1 |
The Model |
| 1.1 |
The Metropolitan Health Service
Board's role in budget co-ordination and operational planning
of public metropolitan health services is to be enhanced
by establishing four new health authorities.
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| 1.2 |
The role of the MHSB and the
four Health Authorities will not duplicate functions or
powers but will be complementary. It is also not intended
that the MHSB or the health authorities should duplicate
any of the current functions of the HDWA. The MHSB has
a role in determining what services are to be provided
and what "returns" to the community are to be expected.
The health authorities will have responsibility for delivering
these "returns".
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| 1.3 |
The integration of the MHSB
and the Health Authorities will enable greater returns
to the community and enhance the role of the MHSB in co-ordinating
the budget and planning of the delivery of health services
in the metropolitan area closer to where patients live.
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| 1.4 |
Certain MHSB roles will continue
with overseeing of -
- mental health services;
- aged care services
- waiting list strategies for the metropolitan area;
- outpatient services being provided closer to the patient;
- the co-ordination of all tertiary services including
those to the rural sector, and where appropriate in consultation
with the Health Department.
The MHSB's role in overseeing mental health and aged care
will be reviewed as necessary.
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| 1.5 |
The MHSB will also retain responsibility
for core accounting services, information technology, purchasing
and supply and key components of human resources. Other
patient support services including cleaning, transport
and food services may be considered.
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| 1.6 |
To assist the MHSB in its role
the four Health Authorities are to be created -
- Eastern Metropolitan Health Authority
- Northern Metropolitan Health Authority
- Southern Metropolitan Health Authority
- Statewide Women and Children's Health Authority.
Details of which hospitals come within each Health Authority
is contained in the Schedule.
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| 1.7 |
The Health Authorities will
be empowered under the Hospitals and Health Services Act
to undertake the day to day operational matters for hospitals
and health services within a defined geographical area.
MHSB will be responsible for the general co-ordination
of services provided by the tertiary hospitals.
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| 1.8 |
The management of each Health
Authority will be overseen by a Council comprising
- 2 - 3 members from the MHSB, one of whom will be the
chair;
- one lawyer
- a person with large corporate finance expertise
- 2 community representatives, one with business experience
- general practitioner working within the area
- specialist medical practitioner working within the
area (with a non-teaching hospital appointment)
- 1 teaching hospital doctor representatives
- 1 medical faculty representative
- 1 nurse representative
- CEO of the Health Authority
The Chief Executive Officer (Health Authority) is likely
to also be the Chief Executive Officer of the major
tertiary teaching hospital for that region.
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| 1.9 |
The MHSB composition does not
need to be altered immediately as any alterations to 0size
and composition (whilst always ensuring rural representation)
should rely on natural attrition.
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| 1.10 |
MHSB will co-ordinate the budgeting
of the Health Authorities. Accountability for use of the
funding is to be with each Health Authority as they will
be the fund holders. The MHSB will co-ordinate budget allocation
and compliance. The budgets for the 4 regional entities
will be approved by Cabinet.
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