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MP 0071/17 - Aboriginal Health and Wellbeing Policy

Effective: 3 October 2017 - 3 October 2020

The Aboriginal Health and Wellbeing Policy specifies the mandatory policy requirements that all Health Service Providers (HSPs) must comply with to strengthen and embed the approach to improve the health and wellbeing of Aboriginal people living in Western Australia.

Source: Department of Health - Policy Frameworks

OD 0411/12 - WA Health Research Governance Policy and Procedures

Effective: 19 November 2012 - 19 November 2017

The WA Health Research Governance Policy and Procedures 2012 has been implemented to ensure that all human research conducted within WA Health meets the highest ethical, scientific, regulatory and professional governance standards; and complies with relevant national and State legislation, guidelines and codes of conduct. The policy establishes the research governance framework through which research is reviewed, approved, conducted and monitored in an effective and efficient manner.

Source: Department of Health - Policy Frameworks

IC 0228/15 - Intellectual Property Management in WA Health

Effective: 11 October 2015 - 11 October 2020

The Circular informs WA Health staff of the State government’s intellectual property (IP) policy and specific IP management and reporting procedures in WA Health.

Source: Department of Health - Policy Frameworks

MP 0081/18 - Western Australian Government Medical Services Schedules Policy

Effective: 30 November 2019 - 29 November 2020

This policy establishes the Western Australian Government Medical Services Schedules which prescribe medical procedures and the corresponding fees payable to a Contracted Medical Practitioner engaged under a Fee for Service Medical Services Agreement.

Source: Department of Health - Policy Frameworks

MP 0083/18 - Disputes About the Professional Conduct of a Contracted Medical Practitioner Engaged Under a Medical Services Agreement Policy

Effective: 8 May 2018 - 29 April 2022

This Policy establishes the process by which each Health Service Provider will exercise its rights and obligations to enforce the terms of a Medical Services Agreement relating to the professional conduct of a Contracted Medical Practitioner. The Policy will ensure Contracted Medical Practitioners are afforded procedural fairness where disputes arise.

Source: Department of Health - Policy Frameworks

MP 0004/16 - Procurement Development and Management System Policy

Effective: 4 October 2017

The Procurement Development and Management System Policy (PDMS) mandates the use of the PDMS by Health Service Providers when undertaking procurement and contract management.

Source: Department of Health - Policy Frameworks

MP 0033/16 - Recruitment, Selection and Appointment Policy

Effective: 30 June 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

OD 0275/10 - Criminal Record Screening Policy and Guidelines

Effective: 30 March 2010 - 30 March 2012

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

Source: Department of Health - Policy Frameworks

OD 0590/15 - Recording and Reporting of Clinical Care Commencement Date and Time in the Emergency Department

Effective: 31 July 2014 - 31 July 2019

The policy for Recording and Reporting of Clinical Care Commencement Date and Time in the Emergency Department ensures that waiting times for Emergency Department care are more accurately reported and enables Western Australia to meet its National Minimum Data Set (NMDS) obligations.

Source: Department of Health - Policy Frameworks

MP 0050/17 - Elective Surgery Access and Waiting List Management Policy

Effective: 3 April 2017 - 19 February 2022

The Elective Surgery Access and Waiting List Management Policy aims to ensure a consistent, patient-focused approach to the efficient, timely and equitable provision of elective surgery services.

Source: Department of Health - Policy Frameworks

MP 0036/16 - Data Reporting Requirements for Episodes of Admitted Maintenance Care Policy

Effective: 30 June 2017 - 29 June 2020

The purpose of this is policy to advise applicable health service providers and contracted health entities of the requirement to capture and report data on Resource Utilisation Groups - Activities of Daily Living for patients admitted to hospital with a care type of Maintenance Care.

Source: Department of Health - Policy Frameworks

MP 0049/17 - Women requesting immersion in water for pain management during labour and/or birth policy

Effective: 2 April 2017 - 2 April 2022

This policy is to assist, educate and enable midwives and medical practitioners to care safely for healthy pregnant women who choose to use the bath and / or pool during all stages of their labour and birth.

Source: Department of Health - Policy Frameworks

MP 0075/17 - Health Executive Policy

Effective: 10 December 2017 - 10 December 2020

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 0044/17 - Clinical Academic Funding Policy

Effective: 22 December 2016 - 21 December 2018

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

OD 0454/13 - WA Health Working with Children Check Policy

Effective: 31 August 2013 - 31 August 2016

The Working with Children (WWC) Check Policy and Procedure provides for a number of new elements including: the establishment of a five step process for all persons requiring a WWC check in WA Health improvements to the WWC position flagging process for WA Health employees development of a WWC process flowchart for employees.

Source: Department of Health - Policy Frameworks

OD 0353/11 - WA Health Policy: Provision of Aids, Equipment and Home Modifications

Effective: 31 December 2010 - 30 December 2016

The purpose of this document is to provide guidance to hospitals and health services with respect to the provision of aids, equipment and home modifications by WA Health for WA Health patients.

Source: Department of Health - Policy Frameworks

OD 0529/14 - Storage and recording of propofol

Effective: 31 May 2014 - 31 May 2024

This Operational Directive outlines the storage and recording requirements for propofol

Source: Department of Health - Policy Frameworks

MP 0039/16 - Cannabis-based Products for Medicinal Use

Effective: 31 October 2016 - 31 October 2018

The Cannabis-based Products for Medicinal Use Policy provides regulatory, research and governance guidance to health services and health practitioners in relation to medicinal cannabis.

Source: Department of Health - Policy Frameworks

MP 0073/17 - Emergency Management Policy

Effective: 20 November 2017 - 20 November 2020

The Emergency Management Policy sets the minimum standards to ensure that the WA Health System has suitable arrangements in place to ensure adequate preparation for, responding to, and recovering from emergencies, disasters, and other disruptive events. A number of Operational Directives listed within the policy will be rescinded and replaced by this policy.

Source: Department of Health - Policy Frameworks

OD 0651/16 - Clinical and Related Waste Management Policy

Effective: 31 December 2015 - 30 December 2021

The OD provides the minimum requirements for the management of clinical and related waste generated by WA Health facilities.

Source: Department of Health - Policy Frameworks

OD 0553/14 - Provision of Sterile Needles and Syringes from Rural and Regional Hospitals to People Who Inject Drugs

Effective: 3 August 2014 - 3 August 2019

This operational directive provides guidance to needle and syringe program health sites which fall under the mandate, as a means to provide access to sterile needles and syringes and support safer injecting practices in rural and regional areas. The intended health outcome is the prevention of blood-borne virus transmission and other injecting-related harms in rural and regional areas.

Source: Department of Health - Policy Frameworks

OD 0554/14 - The Operation and Maintenance of Needle and Syringe Vending Machines (NSVMS)

Effective: 3 August 2014 - 3 August 2019

This operational directive applies to all individual sites invited by the Sexual Health and Blood-borne Virus Program (SHBBVP) to install and operate a needle and syringe vending machine (NSVM).

Source: Department of Health - Policy Frameworks

OD 0394/12 - Policy for Health Care Workers known to be Infected with Blood-borne Viruses - No Longer Applicable - Rescinded 7 May 2020

Effective: 25 September 2012 - 6 May 2020

The purpose of this operational directive is to provide the Western Australian Department of Health’s policy to minimise the risk of transmission of a BBV from a HCW to a patient/client, a framework for managing and supporting HCWs with BBV infections and remind all HCWs of the need to be aware of their BBV status and risk, and to seek voluntary serological testing on a basis relative to their risk.

Source: Department of Health - Policy Frameworks

OD 0355/11 - Vaccine Cold Chain Guidelines

Effective: 13 November 2011 - 13 November 2011

This document contains policies and guidelines that apply to all Western Australian Public and Community Health Services providing immunisation services in WA. The cold chain is a system of transporting and storing vaccines within a recommended temperature range.

Source: Department of Health - Policy Frameworks

OD 0342/11 - Tuberculosis and Health Care Workers

Effective: 5 July 2011 - 5 July 2016

This document addresses the assessment for TB risk of students and employees in health-related work and recommends minimum precautions that health care facilities (both public and private) in Western Australia should undertake to minimise the risk of TB transmission within the health care system.

Source: Department of Health - Policy Frameworks

OD 0399/12 - Infection Prevention and Control of Carbapenem-resistant Enterobacteriaceae (CRE) in Western Australian Healthcare Facilities

Effective: 21 October 2017 - 21 October 2017

This operational directive describes the minimum requirements for the routine screening and the subsequent management of patients identified with Carbapenem-resistant Enterobacteriaceae (CRE) in WA healthcare facilities (HCFs).

Source: Department of Health - Policy Frameworks

OD 0404/12 - Prevention of Cross Infection in Diagnostic Ultrasound

Effective: 6 November 2012 - 6 November 2017

An updated version of this operational directive to ensure alignment with current National standards in cleaning and disinfecting ultrasound transducers in WA.

Source: Department of Health - Policy Frameworks

OD 0646/16 - Infection Prevention and Control of Vancomycin-Resistant Enterococci in Western Australian Healthcare Facilities

Effective: 12 November 2015 - 30 November 2020

This Operational Directive (OD) describes the minimum requirements for the routine screening and subsequent management of people identified with vancomycin-resistant enterococci (VRE) in Western Australian (WA) healthcare facilities (HCFs).

Source: Department of Health - Policy Frameworks

OD 0369/12 - Reprocessing of Infant Feeding Equipment in Western Australian Healthcare Facilities

Effective: 24 September 2011 - 24 September 2016

Updates existing Operational Directive OP1739/04 with current evidence-based research on reprocessing infant feeding equipment that is reused by multiple patients.

Source: Department of Health - Policy Frameworks

OD 0478/13 - Infection Prevention and Control of Methicillin Resistant Staphylococcus aureus (MRSA) in Western Australian Healthcare Facilities (HCFs)

Effective: 14 November 2013 - 14 November 2018

Describes the minimum requirements for the screening and managing of MRSA and the prevention of MRSA healthcare associated infections in WA HCFs.

Source: Department of Health - Policy Frameworks

MP 0095 - Clinical Handover Policy

Effective: 24 October 2018 - 17 October 2020

The objective of the Clinical Handover Policy (the Policy) is to ensure clinical handover is conducted in a similarly structured manner across WA Health Service Providers. The requirements of this Policy are supported by the National Safety and Quality Health Service Standards (2nd ed.), Standard 6 Communicating for Safety Standard.

Source: Department of Health - Policy Frameworks

MP 0076/18 - Cardiotocography Monitoring Policy

Effective: 9 January 2018 - 9 January 2022

The Cardiotocography Monitoring Policy mandates state-wide minimum requirements for cardiotocography (CTG) monitoring practices and staff education for Western Australian publicly funded maternity services.

Source: Department of Health - Policy Frameworks

MP 0078/18 - Medication Chart Policy

Effective: 18 April 2018 - 30 March 2021

The WA Medication Chart Policy mandates the implementation of a suite of standardised medication charts for prescribing and administration of medications for inpatient care.

Source: Department of Health - Policy Frameworks

OD 0410/12 - Implementation of the AHSSQA Scheme and NSQHS Standards in Western Australia - No Longer Applicable - Superseded by MP0134/20 - 6 May 2020

Effective: 31 December 2012 - 5 May 2020

This Operational Directive describes the implementation in Western Australia (WA) of the accreditation process for the Australian Health Service Safety and Quality Accreditation (AHSSQA) Scheme.

Source: Department of Health - Policy Frameworks

OD 0592/15 - WA Open Disclosure Policy

Effective: 3 March 2015 - 3 March 2019

WA Health is dedicated and committed to providing safe and high quality health care to all patients. However, despite the best intentions of our highly skilled and committed health professionals occasionally things go wrong. When a patient is harmed in a WA hospital, there is a professional and ethical responsibility on the part of health practitioners to communicate with the patient about the clinical incident that has occurred. Open disclosure describes the way clinicians communicate with and support patients, and their family and carers, who have experienced harm during health care. Open disclosure is a patient right which is anchored in professional ethics, considered good clinical practice, and is part of the care continuum.

Source: Department of Health - Policy Frameworks

MP 0053/17 - WA Clinical Alert MedAlert Policy

Effective: 13 June 2017 - 31 May 2021

The WA Clinical Alert (MedAlert) Policy (the Policy) mandates the implementation of a standardised process of communicating clinical alerts across the WA health system using the PAS (Patient Administration System) for example TOPAS, webPAS, or HCare.

Source: Department of Health - Policy Frameworks

MP 0067/17 - Information Security Policy

Effective: 8 August 2018 - 12 September 2020

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 0061/17 - Data Reporting Requirements for Episodes of Admitted Palliative Care Policy

Effective: 1 August 2017 - 29 June 2021

The purpose of this Policy is to advise applicable health services of the requirement to capture and report data on Phase of Care and Resource Utilisation Groups - Activities of Daily Living (RUG-ADL) data for patients admitted to hospital with a care type of Palliative Care.

Source: Department of Health - Policy Frameworks

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

Effective: 9 May 2018 - 9 May 2021

The purpose of this policy is to ensure health professionals are credentialed with a defined scope of clinical practice to support safe and high quality health care within the Western Australian public health system. The high level overarching policy outlines the minimum requirements of credentialing and defining scope of clinical practice for each health profession stream.

Source: Department of Health - Policy Frameworks

OD 0559/14 - Information Storage and Disposal Policy

Effective: 20 August 2014 - 20 August 2019

The Information Storage and Disposal Policy ensures all WA Health’s information is stored, classified, secured and accessible in a consistent and timely manner.

Source: Department of Health - Policy Frameworks

MP 0057/17 - Data Quality Policy

Effective: 30 June 2017 - 30 June 2022

High quality data in the health sector is needed to support patient care, funding, management, planning, monitoring, reporting and strategic decision making.

Source: Department of Health - Policy Frameworks

OD 0366/12 - Statutory Delegations - Delegation of Powers and Duties Pursuant to Legislation - No Longer Applicable - Rescinded 7 April 2020

Effective: 14 March 2012 - 6 April 2020

This Operational Directive relates to the delegation of statutory powers and duties contained in various legislation and sets out the process to be followed for the drafting and approval of instruments of delegation.

Source: Department of Health - Policy Frameworks

OD 0201/09 - Clinical Information Audit Program – Hospital Activity Reporting

Effective: 30 June 2009 - 29 June 2014

The purpose of this Directive is to prescribe the program for auditing the clinical information used to measure and report hospital activity

Source: Department of Health - Policy Frameworks

OD 0496/14 - DVA Patient Election Form

Effective: 21 January 2014 - 21 January 2019

This operational directive outlines the requirement for all Department of Veterans’ Affairs (DVA) Entitled Persons to sign the DVA Patient Election Form on admission or during the course of their hospital stay.

Source: Department of Health - Policy Frameworks

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

Effective: 30 June 2016 - 29 June 2021

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

OD 0499/14 - Inter-Hospital Transport Arrangements for DVA Entitled Persons

Effective: 13 May 2014 - 13 May 2019

This operational directive outlines the inter-hospital transport arrangements for the Department of Veterans’ Affairs (DVA) Entitled Persons.

Source: Department of Health - Policy Frameworks

MP 0022/16 - Legal Arrangements Policy

Effective: 31 May 2016 - 29 June 2018

This policy is to ensure HSPs are informed of the procedures which must be adopted from 1 July 2016 in relation to legal documents following the enactment of the Health Services Act 2016.

Source: Department of Health - Policy Frameworks

IC 0179/14 - Guidelines for the Transmission of Personal Health Information by Facsimile Machine

Effective: 13 February 2014 - 13 February 2019

The Guidelines for the Transmission of Personal Health Information by Facsimile Machine (Guidelines) are intended as a guide to WA Health staff using the fax machine to transfer personal health information.

Source: Department of Health - Policy Frameworks