8 { Acts and subordinate legislation Queensland Health Annual Report 2010–11 Dental Technicians Registration Act 2001 Occupational Therapists Registration Act 2001 Dental Technicians Registration Regulation 2002 Occupational Therapists Regulation 2001 Food Act 2006 Pest Management Act 2001 Food Regulation 2006 Pest Management Regulation 2003 Health Act 1937 Pharmacy Business Ownership Act 2001 Health (Drugs and Poisons) Regulation 1996 Pharmacists Registration Regulation 2001 Health Regulation 1996 Private Health Facilities Act 1999 Health Practitioner Registration Boards Private Health Facilities Regulation 2000 (Administration) Act 1999 Private Health Facilities (Standards) Notice 2000 Health Practitioner Regulation National Law Act 2009 Public Health Act 2005 Health Practitioners (Professional Standards) Act Public Health Regulation 2005 1999 Public Health (Infection Control for Personal Health Practitioners (Professional Standards) Appearance Services) Act 2003 Regulation 2000 Public Health (Infection Control for Personal Health Practitioners (Special Events Exemption) Act Appearance Services) Regulation 2003 1998 Queensland Institute of Medical Research Act 1945 Health Practitioners (Special Events Exemption) Radiation Safety Act 1999 Regulation 1998 Radiation Safety Regulation 1999 Health Quality and Complaints Commission Act 2006 Radiation Safety (Radiation Safety Standards) Notice Health Services Act 1991 (jointly administered 1999 with the Minister for Disability Services, Mental Health and Aboriginal and Torres Strait Islander Research Involving Human Embryos and Prohibition Partnerships) of Human Cloning for Reproduction Act 2003 Health Services Regulation 2002 Research Involving Human Embryos and Prohibition of Human Cloning for Reproduction Regulation 2003 Hospitals Foundations Act 1982 Speech Pathologists Registration Act 2001 Hospitals Foundations Regulation 2005 Speech Pathologists Registration Regulation 2001 Mater Public Health Services Act 2008 Tobacco and Other Smoking Products Act 1998 Medical Radiation Technologists Registration Act 2001 Tobacco and Other Smoking Products Regulation 1998 Medical Radiation Technologists Registration Regulation 2002 Transplantation and Anatomy Act 1979 Mental Health Act 2000 (jointly administered Transplantation and Anatomy Regulation 2004 with the Minister for Disability Services, Mental Health and Aboriginal and Torres Strait Islander Water Fluoridation Act 2008 Partnerships) Water Fluoridation Regulation 2008 Mental Health Regulation 2002 Mental Health Review Tribunal Rule 2009 144 9 { Appendices Queensland Health Annual Report 2010–11 Appendix 9.1: Glossary of terms Table 21 Accessible Accessible healthcare is characterised by the ability of people to obtain appropriate healthcare at the right place and right time, irrespective of income, cultural background or geography. Activity-based funding A management tool with the potential to enhance public accountability and drive technical efficiency in the delivery of health services by: • capturing consistent and detailed information on hospital sector activity and accurately measuring the costs of delivery • creating an explicit relationship between funds allocated and services provided • strengthening management’s focus on outputs, outcomes and quality • encouraging clinicians and managers to identify variations in costs and practices so they can be managed at a local level in the context of improving efficiency and effectiveness • providing mechanisms to reward good practice and support quality initiatives. Acute Having a short and relatively severe course. Acute care Care in which the clinical intent or treatment goal is to: • manage labour (obstetric) • cure illness or provide definitive treatment of injury • perform surgery • relieve symptoms of illness or injury (excluding palliative care) • reduce severity of an illness or injury • protect against exacerbation and/or complication of an illness and/or injury that could threaten life or normal function • perform diagnostic or therapeutic procedures. Acute hospital Is generally a recognised hospital that provides acute care and excludes dental and psychiatric hospitals. Admission The process whereby a hospital accepts responsibility for a patient’s care and/or treatment. It follows a clinical decision, based on specified criteria, that a patient requires same-day or overnight care or treatment, which can occur in hospital and/or in the patient’s home (for hospital-in-the-home patients). Admitted patient A patient who undergoes a hospital’s formal admission process as an overnight stay patient or a same-day patient. Allied health staff Professional staff who meet mandatory qualifications and regulatory requirements in the following areas: audiology; clinical measurement sciences; dietetics and nutrition; exercise physiology; leisure therapy; medical imaging; music therapy; nuclear medicine technology; occupational therapy; orthoptics; pharmacy; physiotherapy; podiatry; prosthetics and orthotics; psychology; radiation therapy; sonography; speech pathology and social work. Ambulatory setting A non-inpatient setting. Available bed A bed that is immediately available for use by an admitted patient if required. A bed is immediately available for use if located in a suitable place for care, with nursing and auxiliary staff available within a reasonable period, to service patients who might occupy it. Benchmarking Involves collecting performance information to undertake comparisons of performance with similar organisations. Best practice Cooperative way in which organisations and their employees undertake business activities in all key processes, and use benchmarking that can be expected to lead to sustainable world class positive outcomes. Candidate A person who is a potential or future employee. Capital expenditure Expenditure on large-scale non-current assets (for example, new buildings and equipment with a useful life extending over several years). Care type Overall nature of a clinical service given to an admitted patient during an episode of care (admitted care), or the type of service provided by the hospital for boarders or posthumous organ procurement (other care). Casemix Range and type of patients (the mix of cases) treated by a hospital or other health service. Casemix classifications are a way of describing and comparing hospitals and other services. Clinical governance A framework by which health organisations are accountable for continuously improving the quality of their services and safeguarding high standards of care by creating an environment in which excellence in clinical care will flourish. Clinical practice Professional activity undertaken by health professionals to investigate patient symptoms and prevent and/or manage illness, together with associated professional activities for patient care. Clinical workforce Staff who are or who support health professionals working in clinical practice, have healthcare specific knowledge/ experience, and provide clinical services to health consumers, either directly and/or indirectly, through services that have a direct impact on clinical outcomes. Continuing care Uninterrupted, seamless and integrated care. 146 147 Critical care Critical care services include intensive care units, high-dependency units and coronary care units. Critical care services provide care for the critically ill or those vulnerable to critical illness, focusing on the level of care individual patients need, that may or may not be provided in the unit. Decision support Consolidates data suitable for finance, human resources, pharmacy and pathology related information for decision- system (DSS) support purposes. Elective care Care that, in the treating clinician’s opinion, is necessary, and for which admission can be delayed for at least 24 hours. Electronic Liaison Helps healthcare staff manage and use medication-related information for patients and facilitate exchange of medication Medication System information with community health practitioners (GPs and community pharmacists). (eLMS) Emergencies Immediately, imminently or potentially life-threatening conditions. Emergency department Time elapsed for each patient from presentation to the emergency department to start of services by the treating clinician. waiting time to service It is calculated by deducting the date and time the patient presents from the date and time of the service event. delivery Emergency surgery Surgery that, in the treating clinician’s opinion, is necessary and for which admission cannot be delayed more than 24 hours. Episode of care Period of admitted patient care between a formal or statistical admission and a formal or statistical separation, character- ised by only one care type. Full-time equivalent Refers to occupied full-time equivalent staff (full-time equivalent staff currently working in a position). staff Governing Council The governing body of an LHHN, made up of a mix of members with expert skills and knowledge relevant to managing a complex health care organisation. Health behaviours Accumulation of attitudes, beliefs, knowledge and practices that result in a person’s health behaviours, for example, patterns of eating, physical activity, excess alcohol consumption and smoking. Health outcome Change in the health of an individual, group of people or population attributable to an intervention or series of interventions. Health Reform Response to the National Health and Hospitals Reform Commission Report (2009) that outlined recommendations for transforming