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

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

Specialist Outpatient Services Access Policy

Effective: 2 June 2014

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

Source: Department of Health - Policy Frameworks

Central Referral Allocation - Outpatient Services

Effective: 24 February 2014

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

Source: Department of Health - Policy Frameworks

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

Effective: 3 April 2017

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

Guidelines for Protecting Children 2015-Rescinded 14 March 2022

Effective: 1 June 2015

The new Guidelines, which include the WA Health Protection of Children Policy, are the primary initial resource to support all WA Health employees to comply with their legal and professional responsibilities in protection of children matters.

Source: Department of Health - Policy Frameworks

Ambulance Handover in Emergency Departments

Effective: 1 July 2015

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

Source: Department of Health - Policy Frameworks

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

Effective: 1 December 2011

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

Source: Department of Health - Policy Frameworks

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

Effective: 7 December 2021

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

Source: Department of Health - Policy Frameworks

MP 0023/16 - Obtaining Legal Advice

Effective: 1 July 2016

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

Source: Department of Health - Policy Frameworks

MP 0071/17 - Aboriginal Health and Wellbeing Policy

Effective: 17 February 2022

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

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

Effective: 1 July 2016

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

Source: Department of Health - Policy Frameworks

MP 0018/16 - Commercial Activities Policy

Effective: 1 July 2016

This mandatory policy is to ensure that HSPs seek legal advice prior to engaging in a Commercial Activity pursuant to section 35 of the Health Services Act 2016.

Source: Department of Health - Policy Frameworks

MP 0051/17 - WA Health System Language Services Policy

Effective: 3 April 2017

The WA Health Language Services Policy ensures the provision of interpreting and translating services to facilitate effective and consumer- focused communication between consumers and carers and HSP staff, and promotes fundamental consumer rights such as access to high quality care, safety, respect, communication and participation.

Source: Department of Health - Policy Frameworks

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

Effective: 1 July 2016

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

Source: Department of Health - Policy Frameworks

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

Effective: 13 September 2017

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

Source: Department of Health - Policy Frameworks

MP 0067/17 - Information Security Policy

Effective: 9 August 2018

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

Source: Department of Health - Policy Frameworks

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

Effective: 18 October 2018

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

Source: Department of Health - Policy Frameworks

MP 0007/16 - WA Health Compliance Management Policy

Effective: 1 July 2016

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

Source: Department of Health - Policy Frameworks

MP 0008/16 - Internal Audit Policy

Effective: 1 July 2016

WA Health is committed to maintaining efficient and effective internal audit functions as required by the FMA through the provision of independent and objective assurance and consulting activities. This will assist WA Health accomplish its objectives by bringing a systematic and disciplined approach to evaluate and contribute to the improvement of risk management, control and governance processes.

Source: Department of Health - Policy Frameworks

MP 0009/16 - Monitoring of External Reviews Policy

Effective: 1 June 2016

The Principle of the Policy is to ensure that the Department CEO is provided with timely and useful information in regard to External Reviews to enable proper evaluation of the impact of Review outcomes on one or more HSP's or across the whole WA health system.

Source: Department of Health - Policy Frameworks

MP 0144/20 - Information Retention and Disposal Policy

Effective: 1 December 2020

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

Source: Department of Health - Policy Frameworks

MP 0057/17 - Data Quality Policy

Effective: 1 July 2017

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

MP 0146/20 - Information Classification Policy

Effective: 4 December 2020

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

Source: Department of Health - Policy Frameworks

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

Effective: 29 November 2021

The purpose of the Information Access, Use and Disclosure Policy is to facilitate lawful and appropriate information access, use and disclosure.

Source: Department of Health - Policy Frameworks

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

Effective: 30 June 2021

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

Source: Department of Health - Policy Frameworks

MP 0012/16 - Missing Person Policy

Effective: 1 July 2016

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

Source: Department of Health - Policy Frameworks

IC 0229/15 - Requirement for Notifications of Abortions Under the Health Act 1911

Effective: 1 September 2015 - 1 September 2020

This information circular advises medical practitioners on the legal requirement to notify abortions.

Source: Department of Health - Policy Frameworks

MP 0065/17 - Aboriginal Cultural eLearning Policy

Effective: 6 September 2017

The purpose of the Aboriginal Cultural eLearning (ACeL) Policy (Policy) is to build the cultural knowledge of the WA health system workforce and strengthen its capacity to provide health care that is culturally respectful and non-discriminatory.

Source: Department of Health - Policy Frameworks

MP 0097/18 - Aboriginal Workforce Policy

Effective: 22 November 2018

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

Source: Department of Health - Policy Frameworks

MP 0033/16 - Recruitment, Selection and Appointment Policy

Effective: 1 July 2016

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

Source: Department of Health - Policy Frameworks

MP 0048/17 - Centralised Intern Application and Allocation Policy

Effective: 7 February 2022

The PMCWA coordinates the centralised intern application process in Western Australia

Source: Department of Health - Policy Frameworks

Criminal Record Screening Policy and Guidelines

Effective: 31 March 2010

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

Source: Department of Health - Policy Frameworks

MP 0044/17 - Clinical Academic Funding Policy

Effective: 23 December 2016

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

Source: Department of Health - Policy Frameworks

WA Health Working with Children Check Policy

Effective: 1 September 2013

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

MP 0041/16 - Managing Unsatisfactory and Substandard Performance Policy with Explanatory Notes, PIP and Template Letters

Effective: 2 December 2016

The Managing Unsatisfactory and Substandard Performance Policy (Policy) is part of the Employment Policy Framework issued by the Department CEO pursuant to section 26 of the Health Services Act 2016 (HSA).

Source: Department of Health - Policy Frameworks

MP 0150/20 - Travelling Allowance: Categories of Accommodation Policy

Effective: 23 December 2020

The Travelling Allowance: Categories of Accommodation Policy sets out requirements in relation to the application of provisions pertaining to travelling allowances under the relevant Industrial Instruments.

Source: Department of Health - Policy Frameworks

MP 0123/19 - Salary Packaging Policy

Effective: 28 October 2019

Salary Packaging Policy

Source: Department of Health - Policy Frameworks

MP 0025/16 - Industrial Relations Policy

Effective: 1 July 2016

Industrial Relations Policy

Source: Department of Health - Policy Frameworks

MP 0100/18 - Management of Accrued Leave Policy

Effective: 22 November 2018

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

Source: Department of Health - Policy Frameworks

MP 0064/17 - Appointment of Interns and Progression to Resident Medical Officer Policy

Effective: 20 August 2017

The purpose of this Policy is to provide for the engagement of Interns and their subsequent successful transition to Resident Medical Officer (RMO) Yr 1 and Yr 2 for a fixed term period of three years.

Source: Department of Health - Policy Frameworks

MP 0082/18 - Classification Policy for WA Health System Classification Review Committee

Effective: 11 April 2018

Major amendment to MP 0082/18 v.1.0, revised version MP 0082/18 v.2.0

Source: Department of Health - Policy Frameworks

MP 0078/18 - Medication Chart Policy

Effective: 19 April 2018

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

MP 0122/19 - Clinical Incident Management Policy 2019

Effective: 1 November 2019

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

Source: Department of Health - Policy Frameworks

MP 0077/18 - Statewide Medicines Formulary Policy

Effective: 31 January 2018

The purpose of the Statewide Medicines Formulary (SMF) Policy (the policy) is to assist the delivery of optimal patient outcomes in an equitable manner through a single list of approved medicines.

Source: Department of Health - Policy Frameworks

MP 0080/18 - Assistant in Nursing Policy

Effective: 19 January 2022

The purpose of this policy is to ensure Health Service Providers who provide publicly funded inpatient care. engage/employ clinical staff with the right qualification and skill-set to provide safe, high quality health care.

Source: Department of Health - Policy Frameworks

MP 0086/18 - Recognising and Responding to Acute Deterioration Policy

Effective: 6 June 2018

The objective of this Policy is to assist clinicians to recognise and respond to acute deterioration.

Source: Department of Health - Policy Frameworks

MP 0072/17 - Health Technology Governance Policy

Effective: 3 February 2021

The Health Technology Governance Policy is a statewide framework for the introduction of health technologies and associated review of existing health technologies used within the WA public health system.

Source: Department of Health - Policy Frameworks

MP 0053/17 - WA Clinical Alert MedAlert Policy

Effective: 14 June 2017

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 0095 - Clinical Handover Policy

Effective: 18 October 2018

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

WA Health Consent to Treatment Policy

Effective: 1 January 2016

Consent to treatment is a person’s agreement for a health professional to proceed with specific proposed treatment(s). That agreement is obtained (or withheld) following conversations between one or more health professionals and the patient/substitute decision maker about the proposed treatment(s) and their inherent risks and benefits. Consent communications are likely to comprise of one or more verbal exchanges between the patient and the health professional(s), and also in the case of more invasive or risky procedures, documentation of that exchange including written consent provided by the patient.

Source: Department of Health - Policy Frameworks