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HOSPITAL ACCESS PROGRAM BUSINESS RULES 2000/2001

ACCESS UNIT QUALITY AND CARE CONTINUITY BRANCH,
ACUTE HEALTH
DEPARTMENT OF HUMAN SERVICES
AUGUST 2000

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Table of Contents

1 OVERVIEW

1.1 THE PURPOSE OF THIS DOCUMENT

1.2 THE HOSPITAL ACCESS PROGRAM

1.2.1 Process for Bonus Reduction Exemptions

2 ELECTIVE SURGERY

2.1 INTRODUCTION

2.2 THE PERFORMANCE INDICATORS

2.2.1 Performance Indicators linked to Bonus Payments

2.2.2 New Performance Indicator - Hospital Initiated Postponements of Elective Surgery

2.3 ESIS DATA

2.3.1 Types of Errors in the Elective Surgery Information System

2.3.2 Submission Dates

2.3.3 Data Quality and Timeliness

2.3.4 Modifications to ESIS

2.4 ELECTIVE SURGERY PERFORMANCE INDICATORS AND BONUS CALCULATIONS

2.4.1 Category 1 Admitted Patients

2.4.2 Category 2 Admitted Patients

2.4.3 Average Waiting Time: Category 2 Patients on the Waiting List

2.4.4 Average Waiting Time of Category 3 Patients on the Waiting List

2.4.5 Multiple Postponements of Elective Surgery

2.4.6 Total Number of Patients on the Waiting List

2.4.7 Data Quality and Timeliness

2.5 DHS CONTACTS - ELECTIVE SURGERY

3 CRITICAL CARE

3.1 INTRODUCTION

3.2 THE PERFORMANCE INDICATORS

3.3 PERFORMANCE TARGETS

3.4 CALCULATING BONUS PAYMENTS

3.5 CRITICAL CARE AND INTER-HOSPITAL TRANSFER DATA

3.5.1 Coding Information in the Victorian Admitted Episodes Dataset (VAED)

3.5.2 Coding Information in the Victorian Emergency Minimum Dataset (VEMD)

3.5.3 Data Confirmation

3.5.4 Resolving Coding Differences

3.6 CRITICAL CARE PERFORMANCE INDICATORS AND BONUS CALCULATIONS

3.6.1 Intensive Care Patients

3.6.2 Coronary Care Patients

3.7 DHS CONTACTS - CRITICAL CARE INTER-HOSPITAL TRANSFERS

4 EMERGENCY SERVICES

4.1 INTRODUCTION

4.2 THE PERFORMANCE INDICATORS

4.2.1 Blocked Admissions

4.2.2 Triage

4.2.3 Ambulance Bypass

4.2.4 Length of Stay

4.2.5 ED Stay Greater than 24 hours

4.3 VEMD DATA

4.3.1 Triage Performance Data

4.3.2 Blocked Admissions

4.3.3 Submitting VEMD Data

4.3.4 VEMD Comparative Process

4.3.5 Data Quality and Timeliness

4.4 EMERGENCY SERVICES PERFORMANCE INDICATORS AND BONUS CALCULATIONS

4.4.1 Ambulance Bypass

4.4.2 Waiting time for Triage Category 1 patients

4.4.3 Waiting time for Triage Category 2 patients

4.4.4 Waiting time for Triage Category 3 patients

4.4.5 Waiting time for Triage Category 4 patients

4.4.6 Waiting time for Triage Category 5 patients

4.4.7 Waiting time of emergency department patients requiring admission to a ward

4.4.8 Data Quality and Timeliness

4.5 DHS CONTACTS - EMERGENCY SERVICES

5 APPENDIX: LIST OF PARTICIPATING HOSPITALS