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MP 0001/16 - Information and Communications Technology (ICT) Governance Policy

Effective: 1 July 2016

This policy outlines the decision making framework for WA Health’s ICT investment.

Source: Department of Health - Policy Frameworks

MP 0066/17 - Acceptable Use of Information and Communications Technology Policy

Effective: 13 September 2017

This policy is to be read and understood by all staff accessing ICT resources in the WA health system.

Source: Department of Health - Policy Frameworks

MP 0067/17 - Information Security Policy

Effective: 18 February 2021

The Acceptable Use of lCT and Information Security policies are two high risk policies that, together, provide a framework underpinning many of the digital security strategies employed in the WA health system. The Information Security policy outlines the security controls required to be implemented, monitored and reviewed across the WA health system. It aligns to the principles of the Australian Standards for information security management which support a risk-based approach to information security that is appropriate to sensitivity, risk profile and business need. It outlines actions that all staff need to take and additional actions for lCT staff, including those at HSS.

Source: Department of Health - Policy Frameworks

MP 0094/18 - My Health Record (MHR) Policy

Effective: 18 October 2018

The purpose of the My Health Record (MHR) Policy is to set standards for Health Service Providers regarding the appropriate use of the MHR.

Source: Department of Health - Policy Frameworks

MP 0129/20 - Release of Human Tissue and Explanted Medical Devices Policy

Effective: 28 January 2020

This Policy sets out the minimum requirements for responding to requests for the release of human tissue or an implantable medical device that has been removed (explanted) from an individual’s body. Human tissue in the context of this Policy includes a human fetus or placenta. This Policy supersedes OD 0398/12 Release of Human Tissue and Explanted Medical Devices.

Source: Department of Health - Policy Frameworks

Health Care Worker Immunisation Policy

Effective: 5 September 2012

The WA Health Care Worker Immunisation policy defines the minimum immunisation standards for Public Health Service employers to adopt in their workplace to protect employees and patients from the potential threat of exposure to vaccine preventable diseases.

Source: Department of Health - Policy Frameworks

MP 0038/16 - Insertion and Management of Peripheral Intravenous Cannulae in Healthcare Facilities Policy

Effective: 11 October 2022

The Insertion and Management of Peripheral Intravenous Cannulae in Healthcare Facilities Policy describes the mandatory requirements to minimise the risk of infection to patients associated with the insertion of peripheral intravenous cannulae (PIVC).

Source: Department of Health - Policy Frameworks

MP 0062/17 - Alcohol and Other Drug Withdrawal Management Policy

Effective: 28 June 2021

The purpose of the policy is to ensure that those requiring Alcohol and Other Drugs (AOD) withdrawal treatment receive timely clinical care, including activating appropriate referral pathways where required.

Source: Department of Health - Policy Frameworks

MP 0099/18 - Community Mental Health Status Assessments: Role of Mental Health Clinicians Policy

Effective: 17 June 2021

The purpose of this Policy is to ensure that all mental health assessments undertaken in the community are conducted by mental health clinicians where it is safe to do so.

Source: Department of Health - Policy Frameworks

MP 0070/17 - Mental Health Emergency and Follow Up Information on Discharge from Hospital Emergency Dept Policy-No Longer Applicable. Superseded by MP 0181/24 Safety Planning for Mental Health Consumers Policy.

Effective: 4 October 2017

This Policy requires all applicable services to offer individuals who present to the emergency department for mental health assessment and/or treatment, or with mental health-related concerns, with contact numbers for mental health emergency response services prior to discharge from the emergency department. If applicable, the individual's family members and carers should also be offered contact numbers for mental health emergency response services prior to the individual's discharge from the emergency department.

Source: Department of Health - Policy Frameworks

MP 0012/16 - Missing Person Policy

Effective: 1 July 2016

The purpose of this policy is to provide guidance to Western Australian public mental health services for the development of procedures aimed at reducing the likelihood of consumers going missing from services and at guiding the response of services when a consumer is determined to be missing.

Source: Department of Health - Policy Frameworks

MP 0170/21 - Emergency Management Policy

Effective: 22 October 2021

The Emergency Management Policy sets the minimum standards to ensure that a clear, consistent and comprehensive approach to emergency management is undertaken across the WA health system. This policy requires that Health Service Providers have arrangements in place to respond appropriately in an Emergency. This policy supersedes MP 0073/17 Emergency Management Policy, IC 0170/13 Training Requirements for Hospital Response Teams and Emergency Management Personnel and OD 0595/15 Business Continuity Management.

Source: Department of Health - Policy Frameworks

MP 0063/17 - Requesting Road-Based Transport for Mental Health Patients Subject to Transport Orders Policy

Effective: 29 July 2020

All health services in WA are required to comply with the Mental Health Act 2014 and the Mental Health Regulations 2015. Individuals who are subject to Transport Orders (Form 4A) under the Mental Health Act 2014 may require Inter Hospital Patient Transport (IHPT) between Department of Health Metropolitan Hospital Sites (DoHMHSs), IHPT from DoHMHS to Bunbury Mental Health Service or transport from various locations in the metropolitan Community to a DoHMHS or to Bunbury Mental Health Service.

Source: Department of Health - Policy Frameworks

MP 0165/21 - Use of Physical and/or Mechanical Restraint during Road-based Transportation of Mental Health Patients Policy

Effective: 30 June 2021

The purpose of this policy is to provide guidance to Transport Officers executing transport orders made under the Mental Health Act 2014 (MHA 2014) when the use of physical and/or mechanical restraint for mental health consumers during road-based transportation may be required.

Source: Department of Health - Policy Frameworks

MP 0155/21 - State-wide Standardised Clinical Documentation for Mental Health Services

Effective: 9 August 2021

This Policy mandates the use of Statewide Standardised Clinical Documentation for all Western Australian public mental health services to document clinical care,

Source: Department of Health - Policy Frameworks

MP 0074/17 - Clinical Care of People Who May Be Suicidal Policy-No Longer Applicable. Superseded by MP 0181/24 Safety Planning for Mental Health Consumers Policy

Effective: 13 December 2017

This policy relates to consumers of all ages who are under the care of public mental health services. It is applicable in some non-mental health settings such as Emergency Departments and general hospitals when a person has been accepted for care by a mental health service and there consequently exists a duty of care.

Source: Department of Health - Policy Frameworks

MP 0101/18 - Clinical Care of People With Mental Health Problems Who May Be At Risk of Becoming Violent or Aggressive Policy-No Longer Applicable. Superseded by MP 0181/24 Safety Planning for Mental Health Consumers Policy.

Effective: 25 July 2021

The purpose of the this policy is to guide Western Australian providers of Public mental health care in the development of Policy to support the provision of evidence-informed clinical care for consumers with mental health problems at risk of becoming violent or aggressive.

Source: Department of Health - Policy Frameworks

Specialist Outpatient Services Access Policy

Effective: 2 June 2014

The Specialist Outpatient Services Access Policy is the single document to guide Health Services in the delivery and management for specialist outpatient appointments, with an emphasis on discharging patients from specialist outpatient services to their primary health care providers.

Source: Department of Health - Policy Frameworks

Central Referral Allocation - Outpatient Services

Effective: 24 February 2014

The aim of this Operational Directive is to inform Health Services of the commencement of a metropolitan centralised referral allocation system, commencing with outpatient services.

Source: Department of Health - Policy Frameworks

MP 0049/17 - Water Immersion During Labour and Birth Policy

Effective: 3 April 2017

The Water Immersion During Labour and Birth Policy (the policy) establishes the clinical practices and requirements to ensure the safe care of women and their unborn/newborn babies when water immersion is chosen during labour and birth.

Source: Department of Health - Policy Frameworks

MP 0007/16 - WA Health Compliance Management Policy

Effective: 1 July 2016

A policy to ensure consistency in compliance management throughout the WA health system.

Source: Department of Health - Policy Frameworks

MP 0006/16 - Risk Management Policy

Effective: 1 October 2019

The WA health system is committed to the management of its risks including those associated with the activities it performs, those inherent in its operations and others by which it may be adversely affected. This includes prudently conducting risk assessment processes to identify, analyse, evaluate and treat risks and being able to demonstrate the management of risks.

Source: Department of Health - Policy Frameworks

Ambulance Handover in Emergency Departments

Effective: 1 July 2015

Provides timing as to when patients are to be transferred in to the care of the ED

Source: Department of Health - Policy Frameworks

Triage of Metropolitan Emergency Department Patients that Arrive via Ambulance into the Waiting Room

Effective: 1 December 2011

As a strategy to enhance patient flow, on ambulance arrival at a metropolitan Emergency Department (ED) patients are to be triaged by the ED Triage Nurse in consultation with the Ambulance Officer, and where clinically appropriate, patients are to be directed to the ED waiting room.

Source: Department of Health - Policy Frameworks

MP 0051/17 - Language Services Policy

Effective: 3 April 2017

The WA health system is committed to providing high quality, safe and accessible health care to all Western Australians who may need language assistance when using WA health system services. This includes those who cannot effectively communicate in written and/or spoken standard Australian English (Standard English) such as some Aboriginal people, some people from culturally and linguistically diverse backgrounds, and people who are Deaf or hard of hearing who communicate in Auslan.

Source: Department of Health - Policy Frameworks

MP 0071/17 - Aboriginal Health and Wellbeing Policy

Effective: 4 October 2017

The purpose of the Aboriginal Health and Wellbeing Policy (the policy) is to strengthen and embed the approach to improving the health and wellbeing of Aboriginal people living in Western Australia as outlined in the WA Aboriginal Health and Wellbeing Framework 2015-2030 (Framework).

Source: Department of Health - Policy Frameworks

MP 0115/19 - Outcome Based Management Policy

Effective: 9 September 2022

The Outcome Based Management (OBM) Framework is a Department of Treasury mandatory requirement for all State Government Agencies. The OBM Framework describes how outcomes, services and Key Performance Indicators (KPIs) are used to measure WA health system performance. The OBM KPIs measure the effectiveness and efficiency of the services delivered against agreed State Government priorities and desired outcomes.

Source: Department of Health - Policy Frameworks

MP 0075/17 - Health Executive Policy

Effective: 11 December 2017

The Health Services Act 2016 establishes the Health Executive Service (HES). The HES comprises persons holding offices that are the subject of a written determination by the Director General (health executives) and the Chief Executives of health service providers (CEs).

Source: Department of Health - Policy Frameworks

MP 0065/17 - Aboriginal Cultural eLearning Policy

Effective: 6 September 2017

The purpose of the Aboriginal Cultural eLearning Policy is to build the cultural knowledge of the WA health system workforce and strengthen its capacity to provide culturally respectful and non-discriminatory healthcare

Source: Department of Health - Policy Frameworks

MP 0085/18 - Road Based Inter Hospital Patient Transport Services Policy

Effective: 6 June 2018

The purpose of this Policy is to ensure Health Service Providers are aware of and use appropriately the mandatory arrangements in place for the purchase of all road based Inter Hospital Patient Transport (IHPT) services in Western Australia.

Source: Department of Health - Policy Frameworks

MP 0033/16 - Recruitment, Selection and Appointment Policy

Effective: 1 July 2016

The purpose of the Recruitment, Selection and Appointment Policy (Policy) is to provide a consistent approach across the WA health system by outlining the minimum requirements and responsibilities of the Department of Health and Health Service Providers (WA health system entities), for recruitment, selection and appointment processes. The WA health system has a commitment to promoting equity and diversity in its workforce and has identified Aboriginal people as a priority diversity group.

Source: Department of Health - Policy Frameworks

MP 0048/17 - Centralised Intern Application and Allocation Policy

Effective: 7 February 2022

The PMCWA coordinates the centralised intern application process in Western Australia

Source: Department of Health - Policy Frameworks

Criminal Record Screening Policy and Guidelines

Effective: 31 March 2010

The WA Health Criminal Record Screening Policy and Guidelines were developed in consultation with key stakeholders across Health.

Source: Department of Health - Policy Frameworks

MP 0144/20 - Information Retention and Disposal Policy

Effective: 1 December 2020

The Information Retention and Disposal Policy (the policy) mandates retention and disposal requirements for information held within the WA health system.

Source: Department of Health - Policy Frameworks

MP 0100/18 - Management of Accrued Leave Policy

Effective: 22 November 2018

The Management of Accrued Leave Policy has been developed in response to the Department of Mines, Industry Regulation and Safety, Public Sector Labour Relations Policy Statement - Management of Accrued Leave in the Public Sector (DMIRS Policy Statement).

Source: Department of Health - Policy Frameworks

MP 0146/20 - Information Classification Policy

Effective: 4 December 2020

The Information Classification Policy is to establish a framework for classifying WA Health information based on sensitivity and risk profiles. The classification assigned places controls relating to the type of information and its needs to remain confidential and secure.

Source: Department of Health - Policy Frameworks

MP 0015/16 - Information Access, Use and Disclosure Policy

Effective: 1 July 2016

The purpose of the Information Access, Use and Disclosure Policy is to facilitate lawful and appropriate information access, use and disclosure by the WA health system. The policy supports the realisation of the WA health system’s vision of a sustainable health system that delivers safe, high quality health care to all Western Australians.

Source: Department of Health - Policy Frameworks

MP 0161/21 - Procurement and Contract Management Policy

Effective: 1 November 2022

This Policy sets out the minimum process, documentation and governance requirements for procurement and contract management activities undertaken by WA health entities. WA health entities must conduct procurement and contract management activities to the highest standards of integrity, probity and accountability.

Source: Department of Health - Policy Frameworks

MP 0005/16 - Grants Policy

Effective: 1 July 2016

Grants are financial assistance arrangements paid to non-State Government entities to assist them to carry out activities that drive outcomes aligned with the WA health system’s strategic intent.

Source: Department of Health - Policy Frameworks

MP 0004/16 - Procurement Development and Management System Policy

Effective: 1 July 2016

WA health system entities are required to maintain procurement and contracts records under a range of legislated and State policy requirements including the State Records Act 2000, and General Procurement Direction: 2021/01 – Western Australian Procurement Rules issued by the Minister for Finance under section 21 of the Procurement Act 2020 (WA).

Source: Department of Health - Policy Frameworks

MP 0017/16 - WA Health Staff Air Travel Policy

Effective: 14 February 2017

The objectives of this Policy are to: Provide consistent and standard air travel procurement practices across WA Health that ensure transparency, streamline and standardise processes and reduce the cost of travel across WA Health, ensure the travel provides benefits to the WA Health system, provide adequate control over, and accountability for, air travel and associated travel expenditure and ensure adequate public disclosure of the full cost of air travel undertaken by WA Health employees.

Source: Department of Health - Policy Frameworks

MP 0019/16 - Development of Primary and Subsidiary Legislation Policy

Effective: 7 December 2021

This policy provides that all proposals for the development or amendment of primary or subsidiary legislation on behalf of the Minister for Health are to be submitted to Legal and Legislative Services for coordination at an early stage using the Request for Legal Advice Form.

Source: Department of Health - Policy Frameworks

MP 0023/16 - Obtaining Legal Advice

Effective: 1 July 2016

The purpose of this Policy is to outline the process to be followed by Health Service Providers for obtaining legal advice.

Source: Department of Health - Policy Frameworks

MP 0021/16 - Medical Indemnity - Salaried Medical Officers and Non-salaried Medical Practitioners Policy

Effective: 1 July 2016

This mandatory policy is to ensure that all matters relating to the application of the terms and conditions of contractual medical indemnities are referred to Legal and Legislative Services.

Source: Department of Health - Policy Frameworks

MP 0084/18 - Credentialing and Defining the Scope of Clinical Practice Policy

Effective: 8 October 2019

The purpose of this policy is to ensure health professionals are credentialed and have a defined scope of clinical practice to support safe and high quality health care within the Western Australian public health system.

Source: Department of Health - Policy Frameworks

MP 0122/19 - Clinical Incident Management Policy 2019

Effective: 1 November 2019

The purpose of the Clinical Incident Management (CIM) Policy (Policy) is to ensure Health Service Providers implement consistent and accountable processes and systems for the management of clinical incidents with the goal to prevent harm to patients and improve patient safety.

Source: Department of Health - Policy Frameworks

MP 0076/18 - Cardiotocography Monitoring Policy

Effective: 10 January 2018

The purpose of the Cardiotocography Monitoring Policy is to mandate minimum requirements for cardiotocography (CTG) monitoring and interpretation practices, and staff education for providers of publicly funded maternity services.

Source: Department of Health - Policy Frameworks

MP 0095/18 - Clinical Handover Policy

Effective: 18 October 2018

Clinical handover is an explicit transfer of professional responsibility and accountability for some or all aspects of care for a patient, or group of patients, to another person or professional group on a temporary or permanent basis.

Source: Department of Health - Policy Frameworks

MP 0097/18 - Aboriginal Workforce Policy

Effective: 22 November 2018

The purpose of the Aboriginal Workforce Policy is to increase representation of Aboriginal people at all levels of the workforce to improve Aboriginal health outcomes and achieve the Aboriginal employment target of 3.2% by 2026.

Source: Department of Health - Policy Frameworks

MP 0044/17 - Clinical Academic Funding Policy

Effective: 23 December 2016

The purpose of the Clinical Academic Funding Policy is to inform Health Service Providers of procedures that apply to the funding of the appointment of clinical academics.

Source: Department of Health - Policy Frameworks