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Department of Human Services
Acute Health Division
A Victorian Government Department, Australia

Victoria - Public Hospitals
Policy and Funding Guidelines
1998 - 99

 


Contents
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Section A - Policy (PDF 264k)

Highlights of the 1998 - 99 Policy

1. Introduction

2. Purchasing Policy - Access, Quality and Efficiency

2.1 Increased Recurrent Funding
2.2 DVA Patients
2.3 Higher payment for Aboriginal and Torres Strait Islander Patients
2.4 Capital Expenditure
2.5 Activity Trends
2.6 Throughput WIES Targets
2.7 Network and Regional Targets
2.8 Same Day Medical Throughput and Caps
2.9 Unit Rates
2.10 Responses to Targets
2.11 Force Majeure
2.12 Major Changes in Services Provided
2.13 Superannuation
2.14 Workcover
2.15 Water and Sewerage Reform

3. Inpatient Classification and Cost Weights

3.1 AN-DRG Version 3
3.2 ICD-10-AM and AR-DRG Version 4
3.3 Coding Standards and Adjustments
3.4 HIV/AIDS
3.5 Calculation of Inlier Boundaries: Trim Points
3.6 New Same Day DRGs
3.7 Calculation of Inlier Weights
3.8 Prostheses Adjustments
3.9 High Outliers
3.10 Mechanical Ventilation Co-Payment
3.11 Thalessaemia
3.12 Rehabilitation
3.13 Specified Grants
3.14 Victorian Maintenance Dialysis Program (VMDP)

4. Quality Programs - Hospital Access

4.1 Emergency Services
4.2 Elective Surgery
4.3 Critical Care Inter-hospital Transfers (CCIHTs)
4.4 Purchase of Private Hospital Critical Care for Public Patients
4.5 Hospital Access Development Program

5. Training and Development / Research

5.1 Medical
5.2 Nursing
5.3 Allied Health
5.4 Research

6. Non-Admitted Patients and Emergency Services Funding

6.1 Victorian Ambulatory Classification System
6.2 Non-Admitted Patient Grants - Other Hospitals
6.3 Emergency Services Funding
6.4 Radiation Oncology

7. Quality Programs - Effectiveness, Safety, Performance

7.1 Maternity Services Enhancement Strategy
7.2 Pneumococcal Vaccination
7.3 Best Practice
7.4 Infection Control
7.5 Clinical Risk Management
7.6 Performance Indicator Development
7.7 Patient Feedback Indicators
7.8 Accreditation
7.9 Statutory Immunity

8. Quality - Ambulatory Services Development

8.1 Post Acute Care
8.2 Hospital in the Home
8.3 Home Enteral Nutrition (HEN)
8.4 Continuous Positive Airways Pressure (CPAP)
8.5 Artificial Limbs
8.6 Palliative Care Substitution
8.7 The Family Choice Program
8.8 Service Development Projects and Reviews

9. Casemix Formula

9.1 Variable Payments
9.2 Other Grants
9.3 Enhancement Programs

10. Modelled Budgets

Table 1: Acute Health Model Budgets 1997/98 and 1998/99 (Pdf 37k) (Excel)
 
Total Major providers
Total: Barwon South Western
Total: Grampians
Total: Loddon Mallee
Total: Hume
Total:Gippsland
Total: Rural/State
 
Table 2:Acute Health Non-Admitted Patient Grant Initial model budgets: VACS Funded Hospitals, 1997/98 and 1998/99 (Excel)

11. Specific Programs and Technical Details

Table1 WIES throughput targets for 1998/99 (WIES6) (Excel)
Adjusted to include separate DVA targets
State Totals
Region 1 & 5
Region 2 & 4
Region 3

Table 2: WIES throughput targets for 1998/99 (WIES6) (Excel)
Before separate identification of DVA targets
State Totals
Region 1 & 5
Region 2 & 4
Region 3

Table 3: WIES throughput targets for Metropolitan Networks and Rural Regions (WIES5), 1997/98 compared to 1998/99(Excel)
Before separate identification of DVA targets and WIES conversion

State Totals
Region 1 & 5
Region 2 & 4
Region 3

Section B - Conditions of Funding: Acute Health (Pdf 45k)

Section C - Supplementary Information (Pdf - 149k)

Current Cost Weights - Inpatients (Pdf) (Excel)
Current Cost Weights - Victorian Ambulatory Classification and Funding System
Calculation of WEIS
Calculation of WIES6
Changes to the WEIS formula
WIES6 Specification
Examples

 

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