|Title:||Acute Care Certification|
|Document ID:||Operational Directive OD 0147/08|
|Date of issue:||Friday, 10 October 2008|
|Status:||NO LONGER APPLICABLE|
|Description:||This operational directive describes the mandatory requirements for acute care certification of long-stay patients in WA public hospitals|
|Applicable to:||All Public Hospitals|
|Category:||Accountability & Audit|
|Period of effect:||from 1 October 2008 to 1 October 2013|
|Review date:||1 October 2013|
|Authorised by:||Dr Peter Flett, A/DIRECTOR GENERAL, WA HEALTH, 30-Sep-2008|
|Print version:||View print version|
Acute Care Certification
This directive defines the requirements for the completion of Acute Care Certificates (ACCs) by public hospitals in WA.
In April 2007 the Commonwealth Government repealed Section 3B of the Health Insurance Act 1973. This section underpinned the requirement to complete ACCs for long stay patients. In repealing Section 3B, the Commonwealth stipulated that delineation of episode of care type (acute, maintenance, etc) was an issue to be resolved between hospitals and insurers.
However the requirement to accurately report episode of care type, under the terms of the Australian Health Care Agreements remains.
In addition the provisions for designating a patient as “Nursing Home Type”, after day 35 of continuous hospitalisation, are still in place.
To ensure consistency across all WA public hospitals, the Department of Health (DOH) has amended the original Commonwealth form and is advising staff to use the revised forms (see attached).
C. REPORTING REQUIREMENTS
Hospitals must ensure that an ACC is provided for any patient who remains in hospital, after day 35, due to the need for ongoing acute care.
An ACC is not required for patients who, after day 35, remain in hospital for:
· accommodation and nursing care as an end in itself (maintenance care) or
· other specific care types (palliative, rehabilitative) .
Patients who, after day 35, remain in hospital for maintenance care only, are deemed nursing home type patients (NHTP). Such patients are re-classified from acute to maintenance care. The hospital may raise the applicable NHTP charges.
Dr Peter Flett
This circular last updated: Monday, 13 October 2008 at 3:56pm