||Medical Practitioners (Right of Private Practice - Non-Inpatient) Determination Number 1 of 2005
||Operational Circular OP 2012/05
|Date of issue:
||Tuesday, 13 December 2005
||NO LONGER APPLICABLE
||This Operational Circular notifies that the Minister for Health has made a determination under the Hospital and Health Services Act 1927 in respect of medical practitioners exercising a 'right of private practice' when treating privately referred non-inpatients. The Determination set out in this Operational Circular comes into effect on 1 December 2005.
|Period of effect:
||from 1 December 2005
||Dr Neale Fong, Director General, Department of Health, 09-Dec-2005
|| View print version
||Protocol Applying To Medical Practitioners Participating In The Ambulatory Surgery Initiative (ASI) and / or The Privately Referred Non-Inpatients Model (PRNI)
|To be read in conjunction with:
||Business rules applying to the privately referred non-inpatient model
Medical Practitioners (Right of Private Practice - Non-Inpatient) Determination Number 1 of 2005
This Operational Circular notifies that the Minister for Health has made a determination under the Hospital and Health Services Act 1927 in respect of medical practitioners exercising a 'right of private practice' when treating privately referred non-inpatients.
The Privately Referred Non-Inpatients (PRNI) Model ensures the integrity of the administrative and financial processes by which patients are referred to, and treated by named Consultants working in outpatient departments of the State's public hospitals. The Determination ensures a uniform approach to PRNI simplifying the accounting processes and, in conjunction with the Business Rules, supports a clear and transparent approach to the implementation of PRNI consistent with the requirements of the Australian Health Care Agreement between the Commonwealth of Australia and Western Australia 2003-2008.
MEDICAL PRACTITIONERS (RIGHT OF PRIVATE PRACTICE - NON-INPATIENT)
DETERMINATION NUMBER 1 OF 2005
- This determination is made by the Minister for Health and applies in his incorporated capacity as the boards of the Metropolitan Health Service Board, WA Country Health Service and South West Health Board.
- Section 18(1a) of the Hospital and Health Services Act 1927 provides that the board of a hospital may provide any facility in the hospital for the use of a practitioner for carrying out any hospital, medical or other service.
- Section 18(1b) of the Hospital and Health Services Act 1927 provides that the provision of any facility under subsection (1a) shall be on such terms and conditions, including the payment of charges, as are determined by the Minister from time to time.
- This determination concerns hospital facilities used by practitioners in respect of patients presenting at public hospital outpatient departments who have been referred to a named medical specialist exercising a right of private practice and the patient chooses to be treated as a private patient.
- The determination operates independently of any existing rights of private practice arrangements and does not replace those arrangements.
- The determination applies to practitioners exercising rights of private practice under a contract of employment who have given the hospital written authority to render accounts in the practitioner's name in respect of patients seen by the practitioner.
- The hospital will act as an agent for the practitioner in rendering accounts in respect of private patients and will receive payments on the practitioner's behalf.
- The earning of private practice income by the practitioner is an enterprise of the practitioner and the practitioner must have an Australian Business Number and notify this number to the hospital.
- The practitioner's enterprise must be registered for GST as required under the Commonwealth tax legislation and the practitioner must notify the hospital of the registration. If GST registration is cancelled, the practitioner must notify the hospital as soon as practicable.
- Charges payable by the practitioner to the hospital are:
- 17.5% of gross receipts for administration and collection;
- 42.5% of gross receipts for the use of hospital facilities; and,
- any applicable GST.
- After payment of hospital charges, the practitioner will receive from the hospital on invoice a net payment of 40% of gross receipts plus applicable GST.
- From its facilities charges, the hospital will credit:
- 2.5% of gross receipts to a hospital Special Purpose Account for Professional Development purposes; and,
- 2.5% of gross receipts to a hospital Special Purpose Account for the use of the relevant Clinical Division or Clinical Service Unit as determined at the discretion of the hospital.
- The hospital will provide the practitioner at least quarterly a statement detailing accounts rendered, received and distributed.
- This determination comes into operation on 1 December 2005.
Dr Neale Fong
DEPARTMENT OF HEALTH
This circular last updated: Tuesday, 13 December 2005 at 11:15am