||Elective Patients will be given the opportunity to discuss financial election, and provided additional information on the consequence of admission as a private patient. This will occur at either the Private Rooms or Outpatients Clinic following the clinical decision to be admitted as an inpatient.|
||An Elective Admission form (EAF) is completed. This must include Medicare number, health fund type, health fund number and patient's signature confirming informed financial election. Admitted public patient election forms must be consistent with the national standards for public hospital admitted patient election as set out in Schedule E of the Australian Health Care Agreement. The national standards set out the minimum information to be included in patient election forms.|
||Doctors clerk or Outpatients will send the EAF to Area Health Service Waitlist Department. The waitlist clerks input financial election information onto Patient Management System. If a financial election has not been made, the waitlist clerks input financial election as "Unknown".|
||The Private Patient Liaison Officer (PPLO) will review information which indicates:
In the event of financial election being unknown the PPLO will send the patient a letter, seeking financial election prior to booking into hospital, by completing the attached Financial Election form (660). A leaflet and a self addressed and stamped envelope, will be included in this package. Once the information is received the PPLO will make a record and forward to the Area Health Service Waitlist Department.
- Booked inpatients with financial election unknown.
- Booked inpatients with private insurance who have booked in as a public election.
- Inpatients who have come in through ED who have elected as Private Inpatients.
||When the Area Health Service Waitlist Department receives the form 660, the financial election information is logged and the form is forwarded to Booked Admissions.|
||On the patient's admission to hospital, if the patient has elected as a Private Inpatient, the Booked Admissions clerk will confirm eg, "I see you have opted to use your health fund and book in as a private patient". The clerk will then complete a register for the PPLO with patient labels and provide the Patient with their Incentive Pack including the voucher booklet.|
||If at this stage there is still no financial election on the patient management system, staff proceed as usual, ie. Provide a form 660 and ask for their financial election. Staff could also provide a leaflet and inform patients of the PPLO and provide them his/her business card.|
||Emergency Department patients to be provided with information leaflets to enable them to make an informed financial election.|
||At the time of admission to ward Emergency Department patients will be consulted on their financial election. Should the patient elect as Private, the clerk will complete a register for the PPLO with patient labels and provide the Patient with their Incentive Pack including the voucher booklet and letter to patient.|
||The PPLO will liaise with Private Inpatients to discuss their election and ensure that they have had the appropriate and adequate information to make their decision. In addition the PPLO provides the patient with the following:
- Completes any additional Health Fund requirements, which is sent to Patient Fees, and
- Informs the patient that he/she can assist with any financial election queries and is the person to contact should their stay be longer than a week's duration, for additional vouchers.
- Inpatient survey form.
||Upon receipt of all financial documentation from Booked Admissions (form 660 and HA92) and PPLO (Medibank claim form), Patient Fees collate these forms and claims from Private Health fund and upon receipt provide this information to PPLO for his/her records.|
||Payments are usually received within 4-6 weeks of submission to the Private Health fund, however should there be an issue (eg. pre-existing illness) the patient would then be contacted to request the patient to discuss the issue with the health fund. In the event of excess gap, Patient Fees will ensure that hospital policy on "Gap" is implemented.|
||Key Areas such as radiology and pathology will need to be consulted to ensure these accounts are combined with hospital accounts. The intention is to reduce the documentation to patients.|