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Human Services Normal V2.1

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Human Services Normal V2.1 Victoria—Public Hospitals Policy and Funding Guidelines 1999—2000 Acute Health Division June 1999 Acknowledgments Victoria—Public Hospitals Policy and Funding Guidelines 1999–2000. Published by Acute Health Division, Victorian Government Department of Human Services, June 1999. Melbourne, Victoria. Also available on the Acute Health Division website at: http://www.dhs.vic.gov.au/ahs/pfg9920/ © Copyright State of Victoria 1999. This publication is copyright. No part may be reproduced by any process except in accordance with the provision of the Copyright Act 1968. Table of Contents Section A — Policy 1. Highlights of the 1999–2000 Policy..................................................1 2. Overview ............................................................................................5 2.1 Introduction.......................................................................................................................................5 2.2 Budget and Funding Initiatives .....................................................................................................6 2.3 Capital Infrastructure Expenditure and Equipment Funding ...............................................10 2.4 Research Support Funding ...........................................................................................................11 2.5 Trauma Services..............................................................................................................................12 2.6 Rural Services..................................................................................................................................12 2.7 National Health Development Fund ..........................................................................................14 2.8 Pharmaceutical Reform.................................................................................................................14 2.9 Hospital Purchasing, Tendering and Contracting ...................................................................15 2.10 Force Majeure................................................................................................................................16 2.11 Major Changes in Services Provided........................................................................................16 2.12 Risk Management.........................................................................................................................17 2.13 Performance Accountability.......................................................................................................17 2.14 Health Promotion.........................................................................................................................17 3. Hospital Activity & Throughput Targets ........................................19 3.1 Activity Trends ...............................................................................................................................19 3.2 DVA Patients...................................................................................................................................19 3.3 Throughput WIES Targets............................................................................................................20 3.4 Network and Regional Targets....................................................................................................22 3.5 Unit Rates.........................................................................................................................................24 3.6 Same Day Caps ...............................................................................................................................24 4. VicRehab for Designated Rehabilitation Units—Acute Health & Aged Care ............................................................................................27 4.1 Introduction.....................................................................................................................................27 4.2 CRAFT Development ....................................................................................................................27 4.3 Consultation with the field...........................................................................................................29 4.4 Funding Model ...............................................................................................................................29 4.5 Audit and Monitoring ...................................................................................................................31 4.6 Data...................................................................................................................................................31 5. Non-Admitted Patients & Emergency Services Funding..............33 5.1 Victorian Ambulatory Classification System ............................................................................33 5.2 Non-Admitted Patient Grants—Other Hospitals.....................................................................34 5.3 Emergency Services Funding.......................................................................................................34 5.4 Radiation Oncology .......................................................................................................................35 6. Research / Training & Development ..............................................37 6.1 Research Funding...........................................................................................................................37 6.2 Training and Development ..........................................................................................................37 7. Quality Systems & Care Monitoring...............................................39 7.1 Clinical Indicators ..........................................................................................................................39 7.2 Patient Experience..........................................................................................................................39 7.3 Accreditation...................................................................................................................................39 7.4 Statutory Immunity........................................................................................................................40 7.5 Patient Complaints Indicators......................................................................................................41 8. Access..............................................................................................43 8.1 Hospital Access Program..............................................................................................................43 8.2 Neonatal Services ...........................................................................................................................45 8.3 Other Initiatives ..............................................................................................................................45 9. Effectiveness & Safety....................................................................48 9.1 Maternity Services..........................................................................................................................48 9.2 Consumer Information..................................................................................................................48 9.3 Quality Improvement....................................................................................................................48 9.4 Infection Control.............................................................................................................................49 10. Continuity of Care .........................................................................50 10.1 Effective Discharge Strategy.......................................................................................................50 10.2 Post Acute Care Program............................................................................................................51 10.3 Hospital In The Home.................................................................................................................52 10.4 Home Enteral Nutrition ..............................................................................................................52 10.5 Continuous Positive Airways Pressure (CPAP).....................................................................52 10.6 Victorian Artificial Limbs Program...........................................................................................53 10.7 Organ Donation Services ............................................................................................................53 11. Major Service Reviews..................................................................56 11.1 Trauma and Emergency Services ..............................................................................................56 11.2 Evaluation of the Relocated HIV/AIDS & Infectious Diseases Services ...........................58 11.3 Review of Radiotherapy Services..............................................................................................59 11.4 Breast Care Redevelopment .......................................................................................................60 11.5 Cystic Fibrosis ...............................................................................................................................61 12. Inpatient Classification & Cost Weights......................................64
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