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Victoria—Public Hospitals and Mental Health Services Policy and Funding Guidelines 2002—2003

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Victoria—Public Hospitals and Mental Health Services Policy and Funding Guidelines 2002—2003 Victoria—Public Hospitals and Mental Health Services Policy and Funding Guidelines 2002—2003 June 2002 Section A Acknowledgments Victoria – Public Hospitals and Mental Health Services Policy and Funding Guidelines 2002- 2003,Victorian Government Department of Human Services Melbourne Victoria June 2002 Available on the Metropolitan Health and Aged Care Services Division website at: http://www.health.vic.gov.au/pfg2002 © Copyright State of Victoria 2002. (0120501) Section A Message from the Minister The rebuilding of Victoria’s public health system will continue in 2002-2003 with a $960 million increase over four years to treat more patients, employ more nurses, reduce hospital waiting lists and improve mental health services, and upgrade hospital buildings and equipment. The 2002-2003 State Budget has increased recurrent funding for public hospitals by 8.2 per cent while funding for mental health services has increased by 11.6 per cent over 2001-2002. The Budget builds on the successful Hospital Demand Management Strategy introduced last year that has more than halved ambulance bypass and reduced waiting lists. Over the next four years the Hospital Demand Management Strategy will be enhanced by a further $464 million. Medical equipment and hospital infrastructure will be significantly upgraded through additional funding of $65 million and Victoria’s medical research institutes will receive $35 million to maintain their leading role in medical research. Hospitals will be assisted to fund superannuation and purchase medical supplies through additional funding of $169 million. Community mental health services such as mobile support and treatment teams and supported housing services will receive additional funding of $36 million, $25 million (included in the Hospital Demand Management Strategy) will be provided to open more mental health hospital beds, and for new diversionary services. Major capital works will be undertaken in metropolitan and rural and regional Victoria to continue the redevelopment and expansion of Victoria’s health facilities, part of a $900 million commitment to health capital works in the Bracks Government’s first three budgets. This Budget continues the turn around of Victoria’s public hospital and mental health systems, with better facilities, new approaches and more health workers to give Victorians the highest possible quality of care. Hon John Thwaites MP Minister for Health Section A Table of Contents Section A — Policy 1 Highlights of the 2002–2003 Policy................................................. 1 2 Strategic Directions and Policy Outcomes .................................... 3 2.1 Policy Outcomes..............................................................................................................................3 2.2 Activity Trends ................................................................................................................................5 2.3 Victorian Budget Details................................................................................................................6 2.4 Funding Intensive Care..................................................................................................................7 2.5 Quality of Care.................................................................................................................................7 2.6 Mental Health Services...................................................................................................................7 2.7 Nursing Workforce .........................................................................................................................8 2.8 Pharmaceutical Reform..................................................................................................................9 2.9 Capital, Equipment and New Technology.................................................................................9 2.10 Metropolitan Health Strategy .....................................................................................................12 2.11 Rural Human Services Strategy..................................................................................................12 2.12 Occupational Health & Safety Improvement Strategy for the Victorian Budget Sector..13 2.13 TAC Patients ..................................................................................................................................13 3 Managing Demand and Improving Access .................................. 14 3.1 Metropolitan Hospital Demand Management and Access ...................................................14 3.2 Prevention and Continuity of Care............................................................................................18 4 Major Rural and Regional Initiatives ............................................ 21 4.1 A Strengthened Policy Focus ......................................................................................................21 4.2 Self-Sufficient, Sustainable Services...........................................................................................21 4.3 Supporting Service Innovation...................................................................................................23 4.4 Filling Service Gaps ......................................................................................................................24 5 Summary of 2002 – 2003 Public Hospital Payment Rates........... 26 6 Hospital Activity and Throughput Targets ................................... 27 6.1 Hospital Activity Targets.............................................................................................................27 6.2 Recall Adjustment.........................................................................................................................28 6.3 Metropolitan and Rural Inpatient Activity Targets................................................................28 6.4 Same Day Caps..............................................................................................................................30 6.5 Published Rates..............................................................................................................................30 6.6 Service Agreements ......................................................................................................................30 7 Mental Health Services.................................................................. 31 7.1 Mental Health Policy and Planning...........................................................................................31 7.2 Funding and Budget Overview..................................................................................................34 7.3 Future Directions...........................................................................................................................36 8 Quality of Care ............................................................................... 38 8.1 Quality Framework.......................................................................................................................38 8.2 Clinical Governance......................................................................................................................38 8.3 Performance Reporting ................................................................................................................39 Section A 8.4 Best Practice....................................................................................................................................41 8.5 Consumer Involvement and Information.................................................................................43 9 Service Development..................................................................... 47 9.1 Breast Care......................................................................................................................................47 9.2 Trauma ............................................................................................................................................48 9.3 Maternity Services.........................................................................................................................49 10 Sub-Acute Services ....................................................................... 50 10.1 Service Profile.................................................................................................................................50 10.2 Funding of Sub-Acute Services: Inpatients...............................................................................51 10.3 Funding of Sub-Acute Services: In Home and Community..................................................52 10.4 Palliative Care Services ................................................................................................................53 10.5 Interim Care ...................................................................................................................................54 11 Emergency Services and Non-Admitted Patients Funding......... 56 11.1 Non-Admitted Emergency Patient Funding............................................................................56 11.2 Outpatients – Victorian Ambulatory Classification System..................................................57 11.3 Non-Admitted Patient Radiotherapy........................................................................................57 12 Research/Training & Development............................................... 59 12.1 Research Funding..........................................................................................................................59
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