POLICIES, PROCEDURES AND OTHER DOCUMENTATION REQUIRED
Insert Name of FacilityName of Facility
Application No.
General notes:
Documentation:
· o Application form provided
· o Supporting documentation provided
· o Plans
· Outstanding documentation required:
Assessment:
Policies, procedures and other documentation
Requirements / Comments1. Provision of monthly patient data.
2.
3. Confirmation that contact has been made with and that systems are in place for the submission of the monthlypatient activity data to as required by the Chief Health Officer and Chief Executive (the Director-General) via the Health Statistics Unit, Queensland Health as follows:
4.
1.1 Submission of reports to the Chief Health Officer within 35 days after the end of the month; in accordance with Section 144, Private Health Facilities Act 1999 and Section 7, Private Health Facilities Regulation 2000.
5. ‘The licensee must submit reports about patient identification, diagnosis and activity’. Detailed requirements are prescribed in the Queensland Hospital Admitted Patient Data Collection (QHAPDC), Health Statistics Unit Queensland Health.
6.
1.2 Provision of Perinatal statistics data to the Chief Executive (the Director-General) within 35 days after the end of the month for every baby born in Queensland; in accordance with the Public Health Act 2005 and Public Health Regulation 2005.
7. Detailed requirements are prescribed in the Perinatal Data Collection, Health Statistics Unit, Queensland Health.
8.
9. Telephone: (07) 3234 1875
Email:
Website: https://www.health.qld.gov.au/hsu/default.asp
10. Medical emergency policy including patient transfer procedures
11. Patient admission criteria
12. Patient consent procedures
13. Patient complaint procedures
14. Infection control policy
15. Medication management plan
16. Quality policy
17. Storage and collection of waste, including contaminated waste policy
18. Risk management plan
19. Credentialling and clinical privileges committee terms of reference and meeting minutes which includes names of members
20. Infection Control committee meeting minutes which includes names of members
21. Proposed staff roster for each clinical area
22. Staff orientation program
23. Water risk quality management plan including initial water testing results
24. Name of quality assurance entity, date of registration and proposed date of initial certification.
Management team and service providers
Requirements / Insert information and/or provide attachment25. Name, details and summary of curricula vita (CV) for Chief Executive Officer/Manager of facility
26. Name, details, Australian Health Practitioner Regulation Agency (AHPRA) registration number and summary of CV for Nurse-in-Charge at the facility
27. Staff plan - List intended service providers’ names and AHPRA registration number where applicable (medical/surgical/allied health and support staff).
Certificates & operational requirements
1. Local Authority Certificate of Occupancy2. Medical Gases installation compliance & testing letter
3. Electrical compliance & testing letter
4. Nurse / Emergency call compliance letter plus verification of testing
5. Air-conditioning certificates including HEPA filter certificates for operating theatres
6. Radiation Health compliance certificate for lead shielding installations (if applicable)
7. Medical equipment compliance statement and confirmation that the equipment has been switched on and tested and is covered under warranty
8. Sterilisers and associated equipment validation, performance qualification and commissioning statements
9. Diagrammatic evacuation plan
10. Testing and/or installation of the emergency generator
Requirement
(when available) / Confirmation
(provide short statement that testing has occurred)
1. Local Authority Certificate of Occupancy
2. Medical Gases installation compliance certificate & confirmation that testing has occurred
3. Electrical compliance certification & confirmation of testing
4. Nurse / Emergency call compliance or letter plus confirmation of testing
5. Air-conditioning certificates
6. Radiation Health compliance certificate for lead shielding installations (if applicable)
7. Medical equipment compliance statement and confirmation that the equipment has been switched on and tested and is covered under warranty
8. Sterilisers and associated equipment validation, performance qualification and commissioning statements
9. Diagrammatic evacuation plan
10. Testing of the emergency generator (if applicable)
Physical Environment:
Further Information: