|Title:||Acute Care Certificate|
|Document ID:||Operational Circular OP 2081/06|
|Date of issue:||Friday, 14 July 2006|
|Status:||NO LONGER APPLICABLE|
|Description:||The circular describes the requirements for completion of Acute Care Certificates under the Health Insurance Act (1973) and provides clarification of the inpatient day count for purpose of certification.
SUPERSEDED BY OD 0147/08
|Legal requirements:||Health Insurance Act (1973) - Section 3B
|Applicable to:||All Public Hospitals|
|Period of effect:||from 14 July 2006|
|Authorised by:||Dr Neale Fong, Director General, DEPARTMENT OF HEALTH, 14-Jul-2006|
|Print version:||View print version|
Acute Care Certificate
This circular outlines the requirement for completing an Acute Care Certificate (ACC) by all hospitals as advised via OP1631, Technical Bulletin 20 and the Hospital Morbidity Data System Reference Manual.
Under Section 3B of the Health Insurance Act 1973 (HIA), medical officers are required to complete an ACC for patients who have been admitted for more than 35 days and are not Nursing Home Type Patients (NHTP).
C. REPORTING REQUIREMENTS
All hospitals must ensure that an ACC form is completed for all inpatients who:
Maintenance care includes “care awaiting placement” and “respite care”. It also includes any care delivered to an inpatient designated, by the clinician, as nursing home type.
Maintenance care excludes residential aged care (see Technical Bulletin 77/1).
Patients who, after day 35, remain in hospital for maintenance care are NHTP and no acute care certificate is required. Such patients are re-classified from acute/sub-acute to maintenance care. The hospital may raise the applicable NHTP charges. Some scenarios are provided in the Attachment to assist in understanding the ACC requirement.
Blank copies of the ACC form can be downloaded via the Department of Health and Ageing website on the address below:
or click here: ACC form. A revised version is available in TOPAS.
It is recommended that all ACCs are filed in the patient’s medical record and copies stored centrally within the Health Corporate Network for future reference. The availability of ACCs will ensure the State’s compliance with statutory obligations and assist with any inquiries from private health insurers.All hospitals are required to implement this Operational Circular immediately.
Dr Neale Fong
This circular last updated: Friday, 10 October 2008 at 8:36am