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Health Services (Private Hospitals and Day Procedure Centres) (Interim) Regulations 2001

Legislation · Victoria · 2020
i Health Services (Private Hospitals and Day Procedure Centres) (Interim) Regulations 2001 S.R. No. 170/2001 TABLE OF PROVISIONS Regulation Page PART 1—PRELIMINARY 1 1. Objective 1 2. Authorising provision 1 3. Commencement 2 4. Revocation 2 5. Definitions 2 PART 2—PRESCRIBED HEALTH SERVICES 4 6. Private hospitals 4 7. Day procedure centres 4 PART 3—FORMS OF APPLICATION AND FEES 6 8. Application for approval in principle 6 9. Application for variation or transfer of certificate of approval in principle 6 10. Application for registration 6 11. Application for renewal of registration 6 12. Application for variation of registration 6 13. Annual fee 7 PART 4—SENIOR APPOINTMENTS 8 14. Appointment of Director of Nursing 8 15. Acting Director of Nursing 8 16. Secretary to be notified of termination or vacancy 8 17. Chief Executive Officer, Medical Director and Complaints Liaison Officer 9 -- 1 of 49 -- Regulation Page ii PART 5—ADMISSION OF PATIENTS 10 Division 1—Unit Record Number 10 18. Unit record number to be allocated 10 Division 2—Information to be Given to Patients 10 19. Information about fees and services 10 Division 3—Clinical records 10 20. Clinical record 10 21. Information to be included in clinical record 11 22. Retention of clinical record 12 Division 4—Identification of Patients 13 23. Means of identifying patients 13 24. Identification of infants 13 PART 6—CARE OF PATIENTS 15 Division 1—Rights of Patients 15 25. Respect, dignity and privacy 15 Division 2—Nursing and Professional Care 15 26. Nurses to be registered and competent 15 27. Number of nursing staff to be on duty in a private hospital 16 28. Number of nursing staff to be on duty in a day procedure centre 16 PART 7—TRANSFER AND DISCHARGE OF PATIENTS 18 29. Transfer of patients 18 30. Discharge of patients 18 PART 8—REGISTERS AND RECORDS 19 Division 1—Patient Register 19 31. Patient Admission and Discharge Register 19 Division 2—Staff Register and Records 19 32. Staff register 20 Division 3—Other Registers 20 33. Operation Theatre Register 20 34. Birth register 21 -- 2 of 49 -- Regulation Page iii PART 9—PREMISES AND EQUIPMENT 23 35. Identification of rooms 23 36. Communications 23 37. Prevention of scalding 24 38. Repair and cleanliness of premises 24 39. Suitability and cleanliness of facilities, equipment etc. 24 PART 10—INFECTION CONTROL 26 40. Infection Control Management Plans 26 PART 11—DISPLAY OF INFORMATION 27 41. Information to be prominently displayed 27 PART 12—STATISTICAL RETURNS 28 42. Information to be forwarded to the Secretary 28 PART 13—ENFORCEMENT 30 43. Form of notice of seizure 30 PART 14—TRANSITIONAL PROVISIONS 31 44. References to prescribed kinds of health services in certificates of registration of private hospitals 31 45. References to prescribed kinds of health services in certificates of registration of day procedure centres 32 46. Operation of Interpretation of Legislation Act 1984 not affected 33 PART 15—EXPIRY OF REGULATIONS 34 47. Expiry of regulations 34 __________________ SCHEDULES 35 SCHEDULE 1—Regulations revoked 35 SCHEDULE 2—Application for approval in principle of a private hospital or day procedure centre 36 SCHEDULE 3—Application for variation or transfer of certificate of approval in principle of a private hospital or day procedure centre 38 SCHEDULE 4—Application for the registration of a private hospital or day procedure centre 40 -- 3 of 49 -- Regulation Page iv SCHEDULE 5—Application for the renewal of registration of a private hospital or day procedure centre 42 SCHEDULE 6—Application for the variation of the registration of a private hospital or day procedure centre 43 SCHEDULE 7—Notice of seizure of document or thing from a private hospital or day procedure centre 45 ═══════════════ -- 4 of 49 -- 1 STATUTORY RULES 2001 S.R. No. 170/2001 Health Services Act 1988 Health Services (Private Hospitals and Day Procedure Centres) (Interim) Regulations 2001 The Governor in Council makes the following Regulations: Dated: 18 December 2001 Responsible Minister: JOHN THWAITES Minister for Health HELEN DOYE Clerk of the Executive Council PART 1—PRELIMINARY 1. Objective The objective of these Regulations is to— (a) provide for the safety and quality of care of patients receiving health services in private hospitals and day procedure centres; and (b) prescribe fees, forms and other matters required to be prescribed under the Health Services Act 1988 in relation to such health service establishments. 2. Authorising provision These Regulations are made under section 158 of the Health Services Act 1988. -- 5 of 49 -- S.R. No. 170/2001 Health Services (Private Hospitals and Day Procedure Centres) (Interim) Regulations 2001 2 3. Commencement These Regulations come into operation on 27 January 2002. 4. Revocation The Regulations listed in Schedule 1 are revoked. 5. Definitions In these Regulations— "Act" means the Health Services Act 1988; "fertilisation procedure" means a treatment procedure within the meaning of the Infertility Treatment Act 1995; "medical health services" means health services provided to a patient by a registered medical practitioner that— (a) involve diagnosis and non-operative treatment; and (b) require nursing supervision or care; "nurses register" means the register of nurses kept under Part 2 of the Nurses Act 1993; "speciality health services" means health services that are ordinarily undertaken only by, or under the supervision (whether direct or indirect) of, a specialist registered medical practitioner that require— (a) the admission of the patient; and (b) the use of specialist equipment; and (c) the area in which the services are provided to be fitted out specifically for those kinds of services; r. 3 -- 6 of 49 -- S.R. No. 170/2001 Health Services (Private Hospitals and Day Procedure Centres) (Interim) Regulations 2001 3 "surgical health services" means health services provided by a registered medical practitioner that— (a) involve the use of surgical instruments and an operating theatre, procedure room or treatment room; and (b) require either the attendance of one or more other registered health care practitioners or post operative observation of the patient by nursing staff; "surgical instrument" includes— (a) a laser device that disrupts the integrity of epithelial tissue; and (b) cannulae used to penetrate subcutaneous tissue for the purpose of removing either tissue or fluid or both tissue and fluid containing body fat; "unit record number" means an identifying number unique to a patient. _______________ r. 5 -- 7 of 49 -- S.R. No. 170/2001 Health Services (Private Hospitals and Day Procedure Centres) (Interim) Regulations 2001 4 PART 2—PRESCRIBED HEALTH SERVICES 6. Private hospitals For the purposes of the definition of "private hospital" in section 3 of the Act, the following are health services of a prescribed kind or kinds— (a) medical health services; (b) surgical health services; (c) speciality health services for the provision of— (i) cardiac services; or (ii) emergency medicine; or (iii) endoscopy; or (iv) fertilisation procedures; or (v) intensive care; or (vi) mental health services; or (vii) neonatal services; or (viii) obstetrics; or (ix) oncology (chemotherapy); or (x) oncology (radiation therapy); or (xi) renal dialysis; or (xii) specialist rehabilitation services. 7. Day procedure centres For the purposes of the definition of "day procedure centre" in section 3 of the Act, the following are health services of a prescribed kind or kinds— (a) medical health services; (b) surgical health services; r. 6 -- 8 of 49 -- S.R. No. 170/2001 Health Services (Private Hospitals and Day Procedure Centres) (Interim) Regulations 2001 5 (c) speciality health services for the provision of— (i) cardiac services; or (ii) emergency medicine; or (iii) endoscopy; or (iv) fertilisation procedures; or (v) mental health services; or (vi) oncology (chemotherapy); or (vii) oncology (radiation therapy); or (viii) renal dialysis; or (ix) specialist rehabilitation services. _______________ r. 7 -- 9 of 49 -- S.R. No. 170/2001 Health Services (Private Hospitals and Day Procedure Centres) (Interim) Regulations 2001 6 PART 3—FORMS OF APPLICATION AND FEES 8. Application for approval in principle For the purposes of section 70(2) of the Act— (a) the prescribed form is the form in Schedule 2; and (b) the prescribed fee is $504. 9. Application for variation or transfer of certificate of approval in principle For the purposes of section 74 of the Act— (a) the prescribed form is the form in Schedule 3; and (b) the prescribed fee is $126. 10. Application for registration For the purposes of section 82(2) of the Act— (a) the prescribed form is the form in Schedule 4; and (b) the prescribed fee is $441. 11. Application for renewal of registration For the purposes of section 88(2) of the Act— (a) the prescribed form is the form in Schedule 5; and (b) the prescribed fee is $504. 12. Application for variation of registration For the purposes of section 92(2) of the Act— (a) the prescribed form is the form in Schedule 6; and r. 8 -- 10 of 49 -- S.R. No. 170/2001 Health Services (Private Hospitals and Day Procedure Centres) (Interim) Regulations 2001 7 (b) the prescribed fee— (i) in the case of an application for the transfer of the certificate to another person who intends to become the proprietor is $378; and (ii) in any other case is $126. 13. Annual fee For the purposes of section 87 of the Act, the prescribed annual fee is $477.50 plus $3.15 for each bed for which the private hospital or day procedure centre is registered. _______________ r. 13 -- 11 of 49 -- S.R. No. 170/2001 Health Services (Private Hospitals and Day Procedure Centres) (Interim) Regulations 2001 8 PART 4—SENIOR APPOINTMENTS 14. Appointment of Director of Nursing (1) The proprietor of a private hospital or day procedure centre must appoint a suitably qualified person as a Director of Nursing. Penalty: 50 penalty units. (2) For the purposes of sub-regulation (1), a person is suitably qualified if he or she has a qualification or practical experience in nursing management and— (a) is registered in Division 1 of the nurses register; or (b) in the case of a private hospital or day procedure centre registered only for speciality health services for the provision of mental health services, is registered in either Division 1 or Division 3 of the nurses register. 15. Acting Director of Nursing If a Director of Nursing is absent, incapacitated or the position is vacant, the proprietor of a private hospital or day procedure centre must appoint a person to act as the Director of Nursing during the period of the absence, incapacity or vacancy. Penalty: 50 penalty units. 16. Secretary to be notified of termination or vacancy The proprietor of a private hospital or day procedure centre must notify the Secretary in writing of the name, qualifications and experience of any person appointed by the proprietor— (a) as the Director of Nursing; or r. 14 -- 12 of 49 -- S.R. No. 170/2001 Health Services (Private Hospitals and Day Procedure Centres) (Interim) Regulations 2001 9 (b) to act as the Director of Nursing for a period of more than 28 days— within 28 days after the appointment has been made. Penalty: 20 penalty units. 17. Chief Executive Officer, Medical Director and Complaints Liaison Officer (1) If the proprietor of a private hospital or day procedure centre appoints a— (a) Chief Executive Officer; or (b) Medical Director; or (c) Complaints Liaison Officer— (however titled), the proprietor must notify the Secretary in writing within 28 days of the name of the person appointed as the Chief Executive Officer, Medical Director or Complaints Liaison Officer. Penalty: 5 penalty units. (2) If the proprietor of a private hospital or day procedure centre terminates the appointment of a Chief Executive Officer, Medical Director or Complaints Liaison Officer (however titled) or the position otherwise becomes vacant, the proprietor must notify the Secretary in writing within 28 days of the termination or vacancy. Penalty: 5 penalty units. _______________ r. 17 -- 13 of 49 -- S.R. No. 170/2001 Health Services (Private Hospitals and Day Procedure Centres) (Interim) Regulations 2001 10 PART 5—ADMISSION OF PATIENTS Division 1—Unit Record Number 18. Unit record number to be allocated The proprietor of a private hospital or day procedure centre must ensure that on or as soon as practicable after the admission of a patient to the hospital or centre a unit record number is allocated to that patient. Penalty: 30 penalty units. Division 2—Information to be Given to Patients 19. Information about fees and services The proprietor of a private hospital or day procedure centre must ensure that on or before admission each patient of the hospital or centre is given— (a) information about the fees to be charged by the hospital or centre and any likely out of pocket expenses which may be incurred by the patient; and (b) a clear explanation of the treatment and services to be provided to the patient at the hospital or centre. Penalty: 50 penalty units. Division 3—Clinical records 20. Clinical record The proprietor of a private hospital or day procedure centre must ensure that a separate clinical record for each patient is created on or as soon as practicable after the admission of the r. 18 -- 14 of 49 -- S.R. No. 170/2001 Health Services (Private Hospitals and Day Procedure Centres) (Interim) Regulations 2001 11 patient to the hospital or centre and maintained during the patient's stay. Penalty: 30 penalty units. 21. Information to be included in clinical record The proprietor of a private hospital or day procedure centre must take reasonable steps to ensure that each clinical record contains the following information— (a) the patient's unit record number; (b) the patient's name, address, date of birth and sex; (c) the name and contact details of a relative or friend of the patient; (d) relevant clinical details of the patient including— (i) clinical history on admission; (ii) progress notes during the patient's stay; (iii) any medication ordered or given; (iv) known allergies and drug sensitivities; (v) current medication; (vi) pre-procedure assessment; (vii) results of any relevant diagnostic tests; (e) if a procedure is carried out on a patient— (i) the consent form for the procedure and anaesthesia; (ii) the date of the procedure; (iii) the names and signatures of the practitioners carrying out the procedure; (iv) the type of procedure carried out; r. 21 -- 15 of 49 -- S.R. No. 170/2001 Health Services (Private Hospitals and Day Procedure Centres) (Interim) Regulations 2001 12 (v) the pre-procedure check list by the attending practitioner and (if present) assisting nurse; (vi) administered drugs and dosages; (vii) a record of any monitoring undertaken; (viii) a record of any intravenous fluids administered; (ix) a procedure room report including any procedure findings; (x) the final diagnosis of the patient by, and the signature of, the attending practitioner. Penalty: 30 penalty units. 22. Retention of clinical record The proprietor of a private hospital or day procedure centre must retain the clinical record of a patient— (a) if the patient was 18 years of age or more on the date of the patient's discharge, transfer or death at the hospital or centre—for 7 years; (b) if the patient was less than 18 years of age on the date of the patient's discharge, transfer or death at the hospital or centre—until the patient reaches or would have reached 25 years of age; (c) in addition to the relevant period specified in paragraph (a) or (b) if, during the relevant period, access to a patient's clinical record is requested for the purpose of legal proceedings—for a further 7 years. Penalty: 30 penalty units. r. 22 -- 16 of 49 -- S.R. No. 170/2001 Health Services (Private Hospitals and Day Procedure Centres) (Interim) Regulations 2001 13 Division 4—Identification of Patients 23. Means of identifying patients The proprietor of a private hospital or day procedure centre must ensure that a patient admitted to the hospital or centre can be readily identified at all times when the patient is receiving health care or other services at the hospital or centre by— (a) an identity band or other suitable device attached to the patient; or (b) a photograph, a copy of which must be attached to the clinical record of the patient. Penalty: 40 penalty units. 24. Identification of infants (1) The proprietor of a private hospital must ensure that, if an infant is born at the hospital, at least 2 identity bands or other suitable devices which contain the relevant information specified in sub-regulation (3) are attached to that infant— (a) as soon as practicable after the birth and before leaving the delivery room; and (b) as long as the infant remains in the hospital. Penalty: 30 penalty units. (2) If immediately after giving birth to an infant, a mother is admitted as a patient of a private hospital for— (a) the receipt of medical services in connection with the birth; or r. 23 -- 17 of 49 -- S.R. No. 170/2001 Health Services (Private Hospitals and Day Procedure Centres) (Interim) Regulations 2001 14 (b) the provision of nursing services by a suitably qualified nurse that are directly related to the birth— the proprietor of the hospital must ensure that at least 2 identity bands or other suitable devices which contain the relevant information specified in sub-regulation (3) are attached to the infant as long as the infant remains in the hospital. Penalty: 30 penalty units. (3) For the purposes of sub-regulations (1) and (2) the relevant information is— (a) the surname of the infant; (b) the full name of the mother; (c) the unit record number of the mother; (d) the date of birth of the infant. _______________ r. 24 -- 18 of 49 -- S.R. No. 170/2001 Health Services (Private Hospitals and Day Procedure Centres) (Interim) Regulations 2001 15 PART 6—CARE OF PATIENTS Division 1—Rights of Patients 25. Respect, dignity and privacy The proprietor of a private hospital or day procedure centre must ensure that a patient admitted to the hospital or centre— (a) is treated with dignity and respect and with due regard to his or her religious beliefs, and ethnic and cultural practices; and (b) is entitled to privacy; and (c) is not subjected to unusual routines, particularly with respect to the timing of meals and hygiene procedures, unless the routines are for the benefit of the patient. Penalty: 50 penalty units. Division 2—Nursing and Professional Care 26. Nurses to be registered and competent The proprietor of a private hospital or day procedure centre must ensure that every nurse at the private hospital or day procedure centre— (a) is registered in the nurses register; and (b) is professionally competent through education or experience to provide nursing care at the hospital or centre having regard to the kind or kinds of health service being provided. Penalty: 50 penalty units. r. 25 -- 19 of 49 -- S.R. No. 170/2001 Health Services (Private Hospitals and Day Procedure Centres) (Interim) Regulations 2001 16 27. Number of nursing staff to be on duty in a private hospital (1) The proprietor of a private hospital must ensure that whenever patients are receiving health services at the hospital the following nursing staff are on duty— (a) in the case of day and evening shifts, one nurse registered in Division 1 of the nurses register for each 10 patients or fraction of that number; (b) in the case of night shifts, one nurse registered in Division 1 of the nurses register for each 15 patients or fraction of that number. Penalty: 50 penalty units. (2) Despite sub-regulation (1)— (a) if during any shift 3 or more nurses are on duty, one-third of those nurses may be nurses registered in Division 2 of the nurses register; and (b) in the case of a private hospital registered only for speciality health services for the provision of mental health services, members of the nursing staff may be registered in either Division 1 or Division 3 of the nurses register. 28. Number of nursing staff to be on duty in a day procedure centre (1) The proprietor of a day procedure centre must ensure that whenever patients are receiving health services at the centre at least one nurse registered in Division 1 of the nurses register is on duty for each 10 patients or fraction of that number. Penalty: 50 penalty units. r. 27 -- 20 of 49 -- S.R. No. 170/2001 Health Services (Private Hospitals and Day Procedure Centres) (Interim) Regulations 2001 17 (2) Despite sub-regulation (1), in the case of a day procedure centre registered only for speciality health services for the provision of mental health services, members of the nursing staff may be registered in either Division 1 or Division 3 of the nurses register. _______________ r. 28 -- 21 of 49 -- S.R. No. 170/2001 Health Services (Private Hospitals and Day Procedure Centres) (Interim) Regulations 2001 18 PART 7—TRANSFER AND DISCHARGE OF PATIENTS 29. Transfer of patients If a patient is transferred from a private hospital or day procedure centre to another health service establishment or health care agency, the proprietor of the hospital or centre must ensure that all relevant information and documents relating to the patient's medical condition and treatment that are necessary for the establishment or agency to which the patient is being transferred to provide appropriate ongoing treatment or care are sent with the patient. Penalty: 40 penalty units. 30. Discharge of patients The proprietor of a private hospital or day procedure centre must take reasonable steps to ensure that a patient being discharged from the hospital or centre is given a clear explanation of any recommendations and arrangements which have been made with respect to the future health care needs (if any) of the patient. Penalty: 60 penalty units. _______________ r. 29 -- 22 of 49 -- S.R. No. 170/2001 Health Services (Private Hospitals and Day Procedure Centres) (Interim) Regulations 2001 19 PART 8—REGISTERS AND RECORDS Division 1—Patient Register 31. Patient Admission and Discharge Register For the purposes of section 109(1) of the Act— (a) the prescribed particulars with respect to every patient who receives care in a private hospital or day procedure centre are— (i) the unit record number of the patient; (ii) the full name of the patient; (iii) the sex of the patient; (iv) the address and telephone number of the patient; (v) the patient's date of birth; (vi) the date of his or her admission and discharge; (vii) the status of the patient at discharge; (viii) if the patient is transferred to another health service establishment or health care agency, the name of that establishment or agency and the reason for the transfer; and (b) the prescribed manner in which the prescribed particulars are to be kept is in writing; and (c) the prescribed period for which the particulars are to be retained is 7 years. Division 2—Staff Register and Records r. 31 -- 23 of 49 -- S.R. No. 170/2001 Health Services (Private Hospitals and Day Procedure Centres) (Interim) Regulations 2001 20 32. Staff register For the purposes of section 109(1) of the Act— (a) the prescribed particulars of staff employed in a private hospital or day procedure centre are— (i) the full name of every member of the nursing and other health professional staff responsible for the care and treatment of patients; (ii) the date of birth of every such member; (iii) the designation of every such member; (iv) the qualifications of every such member; (v) if applicable, the registration number of every such member; and (b) the prescribed manner in which the prescribed particulars are to be kept is in writing; and (c) the prescribed period for which the particulars are to be retained is 2 years. Division 3—Other Registers 33. Operation Theatre Register (1) The proprietor of a private hospital or day procedure centre at which surgical health services or specialty health services for the provision of endoscopy may be carried on must ensure that an Operation Theatre Register that complies with sub-regulation (2) is kept at the hospital or centre. Penalty: 30 penalty units. (2) An Operation Theatre Register must be in writing and contain the following information with r. 32 -- 24 of 49 -- S.R. No. 170/2001 Health Services (Private Hospitals and Day Procedure Centres) (Interim) Regulations 2001 21 respect to each procedure performed at the hospital or centre— (a) the date and time of the procedure; (b) the unit record number of the patient; (c) the full name of the patient, his or her sex and date of birth; (d) the nature of the procedure; (e) the name of the health practitioner undertaking the procedure and assistant (if any); (f) the name of the anaesthetist and assistant (if any); (g) the names of attending theatre staff; (h) any remarks concerning the outcome of the procedure; (i) the anaesthetic administered; (j) any anaesthetic or procedural complications encountered. (3) The proprietor of a private hospital or day procedure centre must retain an Operation Theatre Register for at least 7 years after the date of the last entry. Penalty: 30 penalty units. 34. Birth register (1) The proprietor of a private hospital in which speciality health services for the provision of obstetrics may be carried on must ensure that a Birth Register that complies with sub-regulation (2) is kept at the hospital. Penalty: 30 penalty units. r. 34 -- 25 of 49 -- S.R. No. 170/2001 Health Services (Private Hospitals and Day Procedure Centres) (Interim) Regulations 2001 22 (2) A Birth Register must be in writing and contain the following information with respect to each birth at the hospital— (a) the date and time of the birth; (b) the full name of the mother; (c) the unit record number of the mother; (d) the sex of the infant; (e) the names of all health care personnel in attendance at the birth. (3) The proprietor of a private hospital must retain a Birth Register for at least 25 years after the date of the last entry. Penalty: 30 penalty units. _______________ r. 34 -- 26 of 49 -- S.R. No. 170/2001 Health Services (Private Hospitals and Day Procedure Centres) (Interim) Regulations 2001 23 PART 9—PREMISES AND EQUIPMENT 35. Identification of rooms The proprietor of a private hospital or day procedure centre must ensure that each room in which beds or recovery chairs are provided for the accommodation of patients is clearly identified at the entrance to that room by a sign stating— (a) the letter or number of that room; and (b) the number of beds and recovery chairs ordinarily in that room. Penalty: 10 penalty units. 36. Communications (1) The proprietor of a private hospital or day procedure centre must ensure that an effective electronic communication system that complies with sub-regulation (2) is provided and kept operational at the hospital or centre. Penalty: 60 penalty units. (2) An electronic communication system must— (a) enable patients and staff to summon assistance; and (b) enable calls to be made from— (i) each bed; (ii) any recovery chair in a recovery room; (iii) each toilet, shower or bath or other facility used or likely to be used by patients; (iv) any common room, recreational or rest area or other place where patient care is provided. r. 35 -- 27 of 49 -- S.R. No. 170/2001 Health Services (Private Hospitals and Day Procedure Centres) (Interim) Regulations 2001 24 37. Prevention of scalding The proprietor of a private hospital or day procedure centre must ensure that a system or mechanism to avoid the risk of scalding is installed to control the outlet temperature of hot water to every bath, shower or hand basin used by a patient. Penalty: 50 penalty units. 38. Repair and cleanliness of premises The proprietor of a private hospital or day procedure centre must ensure that the premises at which the hospital or centre is carried on are kept— (a) in a clean and hygienic condition; and (b) in a proper state of repair; and (c) free of hazards or the accumulation of materials which may become offensive, injurious to health or likely to facilitate the outbreak of fire. Penalty: 80 penalty units. 39. Suitability and cleanliness of facilities, equipment etc. The proprietor of a private hospital or day procedure centre must ensure that facilities, equipment, furnishings and fittings at the private hospital or day procedure centre are— (a) suitable for the kind or kinds of health services being provided by the hospital or centre; and (b) kept in a proper state of repair and maintained in good working order; and (c) kept in a clean and hygienic condition. Penalty: 80 penalty units. r. 37 -- 28 of 49 -- S.R. No. 170/2001 Health Services (Private Hospitals and Day Procedure Centres) (Interim) Regulations 2001 25 _______________ -- 29 of 49 -- S.R. No. 170/2001 Health Services (Private Hospitals and Day Procedure Centres) (Interim) Regulations 2001 26 PART 10—INFECTION CONTROL 40. Infection Control Management Plans If the proprietor of a private hospital or day procedure centre implements a plan providing for the prevention and control of infection at the hospital or centre, the proprietor must, as soon as practicable after implementing the plan, notify the Secretary in writing— (a) that the proprietor has implemented such a plan; and (b) the name and telephone number of the person responsible for implementation of the plan. Penalty: 20 penalty units. _______________ r. 40 -- 30 of 49 -- S.R. No. 170/2001 Health Services (Private Hospitals and Day Procedure Centres) (Interim) Regulations 2001 27 PART 11—DISPLAY OF INFORMATION 41. Information to be prominently displayed The proprietor of a private hospital or day procedure centre must display in a prominent position at the entrance foyer or reception area of the hospital or centre— (a) the certificate of registration of the premises as a private hospital or day procedure centre or a full size copy of the certificate; and (b) the name of the Director of Nursing; and (c) if— (i) a Chief Executive Officer; or (ii) a Medical Director; or (iii) a Complaints Liaison Officer— (however titled) has been appointed, the name of the Chief Executive Officer, Medical Director or Complaints Liaison Officer. Penalty: 20 penalty units. _______________ r. 41 -- 31 of 49 -- S.R. No. 170/2001 Health Services (Private Hospitals and Day Procedure Centres) (Interim) Regulations 2001 28 PART 12—STATISTICAL RETURNS 42. Information to be forwarded to the Secretary (1) The proprietor of a private hospital or day procedure centre must forward to the Secretary for each month— (a) the following information relating to each patient— (i) unit record number; (ii) campus code; (iii) admission date, time, and type of admission; (iv) admission source; (v) date of birth and country of birth; (vi) indigenous status; (vii) postcode and locality; (viii) marital status and sex; (ix) type of care received and procedures carried out; (x) health fund and level of insurance; (xi) Medicare number; (xii) account classification; (xiii) separation date and type; (xiv) transfer source; (xv) date of discharge or death; (xvi) discharge destination; (xvii) final diagnosis on discharge; and r. 42 -- 32 of 49 -- S.R. No. 170/2001 Health Services (Private Hospitals and Day Procedure Centres) (Interim) Regulations 2001 29 (b) the following information relating to occupancy rates— (i) the number of separations; (ii) the number of same day separations; (iii) the number of bed days; (iv) the average number of available beds. Penalty: 40 penalty units. (2) A proprietor must ensure that the information to be forwarded under sub-regulation (1)— (a) is forwarded to the Secretary not later than 17 days after the end of the month to which the information relates; and (b) does not include the name and address of a patient. Penalty: 40 penalty units. _______________ r. 42 -- 33 of 49 -- S.R. No. 170/2001 Health Services (Private Hospitals and Day Procedure Centres) (Interim) Regulations 2001 30 PART 13—ENFORCEMENT 43. Form of notice of seizure For the purposes of section 147(2)(a) of the Act, the prescribed form of a notice of seizure is in the form of Schedule 7. _______________ r. 43 -- 34 of 49 -- S.R. No. 170/2001 Health Services (Private Hospitals and Day Procedure Centres) (Interim) Regulations 2001 31 PART 14—TRANSITIONAL PROVISIONS 44. References to prescribed kinds of health services in certificates of registration of private hospitals (1) On and from the commencement of these Regulations, a reference to Medical health services in a certificate of registration of a private hospital is to be read as a reference to all of the following kinds of health service— (a) medical health services; and (b) speciality health services for the provision of renal dialysis; and (c) speciality health services for the provision of oncology (chemotherapy); and (d) speciality health services for the provision of endoscopy. (2) On and from the commencement of these Regulations, a reference to Obstetric health services in a certificate of registration of a private hospital is to be read as a reference to both of the following kinds of health service— (a) speciality health services for the provision of obstetrics; and (b) speciality health services for the provision of neonatal services. (3) On and from the commencement of these Regulations, a reference to the kinds of health services ("the first mentioned health services") specified in column 1 of the Table in a certificate of registration of a private hospital is to be read as a reference to the kinds of health services specified in column 2 opposite the first mentioned health services. Table r. 44 -- 35 of 49 -- S.R. No. 170/2001 Health Services (Private Hospitals and Day Procedure Centres) (Interim) Regulations 2001 32 Column 1 Column 2 Surgical surgical health services Emergency Medicine speciality health services for the provision of emergency medicine Coronary Care speciality health services for the provision of cardiac services Intensive Care speciality health services for the provision of intensive care Radiation Oncology speciality health services for the provision of oncology (radiation therapy) Organ Transplantation surgical health services Infertility Treatment speciality health services for the provision of fertilisation procedures Psychiatric speciality health services for the provision of mental health services Specialist Rehabilitation speciality health services for the provision of specialist rehabilitation services 45. References to prescribed kinds of health services in certificates of registration of day procedure centres (1) Subject to sub-regulation (2), on and from the commencement of these Regulations, a reference to the kinds of health services ("the first mentioned health services") specified in column 1 of the Table in a certificate of registration of a day procedure centre is to be read as a reference to the kinds of health services specified in column 2 opposite the first mentioned health services. Table r. 45 -- 36 of 49 -- S.R. No. 170/2001 Health Services (Private Hospitals and Day Procedure Centres) (Interim) Regulations 2001 33 Column 1 Column 2 Medical medical health services Surgical surgical health services Endoscopy speciality health services for the provision of endoscopy Infertility Treatment speciality health services for the provision of fertilisation procedures (2) On and from the commencement of these Regulations, a reference to Medical health services in a certificate of registration of a day procedure centre registered subject to the condition that the centre provide only renal dialysis services is to be read as a reference to speciality health services for the provision of renal dialysis. 46. Operation of Interpretation of Legislation Act 1984 not affected Regulations 44 and 45 do not affect or take away from the Interpretation of Legislation Act 1984. _______________ r. 46 -- 37 of 49 -- S.R. No. 170/2001 Health Services (Private Hospitals and Day Procedure Centres) (Interim) Regulations 2001 34 PART 15—EXPIRY OF REGULATIONS 47. Expiry of regulations These Regulations expire on 26 September 2002. __________________ r. 47 -- 38 of 49 -- S.R. No. 170/2001 Health Services (Private Hospitals and Day Procedure Centres) (Interim) Regulations 2001 35 SCHEDULES SCHEDULE 1 Regulation 4 REGULATIONS REVOKED S.R. No. Title 15/1991 Health Services (Private Hospitals and Day Procedure Centres) Regulations 1991 168/1991 Health Services (Private Hospitals and Day Procedure Centres) (Fees) Regulations 1991 175/1991 Health Services (Private Hospitals and Day Procedure Centres) (Amendment) Regulations 1991 291/1992 Health Services (Private Hospitals and Day Procedure Centres) (Amendment) Regulations 1992 309/1992 Health Services (Private Hospitals and Day Procedure Centres) (Statistics) Regulations 1992 160/1993 Health Services (Private Hospitals and Day Procedure Centres) (Statistics) Regulations 1993 159/1996 Health Services (Private Hospitals and Day Procedure Centres) (Amendment) Regulations 1996 10/1998 Health Services (Private Hospitals and Day Procedure Centres) (Amendment) Regulations 1998 ————————— Sch. 1 -- 39 of 49 -- S.R. No. 170/2001 Health Services (Private Hospitals and Day Procedure Centres) (Interim) Regulations 2001 36 SCHEDULE 2 Regulation 8 APPLICATION FOR APPROVAL IN PRINCIPLE OF A PRIVATE HOSPITAL OR DAY PROCEDURE CENTRE SECTION A 1. Full name of applicant: 2. Postal address of applicant: 3. The name, telephone and facsimile number and email address of a contact person for the purposes of the application: 4. If the applicant is a body corporate, the name and address of a director or officer of the body corporate who may exercise control over the private hospital or day procedure centre: SECTION B 1. The kind of health service establishment to which the application relates is: *a private hospital *a day procedure centre 2. The name (or proposed name) of the hospital or centre, its street address and the municipal district in which the hospital or centre is, or is to be, located: 3. This application is for an approval in principle for: *the use of particular land or premises as a private hospital or a day procedure centre; *premises proposed to be constructed for use as a private hospital or day procedure centre; *alterations or extensions to premises used, or proposed to be used, as a private hospital or day procedure centre; *a variation of the registration of a private hospital or day procedure centre to alter the number of beds to which the registration relates; *a variation of the registration of a private hospital or day procedure centre to vary the kinds of health services that may be carried on on the premises; Sch. 2 -- 40 of 49 -- S.R. No. 170/2001 Health Services (Private Hospitals and Day Procedure Centres) (Interim) Regulations 2001 37 *a variation of the registration of a private hospital or day procedure centre to vary the number of beds that may be used for the specified kinds of prescribed health services. SECTION C In accordance with section 70(3) of the Health Services Act 1988, I have given notice in writing of this application to any other person who has an interest in the land as owner or lessee. Signature of applicant: Name of each signatory (in BLOCK LETTERS): Date: *(Strike out whichever does not apply) ————————— Sch. 2 -- 41 of 49 -- S.R. No. 170/2001 Health Services (Private Hospitals and Day Procedure Centres) (Interim) Regulations 2001 38 SCHEDULE 3 Regulation 9 APPLICATION FOR VARIATION OR TRANSFER OF CERTIFICATE OF APPROVAL IN PRINCIPLE OF A PRIVATE HOSPITAL OR DAY PROCEDURE CENTRE SECTION A 1. Full name of applicant: 2. Postal address of applicant: 3. The name, telephone and facsimile number and email address of a contact person for the purposes of the application: SECTION B 1. The kind of health service establishment to which the application relates is: *a private hospital *a day procedure centre 2. The name (or proposed name) of the hospital or centre, its street address and the municipal district in which the hospital or centre is, or is to be, located: 3. This application is for approval in principle for: *variation of the certificate of approval in principle or any condition to which it is subject; or *transfer of the certificate of approval in principle to another person. 4. Reason for the proposed variation: 5. If the application relates to the transfer of the certificate to another person— (a) the name of that person; (b) the postal address of that person; and (c) that person's telephone and facsimile number and email address. 7. If the transferee is a body corporate, the name and address of any director or officer of the body corporate who may exercise control over the private hospital or day procedure centre: SECTION C Sch. 3 -- 42 of 49 -- S.R. No. 170/2001 Health Services (Private Hospitals and Day Procedure Centres) (Interim) Regulations 2001 39 In accordance with section 70(3) of the Health Services Act 1988, I have given notice in writing of this application to any other person who has an interest in the land as owner or lessee. Signature of applicant: Name of each signatory (in BLOCK LETTERS): Date: *(Strike out whichever does not apply) ————————— Sch. 3 -- 43 of 49 -- S.R. No. 170/2001 Health Services (Private Hospitals and Day Procedure Centres) (Interim) Regulations 2001 40 SCHEDULE 4 Regulation 10 APPLICATION FOR THE REGISTRATION OF A PRIVATE HOSPITAL OR DAY PROCEDURE CENTRE SECTION A 1. Full name of applicant: 2. Postal address of applicant: 3. The name, telephone and facsimile number and email address of a contact person for the purposes of the application: 4. If the applicant is a body corporate, the name and address of any director or officer of the body corporate who may exercise control over the private hospital or day procedure centre: SECTION B 1. The kind of health service establishment for which registration is sought: *a private hospital *a day procedure centre 2. The proposed name of the hospital or centre, its street address and the municipal district in which the hospital or centre is located: 3. The proposed number of beds: 4. The kind or kinds of health service for which registration is being sought: *Medical health services *Surgical health services *Speciality health services for the provision of— *Cardiac Services *Emergency Medicine *Endoscopy *Fertilisation Procedures *Intensive Care *Mental Health *Neonatal Services Sch. 4 -- 44 of 49 -- S.R. No. 170/2001 Health Services (Private Hospitals and Day Procedure Centres) (Interim) Regulations 2001 41 *Obstetrics *Oncology (Chemotherapy) *Oncology (Radiation Therapy) *Renal Dialysis *Specialist Rehabilitation 5. Is the applicant the owner or tenant of the premises? 6. If the applicant is not the owner, please state the name and address of the owner: Signature of applicant: Name of each signatory (in BLOCK LETTERS): Date: *(Strike out whichever does not apply) ————————— Sch. 4 -- 45 of 49 -- S.R. No. 170/2001 Health Services (Private Hospitals and Day Procedure Centres) (Interim) Regulations 2001 42 SCHEDULE 5 Regulation 11 APPLICATION FOR THE RENEWAL OF REGISTRATION OF A PRIVATE HOSPITAL OR DAY PROCEDURE CENTRE SECTION A 1. Full name of applicant: 2. Postal address of applicant: 3. The name, telephone and facsimile number and email address of a contact person for the purposes of the application: 4. If the applicant is a body corporate, the name and address of any director or officer of the body corporate who may exercise control over the private hospital or day procedure centre: SECTION B 1. The name of the hospital or centre and its street address: 2. Date of expiry of current registration: SECTION C In accordance with section 88(3) of the Health Services Act 1988, I have given notice in writing of this application to any other person who has an interest in the land as owner or lessee. Signature of applicant: Name of each signatory (in BLOCK LETTERS): Date: ————————— Sch. 5 -- 46 of 49 -- S.R. No. 170/2001 Health Services (Private Hospitals and Day Procedure Centres) (Interim) Regulations 2001 43 SCHEDULE 6 Regulation 12 APPLICATION FOR THE VARIATION OF THE REGISTRATION OF A PRIVATE HOSPITAL OR DAY PROCEDURE CENTRE SECTION A 1. Full name of applicant: 2. Postal address of applicant: 3. The name, telephone and facsimile number and email address of a contact person for the purposes of the application: SECTION B 1. The nature of the variation sought: *change of the kind of establishment to which the registration applies *transfer of the certificate of registration to another person *variation of any condition to which the registration is subject *an alteration in the number of beds to which the registration is subject *variation of the kinds of prescribed health services that may be carried on on the premises *variation of the number of beds that may be used for specified kinds of prescribed health services 2. Details of the variation sought: 3. If the application relates to the transfer of the certificate of registration to another person, the name and postal address of the proposed transferee. Sch. 6 -- 47 of 49 -- S.R. No. 170/2001 Health Services (Private Hospitals and Day Procedure Centres) (Interim) Regulations 2001 44 SECTION C In accordance with section 92(3) of the Health Services Act 1988, I have given notice in writing of this application to any other person who has an interest in the land as owner or lessee. Signature of applicant: Name of each signatory (in BLOCK LETTERS): Date: *(Strike out whichever does not apply) ————————— Sch. 6 -- 48 of 49 -- S.R. No. 170/2001 Health Services (Private Hospitals and Day Procedure Centres) (Interim) Regulations 2001 45 SCHEDULE 7 Regulation 43 Health Services (Private Hospitals and Day Procedure Centres) Regulations 2001 NOTICE OF SEIZURE OF DOCUMENT OR THING FROM A PRIVATE HOSPITAL OR DAY PROCEDURE CENTRE Name of private hospital or day procedure centre: Address of private hospital or day procedure centre: I, being an authorised officer of the Department, am (print full name) seizing under section 147 of the Health Services Act 1988 the document or thing listed below. The seized document or thing will be returned to the place of seizure within 48 hours from the time of seizure. DOCUMENT OR THING SEIZED 1. 2. 3. Signed: Date: Time: (Authorised Officer) Signed: Date: Time: (Proprietor/staff member) DOCUMENT OR THING RETURNED Signed: Date: Time: (Authorised Officer) Signed: Date: Time: (Proprietor/staff member) ═══════════════ Sch. 7 -- 49 of 49 --