Metro South HHS service agreement deed of amendment May 2014

Metro South Hospital and
Health Service
2013/14 – 2015/16 Service
Agreement
Deed of Amendment
April 2014
Metro South Hospital and Health Service 2013/14 – 2015/16 Service Agreement Deed of Amendment
April 2014
Published by the State of Queensland (Queensland Health), April 2014
This document is licensed under a Creative Commons Attribution 3.0 Australia licence. To view a
copy of this licence, visit www.creativecommons.org/licenses/by/3.0/au
© State of Queensland (Queensland Health) 2014
You are free to copy, communicate and adapt the work, as long as you attribute the State of
Queensland (Queensland Health).
For more information contact:
Healthcare Purchasing, Funding and Performance Management Branch
Department of Health
GPO Box 48
Brisbane QLD 4001
[email protected]
(07) 3234 1472
METRO SOUTH HOSPITAL AND HEALTH SERVICE
SERVICE AGREEMENT
DEED OF AMENDMENT
Parties
Metro South Hospital and Health Service
And
Queensland Health
Metro South HHS 13/14 – 15/16 Service Agreement Deed of Amendment April 2014
3
Contents
Introduction.............................................................................................................................................. 5
Definitions................................................................................................................................................ 5
Interpretation ........................................................................................................................................... 5
General.................................................................................................................................................... 6
Amendments to Service Agreement, February 2014 revision ................................................................ 7
Main body of agreement ...................................................................................................................... 7
Schedule 1: Hospital and Health Service Profile ................................................................................. 7
Schedule 2: Purchased Activity and Funding ...................................................................................... 8
Execution............................................................................................................................................... 10
Appendix 1: Table 2.2 HHS Finance and Activity Schedule 2013/14 – 2015/16 .............................. 11
Appendix 2: Table 2.3 Hospital and Health Service Funding Sources 2013/14 ............................... 12
Appendix 3: Table 2.4 Hospital and Health Service Service Agreement and State Level Block
Payment to state managed funds from Commonwealth payments into national funding pool ......... 13
Metro South HHS 13/14 – 15/16 Service Agreement Deed of Amendment April 2014
4
Introduction
In accordance with section 35 of the Hospital and Health Boards Act 2011, a service agreement is in
place between the parties to this deed.
The service agreement is binding on the parties and can be amended in accordance with section 39
of the Hospital and Health Boards Act 2011 and the terms of the service agreement.
The parties have agreed to vary the terms of the service agreement on the terms of this deed.
The amendments made by this deed will be published on the Hospital and Health Service Service
Agreements website within 14 calendar days of the effective date of this deed.
Definitions
In this deed:
Amendment Proposal means the written notice of a proposed amendment to the terms of the
service agreement by the Chief Executive (or delegate) or the Hospital and Health Service (HHS) to
the other party, as required under section 39 of the Hospital and Health Boards Act 2011.
Chair means the Chair of the Hospital and Health Board of the Hospital and Health Service.
Chief Executive means the Chief Executive of the department administering the Hospital and Health
Boards Act 2011.
Department of Health means Queensland Health, acting through the Chief Executive.
Deed of Amendment means the resolved amendment proposals.
Effective Date means the date the deed is executed (signed) by both parties.
Hospital and Health Board means the Hospital and Health Board appointed under section 23 of the
Hospital and Health Boards Act 2011.
Parties means the parties to the service agreement.
Service Agreement means the service agreement between the Department of Health and the
Hospital and Health Service made in accordance with section 35 of the Hospital and Health Boards
Act 2011, including the schedules in annexures, as amended from time to time.
Interpretation
Unless expressed to the contrary, in this deed of amendment:
 words in the singular include the plural and vice versa
 any gender includes the other genders
 if a word or phrase is defined its other grammatical forms have corresponding meanings
 “includes” and “including” are not terms of limitation
 no rule of construction will apply to a clause to the disadvantage of a party merely because that
party put forward the clause or would otherwise benefit from it
 a reference to:
i. a party is a reference to a party to this deed of amendment
ii. a person includes a partnership, joint venture, unincorporated association, corporation and a
government or statutory body or authority
iii. a person includes the person’s legal personal representatives, successors, assigns and
persons substituted by novation
 any legislation includes subordinate legislation under it and includes that legislation and
subordinate legislation as modified or replaced
 an obligation includes a warranty or representation and a reference to a failure to comply with an
obligation includes a breach of warranty or representation
 headings do not affect the interpretation of this deed
Metro South HHS 13/14 – 15/16 Service Agreement Deed of Amendment April 2014
5
General
 This deed may only be varied or replaced by a document executed by the parties.
 Each party must promptly do whatever any other party reasonably requires of it to give effect to
this deed and perform its obligations under it.
 Unless expressly stated otherwise in this deed, each party must pay its own legal and other costs
and expenses of negotiating, preparing, executing and performing its obligations under this deed.
 This deed contains the entire understanding between the parties as to the subject matter of this
deed.
 This deed supersedes all previous negotiations, understandings, representations, memoranda or
commitments concerning the subject matter contained within this deed.
 No oral explanation or information provided by any party to another:
i. Affects the meaning or interpretation of this deed; or
ii. Constitutes any collateral agreement, warranty or understanding between any of the parties
Metro South HHS 13/14 – 15/16 Service Agreement Deed of Amendment April 2014
6
Amendments to Service Agreement, February 2014
revision
Main body of agreement
Section 4 ‘Objectives of the agreement’.
A) After paragraph 3 a dot point is added as follows:
d) Data Collection and Provision of Data to the Chief Executive Schedule 2013/14
Section 9 ‘Amendments to this Service agreement’, paragraph 8
B) At the end of paragraph 8 the following text is deleted:
These adjustments will then be executed by means of an Amendment.
and is replaced with:
Financial adjustments will be set out in a deed of amendment or may be determined in any manner
set out in a deed of amendment. Final financial adjustments for 2013/14 may be determined after
30 June 2014 in the manner set out in the deed of amendment (without the requirement for a
further deed of amendment). This provision will survive expiration of this service agreement.
Schedule 1: Hospital and Health Service Profile
4.2.7 Telehealth Services
C) Paragraph 1 is deleted and is replaced with:
The HHS will maintain existing telehealth services delivered (provided and received) in the
financial year 2012/13 via the continuation of current telehealth service delivery models. Any
decrease in the range or level of service must be agreed by both parties.
D) Paragraph 3 is deleted and is replaced with:
The HHS will ensure dedicated telehealth coordinators progress the telehealth agenda locally,
driving stakeholder engagement, adoption, planning and implementation activities that will support
and grow telehealth enabled services through substitution of existing face to face services and
identification of new telehealth enabled models of care.
9.4
Basic Physician Training Pathway
E) The current paragraph:
The HHS will undertake the recruitment, selection, allocation and education of Queensland Basic
Physician Trainees for the Southside Rotation and will provide services to Darling Downs, Wide
Bay, and West Moreton Hospital and Health Services and two private hospitals being Greenslopes
and Mater Public Hospitals. These activities will be supported by a Pathway Rotation Coordinator
(Senior Medical Officer) and Pathway Project Officer, hosted in the HHS.
will be amended to:
The HHS will undertake the recruitment, selection, allocation and education of Queensland Basic
Physician Trainees for the Southside Rotation on behalf of Darling Downs, Wide Bay, and West
Moreton Hospital and Health Services and two private hospitals being Greenslopes and Mater
Metro South HHS 13/14 – 15/16 Service Agreement Deed of Amendment April 2014
7
Public Hospitals. These activities will be undertaken in line with the state-wide Queensland Basic
Physician Training Pathway Model, supported by a Pathway Rotation Coordinator (Senior Medical
Officer) and Pathway Project Officer, hosted in the HHS.
10.1
Clinical Education and Training
F) In paragraph 1 the following dot points are added after the second dot point
 comply with the state-wide vocational training pathway models including;
− The Queensland Basic Physician Training Pathway (published on QHEPS)
− The Queensland Intensive Care Training Pathway (published on QHEPS)
− The Queensland Basic Paediatric Training Network (published on QHEPS)
Schedule 2: Purchased Activity and Funding
G) In table 2.1 ‘Specific Funding Commitments’ the following text is deleted:
Additional Elective
Surgery Activity
$9,447,294 will be used to perform additional elective surgery (2,028
additional WAU) in order to address the number of long waits.
This funding consists of:

Department of Health allocation of $6,298,196 for an additional
1352 WAU

HHS contribution of $3,149,098 for an additional 676 WAU
Note: This funding and activity is the first of two tranches. Monitoring of
WAU and long wait reduction specific to this initiative will form part of the
monthly performance management meeting.
and is replaced with:
Additional Elective
Surgery Activity
$18,894,688 will be used to perform additional elective surgery (4,054
additional WAU) in order to reduce the number of long waits to 2% or
less by 30 June 2014.
This funding consists of:

Department of Health allocation of $12,596,392 for an additional
2703 WAU

HHS contribution of $6,298,196 for an additional 1351 WAU
The funding and activity has been provided in two tranches:

Tranche 1 in amendment window 1 (2013/2014): DoH $6,298,196
(1352 WAUs) MS HHS $3,149,198 (676 WAUs)

Tranche 2 in amendment window 3(2013/2014): (window 3) DoH
$6,298,196 (1351 WAUs) MSHSS $3,149,098 (675 WAUs)
Note: Monitoring of WAU and long wait reduction specific to this initiative
will form part of the monthly performance management meeting.
H) In section ‘5. MOHRI FTE’ the total year to date FTE (as measured by MOHRI) figure of
11,214 is deleted and replaced with 11,245.
I)
The existing ‘Table 2.2 HHS Finance and Activity Schedule 2013/14 – 2015/16’ is
replaced with the ‘Table 2.2 HHS Finance and Activity Schedule 2013/14 – 2015/16’
provided at Appendix 1.
J) The existing ‘Table 2.3 Hospital and Health Service Funding Sources 2013/14’ is
replaced with the ‘Table 2.3 Hospital and Health Service Funding Sources 2013/14’
provided at Appendix 2.
Metro South HHS 13/14 – 15/16 Service Agreement Deed of Amendment April 2014
8
K) The existing ‘Table 2.4 Hospital and Health Service Service Agreement and State Level
Block Payment to state managed funds from Commonwealth payments into national
funding pool’ is replaced with the ‘Table 2.4 Hospital and Health Service Service
Agreement and State Level Block Payment to state managed funds from
Commonwealth payments into national funding pool’ provided at Appendix 3.
Metro South HHS 13/14 – 15/16 Service Agreement Deed of Amendment April 2014
9
Appendix 1
Table 2.2 Finance and Activity Schedule 2013/14 - 2015/16
Finance and Activity Schedule
HHS: Metro South
2012/13
QWAU
Price:
As at Amendment 3 - April 2014
2013/14
$
$
QWAU
4,660.00
Change (12/13 to 13/14)
QWAU
$
$
Price:
$
Activity Based Funding
2014/15 (Not Legally Binding)
QWAU
$
4,660.00
Price:
$
2015/16 (Not Legally Binding)
QWAU
$
4,660.00
Price:
694,750,174
162,062,774
169,727,078
139,223,342
68,597,103
64,724,654
1,299,085,124
149,495
35,823
37,945
34,031
14,733
14,313
286,340
$
4,660.00
31714818.92
ABF Activity
Inpatient
Outpatient
Interventions and Procedures
Emergency Department
Sub Acute
Mental Health
Total
142,664
31,745
33,398
26,169
13,175
14,228
261,378
Other ABF Adjustments
Site Specific Grants
Clinical Education & Training
Non-WAU Demand Management
Productivity Dividend
Transitional and Other ABF Adjustments
Total
664,814,593
147,932,950
155,634,686
121,945,347
61,393,172
66,300,951
1,218,021,699
694,750,174
157,604,954
162,687,204
130,515,167
68,580,666
64,362,250
1,278,500,415
27,486,638
54,268,426
(4,790,000)
(46,834,743)
30,130,321
-
6,424
2,076
1,513
1,839
1,542
(416)
12,978
29,935,581
9,672,004
7,052,518
8,569,820
7,187,494
(1,938,700)
60,478,716
-
4,256,349
1,345,130
1,465,000
(33,709,409)
26,113,340
(529,590)
31,742,987
55,613,556
(3,325,000)
(33,709,409)
(20,721,403)
29,600,731
-
149,088
34,777
36,422
29,876
14,720
13,889
278,774
-
31,742,987
55,613,556
(3,325,000)
(33,709,409)
(20,721,403)
29,600,731
696,645,543
166,933,949
176,824,823
158,586,483
68,654,563
66,700,606
1,334,345,967
-
31,742,987
55,613,556
(3,325,000)
(33,709,409)
(20,721,403)
29,600,731
1,248,152,020
12/13 ABF Control
Subtotal ABF Funding
149,088
33,821
34,911
28,008
14,717
13,812
274,356
261,378
Provisional ABF Budget per QWAU:
1,248,152,020
274,356
1,308,101,145
$
4,775.27
$
4,767.89
$
4,462.49
$
4,449.49
12,978
59,949,125
-$
278,774
1,328,685,855
286,340
1,363,946,698
7.38
Non-Activity Based Funding
Non-ABF
Block Funded Facilities (IHPA Inscope)
Block Funded Facilities (IHPA Out of Scope)
Block (Private)
Mental Health Facilities
Block Funded Transition
Total
Non-ABF - Block Funded Services
Community Health Care
Depreciation
Grants & Subsidies
Intellect Disability Services
Interstate Patient (Payable to other states)
Medical Aids & Appliances (MASS)
Mental Health Community
Offender Health Services
Oral Health Services (Non-admitted)
Patient Transport
Population Health - ATODS
Population Health - Breast Screen
Population Health - Other Services
Pre-commissioning (Transition)
Primary Health Care
Research
Residential Aged Care Facilities
Specified Budget Items
Statewide Functions
Other
Total
Subtotal Non ABF Funding
Total Contract of Offer
2,887
2,613
583
-
12,961,188
12,658,168
6,082
25,619,356
-
70,267,899
49,570,607
9,021,871
642,813
7,528,273
46,635,056
99,230,432
532,475
37,946,386
1,353,788
6,099,870
5,756,000
10,697,287
9,245,765
9,236,417
28,068,268
10,957,588
1,928,337
40,206,036
444,925,166
-
2,887
2,613
583
6,082
16,833,848
12,658,168
29,492,016
-
3,872,660
3,872,660
2,887
2,613
583
6,082
16,833,848
12,658,168
29,492,016
2,887
2,613
583
6,082
16,833,848
12,658,168
29,492,016
-
71,849,070
56,049,088
4,727,604
642,813
7,528,273
46,710,056
105,725,574
562,475
47,118,553
1,408,029
6,099,870
5,899,900
17,924,991
10,769,938
11,336,328
25,021,183
12,140,676
2,094,146
75,591,852
509,200,418
-
1,581,171
6,478,481
(4,294,267)
75,000
6,495,142
30,000
9,172,167
54,241
143,900
7,227,704
1,524,174
2,099,911
(3,047,085)
1,183,088
165,809
35,385,817
64,275,252
-
71,849,070
56,049,088
4,727,604
642,813
7,528,273
46,710,056
105,725,574
562,475
47,118,553
1,408,029
6,099,870
5,899,900
17,924,991
10,769,938
11,336,328
25,021,183
12,140,676
2,094,146
83,010,443
516,619,009
-
71,849,070
56,049,088
4,727,604
642,813
7,528,273
46,710,056
105,725,574
562,475
47,118,553
1,408,029
6,099,870
5,899,900
17,924,991
10,769,938
11,336,328
25,021,183
12,140,676
2,094,146
91,296,541
524,905,107
6,082
470,544,522
6,082
538,692,434
267,460
1,718,696,542
280,439
1,846,793,580
ABF (Efficiency) / Inefficient - Transitional Adjustment
Metro South HHS 13/14 – 15/16 Service Agreement Deed of Amendment April 2014
(50,558,152)
-
12,978
68,147,912
6,082
546,111,024
6,082
554,397,123
128,097,038
284,856
1,874,796,880
292,423
1,918,343,821
(50,558,152)
(50,558,152)
11
Appendix 2
Table 2.3 Hospital and Health Service Funding Sources 2013/14
Metro South
Funding Source
Value ($)
Pool Account – ABF Funding [1]
State and Commonwealth
1,308,101,145
Block Funding[2]
State and Commonwealth
100,845,715
Locally Receipted Grants
36,884,880
Locally Receipted Own Source Revenue
Department of Health Grants
TOTAL
140,563,846
[3]
260,397,993
1,846,793,580
1
Pool Account - ABF Funding includes: Inpatient; Critical Care; Emergency Department; Mental Health; and Outpatient
each allocated a proportion of Other ABF Adjustments (less Clinical Education) and Site Specific Grants. The totals
included within this table are included in the Commonwealth Local Hospital Network Service Agreement Table included at
the end of this Schedule 2.
2
State Managed Fund - Block Funding includes: Subacute; CSO Facilities; Primary Care Outpatient Centres; 29% of
Community Mental Health (estimate of Hospital Auspiced); Tertiary Mental Health; Clinical Education and
Research/Training. The total included here for the Commonwealth contribution to the State Managed Fund can be found in
the Commonwealth Local Hospital Network Service Agreement Table included at the end of this Schedule 2.
3
Department of Health Grants represents funding by the Department of Health for items not covered by the National
Health Reform Agreement including such items as: Primary Health Care; Prevention, Promotion and Protection; and
Depreciation.
Metro South HHS 13/14 – 15/16 Service Agreement Deed of Amendment April 2014
12
Appendix 3
Table 2.4 Hospital and Health Service Service Agreement and State Level Block Payment to state managed funds from Commonwealth
payments into national funding pool
State: QLD
HHS
Metro South
HHS ID
Service agreement for financial year:
2013-14
Version for financial year:
Version effective for payments from:
Version status:
Window 3
HHS ABF payment requirements:
Expected National Weighted Activity Unit (NWAU)
ABF Service group
Projected NWAU
National
C'w % funding
efficient price
rate
(NEP)
(as set by IHPA)
Admitted acute public services
Admitted acute private services
Emergency department services
Non-admitted services
Mental health services
Sub-acute services
LHN ABF Total
Note:
143,883
8,944
28,242
38,379
10,615
13,161
243,223
$4,993
$4,993
$4,993
$4,993
$4,993
$4,993
41.08%
41.08%
41.08%
41.08%
41.08%
41.08%
Estimated C'w ABF
funding contribution
$295,139,481
$18,346,087
$57,930,222
$78,724,301
$21,773,033
$26,996,499
$498,909,622
Estimated State ABF
funding contribution
$478,692,643
$29,755,887
$93,958,188
$127,684,523
$35,314,119
$43,786,163
$809,191,523
NWAU estimates do not take account of cross-border activity.
HHS block funding payment requirements:
Commonwealth block funding for state:
Block funding component
Block funded hospitals
Community mental health services
Teaching, Training and Research
Other block funded services
Total block funding for state
Estimated Commonwealth block funding
contribution
$6,211,351
$30,418,867
$4,346,014
$453,549
$41,429,781
Reporting requirements by LHN - block funding paid (total including Commonwealth) per LHN, as set out in service agreement:
Amount (Commonwealth and state) for each amount of block funding from state
Block funding component
Block funded hospitals
Community mental health services
Teaching, Training and Research
Other block funded services
Total block funding for LHN
Total Commonwealth payments to LHN
Commonwealth % funding rate
Extimated Commonwealth and state block
funding contribution
(ex GST)
$15,119,273
$74,043,653
$10,578,789
$1,104,000
$100,845,715
$540,339,404
41.08%
Metro South HHS 13/14 – 15/16 Service Agreement Deed of Amendment April 2014
13

Download Report