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  • 50th percentile

     (see median)


  • 90th percentile

     Ninetieth percentile time to treatment refers to the time for which 90 per cent of patients receive their treatment.  For example, a 90th percentile waiting time of ten weeks means that 90 per cent of patients admitted were admitted within 10 weeks of going on the list.


  • Activity Based Funding

    Activity Based Funding (ABF) is the system by which governments can fund their contribution to public hospital services. ABF is used to monitor, manage and administer the funding of health care provided by public hospitals.

    The introduction of a nationally consistent approach to ABF for Health Services has been the subject of negotiations since 2008. This was first agreed by COAG in 2008 with updated implementation milestones agreed as part of the National Health Reform Agreement (NHRA), signed 2 August 2011. This nationally consistent approach builds on the Victorian system of Casemix funding first introduced in 1993.

    More information can be found here .


  • Admission (admitted)

    An admission is a process whereby a hospital accepts responsibility for a patient’s care or treatment. Admission follows a clinical decision based upon specified criteria that a patient requires same-day or overnight (or multi-day) care or treatment. An admission may be formal or statistical.

    A formal admission is the administrative process by which a hospital records the commencement of treatment/care or accommodation of a patient.

    A statistical admission is the administrative process by which a hospital records the commencement of a new episode of care, with a new care type, for a patient within the one hospital stay.


  • Aged Care Assessment Service

    Aged Care Assessment Services (ACAS) are independent teams who assist frail older people and their carers identify what kind of care will best meet their needs. Assessment teams are multi-disciplinary and can include health professionals such as medical officers, social workers, nurses, occupational therapists and physiotherapists. They conduct comprehensive medically based assessments for those needing community services or aged care residential services. They assess for all restorative and potential care options.  For an older person to access Commonwealth funded residential care, residential respite, Community Aged Care Packages (CACPs), Extended Aged Care in Home (EACH) packages or flexible care, they must first be assessed as eligible by an ACAS.


  • Allied Health

    Allied health is a domain of medical practices that support and complement the fields of medicine, dentistry and nursing.  Allied health comprises a range of health professionals from non-physician and non-nursing fields including but not limited to: Audiologists, Chiropractors, Dietitians, Exercise Physiologists, Occupational Therapists, Orthoptists, Orthotists and Prosthetists, Osteopaths, Pharmacists, Podiatrists, Psychologists, Radiographers, Radiation Therapists and Sonographers, Social Workers and Speech Pathologists and Diabetes Educators.


  • Ambulance services

    Emergency ambulance services are available to all Victorians who are seriously ill or severely injured due to accident or illness.

    When a person dials 000 in an emergency, a series of events are activated which can lead to the dispatch of an ambulance where one is required. Not everyone who phones 000 requires an urgent ambulance response. Ambulances are dispatched and prioritised according to the medical urgency of the patient’s condition.


  • Available beds

    Available beds are those that are immediately available for use by an admitted patient or resident within the facility. A bed is immediately available for use if it is located in a suitable place for care, with nursing and auxiliary staffing available within a reasonable period.


  • Bed days

    A day (or part of a day) during which a patient is admitted to receive hospital treatment. The bed day (or 'patient day') is the unit of measurement for the length of stay of an episode of care.


  • Campus

    A physically distinct site owned or occupied by a service where treatment or care is regularly provided to patients.

    A single-campus hospital provides admitted patient services at one location through a combination of overnight stay beds and day-stay facilities, or day-stay facilities only.

    A multi-campus hospital typically has two or more locations providing admitted patient services where the locations:

    • are separated by land (other than a public road) not owned, leased or used by that hospital

    • have the same management at the public health service/hospital level

    • have overnight-stay facilities

    • are not private homes.


  • Cardiothoracic surgery

    Cardiothoracic surgery is performed on the organs inside the chest (thorax). It generally provides treatment for heart and lung conditions.


  • Cataract extraction

    Removal of a lens of the eye affected by a cataract, which is a white substance on the lens that impairs vision. The diseased lens is then replaced with an artificial one in a procedure called 'lens insertion'. This is often done at the same time as the cataract extraction.

  • Central-line-associated blood stream infection

    A central-line-associated blood stream infection is a laboratory-confirmed bloodstream infection (BSI) in a patient who had a central line in place within the 48-hour period before the development of the BSI, and that is not related to an infection at another site.


  • Cholecystectomy

    Surgical procedure to remove the gall bladder.

  • Clinician

     Denotes any healthcare professional


  • Community mental health service

    The first point of contact during business hours for access to area mental health services. Mental health professionals employed by the CMHC provide initial screening and consultancy for people requesting public mental health services to guide the person to the appropriate service. They also provide assessment, treatment, continuing care and support for clients with severe mental illness. Community mental health centres employ a range of mental health professionals to provide clinical services including social workers, psychiatric nurses, consultant psychiatrists, occupational therapists, medical officers and psychologists.

  • Consumer Participation Indicator

    Three items on the Victorian Patient Satisfaction Monitor (VPSM) are used to calculate the Consumer Participation Indicator (CPI), which measures 'how consumers feel they have been involved in making decisions about their care'.
    The three VPSM survey items (all sub-questions of question 14 of the VPSM) are: the opportunity to ask questions about your condition or treatment; the way staff involved you in decisions about your care; and the willingness of hospital staff to listen to your concerns.
    These are scored on a five-point Likert scale and give a possible score range from 20 (poor) to 100 (excellent).


  • Coronary artery bypass graft

    Surgery to improve blood flow through the heart muscle by sewing a healthy blood vessel onto the heart, bypassing a blocked or diseased part of the coronary artery (also known as heart bypass surgery).


  • Coronary Care Unit

     A specialised facility dedicated to acute care services for patients with cardiac diseases


     Coronary Care Unit

  • Cystoscopy

    Examination of the bladder by inserting a tube into the urethra.


  • Department of Health (DH)

    The Department of Health is one of eleven state government departments in Victoria, Australia. The department has approximately 1,600 staff across five divisions and eight regions.

    Our portfolios

    Health

    Health care services through the public hospital system, community health services, ambulance services and dental services

    Health promotion and protection through emergency management, public health and related preventative services, education and regulation

    Mental Health

    The public mental health service system consisting of clinical services and psychiatric disability rehabilitation and support services

    A range of alcohol and drug prevention and treatment services

    Aged Care

    Residential and rehabilitation care for older people, along with support and assistance to enable them to remain independently in their own homes


  • Department of Human Services (DHS)

    The Department of Human Services plans, funds and delivers community and housing services in line with the government’s vision for making a stronger, more caring and innovative state.


  • Diagnosis Related Group (DRG)

    DRG's are a patient classification scheme that provides a clinically meaningful way of relating the types of patients treated in a hospital to the resources required by the hospital.


  • Ear, nose and throat surgery

    Surgery that treats diseases and problems affecting the ears, nose, throat, head and neck.

  • Elective surgery

    Elective surgery comprises elective care where the procedures required by patients are listed in the surgical operations section of the Medicare Benefits Schedule, with the exclusion of specific procedures frequently performed by non-surgical clinicians.

    Elective surgery is surgery that in the opinion of the treating clinician, is necessary and admission for which can be delayed for at least 24 hours.


  • Elective Surgery Access Service (ESAS)

    ESAS aims to provide a streamlined system for transferring elective surgery patients from health services that are unable to treat them within clinically appropriate timeframes, to health services with the capacity to offer rapid treatment.


  • Elective Surgery Information System (ESIS)

    The Elective Surgery Information System (ESIS) was introduced in 1997 to provide electronic episode-level elective surgery waiting list information to the Department of Health.

    Accurate and timely waiting list data are important for monitoring community access to acute health services and elective surgery planning for individual health and statewide services. The department regularly reports elective surgery data to the Commonwealth and the public.

    The Department of Health works collaboratively with health services to annually review and update the ESIS data collection, this ensures that it:

    ·        Supports the development and introduction of administrative and management processes for accurate and timely waiting list measurement and assessment

    ·        Supports clinical decision-making to allocate sufficient resources to meet demand

    ·        Contains data items to identify areas of elective surgery services requiring improvement: for example, improving timely access

    ·        Has consistent definitions and conforms to national reporting requirements.


  • Elective surgery waiting list

    See Elective Surgery Information System (ESIS).


  • Emergency department

    The emergency department or casualty department of a hospital provides the community with necessary health care for the acutely ill and injured. Most operate 24 hours a day.

    All patients attending emergency departments are ‘triaged’ or assessed for urgency. The first priority is to treat the most urgent patients.

    There are five triage categories that have been established by the Australasian College of Emergency Medicine, these categories indicate the desirable time within which patients should be treated. The Government sets targets for hospitals for the three most urgent trige categories.


  • Emergency Department - List of Victorian public hospitals with an Emergency Department

    Albury Hospital

    Mercy Werribee Hospital

    Alfred Hospital

    Mildura Base Hospital

    Angliss Hospital

    Monash Medical Centre Clayton

    Austin Hospital

    Northeast Health Wangaratta

    Bairnsdale Regional Hospital

    Northern Hospital

    Ballarat Hospital

    Rosebud Hospital

    Barwon Health (Geelong)

    Royal Children's Hospital

    Bass Coast Regional Health (Wonthaggi)

    Royal Melbourne Hospital
    Bendigo Hospital Royal Victorian Eye & Ear Hospital
    Box Hill Hospital Royal Women's Hospital
    Casey Hospital Sandringham & District Memorial Hospital
    Central Gippsland Health (Sale) St. Vincent's Hospital
    Dandenong Hospital Sunshine Hospital

    Echuca Regional Hospital

    South West Health Care (Warrnambool)
    Goulburn Valley Health Shepparton Swan Hill District Hospital
    Hamilton Base Hospital West Gippsland Health Care (Warragul)
    Frankston Hospital Western Hospital
    Latrobe Regional Hospital Williamstown Hospital
    Maroondah Hospital Wimmera Base Hospital (Horsham)

    Mercy Hospital for Women

    Wodonga Regional Health Service

  • ESIS reporting hospitals

    Alfred Hosptial

    Mercy Werribee Hospital

    Angliss Hospital

    Austin Hospital

    Monash Medical Centre Clayton

    Monash Medical Centre Moorabbin

    Ballarat Health Service

    Northeast Health Wangaratta

    Bendigo Health Care

    Box Hill Hospital

    Northern Hospital

    Peter MacCallum Cancer Institute

    Broadmeadows Health Service

    Casey Hospital

    Rosebud Hospital

    Royal Children’s Hospital

    Cranbourne Integrated Care Centre

    Royal Melbourne Hospital

    Dandenong Hospital

    Royal Victorian Eye and Ear Hospital

    Frankston Hospital

    Royal Women’s Hospital

    Geelong Hospital

    Heidelberg Repatriation Hospital

    Sandringham & District Memorial  Hospital

    Shepparton Hospital

    Latrobe Regional Hospital

    St Vincent’s Hospital

    Maroondah Hospital

    Mercy Hospital for Women

    Sunbury Day Hospital

    Sunshine Hospital

    West Gippsland Healthcare Group

    Western Hospital

    Williamstown Hospital


  • General surgery

    Surgical specialty focusing on the organs of the abdomen (such as the stomach, intestines, gall bladder, liver and pancreas). General surgeons may also treat diseases of the skin and breast.


  • Gynaecology

    Surgical speciality focusing on women's reproductive organs and fertility.

  • Haemorrhoidectomy

    The removal of haemorrhoids (piles).

  • Healthcare

    The prevention, diagnosis, and treatment of disease, illness, injury, and other physical and mental impairments. The health care system is focussed on the wellbeing of individuals – in contrast, the field of public health focuses on the wellbeing of populations.


  • Hospital

    A healthcare facility established under Commonwealth, state or territory legislation as a hospital or a free-standing day procedure unit, and authorised to provide treatment and/or care to patients. A hospital may be located at one physical site or may be a multi-campus hospital. For the purposes of these definitions, ‘hospital’ includes satellite units managed and staffed by the hospital and private homes used for service provision under the Hospital in the Home program.

  • Hospital - Major Metropolitan

    A metropolitan health service is a term used in the Health Services Act 1988 to refer to a public hospital that is listed in Schedule 5 of the Act. A metropolitan health service may consist of a number of campuses.

    Alfred Hospital

    Mercy Werribee Hospital

    Angliss Hospital

    Monash Medical Centre

    Austin Hospital

    Northern Hospital

    Box Hill Hospital

    Royal Children’s Hospital

    Casey Hospital

    Royal Melbourne Hospital

    Dandenong Hospital

    St Vincent’s Hospital

    Frankston Hospital

    Sunshine Hospital

    Maroondah Hospital

    Western Hospital


  • Hospital - Major Rural

    Major rural hospitals in Victoria

    Ballarat Health Service Goulburn Valley Health (Shepparton)
    Barwon Health (Geelong) Latrobe Regional Hospital
    Bendigo Health Care Group

  • Hospital bed

    A bed at a hospital provided for the purpose of patient treatment. Licensed beds: The maximum number of beds for which a hospital holds a license to operate.

    Physically available beds: Beds that are licensed, physically set up, and available for use. These are beds regularly maintained in the hospital for the use of patients, which furnish accommodations with supporting services (such as food, laundry, and housekeeping). These beds may or may not be staffed but are physically available.

    Staffed beds: Beds that are licensed and physically available for which staff is on hand to attend to the patient who occupies the bed. Staffed beds include those that are occupied and those that are vacant.

    Unstaffed beds: Beds that are licensed and physically available and have no current staff on hand to attend to a patient who would occupy the bed.

    Occupied beds: beds that are licensed, physically available, staffed and occupied by a patient.

    Vacant/available beds: Beds that are vacant and to which patients can be transported immediately. These must include supporting space, equipment, medical material, ancillary and support services, and staff to operate under normal circumstances. These beds are licensed, physically available, and have staff on hand to attend to the patient who occupies the bed.


  • Hospital bypass

    Hospital bypass is a period of time when a public hospital emergency department can request that ambulances bypass it and take patients to other hospitals. However, even when a hospital is on bypass, urgent patients will be accepted.

    Bypass occurs when the emergency department cannot safely treat more patients because it is full, or for some other cause such as a power failure. Hospital bypass aims to ensure the quality of care and safety of patients.

    The emergency department stays open, even if it is on bypass. Some ambulances will still attend if the patient has an urgent condition.


  • Hospital in the Home (HITH)

    Hospital in the Home (HITH) is the provision of acute care to public hospital patients in the comfort of the person's own home or other suitable environment. Patients are regarded as hospital inpatients and remain under the care of their hospital doctor. Care may be provided by a nurse, doctor and/or allied health professional. Additional home supports can be arranged as required.

    Hospital in the Home is an alternative to an inpatient stay. Patients can be offered this option by treating staff if the care type can be delivered safely at home.

    Most patients prefer to be treated in their home, with their family or friends around them. They can resume normal activities and routines quickly. Research findings demonstrate that patients have improved outcomes and recovery at home with fewer complications such as infection, delirium and confusion.

    Participation in HITH is voluntary – patients and their carers must agree to have their care provided at home. Patient’s of a public hospital must be assessed as being clinically stable, appropriately supported in the home, for example a carer or other supports, living in a suitable environment, with access to a telephone, suitable for HITH treatment and be willing to be treated by HITH


  • Hospital Initiated Postponement (HiP)

    Elective Surgery HiPs are expressed as the number of postponements initiated by a hospital in a given period (e.g. month or quarter) relative to all scheduled admissions for elective surgery in that period.  Elective Surgery HiPs occur when a scheduled admission has been cancelled due to the following reasons:

    • the surgeon scheduled to perform the surgery is not available due to leave, illness, lateness or has been called away
    • other hospital staff, such as nurses, anaesthetists or other non-clinical support staff, are not available
    • operating theatres are not available because emergency surgery needs to be performed, scheduled surgery has taken longer than anticipated, or theatres are overbooked
    • more urgent elective patients need to be admitted
    • intensive care or other hospital beds required after surgery are all occupied
    • equipment required for the surgery has either failed or is not available
    • the patient has been insufficiently prepared for surgery by the hospital or surgeon, or has been incorrectly advised of the date, time or location of surgery.

    Postponements for clinical reasons (for example, the patient is unwell or has not followed instructions to prepare for surgery) are not considered Elective Surgery HiPs.


  • Hysterectomy

    Surgical procedure to remove the uterus (womb).

  • Infection

    An infection is the colonisation of a host organism by parasite species. Infecting parasites seek to use the host's resources to reproduce, often resulting in disease. Colloquially, infections are usually considered to be caused by microscopic organisms or microparasites like viruses, prions, bacteria and viroids, though larger organisms like macroparasites and fungi can also infect.
    Hosts normally fight infections themselves via their immune system. Mammalian hosts react to infections with an innate response, often involving inflammation, followed by an adaptive response.

  • Inguinal herniorrhaphy

    Surgical repair of an inguinal hernia (a condition in which part of the intestine protrudes through the muscles in the groin).


  • Intensive Care Unit (ICU)

    An intensive care unit (ICU) is a designated ward of a hospital that is specially staffed and equipped to provide observation, care and treatment to patients with actual or potential life-threatening illnesses, injuries or complications, from which recovery is possible. The ICU provides special expertise and facilities for the support of vital functions and utilises the skills of medical, nursing and other staff trained and experienced in the management of these problems.
    As defined, ICUs do not include special care nurseries, coronary care units, high dependency units, intensive nursing units or stepdown units. All types of ICU must substantially conform to appropriate guidelines of the Australian Council on Healthcare Standards (ACHS).

    Hospitals with ICU's

    Alfred Hospital Maroondah Hospital
    Austin Hospital Mildura Base Hospital
    Ballarat Health Service Monash Medical Centre (Clayton)
    Bendigo Health Care Northeast Health (Wangaratta)
    Box Hill Hospital Northern Hospital
    Central Gippsland Health Service (Sale) Peter MacCallum Cancer Institute
    Dandenong Hospital Royal Children's Hospital
    Frankston Hospital Royal Melbourne Hospital
    Barwon Health (Geelong Hospital) St Vincent's Hospital
    Goulburn Valley Halth (Shepparton) Southwest Healthcare (Warnambool)
    Hamilton Base Hospital Western Hospital
    Latrobe Regional Hospital Wimmera Base Hospital (Horsham)

  • Length of Stay (LOS)

    The length of stay of a patient measured in patient days. A same-day patient should be allocated a length of stay of one patient day. The length of stay of an overnight stay patient is calculated by subtracting the date the patient is admitted from the date of separation and deducting total leave days. Total contracted patient days are included in the length of stay.


  • Median time to treatment

    The median time to treatment is the time within which half the patients are treated.  It may also be referred to as the 50th percentile time to treatment.


  • Mental Health Service

    The range of mental health services providing local and statewide specialist treatment and support for people with mental illness and associated psychiatric disability. These services are provided free of charge by the Government. They include child and adolescent mental health services, adult mental health services and aged persons' mental health services and specialist statewide services. Public clinical mental health services function like other secondary or tertiary medical services.

    A person is referred to or visits a specialist service for an opinion or when a primary health service cannot adequately meet their needs. Anyone can refer a person to a mental health service. The referring party may be any service provider, a friend, family member or consumers themselves, unlike other specialist services where referrals need to occur via a general practitioner. Mental health services manage each individual referral through their triage and intake processes.

    Public clinical mental health services are aimed primarily at people with more severe forms of mental illness or disorder (psychotic and non-psychotic), whose level of disturbance or impairment prevents other services from adequately treating or managing them.


  • Methicillin-Resistant Staphyloccus Aureus (MRSA)

    A bacterial infection consists of countless individual bacteria. Most infections caused by S. aureus are treatable with antibiotics. However, there is a strong possibility that a few bacteria will survive a course of antibiotics, perhaps due to a gene mutation. The antibiotic-resistant S. aureus bacteria that remain then flourish, since they no longer have to compete for resources with the rest of the colony.

    Resistant strains of S. aureus are known as multi-resistant S. aureus (MRSA) or multi-resistant organisms (MROs). Unnecessary or excessive use of antibiotics encourages drug-resistant strains. The overuse of disinfectants in general can also lead to drug-resistance. In most cases, good cleaning or washing with soap and warm water is enough.


  • Metropolitan hospital

    A metropolitan health service is a term used in the Health Services Act 1988 to refer to a public hospital that is listed in Schedule 5 of the Act. A metropolitan health service may consist of a number of campuses.

  • Myringoplasty

    Surgery to repair of a hole in the eardrum.

  • Myringotomy

    Surgery performed on the eardrum to relieve pressure caused by built-up fluid.

  • Neonatal

     Relates to newborn children and are live births less than 28 days.


  • Neonatal Intensive Care Unit (NICU)

    A specialised facility dedicated to the care of neonates requiring care and sophisticated technological support.  Patients usually require intensive cardiorespiratory monitoring, sustained assistance ventilation, long-term oxygen administration and parenteral nutrition.  Hospitals and/or health servives with Neonatal Intensive Care Units and/or Special Care Nurseries are:

    Albury Wodonga Health Service Monash Medical Centre Clayton

    Angliss Hospital

    Midura Base Hospital
    Ballarat Health Service Northeast Health Wangaratta

    Bendigo Health Care Group

    Northern Hospital

    Box Hill Hospital

    Royal Children's Hospital

    Casey Hospital

    Royal Women's Hospital

    Central Gippsland Health Service (Sale)

    Sandringham Hospital

    Dandenong Hospital

    South West Healthcare (Warrnambool)
    Frankston Hospital Sunshine Hospital

    Geelong Hospital

    West Gippsland Hospital

    Goulburn Valley Health Shepparton

    Wimmera Base Hospital (Horsham)

    Latrobe Regional Hospital

    Wodonga Regional Health Service

    Mercy Werribee Hospital

  • Neurosurgery

    Surgery on the brain, spinal cord and nerves. Common procedures include removing tumours and blood clots, treatment of head or spinal injuries, repairing malformed blood vessels in the brain and spinal cord, repairing damaged nerves, and surgical treatment of diseases such as epilepsy and Parkinson's disease.

  • Not ready for care

    Not-ready-for-care patients are those who are not in a position to be admitted to hospital. These patients are either:
    • staged patients whose medical condition will not require or be amenable to surgery until some future date, for example, a patient who has had internal fixation of a fractured bone and who will require removal of the fixation device after a suitable time, or
    • deferred patients who for personal reasons are not yet prepared to be admitted to hospital, for example, patients with work or other commitments that preclude their being admitted to hospital for a time.

    Staged and deferred patients should not be confused with patients whose operation is postponed for reasons other than their own unavailability, for example; surgeon unavailable, or operating theatre time unavailable owing to emergency workload. These patients are still 'ready for care'.

  • Ophthalmology

    Surgical specialty relating to the eyes and optic nerve.

  • Orthopaedic surgery

    Surgical speciality focusing on the musculoskeletal system. It includes the repair of broken bones and injuries to ligaments and tendons, investigation and repair of damaged joints, and treatment of conditions such as bone and soft-tissue tumours, cerebral palsy, back pain and skeletal deformities.

  • Outpatient Clinic

    An outpatient clinic (or ambulatory care clinic) is a healthcare facility that is primarily devoted to the care of outpatients. Clinics can be privately operated or publicly managed and funded, and typically cover the primary health care needs of populations in local communities, in contrast to larger hospitals that offer specialised treatments and admit inpatients for overnight stays. Some clinics grow to be institutions as large as major hospitals, or become associated with a hospital or medical school, while retaining the name 'clinic'.


  • Overall care index

    The Overall Care Index (OCI) acts as the global indicator for the respondents’ hospital experience. It is collected through the questionnaire for adult inpatients known as the Victorian Patient Satisfaction Monitor (VPSM).
    Approximately 75,000 questionnaires are mailed out each year. Potential respondents are selected randomly from adult inpatients of Victoria’s acute and subacute public hospitals. Maternity patients receive eight maternity-specific questions as well as the standard VPSM questionnaire.
    The VPSM questionnaire has undergone extensive psychometric testing. The questionnaire consists of 28 items, three of which invite a free-text response. The items are further divided into questions. A series of 25 carefully grouped questions is used to derive six sub-indices of care.
    The scores of the six sub-indices contribute to the calculation of the primary index, the OCI. The questions used to calculate the indices are answered on a five-point Likert scale therefore the possible indices scores range from 20 (poor) to 100 (excellent).

  • Patient

    A patient is a person for whom a hospital accepts responsibility for treatment and/or care. There are two categories of patient: admitted patient and non-admitted patient.

  • Peer Groups (Hospitals)

    Not all hospitals provide the same services in the same manner. Peer groups have been developed to enable some comparisons of performance to be made.

    Specialist

    Mercy Hospital for Women

    Royal Children's

    Royal Victorian Eye and Ear

    Royal Women's

    Tertiary

    Alfred

    Austin

    Monash

    Royal Melbourne

    St Vincent's

    Major

    Box Hill

    Dandenong

    Frankston

    Geelong

    Maroondah

    Northern

    Sunshine

    Western

    Outer metropolitan

    Angliss

    Casey

    Mercy Werribee

    Rosebud

    Sandringham

    Williamstown

    Regional

    Albury

    Ballarat

    Bendigo

    Latrobe

    Shepparton

    Wodonga

    Sub Regional

    Bairnsdale

    Echuca

    Hamilton

    Horsham

    Mildura

    Sale

    Swan Hill

    Wangarratta

    Warnambool

    West Gippsland


  • Plastic surgery

    Surgery involving the modification or reconstruction of the visible physical features of the body. It is commonly performed on people who have suffered severe injuries or burns, people who were born with physical malformations, or people whose physical appearance has been affected by a disease.

  • Primary Health Care

    Primary health care is the care you receive at your first point of contact with the health care system, for example, when you see a physiotherapist because you have a sore back. It is traditionally delivered in community health centres or through private allied health providers .


  • Private Health Sector

    Comprises health and wellbeing services primarily funded by individuals through insurance payments, and managed by organisations that are independent of government.


  • Procedure

    A clinical intervention that is one or a combination of the following:
    • is surgical in nature
    • carries a procedural risk
    • carries an anaesthetic risk
    • requires specialised training
    • requires special facilities or equipment only available in an acute care setting.

  • Prostatectomy

    The removal of part or all of the prostate.

  • Public Health Sector

    Comprises health and wellbeing services primarily funded by citizens through the taxation system, and managed by or on behalf of, government.


  • Ready for care (RFC)

    Ready-for-care patients are those who are prepared to be admitted to hospital or to begin the process leading directly to admission. These could include investigations/procedures done on an outpatient basis such as autologous blood collection, preoperative diagnostic imaging or blood tests.

  • Same-day patient

    A same-day patient is a patient who is admitted and separates on the same date, and who meets one of the following minimum criteria:
    • that the patient receive same-day surgical and diagnostic services as specified in bands 1A, 1B, 2, 3, and 4 but excluding uncertified type C Professional Attention Procedures within the Health Insurance Basic Table as defined in s. 4 (1) of the National Health Act 1953 (Commonwealth)
    • that the patient receive type C Professional Attention Procedures as specified in the Health Insurance Basic Table as defined in s. 4 (1) of the National Health Act with accompanying certification from a medical practitioner that an admission was necessary on the grounds of the medical condition of the patient or other special circumstances that relate to the patient.

  • Separation

    The process by which an episode of care for an admitted patient ceases.

  • Septoplasty

    Surgery to straighten the nasal septum (the cartilage and bone between the nostrils). This procedure is often performed on patients who have suffered a broken nose, or who experience recurrent sinus infections or difficulty breathing through their nose.

  • Short Stay Observation Unit (SOU)

    Short Stay Observation units are designed for patients who, with proper assessment and treatment, are likely to be discharged within 24 hours. This includes patients who require tests to determine the seriousness of their condition (e.g., minor head injury, chest pain, and drug overdose) or a short course of treatment for conditions that may be rapidly resolved (for example, asthma, allergic reactions and renal colic). ED physicians manage these patients and their expected length of stay is 4-24 hours.


  • Special care nursery

    Special care nurseries are specially equipped to care for babies. They are usually staffed by experienced midwives and neonatal nurses with oversight as required from paediatricians.

  • Staphylococcus aureus (Golden Staph)

    Staphylococcus aureus (also known as 'golden staph') is a facultative anaerobic gram-positive coccal bacterium. It is frequently part of the skin flora found in the nose and on skin, and in this manner about 20 per cent of the human population are long-term carriers of S. aureus.

  • Stay

    See length of stay


  • Time to treatment

    Time to treatment equals b – a, where:

    • a is arrival date and time
    • b is the date and time of the initiation of patient management (either by a doctor, a mental health practitioner or a nurse, whichever is earliest).

  • Tonsilectomy

    Surgery to remove of tonsils and/or adenoids.

  • Total hip replacement

    Surgical replacement of a diseased hip joint with an artificial implant.


  • Total knee replacement

    Surgery in which damaged cartilage and bone is removed from the surface of the knee joint and replaced with a man-made surface of metal and plastic.

  • Treatment

    The medical and/or surgical care provided to a patient with a view to stabilisation, diagnosis and alleviation of their condition(s).

    It is acknowledged that treatment can commence prior to the patients’ arrival at the hospital. Hospital treatment starts when a qualified clinical staff member commences treatment.


  • Triage (Categories 1-5)

    Triage is the structured screening of a patient upon presentation at the Emergency Department in order to determine the urgency of their presenting complaint (Triage Category) and thereby assist in determining their priority of care

    The triage category is used to determine the urgency with which patients are investigated or treated by the ED staff.

    Triage relies on expertise in assessment, medical and resource knowledge, and intuition.

    Information obtained during triage should be sufficient to determine the needs and urgency of emergency department treatment. This does not exclude the instigation of more detailed investigation or recommendations by the triage staff.

    Triage category 1

    • Patients are seen immediately. People in this group are critically ill and require immediate attention. Most arrive at the emergency department by ambulance. This group includes people whose heart may have stopped beating, whose blood pressure may have dropped to dangerously low levels, who may be barely breathing or have stopped breathing, who may have suffered a critical injury or who may have had an overdose of intravenous drugs and be unresponsive.

    Triage category 2

    • Patients seen within 10 minutes. People in this group will probably be suffering a critical illness or very severe pain. For example, the group includes people with serious chest pain likely to be related to a heart attack, people with difficulty breathing and people with severe fractures.

    Triage category 3

    • Patients seen within 30 minutes. People in this group include patients suffering from severe illnesses, people with head injuries but who are conscious, and people with major bleeding from cuts, major fractures, persistent vomiting or dehydration.

    Triage category 4

    • Patients seen within 60 minutes. People in this group usually have less severe symptoms or injuries, although the condition may be potentially serious. Examples include people with mild bleeding, a foreign body in the eye, a head injury (but where the patient never lost consciousness), a sprained ankle, possible bone fractures, abdominal pain, migraine or earache.

    Triage category 5

    • Patients seen within 120 minutes. People in this group usually have minor illnesses or symptoms that may have been present for more than a week such as rashes or minor aches and pains. The group includes people with stable chronic conditions who are experiencing minor symptoms.

  • Urology

    Surgical speciality focusing on the organs of the urinary system (such as the kidneys and bladder), and the male reproductive system.

  • Varicose veins stripping and ligation

    Sealing off and removal of varicose veins (enlarged veins close to the skin's surface). This procedure is commonly performed by general surgeons as well as vascular surgeons.

  • Vascular surgery

    Surgical specialty focusing on blood vessels (veins and arteries), except for those in the heart (which are included in cardiothoracic surgery) and brain (which are included in neurosurgery).

  • Victorian Admitted Episode Dataset (VAED)

    The Department of Health collects morbidity data on all admitted patients from Victorian public and private acute hospitals including rehabilitation centres, extended care facilities and day procedure centres. This data forms the Victorian Admitted Episodes Dataset (VAED, formerly VIMD). Among other things, VAED data are used for; health services planning, policy formulation, casemix funding and epidemiological research.


  • Victorian Emergency Minimum Dataset (VEMD)

    The Victorian Emergency Minimum Dataset (VEMD) contains de-identified demographic, administrative and clinical data detailing presentations at Victorian public hospitals with 24-hour Emergency Departments. The VEMD provides information for:

    Epidemiological purposes

    Health service planning and coordination

    Policy assessment and formulation

    Clinical research

    Quality improvement

    Patient management

    ED operation and management

    To enable Victoria to fulfill its reporting obligations under the National Health Information Agreement and the Australia Health Care Agreement


  • Victorian Integrated Non-admitted Health Minimum Dataset

    The Department of Health maintains data around the provision of a range of non-admitted services in Victoria to provide equitable funding to public hospitals and to support health services’ planning, policy formulation and epidemiological research. all public hospitals providing non-admitted services in scope for VINAH need to report a minimum data set of patient-level data related to their activities. At the department, these demographic, administrative and clinical data are compiled into the Victorian Integrated Non-admitted Health Minimum Dataset (VINAH MDS).


  • Weighted Inlier Equivalent Separations (WIES)

    WIES is part of ’s funding model and is a cost weight that is adjusted for time spent in hospital and represents a relative measure of resource use for each episode of care in a DRG.

    WIES allocated to an episode depends upon the episodes DRG, the amount of time spent in hospital, and the episodes eligibility for WIES co-payments.

    For example:

    0.19 WIES is allocated to a same day chemotherapy patient

    7.51 WIES is allocated to a liver transplant patient dying after 3 days

    30.02 WIES is allocated to a liver transplant patient staying 40 days (no mechanical ventilation)

    40.21 WIES is allocated to a liver transplant patient staying 40 days (including 10 days of mechanical ventilation)


  • What does the post-discharge follow up rate indicate?

    Timely post-discharge follow-up is an important component of client care. Monitoring the proportion of discharges that are followed up within seven days is a good measure of the timeliness of this care. This indicator reflects the effectiveness of the interface between admitted care and non-admitted care. It is also monitored at the Commonwealth level.

    Where one or more contacts fall in the seven days after the separation date, the separation is considered to have received post-discharge community care. The separation type is home or residential aged care and patients must be admitted overnight or longer in hospital. Contacts on the day of separation are excluded. Contacts can be of any duration, in any location for any type of recipient, whether by the local mental health service or another mental health service.

    This indicator is expressed as a percentage of post-discharge follow-ups on the total number of non-sameday acute adult separations. This indicator is expressed as a percentage and rounded to the nearest whole number.


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