located within a ward environment. Where a residential aged care facility has been utilised for this service, the clients are to be non-admitted hospital patients. Health services approved to deliver restorative care must report onsite activity through the VAED.
A3.1.3 Victorian Emergency Minimum Dataset Health services receiving the NAESG or otherwise designated by the department will transmit data to the VEMD according to the timelines in Table 50.
Table 50: VEMD Timelines
VEMD, 201112 Timeline
All presentations for the first 14 days of the At least one submission must be received by the 3rd working day month after the 14th of the reporting month (for example, 1-14 July data by July 19).
All presentations for the full month Remainder of the month must be supplied by the 3rd working day of the following month (for example, 15-31 July data by 3 August).
All presentations for the full month without Must be complete, i.e. zero rejection, notifiable or correction edits, errors by the 10th day of the following month, or the prior business day (for example, complete July data by 10 August).
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Any corrections must be transmitted before consolidation of the VEMD database on 21 August 2012. Health services may submit more frequently than the minimum requirements. The department will endeavour to process submissions within one working day of receipt. All hospitals and health services are required to ensure completion of two data elements in the VEMD relating to preferred language spoken and interpreter required, as proxy measures of local demand for language services.
Penalties for non-compliance Where health services are non-compliant with these timelines, the department may apply a penalty no greater than: $3,800 if a file containing data from the first 14 days of the month and/or the full month is not submitted by the timeline specified above $1,900 for each record from the full month that is not completed by the timeline specified above $3,800 for each record from the full month that is not completed within one month of the timeline specified in above or database consolidation, whichever comes first. If difficulties are anticipated in meeting the monthly timelines, the health service must contact the department, indicating the nature of the difficulties, remedial action being taken, and the expected transmission schedule. A proforma to assist this process is provided on the HDSS website together with contact details for submission (www.health.vic.gov.au/hdss/). Health services are encouraged to flag any emerging difficulties at the earliest opportunity, to enable the department to gauge whether or how best it can assist to resolve these difficulties. Health services are also encouraged to use the forum provided by the Statutory Reporting Data Reference Group to raise issues which may also be of interest or concern to other health services, and share knowledge and experience in resolving them.
Exemptions from penalties Exemptions for late data penalties will only be considered for circumstances beyond the control of the hospital or health service. Software problems are, of themselves, insufficient justification for late submission of data. Health services are expected to have arrangements in place with their software vendor to ensure that statutory reporting requirements are met. Submissions for exemption from late penalties will only be considered if received prior to the appropriate consolidation deadline. Under no circumstances will consideration of exemption from late penalties be given to submissions received after 5pm on 21 August 2012. For any period that the hospital is unable to supply unit record data, the hospital is required to submit aggregate data using the spreadsheet available from the HDSS website at: www.health.vic.gov.au/hdss Please refer to the ‘Compilation and submission’ section of the VEMD manual for more information. Additional penalties may apply for failure to submit aggregate data when required.
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A3.1.4 Elective Surgery Information System Health services reporting to the ESIS will be required to adhere to the following minimum submission timelines. Health services may submit more frequently than the minimum standards specified below.
Table 51: ESIS Timelines
ESIS, 201112 Timeline
First fifteen days of the month At least one submission must be received by the 3rd working day after the 15th of the reporting month (for example, 1-15 July data by July 20).
The remaining days of the Remainder of the month must be supplied by the 3rd working day of the following month (16th and subsequent) month (for example, 16-31 July data by 3 August).
All activity for the full month Must be complete, i.e. zero rejection, notifiable or correction edits, by the 14th day without errors of the following month, or the prior business day (for example, complete July data by 12 August).
The department will endeavour to process submissions within one working day of receipt. Any corrections to 201112 data must be transmitted before final consolidation of the ESIS database on 21 August 2012.
Penalties for non-compliance Where hospitals do not comply with these timelines, the department may apply a penalty of up to: $3,800 if a reporting period's activity (1st to 15th being a period and the 16th and subsequent days being a period) is not submitted by the timeline specified above $1,900 for each Rejection and Notifiable edit that is not resolved by the timeline specified above $3,800 for each Rejection and Notifiable edit that is not resolved within thirty days of the timeline specified above or database consolidation, whichever comes first. If difficulties are anticipated in meeting the monthly timelines, the health service must contact the Manager, Admitted, Emergency and Elective Data, indicating the nature of the difficulties, remedial action being taken, and the expected transmission schedule. A proforma to assist this process is provided on the HDSS website together with contact details for the Manager, Admitted, Emergency and Elective Data, at: www.health.vic.gov.au/hdss Health services are encouraged to flag any emerging difficulties at the earliest opportunity, to enable the department to gauge whether or how best it can assist to resolve these difficulties. Health services are also encouraged to use the forum provided by the Statutory Reporting Data Reference Group to raise issues which may also be of interest or concern to other health services, and share knowledge and experience in resolving them.
Exemptions from penalties Exemptions for late data penalties will only be considered for circumstances beyond the control of the health service. Software problems are, of themselves, insufficient justification for late submission of data. Health services are expected to have arrangements in place with their software vendor to ensure that statutory reporting requirements are met. Submissions for exemption from late penalties will only be considered if received prior to the appropriate consolidation deadline. Under no circumstances will consideration of exemption from late penalties be given to exemption requests received after 5pm on 21 August 2012. For any period that the health service is unable to supply unit record data, the health service is required to submit aggregate data using the spreadsheet available from the HDSS website: www.health.vic.gov.au/hdss Additional penalties may apply for failure to submit aggregate data when required.
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A3.1.5 Victorian Integrated Non-Admitted Health Minimum Dataset The VINAH MDS is a patient-level electronic reporting system built around a generic framework suitable for reporting a wide range of non-admitted patient level data. Health services or other organisations in receipt of funding under any of the following programs must transmit data to the VINAH minimum dataset: Specialist clinic (outpatient) services SACS HARP PAC Victorian paediatric rehabilitation services non-admitted Community-based palliative care Family Choice Program Victorian HIV Service Victorian Respiratory Support Service Medi-hotel (optional) Transition Care Program (TCP) Residential in-reach service Hospital-based palliative care consultancy teams. TCP clients are non-admitted hospital patients. Health services must adhere to relevant TCP reporting arrangements negotiated between Victorian and the Commonwealth Government. In 2011–12 this includes the monthly claim form, the transition care quarterly report and the transition care annual accountability report. All hospitals and health services are required to ensure completion of two data elements in the VINAH MDS relating to preferred language spoken and interpreter required, as proxy measures of local demand for language services. VINAH supports optional reporting for Medi-hotel activity. Further information on VINAH is contained in the VINAH manual at: www.health.vic.gov.au/hdss/vinah/index
Submission guidelines Submitting health services and organisations are encouraged to transmit VINAH MDS data frequently and may transmit as often as desired. Submitting organisations must meet the following minimum requirements: VINAH data compliance is reckoned on a monthly basis. Data for each calendar month (reference month), as specified in the Reported When component of each data element in the VINAH Manual, must be transmitted as specified below. Submitting organisations must make at least one submission to the HealthCollect portal for the reference month by no later than 5pm on the tenth day of the month following the reference month. All errors are to be corrected in time for the VINAH MDS file consolidation at 5pm on the 17th day of the month following the reference month. It is expected that complete data for the month is transmitted by the 17th. Data for the financial year must be completed in time for the VINAH MDS file consolidation on 17 August. Any final corrections must be received at the Health Collect portal before finalisation of the VINAH MDS database on 10 September 2012. It is the submitting organisation's responsibility to ensure that data is received by the department to meet the processing schedule above, regardless of the actual day of the week.
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Penalties for non-compliance Where submitting organisations do not comply with these timelines, the department may apply a penalty of up to: $3,100 if an initial transmission of a reference month's activity for a program is not submitted by the timeline specified above $3,100 if a reference month's complete activity for a program is not submitted in accordance with the timeline specified above Health services that have VINAH MDS reporting obligations for multiple programs (for example, SACS, HARP, PAC) should note that the above penalties apply per program. If difficulties are anticipated in meeting the monthly timelines, the health service must contact the department indicating the nature of the difficulties, remedial action being taken, and the expected transmission schedule.
Exemptions from penalties Exemptions for late data penalties will only be considered for circumstances beyond the control of the hospital. Software problems are, of themselves, insufficient justification for late submission of data. Health services are expected to have arrangements in place with their software vendor to ensure statutory reporting requirements are met. Note that during the initial VINAH MDS implementation period for new organisations and program types, flexible arrangements may be negotiated with submitting organisations on a case-by-case basis. Health services still transitioning to VINAH reporting must continue to report data via AIMS until advised in writing to cease AIMS reporting. It should be noted that Community Palliative Care may continue to report data to VINAH via the VicPCRS system for 201112 as advised, however the above reporting timelines still apply.
A3.1.6 Agency Information Management System Health services will submit data to Agency Information Management System (AIMS) according to timelines specified in the AIMS Manual.
Penalties for non-compliance Where health services are non-compliant with these timelines, the department may apply a penalty of no greater than $3,800 for each return not submitted by the due date specified in the AIMS Manual. If difficulties are anticipated in meeting the specified timeline, the health service must contact the Manager, Non-admitted, Ambulance and Aggregate Data indicating the nature of the difficulties, remedial action being taken and the expected schedule for data submission. Exemptions for late submission of data will generally only be considered for problems beyond the control of the hospital. Software problems are, of themselves, insufficient justification for late submission of data. Health services are expected to have arrangements in place with their software vendor that to ensure that statutory reporting requirements are met. Further details are available at www.health.vic.gov.au/aims
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A3.1.7 Victorian Cost Data Collection All metropolitan and major (Group B) rural health services are required to operate and maintain patient costing systems that monitor service provision to patients and allow for accurate determination of patient level costs. Costing methodology should adhere to the Australian Hospital Patient Costing Standards Version 2 and any other guidance provided by the department in the coming year. The Australian Hospital Patient Costing Standards is available at www.health.gov.au/internet/main/publishing.nsf/Content/health-casemix-data-collections-about_NHCDC Cost data episodes for 201011 are to be submitted to the department by 31 October 2011, and must comply with the Victorian Cost Data Collection (VCDC) File Specifications as published at: www.health.vic.gov.au/hdss/ Data provided should cover all areas of costed activity provided by the health services including all admitted, non-admitted and emergency episodes of care.
Penalties for non-compliance Penalties for non-provision of costing data across all streams of activity will be based on, and may not exceed, the average cost of operating an appropriate patient costing system according to the operating size of the organisation.
Exemptions from penalties Exemptions for late data penalties will only be considered for circumstances beyond the control of the hospital. Health services are expected to have arrangements in place with their software vendor to ensure compliance with statutory reporting requirements. However, during the implementation of the new Australian Hospital Patient Costing Standards and VCDC File Specifications for 201011 data, flexible arrangements may be negotiated with submitting health services on a case-by-case basis. Submissions for exception will be considered if received by the department by 1 October 2011.
A3.1.8 Victorian Health Incident Management System
Reporting to the Victorian Health Incident Management System (VHIMS) Health services and organisations (including registered community health centres) are to provide a de- identified data extract of all clinical incidents monthly to the department. De-identified data is to be sent to the department via an electronic secure data exchange process. This secure pathway allows for data encryption. Health services (and organisations) are required to provide data according to the timelines detailed in clause (a) and (c) below. Incident data for each month must be transmitted in time for the Victorian health incident management system (VHIMS) file consolidation on the 12th day of the following month. Corrections or amendments to incident data can be submitted in the data transmission of the following month(s). Final cut off for amendments is 1 September of the new financial year, for example, amendments to 20102011 data must be completed and transmitted to the department by 1 September 2012. It will be the health service’s responsibility to ensure the incident data submitted to the department meets the VHIMS dataset specification and validation rules.
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A3.1.9 Sentinel event reporting All health services and organisations that identify an incident that reflects a national sentinel event as defined in the Victorian Health Incident Management Policy are required to report the incident to the department’s Sentinel Event Program: Notification to the department must be made within three days of the incident occurring. The final de-identified root cause analysis summary report is to be provided to the department within 60 days of notification. Report templates and additional information on the department’s Sentinel Event Program can be accessed at: www.health.vic.gov.au/clinrisk/sentinel/ser
A3.1.10 VICNISS Hospital Acquired Infection Surveillance System The department receives infection surveillance reports from health services via a contracted service – the VICNISS Hospital Acquired Infection Surveillance System coordinating centre. All public health services are required to participate in the VICNISS hospital acquired infection surveillance program. There are mandatory reporting requirements for hip and knee arthroplasty, coronary artery bypass graft surgery, intensive care unit central line associated blood stream infections, hand hygiene compliance rates and Staphylococcus aureus bacteraemia. Further infection surveillance activities can be undertaken by health services on a voluntary and needs basis. Health services with a statistically significant higher rate than aggregate are notified and requested to provide information on actions that are being taken to reduce this rate. Health services receive their individual results and these can be compared to de-identified hospitals and state aggregate data. State aggregate data is reported every year in the VICNISS Hospital Acquired Infection Surveillance annual report.
A3.1.11 Cleaning Standards for Victorian Public Hospitals All public health services are required to report on cleaning standards three times per year in accordance with Cleaning standards for Victorian health facilities 2011. The auditing process is standardised as all auditors need to be qualified Victorian cleaning standards auditors. There is a minimal acceptable quality level of cleaning that needs to be achieved by all hospitals and those that fail to achieve acceptable quality level are required to rectify the issue and reaudit within a predetermined time frame.
A3.1.12 Victorian Audit of Surgical Mortality The Victorian Audit of Surgical Mortality (VASM) is a systematic peer-review audit of deaths associated with surgical care. The VASM program is undertaken through the Victorian Office of the Royal Australasian College of Surgeons, is similar to audits occurring in other Australian states and territories and is part of the Australian and New Zealand Audit of Surgical Mortality. The objective of the audit is a peer review of all surgical deaths including: all deaths that occur in hospital following a surgical procedure deaths that occur in hospital whilst under the care of a surgeon, even though no procedure was performed. All health services and surgeons are encouraged to participate in this audit project. More details at: www.health.vic.gov.au/surgicalperformance/vasm
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A3.1.13 Consultative councils reporting requirements Consultative councils are specialist advisory committees created for the purpose of advising on highly specialised areas within health care with the purpose of reducing mortality and morbidity rates, either through education or systemic reform. Consultative councils primarily function as drivers of safety and quality by undertaking activities focusing upon system-wide performance monitoring and analysis of incidents, and performing high level coordination of strategic priorities to improve clinical awareness, practitioner behaviour and cultural change. There are four consultative councils established under the Public Health and Wellbeing Act 2008.
Victorian Consultative Council for Anaesthetic Mortality and Morbidity The Victorian Consultative Council for Anaesthetic Mortality and Morbidity (VCCAMM) monitors, analyses and reports key areas of potentially preventable anaesthetic mortality and morbidity within the Victorian health system. Hospitals should support and encourage clinicians to report anaesthesia related events to the VCCAMM to allow system-wide lessons to be disseminated. Further information is available at: www.health.vic.gov.au/vccamm
Consultative Council on Obstetric and Paediatric Mortality and Morbidity The Consultative Council on Obstetric and Paediatric Mortality and Morbidity (CCOPMM) conducts study, research and analysis into the incidence and causes of maternal deaths, still-births and the deaths of children in Victoria who die aged less than 18 years of age and to study trends in perinatal health including birth defects. It is a requirement under Section 48 of the Public Health and Wellbeing Act, to report all births to CCOPMM. Health services where births occur are required to report the information set out in the birth report specified by CCOPMM, either in paper form or electronically. This information is known as the Victorian Perinatal Data Collection (VPDC). Data definitions and business rules can be obtained from the website, with updates provided through the VPDC bulletin. Health services are also required to provide information on all maternal, stillbirths, neonatal and child deaths (to the age of 18). Templates and guidance on the provision of this information are available from the CCOPMM website. The department funds perinatal autopsies conducted on behalf of the CCOPMM. Hospitals are required to submit individual claims to receive this funding (refer to funding section for further detail). Further information is available at: www.health.vic.gov.au/ccopmm/index
Victorian Surgical Consultative Council The Victorian Surgical Consultative Council (VSCC) studies causes of avoidable mortality and morbidity and provides feedback to the medical profession on identified issues that can form the basis of targeted quality improvement initiatives. The VSCC reviews voluntarily reported cases of morbidity and possibly preventable mortality, via the Victorian Audit of Surgical Mortality, Coroner’s cases and sentinel events reported to the department. Health services should support and encourage clinicians to report relevant events to the VSCC to allow system-wide lessons relating to surgery to be disseminated. Further information is available at: www.health.vic.gov.au/vscc The VSCC developed the Surgical Outcomes Information Initiative (SOII) to analyse and report on key areas of potentially preventable surgical mortality and morbidity within the health system. The development of the SOII coincided with inquiries and recommendations into health service adverse events. For example, the Auditor-General Victoria’s report, Managing patient safety in public hospitals (2005), supports direction around reporting systems to provide state-level data and the use of routinely reported datasets to facilitate review of outcome information.
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The VSCC’s SOII provides surgical outcome information as an aid to improve surgical care in health services by sending benchmarked data from the VAED to individual public health services and private hospitals. Health services will be asked to review cases and provide a summary report to the VSCC in instances where a defined procedure performance is significantly different to the state average. Further information is available at: www.health.vic.gov.au/vscc/surgical-outcomes-information-initiative
A3.1.14 Victorian Perinatal Data Collection The Victorian Perinatal Data Collection (VPDC) is maintained by the CCOPMM pursuant to its functions under the Public Health and Wellbeing Act 2008. Section 48 of this Act requires data to be submitted to CCOPMM in respect of a birth, including the submission of a report of birth by the health service where a birth occurs, or by the midwife or medical practitioner in attendance at a birth when the birth does not occur within a health service. The VPDC contains information on obstetric conditions, procedures and outcomes, neonatal morbidity and birth defects relating to every birth in Victoria. The definition of a birth for this purpose means a birth or still birth that is required to be registered under the Births, Deaths and Marriages Registration Act 1996. The collection was established as a population-based surveillance system to collect and analyse information on and in relation to the health of mothers and babies in order to contribute to improvements in their health. All data is to be supplied to the VPDC either via the birth report form or the health service’s electronic system. Due to the detailed nature of the information captured in the VPDC, electronic submissions are only permissible via a secure data exchange (SDE). Birth report forms are available from the department. Further information on CCOPMM and the VPDC can be located at: www.health.vic.gov.au/ccopmm/index The VPDC bulletin provided by the Clinical Councils Unit provides advice on perinatal data quality issues to organisations and midwives that submit VPDC data. This bulletin is the primary method by which amendments to standards and reporting timelines are published. Health services should ensure that appropriate staff subscribe to the VPDC bulletin to remain current with any changes. The VPDC bulletin is issued electronically via both web and email and is free of charge. To subscribe to this bulletin, please register at: www.health.vic.gov.au/ccopmm/mailing_list
Transmission of VPDC The HealthCollect SDE Portal is a web-based interface that organisations use to submit various statistical and financial data collections to the department. This portal is the mechanism through which all VPDC data is submitted to the department. Data is required to be submitted within 30 days from the date of birth of the baby. However, a maximum of 90 days is permitted under the Public Health and Wellbeing Regulations 2009. To meet this requirement at least one submission is required for each calendar month. All edits triggered via the submission process should be resolved as soon as possible but up to 30 days from the date of notification of the edit is allowed. Further information on the HealthCollect SDE User Manual can be located at: www.health.vic.gov.au/ccopmm/downloads/vdpc.pdf
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A3.1.15 Cardiac surgery database The department expects all Victorian public hospitals that perform cardiac surgery to participate in the Cardiac Surgery Database Project (CSDP). Since 2001 the department has contracted the Australasian Society of Cardiac and Thoracic Surgeons to provide a system – CSDP – that collects data to monitor clinical performance in cardiac surgery. The CSDP includes maintenance of a comprehensive database, statistical analysis and report generation. These components enable a structured peer review process that can identify poor and exceptional practice at the practitioner and hospital level. The department’s Surgical Performance Improvement Program publishes the CSDP annual public reports on its website, and more detailed reports are provided to the participating health services.
A3.1.16 Victorian Patient Satisfaction Monitor The Victorian Patient Satisfaction Monitor (VPSM) provides public health services with adult inpatient feedback about the care and support experienced during a hospital stay. The department’s expectation is that hospitals draw on this information to inform service enhancement initiatives. In addition, health services are expected to discuss trends in areas of service provision and share strategies to improve quality of care. It is expected that health services have processes in place to maximise the level of consumer participation in the survey. An external, independent provider, UltraFeedback Pty Ltd, administers the VPSM survey. Improvements in this current contract (200912) include an increase in the number of community languages and the opportunity to complete the survey on-line. The number of patients surveyed, particularly in rural and regional areas has increased, in most cases doubled, in line with recommendations from the Statistical Consulting Centre, University of Melbourne. Health services are provided with their own customised survey results on a six-monthly basis. They can also track results online. In addition, a comprehensive annual report inclusive of all Victoria’s public hospitals is published on the department’s website: www.health.vic.gov.au/patsat. The key VPSM measures of satisfaction, the overall care index and consumer participation indicator, are reported in the health performance monitor and on the hospital performance website at: www.health.vic.gov.au/performance
A3.1.17 Critical care and neonatal reporting Relevant health services must submit data to Australian and New Zealand Intensive Care Society relating to adult and paediatric intensive care. Health services providing adult and paediatric critical care services are required to update the Victorian Critical Care Access website four times per day. Health services providing neonatal care services are required to update the Victorian Perinatal Information Centre website two times per day for tertiary units, and daily for Level 2 units.
A3.1.18 Maternity services reporting All health services providing maternity services are to provide data annually against the maternity services performance indicators for inclusion into the annual report, as per the maternity services performance indicator business rules. The deadline for submission of data is 31 August 2011. Further details, business rules and reporting templates are available at: www.health.vic.gov.au/maternitycare
A3.1.19 Radiotherapy services reporting In addition to the reporting requirements outlined in the relevant databases, radiotherapy services are required to submit to the Victorian Radiotherapy Minimum dataset.
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A3.1.20 Health Services Payroll and Workforce Minimum Employee Dataset Hospitals are required to transmit information detailed in the Health Services Payroll and Workforce Minimum Employee Dataset (MDS) to the department. Data must be transmitted to the department by the tenth day of the following month, or the prior working day, if this falls on a weekend or public holiday. Payroll data is required monthly, whilst workforce information is required bi-annually, covering the periods ending 31 December and 30 June each year. Where health services undertake their own payroll processing, they are required to transmit the information direct to the department. In cases where health services engage a payroll bureau to process their payroll, health services may authorise the bureau to transmit the data to the department on their behalf. Notwithstanding such an arrangement, health services remain responsible for the accuracy of the data transmitted. Where a health service decides to change payroll providers, it will be necessary to complete an accreditation process, prior to the change, to ensure that continuity of data transmission to the department will not be compromised. Full details regarding the MDS can be found at: www.health.vic.gov.au/accounts/payroll
A3.1.21 Training and Development Grant reporting requirements
Allied health early graduates All health services with allied health early graduates will be required to complete the reporting template. This collection will provide the department with data regarding the number of allied health early graduates employed in public health services and will assist the department in mapping the location of the allied health early graduate workforce.
Medical early graduates To receive postgraduate year one funding, the following criteria must be met. Funded positions must be accredited by the Postgraduate Medical Council of Victoria (PMCV). The health service must participate in the PMCV Computer Match Service. Funded positions must be filled by matched candidates. The health service must allocate adequate training and supervision to each position as specified in the Medical Board of Australia’s guidelines. The health service must notify the department and the PMCV if a medical graduate does commence in, or complete, an intern position. Postgraduate year two funded positions can be part of accredited medical specialist vocational training or within a generalist experiential program designed to provide candidates with exposure to a range of medical positions. Health services must notify the department if a funded post-graduate year 2 position is not filled.
Early graduate and postgraduate nursing programs All health services must: reconcile 2011 activity by recording the details for funded places, and include late year commencements from 2010 if not previously reported provide the total activity by FTE, and include funded and unfunded activity project activity for 2012, and include FTE that might exceed your current funding cap. Where health services anticipate groups of students with different FTE, these should be recorded as separate lines.
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Table 52: Early graduate and postgraduate nursing and midwifery programs
Program Reporting required by Health Services Due date
Postgraduate nursing grants Report on nurse programs November 2011
Early graduate allied health Report on early graduate allied health November 2011
Clinical Placement Networks Nominate a Clinical Placement Networks delegate December 2011
Best Practice Clinical Learning Partnership report December 2011 Environment (BPCLE) framework
BPCLE framework Report June 2012
BPCLE framework Resource reporting Monthly reporting
Professional-entry student placements – Clinical Placement Networks A network of 11 geographically-defined Clinical Placement Networks (CPNs) have been established to provide a platform for partnership building, local coordination, research and innovation in the area of professional-entry clinical training. The overarching Victorian Clinical Placements Council (VCPC) has responsibility for strategic policy setting and planning, and will auspice the introduction of statewide clinical placements initiatives into the future. Health services are required to participate in this statewide governance model and contribute to achieving the overarching objective of increasing the capacity for, and quality of, student placements. In particular, health services must respond in a timely manner to requests for information and advice (including on data). As the work of the CPNs and VCPC progresses, and initiatives and programs are introduced, health services will be required to: partake in clinical placement planning (multilateral negotiations) processes utilise the electronic information management system to record and administer clinical placements data provide relevant data to be included in their CPN profile report against quality indicators engage with education providers under the principles outlined in the relationship agreement template. Further information is available at: www.health.vic.gov.au/vcpc/index
Professional-entry student placements – Best Practice Clinical Learning Environment Framework The Best Practice Clinical Learning Environment Framework is a guide for health services and training providers to deliver high-quality clinical placements for health students, and to also inform future health workforce policy, planning and reporting. It presents a set of objectives and provides guidance to health services and education providers to explore jointly the most effective and appropriate mechanisms to achieve high-quality clinical training experiences across all training settings. Health services are required to report on appropriate resources and facilities. Health services are required to demonstrate commitment to resourcing student clinical education and acquit the professional- entry student placement training and development subsidy against codes outlined in the common chart of accounts. This will be completed through the monthly F1 data collection submitted on Healthcollect in line with other financial reporting requirements. Further information on the BPCLE Framework, including reporting requirements, is available at: www.health.vic.gov.au/workforce/placements/capacity/best-practice
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A3.1.22 Victorian Artificial Limb Program Artificial limb services are funded under general WIES equivalents. The amount a particular organisation allocates for these services is a matter for the organisation and its assessment of clinical priorities. Organisations are required to provide the department with annual activity statements of provision of limbs and repairs.
A3.2 Small rural health services reporting The following tables outline the reporting requirements for small rural health services:
Table 53: Small rural health services - data collection and reporting requirements
Activity no. Activity name Data collection requirements description 35010 Small Rural - Aged Support Seniors Health Promotion Project Report Services 35011 Small Rural - Residential Aged Annual Returns Data Collection Care Public Sector Residential Aged Care Services Quality Performance Data Collection Residential Services Data Collection Residential Aged Persons Mental Health Data Collection 35024 Small Rural - Flexible Health VAED Service Delivery VINAH dataset Perinatal Data Collection Agency Information Management Systems (AIMS)/HealthCollect Reporting 35025 Small Rural - TAC - Acute Health VAED 35026 Small Rural - DVA - Acute Health VAED 35028 Small Rural - Acute Health Service Rural Management Residency Program (RMRP) Data System Development and Collection Resourcing 35030 Small Rural - HACC Health Care HACC National Minimum Dataset and Support HACC Fees Data Collection 35036 Small Rural - DVA HACC HACC National Minimum Dataset HACC Fees Data Collection 35042 Small Rural - Drugs Services State Alcohol and Drug Treatment Service Utilisation Data Collection Alcohol and Drug Project Report Data Collection State and Harm Reduction Service Utilisation Data Collection 35048 Small Rural - Primary Health Community and Women's Health Data Collection Flexible Services Alcohol and Drug Project Report Data Collection State and Primary Health Service Data Collection - registered clients 35052 Small Rural - Specified Services VAED VINAH
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Table 54: Small rural health services - performance measures by activity
Activity no. Activity name Measure Unit of Frequency Status Output description measure Type 35010 Small Rural - Development of Completed Yearly Mandatory Key Aged Support service profile service output Services profile measure 35011 Small Rural - Development of Completed Monthly Mandatory Key Residential Aged service profile service output Care profile measure Number of Occupied Monthly Mandatory Other occupied bed beddays standard days measure 35024 Small Rural - Development of Completed Yearly Mandatory Key Flexible Health service profile service output Service Delivery profile measure 35025 Small Rural - Development of Completed Yearly Mandatory Other TAC - Acute service profile service standard Health profile measure Number of WIES WIES Monthly Mandatory Key (multi- and same- output day services) measure 35026 Small Rural - Development of Completed Yearly Mandatory Other DVA - Acute service profile service standard Health profile measure Number of WIES Monthly Mandatory Key Weighted Inlier output Equivalent measure Separations (multi- and same- day services) 35028 Small Rural - Development of Completed Yearly Mandatory Key Acute Health service profile service output Service System profile measure Development Number of Places Yearly Non- Other and Resourcing funded places mandatory standard measure 35030 Small Rural - Development of Completed Yearly Mandatory Key HACC Health service profile service output Care and profile measure Support 35036 Small Rural - Development of Completed Yearly Mandatory Other DVA HACC service profile service standard profile measure 35042 Small Rural - Development of Completed Yearly Mandatory Key Drugs Services service profile service output profile measure 35048 Small Rural - Development of Completed Yearly Mandatory Key Primary Health service profile service output Flexible Services profile measure 35051 Acute Health - Emergency Rating Yearly Mandatory Key Bush Nursing stabilisation output Hospitals services available measure 24 hours a day (1 = YES and 2 = NO) 35052 Small Rural - Development of Completed Yearly Mandatory Key Specified service profile service output Services profile measure
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A3.3 Ambulance services reporting frequency Until the review of data requirements is finalised, the department requires the provision of monthly financial information, budget paper measures, implementation of government initiatives and aggregate performance data as outlined in Table 55.
Table 55: Ambulance activity definitions and reporting frequency
Service Activity name Measure Measure description Unit of Reporting Status plan name type measure frequency
Emergency Fixed-wing Key Number of cases Cases Monthly Mandatory services transport output
Rotary-wing Key Number of cases Cases Monthly Mandatory transport output
Road transport Key Number of cases Cases Monthly Mandatory output
Defined Audited cases meeting Percentage Quarterly Mandatory clinical practice standards
Defined Emergency incidents Percentage Monthly Mandatory (Code 1) responded to within 15 minutes – statewide
Defined Emergency incidents Percentage Monthly Mandatory (Code 1) responded to within 15 minutes in centres with more than 7,500 population
Defined Community Emergency Percentage Quarterly Mandatory Response Team arrival prior to ambulance for Code 1 cases
Key Pensioner and concession Percentage Monthly Mandatory output card holder cases
Patient Defined Reported level of pain is Percentage Quarterly Mandatory experiencing reduced significantly severe cardiac and traumatic pain
Patients’ Defined Satisfied or very satisfied Percentage Annually Mandatory satisfaction with quality of care provided by paramedics
Community Defined Audited cases attended by Percentage Quarterly Mandatory Emergency Community Emergency Response Response Teams that meet Teams clinical practice standards
Non- Fixed-wing Key Number of cases Cases Monthly Mandatory emergency transport output services Road transport Key Number of cases Cases Monthly Mandatory output
Defined Audited cases meeting Percentage Quarterly Mandatory clinical practice standards
Key Pensioner and concession Percentage Monthly Mandatory output card holder cases
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A3.4 Mental health services: data collection requirements and reporting timelines
A3.4.1 Client Management Interface/Operational Data Store The statewide Operational Data Store (ODS) is simultaneously updated from local Client Management Interface (CMI) systems as data is captured, thus providing a live 24/7 statewide view of the transactional history of mental health services. Services are expected to use the CMI/ODS for data collection which includes outcome measurement and client related activity and comply with the due dates as summarised in Table 56.
Table 56: CMI/ODS reporting timelines
Data entry Rationale Due date
Legal status To ensure timely As soon as is practically possible monitoring of involuntary/ forensic/security clients
Admission Maintain statewide bed Twice a day seven days a week (metro) register Twice a day five days a week (rural)
Contacts Monitoring 10th of the month following the contact
Outcome measures Monitoring Within 2 weeks of the measure collection
ECT task Statutory reporting Prior to submission of ECT register
Seclusion and restraint Statutory reporting 10th of the month following the episode
Departmental circulars detail the business rules for key data requirements and guidelines for data recording practices. These can be found under 'CMI/ODS' at: www.health.vic.gov.au/mentalhealth/pmc/index Regular meetings are held with hospital mental health system administrators to discuss system and data issues. Regular system upgrades are performed to improve the functionality and utility of the system and data.
A3.4.2 Mental Health Triage Minimum Data Set In 2010–11 the department introduced a triage minimum dataset. During 201112 work will continue on ensuring the comprehensiveness and accuracy of the triage dataset and the creation of a standard set of reports. Triage data is required to be provided monthly to the department in the prescribed format. The data file must be sent to the following secure email address: triage [email protected] Documents detailing the format and reporting timelines can be found at: www.health.vic.gov.au/mentalhealth/triage/dataset
A3.4.3 Electroconvulsive therapy register It is a statutory requirement that all occasions of electroconvulsive therapy (ECT) be reported to the Chief Psychiatrist. Submission is required to be made regularly and at least monthly on an electronic ECT register sent to the following secure email address ECT [email protected] Data for monitoring payment under ECT funding arrangements will be collected via the VAED.
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A3.4.4 Psychiatric disability rehabilitation support services In 2005–06, the department introduced a new funding model for PDRSSs. This model established a firm foundation for the future growth of the sector. The data required to support the implementation of this model could not be obtained from the QDC and consequently is captured via an excel spreadsheet. Under the PDRSS agency implementation guidelines, compliance with these reporting requirements has become a key accountability requirement to be used as part of the ongoing review and monitoring processes. Submission of data through the QDC system managed by the department’s Disability Services Division remains a core service accountability requirement. The Disability Services Division has a dedicated Help Desk support team ([email protected]) to assist users with the QDC. In 201112 the division will trial the use of CMI/ODS for PDRSS data collection. The trial will include a number of PDRSS organisations in a formal alliance with a clinical service provider.
A3.4.5 Mental Health Establishment National Minimum Dataset The Mental Health Establishment National Minimum Dataset replaced the National Survey of Mental Health Services in 2005–06. This is an annual data collection which captures all mental health workforce data and all expenditure and is compiled to meet Victoria’s national mental health reporting requirements. The collection of data for the previous financial year (Stage 1) commences in September each year with health services, residential service providers and regions being required to submit a return. Stage 1 of the 200910 collection has now been completed with unresolved data issues arising from the Stage 2 validation process requiring to be finalised by 5 August 2011. Timely resolution of these issues enables validated data to be submitted by the department to the Report on Government Services. The 201011 Stage 1 data submission will open, through the HealthCollect portal, on 19 September 2011, with data entry by services to be finalised by 21 October 2011 when the portal will close.
A3.5 Drug services: data collection requirements and reporting timelines
A3.5.1 Alcohol and Drugs Information System The ADIS forms an essential underpinning to public accountability for service provision, with the outputs contributing to a range of national datasets, as well as performance measurement and monitoring for Commonwealth, state and departmental purposes. The quality of this data is the subject of ongoing review with the department liaising directly with organisations where data quality issues are identified. The department also maintains a strong support and training capacity to ensure users are fully aware of data entry requirements, including a help desk facility for system users ([email protected]). The ADIS collection is generated by the use of the following applications: Alcohol and Drugs Information System Switch HealthSMART (Trak, iPM). ADIS data is to be provided to the department by the 15th of the month following the end of the quarter. The file must be submitted to [email protected] Guidelines and supporting information for the collection can be found at: www.health.vic.gov.au/mhdr-info/bizrules-aod
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A3.5.2 Needle and Syringe Program Information System The Victorian and Commonwealth governments fund services to reduce harms associated with alcohol and drug use. The Harm Reduction Services data collection records the level of activity in these services in terms of contacts, service provision (eg needles provided and returned, education and referrals), responses to harm reduction questions, as well as information about the free provision of a range of injecting and safe sex equipment and the disposal of returned waste. The following services are expected to complete the Needle and Syringe Program survey which feeds the data collection: Needle and Syringe Program Mobile overdose Response Services Mobile drug safety worker Cambodian, Laotian and Vietnamese Initiative. Data is reported monthly either via an application (NSPISAR) or a paper survey. Organisations using the application can generate the extract and email to [email protected]. The completed paper survey is sent to the department via email ([email protected]), fax (03 9096 8726) or post to: NSP Data Collection Information Data and Analysis Mental Health, Drugs and Regions Division Department of Health GPO Box 4541, Melbourne VIC 3001
A3.5.3 Drugs and Poisons Information System The department uses an electronic information system known as the Drugs And Poisons Information System (DAPIS) to support its administration of the Drugs Poisons and Controlled Substances legislation. DAPIS is a standalone system. DAPIS provides the department the ability to record treatment permits issued to doctors prescribing Schedule 8 drugs to patients, including methadone and buprenorphine for opioid replacement therapy (pharmacotherapy). Through this, the department can identify possible instances of a patient seeking Schedule 8 drugs from multiple prescribers (doctor shopping) when other prescribers apply for permits to treat the same patient. When potential concurrent prescribing is detected, the doctors involved are advised of this circumstance.
A3.5.4 Opioid Replacement Therapy Dispenser Census The Opioid Replacement Therapy (ORT) Dispenser Census is conducted quarterly, by the department, surveying all community, correctional, hospitals and specialist pharmacotherapy service dispensaries dosing ORT clients in Victoria. All dispensers are faxed the survey form, to be returned by fax recording numbers of clients being dosed with respective ORT medications, as well as the numbers of ORT clients on a minimal supervision regimen, eligible for departmental dispensing support, or with interstate scripts. Non-respondents are followed up by telephone until 100 per cent compliance is achieved. The data provides an accurate count of numbers of clients being dosed at a given time, as distinct from the number of clients with open ORT permits recorded in the Drugs and Poisons Information System (DAPIS). This allows patterns of ORT access to be closely monitored across the state, informing the recruitment and sector support activities of departmental pharmacotherapy development officers. In conjunction with DAPIS data, ORT Dispenser Census data inform annual reporting to the Commonwealth Department of Health and Ageing and Australian Institute of Health and Welfare, supporting the National Opioid Pharmacotherapy Statistical Annual Data collection.
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A3.6 Aged Care reporting
Table 57: Ageing, aged and home care data collection and reporting requirements
Activity No. Activity Name Measure Description
13004 ACAS Projects Aged Care Assessment Program (ACAP) Data Collection
13005 ACAS Assessment Aged Care Assessment Program (ACAP) Data Collection
Annual Report on Quality Improvement by Teams
Six Monthly Report on ACAP Operations
Six Monthly Report on ACAP Staffing
13009 ACAS Evaluation Annual Report on Evaluation Unit Activities
13015 HACC Linkages Packages HACC National Minimum Data Set
HACC fees data collection
13023 HACC Service Development Annual HACC Service Activity Report
13024 HACC Assessment HACC National Minimum Data Set
HACC fees data collection
13026 HACC Domestic Assistance HACC National Minimum Data Set
HACC fees data collection
13027 HACC Respite HACC National Minimum Data Set
HACC fees data collection
13031 Public Sector Residential Aged Care Annual Returns Data Collection Supplement Residential Aged Care Services Data Collection and
Residential Aged Persons Mental Health Data Collection
13033 Carer Support (in home-out of home) HACC National Minimum Data Set
13035 Carer Support- Flexible Respite HACC National Minimum Data Set
13036 Carer Support- 24hr Emergency booking HACC National Minimum Data Set service
13037 Carer Support and Respite Coordination HACC National Minimum Data Set Program
13038 HACC Service System Resourcing HACC National Minimum Data Set
Annual HACC Service Activity Report
HACC fees data collection
13043 HACC Flexible Service Response HACC National Minimum Data Set Annual HACC Service Activity Report HACC fees data collection
13053 Victorian Eyecare Services Victorian Eyecare Services Program Data Collection
13056 HACC Planned Activity Group - Core HACC National Minimum Data Set
HACC Fees Data Collection
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Activity No. Activity Name Measure Description
13037 Carer Support and Respite Coordination HACC National Minimum Data Set Program
13038 HACC Service System Resourcing HACC National Minimum Data Set
Annual HACC Service Activity Report
HACC fees data collection
13043 HACC Flexible Service Response HACC National Minimum Data Set
Annual HACC Service Activity Report
HACC fees data collection
13053 Victorian Eyecare Services Victorian Eyecare Services Program Data Collection
13056 HACC Planned Activity Group - Core HACC National Minimum Data Set
HACC Fees Data Collection
13057 HACC Planned Activity Group - High HACC National Minimum Data Set
HACC Fees Data Collection
13059 Residential Aged Care Complex Care Residential Aged Care Services Data Collection Supplement Residential Services Data Collection
13063 HACC Volunteer Coordination HACC National Minimum Data Set
HACC fees data collection
13082 Low Cost Accommodation Support HACC National Minimum Data Set
Community Connection Program Annual Narrative Report
Housing Support for the Aged Program Annual Narrative Report
Older Persons High Rise Support Program Annual Narrative Report
13096 HACC Allied Health HACC National Minimum Data Set
HACC Fees Data Collection
13097 HACC Delivered Meals HACC National Minimum Data Set
HACC Fees Data Collection
13099 HACC Property Maintenance HACC National Minimum Data Set
HACC Fees Data Collection
13103 Language Services VITS Data Collection
13107 Rural Small High Care Supplement Annual Returns Data Collection
Public Sector Residential Aged Care Services Quality Performance Data Collection
13130 HACC Volunteer Coordination Other Annual HACC Service Activity
13131 RDNS HACC Allied Health HACC National Minimum Data Set
HACC fees data collection
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Activity No. Activity Name Measure Description
13155 Dementia Services Support for carers of people with dementia data collection
13156 Seniors Health Promotion Seniors Health Promotion Project Report
13211 Aged Annual Provisions-Minor Works Annual Returns Data Collection
13223 HACC Nursing HACC National Minimum Data Set HACC fees data collection
13224 DVA HACC (INVEST.) HACC National Minimum Data Set
13226 HACC Personal Care HACC National Minimum Data Set HACC Transition HACC fees data collection
13227 ACCO Services – Aged and Home Care HACC National Minimum Data Set
HACC Fees Data Collection
Public Sector Residential Aged Care Services Quality Performance Data Collection
Annual HACC Service Activity Report
13301 Aged Quality Improvement (INVEST.) Public Sector Residential Aged Care Services Quality Performance Data Collection
13302 SRS Supporting Accommodation for Supporting Accommodation for Vulnerable Victorians Vulnerable Victorians Initiative Facility Cost Relief Service Monthly Narrative Report: Cluster Development Action Plan and Case Study (2010)
13303 SAVVI Supporting Connections HACC National Minimum Data Set
SAVVI Supporting Connections Annual Narrative Report
13352 Victorian Seniors Festival Seniors Community Programs Data Collection
13354 Elder Abuse Prevention Strategy HACC National Minimum Data Set (adapted for SRV) Seniors Community Programs Data Collection
13355 Seniors Community Programs Seniors Community Programs Data Collection
13356 Information and Lifelong Learning HACC National Minimum Data Set (adapted for SIV) Seniors Community Programs Data Collection
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A3.7 Primary and dental health reporting Health services receiving funding for primary health services are required to submit data reports that outline performance against targets, and other evidence that funding has been used appropriately to help the department in its monitoring role. Data collection and reporting requirements for all primary and dental health services can be found in Table 58 and at: www.health.vic.gov.au/pch/service_providers/reporting Health services should comply with reporting deadlines.
A3.7.1 Dental Health Program Dataset reporting From 1 July 2011 funding organisations delivering public dental services are required to submit a monthly extract to the department. This extract will include all episodes created during the reporting period and any episodes modified during the reporting period. Please note organisations with multiple databases will need to provide one extract per database. Organisations are required to submit data to the department by the second business day of each month. Data is then validated by the department and error reports sent back to health services (one report per site) within 24 hours. Health services are encouraged to correct data and resubmit as soon as possible to help address any data entry issues at the site and assist the department to monitor errors. The closing date for resubmission of data after correcting any errors is the 15th of the following month.
Table 58: Primary and dental health data collection and reporting requirements
Activity No. Activity Name Data Collection Description
27017 Oral Health - Health Promotion Report against State-wide Health Promotion Plan
27019 RDHM Dental Care Dental Health Program aggregate reports
28015 FARREP Community & Women's Health Reporting Requirements
28016 FARREP - Health Promotion Community & Women's Health Reporting Requirements
28018 Family Planning - Health Promotion Community & Women's Health Reporting Requirements
28021 IHSHY - Health Promotion Innovative Health Services for Homeless Youth (IHSHY) Data Collection
28021 IHSHY - Health Promotion Community & Women's Health Reporting Requirements
28048 Language Services Community & Women's Health Reporting Requirements
28050 Women’s Health - Health Community & Women's Health Reporting Requirements Promotion
28061 Primary Health DVA Community & Women's Health Reporting Requirements
28063 Family Planning - Education and Community & Women's Health Reporting Requirements Training
28064 Family Planning - Clinical Services Community & Women's Health Reporting Requirements and Training
28066 IHSHY Community & Women's Health Reporting Requirements
28066 IHSHY Innovative Health Services for Homeless Youth (IHSHY) Data Collection
28067 Women’s Health Community & Women's Health Reporting Requirements
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Activity No. Activity Name Data Collection Description
28068 Family Planning Community & Women's Health Reporting Requirements
28071 Aboriginal Services and Support Community & Women's Health Reporting Requirements
28072 Integrated Chronic Disease Community & Women's Health Reporting Requirements Management
28074 Diabetes self-management Community & Women's Health Reporting Requirements
28076 Refugee Health Nurses Community & Women's Health Reporting Requirements
28080 Healthy Mothers Healthy Babies Community & Women's Health Reporting Requirements
28082 Kids Life Community & Women's Health Reporting Requirements
28085 Community Health - Health Community & Women's Health Reporting Requirements Promotion
28086 Community Health Community & Women's Health Reporting Requirements
28087 Primary Care partnerships Integrated Health Promotion (IHP) Case Study
Integrated Chronic Disease Management (ICDM) Survey
Integrated Health Promotion Reporting Measures
PCP Membership Database
Integrated Chronic Disease management (ICDM) Case Study
Service Coordination (SC) Survey
PCP E-referral Report
PCP Strategic Plan
28088 ACCO Services - Primary Health Community & Women's Health Reporting Requirements
28088 ACCO Services - Primary Health Innovative Health Services for Homeless Youth (IHSHY) Data Collection
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A3.8 Public Health data collection and reporting requirements
Table 59: Public health data collection and reporting requirements
Activity No. Activity Name Data Collection Requirements Description
16034 Languages Services Cultural & Linguistic Diversity Level of Interpreter Data Collection
16038 Tuberculosis Screening-Management TB Screening Data Collection
16084 Immunisation Services National Australian Childhood Immunisation Register Data Collection
16102 Infectious Disease Surveillance Health (Infectious Disease) Regulation 2001 Schedule 3 Data Collection
16107 Public Health Research Capacity Project Specific Data Collection for Public Health Research Building Projects
16108 Health Research Projects Project Specific Data Collection for Public Health Research Projects
16119 School and Adult Immunisation School Immunisation Data Collection Report Services
16203 Regulation of ART and associated Donor Register Data Collection legislation
16206 Laboratory Testing Health (Infectious Disease) Regulation 2001 Schedule 3 Data Collection
16373 BBV & STI - Clinical Services Half-Yearly Agency Report (Public Health)
16377 BBV & STI - Surveillance BBV STI Surveillance Data Collection
16505 BBV & STI - Training and BBV STI Training and Development Data Collection Development
16506 BBV & STI - Research Project Specific Data Collection for Public Health Research Projects
16507 BBV & STI - Laboratory Services BBV STI Laboratory Service Data Collection
16508 BBV & STI - Health Promotion and BBV STI Health Promotion Data Collection Prevention
16509 BBV & STI - Community Based Care Half-Yearly Agency Report (Public Health) and Support
16517 Cancer and Screening Registers Victorian Cervical Cytology Registry Data Collection
BreastScreen Data Collection
Cancer Registry Data Collection
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A3.9 Aboriginal health: Data collection requirements and reporting timelines
A3.9.1 Aboriginal Health Promotion and Chronic Care Partnership AHPACC reporting requirements in 201112 are outlined in Tables 58 and 59.
Table 60: For state-funded primary health services – Activity number 28071
Reporting measure Data collection tools Frequency Reporting to
Progress with program AHPACC Continuous Quality Quarterly Aboriginal Health implementation Improvement Tool completed – (will reduce to Branch available on the Aboriginal Health annually after (will change to website 201112) department regions www.health.vic.gov.au/aboriginalhealth after 201112) Site visit or teleconference with department staff
Direct service delivery: Community and Women’s Health Quarterly Integrated Care Branch Number of clients Reporting Requirements receiving direct services through AHPACC Type of service/s provided
Aboriginal people’s Identify all Aboriginal clients’ access to Quarterly Integrated Care Branch access to all services state-funded primary health services in the Community and Women’s Health Reporting system. Central department analysis of the data will monitor changes in proportion of clients that are Aboriginal, which will be reported back to organisations directly.
Service coordination Service Coordination & Integrated Chronic Annual Integrated Care Branch Disease Management Survey. May be completed either specifically for AHPACC or for community health service as a whole. AHPACC will be included as a program area that can be specified in the 2011 survey.
Table 61: For Aboriginal community-controlled organisations – Activity number 28088
Reporting measure Data collection tools Frequency Reporting to
Progress with Program AHPACC Continuous Quality Quarterly Aboriginal Health Implementation Improvement Tool completed - available (will reduce to Branch on the Aboriginal Health website: annually after (will change to www.health.vic.gov.au/aboriginalhealth 201112) department regions Site visit or teleconference with after 201112) department staff
Direct service delivery: As negotiated with regional office through Quarterly Department Regional Number of clients roundtable reporting mechanism. Office receiving direct May be collected through existing services through methods such as OATSIH web-based AHPACC. reporting system. Type of service/s provided
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A3.10 Aged Care: Data collection requirements and reporting timelines
Table 62: Aged Care Services Data Collection Requirements
Activity No. Activity Name Data Collection Requirements Description
13004 ACAS Projects Aged Care Assessment Program (ACAP) Data Collection
13005 ACAS Assessment Aged Care Assessment Program (ACAP) Data Collection
Annual Report on Quality Improvement by Teams
Six Monthly Report on ACAP Operations
Six Monthly Report on ACAP Staffing
13009 ACAS Evaluation Annual Report on Evaluation Unit Activities
13015 HACC Linkages Packages HACC National Minimum Dataset
HACC fees data collection
13023 HACC Service Development Annual HACC Service Activity Report
13024 HACC Assessment HACC National Minimum Dataset
HACC fees data collection
13026 HACC Domestic Assistance HACC National Minimum Dataset
HACC fees data collection
13027 HACC Respite HACC National Minimum Dataset
HACC fees data collection
13031 Public Sector Residential Aged Care Annual Returns Data Collection Supplement Residential Aged Care Services Data Collection
Residential Aged Persons Mental Health Data Collection
13033 Carer Support (in home-out of home) HACC National Minimum Dataset
13035 Carer Support- Flexible Respite HACC National Minimum Dataset
13036 Carer Support- 24hr Emergency HACC National Minimum Dataset booking service
13037 Carer Support and Respite HACC National Minimum Dataset Coordination Program
13038 HACC Service System Resourcing HACC National Minimum Dataset
Annual HACC Service Activity Report
HACC fees data collection
13043 HACC Flexible Service Response HACC National Minimum Dataset
Annual HACC Service Activity Report
HACC fees data collection
13053 Victorian Eyecare Services Victorian Eyecare Services Program Data Collection
13056 HACC Planned Activity Group - Core HACC National Minimum Dataset
HACC Fees Data Collection
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Activity No. Activity Name Data Collection Requirements Description
13057 HACC Planned Activity Group - High HACC National Minimum Dataset
HACC Fees Data Collection
13059 Residential Aged Care Complex Care Residential Aged Care Services Data Collection Supplement Residential Services Data Collection
13063 HACC Volunteer Coordination HACC National Minimum Dataset
HACC fees data collection
13130 HACC Volunteer Coordination Other Annual HACC Service Activity
13082 Low Cost Accommodation Support HACC National Minimum Dataset
Community Connection Program Annual Narrative Report
Housing Support for the Aged Program Annual Narrative Report
Older Persons High Rise Support Program Annual Narrative Report
13096 HACC Allied Health HACC National Minimum Dataset
HACC Fees Data Collection
13097 HACC Delivered Meals HACC National Minimum Dataset
HACC Fees Data Collection
13099 HACC Property Maintenance HACC National Minimum Dataset
HACC Fees Data Collection
13103 Language Services VITS Data Collection
13107 Rural Small High Care Supplement Annual Returns Data Collection
Public Sector Residential Aged Care Services Quality Performance Data Collection
13131 RDNS HACC Allied Health HACC National Minimum Dataset
HACC fees data collection
13155 Dementia Services Support for carers of people with dementia data collection
13156 Seniors Health Promotion Well for Life Project Report
13211 Aged Annual Provisions-Minor Works Annual Returns Data Collection
13223 HACC Nursing HACC National Minimum Dataset
HACC fees data collection
13224 DVA HACC (INVEST.) HACC National Minimum Dataset
13226 HACC Personal Care HACC National Minimum Dataset
HACC fees data collection
13227 ACCO Services – Aged and Home HACC National Minimum Dataset Care HACC Fees Data Collection
Public Sector Residential Aged Care Services Quality Performance Data Collection
Annual HACC Service Activity Report
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Activity No. Activity Name Data Collection Requirements Description
13301 Aged Quality Improvement (INVEST.) Public Sector Residential Aged Care Services Quality Performance Data Collection
13302 SRS Supporting Accommodation for Supporting Accommodation for Vulnerable Victorians Vulnerable Victorians Initiative Facility Cost Relief 6 Monthly Narrative Report: Cluster Development Action Plan and Case Study (2010)
13303 SAVVI Supporting Connections HACC National Minimum Dataset
SAVVI Supporting Connections Annual Narrative Report
13352 Victorian Seniors Festival Seniors Community Programs Data Collection
13354 Elder Abuse Prevention Strategy HACC National Minimum Dataset (adapted for SRV)
Seniors Community Programs Data Collection
13355 Seniors Community Programs Seniors Community Programs Data Collection
13356 Information and Lifelong Learning HACC National Minimum Dataset (adapted for SIV)
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Appendix 4: Performance targets and monitoring
Table 63: Ageing, aged and home care performance targets and monitoring
Activity no. Activity name Measure description Unit of measure Frequency Status Output type
13004 ACAS Projects Report against agreed objectives Reports Yearly Mandatory Key output measure
13005 ACAS Assessment Percentage of priority 1 & 2 clients assessed on Percentage % Quarterly Mandatory Other standard measure time - in community – target 85%
Percentage of priority 1 & 2 clients assessed on Percentage % Quarterly Mandatory Other standard measure time - in hospital – target 85%
Number of assessments Assessments Quarterly Mandatory Key output measure
13015 HACC Linkages Packages Number of packages Packages Quarterly Mandatory Key output measure
13023 HACC Service Development One electronic project report submitted Reports Yearly Mandatory Key output measure
13024 HACC Assessment Number of hours of service Hours Quarterly Mandatory Key output measure
13026 HACC Domestic Assistance Number of hours of service Hours Quarterly Mandatory Key output measure
13027 HACC Respite Number of hours of service Hours Quarterly Mandatory Key output measure
13031 Public Sector Residential Number of occupied bed days Occupied beddays Monthly Mandatory Key output measure Aged Care Supplement
13033 Carer Support (in home-out of Number of carers Carers Yearly Non-mandatory Other standard measure home) Number of hours of service Hours Quarterly Mandatory Key output measure
13035 Carer Support- Flexible Number of carers Carers Quarterly Non-mandatory Other standard measure Respite Number of hours of service Hours Quarterly Mandatory Key output measure
Percentage of respite provided overnight Hours Quarterly Non-mandatory Other standard measure
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Activity no. Activity name Measure description Unit of measure Frequency Status Output type
13036 Carer Support- 24hr Number of carers Carers Quarterly Non-mandatory Other standard measure Emergency booking service Number of hours of service Hours Quarterly Mandatory Key output measure
Number of hours of service (non-respite) Hours Quarterly Mandatory Other standard measure
13037 Carer Support and Respite Number of hours of service Hours Quarterly Mandatory Key output measure Coordination Program Number of carers Carers Quarterly Non-mandatory Other standard measure
Number of support groups operating Support groups Quarterly Non-mandatory Other standard measure
13038 HACC Service System Service Activity Report Reports Yearly Mandatory Key output measure Resourcing
13043 HACC Flexible Service Service Activity Report Reports Yearly Mandatory Key output measure Response
13053 Victorian Eyecare Services Number of occasions of service (metropolitan) Occasions of Quarterly Mandatory Key output measure service
Number of occasions of service (outreach) Occasions of Yearly Mandatory Other standard measure service
Number of occasions of service (rural) Occasions of Yearly Mandatory Other standard measure service
13056 HACC Planned Activity Group Number of hours of service (provided to clients) Hours Quarterly Mandatory Key output measure - Core
13057 HACC Planned Activity Group Number of hours of service (provided to clients) Hours Quarterly Mandatory Key output measure - High
13059 Residential Aged Care Number of occupied bed days Occupied beddays Monthly Mandatory Key output measure Complex Care Supplement
13063 HACC Volunteer Coordination Number of hours of coordinator time Hours Yearly Non-Mandatory Key output measure
Number of hours of service (provided to clients) Hours Quarterly Mandatory Other standard measure
13067 Aged Community Grants Number of projects Projects Yearly Mandatory Key output measure
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Activity no. Activity name Measure description Unit of measure Frequency Status Output type
13082 Low Cost Accommodation Number of clients assisted Clients Quarterly Mandatory Key output measure Support
13083 Aged Training and Number of filled positions (academic) Positions Quarterly Mandatory Key output measure Development Number of filled positions (training) Positions Quarterly Non-mandatory Other standard measure
13096 HACC Allied Health Number of hours of service Hours Quarterly Mandatory Key output measure
13097 HACC Delivered Meals Number of meals (Note: funding is a subsidy only) Meals Quarterly Mandatory Key output measure
13099 HACC Property Maintenance Number of hours of service Hours Quarterly Mandatory Key output measure
13100 Aged Research and Report against agreed objectives Reports Yearly Mandatory Key output measure Evaluation
13103 Language Services Number of occasions of service Occasions of Monthly Mandatory Key output measure service
13107 Rural Small High Care Number of occupied bed days Occupied beddays Monthly Mandatory Key output measure Supplement
13109 ACAS Evaluation Evaluation Unit meets requirements of Rating Yearly Mandatory Key output measure Commonwealth Conditions of grant
13131 RDNS HACC Allied Health Number of hours of service Hours Quarterly Mandatory Key output measure
13155 Dementia Services Number of contacts Contacts Yearly Mandatory Other standard measure
Number of hours of service Hours Yearly Mandatory Key output measure
Number of sessions Sessions Yearly Mandatory Other standard measure
13156 Seniors Health Promotion Report against agreed objectives Reports Yearly Mandatory Key output measure
13210 ACAS Training & Funds expended on training needs of staff Dollars Yearly Mandatory Key output measure Development
13223 HACC Nursing Number of hours of service Hours Quarterly Mandatory Key output measure
13226 HACC Personal Care Number of hours of service Hours Quarterly Mandatory Key output measure
13227 ACCO Services – Aged and Development of service profile Completed service Yearly Mandatory Key output measure Home Care profile
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Activity no. Activity name Measure description Unit of measure Frequency Status Output type
13301 Aged Quality Improvement Current authorisations for information exchange Signed documents Yearly Mandatory Other standard measure between DH and 1. Commonwealth Department of Health and Ageing, 2. Aged Care Standards and Accreditation Agency
No. of Alleged Incidents Reported during the Reports Within 24 hours Mandatory Other standard measure Month of incident allegation
13302 SRS Supporting Number of facility cost relief expenditure plans Plans Yearly Mandatory Key output measure Accommodation for developed and implemented Vulnerable Victorians Initiative Number of facility cost relief cluster plans Plans Yearly Mandatory Other standard measure developed and implemented
Number of proprietors of assisted Supported Proprietors Yearly Mandatory Other standard measure Residential Services that meet accountability and reporting requirements for facility cost relief
13303 SAVVI Supporting Number of clients Clients Yearly Mandatory Key output measure Connections
13352 Victorian Seniors Festival Number of events and participants Events Yearly Non-mandatory Other standard measure Participants
13354 Elder Abuse Prevention Number of telephone calls Calls 6 monthly Non-mandatory Other standard measure Strategy Number of professional educations sessions Events 6 monthly Non-mandatory Other standard measure attendees participants
Number of financial literacy information sessions Events 6 monthly Non-mandatory Other standard measure attendees participants
13355 Seniors Community Programs Number of projects Reports Quarterly Non-mandatory Other standard measure
13356 Information and Lifelong Number of information requests/contacts Contacts Quarterly Non-mandatory Other standard measure Learning New programs Programs 6 monthly Non-mandatory Other standard measure New U3As U3a’s
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Table 64: Primary and dental health performance targets and monitoring
Activity no. Activity name Measure Description Unit of measure Frequency Status Output type
27019 RDHM Dental Care Number of clients Clients Yearly Mandatory Key output measure
27023 Community Dental Care Number of clients Clients Yearly Mandatory Key output measure
28015 FARREP Number of hours of service Hours Quarterly Mandatory Key output measure
28016 FARREP - Health Promotion Report against health promotion plan Reports Yearly Non- Mandatory Other standard measure
28018 Family Planning - Health Report against health promotion plan Reports Yearly Non- Mandatory Other standard measure Promotion
28021 IHSHY - Health Promotion Report against health promotion plan Reports Yearly Non- Mandatory Other standard measure
28048 Language Services Number of occasions of service Occasions of service Monthly Mandatory Key output measure
28050 Women’s Health - Health Report against health promotion plan Reports Yearly Non- Mandatory Other standard measure Promotion
28061 Primary Health DVA Number of contacts Contacts Yearly Mandatory Key output measure
28062 Telephone Counselling Number of calls answered Calls Quarterly Mandatory Key output measure
28062 Telephone Counselling Percentage of calls answered Calls Quarterly Mandatory Other standard measure
28063 Family Planning - Education Number of hours of service Hours Quarterly Mandatory Key output measure and Training
28064 Family Planning - Clinical Number of hours of service Hours Quarterly Mandatory Key output measure Services and Training
28066 IHSHY Number of hours of service Hours Quarterly Mandatory Key output measure
28067 Women’s Health Number of hours of service Hours Quarterly Mandatory Key output measure
28068 Family Planning Number of hours of service Hours Quarterly Mandatory Key output measure
28071 Aboriginal Services and Number of hours of service Hours Quarterly Mandatory Other standard measure Support
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Activity no. Activity name Measure Description Unit of measure Frequency Status Output type
28071 Aboriginal Services and Report against agreed objectives Reports Yearly Mandatory Key output measure Support
28072 Integrated Chronic Disease Number of hours of service Hours Quarterly Mandatory Key output measure Management
28074 Diabetes self-management Number of hours of service Hours Quarterly Mandatory Key output measure
28076 Refugee Health Nurses Number of hours of service Hours Quarterly Mandatory Key output measure
28080 Healthy Mothers Healthy Numbers of hours of service Hours Quarterly Mandatory Key output measure Babies
28081 National Diabetes Services Number of clients Clients Quarterly Mandatory Key output measure Scheme
28082 Kids Life Number of hours of service Hours Quarterly Mandatory Key output measure
28085 Community Health - Health Report against health promotion plan Reports Yearly Non- Mandatory Other standard measure Promotion
28086 Community Health Number of hours of service Hours Quarterly Mandatory Key output measure
28087 Primary Care partnerships Report against PCP planning and reporting Reports Half-Yearly Mandatory Key output measure guidelines
28088 ACCO Services - Primary Development of service profile Completed service pr Yearly Mandatory Key output measure Health
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Table 65: Public health performance targets and monitoring
Activity no. Activity name Measure description Unit of measure Frequency Status Output type
16119 School and Adult Number of people immunised People Yearly Mandatory Key output type Immunisation Services
16163 Food Safety Education Report against agreed objectives Reports Yearly Mandatory Key output type
16203 Regulation of ART and Report against agreed objectives Reports Yearly Mandatory Key output type associated legislation
16206 Laboratory Testing Provision of a public health reference/testing Services Yearly Mandatory Key output type service
Percentage of notifications within specified Notifications Yearly Mandatory Other standard measure timelines
Provision of required testing in accordance with Testing Yearly Mandatory Other standard measure accredited standards
16234 Public Health Legislative Report against agreed objectives Reports Yearly Mandatory Key output type Review
16308 Injury Prevention Report against agreed objectives Reports Yearly Mandatory Key output type
16348 Childrens Obesity Report against agreed objectives Reports Half yearly Mandatory Key output type
16349 Obesity - Community Projects Report against agreed objectives Reports Yearly Mandatory Key output type
16373 BBV & STI - Clinical Services Number of registered clients Clients Quarterly Mandatory Key output type
16381 Risk Management and Report against agreed objectives Reports Yearly Mandatory Key output type Emergency Response
16449 Smoking Information - Advice Research reports Reports Yearly Mandatory Key output type and Interventions
16450 Diabetes Prevention Report against agreed objectives Reports Quarterly Mandatory Key output type
16452 Aboriginal Health Report against agreed objectives Reports Half yearly Mandatory Key output type Advancement
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Activity no. Activity name Measure description Unit of measure Frequency Status Output type
16453 Aboriginal Health Worker Report against agreed objectives Reports Half yearly Mandatory Key output type Support
16460 Targeted Recruitment for Report against agreed deliverables Reports Yearly Mandatory Key output type Screening Programs
16505 BBV & STI - Training and Number of hours of education/ training provided Hours Yearly Mandatory Key output type Development
16507 BBV & STI - Laboratory Number of tests conducted Tests Quarterly Mandatory Key output type Services
16508 BBV & STI - Health Promotion Report against health promotion plan Reports Yearly Mandatory Key output type and Prevention
16509 BBV & STI - Community Number of contacts Contacts Quarterly Mandatory Key output type Based Care and Support
16513 Screening and Preventative Report against agreed deliverables Reports Yearly Mandatory Key output type Messages
16514 Screening Service Report against agreed deliverables Reports Yearly Mandatory Key output type Development
16515 Education and Training in Report against agreed deliverables Reports Yearly Mandatory Key output type Screening Programs
16516 Screening Counselling and Number of occasions of service Occasions of Yearly Mandatory Key output type Support service
16517 Cancer and Screening Statistical Report within an agreed timeline and Reports Yearly Mandatory Key output type Registers publicly available
16518 Cancer and Screening Report against agreed objectives Reports Yearly Mandatory Key output type Intelligence
16519 Screening Tests and Percentage of target population screened over an Percent Yearly Mandatory Other standard Assessments agreed period measure
Number of clients screened Clients Yearly Mandatory Key output type
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Appendix 5: Changes to specific-purpose grants
Table 66: Amalgamated specified grants from 1 July 2011
Current grant description New grant description
Blood Matters Blood Matters (acute) policy grant
Blood Matters - Victoria’s Cancer Action Plan 2008–2011
Blood Matters - Nurse Trainers
Renal Dialysis - Grant Acute Renal Dialysis
Renal Dialysis Compensation Grant
SRHS-AMA Rural Enhancement Package (SRHS) Rural enhancement package SRHS-AMA Rural Enhancement Package BNH
Chaplaincy Services Chaplaincy
Chaplaincy-Research Consultants
Gender Dysphoria Acute Gender Dysmorphia
Gender Dysphoria Services
ACAS - Assessment - Commonwealth Aged care assessment
ACAS - Assessment - State
ACAS - Assessment - Training & Development
ACAS - Assessment - Waiting List
ACAS - Education Officer
ICS Australian Better Health Initiative - Care Coordination Integrated Cancer Services
ICS Leadership & Management
ICS Multidisciplinary Care Coordination & Development
ICS Psychosocial Care Development
ICS Quality Monitoring & Support
ICS Tumour Stream Development
Genetic Counselling Genetic counselling and information
Genetic Counselling and Support
Genetic Information and Advice
Palliative Care Training & Development - Palliative Care Unit Palliative care training and development Palliative Care Training & Development - Professorial Chair
Renal Dialysis - DVA Continuous Ambulatory Peritoneal Dialysis Renal dialysis (DVA)
Renal Dialysis - DVA In-Centre
Renal Dialysis - DVA Satellite
Bringing Nurses Back into the Workforce Bringing Nurses Back into the Workforce SRHS-Bringing Nurses Back into the Workforce
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Current grant description New grant description
Victorian Nurse Retention Strategy Nurse & Midwife Recruitment & Retention SRHS-Victorian Nurse Retention Strategy
Division 2 Nurse Paid Study Leave Program
ACC - Rentals (Mental Health) Property Lease Supplement Acute Care - Adult - Rentals
Additional Rental Cost
CAMHS - AT&L - Rentals
CATT - Rentals
PGAT - Rents
Post Natal Depression National Perinatal Depression Initiative Post Natal Mental Health
Clinical Academic Position Mental Health - Academics
Clinical Academics
MH T&D - Academics - Adult
MH T&D - Academics - Aged
MH T&D - Adult Mental Health - Training and Development MH T&D - Aged
MH T&D - CAHMS Promotion officer
MH T&D - CAMHS
MH T&D - Graduate Nurse - Adult
MH T&D - Graduate Nurse - Aged
MH T&D - Language Services - Adult
MH T&D - Supplementary Languages - Adult
MH T&D - Language Services - Aged
MH T&D - Supplementary Languages - Aged
Renal Dialysis - Grant Renal dialysis compensation grant
Renal Dialysis Compensation Grant
HIV/AIDS Contract Victorian HIV/AIDS service
SEP Flexible Funds - HIV
Horizon Place (cost centre 5319)
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List of block grants incorporated into the relevant price within each peer group
EBAs AMA 2008–2012 Conditions & Translations AMA EBA 2008–2012 Clinical Support Time (80/20) AMA EBA CME AMA Rural Enhancement Package AMA 2008–2012 Feb11 Translations Australian Nursing Federation EBA 2007–2011 – Ratios and Workload EFT Nurses EBA – Funding of Additional EFT HSUA 5 Reclassification Translation Funding Distribution HSUA 1 & 5 Apprentice HSUA No 1 – Reserved Funding Item – 100 Additional EFT AMA Mental 2008–2012 Conditions & Translations Roster Implementation 8-8-10 HSUA No 4: Additional Pharmacist
Other Specified Historical Superannuation Adjustment HealthSuper DBS – Funding for all Output Groups 2006/07 Rural Compensation Pricing Review Non Wage EBA Compensation Target A Major Provider HDMS – Supplementary Grant HDMS – Supplementary Grant - Rural Elective ESAC Rural Patient Initiative – HDM Access Co-ord ICU Nurse Liaison ICU Workforce Initiatives Emergency Access Emergency Flexible Emergency GPLO Emergency Mental Health Observation Medicine Co-payment Efficiency and Productivity grants (various)
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Appendix 6: Health Services relevant to Premium Allocation Model
Albury Wodonga Health Alexandra District Hospital Mansfield District Hospital Alfred Health Maryborough District Health Service Alpine Health Melbourne Health Austin Hospital Mercy Public Hospitals Incorporated Bairnsdale Regional Health Service Mildura Base Hospital Ballarat Health Services Mount Alexander Hospital Barwon Health Moyne Health Services Bass Coast Regional Health Nathalia District Hospital Beaufort & Skipton Health Service Northeast Health Wangaratta Beechworth Health Service Northern Health Benalla & District Memorial Hospital Numurkah & District Health Service Bendigo Hospital Omeo District Health Boort District Hospital Orbost Regional Health Casterton Memorial Hospital Otway Health & Community Services Castlemaine Health Peninsula Health Central Gippsland Health Service Peter MacCallum Cancer Institute Cobram District Hospital Portland District Health Cohuna District Hospital Robinvale District Health Services Colac Area Health Rochester & Elmore District Health Service Coleraine District Health Services Royal Children’s Hospital Djerriwarrh Health Service Royal Women’s Hospital Dunmunkle Health Services Rural Northwest Health East Grampians Health Services Seymour District Memorial Hospital East Wimmera Health Service South Gippsland Hospital Eastern Health South West Healthcare Echuca Regional Health Southern Health Edenhope & District Hospital St Vincent's Health (Sisters of Charity) Gippsland Southern Health Services Stawell Regional Health Goulburn Valley Health Swan Hill District Hospital [Swan Hill] Heathcote Health Tallangatta Health Service Hepburn Health Service Terang & Mortlake Health Service Hesse Rural Health Service The Royal Victorian Eye & Ear Hospital Heywood Rural Health Timboon & District Healthcare Service Inglewood & District Health Service Upper Murray Health & Community Services Kerang District Health West Gippsland Healthcare Group Kilmore & District Hospital West Wimmera Health Service Kooweerup Regional Health Service Western District Health Services Kyabram & District Health Service Western Health Kyneton District Health Service Wimmera Health Care Group Latrobe Regional Hospital Yarram & District Health Service Lorne Community Hospital Yarrawonga District Health Service Maldon Hospital Yea & District Memorial Hospital Mallee Track Health & Community Service Manangatang & District Hospital
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Appendix 7: Outputs and activities tables
Table 67: Small rural health services - outputs and activities
Output Activity no. Activity name Activity description Name SRHS - 35024 Small Rural - A range of health services provided to small rural Acute Flexible Health communities. Health Service Delivery 35025 Small Rural - TAC - TAC funded inpatient services. Acute Health 35026 Small Rural - DVA - DVA funded inpatient services. Acute Health 35028 Small Rural - Acute Provides funds for workforce, community, service Health Service development, and IT projects that support small rural health System services. Development and Resourcing 35051 Acute Health - Bush Provides for the assessment and provision of direct care to Nursing Hospitals individuals by suitably qualified persons, for the purpose of providing therapeutic intervention, clinical care, practical assistance, support, referral and/or advocacy with the goal of improving quality of life, social function and/or health; and for the promotion of health, independence and well being to prevent illness, injury and disease through screening, risk assessment, immunisation, social marketing/health information, community action for social and environmental change, organisational development, workforce development and resources. 35052 Small Rural - Provides funding for services and projects as specified in Specified Services applicable guidelines grant descriptions and Conditions of Funding. Includes specific purpose activities of both a one- off or recurrent nature. SRHS - 35010 Small Rural - Aged A range of health promotion and community services that Aged Care Support Services support older Victorians and their carers in small rural communities such as Seniors Health Promotion, Aged Carer Support and Respite, Dementia Services and Aged Community Grants. 35011 Small Rural - Care and support for people in small rural communities who Residential Aged need accommodation in residential aged care facilities. This Care includes the state contribution towards equalising the recurrent funding paid by the Commonwealth as Adjusted Subsidy Reduction places. SRHS - 35030 Small Rural - HACC Aggregates funding for all HACC activities to support small HACC Health Care and rural communities including: nursing, assessment, personal Support care, domestic assistance, respite, planned activity group, core and high, delivered meals, allied health, linkages packages, flexible service response, volunteer coordination, volunteer coordination – other, service system resourcing, minor capital, service development. The activity mix and level will be negotiated with organisations and reflected in service profile and acquitted against MDS on a quarterly basis. 35036 Small Rural - DVA Funding contributed by DVA, in recognition of the services HACC (INVEST) provided through the HACC program to veterans. Funding against this activity may be used for the provision of any service within the range of HACC activities.
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Output Activity no. Activity name Activity description Name SRHS - 35002 Small Rural - Annual Provides minor capital funds for funded organisations, Primary Provision - Minor including maintenance, repair or replacement, of building Health Works (INVEST) related assets. 35042 Small Rural - Drugs Delivery of a range of health and aged care services as per Services agreed service profile and business rules. 35048 Small Rural - Provides for the assessment and provision of direct care to Primary Health individuals by suitably qualified persons, for the purpose of Flexible Services providing therapeutic intervention, clinical care, practical assistance, support, referral and/or advocacy with the goal of improving quality of life, social function and/or health, and for the promotion of health, independence and well being to prevent illness, injury and disease through screening, risk assessment, immunisation, social marketing/health information, community action for social and environmental change, organisational development, workforce development and resources.
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Table 68: 201112 Public health - outputs and activities
Activity Output Name Activity name Activity description no.
Health 16035 Communication. To communicate information, via one or more media, to Advancement Information. Advice members of the public or other specific external persons and groups.
16308 Injury Prevention To undertake the design, management and evaluation of projects aimed at fostering best practice in injury prevention program planning and delivery.
16348 Children’s Obesity To implement initiatives to increase healthy eating and physical activity among children.
16349 Obesity - Community To implement obesity prevention initiatives in a community and Projects develop activities to increase healthy eating and physical activity.
16449 Smoking Information To provide smoking cessation advice/support; to educate the - Advice and community and stakeholders about tobacco and smoking related Interventions legislative requirements and to enforce the Tobacco Act.
16450 Diabetes Prevention To undertake initiatives aimed at minimising the number of people in the Victorian community with Type 2 diabetes.
16452 Aboriginal Health To undertake policy and program development and promote Advancement access to programs and services.
16453 Aboriginal Health To facilitate training and professional development opportunities Worker Support for Aboriginal health workers employed by mainstream organisations.
16454 Health Promotion To develop and support programs that prevent illness and Initiatives promote wellbeing through using a mix of health promotion interventions and capacity building strategies across a range of settings.
16460 Targeted To undertake a range of activities aimed at improving Recruitment for participation of under screened and never screened people in Screening Programs screening programs.
16461 ACCO Services - Funding for those Public Health Services provided by Aboriginal Public Health Community Controlled organisations.
16518 Cancer and To undertake research and analysis activities to inform policy, Screening program development and future directions. Intelligence
16462 Prevention System To deliver the Victorian Prevention system and its components Initiatives to improve the population health status of Victorians.
Health 16037 Immunisation To provide educational and promotional resources and Protection Education programs for immunisation providers as well as parents, adolescents and older persons.
16038 Tuberculosis To provide for services and activities related to Tuberculosis Screening- management in Victoria. Management
16042 Infectious Disease To investigate sporadic cases or outbreaks of infectious disease Investigation & and institution of suitable control measures. Response
16047 Food System Quality To oversee the State Safe Food System through inter-sectoral Improvement linkages with an aim of continuous improvement in system operation through consultation and cooperation.
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Activity Output Name Activity name Activity description no.
Health 16049 Cemetery Sector To undertake a range of projects relating to the governance Protection Governance cemetery sector. (cont.) 16084 Immunisation To provide subsidy payment to Local Governments for Services Childhood Immunisation (under 6 years old) plus associated activities.
16102 Infectious Disease To collect, collate and report on data relating to notifiable Surveillance infectious diseases, as required by legislation.
16119 School and Adult To provide subsidy payment to local governments for Immunisation immunisation service delivery in secondary schools and for Services adults.
16163 Food Safety To provide education to local government, public and food Education businesses on food safety.
16206 Laboratory Testing To provide a range of laboratory tests for infectious diseases (including arbovirus where applicable), including reference functions, advice on microbiological issues and undertaking education and training in relation to laboratory services.
16234 Public Health To review public health legislation. Legislative Review
16373 BBV & STI - Clinical To provide diagnosis and clinical management of clients in Services relation to HIV/AIDS and sexual health.
16377 BBV & STI - To collect, collate and report on data relating to notifiable Surveillance BBV/STI diseases.
16381 Risk Management To investigate, evaluate and respond to environmental health and Emergency risks, emergencies and/or incidents, and to perform activities Response that help us to better respond to emergencies.
16505 BBV & STI - Training To provide education and training to the BBV/STI sector, and Development including volunteers and organisation staff, and coordination of information updates.
16506 BBV & STI - To support, commission or undertake research projects related Research to BBV/STIs in Victoria.
16507 BBV & STI - To provide laboratory testing services related to BBV/STIs in Laboratory Services Victoria.
16508 BBV & STI - Health To provide for the delivery of BBV/STI health Promotion promotion/prevention services to the community or targeted population groups.
16509 BBV & STI - To provide for the delivery of community based care and support Community Based to clients, carers and significant others. Care and Support
16513 Screening and To undertake a range of activities within the community aimed at Preventative enabling people to make positive decisions about their health Messages and wellbeing.
16514 Screening Service To undertake specific activities to improve service delivery, Development capacity and program effectiveness.
16515 Education and To undertake a range of education and training activities with Training in Screening program stakeholders to support and enhance delivery of Programs organised screening programs.
16516 Screening To provide counselling, support and/or clinical care to individuals Counselling and and families who have, or are at risk of, a disease or condition Support that has been identified through a screening program.
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Activity Output Name Activity name Activity description no.
Health 16517 Cancer and To maintain a register (as prescribed by legislation where Protection Screening Registers applicable) to record data about cancers and screening results (cont.) for Victorians.
16519 Screening Tests and To provide screening tests and assessments to the target Assessments population of an organised screening program.
Public Health 16020 Multi-site Research To establish centralised ethical review system to streamline Development, Ethics Review regulatory processes. Research and Support 16034 Languages Services To provide funds for language services (interpreting and/or translating) to assist clients with no or low English language proficiency to access and receive quality services from funded organisations. 16061 Strategy To develop, coordinate, evaluate and review statewide Development and strategies addressing priority risk and protective factors. Review 16069 Public and To undertake planning, development and project management Professional of information provision, social marketing and community and Education and professional education activities addressing priority risk and Support protective factors. 16107 Public Health To improve public health research capacity of institutions or Research Capacity individuals within Victoria. Building 16108 Health Research To commission high quality public health research projects Projects relevant to the work of the Public Health Branch. 16114 Public Health To provide funds to support the Victorian Public Health Training Training Scheme and other associated capacity building initiatives.
16116 Partnership To encourage and participate in the development of Development partnerships on public health priorities at a local, state and federal Government level.
16203 Regulation of ART To provide funding and support of legislation of assisted and Associated reproduction. Legislation
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Table 69: 201112 Primary and Dental health - output and activities
Activity Output Name Activity Name Activity Description No.
Community 28015 FARREP Provision of support, referral and advocacy to affected women, Health Care their families and communities.
28016 FARREP - Health Provides funds for the planning, implementation and evaluation Promotion of health promotion in accordance with the integrated health promotion framework.
28018 Family Planning - Provides funds for the planning, implementation and evaluation Health Promotion of health promotion in accordance with the integrated health promotion framework.
28021 IHSHY - Health Provides funds for the planning, implementation and evaluation Promotion of health promotion in accordance with the integrated health promotion framework.
28033 Annual Provisions - Minor capital funds for funded organisations, including Minor Works vehicles, minor building modifications and repairs, and furniture and equipment expenses.
28043 Workforce Provision of professional, management and organisational Development development activities for organisation staff, managers and board members.
28047 Disaster Support and Provision of emergency recovery services on a statewide Recovery basis, subsequent to natural disasters or emergencies.
28048 Language Services Provision of accredited interpreting and translation services by specialist organisations.
28050 Womens Health - Provides funds for the planning, implementation and evaluation Health Promotion of health promotion in accordance with the integrated health promotion framework.
28054 General Practice Provides funds for projects that increase the integration of Engagement state-funded services, particularly primary health services, with general practice, and projects to increase engagement of state-funded services with private services such as private allied health.
28061 Primary Health DVA Provision of Primary Health DVA grants.
28062 Telephone Counselling General telephone counselling services across the State that provides an immediate and confidential response to people who are in need of counselling, information, advice and referral to other services or longer term assistance.
28063 Family Planning - Provision of specialist sexual and reproductive health training Education and Training and education programs for health professionals.
28064 Family Planning - Provision of specialist sexual and reproductive health clinical Clinical Services and services and practical training for health professionals. Training
28066 IHSHY Provision of services including prevention, clinical care, practical assistance, support, referral and advocacy to homeless youth.
28067 Women’s Health Provision of services including prevention, clinical care, practical assistance, support, referral and advocacy to women.
28068 Family Planning Provision of theraputic intervention, clinical care, practical assistance, support, referral and/or advocacy.
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Activity Output Name Activity Name Activity Description No.
Community 28069 Service System Funding to improve the planning, coordination and delivery of Health Care Development primary care services. (cont.) 28071 Aboriginal Services and Provision of access to a range of services and support Support including chronic disease prevention, management services and integrated health promotion interventions.
28072 Integrated Chronic Provides funds to community health services for integrated Disease Management chronic disease management encompassing direct care and change management.
28074 Diabetes self- Provides funds to community health services for self- management management support to people newly diagnosed with type 2 diabetes.
28076 Refugee Health Nurses Provision of community health nursing services to refugees.
28080 Healthy Mothers Provision of support, health education and referrals for Healthy Babies pregnant women.
28081 National Diabetes Provision for the cost of co payment for needles and syringes Services Scheme for people with diabetes as required for the Victorian component of the national diabetes service scheme.
28082 Kids Life Provision of weight management services including assessment, individual and group intervention for overweight children aged 5-12 and their families.
28084 Victorian Bushfire Case Provision of case management services and support to all Management Service families and individuals directly impacted by bushfires.
28085 Community Health - Provides funds for the planning, implementation and evaluation Health Promotion of health promotion in accordance with the integrated health promotion framework.
28086 Community Health Provision of services including prevention, clinical care, practical assistance, support, referral and advocacy.
28087 Primary Care Provides funds to primary care partnerships to address local partnerships priority health and well being issues and deliver service system reforms in service coordination, integrated health promotion and integrated chronic disease management.
28088 ACCO Services - Funding for those Primary Health services provided by Primary Health Aboriginal Community Controlled organisations.
Dental 27010 Service System Supports activities which enhance the public dental system. Services Development and Resourcing
27011 Annual Provisions - This activity provides minor capital funds for funded Minor Works organizations and includes vehicles, minor building modifications and repairs and furniture and equipment expenses.
27017 Oral Health - Health Supports oral health promotion activities including Promotion implementation of the Victorian Oral Health Promotion Strategy.
27019 RDHM Dental Care Provision of dental care to eligible adults and children at the Royal Dental Hospital Melbourne.
27020 Workforce Resourcing Supports activities associated with training programs, staff and Development development, research, evaluation and consultancy.
27023 Community Dental Provision of dental care to eligible adults and children in a Care community setting.
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Activity Output Name Activity Name Activity Description No.
Dental 27024 Dental Services Supports the purchasing activity of Dental Health Services Services Purchasing Victoria. (cont.) 27025 Clinical Leadership and Supports the role of Dental Health Services Victoria in clinical Governance leadership.
27026 Capital Planning and Supports the provision of advice into capital and service Development planning.
27028 Regional Service Supports regional activities which enhance the public dental System Support system including catchment planning, service coordination, waitlist management, professional development and child recall management.
27029 Data Management and Supports data management and system management, IT supports and licenses.
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Table 70: 201112 Aged and Home Care - output and activities
Activity Output Name Activity Name Activity Description No.
Aged Care 13004 ACAS Projects ACAS projects are service development activities designed to Assessment improve quality, effectiveness and efficiency of ACAS services.
13005 ACAS Assessment To ensure that older people, and in some exceptional circumstances, younger people with disabilities, have access to services appropriate to meet their support needs. ACAS assessment is an activity that involves the following: Conduct of a comprehensive assessment.
13109 ACAS Evaluation Commonwealth funded Victorian Evaluation Unit for the Aged Care Assessment Program to report on National MDS and State Performance Targets.
13210 ACAS Training and Statewide training to staff of the aged care assessment Development services in areas identified as requiring strengthening and development in order to best meet the objective of the ACAS Program. This includes training in clinical assessment as well as service access.
Aged Support 13033 Carer Support - (In Provision of a paid carer to provide a range of planned and Services Home - Out of Home) unplanned respite in home/out of home during/outside business hours, in response to the individual needs of carers and care recipients.
13035 Carer Support - Provision of flexible and innovative respite options supported Flexible Respite by a paid carer/trained volunteer in a planned and unplanned way during and outside business hours, in response to the individual needs of carers and care recipients.
13036 Carer Support - 24hr 24 hours a day, 7 days a week short term and emergency Emergency booking support service to carers through provision of information, service advice and counselling, despatch of paid carers in an emergency, and operation of an emergency respite booking service.
13037 Carer Support and Coordination of a service network, contribution to regional Respite Co-ordination planning coordination program and service development, Program provision of information about support services including referrals, direct support to carers including carers of people with dementia, and management of brokerage to purchase services for carers where there is a gap in the service system, for top up, or in crisis situations.
13053 Victorian Eyecare Provision of low cost eye care services and visual aids for Services people living in Victoria who have a pensioner concession card, or have held a health care card for 6 months or more.
13067 Aged Community This component comprises a number of grants made to Grants community based organizations in the Aged Care field.
13069 Falls Prevention Falls Prevention activities take a multi-strategic approach with strategies including medication management, vision assessment and correction, home hazard assessment and modification, education and physical activity, and identification and modification of environmental hazards in public places.
13082 Low Cost Housing Support for the Aged, Older Persons High Rise Accommodation Support, and brokerage funding and some EFT of Community Support Connections are included under this activity area. Specifically, provision of assistance to people with unmet complex needs who are homeless or living in insecure housing.
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Activity Output Name Activity Name Activity Description No.
Aged Support 13083 Aged Training and This component comprises funding for: designated training Services Development positions in organisations; specified funding for educational (cont.) courses and academic chairs; specified funding for other short courses either conducted or provided in-house or externally by organisations.
13100 Aged Research and Funding for research, that contributes to policy and program Evaluation development for community and residential aged care services programs that respond to the functional and social needs of frail older people, and the needs of their carers. These include community aged care services aimed to optimise independence and to assist frail older people to stay in their own homes and residential care services providing accommodation and care for those who can no longer be assisted to stay at home. These programs include not only functional assistance but positive ageing and health and active living strategies aimed to increase participation, activity and other health promoting behaviour amongst older people.
13103 Language Services Provision of accredited interpreting and translation services by specialist organisations to HACC and aged care services to enhance access to and support service provision for individuals and communities who speak little or no English
13155 Dementia Services Provision of counselling, education, support, information and referral services, and policy and service development, to enhance the quality of life of people with dementia, their families and carers.
13156 Seniors Health Health promotion initiatives and activities to promote health Promotion and well being among residents of aged care facilities, and older people who live in their own homes.
13302 SRS Supporting This activity funds a number of measures aimed at improving Accomm. for the viability and sustainability of the pension-level SRS sector Vulnerable Victorians and improving service responses to residents. Included are facility cost relief assistance for proprietors.
13303 SAVVI Supporting This activity builds capacity of proprietors while supporting Connections better coordination and access to a range of services and supports for high need residents of targeted pension-level Supported Residential Services.
HACC Primary 13015 HACC Linkages Individualised packages of care incorporating assessment, Health, Packages case management and funds to purchase services. Community Care & 13022 HACC Capital Provides one-off major capital funds to HACC funded Support Development organisations for land/building purchase and/or building renovation/modification to enhance service delivery to the HACC client group.
13023 HACC Service One off projects (up to six months duration) to improve quality, Development effectiveness and efficiency of HACC services and service system. Service provision is not funded under this activity.
13024 HACC Assessment This activity is described in the Framework for Assessment in the HACC Program (27) and requires the delivery of Living at Home Assessments. Living at Home assessments include; home-based holistic assessment of need and service-specific assessments.
13026 HACC Domestic Assistance with housekeeping tasks such as cleaning, making Assistance beds, laundry, shopping, escorting and meal preparation, plus some cyclical tasks such as spring cleaning.
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Activity Output Name Activity Name Activity Description No.
HACC Primary 13027 HACC Respite Support for the care relationship by providing carers of frail Health, older people and people of any age with a disability, with a Community break from their caring responsibilities. Respite can be Care & provided in a care recipient home or in the community. Support (cont.) 13038 HACC Service System Resources to assist the sector to better meet the needs of all Resourcing people in the HACC target group and assist clients to gain better access to services.
13043 HACC Flexible Service Funding to support innovative, developmental approaches to Response HACC service delivery that cannot be funded under the unit pricing structure.
13044 HACC Transition Funding for specified budgetary purposes. No direct service Payment provision is funded under this activity.
13056 HACC Planned Activity Planned program of activity to maintain an individual's ability Group - Core to live at home and in the community by maintaining daily living and social skills. The group may meet at a local venue or go on outings and is for clients in the HACC target group with core needs.
13057 HACC Planned Activity Planned program of activity to maintain an individual's ability Group - High to live at home and in the community by maintaining daily living and social skills. The group may meet at a local venue or go on outings.
13063 HACC Volunteer Funding to volunteer Co-ordinators to recruit, train and Coordination supervise volunteers and manage the volunteer services to clients. 13096 HACC Allied Health Provision of allied health services including clinical assessment, treatment, therapy or professional advice that may be provided in the home or at a centre. 13097 HACC Delivered Meals Subsidy for meals delivered to people in the HACC target group at home and or in a local venue. 13099 HACC Property Assistance with home maintenance or modification including Maintenance maintenance and repair of the client's home, garden or yard to keep it in a safe and habitable condition; and home modification or minor renovations to the client's home to help them cope with a disabling condition. 13130 HACC Volunteer Block funding to cover volunteer reimbursments and some Coordination - Other program costs.
13131 RDNS HACC Allied Provision of allied health services by RDNS, including clinical Health assessment, treatment, therapy or professional advice that may be provided in the home or at a centre. 13217 HACC Minor Capital Minor capital funds to HACC funded organizations to maintain, refurbish or upgrade infrastructure to support the provision of HACC services. 13223 HACC Nursing Professional nursing care including direct clinical care, clinical assessment and the provision of education and information. 13224 DVA HACC Funding contributed by the Department of Veterans' Affairs (DVA) in recognition of the services provided through the HACC program to veterans. Funding against this activity may be used for the provision of any service within the range of HACC activities.
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Activity Output Name Activity Name Activity Description No.
Health, 13226 HACC Personal Care Assistance with daily living tasks that a person would normally Community do independently but is unable to perform unaided due to Care & illness, disability or frailty. Examples of personal care are Support bathing, grooming, toileting, assistance with mobility and (cont.) eating.
13227 ACCO Services - Aged Funding for those Aged and Home Care services provided by and Home Care Aboriginal Controlled Community organisations.
Residential 13031 Public Sector Funds designated places for: (a) Adjusted Subsidy Reduction Aged Care Residential Aged Care - Supplement. This is the State contribution towards equalising Supplement the recurrent funding paid by the Commonwealth as Adjusted Subsidy Reduction places to public sector residential aged care operators; (b) Contribution to public sector wage adjustments.
13059 Residential Aged Care Funds designated places to support services targetting Complex Care individuals with particularly complex conditions, to provide a Supplement higher level of specialised care management.
13107 Rural Small High Care Funds designated small-sized high care public sector Supplement residential aged care services (up to 30 places) that are located in rural Victoria. There are three levels of supplement paid for services of various sizes: i) Services with 1-10 high care places ;ii) Services with 1-20 high care places ;iii) Services with 1-30 high care places.
13211 Aged Annual This activity provides minor capital funds for funded Provisions - Minor organizations and includes vehicles, minor building Works modifications and repairs and furniture and equipment expenses.
13301 Aged Quality To support safety and high quality care and services in public Improvement sector residential aged care facilities through a range of activities including performance monitoring, workforce development, infrastructure development and social inclusion.
Seniors 13352 Victorian Seniors Events and activities associated with the Victorian Seniors Programs and Festival Festival including grants to local councils, Victorian Senior of Participation the Year activities and festival communications and publicity.
13353 Card Operations Provision of cards under the Seniors Card and Companion Card programs, business support, promotions and communications with card holders. Includes funds for development and operation of seniors online and for the production of the discount directory.
13354 Elder Abuse Prevention Implementation of the elder abuse prevention strategy Strategy including funding for Seniors Rights Victoria, communications and awareness raising, professional education and community education.
13355 Seniors Community Grant programs for older people in the community such as Programs Community Registers.
13356 Information and Recurrent funding programs for seniors information and Lifelong Learning support including U3A Growth Strategy, Seniors Information Victoria and the Ministerial Advisory Council.
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