ACT Health

OUTPUT CLASS 1: HEALTH AND COMMUNITY CARE
PRINCIPAL MEASURES	
OUTPUT 1.1:  ACUTE Services	
Description:		Provision of high quality hospital based treatment and care services in line with the needs of the community.	

Measures	2004-05 Targets1	2004-05
Estimated
Outcome	
Quantity			
Number of inpatient cost weighted separations	64  981	64  981	
Number of cost weighted occasions of outpatient services	235  000	235  000	
Quality/Effectiveness			
Rate of unplanned hospital re-admissions2	3.0%	2.3%	
Providers meet appropriate standards and accreditation.	Public Hospitals hold/renew ACHS Accreditation	Public Hospitals hold/renew ACHS Accreditation	
Timeliness			
Percentage of persons classified as Category 1 patients on the public elective surgery waiting list receiving treatment within clinically desirable timeframes (30 days)	

95%	

91%	
Cost			
Cost per 1,000 head of population ($’000)3	$1  332.4	$1  380.3	
			
TOTAL COST ($’000)	$437  951.8	$449  495.4	
GOVERNMENT PAYMENT FOR OUTPUTS ($’000)	$329  874.8	$330  852.4	
Notes
1.	The 2004‑05 targets have been revised to reflect the impact of the Appropriation Act 2004-2005 (No. 2) where applicable.
2.	The reduction to the rate of unplanned re-admissions reflects a better clinical outcome for patients.
3.	The estimated outcome is based on an updated population estimate of 325,641.

OUTPUT CLASS 1: HEALTH AND COMMUNITY CARE
PRINCIPAL MEASURES	
OUTPUT 1.2:  Mental Health Services	
Description:		Provision of mental health services including specialist clinical services within acute care, supported accommodation and community based settings.	

Measures	2004-05 Targets1	2004-05
Estimated
Outcome	
Quantity			
Number of raw inpatient separations	1  400	1  420	
Number of occasions of service for public community based and extended care services	
175  000	
177  270	
Occupancy rate for supported accommodation places
	95%	95%	
Quality/Effectiveness			
Percentage of clients seen in the community during the 7 days post discharge from the inpatient service2	
80%	
73%	
Services provided by Mental Health ACT and Calvary Public Hospital are accredited by an external quality body	Public Mental Health Services hold/renew ACHS Equip Accreditation	Public Mental Health Services hold/renew ACHS Equip Accreditation	
Community Service providers implement and maintain agreed quality standards3
	
100%	
95%	
Timeliness			
Calvary Public Hospital complies with agreed timeframes for mental health service reporting	
100%	
100%	
Output and implementation of quality standards reports from community service organisations are provided on time in accordance with service agreements

100%	

100%	
Cost			
Cost per 1,000 head of population ($’000)4	$134.3	$137.0	
			
TOTAL COST ($’000) 	$44  158.0	$44  601.0	
GOVERNMENT PAYMENT FOR OUTPUTS ($’000)	$42  475.0	$42  918.0	
Notes
1.	The 2004‑05 targets have been revised to reflect the impact of the Appropriation Act 2004-2005 (No. 2) where applicable.
2.	Private psychiatrists or general practitioners follow up a significant proportion of clients discharged from the inpatient service.  These services do not report to the Territory.
3.	One community service organisation did not report within the required timeframe.
4.	The estimated outcome is based on an updated population estimate of 325,641.

OUTPUT CLASS 1: HEALTH AND COMMUNITY CARE
PRINCIPAL MEASURES	
OUTPUT 1.3:  Community Health Services	
Description:		Negotiation and obtaining of high quality community based, consumer focused human services from Government and Non-Government service providers to meet the health and community care needs of specific population groups.  Develop and administer service performance contracts with Government and Non-Government service providers.	

Measures	2004-05 Targets1	2004-05
Estimated
Outcome	
Quantity			
Aged Health Care Services:			
 - Respite Care (number of bed nights)	4  054	4  054	
 - Assessments by Aged Care Assessment Team	3  100	3  100	
 - Number of people assessed in community based falls clinics2	240	300	
Alcohol and Drug Services:			
 - Number of registered clients on pharmacotherapy treatment programs3	800	740	
 - Number of occupied bed days in supervised withdrawal service	6  166	6  166	
 - Number of residential rehabilitation clients	300	300	
Dental Services:			
 - Adults units of service	23  217	23  217	
 - Child and youth units of service	18  300	18  300	
 - Assessed emergency dental clients seen within 24 hours	95%	95%	
Women’s Health Services			
 - Medical and Social Services (client contacts)4	6  800	10 000	
 - Breast Screening clients5	12  000	11  200	
 - Participation rate for women aged 50-69 years6	70%	53%	
 - Women requiring assessment are offered an appointment date which is within 14 calendar days of their screening visit7
	
90%	
10%	
Quality/Effectiveness			
Services provided by ACT Community Care are accredited by an external quality body.	
100%	
100%	
Service providers implement and maintain agreed quality standards
	100%	100%	
Timeliness			
Service providers comply with agreed timeframes for output reporting8
	100%	90%	
Cost			
Cost per 1,000 head of population ($’000)9	$350.3	$355.2	
			
TOTAL COST ($’000) 	$115  150.5	$115  658.7	
GOVERNMENT PAYMENT FOR OUTPUTS ($’000) 	$105  191.5	$105  699.7	
Notes
1.	The 2004‑05 targets have been revised to reflect the impact of the Appropriation Act 2004-2005 (No. 2) where applicable.
2.	The variance is due to an increase in client demand.
3.	The target figure of 800 is the maximum number of places available within the ACT for pharmacotherapy treatment.  The estimated outcome is based on demand for treatment by the client group.
4.	The variance is due to changes and improvements in intake processes and increased accuracy in data collection.
5.	Screening numbers were reduced because of the capacity of Radiologists to undertake screen reading.
6.	The ACT service is to work towards reaching 70% of women aged 50-69 screened every 2 years.
7.	This target will not be met because of the shortage of Radiologists.
8.	Three out of 30 providers failed to report within the agreed timeframe during the 2nd quarter. 
9.	The estimated outcome is based on an updated population estimate of 325,641.

Output Class 1: HEALTH AND COMMUNITY CARE
PRINCIPAL MEASURES	
OUTPUT 1.4  Public Health Services	
Description:		Through provision of Government services and services obtained from Non-Government agencies, provide high quality health and community services to the ACT and surrounding region, including the supply of blood and blood products.	

Measures	2004-05 Targets1
	2004-05
Estimated
Outcome	
Quantity			
Provision of sexual health and blood borne virus services			
 - Number of clinical services	9  000	9  000	
 - Hours of education/training services	360	360	
Health Protection Service			
 - Samples analysed	7  000	7  000	
 - Inspection of premises 	3  250	3  250	
 - Issuing of licenses and registrations
	3  800	3  800	
Quality/Effectiveness			
Immunisation coverage for the primary immunisation schedule, measured at 1 year of age, in accordance with the Australian Childhood Immunisation Register	91%	91%	
Inspection compliance of licensable, registrable and non-licensable activities
	70%	70%	
Timeliness			
Response time to environmental health hazards, communicable disease hazards relating to measles and meningococcal infections and food poisoning outbreaks is less than 24 hours

100%	

100%	
Cost			
Cost per 1,000 head of population ($’000)2	$75.4	$77.6	
			
TOTAL COST ($’000) 	$24  773.3	$25  262.5	
GOVERNMENT PAYMENT FOR OUTPUTS ($’000) 	$22  797.9	$23  039.1	
Notes
1.	The 2004‑05 targets have been revised to reflect the impact of the 2nd Appropriation where applicable.
2.	The estimated outcome is based on an updated population estimate of 325,641.

OUTPUT CLASS 2: Community and Health Services Complaints COMMISSIONER
PRINCIPAL MEASURES	
OUTPUT 2.1:	Community and Health Services Complaints COMMISSIONER	
Description:		The objectives of the service are to:
•	provide an independent, fair and accessible mechanism for resolving complaints about health services and protect the public from malpractice, unsafe products and processes;
•	improve health and disability services and enable consumers and providers to contribute to the review and improvement of health and disability services and continuity of care; and
•	promote the rights of consumers of health and disability services, ensuring that the ACT public has better informed choices of appropriate services. 	

Measures	2004-05 Targets1	2004-05
Estimated
Outcome	
Quantity			
Number of written complaints closed	290	290	
Health service improvement projects and consumer rights projects completed
	2	2	
Quality/Effectiveness			
Ratio between weighted number of written cases closed and weighted number of written cases opened
	Equal to or greater than 1	Equal to or greater than 1	
Timeliness			
80% of complaints closed at:			
 - Point of service – within 6 weeks of receipt	100%	100%	
 - Assessment – within 10 weeks of receipt	100%	100%	
 - Conciliation – within 70 weeks of receipt
	100%	100%	
Cost			
Average cost per complaint closed ($’000) 	$3.2	$3.2	
Average cost per health service improvement project/consumer rights project completed ($’000)	
$63.4	
$63.4	
			
TOTAL COST ($’000)	$1  056.4	$1  056.4	
GOVERNMENT PAYMENT FOR OUTPUTS ($’000)	$1  041.8	$1  041.8	
Notes
1.	The 2004‑05 targets have been revised to reflect the impact of the Appropriation Act 2004-2005 (No. 2) where applicable.