HEALTH & WELFARE A41514 Cat. No. 93 2556 5 Australian Institute of Health and Welfare Annual Report 1992-93 Australian Government Publishing Service Canberra ©Commonwealth of Australia 1993 ISSN 1033-8799 Commonwealth legislation herein is reproduced by permission, but does not purport to be the official or authorised version. This work is copyright. Apart from any use as permitted under the Copyright Act 1968, no part may be reproduced by any process without written permission, from the Australian Government Publishing Service. Requests and inquiries concerning reproduction and rights should be directed to the Manager, Commonwealth Information Services, Australian Government Publishing Service, GPO Box 84, Canberra ACT 2601. Information Officer: Lyn Elliott Telephone: (06) 243 5024 Fax: (06) 2571470 Printed in Australia by A J. LAW, Commonwealth Government Printer, Canberra GPO Box 570, Canberra ACT 2601, Australia ftUSTSAtlAN INSTITUTE OF Telephone International +61 6 243 5000 HEALTH & WELFARE National (06) 243 5000 Fax International +61 6 257 1470 National (06) 257 1470 The Hon B.L. Howe MP Senator the Hon G.F. Richardson Minister for Housing, Local Minister for Health Government and Community Services Parliament House ' Parliament House CANBERRA ACT 2601 CANBERRA ACT 2600 Dear Ministers I am pleased to present the Annual Report of the Australian Institute of Health and Welfare for the year to 30 June 1993. Section 24(1) of the Australian Institute of Health and Welfare Act 1987 defines the Institute as a public authority subject to the Audit Act 1901. This Annual Report is a requirement under Division 3, Part XI of the Audit Act. Yours sincerely 15 November 1993 The Institute is located at Bennett House, Hospital Point, Acton, ACT AIHW Mission The mission of the Australian Institute of Health and Welfare is: "to inform community discussion and to support public policy-making on health and welfare issues by coordinating, developing, analysing and disseminating national statistics • on the health of Australians and their health and welfare services, and by undertaking and supporting related research and analysis." Contents Australian Institute of Health and Welfare 1 Legislation 1 Institute 1 Ministerial powers 1 Committees 2 Organisational structure 2 AIHW organisation chart 4 Institute funding 5 Institute staff 5 Achievements and developments during 1992-93 6 Appointment of new Board 6 AIHW Director 6 New Corporate Flan 6 Australia's health 1992 7 National Health Information Agreement 7 National Health Data Dictionary 8 Data catalogue 8 National health goals and targets 9 Waiting lists 9 Expansion of Welfare Division 9 Signing of Welfare Data Agreement 9 Review of external units 10 Research Divisions 11 Director's Unit 11 Welfare Division 12 Development of a Divisional work program 12 Preparation of Australia's welfare 1993: services and assistance 12 Welfare Data Agreement with State and Territory welfare and housing authorities 12 Publication of child welfare data 13 Analysis of data on the Supported Accommodation and Assistance Program 13 Inventory of welfare services data holdings 13 Development of a minimum dataset for disability services 13 Evaluation 13 Health Services Division 14 National Health Labourforce Collections 14 National Health Data Dictionary and the National Minimum Data Set for institutional health care 15 Health economics and expenditure 16 Reports on health service utilisation and costs 16 Waiting lists 16 v Measuring health outcomes ; 17 National Health Information Agreement 17 Other significant activities . , 17 Evaluation , 18 Health Technology Division 19 Divisional health technology projects and assessments 19 Support for AHTAC '. 20 Macro economic evaluation project 20 External projects 21 Evaluation .". 22 Health Monitoring Division •. 23 National Death Index 23 National Cancer Statistics Clearing House 24 Cardiovascular disease and risk factors 25 National Mortality Database 25 Mortality surveillance , 25 National health goals and targets 25 Food and nutrition monitoring and surveillance 26 Health expectancies 26 Health differentials 27 Ethnic Health Data Project 27 Organization for Economic Co-operation and Development 27 Aboriginal and Torres Strait Islander Health Unit 27 Development of National Aboriginal Health Statistics Database 28 Evaluation 29 External Units and Collaborating Centres 30 National Perinatal Statistics Unit 30 National monitoring system on congenital malformations 30 Pregnancies after assisted conception 30 Home births 31 Datasets for State perinatal data collections and neonatal intensive care units - '—- 31 Caesarean section rates 31 Dissemination of information 31 Other activities 32 Evaluation , 32 Dental Statistics and Research Unit 33 Dental labourforce 33 Dental health of the nation 34 Research database 34 Other activities 35 Review of DSRU 36 National Injury Surveillance Unit 37 Injury surveillance support and development 37 Injury information service •. 37 Injury prevention services 38 vi Road Injury Information Program 38 Other activities 39 Evaluation 39 National Reference Centre for Classification in Health 41 Collaborating Centres 43 Designated units of St Vincent's Hospital, Melbourne 43 Australian Centre for Medical Laser Technology Inc., Adelaide 43 National Centre for Health Program Evaluation, Melbourne 43 Epidemiology Branch, South Australian Health Commission 44 Designated units at the University of Newcastle 44 Graduate School of Health and Medical Sciences, University of Wollongong 44 Corporate Services Division 45 Information management and technology 45 Publications 46 Library 47 Secretariat 47 Administrative services 48 Accommodation 48 Human resource management 48 Financial resource management 52 Performance-based pay 53 Appendixes 1. Finance 56 2. Legislation 72 3. AIHW Committees 92 4. Institute staff 94 5. Publications, reports and presentations 1992-93 102 6. Seminars 118 7. Membership of committees and working parties 120 8. Activities funded by outside bodies 124 9. AIHW data catalogue 130 10. Freedom of Information requests 148 11. Abbreviations 149 vii List of tables < ,-• Table 1: Staff as at 30 June 1993 , -49 Table 2: AIHW staffing profile as at 30 June 1993 50 Table 3: Core average staffing levels 51 Table 4: Welfare Division and NISU staff as at 30 June 1993 51 Table 5: Funding summary, 1992-93 52 Table 6: Budget supplementation for core activities, 1992-93 53 Table 7: Maximum entitlements 54 Table 8: Performance pay 54 viii List of figures Figure 1: Staff profile by sex and classification grouping 49 Figure 2: Senior officer performance pay 55 AIHW Board members The Australian Institute of Health and Welfare Act 1987 section 8(1) specifies the composition of the Board of the Australian Institute of Health and Welfare. Board members are appointed by the Governor-General on the recommendation of the Minister(s) for periods not exceeding three years. Members of the Board during 1992-93 were as follows. The number of meetings attended during the year is shown in brackets. Chairperson Professor Fiona J Stanley (4) Appointed 1 July 1992 Director, AIHW Dr Leonard Smith (3) to 31 December 1992 Appointed 1 July 1988 Mr Timothy J Skinner (1) Appointed Acting Director 1 February 1993 Australian Health Minister's Advisory Council (AHMAC) nominee Dr David Filby (4) Appointed 1 July 1992 Standing Committee of Social Welfare Administrators' nominee Mr Desmond L Semple (3) Appointed 1 July 1992 State Housing Departments' representative Ms Vivienne R Milligan (4) Appointed 1 July 1992 Australian Statistician Mr Ian Castles, AO, OBE Secretary, Department of Health, Housing, Local Government and Community Services Mr Stuart Hamilton (3) Mr Tony Cole(1) Person with knowledge of the needs of health consumers Ms Kate Moore (3) Appointed 1 July 1992 Person with knowledge of the needs of welfare consumers Mr John Barber (3) Appointed 1 July 1992 Person with knowledge of the needs of housing assistance consumers Dr Judith N Yates (4) Appointed 1 July 1992 Person with expertise in research into public health issues Dr C D'Arcy J Holman (3) Appointed 1 July 1992 Ministerial nominee Professor Bettina Cass (3) Appointed 27 February 1991 Ministerial nominee Mr Brian Kennedy (3) Appointed 1 July 1992 Ministerial nominee Professor John McNeil (3) Appointed 1 July 1992 AIHW staff nominee Mr Christopher E Stevenson (4) Appointed 1 July 1992 Alternate members: Nominee(s) of the Secretary of the Department of Health, Housing, Local Government and Community Services Mr Alan J Bansemer Mr Glen Rees (1) Nominee of the Australian Statistician Mr Timothy J Skinner (2) Mr Geoff Sims (1) Dr Richard Madden (1) A representative of the office of the Minister for Health, Housing and Community Services attended two meetings. Professor Ken Donald, representing the National Health and Medical Research Council, and Professor Bob Douglas, representing the National Centre for Epidemiology and Population Health, each attended two meetings as observers. AUSTRALIAN INSTITUTE OF HEALTH AND WELFARE The AustraUan Institute of Health and Welfare (AIHW) is an independent Commonwealth statutory authority. It under­ takes statistical and research work in the health and welfare areas and provides support both to the Commonwealth and to the States and Territories, either directly, or through the AustraUan Health Ministers' Advisory Council (AHMAC), the Standing Committee of Social Welfare Administrators (SCSWA) and State and Territory housing authorities. The Institute's functions are