Information guide

h)Advice to DVA on existing Accreditation Status:

In the reporting period that commences on 1 July 2017Hospitals will be required to complete a simpler report which details the most recent Accreditation Outcome Results. Hospitals agree to provide DVA with the details of their accreditation status and agree to advise DVA in relation to any changes in their accreditation status as they arise. DVA may seek to confirm the hospital’s accreditation status at any time. Hospitals either:

1. 
   agree to DVA obtaining data relating to Accreditation Outcome Results from the Australian Commission on Safety and Quality in Health Care; or
   
2. 
   agree to provide DVA with a report detailing their most recent Accreditation Outcome Results before 31 October 2017 using the report format on the DVA website.
   

Advice to DVA on future Accreditation Outcome Results:

Accreditation Outcome Results beyond 1 July 2017 must be provided to DVA in a report no more than 3 months after the results are received by the hospital. The report will identify the actions that have been “met with merit” and actions which are “not met”. For actions which are “not met” the report will identify whether these are “core” or “developmental”. The report template will be available from the DVA website and will provide hospitals with the required format to be followed in producing the Accreditation Outcome Results report.

i)Private Hospital Quality Reporting:

Section 5.6 of the Hospital Services Agreement sets out the requirement for hospitals to submit a report within four months of the end of each twelve month period of July to June. The reporting template which hospitals are required to complete includes the following sections:

1. 
   outcomes of patient experience surveys including data specific to Entitled Persons or their carers where reasonably available;
   
2. 
   a summary of Entitled Person complaints;
   
3. 
   reporting on the BDP Program in a format available on the DVA website
   
4. 
   any other issues of concern; and
   
5. 
   any other matters as agreed between the DVA and the hospital.
   

DVA will keep a focus and interest in areas that particularly affect the DVA demographic of clients (e.g. falls, discharge management, veteran complaints, etc). For the reporting period to 30 June 2016, the Quality Report is now available on the DVA Website at www.dva.gov.au/sites/default/files/files/providers/hospitals/PrivateHospitalsQualityReport.docx. The Quality Report should be completed and returned to DVA by 31 October, 2016. The quality report template for the period that covers after 1 July 2016 to 30 June 2017 will be made available on the DVA website in June 2017..

j)Mental Health Standards

The Private Hospitals (Mental Health) Annual Quality Report Template is available at

http://www.dva.gov.au/sites/default/files/files/providers/hospitals/mentalhealthqualityreport.docx
Mental Health Services provided to Entitled Persons under this Agreement must be in accordance with the principles contained in the Guidelines for Determining Benefits for Private Health Insurance Purposes for Private Mental Health Care (2015 Edition).
Hospitals delivering mental health services to Entitled Persons must:

• 
  comply with the Commonwealth of Australia 2012 Mental Health Statement of Rights and Responsibilities;
  
• 
  meet the National Standards for Mental Health Services 2010;
  
• 
  provide a summary report on the Hospital results as provided by the Private Mental Health Alliance (PMHA) Centralised Data Management Service in its monthly standard reports. The report will include an analysis of variance from national outcomes;
  
• 
  for each Entitled Person episode, collect industry agreed and validated outcome measures. The data to be collected is that which complies with the PMHA Minimum Data Set with Outcome Measures for private, hospital-based psychiatric services. This data is to be provided to the PMHA Centralised Data Management Service for incorporation in its quarterly standard reports;
  

For Trauma Recovery Programmes – PTSD, hospitals must:

• 
  comply with the DVA accreditation requirements as detailed at clause 4.40 of the Hospital Services Agreement; and
  
• 
  collect additional outcome measures as directed by DVA.
  

The elements of the TRP–PTSD dataset are detailed in the 2015 National Accreditation Standards for Trauma Recovery Programmes – posttraumatic stress disorder – available online at: at-ease.dva.gov.au/professionals/files/2015/08/Trauma-Accreditation-Standards-2015.pdf

The outcome data is to be submitted to the organisation responsible for Programme data monitoring, for each Entitled Person who participates in an agreed Programme.

DVA will evaluate the clinical effectiveness of the TRPs by collecting outcome data from veterans through Phoenix Australia Centre for Posttraumatic Mental Health, under contract arrangements, at the following time points:

• 
  assessment
  
• 
  intake
  
• 
  discharge
  
  • 
    3 months post-discharge (relapse prevention)
    
  • 
    9 months post-discharge.
    

k)Mental Health Quality Reporting

Hospital staff responsible for Quality Reporting should check the DVA website from time to time to ensure that the correct version of the Quality Reporting template is used. The Private Hospitals Mental Health Quality Report for the period to 30 June 2016 is now available on the DVA website at: http://www.dva.gov.au/providers/hospitals-day-procedure-centres-and-mental-health-private-hospitals#quality_reporting.
The quality report template for the period that covers 1 July 2016 to 30 June 2017 will be made available on the DVA website in early June 2017..
l)Patient Satisfaction
The Pay for Performance (P4P) Programme has been discontinued from 1 July 2016, however, the DVA Patient Satisfaction Survey will be continued in its own right, and will be extended to all clients who have an overnight admission in an acute care, mental health, sub-acute or non-acute contracted Hospital.
The Patient Satisfaction Survey has proven to be a positive quality measure for DVA clients, and the patient experience is recognised by the Australian Commission on Safety and Quality in Health Care (ACSQHC) to be closely correlated with clinical outcomes.
For information on the DVA Patient Satisfaction Survey, refer to your Hospital Services Agreement - Part B, Appendix 2: DVA Patient Satisfaction Survey.
m)Information Management – Submitting HCP data

Each month you must provide to DVA in electronic medium and without charge, information in respect of each veteran separation during the preceding month.