DHF Annual Report 2009 - NT Health Digital Library - Northern ...

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Acute CareThe Acute Care Division is responsible forthe leadership and management of the located in Darwin, Alice Springs, Nhulunbuy,Katherine and Tennant Creek, supporting650 public hospital beds and a range of acutecare services, including inpatient, outpatientand Emergency Department services.OutcomeImproved health and wellbeing ofthose in the Territory communitywho require acute or specialist care.In addition the Division provides critical network services including the Patient AssistanceTravel Scheme (PATS), Specialist Outreach Services, Ambulance and Aero retrievalservices, policy development, supply and coordination of blood and blood products andnational funding agreements.Admitted Patient ServicesAdmitted patient services comprises of acute and non-acute medical care or treatmentsto patients who undergo a formal admissions process. In 2009-10, the revised budgetallocated $503.1 million to acute care admitted services, with actual expenditure amountingto just under $500.2million, representing a marginal underspend of approximately 0.6%.Output 2008-09 2009-10 2009-10 2009-10Actual Budget Revised ActualBudgetOutput cost ($’000) 457 481 480 752 503 079 500 218Performance Measure 1 2008-09Actual2009-10Estimate2009-10Actual2010-11EstimateQuantitySeparations 2 106 488 110 200 110 800 112 500- Same-day separations (excluding haemodialysis) 17 413 18 200 18 995 18 600- Overnight separations (excluding haemodialysis) 45 569 46 100 46 797 46 800- Haemodialysis separations 43 506 45 900 45 008 47 100Weighted Separations 3 66 776 72 700 68 892 74 000Average length of stay 4 5. 5 5. 6 5. 4 5. 6Interstate patient travel 4 3 042 3 000 3 212 3 300Intrastate patient travel 4 21 035 22 700 23 458 23 100Elective surgery waiting list admissions 6 346 7 600 6 662 7 700Emergency admissions 5 31 212 32 300 33 290 33 200QualityBeds accredited by the ACHS 6 100% 100% 100% 100%TimelinessElective surgery waiting times:- Category 1: admission within 30 days 77% 88% 76% 88%- Category 2: admission within 90 days 60% 70% 53% 70%110Department Health and Families
1. “Due to remoteness, the dispersed population and absence of alternative health care providers,number of the measures in the table are therefore not directly comparable with other jurisdictions.”2. Separation refers to the completion of an episode of admitted patient care where the period ofhospitalisation ranges from admission to discharge, transfer or death. It may also refer to a portion ofa hospital stay, resulting in the change of type of care for example, from acute to rehabilitation care.3. A weighted separation is a measure of the complexity of a hospital separation. In 2008-09 weightedrecords outstanding for 2009-10 are included in the Weighted Separations as follows: RDH (10868) ASH (198) KDH (104) TCH (842) GDH (2).4. Estimates include escorts (approved family members or friends) accompanying patients. Previousseparately reported categories have been merged.5. Emergency admission has replaced emergency procedures, providing a common base forcomparison to Elective Surgery Waiting List admissions.6. Australian Council on Health Standards.Acute Weighted SeparationsHospital patients vary in their clinical complexity, the severity of their illness and the amountof hospital resources consumed in the provision of their treatment. Simply counting theof those patients, because a complex case can consume substantially more resources.Weighted separations of admitted acute patients accounts for this and measures the acuityadjusted level of activity done in public hospitals. separations employ the most recently published national cost weights from the 2008-09National Hospital Cost Data Collection (NHCDC). Similarly, results for previous years havebeen back-cast using national cost weights from the applicable NHCDC year. Results maybe subject to future variation, due to a lag in assigning clinical codes to patients dischargedIn the past, hospital weighted separations were calculated using Territory cost weightsand emphasised hospital activity relative to total Northern Territory activity. The change and provides for a better alignment to the recent national agenda on hospital and healthworkforce reform.Figure 4 –Inpatient Separations and Weighted Separations, 2006-07 to 2009-10'000120120.0100100.08080.06060.04040.02020.0006/07 07/08 08/09 09/10Financial YearAcute Separations Non-Acute Separations Weighted Separations0.0Department Health and Families 111
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Visit the department’s website at
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Chief Executive ForewordChief Execu
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10Department Health and Families
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Dr Barbara PatersonCorporate Plan P
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Peter BeirneCorporate Plan Priority
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In comparing data between 1994-98 a
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Aboriginal Health and FamiliesProf.
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Corporate Plan 2009 - 2012Vision, M
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to detect, monitor, report and eval
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PRIORITY ACTION AREA 2Healthy Child
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to parents at key ages i.e. exclusi
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PRIORITY ACTION AREA 3Targeting Smo
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the health effects of smoking from
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PRIORITY ACTION AREA 4Connecting Ca
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The Chief Minister’s Youth Round
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Created four additional positions i
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PRIORITY ACTION AREA 5Safety, Quali
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essential to make sure that, wherev
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PRIORITY ACTION AREA 6Attract, Deve
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Established an Indigenous Nursing a
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Implement the Professional Practice
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The Integrated Maternity Services C
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Radiation Oncology Services
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Service Map DetailsDepartment Healt
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NT HEALTH FACILITIESDEPARTMENT OF H
Page 59 and 60: Through the East Arnhem Regionalisa
Page 61 and 62: very effective with the Alice Sprin
Page 63 and 64: Across the TerritoryDigital Regions
Page 65 and 66: Our PeopleDepartment Health and Fam
Page 67 and 68: Snapshot of our peopleFigure 1 show
Page 69 and 70: National Indigenous Cadetship Progr
Page 71 and 72: Supporting our PeopleHuman Resource
Page 73 and 74: Managing AggressionAggression Manag
Page 75 and 76: Eliminating bullying and harassment
Page 77 and 78: Graduate ProgramThe Department has
Page 79 and 80: GovernanceDepartment Health and Fam
Page 81 and 82: NT Family & ChildrenAdvisory Counci
Page 83 and 84: Royal Darwin Hospital Medical Evacu
Page 85 and 86: Coronial FindingsThe Coroners Act e
Page 87 and 88: NTFC options for a complaint outcom
Page 89 and 90: Sentinel Eventsdeath or serious har
Page 91 and 92: Human Research Ethics CommitteeThe
Page 93 and 94: Department Health and Families 93
Page 95 and 96: Table 16: Budget by Output groups20
Page 97 and 98: NT Families and ChildrenDepartment
Page 99 and 100: Key Achievementsfurther increases i
Page 101 and 102: Key AchievementsAdditional funds of
Page 103 and 104: The Youth Triage Team was formed in
Page 105 and 106: Youth ServicesThe Northern Territor
Page 107 and 108: Performance Measure2008-09Actual200
Page 109: Acute CareDepartment Health and Fam
Page 113 and 114: Figure 5 - Weighted Separations by
Page 115 and 116: There are three types of treatment
Page 117 and 118: 1.2.3.4.Due to remoteness, the disp
Page 119 and 120: HospitalsAlice Springs HospitalTota
Page 121 and 122: Audiologist (visits from Darwin) Ce
Page 123 and 124: Patients requiring services that ar
Page 125 and 126: Health and Wellbeing ServicesDepart
Page 127 and 128: in remote communities. Children are
Page 129 and 130: Key AchievementsMore than 70 facili
Page 131 and 132: Healthy Pregnancy Healthy Baby info
Page 133 and 134: The core clinical and health promot
Page 136 and 137: School Screening Services (SSS)The
Page 138 and 139: increased access to after-hours med
Page 140 and 141: Key AchievementsImplemented the NT
Page 142 and 143: Community Support Services for Frai
Page 144 and 145: Commenced development and implement
Page 146 and 147: 146Department Health and Families
Page 148 and 149: Public Health ServicesEnvironmental
Page 150 and 151: Key AchievementsNo Germs on MeThe
Page 152 and 153: Figure 13: NT Schedule 8 drug presc
Page 154 and 155: 1. SHBBV 2009-10 data may not be co
Page 156 and 157: of on-shore detections of exotic Ae
Page 158 and 159: In July 2009 a National Coordinatio
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Tuberculosis and Leprosy Unitwith a
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1 The Alcohol and Other Drugs Progr
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other drugs nursing position is bas
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Father Flynn FellowshipThe Father F
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Sales of Goods &Services4%Other Rev
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Grants and Subsidies
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CERTIFICATION OF THE FINANCIAL STAT
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Balance SheetNOTE 2010$'0002009$'00
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Cash Flow StatementNOTE2010$’0002
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1. Objectives and fundingThe Depart
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c) Agency and Territory Itemsand eq
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Revenue in respect of Appropriation
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o) ReceivablesReceivables include a
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t) Employee Benefitsmeasured at pre
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3. Comrehensive operating statement
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2010$'0002009$'000Note 6 (cont)Unal
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10 PROPERTY, PLANT AND EQUIPMENT (C
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11c HERITAGE AND CULTURAL ASSETS201
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2010$’0002009$’00017. NOTES TO
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18. FINANCIAL INSTRUMENTS (continue
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18. FINANCIAL INSTRUMENTS (continue
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20. CONTINGENT LIABILITIES AND CONT
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24. SCHEDULE OF TERRITORY ITEMSThe
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Appendix IFunding to External Provi
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Appendix II2009-10 Capital and Mino
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New Works 2009-10Alice Springs Hosp
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Appendix IIILegislation Responsibil
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Appendix IVCouncils, Committees and
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7. Raise community awareness of the
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Northern Territory Family and Child
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Key areas from terms of reference:T
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Australian Manufacturing Workers’
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Members of the Council who left in2
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Meetings:The Committee met in July
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Appendix VEmployment InstructionsDe
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Employment Instruction No.5Medical
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Appendix VIAcronymsAASAustralian Ac
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DHFDepartment of Health andFamilies
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MHSMental Health ServicesMJDMachado
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TBCTBCHTuberculosis CommunityHealth
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