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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 0006/16 - Risk Management Policy

Effective: 1 October 2019

The WA health system is committed to the management of its risks including those associated with the activities it performs, those inherent in its operations and others by which it may be adversely affected. This includes prudently conducting risk assessment processes to identify, analyse, evaluate and treat risks and being able to demonstrate the management of risks.

Source: Department of Health - Policy Frameworks

MP 0008/16 - Internal Audit Policy - No longer applicable - Rescinded 19 December 2022

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 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 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 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 0161/21 - Procurement and Contract Management Policy

Effective: 1 November 2022

This Policy sets out the minimum process, documentation and governance requirements for procurement and contract management activities undertaken by WA health entities. WA health entities must conduct procurement and contract management activities to the highest standards of integrity, probity and accountability.

Source: Department of Health - Policy Frameworks

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

Effective: 1 December 2021

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 0004/16 - Procurement Development and Management System Policy

Effective: 1 July 2016

WA health system entities are required to maintain procurement and contracts records under a range of legislated and State policy requirements including the State Records Act 2000, and General Procurement Direction: 2021/01 – Western Australian Procurement Rules issued by the Minister for Finance under section 21 of the Procurement Act 2020 (WA).

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: 9 May 2018

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 0079/18 - Engagement of Medical Practitioners under Contracts for Services Policy

Effective: 14 February 2018

This policy regulates and ensures uniform terms of engagement, by Health Service Providers, of Contracted Medical Practitioners to provide medical services to public patients admitted to a public health care facility.

Source: Department of Health - Policy Frameworks

MP 0005/16 - Grants Policy

Effective: 1 July 2016

Grants are financial assistance arrangements paid to non-State Government entities to assist them to carry out activities that drive outcomes aligned with the WA health system’s strategic intent.

Source: Department of Health - Policy Frameworks

MP 0047/17 - Sponsorship Policy

Effective: 1 March 2017

This Policy aims to ensure that WA health system entities entering into a sponsorship arrangement do so in a manner that achieves value for money and is consistent with the goals and objectives of the WA health system.

Source: Department of Health - Policy Frameworks

MP 0017/16 - WA Health Staff Air Travel Policy

Effective: 14 February 2017

The objectives of this Policy are to: Provide consistent and standard air travel procurement practices across WA Health that ensure transparency, streamline and standardise processes and reduce the cost of travel across WA Health, ensure the travel provides benefits to the WA Health system, provide adequate control over, and accountability for, air travel and associated travel expenditure and ensure adequate public disclosure of the full cost of air travel undertaken by WA Health employees.

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 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 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 0067/17 - Information Security Policy

Effective: 18 February 2021

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 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 0170/21 - Emergency Management Policy

Effective: 22 October 2021

The Emergency Management Policy sets the minimum standards to ensure that a clear, consistent and comprehensive approach to emergency management is undertaken across the WA health system. This policy requires that Health Service Providers have arrangements in place to respond appropriately in an Emergency. This policy supersedes MP 0073/17 Emergency Management Policy, IC 0170/13 Training Requirements for Hospital Response Teams and Emergency Management Personnel and OD 0595/15 Business Continuity Management.

Source: Department of Health - Policy Frameworks

MP 0129/20 - Release of Human Tissue and Explanted Medical Devices Policy

Effective: 28 January 2020

This Policy sets out the minimum requirements for responding to requests for the release of human tissue or an implantable medical device that has been removed (explanted) from an individual’s body. Human tissue in the context of this Policy includes a human fetus or placenta. This Policy supersedes OD 0398/12 Release of Human Tissue and Explanted Medical Devices.

Source: Department of Health - Policy Frameworks

MP 0038/16 - Insertion and Management of Peripheral Intravenous Cannulae in Healthcare Facilities Policy

Effective: 11 October 2022

The Insertion and Management of Peripheral Intravenous Cannulae in Healthcare Facilities Policy describes the mandatory requirements to minimise the risk of infection to patients associated with the insertion of peripheral intravenous cannulae (PIVC).

Source: Department of Health - Policy Frameworks

Health Care Worker Immunisation Policy

Effective: 5 September 2012

The WA Health Care Worker Immunisation policy defines the minimum immunisation standards for Public Health Service employers to adopt in their workplace to protect employees and patients from the potential threat of exposure to vaccine preventable diseases.

Source: Department of Health - Policy Frameworks

MP 0136/20 - Gifts Benefits and Hospitality Policy

Effective: 6 August 2021

To ensure a consistent approach to the integrity governance and risks associated with gifts, benefits and hospitality offered to Department of Health employees and Health Service Provider staff members, and to ensure the effective governance of offered gifts, benefits and hospitality. The Gifts, Benefits and Hospitality Policy specifies the principles and minimum requirements with which WA health system entities must comply and includes the monitoring, evaluation and reporting requirements.

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 0093/18 - Access for Endorsed Midwives into Public Maternity Units Policy

Effective: 14 January 2022

The purpose of this Policy is to ensure Health Service Providers support safe and high quality maternity care within the Western Australian public health system by enabling Endorsed Midwives to access public maternity units through a Licensing Agreement for the purposes of delivering maternity services to their clients.

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

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

Effective: 8 October 2019

The purpose of this Policy is to ensure health professionals are credentialed and have a defined scope of clinical practice to support safe and high quality health care within the Western Australian public health system.

Source: Department of Health - Policy Frameworks

MP 0076/18 - Cardiotocography Monitoring Policy

Effective: 10 January 2018

The purpose of the Cardiotocography Monitoring Policy is to mandate minimum requirements for cardiotocography (CTG) monitoring and interpretation practices, and staff education for providers of publicly funded maternity services.

Source: Department of Health - Policy Frameworks

MP 0080/18 - Assistant in Nursing Policy

Effective: 2 September 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 0078/18 - Medication Chart Policy

Effective: 31 March 2023

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

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 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

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

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

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

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

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

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

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 0085/18 - Road Based Inter Hospital Patient Transport Services Policy

Effective: 6 June 2018

The purpose of this Policy is to ensure Health Service Providers are aware of and use appropriately the mandatory arrangements in place for the purchase of all road based Inter Hospital Patient Transport (IHPT) services in Western Australia.

Source: Department of Health - Policy Frameworks

MP 0115/19 - Outcome Based Management Policy

Effective: 9 September 2022

The Outcome Based Management (OBM) Framework is a Department of Treasury mandatory requirement for all State Government Agencies. The OBM Framework describes how outcomes, services and Key Performance Indicators (KPIs) are used to measure WA health system performance. The OBM KPIs measure the effectiveness and efficiency of the services delivered against agreed State Government priorities and desired outcomes.

Source: Department of Health - Policy Frameworks

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

MP 0075/17 - Health Executive Policy

Effective: 12 August 2022

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 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 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 0025/16 - Industrial Relations Policy

Effective: 1 July 2016

Industrial Relations Policy

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