Common use of Locations Service Requirement Clause in Contracts

Locations Service Requirement. Pancreas Transplantation – Nationally Funded Centre Westmead As per Nationally Funded Centre Agreement - Access for all patients across Australia accepted onto Nationally Funded Centre program Paediatric Liver Transplantation – Nationally Funded Centre SCHN Westmead Islet Cell Transplantation – Nationally Funded Centre Westmead Schedule C: Budget Part 1 Schedule C Part 1 South Eastern Sydney LHD - Budget 2018/19 2018/19 BUDGET Comparative Data A B C D E F G H I Target Volume (NWAU18) Volume (Admissions & Attendances) Indicative only State Price per NWAU18 LHD/SHN Projected Average Cost per NWAU18 Initial Budget 2018/19 ($ '000) 2017/18 Annualised Budget ($ '000) Variance Initial and Annualised ($ '000) Variance (%) Volume Forecast 2017/18 (NWAU18) A Acute Admitted 164,603 162,901 $4,713 $4,621 $759,665 $729,698 $29,967 161,434 Emergency Department 30,463 223,467 $140,485 $134,272 $6,213 29,709 Non Admitted Patients (Including Dental) 48,082 940,440 $221,901 $213,928 $7,973 47,324 Total 243,149 1,326,808 $1,122,051 $1,077,899 $44,152 4.1% 238,468 B Sub-Acute Services - Admitted 20,443 16,239 $4,713 $4,621 $94,264 $89,980 $4,285 19,909 Sub-Acute Services - Non Admitted 2,214 $10,230 $10,010 $219 2,214 Total 22,657 16,239 $104,494 $99,990 $4,504 4.5% 22,123 C Mental Health - Admitted (Acute and Sub-Acute) 13,359 3,216 $4,713 $4,621 $61,731 $60,408 $1,324 13,359 Mental Health - Non Admitted 10,319 243,346 $51,205 $48,650 $2,555 9,975 Mental Health - Classification Adjustment $2,440 $2,388 $52 Total 23,678 246,563 $115,376 $111,445 $3,931 3.5% 23,334 D Block Funding Allocation Block Funded Services In-Scope - Teaching, Training and Research $57,757 $56,519 $1,238 Total $58,416 $57,163 $1,253 2.2% E State Only Block Funded Services Total $217,531 $212,867 $4,664 2.2% Transition Grant (excluding Mental Health) and RSCᵝ G Gross-Up (Private Patient Service Adjustments) $70,207 $68,701 $1,505 2.2% H Provision for Specific Initiatives & TMF Adjustments (not included above) Data Improvement Project * $750 HAC Improvement Project $350 Purchasing Adjustors (incl Hospital Acquired Complications) -$1,149 HealthShare Accelerated Savings Program -$1,575 Election Commitment - Additional Nursing, Midwifery and Support positions $354 Electricity escalations $2,004 New parents and children initiatives $460 Total $6,629 $6,629 I Restricted Financial Asset Expenses $13,656 $13,656 J Depreciation (General Funds only) $57,826 $57,826 K Total Expenses (K=A+B+C+D+E+F+G+H+I+J) $1,766,187 $1,699,547 $66,639 3.9% L Other - Gain/Loss on disposal of assets etc $2,658 $2,658 M LHD Revenue -$1,722,798 -$1,646,709 -$76,089 N Net Result (N=K+L+M) $46,046 $55,496 -$9,450 General Note: ABF growth is funded at 90% of the State Price for all “business as usual” activity and new builds or new capacity has continued to be funded at the full State Price ᵝ Part of the Acute, ED and Subacute Admitted transition grant has been used to fund growth (see Schedule C glossary) * Data Improvement Project $250k to be allocated to Intra Health for XXX Part 2 2018/19 Schedule C Part 0 Xxxxx Xxxxxxx Xxxxxx LHD $ (000's) A B C D E Government Grants Subsidy* -$1,091,840 In-Scope Services - Block Funded -$87,520 Out of Scope Services - Block Funded -$173,675 Capital Subsidy -$8,786 Crown Acceptance (Super, LSL) -$33,051 F Total Government Contribution (F=A+B+C+D+E) -$1,394,872 G H Own Source revenue GF Revenue -$304,046 Restricted Financial Asset Revenue -$23,880 I Total Own Source Revenue (I=G+H) -$327,926 J Total Revenue (J=F+I) -$1,722,798 K L M Total Expense Budget - General Funds $1,752,530 Restricted Financial Asset Expense Budget $13,656 Other Expense Budget $2,658 N Total Expense Budget as per Attachment C Part 1 (N=K+L+M) $1,768,845 O Net Result (O=J+N) $46,046 P Q R Net Result Represented by: Asset Movements -$44,212 Liability Movements -$1,835 Entity Transfers S Total (S=P+Q+R) -$46,046 Note: The Ministry will closely monitor cash at bank balances during the year to ensure compliance with this NSW Treasury policy. * The subsidy amount does not include items E and G, which are revenue receipts retained by the LHDs/SHNs and sit outside the National Pool. Part 3 Schedule C Part 3 2018/19Shared Services & Consolidated Statewide Payment Schedule South Eastern Sydney LHD $ (000's) HS Charges HS Service Centres HS Service Centres Warehousing HS Enable NSW HS Food Services HS Soft Service Charges HS Linen Services HS Recoups HS IPTAAS HS Fleet Services HS Patient Transport Services HS MEAPP $6,108 $22,741 $3,675 $29,992 $9,326 $11,556 $172$3,236 $7,125 Total HSS Charges $93,931 eHealth EH Corporate IT EH Information Services ICT SPA $6,227 $13,035 Total eHealth Charges $19,262 IH Transports Interhospital Ambulance Transports Interhospital Ambulance NETS $1,895 $109 Total Interhospital Ambulance Charges $2,004 Interhospital NETS Charges - SCHN $111 Payroll Total Payroll (including SGC, FSS, Excluding LSL & PAYG) $915,449 Loans MoH Loan Repayments Treasury Loan (SEDA) Total Loans Blood and Blood Products $14,160 NSW Pathology $50,746 Compacks (HSSG) $1,918 TMF Insurances (WC, MV & Property) $15,069 Energy Australia $14,835 Total $1,127,485 Note: This schedule represents initial estimates of Statewide recoveries processed by the Ministry on behalf of Service Providers. LHD's are responsible for regularly reviewing these estimates and liaising with the Ministry where there are discrepancies. The Ministry will work with LHD's and Service Providers throughout the year to ensure cash held back for these payments reflects actual trends. Consistent with prior years procedures, a mid year review will occur in January with further adjustments made if required. Note: The amounts above include GST, where applicable. Part 4 2018/19 National Health Funding Body Service Agreement - South Eastern Sydney LHD Period: 1 July 2018 - 30 June 2019 National Reform Agreement Commonwealth Schedule C Part 4 Acute 152,039 ED 28,285 Mental Health 13,592 Sub Acute 24,751 Non Admitted 50,406 Activity Based Funding Total 269,074 Block Funding Total $42,081,265 Total 269,074 $42,081,265 Capital Program SOUTH EASTERN SYDNEY LHD ASSET AUTHORISATION LIMITS 2018/19 Capital Projects SMRT BP2 ETC 2018/19 Estimated Expenditure to 30 June 2018 Cost to Complete at 30 June 2018 BP2 Allocation 2018/19 XX0 Xxx. 0000/00 XX0 Xxx. 2020/21 BP2 Est. 2021/22 Balance to Complete $ $ $ $ $ $ $ $ WORKS IN PROGRESS SESLHD Minor Works & Equipment P51069 14,170,500 14,170,500 14,170,500 14,170,500 14,170,500 Asset Refurbishment/Replacement Strategy - Statewide P55345 2,421,788 St Xxxxxx Hospital Cancer Care Centre Stage 5 P56131 3,990,000 1,532,099 2,457,901 2,457,901 Prince of Wales Hospital Digital Subtraction Angiography Unit P56242 1,110,000 151,959 958,041 958,041 Engadine Community Health Centre - Construct Dental Clinic P56412 600,000 600,000 600,000 TOTAL WORKS IN PROGRESS 19,870,500 1,684,058 18,186,442 20,008,230 14,770,500 14,170,500 TOTAL ASSET ACQUISITION PROGRAM 19,870,500 1,684,058 18,186,442 20,008,230 14,770,500 14,170,500 PROJECTS MANAGED BY HEALTH INFRASTRUCTURE MAJOR NEW WORKS 0000/00 Xx Xxxxxx Xxxxxxxx Birthing Suite & Theatre Refurbishment P56410 11,500,000 0 11,500,000 10,000,000 1,500,000 TOTAL MAJOR NEW WORKS 11,500,000 11,500,000 10,000,000 1,500,000 MAJOR WORKS IN PROGRESS St Xxxxxx Hospital Redevelopment Stage 1 & Acute Services Building Cont (part B) P55333 265,500,000 261,690,894 3,809,106 3,809,106 Randwick Campus Reconfiguration and Expansion Stage 1 (including land acquisition) P56067 720,000,000 104,000,000 616,000,000 62,000,000 52,000,000 85,000,000 118,025,000 298,975,000 TOTAL MAJOR WORKS IN PROGRESS 985,500,000 365,690,894 619,809,106 65,809,106 52,000,000 85,000,000 118,025,000 298,975,000 TOTAL MANAGED BY HEALTH INFRASTRUCTURE 997,000,000 365,690,894 631,309,106 75,809,106 53,500,000 85,000,000 118,025,000 298,975,000 Notes: Expenditure needs to remain within the Asset Authorisation Limits indicated above Minor Works and Equipment > $10,000 includes a confund contribution of $6,014,686 This does not include new and existing Locally Funded Initiative (LFI) Projects which will be included in Initial Capital Allocation Letters Schedule D: Purchased Volumes Growth Investment Strategic Priority $’000 NWAU18 Performance Metric Activity Growth inclusive of Local Priority Issues Acute Inclusive of Xxxxxxxxxx and St Xxxxxx Service Expansion 2 - 164,603 As per Schedule E / Activity of New Service Identified Emergency Department 2.4 - 30,463 As per Schedule E Sub-Acute (Admitted and Non-Admitted) 2 - 23,275 As per Schedule E Sub and Non Acute Inpatient Services – Palliative Care Component 3.3 - 2,965 As per Schedule E Non-Admitted 2 / 3 - 48,223 As per Schedule E Public Dental Clinical Service – Total Dental Activity 1 - 16,511 (DWAU) As per Schedule E Mental Health Admitted 3.2 - 13,359 As per Schedule E Mental Health Non-Admitted 3.2 - 10,319 As per Schedule E Mental Health Reforms Specialist child and adolescent community mental health services 3.2 - 110 Client-related hours Specialist adult community mental health services 3.2 - 73 Client-related hours Specialist older persons community mental health services 3.2 - 110 Client-related hours Service Investment Capital and Service Expansion: The Xxxxxxxxxx Hospital RADIUS 2 / 3 1,000 - Activity of new service identified Highly Specialised Service - Peritonectomy 2 1,030 - As per Schedule E Strategic Priority Target Performance Metric STATE PRIORITY Elective Surgery Volumes Number of Admissions from Surgical Waiting List - All Patients 2.4 19,900 Number Number of Admissions from Surgical Waiting List - Children < 16 Years Old 2.4 626 Number Growth Investment Strategic Priority $ ‘000 NWAU18 Performance Metric NSW HEALTH STRATEGIC PRIORITIES Providing World Class Clinical Care Where Patient Safety is First Hospital Acquired Complications (HAC) initiatives 2.1 350 - Demonstration of reduction in HAC ETP 2.4 44 - ETP Trajectory Leading Better Value Care – Program Support Transition 2.2 250 - Performance against LBVC Deliverables Integrate Systems to Deliver Truly Connected Care Integrated Care Strategy The Integrated Care purchasing model for 2018/19 converts 25% of the existing recurrent funding for Integrated Care for People with Chronic Conditions (ICPCC) (previously the Chronic Disease Management Program) into purchased activity for each LHD/SHN. This is shown as NWAU for each LHD/SHN. 3.1 1,478 164 Demonstration of delivery of activities outlined in the approved Activity Work Plan and meeting data collection requirements (including monitoring, evaluation, and the Patient Flow Portal) Clinical Redesign of NSW Health Responses to Violence, Abuse and Neglect 3.6 410 with general escalation applied for 2018/19 - Commence implementation of local VAN service redesign and recruitment of permanent clinical staff where staffing gaps have been identified Enable eHealth, Health Information and Data Analytics Data quality improvement – clinical coding / documentation 6.3 250 - Data quality improvement XXXXXX business implementation $250,000 to be allocated to Intra Health for XXX - One- off for 2018/19 6.3 500 - Complete Stage 1 LEAP and transition of at least one data stream (AP, ED or WL) as per LHD/SHN Program Management Plan

Appears in 2 contracts

Samples: www.seslhd.health.nsw.gov.au, www.seslhd.health.nsw.gov.au

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Locations Service Requirement. Pancreas Transplantation – Nationally Funded Centre Westmead As per Nationally Funded Centre Agreement - Access for all patients across Australia accepted onto Nationally Funded Centre program Paediatric Liver Transplantation – Nationally Funded Centre SCHN Westmead Islet Cell Transplantation – Nationally Funded Centre Westmead Schedule C: Budget Part 1 Schedule C Part 1 South Eastern Sydney Far West LHD - Budget 2018/19 2018/19 2017/18 2017/18 BUDGET Comparative Data A B C D E F G H I Acute Admitted Emergency Department Non Admitted Patients (Including Dental) A Sub-Acute Services - Admitted Total Target Volume (NWAU18NWAU17) 5,434 1,828 1,997 9,259 360 Volume (Admissions & Attendances) Indicative only 7,523 22,039 45,681 75,242 138 State Price per NWAU18 NWAU17 $4,691 $4,691 LHD/SHN Projected Average Cost per NWAU18 Initial Budget 2018/19 ($ '000) 2017/18 Annualised Budget ($ '000) Variance Initial and Annualised ($ '000) Variance (%) Volume Forecast 2017/18 (NWAU18) A Acute Admitted 164,603 162,901 NWAU17 $4,713 $4,621 $759,665 $729,698 $29,967 161,434 Emergency Department 30,463 223,467 $140,485 $134,272 $6,213 29,709 Non Admitted Patients (Including Dental) 48,082 940,440 $221,901 $213,928 $7,973 47,324 Total 243,149 1,326,808 $1,122,051 $1,077,899 $44,152 4.1% 238,468 B Sub-Acute Services - Admitted 20,443 16,239 $4,713 $4,621 $94,264 $89,980 $4,285 19,909 5,615 Sub-Acute Services - Non Admitted 2,214 87 $10,230 406 $10,010 396 $219 2,214 10 87 B Total 22,657 16,239 446 138 $104,494 2,093 $99,990 2,037 $4,504 4.556 2.8% 22,123 C 445 Mental Health - Admitted (Acute and Sub-Acute) 13,359 3,216 1,262 387 $4,713 5,921 $4,621 5,775 $61,731 146 1,138 $60,408 5,615 Initial Budget 2017/18 ($ '000) $1,324 13,359 25,492 $8,574 $9,367 $43,433 $1,687 2016/17 Annualised Budget ($ '000) $24,707 $8,367 $8,918 $41,992 $1,641 Variance Initial and Annualised ($ '000) $785 $207 $449 $1,441 $46 Variance (%) 3.4% Volume Forecast 2016/17 (NWAU17) 5,379 1,826 1,951 9,156 359 Mental Health - Non Admitted 10,319 243,346 $51,205 $48,650 $2,555 9,975 1,373 23,730 Mental Health - Classification Adjustment -$584 -$572 -$12 Mental Health - Transition Grant $2,440 3,773 $2,388 3,678 $52 95 C Total 23,678 246,563 2,635 24,117 $115,376 14,754 $111,445 14,382 $3,931 3.5372 2.6% 23,334 D 2,511 Block Funding Allocation Block Funded Hospitals (Small Hospitals) $14,982 $14,604 $377 Block Funded Services In-Scope - Teaching, Training and Research $57,757 1,048 $56,519 1,022 $1,238 26 D Total $58,416 16,030 $57,163 15,626 $1,253 2.2404 2.6% E State Only Block Funded Services Total $217,531 15,517 $212,867 15,126 $4,664 2.2391 2.6% Transition Grant $1,882 Recognised Structural Cost (RSC) - Provisional Only $4,570 F Transition Grant (excluding Mental Health) and RSCᵝ $6,452 $6,289 $162 2.6% G Gross-Up (Private Patient Service Adjustments) $70,207 1,398 $68,701 1,363 $1,505 2.235 2.6% H $4,691 $5,615 $5,643 $5,501 $142 1,373 Schedule C Part 1 Provision for Specific Initiatives & TMF Adjustments (not included above) Data Improvement Project * $750 HAC Improvement Project $350 Additional Palliative Care Nurses Purchasing Adjustors (incl Hospital Acquired Complications) -$1,149 HealthShare Accelerated Savings Program -$1,575 and Data Quality Projects Better Value Care Initiatives TMF Workers Compensation Premium Adjustment Election Commitment - Additional Nursing, Midwifery and Support positions $354 Electricity escalations $2,004 New parents Enhancement to Violence, Abuse and children initiatives $460 Neglect Services Year 2 Drug & Alcohol Package H Total $6,629 $6,629 I Restricted Financial Asset Expenses $13,656 $13,656 J Depreciation (General Funds only) $57,826 333 $57,826 498 $258 $41 $215 $250 $23 $1,618 $4,226 $4,226 $1,618 K Total Expenses (K=A+B+C+D+E+F+G+H+I+J) $1,766,187 105,521 $1,699,547 101,041 $66,639 3.94,480 4.4% L Other - Gain/Loss on disposal of assets etc $2,658 $2,658 M LHD Revenue -$1,722,798 -$1,646,709 -$76,089 N Net Result (N=K+L+M) -$103,661 $46,046 1,860 -$96,822 $55,496 -$9,450 General Note: ABF growth is funded at 90% of the State Price for all “business as usual” activity and new builds or new capacity has continued to be funded at the full State Price ᵝ Part of the Acute, ED and Subacute Admitted transition grant has been used to fund growth (see Schedule C glossary) * Data Improvement Project $250k to be allocated to Intra Health for XXX 4,220 -$6,840 Part 2 2018/19 2017/18 Schedule C Part 0 Xxxxx Xxxxxxx Xxxxxx 2 Far West LHD $ (000's) A B C D E Government Grants Subsidy* -$1,091,840 -$56,342 In-Scope Services - Block Funded -$87,520 -$20,005 Out of Scope Services - Block Funded -$173,675 -$11,780 Capital Subsidy -$8,786 -$2,360 Crown Acceptance (Super, LSL) -$33,051 -$1,554 F Total Government Contribution (F=A+B+C+D+E) -$1,394,872 -$92,041 G H Own Source revenue GF Revenue -$304,046 -$11,620 Restricted Financial Asset Revenue -$23,880 -$1 I Total Own Source Revenue (I=G+H) -$327,926 -$11,621 J Total Revenue (J=F+I) -$1,722,798 -$103,661 K L M Total Expense Budget - General Funds $1,752,530 105,521 Restricted Financial Asset Expense Budget $13,656 Other Expense Budget $2,658 N Total Expense Budget as per Attachment C Part 1 (N=K+L+M) $1,768,845 105,521 O Net Result (O=J+N) $46,046 1,860 P Q R Net Result Represented by: Asset Movements -$44,212 -$1,717 Liability Movements -$1,835 -$142 Entity Transfers S Total (S=P+Q+R) -$46,046 -$1,860 Note: The minimum weekly cash reserve buffer for unrestricted cash at bank has been updated for FY 2017/18 to $0.5m and remains at approximately 4 days' cash expenses after removing Depreciation, Crown Acceptance and MOH Holdbacks). Based on final June 2017 cash balances, adjustments will be made in July 2017 to ensure alignment with the cash buffer requirements of NSW Treasury Circular TC15_01 Cash Management – Expanding the Scope of the Treasury Banking System. The Ministry will closely monitor cash at bank balances during the year to ensure compliance with this NSW Treasury policy. * The subsidy amount does not include items E and G, which are revenue receipts retained by the LHDs/SHNs and sit outside the National Pool. Part 3 Schedule C Part 3 2018/19Shared 2017/18Shared Services & Consolidated Statewide Payment Schedule South Eastern Sydney Far West LHD $ (000's) HS Charges HS Service Centres HS Service Centres Warehousing HS Enable NSW HS Food Services HS Soft Service Charges HS Linen Services HS Recoups HS IPTAAS HS Fleet Services HS Patient Transport Services HS MEAPP $6,108 528 $22,741 290 $3,675 602$2,321 $29,992 $9,326 $11,556 $172$3,236 $7,125 891 Total HSS Charges $93,931 4,632 eHealth EH Corporate IT EH Information Services ICT SPA $6,227 $13,035 243$1,636 Total eHealth Charges $19,262 1,879 IH Transports Interhospital Ambulance Transports Interhospital Ambulance NETS $1,895 $109 1,067 Total Interhospital Ambulance Charges $2,004 1,067 Interhospital NETS Charges - SCHN $111 4 Payroll Total Payroll (including SGC, FSS, Excluding LSL & PAYG) $915,449 51,727 Loans MoH Loan Repayments Treasury Loan (SEDA) Total Loans Blood and Blood Products $14,160 151 NSW Pathology $50,746 1,197 Compacks (HSSG) $1,918 299 TMF Insurances (WC, MV & Property) $15,069 776 Energy Australia $14,835 987 Total $1,127,485 62,718 Note: This schedule represents initial estimates of Statewide recoveries processed by the Ministry on behalf of Service Providers. LHD's are responsible for regularly reviewing these estimates and liaising with the Ministry where there are discrepancies. The Ministry will work with LHD's and Service Providers throughout the year to ensure cash held back for these payments reflects actual trends. Consistent with prior years procedures, a mid year review will occur in January with further adjustments made if required. Note: The amounts above include GST, where applicable. Part 4 2018/19 2017/18 National Health Funding Body Service Agreement - South Eastern Sydney Far West LHD Period: 1 July 2018 2017 - 30 June 2019 2018 National Reform Agreement In- Commonwealth Schedule C Part 4 Acute 152,039 5,369 ED 28,285 1,827 Mental Health 13,592 677 Sub Acute 24,751 806 Non Admitted 50,406 1,613 Activity Based Funding Total 269,074 10,291 Block Funding Total $42,081,265 7,759,688 Total 269,074 10,291 $42,081,265 7,759,688 Capital Program SOUTH EASTERN SYDNEY FAR WEST LHD ASSET AUTHORISATION LIMITS 2018/19 2017/18 Capital Projects SMRT BP2 ETC 2018/19 2017/18 Estimated Expenditure to 30 June 2018 2017 Cost to Complete at 30 June 2018 2017 BP2 Allocation 2018/19 2017/18 XX0 Xxx. 0000/00 XX0 Xxx. 2020/21 2019/20 BP2 Est. 2021/22 2020/21 Balance to Complete $ $ $ $ $ $ $ $ WORKS IN PROGRESS SESLHD Minor Works & Equipment P51069 14,170,500 14,170,500 14,170,500 14,170,500 14,170,500 Asset Refurbishment/Replacement Strategy - Statewide P55345 2,421,788 St Xxxxxx Hospital Cancer Care Centre Stage 5 P56131 3,990,000 1,532,099 2,457,901 2,457,901 Prince of Wales Hospital Digital Subtraction Angiography Unit P56242 1,110,000 151,959 958,041 958,041 Engadine Community 2,345,896 1,895,896 450,000 450,000 Remote Staff Accomodation at Wilcannia, Tibooburra, White P56177 996,000 455,000 541,000 541,000 Broken Hill Health Centre - Construct Dental Clinic P56412 600,000 600,000 600,000 Service Bed & Mobility Aid Storage Project P56178 120,000 120,000 120,000 Minor Works and Equipment >$10,000 P51069 1,499,000 1,499,000 1,499,000 TOTAL WORKS IN PROGRESS 19,870,500 1,684,058 18,186,442 20,008,230 14,770,500 14,170,500 4,960,896 2,350,896 2,610,000 2,610,000 TOTAL ASSET ACQUISITION PROGRAM 19,870,500 1,684,058 18,186,442 20,008,230 14,770,500 14,170,500 4,960,896 2,350,896 2,610,000 2,610,000 PROJECTS MANAGED BY HEALTH INFRASTRUCTURE MAJOR NEW WORKS 0000/00 Xx Xxxxxx Xxxxxxxx Birthing Suite & Theatre Refurbishment P56410 11,500,000 0 11,500,000 10,000,000 1,500,000 TOTAL MAJOR NEW WORKS 11,500,000 11,500,000 10,000,000 1,500,000 MAJOR WORKS IN PROGRESS St Xxxxxx Ivanhoe HealthOne P55460 2,407,258 2,345,524 61,734 61,734 Reconfiguration of Broken Hill Hospital Redevelopment Stage 1 & Acute Services Building Cont (part B) P55333 265,500,000 261,690,894 3,809,106 3,809,106 Randwick Campus Reconfiguration and Expansion Stage 1 (including land acquisition) P56067 720,000,000 104,000,000 616,000,000 62,000,000 52,000,000 85,000,000 118,025,000 298,975,000 Dental Facility P56039 30,000,000 3,176,729 26,823,271 9,618,769 13,147,131 4,057,370 TOTAL MAJOR WORKS IN PROGRESS 985,500,000 365,690,894 619,809,106 65,809,106 52,000,000 85,000,000 118,025,000 298,975,000 32,407,258 5,522,253 26,885,005 9,618,769 13,208,865 4,057,370 TOTAL MANAGED BY HEALTH INFRASTRUCTURE 997,000,000 365,690,894 631,309,106 75,809,106 53,500,000 85,000,000 118,025,000 298,975,000 32,407,258 5,522,253 26,885,005 9,618,769 13,208,865 4,057,370 Notes: Expenditure needs to remain within the Asset Authorisation Limits indicated above Minor Works and Equipment > $10,000 includes a confund contribution of $6,014,686 1,249,000 This does not include new and existing Locally Funded Initiative (LFI) Projects which will be included in Initial Capital Allocation Letters Schedule D: Purchased Volumes Growth Investment Strategic Priority $’000 NWAU18 Performance Metric Activity Growth inclusive of Local Priority Issues Service Stream Target (NWAU17) Acute Inclusive of Xxxxxxxxxx and St Xxxxxx Service Expansion 2 - 164,603 As per Schedule E / Activity of New Service Identified Inpatient Services 5,434 Emergency Department 2.4 Services 1,828 Sub and Non Acute Inpatient Services - 30,463 As per Schedule E Sub-Acute (Admitted and Non-Admitted) 2 - 23,275 As per Schedule E All 360 Sub and Non Acute Inpatient Services – Palliative Care Component 3.3 129 Non Admitted Patient Services - 2,965 As per Schedule E Non-Admitted Tier 2 / 3 - 48,223 As per Schedule E Clinics 1,810 Public Dental Clinical Service – Total Dental Activity 1 - 16,511 274 (2,108 DWAU) As per Schedule E Mental Health Admitted 3.2 - 13,359 As per Schedule E Inpatient Activity 1,262 Mental Health Non-Non Admitted 3.2 - 10,319 As per Schedule E Mental Health Reforms Specialist child and adolescent community mental health services 3.2 - 110 Client-related hours Specialist adult community mental health services 3.2 - 73 Client-related hours Specialist older persons community mental health services 3.2 - 110 Client-related hours Service Investment Capital and Service Expansion: The Xxxxxxxxxx Hospital RADIUS 2 / 3 1,000 - Activity of new service identified Highly Specialised Service - Peritonectomy 2 1,030 - As per Schedule E 1,373 Strategic Priority Target Performance Metric STATE PRIORITY Elective Surgery Volumes Number of Admissions from Surgical Waiting List - All Patients 2.4 19,900 1,065 Number Number of Admissions from Surgical Waiting List - Children < 16 Years Old 2.4 626 40 Number Growth Investment Strategic Priority $ ‘000 NWAU18 NWAU17 Performance Metric NSW HEALTH STRATEGIC PRIORITIES Providing World Class Clinical PROVIDING WORLD-CLASS CLINICAL CARE BETTER VALUE CARE Statewide Initiatives Management of Osteoarthritis – OACCP 2.2 4.372 ACI Evaluation Osteoporotic Refracture Prevention - ORP 2.2 13.115 ACI Evaluation Diabetes High Risk Foot Services – HRFS 2.2 6.22 ACI Evaluation Diabetes Mellitus 2.2 - ACI Evaluation Chronic Heart Failure – CHF 2.2 258 - ACI Evaluation Chronic Obstructive Pulmonary Disease – COPD 2.2 - ACI Evaluation Renal Supportive Care Where Patient 2.2 & 3.3 17.667 ACI Evaluation Adverse Events: Falls in Hospitals 2.1 - CEC Criteria Total NWAU 41.374 IMPLEMENTATION INVESTMENT Improving Safety is First Hospital Acquired Complications (HAC) initiatives 2.1 350 - Demonstration of reduction in HAC ETP 2.4 44 - ETP Trajectory Leading Better Value Care and Quality Data Data quality improvement Program Support Transition 2.2 clinical coding / documentation 6 250 - Data quality improvement XXXXXX business implementation 6 250 - Deployment of emergency department and wait list data streams Growth Investment Strategic Priority $ ‘000 NWAU17 Performance against LBVC Deliverables Integrate Systems to Deliver Truly Connected Care Metric INTEGRATED CARE Local Initiatives Integrated Care Strategy The Integrated Care purchasing model program Not included in Schedule C, a separate budget supplementation for 2018/19 converts 25% of the existing recurrent funding for Integrated Care for People with Chronic Conditions (ICPCC) (previously the Chronic Disease Management Program) into purchased activity for each LHD/SHN. This is shown as NWAU for each LHD/SHN. this amount will be provided in July 2017 3.1 1,478 164 800 - Demonstration of delivery of activities outlined in the approved Activity Work Plan and meeting data collection requirements (including monitoring, evaluation, and the Patient Flow Portal) RPM Roadmap Growth Investment Strategic Priority $ NWAU17 Performance Metric SERVICE INVESTMENT System Priority Investment Clinical Redesign of NSW Health Responses to Violence, Abuse and Neglect 3.6 410 with general escalation applied for 2018/19 250,000 - Commence implementation of local VAN service Participation in clinical redesign and recruitment of permanent additional clinical staff where staffing gaps have been Local Priority Issues Acute 2 - 5,434 Activity of new service identified Enable eHealthEmergency Department 2.4 - 1,828 Activity of new service identified Sub-Acute (Admitted and Non-Admitted) 2 - 360 Activity of new service identified Non-Admitted 2 / 3 - 1,810 Activity of new service identified Mental Health Admitted 3.2 - 1,262 Activity of new service identified Mental Health Non-Admitted 3.2 - 1,373 Activity of new service identified Schedule E: Performance against Strategies and Objectives The performance of Districts, Networks, other Health Information Services and Support Organisations is assessed in terms of whether it is meeting performance targets for individual key performance indicators for each NSW Health Strategic Priority. ✓ Performing Performance at, or better than, target 🡮 Underperforming Performance within a tolerance range X Not performing Performance outside the tolerance threshold Detailed specifications for the key performance indicators are provided in the Service Agreement Data Analytics Data quality Supplement along with the list of improvement – clinical coding / documentation 6.3 250 - Data quality improvement XXXXXX business implementation $250,000 measures that will continue to be allocated tracked by the Ministry’s Business Owners - see xxxx://xxxx.health.nsw.gov.au/xxxx/view_data_resource_description.cfm?ItemID=22508 Performance concerns will be raised with the Organisation for focused discussion at performance review meetings in line with the NSW Health Performance Framework. The Data Supplement also maps indicators and measures to Intra key strategic programs including • Premier’s and State Priorities • Election Commitments • Better Value Care • Patient Safety First • Mental Health for XXX - One- off for 2018/19 6.3 500 - Complete Stage 1 LEAP Reform • Financial Management Transformations Key deliverables under the NSW Health Strategic Priorities 2017-18 will also be monitored, noting that process key performance indicators and transition of at least one data stream (AP, ED or WL) as per LHD/SHN Program Management Planmilestones are held in the detailed Operational Plans developed by each Health Service and Support Organisation. Key Performance Indicators Strategic Priority Domain Measure Target Not Performing X Under Performing 🡮 Performing ✓ Strategy 1: Keep People Healthy

Appears in 2 contracts

Samples: Service Agreement, Service Agreement

Locations Service Requirement. Pancreas Transplantation – Nationally Funded Centre Westmead As per Nationally Funded Centre Agreement - Access for all patients across Australia accepted onto Nationally Funded Centre program Paediatric Liver Transplantation – Nationally Funded Centre SCHN Westmead Islet Cell Transplantation – Nationally Funded Centre Westmead Schedule C: Budget Part 1 Schedule C Part 1 South Eastern Sydney Far West LHD - Budget 2018/19 2018/19 2019/20 2019/20 BUDGET Comparative Data A B C D E F G H I Target Volume (NWAU18NWAU19) Volume (Admissions & Attendances) Indicative only State Price per NWAU18 NWAU19 LHD/SHN Projected Average Cost per NWAU18 NWAU19 Initial Budget 2018/19 2019/20 ($ '000) 2017/18 2018/19 Annualised Budget ($ '000) Variance Initial and Annualised ($ '000) Variance (%) Volume Forecast 2017/18 2018/19 (NWAU18NWAU19) A Acute Admitted 164,603 162,901 5,452 7,688 $4,713 4,925 $4,621 5,819 $759,665 26,714 $729,698 25,900 $29,967 161,434 814 5,329 Emergency Department 30,463 223,467 2,028 23,983 $140,485 9,966 $134,272 9,709 $6,213 29,709 257 2,008 Non Admitted Patients (Including Dental) 48,082 940,440 2,460 49,465 $221,901 12,049 $213,928 11,551 $7,973 47,324 498 2,400 Total 243,149 1,326,808 9,941 81,137 $1,122,051 48,729 $1,077,899 47,160 $44,152 4.11,569 3.3% 238,468 9,737 B Sub-Acute Services - Admitted 20,443 16,239 398 149 $4,713 4,925 $4,621 5,819 $94,264 1,941 $89,980 1,839 $4,285 19,909 102 382 Sub-Acute Services - Non Admitted 2,214 87 $10,230 426 $10,010 417 $219 2,214 10 87 Total 22,657 16,239 484 149 $104,494 2,368 $99,990 2,256 $4,504 4.5112 5.0% 22,123 469 C Mental Health - Admitted (Acute and Sub-Acute) 13,359 3,216 948 258 $4,713 4,925 $4,621 5,819 $61,731 4,667 $60,408 4,551 $1,324 13,359 117 945 Mental Health - Non Admitted 10,319 243,346 657 11,363 $51,205 7,864 $48,650 7,679 $2,555 9,975 Mental Health - Classification Adjustment 185 655 Total 1,606 11,621 $2,440 12,532 $2,388 12,229 $52 Total 23,678 246,563 $115,376 $111,445 $3,931 3.5302 2.5% 23,334 1,601 D Block Funding Allocation Block Funded Hospitals (Small Hospitals) $19,746 $19,301 $445 Block Funded Services In-Scope - Teaching, Training and Research $57,757 2,298 $56,519 2,246 $1,238 52 Total $58,416 22,044 $57,163 21,547 $1,253 2.2497 2.3% E State Only Block Funded Services Total $217,531 16,011 $212,867 15,650 $4,664 2.2361 2.3% F Transition Grant $1,559 Recognised Operational Cost (ROC) $8,108 Transition Grant (excluding Mental Health) and RSCᵝ ROCᵝ $9,667 $9,449 $218 2.3% G Gross-Up (Private Patient Service Adjustments) $70,207 1,824 $68,701 1,783 $1,505 2.241 2.3% H Provision for Specific Initiatives & TMF Adjustments (not included above) Data Improvement Project * $750 HAC Improvement Project 500 Integrated Care $350 360 Leading Better Value Care Program $300 Other Block Growth and Purchasing Adjustors (incl Hospital Acquired Complications) -$1,149 HealthShare Accelerated Savings Program -$1,575 $640 Psychologists for drought affected areas $125 2015 Election Commitment - Additional Nursing, Midwifery and Support positions $354 Electricity escalations $2,004 New parents and children initiatives $460 48 Procurement Savings -$46 Efficiency dividends 2019-20 -$717 Total $6,629 1,210 $6,629 1,210 I Restricted Financial Asset Expenses $13,656 $13,656 J Depreciation (General Funds only) $57,826 6,844 $57,826 6,844 K Total Expenses (K=A+B+C+D+E+F+G+H+I+J) $1,766,187 121,228 $1,699,547 116,918 $66,639 3.94,310 3.7% L Other - Gain/Loss on disposal of assets etc $2,658 $2,658 M LHD Revenue -$1,722,798 -$1,646,709 -$76,089 -$116,426 -$109,969 -$6,457 N Net Result (N=K+L+M) $46,046 4,802 $55,496 -$9,450 6,950 -$2,148 General Note: ABF growth is funded at 9077% of the State Price for all “business as usual” activity and new builds or new capacity has continued to be funded at the full State Price ᵝ Part of the Acute, ED and Subacute Admitted transition grant has been used to fund growth (see Schedule C glossary) * Data Improvement Project $250k to be allocated to Intra Health for XXX Part 2 2018/19 2019/20 Schedule C Part 0 Xxxxx Xxxxxxx Xxxxxx 2 Far West LHD $ (000's) A B C D E Government Grants Subsidy* -$1,091,840 -$57,239 In-Scope Services - Block Funded -$87,520 -$25,004 Out of Scope Services - Block Funded -$173,675 -$13,385 Capital Subsidy -$8,786 -$2,147 Crown Acceptance (Super, LSL) -$33,051 -$1,554 F Total Government Contribution (F=A+B+C+D+E) -$1,394,872 -$99,329 G H Own Source revenue GF Revenue -$304,046 -$17,059 Restricted Financial Asset Revenue -$23,880 -$38 I Total Own Source Revenue (I=G+H) -$327,926 -$17,097 J Total Revenue (J=F+I) -$1,722,798 -$116,426 K L M Total Expense Budget - General Funds $1,752,530 121,228 Restricted Financial Asset Expense Budget $13,656 Other Expense Budget $2,658 N Total Expense Budget as per Attachment C Part 1 (N=K+L+M) $1,768,845 121,228 O Net Result (O=J+N) $46,046 4,802 P Q R Net Result Represented by: Asset Movements -$44,212 -$4,660 Liability Movements -$1,835 -$142 Entity Transfers S Total (S=P+Q+R) -$46,046 -$4,802 Note: The minimum weekly cash reserve buffer for unrestricted cash at bank has been updated for FY 2019/20 to $0.1m and has been reduced by approximately 75% of the FY 2018/19 buffer as a result of the transition of creditor payments and PAYG remittance to HealthShare and HealthShare managed bank accounts from the 1st July 2019. Based on final June 2019 cash balances, adjustments will be made in July 2019 to ensure alignment with the cash buffer requirements of NSW Treasury Circular TC15_01 Cash Management – Expanding the Scope of the Treasury Banking System. The Ministry will closely monitor cash at bank balances during the year to ensure compliance with this NSW Treasury policy. * The subsidy amount does not include items E and G, which are revenue receipts retained by the LHDs/SHNs and sit outside the National Pool. Part 3 Schedule C Part 3 2018/19Shared 2019/20Shared Services & Consolidated Statewide Payment Schedule South Eastern Sydney Far West LHD $ (000's) HS Charges HS Service Centres HS Ambulance Make Ready HS Service Centres Warehousing HS Enable NSW HS Food Services HS Soft Service Charges HS Linen Services HS Recoups HS IPTAAS HS Fleet Services HS Patient Transport Services HS MEAPP (quarterly) $6,108 450 $22,741 243 $3,675 2,426 $29,992 $9,326 $11,556 $172$3,236 $7,125 873 Total HSS Charges $93,931 3,991 eHealth EH Corporate IT & SPA EH Information Services ICT SPA Recoups $6,227 2,280 $13,035 630 Total eHealth Charges $19,262 2,910 IH Transports Interhospital Ambulance Transports Interhospital Ambulance NETS $1,895 1,363 $109 32 Total Interhospital Ambulance Charges $2,004 1,396 Interhospital NETS Charges - SCHN $111 7 Payroll Total Payroll (including SGC, FSS, Excluding LSL & PAYG) $915,449 72,750 Loans MoH Loan Repayments Treasury Loan (SEDA) Total Loans Blood and Blood Products $14,160 172 NSW Pathology $50,746 1,357 Compacks (HSSG) $1,918 277 TMF Insurances (WC, MV & Property) $15,069 1,242 Creditor Payments $37,836 Energy Australia $14,835 1,146 Total $1,127,485 123,084 Note: This schedule represents initial estimates of Statewide recoveries processed by the Ministry on behalf of Service Providers. LHD's LHD's/Health Entities are responsible for regularly reviewing these estimates and liaising with the Ministry where there are discrepancies. The Ministry will work with LHD's LHD's/Health Entities and Service Providers throughout the year to ensure cash held back for these payments reflects actual trends. Consistent with prior years procedures, a mid year review will occur in January with further adjustments made if required. Note: The amounts above include GST, where applicableCommencing 2019/20 two additional holdbacks have been included to reflect new statewide payment and recovery processes for Creditors and PAYG. Amendments will also be made to the subsidy sheets in 2019/20 to incorporate contributions from other sources to cover subsidy shortfalls as a result of the additional holdbacks. Part 4 2018/19 2019/20 National Health Funding Body Service Agreement - South Eastern Sydney Far West LHD Period: 1 July 2018 2019 - 30 June 2019 2020 4 National Reform Agreement In- Scope Estimated National Weighted Activity Units Commonwealth Funding Contribution Schedule C Part 4 Acute 152,039 5,379 ED 28,285 1,988 Mental Health 13,592 1,037 Sub Acute 24,751 446 Non Admitted 50,406 1,963 Activity Based Funding Total 269,074 10,812 Block Funding Total $42,081,265 9,180,332 Total 269,074 10,812 $42,081,265 9,180,332 Capital Program SOUTH EASTERN SYDNEY FAR WEST LHD ASSET AUTHORISATION LIMITS 2018/19 PROJECTS MANAGED BY HEALTH SERVICE 2019/20 Capital Projects SMRT BP2 ETC 2018/19 Project Code Estimated Total Cost 2019/20 Estimated Expenditure to 30 June 2018 2019 Cost to Complete at 30 June 2018 BP2 2019 Capital Budget Allocation 2018/19 XX0 Xxx. 0000/00 XX0 Xxx. 2020/21 BP2 Est. 2021/22 Balance to Complete 2019/20 2019/20 Capital Budget Allocation by Source of Funds Confund 2019/20 Local Funds 2019/20 Revenue 2019/20 Lease Liabilities 2019/20 $ $ $ $ $ $ $ $ WORKS IN PROGRESS SESLHD Minor Works & Equipment >$10,000 Program P51069 14,170,500 14,170,500 14,170,500 14,170,500 14,170,500 Asset Refurbishment/Replacement Strategy n.a - Statewide P55345 2,421,788 St Xxxxxx Hospital Cancer - 1,499,000 1,329,300 169,700 - - Remote Staff Accommodation at Ivanhoe and Wilcannia P56419 493,000 273,000 220,000 220,000 220,000 - - - Broken Hill Health Service (BHHS) Medical Imaging Breast Screen Refurbishment P56422 494,000 33,000 461,000 461,000 461,000 - - - Wilcannia Aged Care Centre Stage 5 P56131 3,990,000 1,532,099 2,457,901 2,457,901 Prince Outdoor Space P56424 82,000 - 82,000 82,000 82,000 - - - Broken Hill Health Service (BHHS) Renovation of Wales Hospital Digital Subtraction Angiography Mental Health Inpatients Unit P56242 1,110,000 151,959 958,041 958,041 Engadine Community Health Centre (MHIPU) P56418 84,000 29,365 54,635 54,635 54,635 - Construct Dental Clinic P56412 600,000 600,000 600,000 - - TOTAL WORKS IN PROGRESS 19,870,500 1,684,058 18,186,442 20,008,230 14,770,500 14,170,500 1,153,000 335,365 817,635 2,316,635 2,146,935 169,700 - - TOTAL ASSET ACQUISITION PROGRAM 19,870,500 1,684,058 18,186,442 20,008,230 14,770,500 14,170,500 PROJECTS CAPITAL EXPENDITURE AUTHORISATION LIMIT MANAGED BY HEALTH INFRASTRUCTURE MAJOR NEW WORKS 0000/00 Xx Xxxxxx Xxxxxxxx Birthing Suite & Theatre Refurbishment P56410 11,500,000 0 11,500,000 10,000,000 1,500,000 TOTAL MAJOR NEW WORKS 11,500,000 11,500,000 10,000,000 1,500,000 MAJOR WORKS IN PROGRESS St Xxxxxx Hospital Redevelopment Stage 1 & Acute Services Building Cont (part B) P55333 265,500,000 261,690,894 3,809,106 3,809,106 Randwick Campus Reconfiguration and Expansion Stage 1 (including land acquisition) P56067 720,000,000 104,000,000 616,000,000 62,000,000 52,000,000 85,000,000 118,025,000 298,975,000 TOTAL MAJOR WORKS IN PROGRESS 985,500,000 365,690,894 619,809,106 65,809,106 52,000,000 85,000,000 118,025,000 298,975,000 TOTAL MANAGED BY HEALTH INFRASTRUCTURE 997,000,000 365,690,894 631,309,106 75,809,106 53,500,000 85,000,000 118,025,000 298,975,000 FAR WEST LHD 1,153,000 335,365 817,635 2,316,635 2,146,935 169,700 - - Notes: Expenditure needs to remain within the Asset Capital Expenditure Authorisation Limits (CEAL) indicated above Minor Works and Equipment > $10,000 includes a confund contribution of $6,014,686 This does The above budgets do not include allocations for new and existing FY20 Locally Funded Initiative (LFI) Projects which or Right of Use Assets (Leases) Projects. These budgets will be included in Initial Capital Allocation Letters issued through a separate process. Minor Works & Equipment >$10,000 Program is an annual allocation with no Total Estimated Cost Schedule D: Purchased Volumes Growth Investment Strategic Priority $’000 NWAU18 NWAU19 Performance Metric Activity Growth inclusive of Local Priority Issues Acute Inclusive of Xxxxxxxxxx and St Xxxxxx Service Expansion 2 - 164,603 As per 5,452 See Schedule E / Activity of New Service Identified Emergency Department 2.4 - 30,463 As per 2,028 See Schedule E Sub-Acute (Admitted and Non-Admitted) 2 - 23,275 As per 398 See Schedule E Sub and Non Acute Inpatient Services – Palliative Care Component 3.3 - 2,965 As per 129 See Schedule E Non-Admitted 2 / 3 - 48,223 As per 1,914 See Schedule E Public Dental Clinical Service – Total Dental Activity 1 - 16,511 (DWAU) As per 1 - 2,159 See Schedule E Mental Health Admitted 3.2 - 13,359 As per 948 See Schedule E Mental Health Non-Admitted 3.2 - 10,319 As per 657 See Schedule E Mental Health Reforms Specialist child Alcohol and adolescent community mental health services 3.2 other drug related Admitted 1.3 - 110 Client-related hours Specialist adult community mental health services 3.2 - 73 Client-related hours Specialist older persons community mental health services 3.2 - 110 Client-related hours Service Investment Capital and Service Expansion: The Xxxxxxxxxx Hospital RADIUS 2 / 3 1,000 - Activity of new service identified Highly Specialised Service - Peritonectomy 2 1,030 - As per 39 See Schedule E Strategic Priority Target Performance Metric STATE PRIORITY Elective Surgery Volumes Number of Admissions from Surgical Waiting List Alcohol and other drug related Non Admitted 1.3 - All Patients 2.4 19,900 Number Number of Admissions from Surgical Waiting List - Children < 16 Years Old 2.4 626 Number Growth Investment Strategic Priority $ ‘000 NWAU18 Performance Metric NSW HEALTH STRATEGIC PRIORITIES Providing World Class Clinical Care Where Patient Safety is First Hospital Acquired Complications (HAC) initiatives 2.1 350 - Demonstration of reduction in HAC ETP 2.4 44 - ETP Trajectory Leading Better Value Care – Program Support Transition 2.2 250 - Performance against LBVC Deliverables Integrate Systems to Deliver Truly Connected Care Integrated Care Strategy The Integrated Care purchasing model for 2018/19 converts 25% of the existing recurrent funding for Integrated Care for People with Chronic Conditions (ICPCC) (previously the Chronic Disease Management Program) into purchased activity for each LHD/SHN. This is shown as NWAU for each LHD/SHN. 3.1 1,478 164 Demonstration of delivery of activities outlined in the approved Activity Work Plan and meeting data collection requirements (including monitoring, evaluation, and the Patient Flow Portal) Clinical Redesign of NSW Health Responses to Violence, Abuse and Neglect 3.6 410 with general escalation applied for 2018/19 - Commence implementation of local VAN service redesign and recruitment of permanent clinical staff where staffing gaps have been identified Enable eHealth, Health Information and Data Analytics Data quality improvement – clinical coding / documentation 6.3 250 - Data quality improvement XXXXXX business implementation $250,000 to be allocated to Intra Health for XXX - One- off for 2018/19 6.3 500 - Complete Stage 1 LEAP and transition of at least one data stream (AP, ED or WL) as per LHD/SHN Program Management Plan322 See Schedule E Service Investment

Appears in 2 contracts

Samples: www.fwlhd.health.nsw.gov.au, fwlhd.health.nsw.gov.au

Locations Service Requirement. Pancreas Transplantation – Nationally Funded Centre Westmead As per Nationally Funded Centre Agreement - Access for all patients across Australia accepted onto Nationally Funded Centre program Paediatric Liver Transplantation – Nationally Funded Centre SCHN Westmead Islet Cell Transplantation – Nationally Funded Centre Westmead Schedule C: Budget Part 1 Schedule C Part 1 South Eastern Sydney Southern NSW LHD - Budget 2018/19 2018/19 BUDGET Comparative Data A B C D E F G H I Target Volume (NWAU18) Volume (Admissions & Attendances) Indicative only State Price per NWAU18 LHD/SHN Projected Average Cost per NWAU18 Initial Budget 2018/19 ($ '000) 2017/18 Annualised Budget ($ '000) Variance Initial and Annualised ($ '000) Variance (%) Volume Forecast 2017/18 (NWAU18) A Acute Admitted 164,603 162,901 30,491 50,237 $4,713 $4,621 5,276 $759,665 143,324 $729,698 138,618 $29,967 161,434 4,707 29,685 Emergency Department 30,463 223,467 11,693 100,044 $140,485 54,989 $134,272 53,001 $6,213 29,709 1,988 11,443 Non Admitted Patients (Including Dental) 48,082 940,440 10,196 217,177 $221,901 47,856 $213,928 45,061 $7,973 47,324 2,795 9,777 Total 243,149 1,326,808 52,379 367,458 $1,122,051 246,169 $1,077,899 236,680 $44,152 4.19,490 4.0% 238,468 50,905 B Sub-Acute Services - Admitted 20,443 16,239 5,551 2,813 $4,713 $4,621 5,276 $94,264 26,109 $89,980 25,368 $4,285 19,909 742 5,443 Sub-Acute Services - Non Admitted 2,214 319 $10,230 1,504 $10,010 1,472 $219 2,214 32 319 Total 22,657 16,239 5,870 2,813 $104,494 27,613 $99,990 26,839 $4,504 4.5774 2.9% 22,123 5,762 C Mental Health - Admitted (Acute and Sub-Acute) 13,359 3,216 3,758 1,198 $4,713 $4,621 5,276 $61,731 17,709 $60,408 17,332 $1,324 13,359 377 3,758 Mental Health - Block Funded Hospitals $9,505 $9,303 $202 Mental Health - Non Admitted 10,319 243,346 3,417 72,394 $51,205 18,233 $48,650 17,441 $2,555 9,975 792 3,322 Mental Health - Classification Adjustment $2,440 485 $2,388 475 $52 10 Mental Health - Transition Grant $44 $43 $1 Total 23,678 246,563 7,174 73,593 $115,376 45,977 $111,445 44,594 $3,931 3.51,383 3.1% 23,334 7,079 D Block Funding Allocation Block Funded Hospitals (Small Hospitals) $31,955 $31,274 $680 Block Funded Services In-Scope - Teaching, Training and Research $57,757 6,646 $56,519 6,505 $1,238 141 Total $58,416 38,601 $57,163 37,779 $1,253 822 2.2% E State Only Block Funded Services Total $217,531 1,291 $212,867 1,263 $4,664 27 2.2% F Transition Grant $11,687 Recognised Structural Cost (RSC) - Provisional Only $20,823 Transition Grant (excluding Mental Health) and RSCᵝ $32,510 $31,818 $692 2.2% G Gross-Up (Private Patient Service Adjustments) $70,207 8,303 $68,701 8,126 $1,505 177 2.2% H Provision for Specific Initiatives & TMF Adjustments (not included above) Data Improvement Project * $750 HAC Improvement Project $350 Leading Better Value Care Program Support Transition $150 Purchasing Adjustors (incl Hospital Acquired Complications) -$1,149 -$54 Intensive Care Services - Goulburn $500 HealthShare Accelerated Savings Program -$1,575 -$201 Election Commitment - Additional Nursing, Midwifery and Support positions $354 531 Electricity escalations $2,004 577 ICT escalation (Intra Health) $519 New parents and children initiatives $460 59 Total $6,629 3,182 $6,629 3,182 I Restricted Financial Asset Expenses $13,656 564 $13,656 564 J Depreciation (General Funds only) $57,826 15,373 $57,826 15,373 K Total Expenses (K=A+B+C+D+E+F+G+H+I+J) $1,766,187 419,583 $1,699,547 403,037 $66,639 3.916,546 4.1% L Other - Gain/Loss on disposal of assets etc $2,658 35 $2,658 35 M LHD Revenue -$1,722,798 -$1,646,709 -$76,089 -$406,553 -$387,839 -$18,715 N Net Result (N=K+L+M) $46,046 13,065 $55,496 -$9,450 15,233 -$2,168 General Note: ABF growth is funded at 90% of the State Price for all “business as usual” activity and new builds or new capacity has continued to be funded at the full State Price ᵝ Part of the Acute, ED and Subacute Admitted transition grant has been used to fund growth (see Schedule C glossary) * Data Improvement Project $250k to be allocated to Intra Health for XXX Part 2 2018/19 Schedule C Part 0 Xxxxx Xxxxxxx Xxxxxx 2 Southern NSW LHD $ (000's) A B C D E Government Grants Subsidy* -$1,091,840 -$285,581 In-Scope Services - Block Funded -$87,520 -$57,209 Out of Scope Services - Block Funded -$173,675 -$1,100 Capital Subsidy -$8,786 -$2,168 Crown Acceptance (Super, LSL) -$33,051 -$6,595 F Total Government Contribution (F=A+B+C+D+E) -$1,394,872 -$352,652 G H Own Source revenue GF Revenue -$304,046 -$53,161 Restricted Financial Asset Revenue -$23,880 -$740 I Total Own Source Revenue (I=G+H) -$327,926 -$53,901 J Total Revenue (J=F+I) -$1,722,798 -$406,553 K L M Total Expense Budget - General Funds $1,752,530 419,019 Restricted Financial Asset Expense Budget $13,656 564 Other Expense Budget $2,658 35 N Total Expense Budget as per Attachment C Part 1 (N=K+L+M) $1,768,845 419,618 O Net Result (O=J+N) $46,046 13,065 P Q R Net Result Represented by: Asset Movements -$44,212 -$16,105 Liability Movements -$1,835 $3,040 Entity Transfers S Total (S=P+Q+R) -$46,046 -$13,065 Note: The minimum weekly cash reserve buffer for unrestricted cash at bank has been updated for FY 2018/19 to $1.4m and remains at approximately 4 days' cash expenses after removing Depreciation, Crown Acceptance and MOH Holdbacks). Based on final June 2018 cash balances, adjustments will be made in July 2018 to ensure alignment with the cash buffer requirements of NSW Treasury Circular TC15_01 Cash Management – Expanding the Scope of the Treasury Banking System. The Ministry will closely monitor cash at bank balances during the year to ensure compliance with this NSW Treasury policy. * The subsidy amount does not include items E and G, which are revenue receipts retained by the LHDs/SHNs and sit outside the National Pool. Part 3 Schedule C Part 3 2018/19Shared Services & Consolidated Statewide Payment Schedule South Eastern Sydney Southern NSW LHD $ (000's) HS Charges HS Service Centres HS Service Centres Warehousing HS Enable NSW HS Food Services HS Soft Service Charges HS Linen Services HS Recoups HS IPTAAS HS Fleet Services HS Patient Transport Services HS MEAPP $6,108 1,837 $22,741 5,069 $3,675 874$20,699 $29,992 1,970 $9,326 2,289 $11,556 2,093 $172$3,236 2,965 $7,125 35 Total HSS Charges $93,931 37,830 eHealth EH Corporate IT EH Information Services ICT SPA $6,227 1,382 $13,035 4,742 Total eHealth Charges $19,262 6,124 IH Transports Interhospital Ambulance Transports Interhospital Ambulance NETS $1,895 10,427 $109 405 Total Interhospital Ambulance Charges $2,004 10,832 Interhospital NETS Charges - SCHN $111 87 Payroll Total Payroll (including SGC, FSS, Excluding LSL & PAYG) $915,449 195,019 Loans MoH Loan Repayments Treasury Loan (SEDA) Total Loans Blood and Blood Products $14,160 1,735 NSW Pathology $50,746 9,565 Compacks (HSSG) $1,918 1,020 TMF Insurances (WC, MV & Property) $15,069 2,881 Energy Australia $14,835 3,127 Total $1,127,485 268,219 Note: This schedule represents initial estimates of Statewide recoveries processed by the Ministry on behalf of Service Providers. LHD's are responsible for regularly reviewing these estimates and liaising with the Ministry where there are discrepancies. The Ministry will work with LHD's and Service Providers throughout the year to ensure cash held back for these payments reflects actual trends. Consistent with prior years procedures, a mid year review will occur in January with further adjustments made if required. Note: The amounts above include GST, where applicable. Part 4 2018/19 National Health Funding Body Service Agreement - South Eastern Sydney Southern NSW LHD Period: 1 July 2018 - 30 June 2019 National Reform Agreement Commonwealth Schedule C Part 4 Acute 152,039 29,004 ED 28,285 11,200 Mental Health 13,592 3,782 Sub Acute 24,751 5,995 Non Admitted 50,406 8,734 Activity Based Funding Total 269,074 58,714 Block Funding Total $42,081,265 26,568,146 Total 269,074 58,714 $42,081,265 26,568,146 Capital Program SOUTH EASTERN SYDNEY SOUTHERN NSW LHD ASSET AUTHORISATION LIMITS 2018/19 Capital Projects SMRT BP2 ETC 2018/19 Estimated Expenditure to 30 June 2018 Cost to Complete at 30 June 2018 BP2 Allocation 2018/19 XX0 Xxx. 0000/00 XX0 Xxx. 2020/21 BP2 Est. 2021/22 Balance to Complete $ $ $ $ $ $ $ $ WORKS IN PROGRESS SESLHD SNSWLHD Minor Works & Equipment P51069 14,170,500 14,170,500 14,170,500 14,170,500 14,170,500 3,154,500 0 3,154,500 3,154,500 3,154,500 3,154,500 Asset Refurbishment/Replacement Strategy - Statewide P55345 2,421,788 St Xxxxxx 315,000 Pambula Hospital Cancer Care Centre Stage 5 P56131 3,990,000 1,532,099 2,457,901 2,457,901 Prince of Wales Hospital Digital Subtraction Angiography Unit P56242 1,110,000 151,959 958,041 958,041 Engadine Community Health Centre - Construct Dental Clinic P56412 600,000 600,000 600,000 Refurbishment P56263 1,598,038 1,249,384 348,654 348,654 Paediatric Amenity Upgrade (Goulburn) P56415 250,000 250,000 250,000 TOTAL WORKS IN PROGRESS 19,870,500 1,684,058 18,186,442 20,008,230 14,770,500 14,170,500 5,002,538 1,249,384 3,753,154 4,068,154 3,154,500 3,154,500 TOTAL ASSET ACQUISITION PROGRAM 19,870,500 1,684,058 18,186,442 20,008,230 14,770,500 14,170,500 5,002,538 1,249,384 3,753,154 4,068,154 3,154,500 3,154,500 PROJECTS MANAGED BY HEALTH INFRASTRUCTURE MAJOR NEW WORKS 0000/00 Xx Xxxxxx Xxxxxxxx Birthing Suite & Theatre Refurbishment P56410 11,500,000 0 11,500,000 10,000,000 1,500,000 TOTAL MAJOR NEW WORKS 11,500,000 11,500,000 10,000,000 1,500,000 MAJOR WORKS IN PROGRESS St Xxxxxx Cooma Hospital Redevelopment Stage 1 & Acute Services Building Cont (part B) P55333 265,500,000 261,690,894 3,809,106 3,809,106 Randwick Campus Reconfiguration and Expansion Stage 1 (including land acquisition) P56067 720,000,000 104,000,000 616,000,000 62,000,000 52,000,000 85,000,000 118,025,000 298,975,000 P56168 18,600,000 1,500,000 17,100,000 5,000,000 10,000,000 2,100,000 Goulburn Hospital Redevelopment P55265 120,000,000 10,200,000 109,800,000 30,000,000 60,000,000 19,800,000 TOTAL MAJOR WORKS IN PROGRESS 985,500,000 365,690,894 619,809,106 65,809,106 52,000,000 85,000,000 118,025,000 298,975,000 138,600,000 11,700,000 126,900,000 35,000,000 70,000,000 21,900,000 TOTAL MANAGED BY HEALTH INFRASTRUCTURE 997,000,000 365,690,894 631,309,106 75,809,106 53,500,000 85,000,000 118,025,000 298,975,000 138,600,000 11,700,000 126,900,000 35,000,000 70,000,000 21,900,000 Notes: Expenditure needs to remain within the Asset Authorisation Limits indicated above Minor Works and Equipment > $10,000 includes a confund contribution of $6,014,686 1,853,214 This does not include new and existing Locally Funded Initiative (LFI) Projects which will be included in Initial Capital Allocation Letters Schedule D: Purchased Volumes Growth Investment Strategic Priority $’000 NWAU18 Performance Metric Activity Growth inclusive of Local Priority Issues Acute Inclusive of Xxxxxxxxxx and St Xxxxxx Service Expansion 2 - 164,603 30,491 As per Schedule E / Activity of New Service Identified Emergency Department 2.4 - 30,463 11,693 As per Schedule E Sub-Acute (Admitted and Non-Admitted) 2 - 23,275 5,551 As per Schedule E Sub and Non Acute Inpatient Services – Palliative Care Component 3.3 - 2,965 775 As per Schedule E Non-Admitted 2 / 3 - 48,223 9,091 As per Schedule E Public Dental Clinical Service – Total Dental Activity 1 - 16,511 11,344 (DWAU) As per Schedule E Mental Health Admitted 3.2 - 13,359 3,758 As per Schedule E Mental Health Non-Admitted 3.2 - 10,319 3,417 As per Schedule E Mental Health Reforms Specialist child and adolescent community mental health services 3.2 - 110 27 Client-related hours Specialist adult community mental health services 3.2 - 73 27 Client-related hours Specialist older persons community mental health services 3.2 - 110 27 Client-related hours Service Investment Capital and Level 4 Intensive Care Service Expansion: The Xxxxxxxxxx Hospital RADIUS – Increase in Delineation at Goulburn 2 / 3 1,000 500 - Activity of new service identified Highly Specialised Service - Peritonectomy 2 1,030 - As per Schedule E Strategic Priority Target Performance Metric STATE PRIORITY Elective Surgery Volumes Number of Admissions from Surgical Waiting List - All Patients 2.4 19,900 6,334 Number Number of Admissions from Surgical Waiting List - Children < 16 Years Old 2.4 626 202 Number Growth Investment Strategic Priority $ ‘000 NWAU18 Performance Metric NSW HEALTH STRATEGIC PRIORITIES Providing World Class Clinical Care Where Patient Safety is First Hospital Acquired Complications (HAC) initiatives 2.1 350 - Demonstration of reduction in HAC ETP 2.4 44 110 - ETP Trajectory Leading Better Value Care – Program Support Transition 2.2 250 150 - Performance against LBVC Deliverables Integrate Systems to Deliver Truly Connected Care Integrated Care Strategy The Integrated Care purchasing model for 2018/19 converts 25% of the existing recurrent funding for Integrated Care for People with Chronic Conditions (ICPCC) (previously the Chronic Disease Management Program) into purchased activity for each LHD/SHN. This is shown as NWAU for each LHD/SHN. 3.1 1,478 164 986 59 Demonstration of delivery of activities outlined in the approved Activity Work Plan and meeting data collection requirements (including monitoring, evaluation, and the Patient Flow Portal) Clinical Redesign of NSW Health Responses to Violence, Abuse and Neglect 3.6 410 250 with general escalation applied for 2018/19 - Commence implementation of local VAN service redesign and recruitment of permanent clinical staff where staffing gaps have been identified Enable eHealth, Health Information and Data Analytics Data quality improvement – clinical coding / documentation 6.3 250 - Data quality improvement XXXXXX business implementation $250,000 to be allocated to Intra Health for XXX - One- off for 2018/19 6.3 500 - Complete Stage 1 LEAP and transition of at least one data stream (AP, ED or WL) as per LHD/SHN Program Management PlanPlan Schedule E: Performance against Strategies and Objectives

Appears in 1 contract

Samples: www.snswlhd.health.nsw.gov.au

Locations Service Requirement. Pancreas Transplantation – Nationally Funded Centre Westmead As per Nationally Funded Centre Agreement - Access for all patients across Australia accepted onto Nationally Funded Centre program Paediatric Liver Transplantation – Nationally Funded Centre SCHN Westmead Islet Cell Transplantation – Nationally Funded Centre Westmead Schedule C: Budget Part 1 Schedule C Part 1 South Eastern Northern Sydney LHD - Budget 2018/19 2018/19 BUDGET Comparative Data A B C D E F G H I Target Volume (NWAU18) Volume (Admissions & Attendances) Indicative only State Price per NWAU18 LHD/SHN Projected Average Cost per NWAU18 Initial Budget 2018/19 ($ '000) 2017/18 Annualised Budget ($ '000) Variance Initial and Annualised ($ '000) Variance (%) Volume Forecast 2017/18 (NWAU18) A Acute Admitted 164,603 162,901 135,231 140,021 $4,713 $4,621 4,675 $759,665 630,926 $729,698 605,836 $29,967 161,434 25,090 132,278 Emergency Department 30,463 223,467 30,736 225,842 $140,485 143,440 $134,272 138,124 $6,213 29,709 5,316 30,156 Non Admitted Patients (Including Dental) 48,082 940,440 39,145 833,357 $221,901 182,770 $213,928 176,869 $7,973 47,324 5,901 38,611 Total 243,149 1,326,808 205,112 1,199,220 $1,122,051 957,136 $1,077,899 920,829 $44,152 4.136,307 3.9% 238,468 201,045 B Sub-Acute Services - Admitted 20,443 16,239 15,914 6,960 $4,713 $4,621 4,675 $94,264 74,305 $89,980 70,743 $4,285 19,909 3,561 15,449 Sub-Acute Services - Non Admitted 2,214 1,771 $10,230 8,282 $10,010 8,117 $219 2,214 165 1,771 Total 22,657 16,239 17,685 6,960 $104,494 82,586 $99,990 78,860 $4,504 4.53,726 4.7% 22,123 17,220 C Mental Health - Admitted (Acute and Sub-Acute) 13,359 3,216 11,018 2,328 $4,713 $4,621 4,675 $61,731 51,509 $60,408 50,483 $1,324 13,359 1,026 11,018 Mental Health - Block Funded Hospitals $51,961 $50,927 $1,035 Mental Health - Non Admitted 10,319 243,346 11,120 266,442 $51,205 60,717 $48,650 58,200 $2,555 9,975 2,516 10,812 Mental Health - Classification Adjustment $2,440 1,604 $2,388 1,572 $52 32 Total 23,678 246,563 22,138 268,770 $115,376 165,790 $111,445 161,182 $3,931 3.54,609 2.9% 23,334 21,830 D Block Funding Allocation Block Funded Hospitals (Small Hospitals) $9,485 $9,296 $189 Block Funded Services In-Scope - Teaching, Training and Research $57,757 52,996 $56,519 51,941 $1,238 1,055 Total $58,416 62,482 $57,163 61,237 $1,253 2.21,244 2.0% E State Only Block Funded Services Total $217,531 241,487 $212,867 236,678 $4,664 2.24,808 2.0% Transition Grant (excluding Mental Health) and RSCᵝ G Gross-Up (Private Patient Service Adjustments) $70,207 75,351 $68,701 73,851 $1,505 2.21,500 2.0% H Provision for Specific Initiatives & TMF Adjustments (not included above) Data Improvement Project * $750 HAC Improvement Project $350 Leading Better Value Care Program Support Transition $250 Purchasing Adjustors (incl Hospital Acquired Complications) -$1,149 -$1,085 HealthShare Accelerated Savings Program -$1,575 -$1,400 Election Commitment - Additional Nursing, Midwifery and Support positions $354 418 Electricity escalations $2,004 1,589 ICT escalation (Intra Health) $2,673 New parents and children initiatives $460 413 Total $6,629 3,958 $6,629 3,958 I Restricted Financial Asset Expenses $13,656 15,433 $13,656 15,433 J Depreciation (General Funds only) $57,826 66,691 $57,826 66,691 K Total Expenses (K=A+B+C+D+E+F+G+H+I+J) $1,766,187 1,670,913 $1,699,547 1,614,761 $66,639 3.956,152 3.5% L Other - Gain/Loss on disposal of assets etc $2,658 1,500 $2,658 1,500 M LHD Revenue -$1,722,798 -$1,646,709 -$76,089 -$1,620,315 -$1,550,805 -$69,511 N Net Result (N=K+L+M) $46,046 52,098 $55,496 -$9,450 65,456 -$13,359 General Note: ABF growth is funded at 90% of the State Price for all “business as usual” activity and new builds or new capacity has continued to be funded at the full State Price ᵝ Part of the Acute, ED and Subacute Admitted transition grant has been used to fund growth (see Schedule C glossary) * Data Improvement Project $250k to be allocated to Intra Health for XXX Part 2 2018/19 Schedule C Part Xxxx 0 Xxxxx Xxxxxxx 0000/00 Xxxxxxxx X Xxxx 0 Xxxxxxxx Xxxxxx LHD $ (000's) A B C D E Government Grants Subsidy* -$1,091,840 -$952,634 In-Scope Services - Block Funded -$87,520 -$142,357 Out of Scope Services - Block Funded -$173,675 -$196,263 Capital Subsidy -$8,786 -$13,359 Crown Acceptance (Super, LSL) -$33,051 -$27,631 F Total Government Contribution (F=A+B+C+D+E) -$1,394,872 -$1,332,244 G H Own Source revenue GF Revenue -$304,046 -$271,283 Restricted Financial Asset Revenue -$23,880 -$16,789 I Total Own Source Revenue (I=G+H) -$327,926 -$288,071 J Total Revenue (J=F+I) -$1,722,798 -$1,620,315 K L M Total Expense Budget - General Funds $1,752,530 1,655,481 Restricted Financial Asset Expense Budget $13,656 15,433 Other Expense Budget $2,658 1,500 N Total Expense Budget as per Attachment C Part 1 (N=K+L+M) $1,768,845 1,672,413 O Net Result (O=J+N) $46,046 52,098 P Q R Net Result Represented by: Asset Movements -$44,212 -$50,068 Liability Movements -$1,835 -$2,030 Entity Transfers S Total (S=P+Q+R) -$46,046 -$52,098 Note: The minimum weekly cash reserve buffer for unrestricted cash at bank has been updated for FY 2018/19 to $5.9m and remains at approximately 4 days' cash expenses after removing Depreciation, Crown Acceptance and MOH Holdbacks). Based on final June 2018 cash balances, adjustments will be made in July 2018 to ensure alignment with the cash buffer requirements of NSW Treasury Circular TC15_01 Cash Management – Expanding the Scope of the Treasury Banking System. The Ministry will closely monitor cash at bank balances during the year to ensure compliance with this NSW Treasury policy. * The subsidy amount does not include items E and G, which are revenue receipts retained by the LHDs/SHNs and sit outside the National Pool. Part 3 Schedule C Part 3 2018/19Shared Services & Consolidated Statewide Payment Schedule South Eastern Northern Sydney LHD $ (000's) HS Charges HS Service Centres HS Service Centres Warehousing HS Enable NSW HS Food Services HS Soft Service Charges HS Linen Services HS Recoups HS IPTAAS HS Fleet Services HS Patient Transport Services HS MEAPP $6,108 5,592 $22,741 18,721 $3,675 1,976 $29,992 15,927 $9,326 50,839 $11,556 7,916 $172$3,236 8,197 $7,125 16 $3,305 $7,305 $3,768 Total HSS Charges $93,931 123,563 eHealth EH Corporate IT EH Information Services ICT SPA $6,227 6,055 $13,035 11,326 Total eHealth Charges $19,262 17,381 IH Transports Interhospital Ambulance Transports Interhospital Ambulance NETS $1,895 2,912 $109 143 Total Interhospital Ambulance Charges $2,004 3,055 Interhospital NETS Charges - SCHN $111 218 Payroll Total Payroll (including SGC, FSS, Excluding LSL & PAYG) $915,449 785,487 Loans MoH Loan Repayments Treasury Loan (SEDA) $300 Total Loans $300 Blood and Blood Products $14,160 10,612 NSW Pathology $50,746 37,577 Compacks (HSSG) $1,918 2,636 TMF Insurances (WC, MV & Property) $15,069 9,571 Energy Australia $14,835 11,779 Total $1,127,485 1,002,177 Note: This schedule represents initial estimates of Statewide recoveries processed by the Ministry on behalf of Service Providers. LHD's are responsible for regularly reviewing these estimates and liaising with the Ministry where there are discrepancies. The Ministry will work with LHD's and Service Providers throughout the year to ensure cash held back for these payments reflects actual trends. Consistent with prior years procedures, a mid year review will occur in January with further adjustments made if required. Note: The amounts above include GST, where applicable. Part 4 2018/19 National Health Funding Body Service Agreement - South Eastern Northern Sydney LHD Period: 1 July 2018 - 30 June 2019 National Reform Agreement Commonwealth Schedule C Part 4 Acute 152,039 124,643 ED 28,285 30,175 Mental Health 13,592 11,311 Sub Acute 24,751 16,458 Non Admitted 50,406 36,508 Activity Based Funding Total 269,074 219,094 Block Funding Total $42,081,265 86,725,789 Total 269,074 219,094 $42,081,265 86,725,789 Capital Program SOUTH EASTERN NORTH SYDNEY LHD ASSET AUTHORISATION LIMITS 2018/19 Capital Projects SMRT BP2 ETC 2018/19 Estimated Expenditure to 30 June 2018 Cost to Complete at 30 June 2018 BP2 Allocation 2018/19 XX0 Xxx. 0000/00 XX0 Xxx. 2020/21 BP2 Est. 2021/22 Balance to Complete $ $ $ $ $ $ $ $ WORKS IN PROGRESS SESLHD NSLHD Minor Works & Equipment P51069 14,170,500 14,170,500 14,170,500 14,170,500 14,170,500 7,821,909 0 7,821,909 7,821,909 7,821,909 7,821,909 PFP Cyclical Maintenance : Xxxxx Xxxxx Xxxxx Xxxxxxxx X00000 208,402,295 50,943,295 157,459,000 8,614,000 8,969,000 12,411,000 14,375,000 113,090,000 Asset Refurbishment/Replacement Strategy - Statewide P55345 2,421,788 St Xxxxxx Hospital Cancer Care Centre Stage 5 P56131 3,990,000 1,532,099 2,457,901 2,457,901 Prince of Wales Hospital Digital Subtraction Angiography Unit P56242 1,110,000 151,959 958,041 958,041 Engadine Community Health Centre - Construct Dental Clinic P56412 600,000 600,000 600,000 34,500 Paediatric Amenity Upgrade (Hornsby) P56416 250,000 250,000 250,000 TOTAL WORKS IN PROGRESS 19,870,500 1,684,058 18,186,442 20,008,230 14,770,500 14,170,500 216,474,204 50,943,295 165,530,909 16,720,409 16,790,909 20,232,909 14,375,000 113,090,000 TOTAL ASSET ACQUISITION PROGRAM 19,870,500 1,684,058 18,186,442 20,008,230 14,770,500 14,170,500 216,474,204 50,943,295 165,530,909 16,720,409 16,790,909 20,232,909 14,375,000 113,090,000 PROJECTS MANAGED BY HEALTH INFRASTRUCTURE MAJOR NEW WORKS 0000/00 Xx Xxxxxx Xxxxxxxx Birthing Suite & Theatre Refurbishment P56410 11,500,000 0 11,500,000 10,000,000 1,500,000 TOTAL MAJOR NEW WORKS 11,500,000 11,500,000 10,000,000 1,500,000 MAJOR WORKS IN PROGRESS St Xxxxxx Hornsby Hospital Car Park P56292 19,799,000 3,978,000 15,821,000 15,821,000 Hornsby Hospital Redevelopment Stage 2 P55268 200,000,000 20,000,000 180,000,000 80,000,000 50,000,000 50,000,000 Xxxxxxx Ku-ring-gai Hospital Redevelopment Stage 1 P54774 120,994,626 115,171,689 5,822,937 5,506,513 316,424 Northern Beaches - Xxxx Xxxx Hosp. & Acute Services Building Cont (part B) P55333 265,500,000 261,690,894 3,809,106 3,809,106 Randwick Campus Reconfiguration and Expansion Stage 1 (including land acquisition) P56067 720,000,000 104,000,000 616,000,000 62,000,000 52,000,000 85,000,000 118,025,000 298,975,000 Community Health P53985 600,000,000 168,131,773 431,868,227 404,067,760 27,800,467 TOTAL MAJOR WORKS IN PROGRESS 985,500,000 365,690,894 619,809,106 65,809,106 52,000,000 85,000,000 118,025,000 298,975,000 940,793,626 307,281,462 633,512,164 505,395,273 78,116,891 50,000,000 TOTAL MANAGED BY HEALTH INFRASTRUCTURE 997,000,000 365,690,894 631,309,106 75,809,106 53,500,000 85,000,000 118,025,000 298,975,000 940,793,626 307,281,462 633,512,164 505,395,273 78,116,891 50,000,000 Notes: Expenditure needs to remain within the Asset Authorisation Limits indicated above Minor Works and Equipment > $10,000 includes a confund contribution of $6,014,686 4,460,000 This does not include new and existing Locally Funded Initiative (LFI) Projects which will be included in Initial Capital Allocation Letters Schedule D: Purchased Volumes Growth Investment Strategic Priority $’000 NWAU18 Performance Metric Activity Growth inclusive of Local Priority Issues Acute Inclusive of Xxxxxxxxxx Renal Dialysis Service Growth and St Xxxxxx Service Expansion Pancreatic Centre of Excellence 2 - 164,603 135,231 As per Schedule E / Activity of New Service Identified Emergency Department 2.4 - 30,463 30,736 As per Schedule E Sub-Acute (Admitted and Non-Admitted) 2 - 23,275 15,914 As per Schedule E Sub and Non Acute Inpatient Services – Palliative Care Component Inclusive of NSLHD-wide Palliative Care Service 3.3 - 2,965 2,265 As per Schedule E / Activity of New Service Identified Non-Admitted 2 / 3 - 48,223 38,897 As per Schedule E Public Dental Clinical Service – Total Dental Activity 1 - 16,511 16,078 (DWAU) As per Schedule E Mental Health Admitted 3.2 - 13,359 11,018 As per Schedule E Mental Health Non-Admitted 3.2 - 10,319 11,120 As per Schedule E Mental Health Reforms Specialist child and adolescent community mental health services 3.2 - 110 105 Client-related hours Specialist adult community mental health services 3.2 - 73 53 Client-related hours Specialist older persons community mental health services 3.2 - 110 105 Client-related hours Service Investment Capital and Service Expansion: The Xxxxxxxxxx Hospital RADIUS 2 / 3 1,000 - Activity of new service identified Highly Specialised Service - Peritonectomy 2 1,030 - As per Schedule E Strategic Priority Target Performance Metric STATE PRIORITY Elective Surgery Volumes Number of Admissions from Surgical Waiting List - All Patients 2.4 19,900 Number Number of Admissions from Surgical Waiting List - Children < 16 Years Old 2.4 626 Number Growth Investment Strategic Priority $ ‘000 NWAU18 Performance Metric NSW HEALTH STRATEGIC PRIORITIES Providing World Class Clinical Care Where Patient Safety is First Hospital Acquired Complications (HAC) initiatives 2.1 350 - Demonstration of reduction in HAC ETP 2.4 44 - ETP Trajectory Leading Better Value Care – Program Support Transition 2.2 250 - Performance against LBVC Deliverables Integrate Systems to Deliver Truly Connected Care Integrated Care Strategy The Integrated Care purchasing model for 2018/19 converts 25% of the existing recurrent funding for Integrated Care for People with Chronic Conditions (ICPCC) (previously the Chronic Disease Management Program) into purchased activity for each LHD/SHN. This is shown as NWAU for each LHD/SHN. 3.1 1,478 164 Demonstration of delivery of activities outlined in the approved Activity Work Plan and meeting data collection requirements (including monitoring, evaluation, and the Patient Flow Portal) Clinical Redesign of NSW Health Responses to Violence, Abuse and Neglect 3.6 410 with general escalation applied for 2018/19 - Commence implementation of local VAN service redesign and recruitment of permanent clinical staff where staffing gaps have been identified Enable eHealth, Health Information and Data Analytics Data quality improvement – clinical coding / documentation 6.3 250 - Data quality improvement XXXXXX business implementation $250,000 to be allocated to Intra Health for XXX - One- off for 2018/19 6.3 500 - Complete Stage 1 LEAP and transition of at least one data stream (AP, ED or WL) as per LHD/SHN Program Management PlanVolumes

Appears in 1 contract

Samples: www.nslhd.health.nsw.gov.au

Locations Service Requirement. Pancreas Transplantation – Nationally Funded Centre Westmead As per Nationally Funded Centre Agreement - Access for all patients across Australia accepted onto Nationally Funded Centre program Paediatric Liver Transplantation – Nationally Funded Centre SCHN Westmead Islet Cell Transplantation – Nationally Funded Centre Westmead Schedule C: Budget Part 1 Schedule C Part 1 South Eastern Sydney LHD - Budget 2018/19 2018/19 2019/20 2019/20 BUDGET Comparative Data A B C D E F G H I Target Volume (NWAU18NWAU19) Volume (Admissions & Attendances) Indicative only State Price per NWAU18 NWAU19 LHD/SHN Projected Average Cost per NWAU18 NWAU19 Initial Budget 2018/19 2019/20 ($ '000) 2017/18 2018/19 Annualised Budget ($ '000) Variance Initial and Annualised ($ '000) Variance (%) Volume Forecast 2017/18 2018/19 (NWAU18NWAU19) A Acute Admitted 164,603 162,901 163,063 164,899 $4,713 4,925 $4,621 4,923 $759,665 800,714 $729,698 773,195 $29,967 161,434 27,519 161,254 Emergency Department 30,463 223,467 31,082 229,397 $140,485 152,354 $134,272 146,204 $6,213 29,709 6,150 30,496 Non Admitted Patients (Including Dental) 48,082 940,440 46,435 930,740 $221,901 227,135 $213,928 216,359 $7,973 47,324 10,776 45,139 Total 243,149 1,326,808 240,580 1,325,037 $1,122,051 1,180,202 $1,077,899 1,135,757 $44,152 4.144,445 3.9% 238,468 236,889 B Sub-Acute Services - Admitted 20,443 16,239 20,924 17,101 $4,713 4,925 $4,621 4,923 $94,264 102,540 $89,980 98,319 $4,285 19,909 4,221 20,509 Sub-Acute Services - Non Admitted 2,214 $10,230 10,898 $10,010 10,617 $219 281 2,214 Total 22,657 16,239 23,138 17,101 $104,494 113,438 $99,990 108,936 $4,504 4.54,502 4.1% 22,123 22,722 C Mental Health - Admitted (Acute and Sub-Acute) 13,359 3,216 13,771 3,104 $4,713 4,925 $4,621 4,923 $61,731 67,744 $60,408 65,828 $1,324 13,359 1,915 13,727 Mental Health - Non Admitted 10,650 184,068 $52,984 $50,360 $2,624 10,319 243,346 Total 24,421 187,173 $51,205 120,727 $48,650 116,188 $2,555 9,975 Mental Health - Classification Adjustment $2,440 $2,388 $52 Total 23,678 246,563 $115,376 $111,445 $3,931 3.54,539 3.9% 23,334 24,045 D Block Funding Allocation Block Funded Hospitals (Small Hospitals) $705 $687 $18 Block Funded Services In-Scope - Teaching, Training and Research $57,757 58,825 $56,519 57,307 $1,238 1,518 Total $58,416 59,530 $57,163 57,995 $1,253 2.21,536 2.6% E State Only Block Funded Services Total $217,531 217,818 $212,867 212,199 $4,664 2.25,619 2.6% Transition Grant (excluding Mental Health) and RSCᵝ ROCᵝ G Gross-Up (Private Patient Service Adjustments) $70,207 73,019 $68,701 71,135 $1,505 2.21,884 2.6% H Provision for Specific Initiatives & TMF Adjustments (not included above) St Xxxxxx Hospital - Impact of ASB $6,500 Data Improvement Project * $750 HAC Improvement Project 500 Highly Specialised Services - Peritonectomies $2,360 Leading Better Value Care Program $350 Other Block Growth and Purchasing Adjustors (incl Hospital Acquired Complications) -$1,149 HealthShare Accelerated Savings Program -$1,575 -$1,227 2015 Election Commitment - Additional Nursing, Midwifery and Support positions $354 Electricity escalations $2,004 New parents and children initiatives $460 75 Procurement Savings -$4,314 Efficiency dividends 2019-20 -$5,418 Total $6,629 $6,629 -$1,173 -$1,173 I Restricted Financial Asset Expenses $13,656 $13,656 J Depreciation (General Funds only) $57,826 70,935 $57,826 70,935 K Total Expenses (K=A+B+C+D+E+F+G+H+I+J) $1,766,187 1,848,153 $1,699,547 1,786,802 $66,639 3.961,351 3.4% L Other - Gain/Loss on disposal of assets etc $2,658 $2,658 M LHD Revenue -$1,722,798 -$1,646,709 -$76,089 -$1,807,433 -$1,737,017 -$70,415 N Net Result (N=K+L+M) $46,046 43,378 $55,496 -$9,450 52,442 -$9,064 General Note: ABF growth is funded at 9077% of the State Price for all “business as usual” activity and new builds or new capacity has continued to be funded at the full State Price ᵝ Part of the Acute, ED and Subacute Admitted transition grant has been used to fund growth (see Schedule C glossary) * Data Improvement Project $250k to be allocated to Intra Health for XXX Part 2 2018/19 2019/20 Schedule C Part 0 Xxxxx Xxxxxxx Xxxxxx LHD $ (000's) A B C D E Government Grants Subsidy* -$1,091,840 -$1,153,805 In-Scope Services - Block Funded -$87,520 -$90,578 Out of Scope Services - Block Funded -$173,675 -$175,352 Capital Subsidy -$8,786 -$8,340 Crown Acceptance (Super, LSL) -$33,051 F Total Government Contribution (F=A+B+C+D+E) -$1,394,872 -$1,461,126 G H Own Source revenue GF Revenue -$304,046 -$313,881 Restricted Financial Asset Revenue -$23,880 -$32,426 I Total Own Source Revenue (I=G+H) -$327,926 -$346,307 J Total Revenue (J=F+I) -$1,722,798 -$1,807,433 K L M Total Expense Budget - General Funds $1,752,530 1,834,497 Restricted Financial Asset Expense Budget $13,656 Other Expense Budget $2,658 N Total Expense Budget as per Attachment C Part 1 (N=K+L+M) $1,768,845 1,850,811 O Net Result (O=J+N) $46,046 43,378 P Q R Net Result Represented by: Asset Movements -$44,212 -$48,177 Liability Movements -$1,835 $4,798 Entity Transfers S Total (S=P+Q+R) -$46,046 -$43,378 Note: The minimum weekly cash reserve buffer for unrestricted cash at bank has been updated for FY 2019/20 to $1.4m and has been reduced by approximately 75% of the FY 2018/19 buffer as a result of the transition of creditor payments and PAYG remittance to HealthShare and HealthShare managed bank accounts from the 1st July 2019. Based on final June 2019 cash balances, adjustments will be made in July 2019 to ensure alignment with the cash buffer requirements of NSW Treasury Circular TC15_01 Cash Management – Expanding the Scope of the Treasury Banking System. The Ministry will closely monitor cash at bank balances during the year to ensure compliance with this NSW Treasury policy. * The subsidy amount does not include items E and G, which are revenue receipts retained by the LHDs/SHNs and sit outside the National Pool. Part 3 Schedule C Part 3 2018/19Shared 2019/20Shared Services & Consolidated Statewide Payment Schedule South Eastern Sydney LHD $ (000's) HS Charges HS Service Centres HS Ambulance Make Ready HS Service Centres Warehousing HS Enable NSW HS Food Services HS Soft Service Charges HS Linen Services HS Recoups HS IPTAAS HS Fleet Services HS Patient Transport Services HS MEAPP (quarterly) $6,108 6,240 $22,741 23,230 $3,675 3,178 $29,992 32,395 $9,326 9,734 $11,556 175 $172$3,236 3,308 $7,125 13,513 Total HSS Charges $93,931 91,773 eHealth EH Corporate IT & SPA EH Information Services ICT SPA Recoups $6,227 24,173 $13,035 11,857 Total eHealth Charges $19,262 36,030 IH Transports Interhospital Ambulance Transports Interhospital Ambulance NETS $1,895 2,059 $109 74 Total Interhospital Ambulance Charges $2,004 2,133 Interhospital NETS Charges - SCHN $111 164 Payroll Total Payroll (including SGC, FSS, Excluding LSL & PAYG) $915,449 1,246,989 Loans MoH Loan Repayments Treasury Loan (SEDA) Total Loans Blood and Blood Products $14,160 14,033 NSW Pathology $50,746 52,244 Compacks (HSSG) $1,918 1,782 TMF Insurances (WC, MV & Property) $15,069 17,001 Creditor Payments $512,780 Energy Australia $14,835 15,641 Total $1,127,485 1,990,572 Note: This schedule represents initial estimates of Statewide recoveries processed by the Ministry on behalf of Service Providers. LHD's LHD's/Health Entities are responsible for regularly reviewing these estimates and liaising with the Ministry where there are discrepancies. The Ministry will work with LHD's LHD's/Health Entities and Service Providers throughout the year to ensure cash held back for these payments reflects actual trends. Consistent with prior years procedures, a mid year review will occur in January with further adjustments made if required. Note: The amounts above include GST, where applicableCommencing 2019/20 two additional holdbacks have been included to reflect new statewide payment and recovery processes for Creditors and PAYG. Amendments will also be made to the subsidy sheets ion 2019/20 to incorporate contributions from other sources to cover subsidy shortfalls as a result of the additional holdbacks. Part 4 2018/19 2019/20 National Health Funding Body Service Agreement - South Eastern Sydney LHD Period: 1 July 2018 2019 - 30 June 2019 2020 4 National Reform Agreement In- Scope Estimated National Weighted Activity Units Commonwealth Funding Contribution Schedule C Part 4 Acute 152,039 155,058 ED 28,285 29,244 Mental Health 13,592 14,690 Sub Acute 24,751 23,432 Non Admitted 50,406 47,612 Activity Based Funding Total 269,074 270,037 Block Funding Total $42,081,265 40,182,865 Total 269,074 270,037 $42,081,265 40,182,865 Capital Program SOUTH EASTERN SYDNEY LHD ASSET AUTHORISATION LIMITS 2018/19 PROJECTS MANAGED BY HEALTH SERVICE 2019/20 Capital Projects SMRT BP2 ETC 2018/19 Project Code Estimated Total Cost 2019/20 Estimated Expenditure to 30 June 2018 2019 Cost to Complete at 30 June 2018 BP2 2019 Capital Budget Allocation 2018/19 XX0 Xxx. 0000/00 XX0 Xxx2019/20 2019/20 Capital Budget Allocation by Source of Funds Confund 2019/20 Local Funds 2019/20 Revenue 2019/20 Lease Liabilities 2019/20 $ $ $ $ $ $ $ $ WORKS IN PROGRESS Asset Refurbishment/Replacement Strategy - Statewide P55345 15,928,463 13,819,025 2,109,438 1,470,051 1,470,051 - - - Kogarah Multidisciplinary Dental Clinic Fitout P56500 2,594,000 350,000 2,244,000 2,244,000 600,000 1,644,000 - - Minor Works & Equipment >$10,000 Program P51069 n.a - - 14,170,500 6,014,686 8,155,814 - - Refurbisement Eye Outpatients and XX-Xxx Eye P56097 987,000 138,045 848,956 848,955 - 848,955 - - Xxxxxxxxxx Hospital Medical Imagining Department Expansion P56499 1,800,000 245,000 1,555,000 1,555,000 255,000 1,300,000 - - TOTAL WORKS IN PROGRESS 21,309,463 14,552,070 6,757,394 20,288,506 8,339,737 11,948,769 - - TOTAL CAPITAL EXPENDITURE AUTHORISATION LIMIT MANAGED BY SOUTH EASTERN SYDNEY LHD 21,309,463 14,552,070 6,757,394 20,288,506 8,339,737 11,948,769 - - (Continued) PROJECTS MANAGED BY HEALTH INFRASTRUCTURE 2019/20 Capital Projects Project Code Estimated Total Cost 2019/20 Estimated Expenditure to 30 June 2019 Cost to Complete at 30 June 2019 Capital Budget Allocation 2019/20 Budget Est. 2020/21 BP2 Budget Est. 2021/22 Budget Est. 2022/23 Balance to Complete $ $ $ $ $ $ $ $ WORKS IN PROGRESS SESLHD Minor Works & Equipment P51069 14,170,500 14,170,500 14,170,500 14,170,500 14,170,500 Asset Refurbishment/Replacement Strategy - Statewide P55345 2,421,788 St Xxxxxx Hospital Cancer Care Centre Stage 5 P56131 3,990,000 1,532,099 2,457,901 2,457,901 Prince of Wales Hospital Digital Subtraction Angiography Unit P56242 1,110,000 151,959 958,041 958,041 Engadine Community Health Centre - Construct Dental Clinic P56412 600,000 600,000 600,000 TOTAL WORKS IN PROGRESS 19,870,500 1,684,058 18,186,442 20,008,230 14,770,500 14,170,500 TOTAL ASSET ACQUISITION PROGRAM 19,870,500 1,684,058 18,186,442 20,008,230 14,770,500 14,170,500 PROJECTS MANAGED BY HEALTH INFRASTRUCTURE MAJOR NEW WORKS 0000/00 Xx Xxxxxx Xxxxxxxx Birthing Suite & Theatre Refurbishment P56410 11,500,000 0 11,500,000 10,000,000 1,500,000 TOTAL MAJOR NEW WORKS 11,500,000 11,500,000 10,000,000 1,500,000 MAJOR WORKS IN PROGRESS St Xxxxxx Hospital Redevelopment Stage 1 & Acute Services Building Cont (part B) (-30m P55333 265,500,000 261,690,894 3,809,106 3,809,106 264,169,920 1,330,080 1,330,080 - - - - Randwick Campus Reconfiguration and Expansion Stage 1 (including land acquisition) P56067 720,000,000 104,000,000 616,000,000 62,000,000 52,000,000 85,000,000 118,025,000 298,975,000 296,290,777 423,709,223 156,450,716 189,905,810 23,533,518 8,868,390 44,950,790 Xx Xxxxxx Xxxxxxxx Birthing Suite & Theatre Refurbishment P56410 11,500,000 10,000,000 1,500,000 1,500,000 - - - - TOTAL MAJOR WORKS IN PROGRESS 985,500,000 365,690,894 619,809,106 65,809,106 52,000,000 85,000,000 118,025,000 298,975,000 997,000,000 570,460,696 426,539,304 159,280,796 189,905,810 23,533,518 8,868,390 44,950,790 TOTAL CAPITAL EXPENDITURE AUTHORISATION LIMIT MANAGED BY HEALTH INFRASTRUCTURE 997,000,000 365,690,894 631,309,106 75,809,106 53,500,000 85,000,000 118,025,000 298,975,000 570,460,696 426,539,304 159,280,796 189,905,810 23,533,518 8,868,390 44,950,790 Notes: Expenditure needs to remain within the Asset Capital Expenditure Authorisation Limits (CEAL) indicated above Minor Works and Equipment > $10,000 includes a confund contribution of $6,014,686 This does The above budgets do not include allocations for new and existing FY20 Locally Funded Initiative (LFI) Projects which or Right of Use Assets (Leases) Projects. These budgets will be included in Initial Capital Allocation Letters issued through a separate process. Minor Works & Equipment >$10,000 Program is an annual allocation with no Total Estimated Cost Schedule D: Purchased Volumes Growth Investment Strategic Priority $’000 NWAU18 NWAU19 Performance Metric Activity Growth inclusive of Local Priority Issues Acute Inclusive of Xxxxxxxxxx and St Xxxxxx Service Expansion INR at Prince of Wales Hospital 2 - 164,603 As per 163,063 See Schedule E / Activity of New Service Identified Emergency Department 2.4 - 30,463 As per 31,082 See Schedule E Sub-Acute (Admitted and Non-Admitted) 2 - 23,275 As per 20,924 See Schedule E Sub and Non Acute Inpatient Services – Palliative Care Component 3.3 - 2,965 As per 2,897 See Schedule E Non-Admitted 2 / 3 - 48,223 As per 42,964 See Schedule E Public Dental Clinical Service – Total Dental Activity 1 - 16,511 (DWAU) As per 1 - 15,534 See Schedule E Mental Health Admitted 3.2 - 13,359 As per 13,771 See Schedule E Mental Health Non-Admitted Inclusive of 2018/19 Mental Health Reform Program Growth 3.2 - 10,319 As per 10,650 See Schedule E Mental Health Reforms Specialist child Alcohol and adolescent community mental health services 3.2 other drug related Admitted 1.3 - 110 Client-349 See Schedule E Alcohol and other drug related hours Specialist adult community mental health services 3.2 Non Admitted 1.3 - 73 Client-related hours Specialist older persons community mental health services 3.2 - 110 Client-related hours 3,393 See Schedule E Service Investment Capital and Service Expansion: The Xxxxxxxxxx St Xxxxxx Hospital RADIUS – Impact of ASB 2 / 3 1,000 6,500 - Activity of new service enhancement identified Highly Specialised Service Services - Peritonectomy Peritonectomies 2 1,030 2,360 - As per Schedule E Activity of service enhancement identified Strategic Priority Target Performance Metric STATE PRIORITY Elective Surgery Volumes Number of Admissions from Surgical Waiting List - All Patients Children <16 Years Old 2.4 19,900 637 Number Number of Admissions from Surgical Waiting List - Children < 16 Years Old – Cataract extraction 2.4 626 3,012 Number Growth Investment Strategic Priority $ ‘000 NWAU18 NWAU19 Performance Metric NSW HEALTH STRATEGIC PRIORITIES Providing World Class Clinical Care Where Patient Safety is First Hospital Acquired Complications (HAC) initiatives 2.1 350 - Demonstration of reduction in HAC ETP 2.4 44 - ETP Trajectory Leading Better Value Care Program Program Implementation Support Transition Funding 2.2 250 350 - Performance against LBVC Deliverables Enable eHealth, Health Information and Data Analytics Data Improvement Project Data improvement project includes $200,000 EBI program, $100,000 Data Quality, and $200,000 Intra- health Transfer to EBI central program. 6.4 500 - Established Local Governance for Xxxxxx Transition, Completion of Impact Assessment, Participation in extract test work package. Special Considerations in Baseline Investment Strategic Priority $ ‘000 NWAU19 Performance Metric Integrate Systems to Deliver Truly Connected Care Integrated Care (IC) Strategy The Integrated Care purchasing model Weight adjusted Block funding 3.1 1,515 - Adoption and implementation in 2019-20 of one scaled IC initiative (as per Ministry of Health shortlist). All patients enrolled in the Patient Flow Portal (PFP) for 2018/19 converts 25% of the existing recurrent funding for ongoing monitoring; PFP data will inform regular evaluation. Integrated Care for People with Chronic Conditions (ICPCC) (previously The ICPCC purchasing model for 2019/20 converts 50% of the Chronic Disease Management Program) existing recurrent funding for ICPCC into purchased activity for each LHDDistrict/SHNNetwork. This is shown as NWAU for each LHDDistrict/SHNNetwork. 3.1 1,478 164 Demonstration of delivery of activities outlined 1,577 334 Identify patients using Risk Stratification in the approved Activity Work Plan and meeting data collection requirements Patient Flow Portal (including monitoring, evaluationPFP), and the Patient Flow Portal) use PFP for ongoing monitoring of patients within ICPCC. PFP data will inform evaluation. Clinical Redesign of NSW Health Responses to Violence, Abuse and Neglect 3.6 410 with general escalation applied (VAN) 3.5 411 - Participate in monitoring and evaluation activities as described in the funding agreement Provide integrated 24/7 psychosocial and Medical Forensic responses for 2018/19 - Commence implementation victims of local VAN service redesign Domestic and recruitment of permanent clinical staff where staffing gaps have been identified Enable eHealthFamily Violence, Health Information Child Physical Abuse and Data Analytics Data quality improvement – clinical coding / documentation 6.3 250 - Data quality improvement XXXXXX business implementation $250,000 to be allocated to Intra Health Neglect, and Sexual Assault. Provide community development and outreach services for XXX - One- off for 2018/19 6.3 500 - Complete Stage 1 LEAP and transition of at least one data stream (AP, ED or WL) as per LHD/SHN Program Management Plansexual assault.

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Samples: www.seslhd.health.nsw.gov.au

Locations Service Requirement. Pancreas Transplantation – Nationally Funded Centre Westmead As per Nationally Funded Centre Agreement - Access for all patients across Australia accepted onto Nationally Funded Centre program Paediatric Liver Transplantation – Nationally Funded Centre SCHN Westmead Islet Cell Transplantation – Nationally Funded Centre Westmead Schedule C: Budget Part 1 Schedule C Part 1 South Eastern Sydney Murrumbidgee LHD - Budget 2018/19 2018/19 BUDGET Comparative Data A B C D E F G H I Target Volume (NWAU18) Volume (Admissions & Attendances) Indicative only State Price per NWAU18 LHD/SHN Projected Average Cost per NWAU18 Initial Budget 2018/19 ($ '000) 2017/18 Annualised Budget ($ '000) Variance Initial and Annualised ($ '000) Variance (%) Volume Forecast 2017/18 (NWAU18) A Acute Admitted 164,603 162,901 40,793 49,480 $4,713 $4,621 4,841 $759,665 191,782 $729,698 183,016 $29,967 161,434 8,766 39,468 Emergency Department 30,463 223,467 9,197 74,015 $140,485 43,278 $134,272 $6,213 29,709 43,301 -$23 9,058 Non Admitted Patients (Including Dental) 48,082 940,440 10,773 221,249 $221,901 50,380 $213,928 45,692 $7,973 47,324 4,688 9,935 Total 243,149 1,326,808 60,763 344,744 $1,122,051 285,440 $1,077,899 272,009 $44,152 4.113,431 4.9% 238,468 58,460 B Sub-Acute Services - Admitted 20,443 16,239 5,860 2,240 $4,713 $4,621 4,841 $94,264 27,547 $89,980 26,309 $4,285 19,909 1,238 5,713 Sub-Acute Services - Non Admitted 2,214 792 $10,230 3,733 $10,010 3,649 $219 2,214 84 792 Total 22,657 16,239 6,652 2,240 $104,494 31,280 $99,990 29,959 $4,504 4.51,322 4.4% 22,123 6,506 C Mental Health - Admitted (Acute and Sub-Acute) 13,359 3,216 4,166 1,027 $4,713 $4,621 4,841 $61,731 19,633 $60,408 19,192 $1,324 13,359 441 4,166 Mental Health - Non Admitted 10,319 243,346 2,232 48,741 $51,205 13,424 $48,650 12,414 $2,555 9,975 1,011 2,064 Mental Health - Classification Adjustment $2,440 905 $2,388 885 $52 20 Total 23,678 246,563 6,398 49,767 $115,376 33,962 $111,445 32,491 $3,931 3.51,472 4.5% 23,334 6,230 D Block Funding Allocation Block Funded Hospitals (Small Hospitals) $179,404 $175,378 $4,026 Block Funded Services In-Scope - Teaching, Training and Research $57,757 7,382 $56,519 7,217 $1,238 166 Total $58,416 186,786 $57,163 182,595 $1,253 2.24,191 2.3% E State Only Block Funded Services Total $217,531 28,349 $212,867 27,713 $4,664 2.2636 2.3% Recognised Structural Cost (RSC) - Provisional Only $5,958 Transition Grant (excluding Mental Health) and RSCᵝ $5,958 $5,824 $134 2.3% G Gross-Up (Private Patient Service Adjustments) $70,207 11,926 $68,701 11,658 $1,505 2.2268 2.3% H Provision for Specific Initiatives & TMF Adjustments (not included above) Data Improvement Project * $750 HAC Improvement Project $350 Leading Better Value Care Program Support Transition $150 Purchasing Adjustors (incl Hospital Acquired Complications) -$1,149 -$187 HealthShare Accelerated Savings Program -$1,575 -$288 Election Commitment - Additional Nursing, Midwifery and Support positions $354 581 Electricity escalations $2,004 487 ICT escalation (Intra Health) $1,007 New parents and children initiatives $460 197 Total $6,629 3,047 $6,629 3,047 I Restricted Financial Asset Expenses $13,656 1,220 $13,656 1,220 J Depreciation (General Funds only) $57,826 18,611 $57,826 18,611 K Total Expenses (K=A+B+C+D+E+F+G+H+I+J) $1,766,187 606,579 $1,699,547 582,079 $66,639 3.924,501 4.2% L Other - Gain/Loss on disposal of assets etc $2,658 1,191 $2,658 1,191 M LHD Revenue -$1,722,798 -$1,646,709 -$76,089 -$592,157 -$564,554 -$27,603 N Net Result (N=K+L+M) $46,046 15,613 $55,496 -$9,450 18,715 -$3,102 General Note: ABF growth is funded at 90% of the State Price for all “business as usual” activity and new builds or new capacity has continued to be funded at the full State Price ᵝ Part of the Acute, ED and Subacute Admitted transition grant has been used to fund growth (see Schedule C glossary) * Data Improvement Project $250k to be allocated to Intra Health for XXX Part 2 2018/19 Schedule C Part 0 Xxxxx Xxxxxxx Xxxxxx 2 Murrumbidgee LHD $ (000's) A B C D E Government Grants Subsidy* -$1,091,840 -$285,609 In-Scope Services - Block Funded -$87,520 -$159,641 Out of Scope Services - Block Funded -$173,675 -$22,604 Capital Subsidy -$8,786 -$3,102 Crown Acceptance (Super, LSL) -$33,051 -$9,686 F Total Government Contribution (F=A+B+C+D+E) -$1,394,872 -$480,643 G H Own Source revenue GF Revenue -$304,046 -$109,664 Restricted Financial Asset Revenue -$23,880 -$1,850 I Total Own Source Revenue (I=G+H) -$327,926 -$111,514 J Total Revenue (J=F+I) -$1,722,798 -$592,157 K L M Total Expense Budget - General Funds $1,752,530 605,359 Restricted Financial Asset Expense Budget $13,656 1,220 Other Expense Budget $2,658 1,191 N Total Expense Budget as per Attachment C Part 1 (N=K+L+M) $1,768,845 607,770 O Net Result (O=J+N) $46,046 15,613 P Q R Net Result Represented by: Asset Movements -$44,212 -$15,090 Liability Movements -$1,835 -$523 Entity Transfers S Total (S=P+Q+R) -$46,046 -$15,613 Note: The minimum weekly cash reserve buffer for unrestricted cash at bank has been updated for FY 2018/19 to $2.1m and remains at approximately 4 days' cash expenses after removing Depreciation, Crown Acceptance and MOH Holdbacks). Based on final June 2018 cash balances, adjustments will be made in July 2018 to ensure alignment with the cash buffer requirements of NSW Treasury Circular TC15_01 Cash Management – Expanding the Scope of the Treasury Banking System. The Ministry will closely monitor cash at bank balances during the year to ensure compliance with this NSW Treasury policy. * The subsidy amount does not include items E and G, which are revenue receipts retained by the LHDs/SHNs and sit outside the National Pool. Part 3 Schedule C Part 3 2018/19Shared Services & Consolidated Statewide Payment Schedule South Eastern Sydney Murrumbidgee LHD $ (000's) HS Charges HS Service Centres $2,337 HS Service Centres Warehousing $7,514 HS Enable NSW $1,657 HS Food Services $33,512 HS Soft Service Charges HS Linen Services $2,639 HS Recoups $3,017 HS IPTAAS $3,725 HS Fleet Services $3,656 HS Patient Transport Services $90 HS MEAPP $6,108 $22,741 $3,675 $29,992 $9,326 $11,556 $172$3,236 $7,125 1,000 Total HSS Charges $93,931 59,146 eHealth EH Corporate IT EH Information Services ICT SPA $6,227 1,958 $13,035 6,993 Total eHealth Charges $19,262 8,951 IH Transports Interhospital Ambulance Transports Interhospital Ambulance NETS $1,895 15,459 $109 507 Total Interhospital Ambulance Charges $2,004 15,966 Interhospital NETS Charges - SCHN $111 151 Payroll Total Payroll (including SGC, FSS, Excluding LSL & PAYG) $915,449 262,201 Loans MoH Loan Repayments Treasury Loan (SEDA) $217 Total Loans $217 Blood and Blood Products $14,160 2,796 NSW Pathology $50,746 12,704 Compacks (HSSG) $1,918 1,432 TMF Insurances (WC, MV & Property) $15,069 4,124 Energy Australia $14,835 5,351 Total $1,127,485 373,040 Note: This schedule represents initial estimates of Statewide recoveries processed by the Ministry on behalf of Service Providers. LHD's are responsible for regularly reviewing these estimates and liaising with the Ministry where there are discrepancies. The Ministry will work with LHD's and Service Providers throughout the year to ensure cash held back for these payments reflects actual trends. Consistent with prior years procedures, a mid year review will occur in January with further adjustments made if required. Note: The amounts above include GST, where applicable. Part 4 2018/19 National Health Funding Body Service Agreement - South Eastern Sydney Murrumbidgee LHD Period: 1 July 2018 - 30 June 2019 National Reform Agreement Commonwealth Schedule C Part 4 Acute 152,039 38,821 ED 28,285 8,725 Mental Health 13,592 4,341 Sub Acute 24,751 6,138 Non Admitted 50,406 8,339 Activity Based Funding Total 269,074 66,364 Block Funding Total $42,081,265 67,608,430 Total 269,074 66,364 $42,081,265 67,608,430 Capital Program SOUTH EASTERN SYDNEY MURRUMBIDGEE LHD ASSET AUTHORISATION LIMITS 2018/19 Capital Projects SMRT BP2 ETC 2018/19 Estimated Expenditure to 30 June 2018 Cost to Complete at 30 June 2018 BP2 Allocation 2018/19 XX0 Xxx. 0000/00 XX0 Xxx. 2020/21 BP2 Est. 2021/22 Balance to Complete $ $ $ $ $ $ $ $ WORKS IN PROGRESS SESLHD MLHD Minor Works & Equipment P51069 14,170,500 14,170,500 14,170,500 14,170,500 14,170,500 3,777,000 0 3,777,000 3,777,000 3,777,000 3,777,000 Asset Refurbishment/Replacement Strategy - Statewide P55345 2,421,788 St Xxxxxx Hospital Cancer Care Centre Stage 5 P56131 3,990,000 1,532,099 2,457,901 2,457,901 Prince of Wales Hospital Digital Subtraction Angiography Unit P56242 1,110,000 151,959 958,041 958,041 Engadine Community Health Centre - Construct Dental Clinic P56412 600,000 600,000 600,000 456,000 Paediatric Amenity Upgrade (Xxxxxxxx) P56413 250,000 250,000 250,000 TOTAL WORKS IN PROGRESS 19,870,500 1,684,058 18,186,442 20,008,230 14,770,500 14,170,500 4,027,000 0 4,027,000 4,483,000 3,777,000 3,777,000 TOTAL ASSET ACQUISITION PROGRAM 19,870,500 1,684,058 18,186,442 20,008,230 14,770,500 14,170,500 4,027,000 0 4,027,000 4,483,000 3,777,000 3,777,000 PROJECTS MANAGED BY HEALTH INFRASTRUCTURE MAJOR NEW WORKS 0000/00 Xx Xxxxxx 2018/19 Xxxxxxxx Birthing Suite & Theatre Refurbishment P56410 11,500,000 0 11,500,000 10,000,000 1,500,000 Hospital Redevelopment Stage One P56401 35,000,000 35,000,000 6,000,000 27,000,000 2,000,000 TOTAL MAJOR NEW WORKS 11,500,000 11,500,000 10,000,000 1,500,000 35,000,000 35,000,000 6,000,000 27,000,000 2,000,000 MAJOR WORKS IN PROGRESS St Xxxxxx Wagga Wagga Hospital Redevelopment Stage 1 & Acute Services Building Cont (part B) P55333 265,500,000 261,690,894 3,809,106 3,809,106 Randwick Campus Reconfiguration and Expansion Stage 1 (including land acquisition) P56067 720,000,000 104,000,000 616,000,000 62,000,000 52,000,000 85,000,000 118,025,000 298,975,000 3 P55264 431,360,000 265,360,000 166,000,000 20,000,000 90,000,000 50,000,000 6,000,000 TOTAL MAJOR WORKS IN PROGRESS 985,500,000 365,690,894 619,809,106 65,809,106 52,000,000 85,000,000 118,025,000 298,975,000 431,360,000 265,360,000 166,000,000 20,000,000 90,000,000 50,000,000 6,000,000 TOTAL MANAGED BY HEALTH INFRASTRUCTURE 997,000,000 365,690,894 631,309,106 75,809,106 53,500,000 85,000,000 118,025,000 298,975,000 466,360,000 265,360,000 201,000,000 26,000,000 117,000,000 52,000,000 6,000,000 Notes: Expenditure needs to remain within the Asset Authorisation Limits indicated above Minor Works and Equipment > $10,000 includes a confund contribution of $6,014,686 2,396,429 This does not include new and existing Locally Funded Initiative (LFI) Projects which will be included in Initial Capital Allocation Letters Schedule D: Purchased Volumes Growth Investment Strategic Priority $’000 NWAU18 Performance Metric Activity Growth inclusive of Local Priority Issues Acute Inclusive of Xxxxxxxxxx Metabolic Services and St Xxxxxx Service Expansion Renal Services 2 - 164,603 40,793 As per Schedule E / Activity of New Service Identified Emergency Department 2.4 - 30,463 9,197 As per Schedule E Sub-Acute (Admitted and Non-Admitted) 2 - 23,275 5,860 As per Schedule E Sub and Non Acute Inpatient Services – Palliative Care Component 3.3 - 2,965 2,508 As per Schedule E Non-Admitted Inclusive of Obstetrics Sustainability, Paediatric Outreach, New STREET Service 2 / 3 - 48,223 9,752 As per Schedule E / Activity of New Service Identified Public Dental Clinical Service – Total Dental Activity 1 - 16,511 14,447 (DWAU) As per Schedule E Mental Health Admitted 3.2 - 13,359 4,166 As per Schedule E Mental Health Non-Admitted Inclusive of Assertive Community CAMHS Service 3.2 - 10,319 2,232 As per Schedule E / Activity of New Service Identified Mental Health Reforms Specialist child and adolescent community mental health services 3.2 - 110 54 Client-related hours Specialist adult community mental health services 3.2 - 73 36 Client-related hours Specialist older persons community mental health services 3.2 - 110 54 Client-related hours Service Investment Capital and Service Expansion: The Xxxxxxxxxx Hospital RADIUS 2 / 3 1,000 - Activity of new service identified Highly Specialised Service - Peritonectomy 2 1,030 - As per Schedule E Strategic Priority Target Performance Metric STATE PRIORITY Elective Surgery Volumes Number of Admissions from Surgical Waiting List - All Patients 2.4 19,900 8,060 Number Number of Admissions from Surgical Waiting List - Children < 16 Years Old 2.4 626 737 Number Growth Investment Strategic Priority $ ‘000 NWAU18 Performance Metric NSW HEALTH STRATEGIC PRIORITIES Providing World Class Clinical Care Where Patient Safety is First Hospital Acquired Complications (HAC) initiatives 2.1 350 - Demonstration of reduction in HAC ETP 2.4 44 124 - ETP Trajectory Leading Better Value Care – Program Support Transition 2.2 250 150 - Performance against LBVC Deliverables Integrate Systems to Deliver Truly Connected Care Integrated Care Strategy The Integrated Care purchasing model for 2018/19 converts 25% of the existing recurrent funding for Integrated Care for People with Chronic Conditions (ICPCC) (previously the Chronic Disease Management Program) into purchased activity for each LHD/SHN. This is shown as NWAU for each LHD/SHN. 3.1 1,478 164 1,099 84 Demonstration of delivery of activities outlined in the approved Activity Work Plan and meeting data collection requirements (including monitoring, evaluation, and the Patient Flow Portal) Clinical Redesign of NSW Health Responses to Violence, Abuse and Neglect 3.6 410 451 with general escalation applied for 2018/19 - Commence implementation of local VAN service redesign and recruitment of permanent clinical staff where staffing gaps have been identified Enable eHealth, Health Information and Data Analytics Data quality improvement – clinical coding / documentation 6.3 250 - Data quality improvement XXXXXX business implementation $250,000 to be allocated to Intra Health for XXX - One- One-off for 2018/19 6.3 500 - Complete Stage 1 LEAP and transition of at least one data stream (AP, ED or WL) as per LHD/SHN District Program Management Plan

Appears in 1 contract

Samples: www.mlhd.health.nsw.gov.au

Locations Service Requirement. Pancreas Transplantation – Nationally Funded Centre Westmead As per Nationally Funded Centre Agreement - Access for all patients across Australia accepted onto Nationally Funded Centre program Paediatric Liver Transplantation – Nationally Funded Centre SCHN Westmead Islet Cell Transplantation – Nationally Funded Centre Westmead Schedule C: Budget Part 1 Schedule C Part 1 South Eastern Sydney Nepean Blue Mountains LHD - Budget 2018/19 2018/19 2017/18 2017/18 BUDGET Comparative Data A B C D E F G H I Acute Admitted Emergency Department Non Admitted Patients (Including Dental) A Sub-Acute Services - Admitted Total Target Volume (NWAU18NWAU17) 82,579 15,690 22,405 120,673 8,494 Volume (Admissions & Attendances) Indicative only 82,207 126,760 454,374 663,341 3,074 State Price per NWAU18 NWAU17 $4,691 $4,691 LHD/SHN Projected Average Cost per NWAU18 Initial Budget 2018/19 ($ '000) 2017/18 Annualised Budget ($ '000) Variance Initial and Annualised ($ '000) Variance (%) Volume Forecast 2017/18 (NWAU18) A Acute Admitted 164,603 162,901 NWAU17 $4,713 $4,621 $759,665 $729,698 $29,967 161,434 Emergency Department 30,463 223,467 $140,485 $134,272 $6,213 29,709 Non Admitted Patients (Including Dental) 48,082 940,440 $221,901 $213,928 $7,973 47,324 Total 243,149 1,326,808 $1,122,051 $1,077,899 $44,152 4.1% 238,468 B Sub-Acute Services - Admitted 20,443 16,239 $4,713 $4,621 $94,264 $89,980 $4,285 19,909 4,658 Sub-Acute Services - Non Admitted 2,214 631 $10,230 2,938 $10,010 2,870 $219 2,214 68 631 B Total 22,657 16,239 9,125 3,074 $104,494 42,511 $99,990 40,663 $4,504 1,848 4.5% 22,123 C 8,942 Mental Health - Admitted (Acute and Sub-Acute) 13,359 3,216 7,306 2,159 $4,713 34,031 $4,621 33,182 $61,731 848 7,498 $60,408 4,658 Initial Budget 2017/18 ($ '000) $1,324 13,359 384,773 $73,098 $104,395 $562,265 $39,573 2016/17 Annualised Budget ($ '000) $358,593 $69,361 $97,245 $525,199 $37,793 Variance Initial and Annualised ($ '000) $26,180 $3,736 $7,150 $37,066 $1,780 Variance (%) 7.1% Volume Forecast 2016/17 (NWAU17) 78,909 15,256 21,399 115,564 8,311 Mental Health - Block Funded Hospitals Mental Health - Non Admitted 10,319 243,346 4,569 78,964 $51,205 609 -$12 $48,650 $2,555 9,975 621 4,440 Mental Health - Classification Adjustment $2,440 947 $2,388 928 $52 19 C Total 23,678 246,563 11,875 81,124 $115,376 61,888 $111,445 59,786 $3,931 2,101 3.5% 23,334 D 11,937 Block Funding Allocation Block Funded Hospitals (Small Hospitals) $5,609 $5,479 $131 Block Funded Services In-Scope - Teaching, Training and Research $57,757 15,883 $56,519 15,513 $1,238 370 D Total $58,416 21,492 $57,163 20,991 $1,253 2.2501 2.4% E State Only Block Funded Services Total $217,531 58,029 $212,867 56,677 $4,664 2.21,352 2.4% Transition Grant (excluding Mental Health) and RSCᵝ G Gross-Up (Private Patient Service Adjustments) $70,207 15,017 $68,701 14,667 $1,505 2.2350 2.4% H $4,691 $4,658 $26,301 $25,688 $613 Schedule C Part 1 Provision for Specific Initiatives & TMF Adjustments (not included above) Data Improvement Project * $750 HAC Improvement Project $350 Social Impact Investment - Community-based Mental Health service (Resolve) Additional Palliative Care Nurses Purchasing Adjustors (incl Hospital Acquired Complications) -$1,149 HealthShare Accelerated Savings Program -$1,575 and Data Quality Projects Better Value Care Initiatives TMF Workers Compensation Premium Adjustment Election Commitment - Additional Nursing, Midwifery and Support positions $354 Electricity escalations $2,004 New parents Enhancement to Violence, Abuse and children initiatives $460 Neglect Services Year 2 Drug & Alcohol Package H Total $6,629 $6,629 I Restricted Financial Asset Expenses $13,656 $13,656 J Depreciation (General Funds only) $57,826 1,500 $57,826 333 -$134 $803 $254 $301 $418 $258 $3,733 $2,949 $25,156 $2,949 $25,156 $3,733 K Total Expenses (K=A+B+C+D+E+F+G+H+I+J) $1,766,187 793,039 $1,699,547 746,089 $66,639 3.946,951 6.3% L Other - Gain/Loss on disposal of assets etc $2,658 524 $2,658 524 M LHD Revenue -$1,722,798 -$1,646,709 -$76,089 N Net Result (N=K+L+M) -$777,769 $46,046 15,795 -$726,816 $55,496 -$9,450 General Note: ABF growth is funded at 90% of the State Price for all “business as usual” activity and new builds or new capacity has continued to be funded at the full State Price ᵝ Part of the Acute, ED and Subacute Admitted transition grant has been used to fund growth (see Schedule C glossary) * Data Improvement Project $250k to be allocated to Intra Health for XXX 19,797 -$50,953 Part 2 2018/19 2017/18 Schedule C Part 0 Xxxxx Xxxxxxx Xxxxxx 2 Nepean Blue Mountains LHD $ (000's) A B C D E Government Grants Subsidy* -$1,091,840 -$591,995 In-Scope Services - Block Funded -$87,520 -$43,929 Out of Scope Services - Block Funded -$173,675 -$30,297 Capital Subsidy -$8,786 -$3,777 Crown Acceptance (Super, LSL) -$33,051 -$14,806 F Total Government Contribution (F=A+B+C+D+E) -$1,394,872 -$684,805 G H Own Source revenue GF Revenue -$304,046 -$85,097 Restricted Financial Asset Revenue -$23,880 -$7,867 I Total Own Source Revenue (I=G+H) -$327,926 -$92,964 J Total Revenue (J=F+I) -$1,722,798 -$777,769 K L M Total Expense Budget - General Funds $1,752,530 790,090 Restricted Financial Asset Expense Budget $13,656 2,949 Other Expense Budget $2,658 524 N Total Expense Budget as per Attachment C Part 1 (N=K+L+M) $1,768,845 793,564 O Net Result (O=J+N) $46,046 15,795 P Q R Net Result Represented by: Asset Movements -$44,212 -$18,288 Liability Movements -$1,835 $2,493 Entity Transfers S Total (S=P+Q+R) -$46,046 -$15,795 Note: The minimum weekly cash reserve buffer for unrestricted cash at bank has been updated for FY 2017/18 to $3.0m and remains at approximately 4 days' cash expenses after removing Depreciation, Crown Acceptance and MOH Holdbacks). Based on final June 2017 cash balances, adjustments will be made in July 2017 to ensure alignment with the cash buffer requirements of NSW Treasury Circular TC15_01 Cash Management – Expanding the Scope of the Treasury Banking System. The Ministry will closely monitor cash at bank balances during the year to ensure compliance with this NSW Treasury policy. * The subsidy amount does not include items E and G, which are revenue receipts retained by the LHDs/SHNs and sit outside the National Pool. Part 3 Schedule C Part 3 2018/19Shared 2017/18Shared Services & Consolidated Statewide Payment Schedule South Eastern Sydney Nepean Blue Mountains LHD $ (000's) HS Charges HS Service Centres HS Service Centres Warehousing HS Enable NSW HS Food Services HS Soft Service Charges HS Linen Services HS Recoups HS IPTAAS HS Fleet Services HS Patient Transport Services HS MEAPP $6,108 2,682 $22,741 6,687 $3,675 1,702 $29,992 14,003 $9,326 3,970 $11,556 3,807 $172$3,236 101 $7,125 2,469 $3,204 Total HSS Charges $93,931 38,624 eHealth EH Corporate IT EH Information Services ICT SPA $6,227 1,674 $13,035 7,840 Total eHealth Charges $19,262 9,514 IH Transports Interhospital Ambulance Transports Interhospital Ambulance NETS $1,895 2,495 $109 128 Total Interhospital Ambulance Charges $2,004 2,623 Interhospital NETS Charges - SCHN $111 140 Payroll Total Payroll (including SGC, FSS, Excluding LSL & PAYG) $915,449 356,358 Loans MoH Loan Repayments Treasury Loan (SEDA) $443 $183 Total Loans $626 Blood and Blood Products $14,160 4,352 NSW Pathology $50,746 18,911 Compacks (HSSG) $1,918 957 TMF Insurances (WC, MV & Property) $15,069 5,215 Energy Australia $14,835 3,064 Total $1,127,485 440,383 Note: This schedule represents initial estimates of Statewide recoveries processed by the Ministry on behalf of Service Providers. LHD's are responsible for regularly reviewing these estimates and liaising with the Ministry where there are discrepancies. The Ministry will work with LHD's and Service Providers throughout the year to ensure cash held back for these payments reflects actual trends. Consistent with prior years procedures, a mid year review will occur in January with further adjustments made if required. Note: The amounts above include GST, where applicable. Part 4 2018/19 2017/18 National Health Funding Body Service Agreement - South Eastern Sydney Nepean Blue Mountains LHD Period: 1 July 2018 2017 - 30 June 2019 2018 National Reform Agreement In- Commonwealth Schedule C Part 4 Acute 152,039 74,958 ED 28,285 15,762 Mental Health 13,592 7,537 Sub Acute 24,751 7,776 Non Admitted 50,406 21,002 Activity Based Funding Total 269,074 127,036 Block Funding Total $42,081,265 10,498,845 Total 269,074 127,036 $42,081,265 10,498,845 Capital Program SOUTH EASTERN SYDNEY NEPEAN BLUE MOUNTAINS LHD ASSET AUTHORISATION LIMITS 2018/19 2017/18 Capital Projects SMRT BP2 ETC 2018/19 2017/18 Estimated Expenditure to 30 June 2018 2017 Cost to Complete at 30 June 2018 2017 BP2 Allocation 2018/19 2017/18 XX0 Xxx. 0000/00 XX0 Xxx. 2020/21 2019/20 BP2 Est. 2021/22 2020/21 Balance to Complete $ $ $ $ $ $ $ $ WORKS IN PROGRESS SESLHD Minor Works & Equipment P51069 14,170,500 14,170,500 14,170,500 14,170,500 14,170,500 Asset Refurbishment/Replacement Strategy - Statewide P55345 2,421,788 St Xxxxxx Hospital Cancer 2,751,803 2,276,803 475,000 475,000 Minor Works and Equipment >$10,000 P51069 3,582,000 3,582,000 3,582,000 Penrith Aboriginal Health Care Centre Stage 5 P56131 3,990,000 1,532,099 2,457,901 2,457,901 Prince of Wales Hospital Digital Subtraction Angiography Unit P56242 1,110,000 151,959 958,041 958,041 Engadine Community Health Centre - Construct Dental Clinic P56412 600,000 600,000 600,000 P56071 1,500,000 1,500,000 1,500,000 TOTAL WORKS IN PROGRESS 19,870,500 1,684,058 18,186,442 20,008,230 14,770,500 14,170,500 7,833,803 2,276,803 5,557,000 5,557,000 TOTAL ASSET ACQUISITION PROGRAM 19,870,500 1,684,058 18,186,442 20,008,230 14,770,500 14,170,500 7,833,803 2,276,803 5,557,000 5,557,000 PROJECTS MANAGED BY HEALTH INFRASTRUCTURE MAJOR NEW WORKS 0000/00 Xx Xxxxxx Xxxxxxxx Birthing Suite & Theatre Refurbishment P56410 11,500,000 0 11,500,000 10,000,000 1,500,000 2017/18 Nepean Hospital and Integrated Ambulatory Services Redevelopment 550,000,000 550,000,000 34,000,000 108,000,000 125,000,000 100,000,000 183,000,000 Nepean Hospital Car Park 26,000,000 26,000,000 20,000,000 6,000,000 TOTAL MAJOR NEW WORKS 11,500,000 11,500,000 10,000,000 1,500,000 MAJOR WORKS IN PROGRESS St Xxxxxx Hospital Redevelopment Stage 1 & Acute Services Building Cont (part B) P55333 265,500,000 261,690,894 3,809,106 3,809,106 Randwick Campus Reconfiguration and Expansion Stage 1 (including land acquisition) P56067 720,000,000 104,000,000 616,000,000 62,000,000 52,000,000 85,000,000 118,025,000 298,975,000 TOTAL MAJOR WORKS IN PROGRESS 985,500,000 365,690,894 619,809,106 65,809,106 52,000,000 85,000,000 118,025,000 298,975,000 576,000,000 576,000,000 54,000,000 114,000,000 125,000,000 100,000,000 183,000,000 TOTAL MANAGED BY HEALTH INFRASTRUCTURE 997,000,000 365,690,894 631,309,106 75,809,106 53,500,000 85,000,000 118,025,000 298,975,000 576,000,000 576,000,000 54,000,000 114,000,000 125,000,000 100,000,000 183,000,000 Notes: Expenditure needs to remain within the Asset Authorisation Limits indicated above Minor Works and Equipment > $10,000 includes a confund contribution of $6,014,686 1,802,000 This does not include new and existing Locally Funded Initiative (LFI) Projects which will be included in Initial Capital Allocation Letters Schedule D: Purchased Volumes Growth Investment Strategic Priority $’000 NWAU18 Performance Metric Activity Growth inclusive of Local Priority Issues Service Stream Target (NWAU17) Acute Inclusive of Xxxxxxxxxx and St Xxxxxx Service Expansion 2 - 164,603 As per Schedule E / Activity of New Service Identified Inpatient Services 82,579 Emergency Department 2.4 Services 15,690 Sub and Non Acute Inpatient Services - 30,463 As per Schedule E Sub-Acute (Admitted and Non-Admitted) 2 - 23,275 As per Schedule E All 8,494 Sub and Non Acute Inpatient Services – Palliative Care Component 3.3 1,289 Non Admitted Patient Services - 2,965 As per Schedule E Non-Admitted Tier 2 / 3 - 48,223 As per Schedule E Clinics 20,477 Public Dental Clinical Service – Total Dental Activity 1 - 16,511 2,559 (19,708 DWAU) As per Schedule E Mental Health Admitted 3.2 - 13,359 As per Schedule E Inpatient Activity 7,306 Mental Health Non-Non Admitted 3.2 - 10,319 As per Schedule E Mental Health Reforms Specialist child and adolescent community mental health services 3.2 - 110 Client-related hours Specialist adult community mental health services 3.2 - 73 Client-related hours Specialist older persons community mental health services 3.2 - 110 Client-related hours Service 4,569 Growth Investment Capital and Service Expansion: The Xxxxxxxxxx Hospital RADIUS 2 / 3 1,000 - Activity of new service identified Highly Specialised Service - Peritonectomy 2 1,030 - As per Schedule E Strategic Priority Target Performance Metric STATE PRIORITY Elective Surgery Volumes Number of Admissions from Surgical Waiting List - All Patients 2.4 19,900 10,345 Number Number of Admissions from Surgical Waiting List - Children < 16 Years Old 2.4 626 1,050 Number Growth Investment Strategic Priority $ ‘000 NWAU18 NWAU17 Performance Metric NSW HEALTH STRATEGIC PRIORITIES Providing World Class Clinical Care Where Patient Safety is First Hospital Acquired Complications (HAC) initiatives 2.1 350 - Demonstration of reduction in HAC ETP 2.4 44 - ETP Trajectory Leading Better Value Care – Program Support Transition 2.2 250 - Performance against LBVC Deliverables Integrate Systems to Deliver Truly Connected Care INTEGRATED CARE Local Initiatives Integrated Care Strategy The Integrated Care purchasing model for 2018/19 converts 25% of the existing recurrent funding for Integrated Care for People with Chronic Conditions (ICPCC) (previously the Chronic Disease Management Program) into purchased activity for each LHD/SHN. This is shown as NWAU for each LHD/SHNprogram Not included in Schedule C, a separate budget supplementations will be provided. 3.1 1,478 164 910 - Demonstration of delivery of activities outlined in the approved Activity Work Plan and meeting the RPM Roadmap Growth Investment Strategic Priority $ ‘000 NWAU17 Performance Metric PROVIDING WORLD-CLASS CLINICAL CARE BETTER VALUE CARE Statewide Initiatives Management of Osteoarthritis – OACCP 2.2 39.345 ACI Evaluation Osteoporotic Refracture Prevention - ORP 2.2 39.345 ACI Evaluation Diabetes High Risk Foot Services – HRFS 2.2 18.66 ACI Evaluation Diabetes Mellitus 2.2 - ACI Evaluation Chronic Heart Failure – CHF 2.2 803 - ACI Evaluation Chronic Obstructive Pulmonary Disease – COPD 2.2 - ACI Evaluation Renal Supportive Care 2.2 & 3.3 53 ACI Evaluation Adverse Events: Falls in Hospitals 2.1 - CEC Criteria Total NWAU 150.35 IMPLEMENTATION INVESTMENT Improving Safety and Quality Data Data quality improvement – clinical coding / documentation 6 250 - Data quality improvement XXXXXX business implementation 6 250 - Deployment of emergency department and wait list data collection requirements (including monitoringstreams Growth Investment Strategic Priority $ NWAU17 Performance Metric SERVICE INVESTMENT System Priority Investment Statewide ICU capacity at Nepean Hospital 2 - 298 Activity of new service identified Social Impact Investment – community based mental health service Administration investment not included in Schedule C, evaluation, a separate budget supplementation for this amount will be provided in July 2017 3 1,500,000 service activity 200,000 administration - Delivery of the minimum guarantee of referrals to the Silver Chain service and the Patient Flow Portal) Monthly submission of agreed minimum data set Clinical Redesign of NSW Health Responses to Violence, Abuse and Neglect 3.6 410 with general escalation applied for 2018/19 417,934 - Commence implementation of local VAN service Participation in clinical redesign and recruitment of permanent additional clinical staff where staffing gaps have been Local Priority Issues Acute Including increased bed base for surgical and medical capacity 2 - 82,579 Activity of new service identified Enable eHealthEmergency Department 2.4 - 15,690 Activity of new service identified Sub-Acute (Admitted and Non-Admitted) 2 - 8,494 Activity of new service identified Non-Admitted Including expansion of Metabolic Service, targeted best practice models of care 2 / 3 - 20,477 Activity of new service identified Mental Health Information Admitted 3.2 - 7,306 Activity of new service identified Mental Health Non-Admitted 3.2 - 4,569 Activity of new service identified Schedule E: Performance against Strategies and Objectives The performance of Districts, Networks, other Health Services and Support Organisations is assessed in terms of whether it is meeting performance targets for individual key performance indicators for each NSW Health Strategic Priority.  Performing Performance at, or better than, target  Underperforming Performance within a tolerance range X Not performing Performance outside the tolerance threshold Detailed specifications for the key performance indicators are provided in the Service Agreement Data Analytics Data quality Supplement along with the list of improvement – clinical coding / documentation 6.3 250 - Data quality improvement XXXXXX business implementation $250,000 measures that will continue to be allocated tracked by the Ministry’s Business Owners - see xxxx://xxxx.health.nsw.gov.au/xxxx/view_data_resource_description.cfm?ItemID=22508 Performance concerns will be raised with the Organisation for focused discussion at performance review meetings in line with the NSW Health Performance Framework. The Data Supplement also maps indicators and measures to Intra key strategic programs including  Premier’s and State Priorities  Election Commitments  Better Value Care  Patient Safety First  Mental Health for XXX - One- off for 2018/19 6.3 500 - Complete Stage 1 LEAP Reform  Financial Management Transformations Key deliverables under the NSW Health Strategic Priorities 2017-18 will also be monitored, noting that process key performance indicators and transition of at least one data stream (AP, ED or WL) as per LHD/SHN Program Management Planmilestones are held in the detailed Operational Plans developed by each Health Service and Support Organisation. Key Performance Indicators Strategic Priority Domain Measure Target Not Performing X Under Performing  Performing 

Appears in 1 contract

Samples: 2017 18 Service Agreement

Locations Service Requirement. Pancreas Transplantation – Nationally Funded Centre Westmead As per Nationally Funded Centre Agreement - Access for all patients across Australia accepted onto Nationally Funded Centre program Paediatric Liver Transplantation – Nationally Funded Centre SCHN Westmead Islet Cell Transplantation – Nationally Funded Centre Westmead Schedule C: Budget Part 1 Schedule C Part 1 South Eastern Northern Sydney LHD - Budget 2018/19 2018/19 2017/18 2017/18 BUDGET Comparative Data A B C D E F G H I Acute Admitted Emergency Department Non Admitted Patients (Including Dental) A Sub-Acute Services - Admitted Total Target Volume (NWAU18NWAU17) 132,948 29,198 39,875 202,021 15,464 Volume (Admissions & Attendances) Indicative only 138,850 215,228 887,092 1,241,170 7,375 State Price per NWAU18 NWAU17 $4,691 $4,691 LHD/SHN Projected Average Cost per NWAU18 Initial Budget 2018/19 ($ '000) 2017/18 Annualised Budget ($ '000) Variance Initial and Annualised ($ '000) Variance (%) Volume Forecast 2017/18 (NWAU18) A Acute Admitted 164,603 162,901 NWAU17 $4,713 $4,621 $759,665 $729,698 $29,967 161,434 Emergency Department 30,463 223,467 $140,485 $134,272 $6,213 29,709 Non Admitted Patients (Including Dental) 48,082 940,440 $221,901 $213,928 $7,973 47,324 Total 243,149 1,326,808 $1,122,051 $1,077,899 $44,152 4.1% 238,468 B Sub-Acute Services - Admitted 20,443 16,239 $4,713 $4,621 $94,264 $89,980 $4,285 19,909 4,652 Sub-Acute Services - Non Admitted 2,214 1,771 $10,230 8,241 $10,010 8,060 $219 2,214 181 1,771 B Total 22,657 16,239 17,235 7,375 $104,494 80,186 $99,990 77,322 $4,504 4.52,864 3.7% 22,123 C 17,000 Mental Health - Admitted (Acute and Sub-Acute) 13,359 3,216 15,805 2,552 $4,713 73,529 $4,621 71,668 $61,731 1,860 19,417 $60,408 4,652 Initial Budget 2017/18 ($ '000) $1,324 13,359 618,627 $135,854 $185,526 $940,007 $71,945 2016/17 Annualised Budget ($ '000) $586,635 $129,720 $178,196 $894,551 $69,262 Variance Initial and Annualised ($ '000) $31,991 $6,133 $7,331 $45,455 $2,683 Variance (%) 5.1% Volume Forecast 2016/17 (NWAU17) 129,029 28,527 39,182 196,739 15,229 Mental Health - Block Funded Hospitals Mental Health - Non Admitted 10,319 243,346 25,916 447,909 $51,205 90,780 $48,650 86,288 $2,555 9,975 4,493 25,384 Mental Health - Classification Adjustment $2,440 17,019 $2,388 16,669 $52 350 C Total 23,678 246,563 41,721 450,461 $115,376 186,442 $111,445 179,626 $3,931 3.56,815 3.8% 23,334 D 44,801 Block Funding Allocation Block Funded Hospitals (Small Hospitals) $8,178 $7,998 $180 Block Funded Services In-Scope - Teaching, Training and Research $57,757 57,821 $56,519 56,549 $1,238 1,272 D Total $58,416 65,998 $57,163 64,547 $1,253 1,452 2.2% E State Only Block Funded Services Total $217,531 192,374 $212,867 188,143 $4,664 4,231 2.2% Transition Grant (excluding Mental Health) and RSCᵝ G Gross-Up (Private Patient Service Adjustments) $70,207 68,825 $68,701 67,311 $1,505 1,514 2.2% H $4,691 $4,652 $5,114 $5,001 $112 Schedule C Part 1 Provision for Specific Initiatives & TMF Adjustments (not included above) Data Improvement Project * $750 HAC Improvement Project $350 Additional Palliative Care Nurses Purchasing Adjustors (incl Hospital Acquired Complications) -$1,149 HealthShare Accelerated Savings Program -$1,575 and Data Quality Projects Better Value Care Initiatives TMF Workers Compensation Premium Adjustment Election Commitment - Additional Nursing, Midwifery and Support positions $354 Electricity escalations $2,004 New parents Enhancement to Violence, Abuse and children initiatives $460 Neglect Services Year 2 Drug & Alcohol Package H Total $6,629 $6,629 I Restricted Financial Asset Expenses $13,656 $13,656 J Depreciation (General Funds only) $57,826 $57,826 K Total Expenses (K=A+B+C+D+E+F+G+H+I+J) $1,766,187 $1,699,547 $66,639 3.9% L Other - Gain/Loss on disposal of assets etc $2,658 333 -$125 $2,658 803 $540 $507 $283 $3 $2,345 $15,433 $66,691 $1,618,302 $1,500 $15,433 $66,691 $1,553,624 $1,500 $2,345 $64,678 4.2% M LHD Revenue -$1,722,798 -$1,646,709 -$76,089 -$1,563,064 -$1,489,396 -$73,668 N Net Result (N=K+L+M) $46,046 56,738 $55,496 -$9,450 General Note: ABF growth is funded at 90% of the State Price for all “business as usual” activity and new builds or new capacity has continued to be funded at the full State Price ᵝ Part of the Acute, ED and Subacute Admitted transition grant has been used to fund growth (see Schedule C glossary) * Data Improvement Project $250k to be allocated to Intra Health for XXX 65,728 Part 2 2018/19 2017/18 Schedule C Part 0 Xxxxx Xxxxxxx Xxxxxx 2 Northern Sydney LHD $ (000's) A B C D E Government Grants Subsidy* -$1,091,840 -$977,014 In-Scope Services - Block Funded -$87,520 -$139,598 Out of Scope Services - Block Funded -$173,675 -$129,048 Capital Subsidy -$8,786 -$8,718 Crown Acceptance (Super, LSL) -$33,051 -$27,631 F Total Government Contribution (F=A+B+C+D+E) -$1,394,872 -$1,282,010 G H Own Source revenue GF Revenue -$304,046 -$264,266 Restricted Financial Asset Revenue -$23,880 -$16,789 I Total Own Source Revenue (I=G+H) -$327,926 -$281,054 J Total Revenue (J=F+I) -$1,722,798 -$1,563,064 K L M Total Expense Budget - General Funds $1,752,530 1,602,869 Restricted Financial Asset Expense Budget $13,656 15,433 Other Expense Budget $2,658 1,500 N Total Expense Budget as per Attachment C Part 1 (N=K+L+M) $1,768,845 1,619,802 O Net Result (O=J+N) $46,046 56,738 P Q R Net Result Represented by: Asset Movements -$44,212 -$54,708 Liability Movements -$1,835 -$2,030 Entity Transfers S Total (S=P+Q+R) -$46,046 -$56,738 Note: The minimum weekly cash reserve buffer for unrestricted cash at bank has been updated for FY 2017/18 to $5.9m and remains at approximately 4 days' cash expenses after removing Depreciation, Crown Acceptance and MOH Holdbacks). Based on final June 2017 cash balances, adjustments will be made in July 2017 to ensure alignment with the cash buffer requirements of NSW Treasury Circular TC15_01 Cash Management – Expanding the Scope of the Treasury Banking System. The Ministry will closely monitor cash at bank balances during the year to ensure compliance with this NSW Treasury policy. * The subsidy amount does not include items E and G, which are revenue receipts retained by the LHDs/SHNs and sit outside the National Pool. Part 3 Schedule C Part 3 2018/19Shared 2017/18Shared Services & Consolidated Statewide Payment Schedule South Eastern Northern Sydney LHD $ (000's) HS Charges HS Service Centres HS Service Centres Warehousing HS Enable NSW HS Food Services HS Soft Service Charges HS Linen Services HS Recoups HS IPTAAS HS Fleet Services HS Patient Transport Services HS MEAPP $6,108 5,684 $22,741 19,479 $3,675 3,517 $29,992 69,288 $9,326 7,726 $11,556 7,878 $172$3,236 16$3,081 $7,125 6,616 $3,685 Total HSS Charges $93,931 126,970 eHealth EH Corporate IT EH Information Services ICT SPA $6,227 4,278 $13,035 8,555 Total eHealth Charges $19,262 12,833 IH Transports Interhospital Ambulance Transports Interhospital Ambulance NETS $1,895 3,253 $109 67 Total Interhospital Ambulance Charges $2,004 3,321 Interhospital NETS Charges - SCHN $111 165 Payroll Total Payroll (including SGC, FSS, Excluding LSL & PAYG) $915,449 784,494 Loans MoH Loan Repayments Treasury Loan (SEDA) $300 Total Loans $300 Blood and Blood Products $14,160 10,256 NSW Pathology $50,746 35,687 Compacks (HSSG) $1,918 2,636 TMF Insurances (WC, MV & Property) $15,069 11,338 Energy Australia $14,835 9,868 Total $1,127,485 997,869 Note: This schedule represents initial estimates of Statewide recoveries processed by the Ministry on behalf of Service Providers. LHD's are responsible for regularly reviewing these estimates and liaising with the Ministry where there are discrepancies. The Ministry will work with LHD's and Service Providers throughout the year to ensure cash held back for these payments reflects actual trends. Consistent with prior years procedures, a mid year review will occur in January with further adjustments made if required. Note: The amounts above include GST, where applicable. Part 4 2018/19 2017/18 National Health Funding Body Service Agreement - South Eastern Northern Sydney LHD Period: 1 July 2018 2017 - 30 June 2019 2018 National Reform Agreement In- Commonwealth Schedule C Part 4 Acute 152,039 119,334 ED 28,285 27,126 Mental Health 13,592 11,686 Sub Acute 24,751 19,703 Non Admitted 50,406 26,684 Activity Based Funding Total 269,074 204,533 Block Funding Total $42,081,265 62,431,512 Total 269,074 204,533 $42,081,265 62,431,512 Capital Program SOUTH EASTERN NORTHERN SYDNEY LHD ASSET AUTHORISATION LIMITS 2018/19 2017/18 Capital Projects SMRT BP2 ETC 2018/19 2017/18 Estimated Expenditure to 30 June 2018 2017 Cost to Complete at 30 June 2018 2017 BP2 Allocation 2018/19 2017/18 XX0 Xxx. 0000/00 XX0 Xxx. 2020/21 2019/20 BP2 Est. 2021/22 2020/21 Balance to Complete $ $ $ $ $ $ $ $ WORKS IN PROGRESS SESLHD Minor Works & Equipment P51069 14,170,500 14,170,500 14,170,500 14,170,500 14,170,500 Asset Refurbishment/Replacement Strategy - Statewide P55345 2,421,788 St Xxxxxx Hospital Cancer Care Centre Stage 5 P56131 3,990,000 1,532,099 2,457,901 2,457,901 Prince of Wales Hospital Digital Subtraction Angiography Unit P56242 1,110,000 151,959 958,041 958,041 Engadine Community Health Centre - Construct Dental Clinic P56412 600,000 600,000 600,000 7,672,953 4,711,953 2,961,000 2,961,000 PFP Cyclical Maintenance : Xxxxx Xxxxx Xxxxx Xxxxxxxx0 X00000 208,402,295 42,196,295 166,206,000 8,747,000 8,614,000 8,969,000 12,411,000 127,465,000 Minor Works and Equipment >$10,000 P51069 9,171,000 9,171,000 9,171,000 Statewide Home Dialysis Equipment (Sydney Dialysis Cent P55203 5,311,200 4,013,900 1,297,300 1,297,300 TOTAL WORKS IN PROGRESS 19,870,500 1,684,058 18,186,442 20,008,230 14,770,500 14,170,500 230,557,448 50,922,148 179,635,300 22,176,300 8,614,000 8,969,000 12,411,000 127,465,000 TOTAL ASSET ACQUISITION PROGRAM 19,870,500 1,684,058 18,186,442 20,008,230 14,770,500 14,170,500 230,557,448 50,922,148 179,635,300 22,176,300 8,614,000 8,969,000 12,411,000 127,465,000 PROJECTS MANAGED BY HEALTH INFRASTRUCTURE MAJOR NEW WORKS 0000/00 Xx Xxxxxx Xxxxxxxx Birthing Suite & Theatre Refurbishment P56410 11,500,000 0 11,500,000 10,000,000 1,500,000 2017/18 Hornsby Hospital Car Park 19,799,000 19,799,000 3,978,000 15,821,000 Hornsby Hospital Redevelopment Stage 2 200,000,000 200,000,000 20,000,000 80,000,000 50,000,000 50,000,000 TOTAL MAJOR NEW WORKS 11,500,000 11,500,000 10,000,000 1,500,000 219,799,000 219,799,000 23,978,000 95,821,000 50,000,000 50,000,000 MAJOR WORKS IN PROGRESS St Xxxxxx Hornsby Ku-ring-gai Hospital Redevelopment Stage 1 P54774 120,994,626 107,887,795 13,106,831 7,283,894 5,506,513 316,424 Northern Beaches - Xxxx Xxxx Hosp. & Acute Services Building Cont (part B) P55333 265,500,000 261,690,894 3,809,106 3,809,106 Randwick Campus Reconfiguration and Expansion Stage 1 (including land acquisition) P56067 720,000,000 104,000,000 616,000,000 62,000,000 52,000,000 85,000,000 118,025,000 298,975,000 Community Health P53985 600,000,000 148,724,270 451,275,730 19,407,503 404,067,760 27,800,467 TOTAL MAJOR WORKS IN PROGRESS 985,500,000 365,690,894 619,809,106 65,809,106 52,000,000 85,000,000 118,025,000 298,975,000 720,994,626 256,612,065 464,382,561 26,691,397 409,574,273 28,116,891 TOTAL MANAGED BY HEALTH INFRASTRUCTURE 997,000,000 365,690,894 631,309,106 75,809,106 53,500,000 85,000,000 118,025,000 298,975,000 940,793,626 256,612,065 684,181,561 50,669,397 505,395,273 78,116,891 50,000,000 Notes: Expenditure needs to remain within the Asset Authorisation Limits indicated above Minor Works and Equipment > $10,000 includes a confund contribution of $6,014,686 This does not include new and existing Locally Funded Initiative (LFI) Projects which will be included in Initial Capital Allocation Letters Schedule D: Purchased Volumes Growth Investment Strategic Priority $’000 NWAU18 Performance Metric Activity Growth inclusive of Local Priority Issues Acute Inclusive of Xxxxxxxxxx and St Xxxxxx Service Expansion 2 - 164,603 As per Schedule E / Activity of New Service Identified Emergency Department 2.4 - 30,463 As per Schedule E Sub-Acute (Admitted and Non-Admitted) 2 - 23,275 As per Schedule E Sub and Non Acute Inpatient Services – Palliative Care Component 3.3 - 2,965 As per Schedule E Non-Admitted 2 / 3 - 48,223 As per Schedule E Public Dental Clinical Service – Total Dental Activity 1 - 16,511 (DWAU) As per Schedule E Mental Health Admitted 3.2 - 13,359 As per Schedule E Mental Health Non-Admitted 3.2 - 10,319 As per Schedule E Mental Health Reforms Specialist child and adolescent community mental health services 3.2 - 110 Client-related hours Specialist adult community mental health services 3.2 - 73 Client-related hours Specialist older persons community mental health services 3.2 - 110 Client-related hours Service Investment Capital and Service Expansion: The Xxxxxxxxxx Hospital RADIUS 2 / 3 1,000 - Activity of new service identified Highly Specialised Service - Peritonectomy 2 1,030 - As per Schedule E Strategic Priority Target Performance Metric STATE PRIORITY Elective Surgery Volumes Number of Admissions from Surgical Waiting List - All Patients 2.4 19,900 Number Number of Admissions from Surgical Waiting List - Children < 16 Years Old 2.4 626 Number Growth Investment Strategic Priority $ ‘000 NWAU18 Performance Metric NSW HEALTH STRATEGIC PRIORITIES Providing World Class Clinical Care Where Patient Safety is First Hospital Acquired Complications (HAC) initiatives 2.1 350 - Demonstration of reduction in HAC ETP 2.4 44 - ETP Trajectory Leading Better Value Care – Program Support Transition 2.2 250 - Performance against LBVC Deliverables Integrate Systems to Deliver Truly Connected Care Integrated Care Strategy The Integrated Care purchasing model for 2018/19 converts 25% of the existing recurrent funding for Integrated Care for People with Chronic Conditions (ICPCC) (previously the Chronic Disease Management Program) into purchased activity for each LHD/SHN. This is shown as NWAU for each LHD/SHN. 3.1 1,478 164 Demonstration of delivery of activities outlined in the approved Activity Work Plan and meeting data collection requirements (including monitoring, evaluation, and the Patient Flow Portal) Clinical Redesign of NSW Health Responses to Violence, Abuse and Neglect 3.6 410 with general escalation applied for 2018/19 - Commence implementation of local VAN service redesign and recruitment of permanent clinical staff where staffing gaps have been identified Enable eHealth, Health Information and Data Analytics Data quality improvement – clinical coding / documentation 6.3 250 - Data quality improvement XXXXXX business implementation $250,000 to be allocated to Intra Health for XXX - One- off for 2018/19 6.3 500 - Complete Stage 1 LEAP and transition of at least one data stream (AP, ED or WL) as per LHD/SHN Program Management Plan:

Appears in 1 contract

Samples: Service Agreement

Locations Service Requirement. Pancreas Transplantation – Nationally Funded Centre Westmead As per Nationally Funded Centre Agreement - Access for all patients across Australia accepted onto Nationally Funded Centre program Paediatric Liver Transplantation – Nationally Funded Centre SCHN Westmead Islet Cell Transplantation – Nationally Funded Centre Westmead Schedule C: Budget Part 1 Schedule C Part 1 South Eastern Sydney Nepean Blue Mountains LHD - Budget 2018/19 2018/19 2017/18 2017/18 BUDGET Comparative Data A B C D E F G H I Acute Admitted Emergency Department Non Admitted Patients (Including Dental) A Sub-Acute Services - Admitted Total Target Volume (NWAU18NWAU17) 82,579 15,690 22,405 120,673 8,494 Volume (Admissions & Attendances) Indicative only 82,207 126,760 454,374 663,341 3,074 State Price per NWAU18 NWAU17 $4,691 $4,691 LHD/SHN Projected Average Cost per NWAU18 Initial Budget 2018/19 ($ '000) 2017/18 Annualised Budget ($ '000) Variance Initial and Annualised ($ '000) Variance (%) Volume Forecast 2017/18 (NWAU18) A Acute Admitted 164,603 162,901 NWAU17 $4,713 $4,621 $759,665 $729,698 $29,967 161,434 Emergency Department 30,463 223,467 $140,485 $134,272 $6,213 29,709 Non Admitted Patients (Including Dental) 48,082 940,440 $221,901 $213,928 $7,973 47,324 Total 243,149 1,326,808 $1,122,051 $1,077,899 $44,152 4.1% 238,468 B Sub-Acute Services - Admitted 20,443 16,239 $4,713 $4,621 $94,264 $89,980 $4,285 19,909 4,658 Sub-Acute Services - Non Admitted 2,214 631 $10,230 2,938 $10,010 2,870 $219 2,214 68 631 B Total 22,657 16,239 9,125 3,074 $104,494 42,511 $99,990 40,663 $4,504 1,848 4.5% 22,123 C 8,942 Mental Health - Admitted (Acute and Sub-Acute) 13,359 3,216 7,306 2,159 $4,713 34,031 $4,621 33,182 $61,731 848 7,498 $60,408 4,658 Initial Budget 2017/18 ($ '000) $1,324 13,359 384,773 $73,098 $104,395 $562,265 $39,573 2016/17 Annualised Budget ($ '000) $358,593 $69,361 $97,245 $525,199 $37,793 Variance Initial and Annualised ($ '000) $26,180 $3,736 $7,150 $37,066 $1,780 Variance (%) 7.1% Volume Forecast 2016/17 (NWAU17) 78,909 15,256 21,399 115,564 8,311 Mental Health - Block Funded Hospitals Mental Health - Non Admitted 10,319 243,346 4,569 78,964 $51,205 609 -$12 $48,650 $2,555 9,975 621 4,440 Mental Health - Classification Adjustment $2,440 947 $2,388 928 $52 19 C Total 23,678 246,563 11,875 81,124 $115,376 61,888 $111,445 59,786 $3,931 2,101 3.5% 23,334 D 11,937 Block Funding Allocation Block Funded Hospitals (Small Hospitals) $5,609 $5,479 $131 Block Funded Services In-Scope - Teaching, Training and Research $57,757 15,883 $56,519 15,513 $1,238 370 D Total $58,416 21,492 $57,163 20,991 $1,253 2.2501 2.4% E State Only Block Funded Services Total $217,531 58,029 $212,867 56,677 $4,664 2.21,352 2.4% Transition Grant (excluding Mental Health) and RSCᵝ G Gross-Up (Private Patient Service Adjustments) $70,207 15,017 $68,701 14,667 $1,505 2.2350 2.4% H $4,691 $4,658 $26,301 $25,688 $613 Schedule C Part 1 Provision for Specific Initiatives & TMF Adjustments (not included above) Data Improvement Project * $750 HAC Improvement Project $350 Social Impact Investment - Community-based Mental Health service (Resolve) Additional Palliative Care Nurses Purchasing Adjustors (incl Hospital Acquired Complications) -$1,149 HealthShare Accelerated Savings Program -$1,575 and Data Quality Projects Better Value Care Initiatives TMF Workers Compensation Premium Adjustment Election Commitment - Additional Nursing, Midwifery and Support positions $354 Electricity escalations $2,004 New parents Enhancement to Violence, Abuse and children initiatives $460 Neglect Services Year 2 Drug & Alcohol Package H Total $6,629 $6,629 I Restricted Financial Asset Expenses $13,656 $13,656 J Depreciation (General Funds only) $57,826 1,500 $57,826 333 -$134 $803 $254 $301 $418 $258 $3,733 $2,949 $25,156 $2,949 $25,156 $3,733 K Total Expenses (K=A+B+C+D+E+F+G+H+I+J) $1,766,187 793,039 $1,699,547 746,089 $66,639 3.946,951 6.3% L Other - Gain/Loss on disposal of assets etc $2,658 524 $2,658 524 M LHD Revenue -$1,722,798 -$1,646,709 -$76,089 N Net Result (N=K+L+M) -$777,769 $46,046 15,795 -$726,816 $55,496 -$9,450 General Note: ABF growth is funded at 90% of the State Price for all “business as usual” activity and new builds or new capacity has continued to be funded at the full State Price ᵝ Part of the Acute, ED and Subacute Admitted transition grant has been used to fund growth (see Schedule C glossary) * Data Improvement Project $250k to be allocated to Intra Health for XXX 19,797 -$50,953 Part 2 2018/19 2017/18 Schedule C Part 0 Xxxxx Xxxxxxx Xxxxxx 2 Nepean Blue Mountains LHD $ (000's) A B C D E Government Grants Subsidy* -$1,091,840 -$591,995 In-Scope Services - Block Funded -$87,520 -$43,929 Out of Scope Services - Block Funded -$173,675 -$30,297 Capital Subsidy -$8,786 -$3,777 Crown Acceptance (Super, LSL) -$33,051 -$14,806 F Total Government Contribution (F=A+B+C+D+E) -$1,394,872 -$684,805 G H Own Source revenue GF Revenue -$304,046 -$85,097 Restricted Financial Asset Revenue -$23,880 -$7,867 I Total Own Source Revenue (I=G+H) -$327,926 -$92,964 J Total Revenue (J=F+I) -$1,722,798 -$777,769 K L M Total Expense Budget - General Funds $1,752,530 790,090 Restricted Financial Asset Expense Budget $13,656 2,949 Other Expense Budget $2,658 524 N Total Expense Budget as per Attachment C Part 1 (N=K+L+M) $1,768,845 793,564 O Net Result (O=J+N) $46,046 15,795 P Q R Net Result Represented by: Asset Movements -$44,212 -$18,288 Liability Movements -$1,835 $2,493 Entity Transfers S Total (S=P+Q+R) -$46,046 -$15,795 Note: The minimum weekly cash reserve buffer for unrestricted cash at bank has been updated for FY 2017/18 to $3.0m and remains at approximately 4 days' cash expenses after removing Depreciation, Crown Acceptance and MOH Holdbacks). Based on final June 2017 cash balances, adjustments will be made in July 2017 to ensure alignment with the cash buffer requirements of NSW Treasury Circular TC15_01 Cash Management – Expanding the Scope of the Treasury Banking System. The Ministry will closely monitor cash at bank balances during the year to ensure compliance with this NSW Treasury policy. * The subsidy amount does not include items E and G, which are revenue receipts retained by the LHDs/SHNs and sit outside the National Pool. Part 3 Schedule C Part 3 2018/19Shared 2017/18Shared Services & Consolidated Statewide Payment Schedule South Eastern Sydney Nepean Blue Mountains LHD $ (000's) HS Charges HS Service Centres HS Service Centres Warehousing HS Enable NSW HS Food Services HS Soft Service Charges HS Linen Services HS Recoups HS IPTAAS HS Fleet Services HS Patient Transport Services HS MEAPP $6,108 2,682 $22,741 6,687 $3,675 1,702 $29,992 14,003 $9,326 3,970 $11,556 3,807 $172$3,236 101 $7,125 2,469 $3,204 Total HSS Charges $93,931 38,624 eHealth EH Corporate IT EH Information Services ICT SPA $6,227 1,674 $13,035 7,840 Total eHealth Charges $19,262 9,514 IH Transports Interhospital Ambulance Transports Interhospital Ambulance NETS $1,895 2,495 $109 128 Total Interhospital Ambulance Charges $2,004 2,623 Interhospital NETS Charges - SCHN $111 140 Payroll Total Payroll (including SGC, FSS, Excluding LSL & PAYG) $915,449 356,358 Loans MoH Loan Repayments Treasury Loan (SEDA) $443 $183 Total Loans $626 Blood and Blood Products $14,160 4,352 NSW Pathology $50,746 18,911 Compacks (HSSG) $1,918 957 TMF Insurances (WC, MV & Property) $15,069 5,215 Energy Australia $14,835 3,064 Total $1,127,485 440,383 Note: This schedule represents initial estimates of Statewide recoveries processed by the Ministry on behalf of Service Providers. LHD's are responsible for regularly reviewing these estimates and liaising with the Ministry where there are discrepancies. The Ministry will work with LHD's and Service Providers throughout the year to ensure cash held back for these payments reflects actual trends. Consistent with prior years procedures, a mid year review will occur in January with further adjustments made if required. Note: The amounts above include GST, where applicable. Part 4 2018/19 2017/18 National Health Funding Body Service Agreement - South Eastern Sydney Nepean Blue Mountains LHD Period: 1 July 2018 2017 - 30 June 2019 2018 National Reform Agreement In- Commonwealth Schedule C Part 4 Acute 152,039 74,958 ED 28,285 15,762 Mental Health 13,592 7,537 Sub Acute 24,751 7,776 Non Admitted 50,406 21,002 Activity Based Funding Total 269,074 127,036 Block Funding Total $42,081,265 10,498,845 Total 269,074 127,036 $42,081,265 10,498,845 Capital Program SOUTH EASTERN SYDNEY NEPEAN BLUE MOUNTAINS LHD ASSET AUTHORISATION LIMITS 2018/19 2017/18 Capital Projects SMRT BP2 ETC 2018/19 2017/18 Estimated Expenditure to 30 June 2018 2017 Cost to Complete at 30 June 2018 2017 BP2 Allocation 2018/19 XX0 Xxx. 0000/00 XX0 Xxx. 2020/21 2017/18 BP2 Est. 2021/22 2018/19 BP2 Est. 2019/20 BP2 Est. 2020/21 Balance to Complete $ $ $ $ $ $ $ $ WORKS IN PROGRESS SESLHD Minor Works & Equipment P51069 14,170,500 14,170,500 14,170,500 14,170,500 14,170,500 Asset Refurbishment/Replacement Strategy - Statewide P55345 2,421,788 St Xxxxxx Hospital Cancer 2,751,803 2,276,803 475,000 475,000 Minor Works and Equipment >$10,000 P51069 3,582,000 3,582,000 3,582,000 Penrith Aboriginal Health Care Centre Stage 5 P56131 3,990,000 1,532,099 2,457,901 2,457,901 Prince of Wales Hospital Digital Subtraction Angiography Unit P56242 1,110,000 151,959 958,041 958,041 Engadine Community Health Centre - Construct Dental Clinic P56412 600,000 600,000 600,000 P56071 1,500,000 1,500,000 1,500,000 TOTAL WORKS IN PROGRESS 19,870,500 1,684,058 18,186,442 20,008,230 14,770,500 14,170,500 7,833,803 2,276,803 5,557,000 5,557,000 TOTAL ASSET ACQUISITION PROGRAM 19,870,500 1,684,058 18,186,442 20,008,230 14,770,500 14,170,500 7,833,803 2,276,803 5,557,000 5,557,000 PROJECTS MANAGED BY HEALTH INFRASTRUCTURE MAJOR NEW WORKS 0000/00 Xx Xxxxxx Xxxxxxxx Birthing Suite & Theatre Refurbishment P56410 11,500,000 0 11,500,000 10,000,000 1,500,000 2017/18 Nepean Hospital and Integrated Ambulatory Services Redevelopment 550,000,000 550,000,000 34,000,000 108,000,000 125,000,000 100,000,000 183,000,000 Nepean Hospital Car Park 26,000,000 26,000,000 20,000,000 6,000,000 TOTAL MAJOR NEW WORKS 11,500,000 11,500,000 10,000,000 1,500,000 MAJOR WORKS IN PROGRESS St Xxxxxx Hospital Redevelopment Stage 1 & Acute Services Building Cont (part B) P55333 265,500,000 261,690,894 3,809,106 3,809,106 Randwick Campus Reconfiguration and Expansion Stage 1 (including land acquisition) P56067 720,000,000 104,000,000 616,000,000 62,000,000 52,000,000 85,000,000 118,025,000 298,975,000 TOTAL MAJOR WORKS IN PROGRESS 985,500,000 365,690,894 619,809,106 65,809,106 52,000,000 85,000,000 118,025,000 298,975,000 576,000,000 576,000,000 54,000,000 114,000,000 125,000,000 100,000,000 183,000,000 TOTAL MANAGED BY HEALTH INFRASTRUCTURE 997,000,000 365,690,894 631,309,106 75,809,106 53,500,000 85,000,000 118,025,000 298,975,000 576,000,000 576,000,000 54,000,000 114,000,000 125,000,000 100,000,000 183,000,000 Notes: Expenditure needs to remain within the Asset Authorisation Limits indicated above Minor Works and Equipment > $10,000 includes a confund contribution of $6,014,686 1,802,000 This does not include new and existing Locally Funded Initiative (LFI) Projects which will be included in Initial Capital Allocation Letters Schedule D: Purchased Volumes Growth Investment Strategic Priority $’000 NWAU18 Performance Metric Activity Growth inclusive of Local Priority Issues Service Stream Target (NWAU17) Acute Inclusive of Xxxxxxxxxx and St Xxxxxx Service Expansion 2 - 164,603 As per Schedule E / Activity of New Service Identified Inpatient Services 82,579 Emergency Department 2.4 Services 15,690 Sub and Non Acute Inpatient Services - 30,463 As per Schedule E Sub-Acute (Admitted and Non-Admitted) 2 - 23,275 As per Schedule E All 8,494 Sub and Non Acute Inpatient Services – Palliative Care Component 3.3 1,289 Non Admitted Patient Services - 2,965 As per Schedule E Non-Admitted Tier 2 / 3 - 48,223 As per Schedule E Clinics 20,477 Public Dental Clinical Service – Total Dental Activity 1 - 16,511 2,559 (19,708 DWAU) As per Schedule E Mental Health Admitted 3.2 - 13,359 As per Schedule E Inpatient Activity 7,306 Mental Health Non-Non Admitted 3.2 - 10,319 As per Schedule E Mental Health Reforms Specialist child and adolescent community mental health services 3.2 - 110 Client-related hours Specialist adult community mental health services 3.2 - 73 Client-related hours Specialist older persons community mental health services 3.2 - 110 Client-related hours Service 4,569 Growth Investment Capital and Service Expansion: The Xxxxxxxxxx Hospital RADIUS 2 / 3 1,000 - Activity of new service identified Highly Specialised Service - Peritonectomy 2 1,030 - As per Schedule E Strategic Priority Target Performance Metric STATE PRIORITY Elective Surgery Volumes Number of Admissions from Surgical Waiting List - All Patients 2.4 19,900 10,345 Number Number of Admissions from Surgical Waiting List - Children < 16 Years Old 2.4 626 1,050 Number Growth Investment Strategic Priority $ ‘000 NWAU18 NWAU17 Performance Metric NSW HEALTH STRATEGIC PRIORITIES Providing World Class Clinical Care Where Patient Safety is First Hospital Acquired Complications (HAC) initiatives 2.1 350 - Demonstration of reduction in HAC ETP 2.4 44 - ETP Trajectory Leading Better Value Care – Program Support Transition 2.2 250 - Performance against LBVC Deliverables Integrate Systems to Deliver Truly Connected Care INTEGRATED CARE Local Initiatives Integrated Care Strategy The Integrated Care purchasing model for 2018/19 converts 25% of the existing recurrent funding for Integrated Care for People with Chronic Conditions (ICPCC) (previously the Chronic Disease Management Program) into purchased activity for each LHD/SHN. This is shown as NWAU for each LHD/SHNprogram Not included in Schedule C, a separate budget supplementations will be provided. 3.1 1,478 164 910 - Demonstration of delivery of activities outlined in the approved Activity Work Plan and meeting the RPM Roadmap Growth Investment Strategic Priority $ ‘000 NWAU17 Performance Metric PROVIDING WORLD-CLASS CLINICAL CARE BETTER VALUE CARE Statewide Initiatives Management of Osteoarthritis – OACCP 2.2 39.345 ACI Evaluation Osteoporotic Refracture Prevention - ORP 2.2 39.345 ACI Evaluation Diabetes High Risk Foot Services – HRFS 2.2 18.66 ACI Evaluation Diabetes Mellitus 2.2 - ACI Evaluation Chronic Heart Failure – CHF 2.2 803 - ACI Evaluation Chronic Obstructive Pulmonary Disease – COPD 2.2 - ACI Evaluation Renal Supportive Care 2.2 & 3.3 53 ACI Evaluation Adverse Events: Falls in Hospitals 2.1 - CEC Criteria Total NWAU 150.35 IMPLEMENTATION INVESTMENT Improving Safety and Quality Data Data quality improvement – clinical coding / documentation 6 250 - Data quality improvement XXXXXX business implementation 6 250 - Deployment of emergency department and wait list data collection requirements streams Growth Investment Strategic Priority $ NWAU17 Performance Metric SERVICE INVESTMENT System Priority Investment Statewide ICU capacity at Nepean Hospital 2 - 298 Activity of new service identified Social Impact Investment – community based mental health service Administration investment not included in Schedule C, a separate budget supplementation for this amount will be provided in July 2017 3 1,500,000 service activity 200,000 administration - Delivery of the minimum guarantee of referrals to the Resolve Program (including monitoring, evaluation, 80 eligible patients) and the Patient Flow Portal) Monthly submission of agreed minimum data set Clinical Redesign of NSW Health Responses to Violence, Abuse and Neglect 3.6 410 with general escalation applied for 2018/19 417,934 - Commence implementation of local VAN service Participation in clinical redesign and recruitment of permanent additional clinical staff where staffing gaps have been Local Priority Issues Acute Including increased bed base for surgical and medical capacity 2 - 82,579 Activity of new service identified Enable eHealthEmergency Department 2.4 - 15,690 Activity of new service identified Sub-Acute (Admitted and Non-Admitted) 2 - 8,494 Activity of new service identified Non-Admitted Including expansion of Metabolic Service, targeted best practice models of care 2 / 3 - 20,477 Activity of new service identified Mental Health Information Admitted 3.2 - 7,306 Activity of new service identified Mental Health Non-Admitted 3.2 - 4,569 Activity of new service identified Schedule E: Performance against Strategies and Objectives The performance of Districts, Networks, other Health Services and Support Organisations is assessed in terms of whether it is meeting performance targets for individual key performance indicators for each NSW Health Strategic Priority.  Performing Performance at, or better than, target  Underperforming Performance within a tolerance range X Not performing Performance outside the tolerance threshold Detailed specifications for the key performance indicators are provided in the Service Agreement Data Analytics Data quality Supplement along with the list of improvement – clinical coding / documentation 6.3 250 - Data quality improvement XXXXXX business implementation $250,000 measures that will continue to be allocated tracked by the Ministry’s Business Owners - see xxxx://xxxx.xxxxxx.xxx.xxx.xx/xxxx/view_data_resource_description.cfm?ItemID=22508 Performance concerns will be raised with the Organisation for focused discussion at performance review meetings in line with the NSW Health Performance Framework. The Data Supplement also maps indicators and measures to Intra key strategic programs including  Premier’s and State Priorities  Election Commitments  Better Value Care  Patient Safety First  Mental Health for XXX - One- off for 2018/19 6.3 500 - Complete Stage 1 LEAP Reform  Financial Management Transformations Key deliverables under the NSW Health Strategic Priorities 2017-18 will also be monitored, noting that process key performance indicators and transition of at least one data stream (AP, ED or WL) as per LHD/SHN Program Management Planmilestones are held in the detailed Operational Plans developed by each Health Service and Support Organisation. Key Performance Indicators Strategic Priority Domain Measure Target Not Performing X Under Performing  Performing 

Appears in 1 contract

Samples: 2017 18 Service Agreement

Locations Service Requirement. Pancreas Transplantation – Nationally Funded Centre Westmead As per Nationally Funded Centre Agreement - Access for all patients across Australia accepted onto Nationally Funded Centre program Paediatric Liver Transplantation – Nationally Funded Centre SCHN Westmead Islet Cell Transplantation – Nationally Funded Centre Westmead Schedule C: Budget Part 1 Schedule C Part 1 South Eastern Sydney Murrumbidgee LHD - Budget 2018/19 2018/19 2019/20 2019/20 BUDGET Comparative Data A B C D E F G H I Target Volume (NWAU18NWAU19) Volume (Admissions & Attendances) Indicative only State Price per NWAU18 NWAU19 LHD/SHN Projected Average Cost per NWAU18 NWAU19 Initial Budget 2018/19 2019/20 ($ '000) 2017/18 2018/19 Annualised Budget ($ '000) Variance Initial and Annualised ($ '000) Variance (%) Volume Forecast 2017/18 2018/19 (NWAU18NWAU19) A Acute Admitted 164,603 162,901 42,335 52,724 $4,713 4,925 $4,621 5,236 $759,665 205,522 $729,698 191,686 $29,967 161,434 13,836 39,706 Emergency Department 30,463 223,467 9,888 80,404 $140,485 47,962 $134,272 45,440 $6,213 29,709 2,522 9,237 Non Admitted Patients (Including Dental) 48,082 940,440 10,303 223,930 $221,901 50,158 $213,928 47,059 $7,973 47,324 3,099 9,788 Total 243,149 1,326,808 62,526 357,058 $1,122,051 303,642 $1,077,899 284,185 $44,152 4.119,457 6.8% 238,468 58,731 B Sub-Acute Services - Admitted 20,443 16,239 6,208 2,448 $4,713 4,925 $4,621 5,236 $94,264 30,308 $89,980 28,719 $4,285 19,909 1,589 5,972 Sub-Acute Services - Non Admitted 2,214 792 $10,230 3,901 $10,010 3,812 $219 2,214 89 792 Total 22,657 16,239 7,000 2,448 $104,494 34,209 $99,990 32,530 $4,504 4.51,678 5.2% 22,123 6,764 C Mental Health - Admitted (Acute and Sub-Acute) 13,359 3,216 4,285 984 $4,713 4,925 $4,621 5,236 $61,731 21,089 $60,408 20,554 $1,324 13,359 535 4,271 Mental Health - Non Admitted 10,319 243,346 2,363 40,833 $51,205 13,748 $48,650 12,938 $2,555 9,975 811 2,232 Mental Health - Classification Adjustment Transition Grant $2,440 674 $2,388 659 $52 15 Total 23,678 246,563 6,648 41,817 $115,376 35,512 $111,445 34,151 $3,931 3.51,361 4.0% 23,334 6,503 D Block Funding Allocation Block Funded Hospitals (Small Hospitals) $193,393 $188,967 $4,425 Block Funded Services In-Scope - Teaching, Training and Research $57,757 9,557 $56,519 9,339 $1,238 219 Total $58,416 202,950 $57,163 198,306 $1,253 2.24,644 2.3% E State Only Block Funded Services Total $217,531 7,565 $212,867 7,392 $4,664 2.2173 2.3% F Transition Grant $3,304 Recognised Operational Cost (ROC) $15,839 Transition Grant (excluding Mental Health) and RSCᵝ ROCᵝ $19,143 $18,704 $438 2.3% G Gross-Up (Private Patient Service Adjustments) $70,207 12,935 $68,701 12,639 $1,505 2.2296 2.3% H Provision for Specific Initiatives & TMF Adjustments (not included above) Data Improvement Project * $750 HAC Improvement Project 500 Leading Better Value Care Program $350 Other Block Growth and Purchasing Adjustors (incl Hospital Acquired Complications) -$1,149 HealthShare Accelerated Savings Program -$1,575 -$206 WHIN regional school nurses $414 Nursing enhancement $521 Psychologists for drought affected areas $125 2015 Election Commitment - Additional Nursing, Midwifery and Support positions $354 Electricity escalations $2,004 New parents and children initiatives $460 170 Procurement Savings -$658 Efficiency dividends 2019-20 -$1,904 Total $6,629 $6,629 -$690 -$690 I Restricted Financial Asset Expenses $13,656 1,220 $13,656 1,220 J Depreciation (General Funds only) $57,826 24,600 $57,826 24,600 K Total Expenses (K=A+B+C+D+E+F+G+H+I+J) $1,766,187 641,086 $1,699,547 613,728 $66,639 3.927,358 4.5% L Other - Gain/Loss on disposal of assets etc $2,658 1,191 $2,658 1,191 M LHD Revenue -$1,722,798 -$1,646,709 -$76,089 -$620,423 -$589,260 -$31,164 N Net Result (N=K+L+M) $46,046 21,853 $55,496 -$9,450 25,659 -$3,806 General Note: ABF growth is funded at 9077% of the State Price for all “business as usual” activity and new builds or new capacity has continued to be funded at the full State Price ᵝ Part of the Acute, ED and Subacute Admitted transition grant has been used to fund growth (see Schedule C glossary) * Data Improvement Project $250k to be allocated to Intra Health for XXX Part 2 2018/19 2019/20 Schedule C Part 0 Xxxxx Xxxxxxx Xxxxxx 2 Murrumbidgee LHD $ (000's) A B C D E Government Grants Subsidy* -$1,091,840 -$314,035 In-Scope Services - Block Funded -$87,520 -$174,043 Out of Scope Services - Block Funded -$173,675 -$6,076 Capital Subsidy -$8,786 -$3,769 Crown Acceptance (Super, LSL) -$33,051 -$9,686 F Total Government Contribution (F=A+B+C+D+E) -$1,394,872 -$507,609 G H Own Source revenue GF Revenue -$304,046 -$110,929 Restricted Financial Asset Revenue -$23,880 -$1,885 I Total Own Source Revenue (I=G+H) -$327,926 -$112,814 J Total Revenue (J=F+I) -$1,722,798 -$620,423 K L M Total Expense Budget - General Funds $1,752,530 639,866 Restricted Financial Asset Expense Budget $13,656 1,220 Other Expense Budget $2,658 1,191 N Total Expense Budget as per Attachment C Part 1 (N=K+L+M) $1,768,845 642,276 O Net Result (O=J+N) $46,046 21,853 P Q R Net Result Represented by: Asset Movements -$44,212 -$20,666 Liability Movements -$1,835 -$1,187 Entity Transfers S Total (S=P+Q+R) -$46,046 -$21,853 Note: The minimum weekly cash reserve buffer for unrestricted cash at bank has been updated for FY 2019/20 to $0.5m and has been reduced by approximately 75% of the FY 2018/19 buffer as a result of the transition of creditor payments and PAYG remittance to HealthShare and HealthShare managed bank accounts from the 1st July 2019. Based on final June 2019 cash balances, adjustments will be made in July 2019 to ensure alignment with the cash buffer requirements of NSW Treasury Circular TC15_01 Cash Management – Expanding the Scope of the Treasury Banking System. The Ministry will closely monitor cash at bank balances during the year to ensure compliance with this NSW Treasury policy. * The subsidy amount does not include items E and G, which are revenue receipts retained by the LHDs/SHNs and sit outside the National Pool. Part 3 Schedule C Part 3 2018/19Shared 2019/20Shared Services & Consolidated Statewide Payment Schedule South Eastern Sydney Murrumbidgee LHD $ (000's) HS Charges HS Service Centres HS Ambulance Make Ready HS Service Centres Warehousing HS Enable NSW HS Food Services HS Soft Service Charges HS Linen Services HS Recoups HS IPTAAS HS Fleet Services HS Patient Transport Services HS MEAPP (quarterly) $6,108 2,387 $22,741 7,657 $3,675 1,517 $29,992 34,657 $9,326 2,739 $11,556 3,807 $172$3,236 3,737 $7,125 1,794 $1,022 Total HSS Charges $93,931 59,317 eHealth EH Corporate IT & SPA EH Information Services ICT SPA Recoups $6,227 10,720 $13,035 3,096 Total eHealth Charges $19,262 13,816 IH Transports Interhospital Ambulance Transports Interhospital Ambulance NETS $1,895 17,450 $109 642 Total Interhospital Ambulance Charges $2,004 18,091 Interhospital NETS Charges - SCHN $111 174 Payroll Total Payroll (including SGC, FSS, Excluding LSL & PAYG) $915,449 356,585 Loans MoH Loan Repayments Treasury Loan (SEDA) $217 Total Loans $217 Blood and Blood Products $14,160 2,631 NSW Pathology $50,746 13,554 Compacks (HSSG) $1,918 1,331 TMF Insurances (WC, MV & Property) $15,069 5,474 Creditor Payments $157,301 Energy Australia $14,835 5,565 Total $1,127,485 634,055 Note: This schedule represents initial estimates of Statewide recoveries processed by the Ministry on behalf of Service Providers. LHD's LHD's/Health Entities are responsible for regularly reviewing these estimates and liaising with the Ministry where there are discrepancies. The Ministry will work with LHD's LHD's/Health Entities and Service Providers throughout the year to ensure cash held back for these payments reflects actual trends. Consistent with prior years procedures, a mid year review will occur in January with further adjustments made if required. Note: The amounts above include GST, where applicableCommencing 2019/20 two additional holdbacks have been included to reflect new statewide payment and recovery processes for Creditors and PAYG. Amendments will also be made to the subsidy sheets in 2019/20 to incorporate contributions from other sources to cover subsidy shortfalls as a result of the additional holdbacks. Part 4 2018/19 2019/20 National Health Funding Body Service Agreement - South Eastern Sydney Murrumbidgee LHD Period: 1 July 2018 2019 - 30 June 2019 2020 4 National Reform Agreement In- Scope Estimated National Weighted Activity Units Commonwealth Funding Contribution Schedule C Part 4 Acute 152,039 40,849 ED 28,285 9,479 Mental Health 13,592 4,627 Sub Acute 24,751 6,951 Non Admitted 50,406 9,098 Activity Based Funding Total 269,074 71,004 Block Funding Total $42,081,265 83,100,274 Total 269,074 71,004 $42,081,265 83,100,274 Capital Program SOUTH EASTERN SYDNEY MURRUMBIDGEE LHD ASSET AUTHORISATION LIMITS 2018/19 PROJECTS MANAGED BY HEALTH SERVICE 2019/20 Capital Projects SMRT BP2 ETC 2018/19 Project Code Estimated Total Cost 2019/20 Estimated Expenditure to 30 June 2018 2019 Cost to Complete at 30 June 2018 BP2 2019 Capital Budget Allocation 2018/19 XX0 Xxx. 0000/00 XX0 Xxx2019/20 2019/20 Capital Budget Allocation by Source of Funds Confund 2019/20 Local Funds 2019/20 Revenue 2019/20 Lease Liabilities 2019/20 $ $ $ $ $ $ $ $ WORKS IN PROGRESS Asset Refurbishment/Replacement Strategy - Statewide P55345 11,004,303 8,211,711 2,792,592 911,355 911,355 - - - Cootamundra Emergency Xxxxxxxxxx Xxxxxxxxxx X00000 461,500 - 461,500 461,500 461,500 - - - Minor Works & Equipment >$10,000 Program P51069 n.a - - 3,777,000 2,396,429 1,380,571 - - TOTAL WORKS IN PROGRESS 11,465,803 8,211,711 3,254,092 5,149,855 3,769,284 1,380,571 - - TOTAL CAPITAL EXPENDITURE AUTHORISATION LIMIT MANAGED BY MURRUMBIDGEE LHD 11,465,803 8,211,711 3,254,092 5,149,855 3,769,284 1,380,571 - - (Continued) PROJECTS MANAGED BY HEALTH INFRASTRUCTURE 2019/20 Capital Projects Project Code Estimated Total Cost 2019/20 Estimated Expenditure to 30 June 2019 Cost to Complete at 30 June 2019 Capital Budget Allocation 2019/20 Budget Est. 2020/21 BP2 Budget Est. 2021/22 Budget Est. 2022/23 Balance to Complete $ $ $ $ $ $ $ $ WORKS IN PROGRESS SESLHD Minor Works & Equipment P51069 14,170,500 14,170,500 14,170,500 14,170,500 14,170,500 Asset Refurbishment/Replacement Strategy - Statewide P55345 2,421,788 St Xxxxxx Hospital Cancer Care Centre Stage 5 P56131 3,990,000 1,532,099 2,457,901 2,457,901 Prince of Wales Hospital Digital Subtraction Angiography Unit P56242 1,110,000 151,959 958,041 958,041 Engadine Community Health Centre - Construct Dental Clinic P56412 600,000 600,000 600,000 TOTAL WORKS IN PROGRESS 19,870,500 1,684,058 18,186,442 20,008,230 14,770,500 14,170,500 TOTAL ASSET ACQUISITION PROGRAM 19,870,500 1,684,058 18,186,442 20,008,230 14,770,500 14,170,500 PROJECTS MANAGED BY HEALTH INFRASTRUCTURE MAJOR NEW WORKS 0000/00 Xx Xxxxxx Xxxxxxxx Birthing Suite & Theatre Refurbishment P56410 11,500,000 0 11,500,000 10,000,000 1,500,000 2019/20 Tumut Hospital Redevelopment P56516 50,000,000 - 50,000,000 3,500,000 5,000,000 30,500,000 11,000,000 - Wagga Wagga Car Park P56524 30,000,000 - 30,000,000 250,000 2,500,000 22,500,000 4,750,000 - TOTAL MAJOR NEW WORKS 11,500,000 11,500,000 10,000,000 1,500,000 80,000,000 - 80,000,000 3,750,000 7,500,000 53,000,000 15,750,000 - MAJOR WORKS IN PROGRESS St Xxxxxx Wagga Wagga Hospital Redevelopment Stage 1 & Acute Services Building Cont (part B) P55333 265,500,000 261,690,894 3,809,106 3,809,106 Randwick Campus Reconfiguration and Expansion 3 P55264 431,360,000 290,205,444 141,154,556 71,302,682 69,851,874 - - - Xxxxxxxx Hospital Redevelopment Stage 1 (including land acquisition) P56067 720,000,000 104,000,000 616,000,000 62,000,000 52,000,000 85,000,000 118,025,000 298,975,000 One P56401 250,000,000 6,000,000 244,000,000 14,219,158 45,030,842 58,000,000 60,000,000 66,750,000 TOTAL MAJOR WORKS IN PROGRESS 985,500,000 365,690,894 619,809,106 65,809,106 52,000,000 85,000,000 118,025,000 298,975,000 681,360,000 296,205,444 385,154,556 85,521,840 114,882,716 58,000,000 60,000,000 66,750,000 TOTAL CAPITAL EXPENDITURE AUTHORISATION LIMIT MANAGED BY HEALTH INFRASTRUCTURE 997,000,000 365,690,894 631,309,106 75,809,106 53,500,000 85,000,000 118,025,000 298,975,000 761,360,000 296,205,444 465,154,556 89,271,840 122,382,716 111,000,000 75,750,000 66,750,000 Notes: Expenditure needs to remain within the Asset Capital Expenditure Authorisation Limits (CEAL) indicated above Minor Works and Equipment > $10,000 includes a confund contribution of $6,014,686 This does The above budgets do not include allocations for new and existing FY20 Locally Funded Initiative (LFI) Projects which or Right of Use Assets (Leases) Projects. These budgets will be included in Initial Capital Allocation Letters issued through a separate process. Minor Works & Equipment >$10,000 Program is an annual allocation with no Total Estimated Cost Schedule D: Purchased Volumes Growth Investment Strategic Priority $’000 NWAU18 NWAU19 Performance Metric Activity Growth inclusive of Local Priority Issues Acute Inclusive of Xxxxxxxxxx and St Xxxxxx Service Expansion 2 - 164,603 As per 42,335 See Schedule E / Activity of New Service Identified Emergency Department 2.4 - 30,463 As per 9,888 See Schedule E Sub-Acute (Admitted and Non-Admitted) 2 - 23,275 As per 6,208 See Schedule E Sub and Non Acute Inpatient Services – Palliative Care Component 3.3 - 2,965 As per 2,446 See Schedule E Non-Admitted 2 / 3 - 48,223 As per 8,873 See Schedule E Public Dental Clinical Service – Total Dental Activity 1 - 16,511 (DWAU) As per 1 - 16,250 See Schedule E Mental Health Admitted 3.2 - 13,359 As per 4,285 See Schedule E Mental Health Non-Admitted Inclusive of 2018/19 Mental Health Reform Program Growth 3.2 - 10,319 As per 2,363 See Schedule E Mental Health Reforms Specialist child Alcohol and adolescent community mental health services 3.2 other drug related Admitted 1.3 - 110 Client-71 See Schedule E Alcohol and other drug related hours Specialist adult community mental health services 3.2 Non Admitted 1.3 - 73 Client-related hours Specialist older persons community mental health services 3.2 - 110 Client-related hours Service Investment Capital and Service Expansion: The Xxxxxxxxxx Hospital RADIUS 2 / 3 1,000 - Activity of new service identified Highly Specialised Service - Peritonectomy 2 1,030 - As per 431 See Schedule E Strategic Priority Target Performance Metric STATE PRIORITY Elective Surgery Volumes Number of Admissions from Surgical Waiting List - All Patients Children <16 Years Old 2.4 19,900 755 Number Number of Admissions from Surgical Waiting List - Children < 16 Years Old – Cataract extraction 2.4 626 931 Number Growth Investment Strategic Priority $ ‘000 NWAU18 NWAU19 Performance Metric NSW HEALTH STRATEGIC PRIORITIES Providing World Class Clinical Care Where Patient Safety is First Hospital Acquired Complications (HAC) initiatives 2.1 350 - Demonstration of reduction in HAC ETP 2.4 44 - ETP Trajectory Leading Better Value Care Program Program Implementation Support Transition Funding 2.2 250 350 - Performance against LBVC Deliverables Enable eHealth, Health Information and Data Analytics Data Improvement Project Data improvement project includes $200,000 EBI program, $100,000 Data Quality, and $200,000 Intra- health Transfer to EBI central program. 6.4 500 - Established Local Governance for Xxxxxx Transition, Completion of Impact Assessment, Participation in extract test work package. Special Considerations in Baseline Investment Strategic Priority $ ‘000 NWAU19 Performance Metric Integrate Systems to Deliver Truly Connected Care Integrated Care (IC) Strategy The Integrated Care purchasing model for 2018/19 converts 25% Weight adjusted Block funding 3.1 614 - Adoption and implementation in 2019-20 of the existing recurrent funding for Integrated Care for People with Chronic Conditions one scaled IC initiative (ICPCC) (previously the Chronic Disease Management Program) into purchased activity for each LHD/SHNas per Ministry of Health shortlist). This is shown as NWAU for each LHD/SHN. 3.1 1,478 164 Demonstration of delivery of activities outlined All patients enrolled in the approved Activity Work Plan and meeting data collection requirements (including monitoring, evaluation, and the Patient Flow PortalPortal (PFP) Clinical Redesign of NSW Health Responses to Violence, Abuse and Neglect 3.6 410 with general escalation applied for 2018/19 - Commence implementation of local VAN service redesign and recruitment of permanent clinical staff where staffing gaps have been identified Enable eHealth, Health Information and Data Analytics Data quality improvement – clinical coding / documentation 6.3 250 - Data quality improvement XXXXXX business implementation $250,000 to be allocated to Intra Health for XXX - One- off for 2018/19 6.3 500 - Complete Stage 1 LEAP and transition of at least one ongoing monitoring; PFP data stream (AP, ED or WL) as per LHD/SHN Program Management Planwill inform regular evaluation.

Appears in 1 contract

Samples: www.mlhd.health.nsw.gov.au

Locations Service Requirement. Pancreas Transplantation – Nationally Funded Centre Westmead As per Nationally Funded Centre Agreement - Access for all patients across Australia accepted onto Nationally Funded Centre program Paediatric Liver Transplantation – Nationally Funded Centre SCHN Westmead Islet Cell Transplantation – Nationally Funded Centre Westmead Schedule C: Budget Part 1 Schedule C Part 1 South Eastern Sydney LHD - Budget 2018/19 2018/19 2019/20 2019/20 BUDGET Comparative Data A B C D E F G H I Target Volume (NWAU18NWAU19) Volume (Admissions & Attendances) Indicative only State Price per NWAU18 NWAU19 LHD/SHN Projected Average Cost per NWAU18 NWAU19 Initial Budget 2018/19 2019/20 ($ '000) 2017/18 2018/19 Annualised Budget ($ '000) Variance Initial and Annualised ($ '000) Variance (%) Volume Forecast 2017/18 2018/19 (NWAU18NWAU19) A Acute Admitted 164,603 162,901 169,862 176,087 $4,713 4,925 $4,621 4,819 $759,665 813,904 $729,698 774,190 $29,967 161,434 39,713 164,992 Emergency Department 30,463 223,467 23,749 177,985 $140,485 113,753 $134,272 108,266 $6,213 29,709 5,488 23,073 Non Admitted Patients (Including Dental) 48,082 940,440 47,882 887,668 $221,901 229,072 $213,928 217,022 $7,973 47,324 12,050 46,256 Total 243,149 1,326,808 241,493 1,241,740 $1,122,051 1,156,729 $1,077,899 1,099,479 $44,152 4.157,250 5.2% 238,468 234,320 B Sub-Acute Services - Admitted 20,443 16,239 12,475 4,464 $4,713 4,925 $4,621 4,819 $94,264 59,782 $89,980 57,011 $4,285 19,909 2,771 12,149 Sub-Acute Services - Non Admitted 2,214 2,009 $10,230 9,679 $10,010 9,430 $219 2,214 249 2,009 Total 22,657 16,239 14,483 4,464 $104,494 69,461 $99,990 66,441 $4,504 3,020 4.5% 22,123 14,158 C Mental Health - Admitted (Acute and Sub-Acute) 13,359 3,216 17,488 7,273 $4,713 4,925 $4,621 4,819 $61,731 83,864 $60,408 80,191 $1,324 13,359 3,673 17,088 Mental Health - Block Funded Hospitals $8,265 $8,052 $212 Mental Health - Non Admitted 10,319 243,346 10,640 183,895 $51,205 41,568 $48,650 39,576 $2,555 9,975 Mental Health - Classification Adjustment 1,992 10,396 Total 28,128 191,168 $2,440 133,697 $2,388 127,820 $52 Total 23,678 246,563 $115,376 $111,445 $3,931 3.55,877 4.6% 23,334 27,484 D Block Funding Allocation Block Funded Hospitals (Small Hospitals) $53,353 $51,982 $1,370 Block Funded Services In-Scope - Teaching, Training and Research $57,757 72,732 $56,519 70,864 $1,238 1,868 Total $58,416 126,085 $57,163 122,846 $1,253 2.23,238 2.6% E State Only Block Funded Services Total $217,531 239,133 $212,867 232,991 $4,664 2.26,142 2.6% Transition Grant (excluding Mental Health) and RSCᵝ ROCᵝ G Gross-Up (Private Patient Service Adjustments) $70,207 52,439 $68,701 51,092 $1,505 2.21,347 2.6% H Provision for Specific Initiatives & TMF Adjustments (not included above) Data Improvement Project * $750 HAC Improvement Project 500 Highly Specialised Services - Extended Pelvic Extenteration $960 Highly Specialised Services - Peritonectomies $1,160 Highly Specialised Services - Sarcoma $930 Leading Better Value Care Program $350 Lifehouse $500 Other Block Growth and Purchasing Adjustors (incl Hospital Acquired Complications) -$1,149 HealthShare Accelerated Savings Program -$1,575 -$1,180 2015 Election Commitment - Additional Nursing, Midwifery and Support positions $354 Electricity escalations $2,004 New parents and children initiatives $460 108 Procurement Savings -$4,345 Efficiency dividends 2019-20 -$4,874 Total $6,629 $6,629 -$5,891 -$5,891 I Restricted Financial Asset Expenses $13,656 25,387 $13,656 25,387 J Depreciation (General Funds only) $57,826 58,602 $57,826 58,602 K Total Expenses (K=A+B+C+D+E+F+G+H+I+J) $1,766,187 1,855,641 $1,699,547 1,784,658 $66,639 3.970,983 4.0% L Other - Gain/Loss on disposal of assets etc $2,658 770 $2,658 770 M LHD Revenue -$1,722,798 -$1,646,709 -$76,089 -$1,817,542 -$1,733,102 -$84,440 N Net Result (N=K+L+M) $46,046 38,869 $55,496 -$9,450 52,325 -$13,456 General Note: ABF growth is funded at 9077% of the State Price for all “business as usual” activity and new builds or new capacity has continued to be funded at the full State Price ᵝ Part of the Acute, ED and Subacute Admitted transition grant has been used to fund growth (see Schedule C glossary) * Data Improvement Project $250k to be allocated to Intra Health for XXX Part 2 2018/19 2019/20 Schedule C Part 0 Xxxxx Xxxxxxx Xxxxxx 2 Sydney LHD $ (000's) A B C D E Government Grants Subsidy* -$1,091,840 -$1,134,066 In-Scope Services - Block Funded -$87,520 -$147,060 Out of Scope Services - Block Funded -$173,675 -$199,906 Capital Subsidy -$8,786 -$12,731 Crown Acceptance (Super, LSL) -$33,051 -$31,157 F Total Government Contribution (F=A+B+C+D+E) -$1,394,872 -$1,524,920 G H Own Source revenue GF Revenue -$304,046 -$253,579 Restricted Financial Asset Revenue -$23,880 -$39,043 I Total Own Source Revenue (I=G+H) -$327,926 -$292,622 J Total Revenue (J=F+I) -$1,722,798 -$1,817,542 K L M Total Expense Budget - General Funds $1,752,530 1,830,254 Restricted Financial Asset Expense Budget $13,656 25,387 Other Expense Budget $2,658 770 N Total Expense Budget as per Attachment C Part 1 (N=K+L+M) $1,768,845 1,856,411 O Net Result (O=J+N) $46,046 38,869 P Q R Net Result Represented by: Asset Movements -$44,212 -$32,352 Liability Movements -$1,835 -$6,517 Entity Transfers S Total (S=P+Q+R) -$46,046 -$38,869 Note: The minimum weekly cash reserve buffer for unrestricted cash at bank has been updated for FY 2019/20 to $1.5m and has been reduced by approximately 75% of the FY 2018/19 buffer as a result of the transition of creditor payments and PAYG remittance to HealthShare and HealthShare managed bank accounts from the 1st July 2019. Based on final June 2019 cash balances, adjustments will be made in July 2019 to ensure alignment with the cash buffer requirements of NSW Treasury Circular TC15_01 Cash Management – Expanding the Scope of the Treasury Banking System. The Ministry will closely monitor cash at bank balances during the year to ensure compliance with this NSW Treasury policy. * The subsidy amount does not include items E and G, which are revenue receipts retained by the LHDs/SHNs and sit outside the National Pool. Part 3 Schedule C Part 3 2018/19Shared 2019/20Shared Services & Consolidated Statewide Payment Schedule South Eastern Sydney LHD $ (000's) HS Charges HS Service Centres HS Ambulance Make Ready HS Service Centres Warehousing HS Enable NSW HS Food Services HS Soft Service Charges HS Linen Services HS Recoups HS IPTAAS HS Fleet Services HS Patient Transport Services HS MEAPP (quarterly) $6,108 5,842 $22,741 26,258 $3,675 1,626 $29,992 31,124 $9,326 9,015 $11,556 2$3,946 $172$3,236 $7,125 12,868 Total HSS Charges $93,931 90,681 eHealth EH Corporate IT & SPA EH Information Services ICT SPA Recoups $6,227 12,443 $13,035 9,573 Total eHealth Charges $19,262 22,017 IH Transports Interhospital Ambulance Transports Interhospital Ambulance NETS $1,895 2,406 $109 28 Total Interhospital Ambulance Charges $2,004 2,434 Interhospital NETS Charges - SCHN $111 156 Payroll Total Payroll (including SGC, FSS, Excluding LSL & PAYG) $915,449 1,131,150 Loans MoH Loan Repayments Treasury Loan (SEDA) $932 Total Loans $932 Blood and Blood Products $14,160 22,905 NSW Pathology $50,746 55,884 Compacks (HSSG) $1,918 1,737 TMF Insurances (WC, MV & Property) $15,069 13,960 Creditor Payments $534,357 Energy Australia $14,835 15,991 Total $1,127,485 1,892,204 Note: This schedule represents initial estimates of Statewide recoveries processed by the Ministry on behalf of Service Providers. LHD's LHD's/Health Entities are responsible for regularly reviewing these estimates and liaising with the Ministry where there are discrepancies. The Ministry will work with LHD's LHD's/Health Entities and Service Providers throughout the year to ensure cash held back for these payments reflects actual trends. Consistent with prior years procedures, a mid year review will occur in January with further adjustments made if required. Note: The amounts above include GST, where applicableCommencing 2019/20 two additional holdbacks have been included to reflect new statewide payment and recovery processes for Creditors and PAYG. Amendments will also be made to the subsidy sheets in 2019/20 to incorporate contributions from other sources to cover subsidy shortfalls as a result of the additional holdbacks. Part 4 2018/19 2019/20 National Health Funding Body Service Agreement - South Eastern Sydney LHD Period: 1 July 2018 2019 - 30 June 2019 2020 4 National Reform Agreement In- Scope Estimated National Weighted Activity Units Commonwealth Funding Contribution Schedule C Part 4 Acute 152,039 162,552 ED 28,285 22,408 Mental Health 13,592 18,157 Sub Acute 24,751 14,550 Non Admitted 50,406 48,309 Activity Based Funding Total 269,074 265,976 Block Funding Total $42,081,265 79,193,970 Total 269,074 265,976 $42,081,265 79,193,970 Capital Program SOUTH EASTERN SYDNEY LHD ASSET AUTHORISATION LIMITS 2018/19 PROJECTS MANAGED BY HEALTH SERVICE 2019/20 Capital Projects SMRT BP2 ETC 2018/19 Project Code Estimated Total Cost 2019/20 Estimated Expenditure to 30 June 2018 2019 Cost to Complete at 30 June 2018 BP2 2019 Capital Budget Allocation 2018/19 XX0 Xxx. 0000/00 XX0 Xxx2019/20 2019/20 Capital Budget Allocation by Source of Funds Confund 2019/20 Local Funds 2019/20 Revenue 2019/20 Lease Liabilities 2019/20 $ $ $ $ $ $ $ $ MAJOR NEW WORKS 2019/20 Concord Hospital Maternity Services P56533 2,200,000 - 2,200,000 2,200,000 2,200,000 - - - TOTAL MAJOR NEW WORKS 2,200,000 - 2,200,000 2,200,000 2,200,000 - - - WORKS IN PROGRESS Asset Refurbishment/Replacement Strategy - Statewide P55345 5,971,375 5,636,541 334,834 344,195 344,195 - - - Canterbury Hospital Emergency Department Expansion P56505 6,500,000 2,500,000 4,000,000 4,000,000 1,500,000 2,500,000 - - Caterbury Hospital Replace TSSU Sterilisers/Equipment P56379 800,000 675,000 125,000 125,000 - 125,000 - - Concord Hospital Radiography Flouroscopy P56479 950,000 760,000 190,000 190,000 - 190,000 - - Concord Medical Imaging Additional MRI P56486 4,200,000 - 4,200,000 4,200,000 - 4,200,000 - - Xxxxxxx House – Veterans’ Accommodation at Concord Repatriation General Hospital (C P56506 6,721,000 4,013,000 2,708,000 6,121,000 6,121,000 - - - Minor Works & Equipment >$10,000 Program P51069 n.a - - 9,433,500 2,566,000 6,867,500 - - RPA Energy Efficiency Government Program (EEGP) P56125 6,992,173 6,225,173 767,000 767,000 - 767,000 - - RPAH Cyclotron Extension P56488 6,000,000 4,800,000 1,200,000 1,200,000 - 1,200,000 - - RPAH Pre-clinical PET-MR device P56487 3,000,000 2,500,000 500,000 300,000 - 300,000 - - RPAH Radiology CT Intervention P56492 2,925,000 - 2,925,000 2,925,000 - 2,925,000 - - TOTAL WORKS IN PROGRESS 44,059,548 27,109,714 16,949,834 29,605,695 10,531,195 19,074,500 - - TOTAL CAPITAL EXPENDITURE AUTHORISATION LIMIT MANAGED BY SYDNEY LHD 46,259,548 27,109,714 19,149,834 31,805,695 12,731,195 19,074,500 - - (Continued) PROJECTS MANAGED BY HEALTH INFRASTRUCTURE 2019/20 Capital Projects Project Code Estimated Total Cost 2019/20 Estimated Expenditure to 30 June 2019 Cost to Complete at 30 June 2019 Capital Budget Allocation 2019/20 Budget Est. 2020/21 BP2 Budget Est. 2021/22 Budget Est. 2022/23 Balance to Complete $ $ $ $ $ $ $ $ WORKS IN PROGRESS SESLHD Minor Works & Equipment P51069 14,170,500 14,170,500 14,170,500 14,170,500 14,170,500 Asset Refurbishment/Replacement Strategy - Statewide P55345 2,421,788 St Xxxxxx Hospital Cancer Care Centre Stage 5 P56131 3,990,000 1,532,099 2,457,901 2,457,901 Prince of Wales Hospital Digital Subtraction Angiography Unit P56242 1,110,000 151,959 958,041 958,041 Engadine Community Health Centre - Construct Dental Clinic P56412 600,000 600,000 600,000 TOTAL WORKS IN PROGRESS 19,870,500 1,684,058 18,186,442 20,008,230 14,770,500 14,170,500 TOTAL ASSET ACQUISITION PROGRAM 19,870,500 1,684,058 18,186,442 20,008,230 14,770,500 14,170,500 PROJECTS MANAGED BY HEALTH INFRASTRUCTURE MAJOR NEW WORKS 0000/00 Xx Xxxxxx Xxxxxxxx Birthing Suite & Theatre Refurbishment P56410 11,500,000 0 11,500,000 10,000,000 1,500,000 TOTAL MAJOR NEW WORKS 11,500,000 11,500,000 10,000,000 1,500,000 MAJOR WORKS IN PROGRESS St Xxxxxx Concord Hospital Redevelopment Stage 1 & Acute Services Building Cont (part BPhase 1A and 1B) P55333 265,500,000 261,690,894 3,809,106 3,809,106 Randwick Campus Reconfiguration and Expansion Stage 1 (including land acquisition) P56067 720,000,000 104,000,000 616,000,000 62,000,000 52,000,000 85,000,000 118,025,000 298,975,000 Upgrade P56167 341,200,000 52,054,926 289,145,074 114,196,240 120,463,880 15,697,303 38,787,650 0 TOTAL MAJOR WORKS IN PROGRESS 985,500,000 365,690,894 619,809,106 65,809,106 52,000,000 85,000,000 118,025,000 298,975,000 341,200,000 52,054,926 289,145,074 114,196,240 120,463,880 15,697,303 38,787,650 0 TOTAL CAPITAL EXPENDITURE AUTHORISATION LIMIT MANAGED BY HEALTH INFRASTRUCTURE 997,000,000 365,690,894 631,309,106 75,809,106 53,500,000 85,000,000 118,025,000 298,975,000 341,200,000 52,054,926 289,145,074 114,196,240 120,463,880 15,697,303 38,787,650 0 Notes: Expenditure needs to remain within the Asset Capital Expenditure Authorisation Limits (CEAL) indicated above Minor Works and Equipment > $10,000 includes a confund contribution of $6,014,686 This does The above budgets do not include allocations for new and existing FY20 Locally Funded Initiative (LFI) Projects which or Right of Use Assets (Leases) Projects. These budgets will be included in Initial Capital Allocation Letters issued through a separate process. Minor Works & Equipment >$10,000 Program is an annual allocation with no Total Estimated Cost Schedule D: Purchased Volumes Growth Investment Strategic Priority $’000 NWAU18 NWAU19 Performance Metric Activity Growth inclusive of Local Priority Issues Acute Inclusive of Xxxxxxxxxx ECR at Royal Xxxxxx Xxxxxx Hospital, Adult Liver Transplant, and St Xxxxxx Service Expansion Adult Allogenic Renal Transplant 2 - 164,603 As per 169,862 See Schedule E / Activity of New Service Identified Emergency Department 2.4 - 30,463 As per 23,749 See Schedule E Sub-Acute (Admitted and Non-Admitted) 2 - 23,275 As per 12,475 See Schedule E Sub and Non Acute Inpatient Services – Palliative Care Component 3.3 - 2,965 As per 1,563 See Schedule E Non-Admitted 2 / 3 - 48,223 As per 45,761 See Schedule E Public Dental Clinical Service – Total Dental Activity 1 - 16,511 (DWAU) As per 1 - 61,988 See Schedule E Mental Health Admitted 3.2 - 13,359 As per 17,488 See Schedule E Mental Health Non-Admitted Inclusive of 2018/19 Mental Health Reform Program Growth 3.2 - 10,319 As per 10,640 See Schedule E Mental Health Reforms Specialist child Alcohol and adolescent community mental health services 3.2 other drug related Admitted 1.3 - 110 Client-1,393 See Schedule E Alcohol and other drug related hours Specialist adult community mental health services 3.2 Non Admitted 1.3 - 73 Client-related hours Specialist older persons community mental health services 3.2 - 110 Client-related hours 2,582 See Schedule E Lifehouse Activity 2 500 300 Activity of service enhancement identified Service Investment Capital and Service Expansion: The Xxxxxxxxxx Hospital RADIUS Highly Specialised Services – Peritonectomies 2 / 3 1,000 1,160 - Activity of new service enhancement identified Highly Specialised Service Services – Pelvic Extenteration 2 960 - Peritonectomy Activity of service enhancement identified Highly Specialised Services – Sarcoma 2 1,030 930 - As per Schedule E Activity of service enhancement identified Strategic Priority Target Performance Metric STATE PRIORITY Elective Surgery Volumes Number of Admissions from Surgical Waiting List - All Patients Children <16 Years Old 2.4 19,900 885 Number Number of Admissions from Surgical Waiting List - Children < 16 Years Old – Cataract extraction 2.4 626 1,380 Number Growth Investment Strategic Priority $ ‘000 NWAU18 NWAU19 Performance Metric NSW HEALTH STRATEGIC PRIORITIES Providing World Class Clinical Care Where Patient Safety is First Hospital Acquired Complications (HAC) initiatives 2.1 350 - Demonstration of reduction in HAC ETP 2.4 44 - ETP Trajectory Leading Better Value Care Program Program Implementation Support Transition Funding 2.2 250 350 - Performance against LBVC Deliverables Enable eHealth, Health Information and Data Analytics Data Improvement Project Data improvement project includes $200,000 EBI program, $100,000 Data Quality, and $200,000 Intra- health Transfer to EBI central program. 6.4 500 - Established Local Governance for Xxxxxx Transition, Completion of Impact Assessment, Participation in extract test work package. Special Considerations in Baseline Investment Strategic Priority $ ‘000 NWAU19 Performance Metric Integrate Systems to Deliver Truly Connected Care Integrated Care (IC) Strategy The Integrated Care purchasing model Weight adjusted Block funding 3.1 1,423 - Adoption and implementation in 2019-20 of one scaled IC initiative (as per Ministry of Health shortlist). All patients enrolled in the Patient Flow Portal (PFP) for 2018/19 converts 25% of the existing recurrent funding for ongoing monitoring; PFP data will inform regular evaluation. Integrated Care for People with Chronic Conditions (ICPCC) (previously The ICPCC purchasing model for 2019/20 converts 50% of the Chronic Disease Management Program) existing recurrent funding for ICPCC into purchased activity for each LHDDistrict/SHNNetwork. This is shown as NWAU for each LHDDistrict/SHNNetwork. 3.1 1,478 164 Demonstration of delivery of activities outlined 1,157 241 Identify patients using Risk Stratification in the approved Activity Work Plan and meeting data collection requirements Patient Flow Portal (including monitoring, evaluationPFP), and the Patient Flow Portal) use PFP for ongoing monitoring of patients within ICPCC. PFP data will inform evaluation. Clinical Redesign of NSW Health Responses to Violence, Abuse and Neglect 3.6 410 (VAN) 3.5 417 - Participate in monitoring and evaluation activities as described in the funding agreement Provide integrated 24/7 psychosocial and Medical Forensic responses for victims of Domestic and Family Violence, Child Physical Abuse and Neglect, and Sexual Assault. Provide community development and outreach services for sexual assault. Dental Services DWAU DENTAL SERVICES PROVIDED TO SOUTH WESTERN SYDNEY LOCAL HEALTH DISTRICT TOTAL 18,282  Dental services provided by Sydney Local Health District to South Western Sydney residents will be managed in line with general escalation applied the NSW Health Performance Framework.  A quarterly report will be provided by the Centre for 2018/19 - Commence implementation Oral Health Strategy to South Western Sydney Local Health District and Sydney Local Health District to monitor activity against the target. The report will include a breakdown of local VAN service redesign activity by specialist services, long waiting list adult patients and recruitment of permanent clinical staff where staffing gaps have been identified Enable eHealth, acute/episodic care adult patients in line with agreed definitions.  The Centre for Oral Health Information Strategy will convene regular meetings with metropolitan public oral health services to discuss and Data Analytics Data quality improvement – clinical coding / documentation 6.3 250 - Data quality improvement XXXXXX business implementation $250,000 develop collaborative solutions to be allocated to Intra Health for XXX - One- off for 2018/19 6.3 500 - Complete Stage 1 LEAP and transition of at least one data stream (AP, ED or WL) as per LHD/SHN Program Management Planpatient flow issues.

Appears in 1 contract

Samples: www.slhd.nsw.gov.au

Locations Service Requirement. Pancreas Transplantation – Nationally Funded Centre Westmead As per Nationally Funded Centre Agreement - Access for all patients across Australia accepted onto Nationally Funded Centre program Paediatric Liver Transplantation – Nationally Funded Centre SCHN Westmead Islet Cell Transplantation – Nationally Funded Centre Westmead Schedule C: Budget Part 1 Schedule C Part 1 South Eastern Sydney Northern NSW LHD - Budget 2018/19 2018/19 2019/20 2019/20 BUDGET Comparative Data A B C D E F G H I Target Volume (NWAU18NWAU19) Volume (Admissions & Attendances) Indicative only State Price per NWAU18 NWAU19 LHD/SHN Projected Average Cost per NWAU18 NWAU19 Initial Budget 2018/19 2019/20 ($ '000) 2017/18 2018/19 Annualised Budget ($ '000) Variance Initial and Annualised ($ '000) Variance (%) Volume Forecast 2017/18 2018/19 (NWAU18NWAU19) A Acute Admitted 164,603 162,901 75,721 98,364 $4,713 4,925 $4,621 4,895 $759,665 367,374 $729,698 347,925 $29,967 161,434 19,448 72,745 Emergency Department 30,463 223,467 24,469 202,614 $140,485 119,235 $134,272 114,727 $6,213 29,709 4,509 23,979 Non Admitted Patients (Including Dental) 48,082 940,440 23,590 434,933 $221,901 113,587 $213,928 104,576 $7,973 47,324 9,012 21,879 Total 243,149 1,326,808 123,781 735,911 $1,122,051 600,196 $1,077,899 567,228 $44,152 4.132,969 5.8% 238,468 118,603 B Sub-Acute Services - Admitted 20,443 16,239 7,646 3,194 $4,713 4,925 $4,621 4,895 $94,264 37,110 $89,980 35,195 $4,285 19,909 1,915 7,359 Sub-Acute Services - Non Admitted 2,214 170 $10,230 831 $10,010 813 $219 2,214 18 170 Total 22,657 16,239 7,816 3,194 $104,494 37,942 $99,990 36,008 $4,504 4.51,933 5.4% 22,123 7,528 C Mental Health - Admitted (Acute and Sub-Acute) 13,359 3,216 7,424 2,148 $4,713 4,925 $4,621 4,895 $61,731 36,316 $60,408 35,418 $1,324 13,359 897 7,400 Mental Health - Non Admitted 10,319 243,346 7,242 125,169 $51,205 25,610 $48,650 24,522 $2,555 9,975 Mental Health - Classification Adjustment 1,087 7,106 Total 14,667 127,317 $2,440 61,925 $2,388 59,941 $52 Total 23,678 246,563 $115,376 $111,445 $3,931 3.51,984 3.3% 23,334 14,506 D Block Funding Allocation Block Funded Hospitals (Small Hospitals) $24,773 $24,222 $550 Block Funded Services In-Scope - Teaching, Training and Research $57,757 21,110 $56,519 20,641 $1,238 469 Total $58,416 45,882 $57,163 44,863 $1,253 2.21,019 2.3% E State Only Block Funded Services Total $217,531 83,498 $212,867 81,643 $4,664 2.21,855 2.3% F Transition Grant $147 Transition Grant (excluding Mental Health) and RSCᵝ ROCᵝ $147 $144 $3 2.3% G Gross-Up (Private Patient Service Adjustments) $70,207 14,848 $68,701 14,518 $1,505 2.2330 2.3% H Provision for Specific Initiatives & TMF Adjustments (not included above) Data Improvement Project * $750 HAC Improvement Project 500 Leading Better Value Care Program $350 Other Block Growth and Purchasing Adjustors (incl Hospital Acquired Complications) -$1,149 HealthShare Accelerated Savings Program -$1,575 -$1,328 WHIN regional school nurses $138 Nursing enhancement $937 2015 Election Commitment - Additional Nursing, Midwifery and Support positions $354 Electricity escalations $2,004 New parents and children initiatives $460 164 Procurement Savings -$1,259 Efficiency dividends 2019-20 -$2,207 Total $6,629 $6,629 -$2,706 -$2,706 I Restricted Financial Asset Expenses $13,656 1,358 $13,656 1,358 J Depreciation (General Funds only) $57,826 31,920 $57,826 31,920 K Total Expenses (K=A+B+C+D+E+F+G+H+I+J) $1,766,187 875,012 $1,699,547 837,623 $66,639 3.937,388 4.5% L Other - Gain/Loss on disposal of assets etc $2,658 301 $2,658 301 M LHD Revenue -$1,722,798 -$1,646,709 -$76,089 -$846,973 -$806,508 -$40,466 N Net Result (N=K+L+M) $46,046 28,340 $55,496 -$9,450 31,417 -$3,077 General Note: ABF growth is funded at 9077% of the State Price for all “business as usual” activity and new builds or new capacity has continued to be funded at the full State Price ᵝ Part of the Acute, ED and Subacute Admitted transition grant has been used to fund growth (see Schedule C glossary) * Data Improvement Project $250k to be allocated to Intra Health for XXX Part 2 2018/19 2019/20 Schedule C Part 0 Xxxxx Xxxxxxx Xxxxxx 2 Northern NSW LHD $ (000's) A B C D E Government Grants Subsidy* -$1,091,840 -$598,127 In-Scope Services - Block Funded -$87,520 -$62,550 Out of Scope Services - Block Funded -$173,675 -$72,755 Capital Subsidy -$8,786 -$3,014 Crown Acceptance (Super, LSL) -$33,051 -$14,392 F Total Government Contribution (F=A+B+C+D+E) -$1,394,872 -$750,837 G H Own Source revenue GF Revenue -$304,046 -$93,309 Restricted Financial Asset Revenue -$23,880 -$2,828 I Total Own Source Revenue (I=G+H) -$327,926 -$96,136 J Total Revenue (J=F+I) -$1,722,798 -$846,973 K L M Total Expense Budget - General Funds $1,752,530 873,654 Restricted Financial Asset Expense Budget $13,656 1,358 Other Expense Budget $2,658 301 N Total Expense Budget as per Attachment C Part 1 (N=K+L+M) $1,768,845 875,313 O Net Result (O=J+N) $46,046 28,340 P Q R Net Result Represented by: Asset Movements -$44,212 -$27,437 Liability Movements -$1,835 -$903 Entity Transfers S Total (S=P+Q+R) -$46,046 -$28,340 Note: The minimum weekly cash reserve buffer for unrestricted cash at bank has been updated for FY 2019/20 to $0.7m and has been reduced by approximately 75% of the FY 2018/19 buffer as a result of the transition of creditor payments and PAYG remittance to HealthShare and HealthShare managed bank accounts from the 1st July 2019. Based on final June 2019 cash balances, adjustments will be made in July 2019 to ensure alignment with the cash buffer requirements of NSW Treasury Circular TC15_01 Cash Management – Expanding the Scope of the Treasury Banking System. The Ministry will closely monitor cash at bank balances during the year to ensure compliance with this NSW Treasury policy. * The subsidy amount does not include items E and G, which are revenue receipts retained by the LHDs/SHNs and sit outside the National Pool. Part 3 Schedule C Part 3 2018/19Shared 2019/20Shared Services & Consolidated Statewide Payment Schedule South Eastern Sydney Northern NSW LHD $ (000's) HS Charges HS Service Centres HS Ambulance Make Ready HS Service Centres Warehousing HS Enable NSW HS Food Services HS Soft Service Charges HS Linen Services HS Recoups HS IPTAAS HS Fleet Services HS Patient Transport Services HS MEAPP (quarterly) $6,108 3,195 $22,741 10,952 $3,675 1,669 $29,992 20,668 $9,326 4,770 $11,556 1,798 $172$3,236 2,919 $7,125 330 $1,561 Total HSS Charges $93,931 47,862 eHealth EH Corporate IT & SPA EH Information Services ICT SPA Recoups $6,227 11,319 $13,035 4,213 Total eHealth Charges $19,262 15,532 IH Transports Interhospital Ambulance Transports Interhospital Ambulance NETS $1,895 10,394 $109 84 Total Interhospital Ambulance Charges $2,004 10,478 Interhospital NETS Charges - SCHN $111 12 Payroll Total Payroll (including SGC, FSS, Excluding LSL & PAYG) $915,449 514,352 Loans MoH Loan Repayments Treasury Loan (SEDA) $805 Total Loans $805 Blood and Blood Products $14,160 4,582 NSW Pathology $50,746 20,557 Compacks (HSSG) $1,918 2,558 TMF Insurances (WC, MV & Property) $15,069 9,520 Creditor Payments $235,346 Energy Australia $14,835 6,560 Total $1,127,485 868,164 Note: This schedule represents initial estimates of Statewide recoveries processed by the Ministry on behalf of Service Providers. LHD's LHD's/Health Entities are responsible for regularly reviewing these estimates and liaising with the Ministry where there are discrepancies. The Ministry will work with LHD's LHD's/Health Entities and Service Providers throughout the year to ensure cash held back for these payments reflects actual trends. Consistent with prior years procedures, a mid year review will occur in January with further adjustments made if required. Note: The amounts above include GST, where applicableCommencing 2019/20 two additional holdbacks have been included to reflect new statewide payment and recovery processes for Creditors and PAYG. Amendments will also be made to the subsidy sheets in 2019/20 to incorporate contributions from other sources to cover subsidy shortfalls as a result of the additional holdbacks. Part 4 2018/19 2019/20 National Health Funding Body Service Agreement - South Eastern Sydney Northern NSW LHD Period: 1 July 2018 2019 - 30 June 2019 2020 4 National Reform Agreement In- Scope Estimated National Weighted Activity Units Commonwealth Funding Contribution Schedule C Part 4 Acute 152,039 73,893 ED 28,285 23,757 Mental Health 13,592 8,004 Sub Acute 24,751 8,598 Non Admitted 50,406 23,785 Activity Based Funding Total 269,074 138,037 Block Funding Total $42,081,265 26,145,487 Total 269,074 138,037 $42,081,265 26,145,487 Capital Program SOUTH EASTERN SYDNEY NORTHERN NSW LHD ASSET AUTHORISATION LIMITS 2018/19 PROJECTS MANAGED BY HEALTH SERVICE 2019/20 Capital Projects SMRT BP2 ETC 2018/19 Project Code Estimated Total Cost 2019/20 Estimated Expenditure to 30 June 2018 2019 Cost to Complete at 30 June 2018 BP2 2019 Capital Budget Allocation 2018/19 XX0 Xxx. 0000/00 XX0 Xxx2019/20 2019/20 Capital Budget Allocation by Source of Funds Confund 2019/20 Local Funds 2019/20 Revenue 2019/20 Lease Liabilities 2019/20 $ $ $ $ $ $ $ $ WORKS IN PROGRESS Ballina Hospital ED and Physio Roof P56435 450,000 - 450,000 450,000 450,000 - - - Ballina Hospital Emergency Department Short Stay Unit (EDSSU) P56434 490,598 - 490,598 490,598 490,598 - - - Expansion of Jubullum Aboriginal Health Post - Tabulam (NNSWLHD) P56460 490,966 105,966 385,000 385,000 385,000 - - - Minor Works & Equipment >$10,000 Program P51069 n.a - - 4,297,500 1,688,477 2,609,023 - - TOTAL WORKS IN PROGRESS 1,431,564 105,966 1,325,598 5,623,098 3,014,075 2,609,023 - - TOTAL CAPITAL EXPENDITURE AUTHORISATION LIMIT MANAGED BY NORTHERN NSW LHD 1,431,564 105,966 1,325,598 5,623,098 3,014,075 2,609,023 - - (Continued) PROJECTS MANAGED BY HEALTH INFRASTRUCTURE 2019/20 Capital Projects Project Code Estimated Total Cost 2019/20 Estimated Expenditure to 30 June 2019 Cost to Complete at 30 June 2019 Capital Budget Allocation 2019/20 Budget Est. 2020/21 BP2 Budget Est. 2021/22 Budget Est. 2022/23 Balance to Complete $ $ $ $ $ $ $ $ WORKS IN PROGRESS SESLHD Minor Works & Equipment P51069 14,170,500 14,170,500 14,170,500 14,170,500 14,170,500 Asset Refurbishment/Replacement Strategy - Statewide P55345 2,421,788 St Xxxxxx Hospital Cancer Care Centre Stage 5 P56131 3,990,000 1,532,099 2,457,901 2,457,901 Prince of Wales Hospital Digital Subtraction Angiography Unit P56242 1,110,000 151,959 958,041 958,041 Engadine Community Health Centre - Construct Dental Clinic P56412 600,000 600,000 600,000 TOTAL WORKS IN PROGRESS 19,870,500 1,684,058 18,186,442 20,008,230 14,770,500 14,170,500 TOTAL ASSET ACQUISITION PROGRAM 19,870,500 1,684,058 18,186,442 20,008,230 14,770,500 14,170,500 PROJECTS MANAGED BY HEALTH INFRASTRUCTURE MAJOR NEW WORKS 0000/00 Xx Xxxxxx Xxxxxxxx Birthing Suite & Theatre Refurbishment P56410 11,500,000 0 11,500,000 10,000,000 1,500,000 TOTAL MAJOR NEW WORKS 11,500,000 11,500,000 10,000,000 1,500,000 MAJOR WORKS IN PROGRESS St Xxxxxx Grafton Hospital Redevelopment Stage 1 & Acute Ambulatory Care P56047 17,500,000 7,000,000 10,500,000 8,988,998 1,511,002 - - - Tweed Hospital and Integrated Ambulatory Services Building Cont (part B) P55333 265,500,000 261,690,894 3,809,106 3,809,106 Randwick Campus Reconfiguration Redevelopment P56291 582,131,000 51,240,713 530,890,287 97,358,213 219,482,600 177,791,061 36,258,413 - Lismore Hospital Redevelopment Stages 3A, 3B and Expansion Stage 1 (including land acquisition) P56067 720,000,000 104,000,000 616,000,000 62,000,000 52,000,000 85,000,000 118,025,000 298,975,000 3C P55028 312,750,000 232,506,569 80,243,431 53,022,085 27,221,346 - - - TOTAL MAJOR WORKS IN PROGRESS 985,500,000 365,690,894 619,809,106 65,809,106 52,000,000 85,000,000 118,025,000 298,975,000 912,381,000 290,747,281 621,633,719 159,369,296 248,214,948 177,791,061 36,258,413 - TOTAL CAPITAL EXPENDITURE AUTHORISATION LIMIT MANAGED BY HEALTH INFRASTRUCTURE 997,000,000 365,690,894 631,309,106 75,809,106 53,500,000 85,000,000 118,025,000 298,975,000 912,381,000 290,747,281 621,633,719 159,369,296 248,214,948 177,791,061 36,258,413 - Notes: Expenditure needs to remain within the Asset Capital Expenditure Authorisation Limits (CEAL) indicated above Minor Works and Equipment > $10,000 includes a confund contribution of $6,014,686 This does The above budgets do not include allocations for new and existing FY20 Locally Funded Initiative (LFI) Projects which or Right of Use Assets (Leases) Projects. These budgets will be included in Initial Capital Allocation Letters issued through a separate process. Minor Works & Equipment >$10,000 Program is an annual allocation with no Total Estimated Cost Schedule D: Purchased Volumes Growth Investment Strategic Priority $’000 NWAU18 NWAU19 Performance Metric Activity Growth inclusive of Local Priority Issues Acute Inclusive of Xxxxxxxxxx and St Xxxxxx Service Expansion 2 - 164,603 As per 75,721 See Schedule E / Activity of New Service Identified Emergency Department 2.4 - 30,463 As per 24,469 See Schedule E Sub-Acute (Admitted and Non-Admitted) 2 - 23,275 As per 7,646 See Schedule E Sub and Non Acute Inpatient Services – Palliative Care Component 3.3 - 2,965 As per 1,977 See Schedule E Non-Admitted 2 / 3 - 48,223 As per 17,841 See Schedule E Public Dental Clinical Service – Total Dental Activity 1 - 16,511 (DWAU) As per 1 - 22,392 See Schedule E Mental Health Admitted 3.2 - 13,359 As per 7,424 See Schedule E Mental Health Non-Admitted Inclusive of 2018/19 Mental Health Reform Program Growth 3.2 - 10,319 As per 7,242 See Schedule E Mental Health Reforms Specialist child Alcohol and adolescent community mental health services 3.2 other drug related Admitted 1.3 - 110 Client-171 See Schedule E Alcohol and other drug related hours Specialist adult community mental health services 3.2 Non Admitted 1.3 - 73 Client-related hours Specialist older persons community mental health services 3.2 - 110 Client-related hours Service Investment Capital and Service Expansion: The Xxxxxxxxxx Hospital RADIUS 2 / 3 1,000 - Activity of new service identified Highly Specialised Service - Peritonectomy 2 1,030 - As per 2,937 See Schedule E Strategic Priority Target Performance Metric STATE PRIORITY Elective Surgery Volumes Number of Admissions from Surgical Waiting List - All Patients Children <16 Years Old 2.4 19,900 826 Number Number of Admissions from Surgical Waiting List - Children < 16 Years Old – Cataract extraction 2.4 626 2,300 Number Growth Investment Strategic Priority $ ‘000 NWAU18 NWAU19 Performance Metric NSW HEALTH STRATEGIC PRIORITIES Providing World Class Clinical Care Where Patient Safety is First Hospital Acquired Complications (HAC) initiatives 2.1 350 - Demonstration of reduction in HAC ETP 2.4 44 - ETP Trajectory Leading Better Value Care Program Program Implementation Support Transition Funding 2.2 250 350 - Performance against LBVC Deliverables Integrate Systems to Deliver Truly Connected Care Integrated Care Strategy The Integrated Care purchasing model for 2018/19 converts 25% of the existing recurrent funding for Integrated Care for People with Chronic Conditions (ICPCC) (previously the Chronic Disease Management Program) into purchased activity for each LHD/SHN. This is shown as NWAU for each LHD/SHN. 3.1 1,478 164 Demonstration of delivery of activities outlined in the approved Activity Work Plan and meeting data collection requirements (including monitoring, evaluation, and the Patient Flow Portal) Clinical Redesign of NSW Health Responses to Violence, Abuse and Neglect 3.6 410 with general escalation applied for 2018/19 - Commence implementation of local VAN service redesign and recruitment of permanent clinical staff where staffing gaps have been identified Enable eHealth, Health Information and Data Analytics Data quality Improvement Project Data improvement – clinical coding / documentation 6.3 250 - project includes $200,000 EBI program, $100,000 Data quality improvement XXXXXX business implementation Quality, and $250,000 200,000 Intra- health Transfer to be allocated to Intra Health for XXX - One- off for 2018/19 6.3 EBI central program. 6.4 500 - Complete Stage 1 LEAP and transition Established Local Governance for Xxxxxx Transition, Completion of at least one data stream (APImpact Assessment, ED or WL) as per LHD/SHN Program Management PlanParticipation in extract test work package. Special Considerations in Baseline Investment Strategic Priority $ ‘000 NWAU19 Performance Metric

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Locations Service Requirement. Pancreas Transplantation – Nationally Funded Centre Westmead As per Nationally Funded Centre Agreement - Access for all patients across Australia accepted onto Nationally Funded Centre program Paediatric Liver Transplantation – Nationally Funded Centre SCHN Westmead Islet Cell Transplantation – Nationally Funded Centre Westmead Schedule C: Budget Part 1 Schedule C Part 1 South Eastern Northern Sydney LHD - Budget 2018/19 2018/19 2019/20 2019/20 BUDGET Comparative Data A B C D E F G H I Target Volume (NWAU18NWAU19) Volume (Admissions & Attendances) Indicative only State Price per NWAU18 NWAU19 LHD/SHN Projected Average Cost per NWAU18 NWAU19 Initial Budget 2018/19 2019/20 ($ '000) 2017/18 2018/19 Annualised Budget ($ '000) Variance Initial and Annualised ($ '000) Variance (%) Volume Forecast 2017/18 2018/19 (NWAU18NWAU19) A Acute Admitted 164,603 162,901 125,778 133,185 $4,713 4,925 $4,621 4,966 $759,665 617,961 $729,698 597,520 $29,967 161,434 20,441 124,005 Emergency Department 30,463 223,467 29,827 219,597 $140,485 146,113 $134,272 140,359 $6,213 29,709 5,754 29,133 Non Admitted Patients (Including Dental) 48,082 940,440 36,253 765,329 $221,901 177,278 $213,928 169,254 $7,973 47,324 8,024 35,135 Total 243,149 1,326,808 191,858 1,118,111 $1,122,051 941,353 $1,077,899 907,133 $44,152 4.134,220 3.8% 238,468 188,274 B Sub-Acute Services - Admitted 20,443 16,239 15,296 6,987 $4,713 4,925 $4,621 4,966 $94,264 74,993 $89,980 72,253 $4,285 19,909 2,740 14,996 Sub-Acute Services - Non Admitted 2,214 1,771 $10,230 8,724 $10,010 8,538 $219 2,214 186 1,771 Total 22,657 16,239 17,067 6,987 $104,494 83,717 $99,990 80,791 $4,504 4.52,927 3.6% 22,123 16,767 C Mental Health - Admitted (Acute and Sub-Acute) 13,359 3,216 11,473 2,265 $4,713 4,925 $4,621 4,966 $61,731 56,462 $60,408 55,116 $1,324 13,359 1,346 11,436 Mental Health - Block Funded Hospitals $52,579 $51,455 $1,124 Mental Health - Non Admitted 10,319 243,346 11,459 198,042 $51,205 59,733 $48,650 57,309 $2,555 9,975 Mental Health - Classification Adjustment 2,424 11,156 Total 22,932 200,307 $2,440 168,774 $2,388 163,880 $52 Total 23,678 246,563 $115,376 $111,445 $3,931 3.54,894 3.0% 23,334 22,592 D Block Funding Allocation Block Funded Hospitals (Small Hospitals) $9,611 $9,405 $205 Block Funded Services In-Scope - Teaching, Training and Research $57,757 54,096 $56,519 52,940 $1,238 1,156 Total $58,416 63,707 $57,163 62,345 $1,253 1,361 2.2% E State Only Block Funded Services Total $217,531 295,076 $212,867 288,770 $4,664 6,305 2.2% Recognised Operational Cost (ROC) $8,876 Transition Grant (excluding Mental Health) and RSCᵝ ROCᵝ $8,876 $8,686 $190 2.2% G Gross-Up (Private Patient Service Adjustments) $70,207 76,693 $68,701 75,054 $1,505 1,639 2.2% H Provision for Specific Initiatives & TMF Adjustments (not included above) Data Improvement Project * $750 HAC Improvement Project 500 Leading Better Value Care Program $350 Northern Beaches $11,800 Ryde ICU Upgrade $504 Other Block Growth and Purchasing Adjustors (incl Hospital Acquired Complications) -$1,149 HealthShare Accelerated Savings Program -$1,575 -$770 Nursing enhancement $208 2015 Election Commitment - Additional Nursing, Midwifery and Support positions $354 Electricity escalations $2,004 New parents and children initiatives $460 108 Procurement Savings -$4,594 Efficiency dividends 2019-20 -$2,760 Total $6,629 5,346 $6,629 5,346 I Restricted Financial Asset Expenses $13,656 15,433 $13,656 15,433 J Depreciation (General Funds only) $57,826 76,977 $57,826 76,977 K Total Expenses (K=A+B+C+D+E+F+G+H+I+J) $1,766,187 1,735,951 $1,699,547 1,679,069 $66,639 3.956,882 3.4% L Other - Gain/Loss on disposal of assets etc $2,658 1,296 $2,658 1,296 M LHD Revenue -$1,722,798 -$1,646,709 -$76,089 -$1,670,076 -$1,597,399 -$72,677 N Net Result (N=K+L+M) $46,046 67,170 $55,496 -$9,450 82,965 -$15,795 General Note: ABF growth is funded at 9077% of the State Price for all “business as usual” activity and new builds or new capacity has continued to be funded at the full State Price ᵝ Part of the Acute, ED and Subacute Admitted transition grant has been used to fund growth (see Schedule C glossary) * Data Improvement Project $250k to be allocated to Intra Health for XXX Part 2 2018/19 2019/20 Schedule C Part 0 Xxxxx Xxxxxxx Xxxxxx 2 Northern Sydney LHD $ (000's) A B C D E Government Grants Subsidy* -$1,091,840 -$959,955 In-Scope Services - Block Funded -$87,520 -$144,117 Out of Scope Services - Block Funded -$173,675 -$241,597 Capital Subsidy -$8,786 -$14,842 Crown Acceptance (Super, LSL) -$33,051 -$25,006 F Total Government Contribution (F=A+B+C+D+E) -$1,394,872 -$1,385,517 G H Own Source revenue GF Revenue -$304,046 -$266,101 Restricted Financial Asset Revenue -$23,880 -$18,458 I Total Own Source Revenue (I=G+H) -$327,926 -$284,559 J Total Revenue (J=F+I) -$1,722,798 -$1,670,076 K L M Total Expense Budget - General Funds $1,752,530 1,720,518 Restricted Financial Asset Expense Budget $13,656 15,433 Other Expense Budget $2,658 1,296 N Total Expense Budget as per Attachment C Part 1 (N=K+L+M) $1,768,845 1,737,247 O Net Result (O=J+N) $46,046 67,170 P Q R Net Result Represented by: Asset Movements -$44,212 -$71,073 Liability Movements -$1,835 $3,903 Entity Transfers S Total (S=P+Q+R) -$46,046 -$67,170 Note: The minimum weekly cash reserve buffer for unrestricted cash at bank has been updated for FY 2019/20 to $1.5m and has been reduced by approximately 75% of the FY 2018/19 buffer as a result of the transition of creditor payments and PAYG remittance to HealthShare and HealthShare managed bank accounts from the 1st July 2019. Based on final June 2019 cash balances, adjustments will be made in July 2019 to ensure alignment with the cash buffer requirements of NSW Treasury Circular TC15_01 Cash Management – Expanding the Scope of the Treasury Banking System. The Ministry will closely monitor cash at bank balances during the year to ensure compliance with this NSW Treasury policy. * The subsidy amount does not include items E and G, which are revenue receipts retained by the LHDs/SHNs and sit outside the National Pool. Part 3 Schedule C Part 3 2018/19Shared 2019/20Shared Services & Consolidated Statewide Payment Schedule South Eastern Northern Sydney LHD $ (000's) HS Charges HS Service Centres HS Ambulance Make Ready HS Service Centres Warehousing HS Enable NSW HS Food Services HS Soft Service Charges HS Linen Services HS Recoups HS IPTAAS HS Fleet Services HS Patient Transport Services HS MEAPP (quarterly) $6,108 5,308 $22,741 18,698 $3,675 2,377 $29,992 13,328 $9,326 51,734 $11,556 6,804 $172$3,236 17 $7,125 3,378 $10,147 $3,850 Total HSS Charges $93,931 115,641 eHealth EH Corporate IT & SPA EH Information Services ICT SPA Recoups $6,227 21,016 $13,035 8,292 Total eHealth Charges $19,262 29,308 IH Transports Interhospital Ambulance Transports Interhospital Ambulance NETS $1,895 2,183 $109 67 Total Interhospital Ambulance Charges $2,004 2,250 Interhospital NETS Charges - SCHN $111 177 Payroll Total Payroll (including SGC, FSS, Excluding LSL & PAYG) $915,449 984,701 Loans MoH Loan Repayments Treasury Loan (SEDA) $300 Total Loans $300 Blood and Blood Products $14,160 10,591 NSW Pathology $50,746 39,795 Compacks (HSSG) $1,918 2,449 TMF Insurances (WC, MV & Property) $15,069 9,434 Creditor Payments $531,374 Energy Australia $14,835 11,989 Total $1,127,485 1,738,009 Note: This schedule represents initial estimates of Statewide recoveries processed by the Ministry on behalf of Service Providers. LHD's LHD's/Health Entities are responsible for regularly reviewing these estimates and liaising with the Ministry where there are discrepancies. The Ministry will work with LHD's LHD's/Health Entities and Service Providers throughout the year to ensure cash held back for these payments reflects actual trends. Consistent with prior years procedures, a mid year review will occur in January with further adjustments made if required. Note: The amounts above include GST, where applicableCommencing 2019/20 two additional holdbacks have been included to reflect new statewide payment and recovery processes for Creditors and PAYG. Amendments will also be made to the subsidy sheets in 2019/20 to incorporate contributions from other sources to cover subsidy shortfalls as a result of the additional holdbacks. Part 4 2018/19 2019/20 National Health Funding Body Service Agreement - South Eastern Northern Sydney LHD Period: 1 July 2018 2019 - 30 June 2019 2020 4 National Reform Agreement In- Scope Estimated National Weighted Activity Units Commonwealth Funding Contribution Schedule C Part 4 Acute 152,039 119,097 ED 28,285 Mental Health 13,592 12,306 Sub Acute 24,751 16,304 Non Admitted 50,406 32,813 Activity Based Funding Total 269,074 208,805 Block Funding Total $42,081,265 88,655,845 Total 269,074 208,805 $42,081,265 88,655,845 Capital Program SOUTH EASTERN NORTH SYDNEY LHD ASSET AUTHORISATION LIMITS 2018/19 PROJECTS MANAGED BY HEALTH SERVICE 2019/20 Capital Projects SMRT BP2 ETC 2018/19 Project Code Estimated Total Cost 2019/20 Estimated Expenditure to 30 June 2018 2019 Cost to Complete at 30 June 2018 BP2 2019 Capital Budget Allocation 2018/19 XX0 Xxx. 0000/00 XX0 Xxx2019/20 2019/20 Capital Budget Allocation by Source of Funds Confund 2019/20 Local Funds 2019/20 Revenue 2019/20 Lease Liabilities 2019/20 $ $ $ $ $ $ $ $ MAJOR NEW WORKS 2019/20 Northern Beaches Hospital Life Cycle Costs TBC 137,513,000 - 137,513,000 116,000 116,000 - - - TOTAL MAJOR NEW WORKS 137,513,000 - 137,513,000 116,000 116,000 - - - WORKS IN PROGRESS Minor Works & Equipment >$10,000 Program P51069 n.a - - 7,821,909 4,460,000 3,361,909 - - RNSH State Assistance Fund PPP Lifecycle Costs P56477 12,500,000 2,500,000 10,000,000 2,500,000 - 2,500,000 - - RNSH-Linear Accelerator Equipment #808 P56446 4,000,000 3,150,000 850,000 850,000 - 850,000 - - Royal North Shore Hospital Cyclical Maintenance P54246 208,402,295 24,487,907 183,914,388 8,969,000 8,969,000 - - - Statewide Home Dialysis Equipment (Sydney Dialysis Centre) P55203 9,203,100 6,609,200 2,593,900 1,297,300 1,297,300 - - - TOTAL WORKS IN PROGRESS 234,105,395 36,747,107 197,358,288 21,438,209 14,726,300 6,711,909 - - TOTAL CAPITAL EXPENDITURE AUTHORISATION LIMIT MANAGED BY NORTH SYDNEY LHD 371,618,395 36,747,107 334,871,288 21,554,209 14,842,300 6,711,909 - - (Continued) PROJECTS MANAGED BY HEALTH INFRASTRUCTURE 2019/20 Capital Projects Project Code Estimated Total Cost 2019/20 Estimated Expenditure to 30 June 2019 Cost to Complete at 30 June 2019 Capital Budget Allocation 2019/20 Budget Est. 2020/21 BP2 Budget Est. 2021/22 Budget Est. 2022/23 Balance to Complete $ $ $ $ $ $ $ $ WORKS IN PROGRESS SESLHD Minor Works & Equipment P51069 14,170,500 14,170,500 14,170,500 14,170,500 14,170,500 Asset Refurbishment/Replacement Strategy MAJOR XXX XXXXX 0000/00 Xxxx Xxxx Hospital reconfiguration – increase in ETC P56521 10,000,000 - Statewide P55345 2,421,788 St Xxxxxx 10,000,000 6,000,000 4,000,000 - - - Xxxxxxx Ku-ring-gai Hospital Cancer Care Centre Redevelopment Stage 5 P56131 3,990,000 1,532,099 2,457,901 2,457,901 Prince of Wales Hospital Digital Subtraction Angiography Unit P56242 1,110,000 151,959 958,041 958,041 Engadine Community Health Centre 2 - Construct Dental Clinic P56412 600,000 600,000 600,000 TOTAL WORKS IN PROGRESS 19,870,500 1,684,058 18,186,442 20,008,230 14,770,500 14,170,500 TOTAL ASSET ACQUISITION PROGRAM 19,870,500 1,684,058 18,186,442 20,008,230 14,770,500 14,170,500 PROJECTS MANAGED BY HEALTH INFRASTRUCTURE MAJOR NEW WORKS 0000/00 Xx Xxxxxx Xxxxxxxx Birthing Suite & Theatre Refurbishment P56410 11,500,000 0 11,500,000 10,000,000 1,500,000 increase in ETC P56523 65,000,000 - 65,000,000 300,000 21,282,000 43,418,000 - - TOTAL MAJOR NEW WORKS 11,500,000 11,500,000 10,000,000 1,500,000 75,000,000 - 75,000,000 6,300,000 25,282,000 43,418,000 - - MAJOR WORKS IN PROGRESS St Xxxxxx Northern Beaches - Xxxx Xxxx Hosp. & Community Health (State $600M, $29M in WIP) P53985 600,000,000 581,530,324 18,469,676 18,439,676 - 10,000 10,000 10,000 Hornsby Ku-ring-gai Hospital Redevelopment Stage 1 & Acute Services Building Cont (part B) P55333 265,500,000 261,690,894 3,809,106 3,809,106 Randwick Campus Reconfiguration and Expansion Stage 1 (including land acquisition) P56067 720,000,000 104,000,000 616,000,000 62,000,000 52,000,000 85,000,000 118,025,000 298,975,000 P54774 320,994,626 203,461,920 117,532,706 99,325,280 18,207,426 - - - TOTAL MAJOR WORKS IN PROGRESS 985,500,000 365,690,894 619,809,106 65,809,106 52,000,000 85,000,000 118,025,000 298,975,000 920,994,626 784,992,244 136,002,382 117,764,955 18,207,426 10,000 10,000 10,000 TOTAL CAPITAL EXPENDITURE AUTHORISATION LIMIT MANAGED BY HEALTH INFRASTRUCTURE 997,000,000 365,690,894 631,309,106 75,809,106 53,500,000 85,000,000 118,025,000 298,975,000 995,994,626 784,992,244 211,002,382 124,064,955 43,489,426 43,428,000 10,000 10,000 Notes: Expenditure needs to remain within the Asset Capital Expenditure Authorisation Limits (CEAL) indicated above Minor Works and Equipment > $10,000 includes a confund contribution of $6,014,686 This does The above budgets do not include allocations for new and existing FY20 Locally Funded Initiative (LFI) Projects which or Right of Use Assets (Leases) Projects. These budgets will be included in Initial Capital Allocation Letters issued through a separate process. Minor Works & Equipment >$10,000 Program is an annual allocation with no Total Estimated Cost Schedule D: Purchased Volumes Growth Investment Strategic Priority $’000 NWAU18 NWAU19 Performance Metric Activity Growth inclusive of Local Priority Issues Acute Inclusive of Xxxxxxxxxx and St Xxxxxx 24/7 INR Service Expansion 2 - 164,603 As per 125,778 See Schedule E / Activity of New Service Identified Emergency Department 2.4 - 30,463 As per 29,827 See Schedule E Sub-Acute (Admitted and Non-Admitted) 2 - 23,275 As per 15,296 See Schedule E Sub and Non Acute Inpatient Services – Palliative Care Component 3.3 - 2,965 As per 2,199 See Schedule E Non-Admitted 2 / 3 - 48,223 As per 32,965 See Schedule E Public Dental Clinical Service – Total Dental Activity 1 - 16,511 (DWAU) As per 1 - 15,996 See Schedule E Mental Health Admitted 3.2 - 13,359 As per 11,473 See Schedule E Mental Health Non-Admitted Inclusive of 2018/19 Mental Health Reform Program Growth 3.2 - 10,319 As per 11,459 See Schedule E Mental Health Reforms Specialist child Alcohol and adolescent community mental health services 3.2 other drug related Admitted 1.3 - 110 Client-1,066 See Schedule E Alcohol and other drug related hours Specialist adult community mental health services 3.2 Non Admitted 1.3 - 73 Client-related hours Specialist older persons community mental health services 3.2 - 110 Client-related hours 1,985 See Schedule E Service Investment Capital and Service Expansion: The Xxxxxxxxxx Hospital RADIUS Ryde ICU upgrade 2 / 3 1,000 504 - Activity of new service enhancement identified Highly Specialised Service - Peritonectomy 2 1,030 - As per Schedule E Strategic Priority Target Performance Metric STATE PRIORITY Elective Surgery Volumes Number of Admissions from Surgical Waiting List - All Patients Children < 16 Years Old 2.4 19,900 959 Number Number of Admissions from Surgical Waiting List - Children < 16 Years Old – Cataract extraction 2.4 626 641 Number Growth Investment Strategic Priority $ ‘000 NWAU18 NWAU19 Performance Metric NSW HEALTH STRATEGIC PRIORITIES Providing World Class Clinical Care Where Patient Safety is First Hospital Acquired Complications (HAC) initiatives 2.1 350 - Demonstration of reduction in HAC ETP 2.4 44 - ETP Trajectory Leading Better Value Care Program Program Implementation Support Transition Funding 2.2 250 350 - Performance against LBVC Deliverables Enable eHealth, Health Information and Data Analytics Data Improvement Project Data improvement project includes $200,000 EBI program, $100,000 Data Quality, and $200,000 Intra- health Transfer to EBI central program. 6.4 500 - Established Local Governance for Xxxxxx Transition, Completion of Impact Assessment, Participation in extract test work package. Special Considerations in Baseline Investment Strategic Priority $ ‘000 NWAU19 Performance Metric Integrate Systems to Deliver Truly Connected Care Integrated Care (IC) Strategy The Integrated Care purchasing model Weight adjusted Block funding 3.1 703 - Adoption and implementation in 2019-20 of one scaled IC initiative (as per Ministry of Health shortlist). All patients enrolled in the Patient Flow Portal (PFP) for 2018/19 converts 25% of the existing recurrent funding for ongoing monitoring; PFP data will inform regular evaluation. Integrated Care for People with Chronic Conditions (ICPCC) (previously The ICPCC purchasing model for 2019/20 converts 50% of the Chronic Disease Management Program) existing recurrent funding for ICPCC into purchased activity for each LHDDistrict/SHNNetwork. This is shown as NWAU for each LHDDistrict/SHNNetwork. 3.1 1,478 164 Demonstration of delivery of activities outlined 2,040 427 Identify patients using Risk Stratification in the approved Activity Work Plan and meeting data collection requirements Patient Flow Portal (including monitoring, evaluationPFP), and the Patient Flow Portal) use PFP for ongoing monitoring of patients within ICPCC. PFP data will inform evaluation. Clinical Redesign of NSW Health Responses to Violence, Abuse and Neglect 3.6 410 with general escalation applied (VAN) 3.5 283 - Participate in monitoring and evaluation activities as described in the funding agreement Provide integrated 24/7 psychosocial and Medical Forensic responses for 2018/19 - Commence implementation victims of local VAN service redesign Domestic and recruitment of permanent clinical staff where staffing gaps have been identified Enable eHealthFamily Violence, Health Information Child Physical Abuse and Data Analytics Data quality improvement – clinical coding / documentation 6.3 250 - Data quality improvement XXXXXX business implementation $250,000 to be allocated to Intra Health Neglect, and Sexual Assault. Provide community development and outreach services for XXX - One- off for 2018/19 6.3 500 - Complete Stage 1 LEAP and transition of at least one data stream (AP, ED or WL) as per LHD/SHN Program Management Plansexual assault.

Appears in 1 contract

Samples: www.nslhd.health.nsw.gov.au

Locations Service Requirement. Pancreas Transplantation – Nationally Funded Centre Westmead As per Nationally Funded Centre Agreement - Access for all patients across Australia accepted onto Nationally Funded Centre program Paediatric Liver Transplantation – Nationally Funded Centre SCHN Westmead Islet Cell Transplantation – Nationally Funded Centre Westmead Schedule C: Budget Part 1 Schedule C Part 1 South Eastern Sydney LHD St Vincent's Health Network - Budget 2018/19 2018/19 BUDGET Comparative Data A B C D E F G H I Target Volume (NWAU18) Volume (Admissions & Attendances) Indicative only State Price per NWAU18 LHD/SHN Projected Average Cost per NWAU18 Initial Budget 2018/19 ($ '000) 2017/18 Annualised Budget ($ '000) Variance Initial and Annualised ($ '000) Variance (%) Volume Forecast 2017/18 (NWAU18) A Acute Admitted 164,603 162,901 45,202 42,550 $4,713 $4,621 5,041 $759,665 212,438 $729,698 196,871 $29,967 161,434 15,567 42,735 Emergency Department 30,463 223,467 7,275 49,354 $140,485 34,232 $134,272 31,625 $6,213 29,709 2,608 6,865 Non Admitted Patients (Including Dental) 48,082 940,440 10,988 276,106 $221,901 51,591 $213,928 47,222 $7,973 47,324 4,370 10,253 Total 243,149 1,326,808 63,466 368,010 $1,122,051 298,262 $1,077,899 275,717 $44,152 4.122,544 8.2% 238,468 59,853 B Sub-Acute Services - Admitted 20,443 16,239 7,061 3,335 $4,713 $4,621 5,041 $94,264 33,278 $89,980 32,568 $4,285 19,909 710 7,061 Sub-Acute Services - Non Admitted 2,214 2,421 $10,230 11,412 $10,010 11,169 $219 2,214 244 2,421 Total 22,657 16,239 9,482 3,335 $104,494 44,690 $99,990 43,737 $4,504 4.5953 2.2% 22,123 9,483 C Mental Health - Admitted (Acute and Sub-Acute) 13,359 3,216 4,157 1,470 $4,713 $4,621 5,041 $61,731 19,593 $60,408 19,175 $1,324 13,359 418 4,157 Mental Health - Non Admitted 10,319 243,346 1,649 40,269 $51,205 7,289 $48,650 6,858 $2,555 9,975 431 1,584 Mental Health - Classification Adjustment $2,440 1,141 $2,388 1,116 $52 24 Total 23,678 246,563 5,807 41,739 $115,376 28,022 $111,445 27,148 $3,931 3.5874 3.2% 23,334 5,742 D Block Funding Allocation Block Funded Services In-Scope - Teaching, Training and Research $57,757 14,868 $56,519 14,550 $1,238 317 Total $58,416 14,868 $57,163 14,550 $1,253 317 2.2% E State Only Block Funded Services Total $217,531 $212,867 $4,664 -$34,273 -$33,541 -$732 2.2% F Transition Grant $24,106 Transition Grant (excluding Mental Health) and RSCᵝ $24,106 $23,591 $515 2.2% G Gross-Up (Private Patient Service Adjustments) $70,207 21,134 $68,701 20,683 $1,505 451 2.2% H Provision for Specific Initiatives & TMF Adjustments (not included above) Data Improvement Project * $750 768 HAC Improvement Project $350 Highly Specialised Services - Huntingtons $801 Leading Better Value Care Program Support Transition $150 Purchasing Adjustors (incl Hospital Acquired Complications) -$1,149 HealthShare Accelerated Savings Program -$1,575 -$391 Genomics $631 Election Commitment - Additional Nursing, Midwifery and Support positions $354 Electricity escalations $2,004 New parents and children initiatives $460 88 Total $6,629 2,398 $6,629 2,398 I Restricted Financial Asset Expenses $13,656 $13,656 J Depreciation (General Funds only) $57,826 $57,826 K Total Expenses (K=A+B+C+D+E+F+G+H+I+J) $1,766,187 399,207 $1,699,547 371,885 $66,639 3.927,322 7.3% L Other - Gain/Loss on disposal of assets etc $2,658 $2,658 M LHD Revenue -$1,722,798 -$1,646,709 -$76,089 -$399,207 -$371,885 -$27,322 N Net Result (N=K+L+M) $46,046 $55,496 -$9,450 General Note: ABF growth is funded at 90% of the State Price for all “business as usual” activity and new builds or new capacity has continued to be funded at the full State Price ᵝ Part of the Acute, ED and Subacute Admitted transition grant has been used to fund growth (see Schedule C glossary) * Data Improvement Project $250k to be allocated to Intra Health for XXX Part 2 2018/19 Schedule C Part 0 Xxxxx Xxxxxxx Xxxxxx LHD 2 St Vincent's Health Network $ (000's) A B C D E Government Grants Subsidy* -$1,091,840 In-Scope Services - Block Funded -$87,520 Out of Scope Services - Block Funded -$173,675 Capital Subsidy -$8,786 Crown Acceptance (Super, LSL) -$33,051 -$306,610 -$16,516 -$76,081 F Total Government Contribution (F=A+B+C+D+E) -$1,394,872 -$399,207 G H Own Source revenue GF Revenue -$304,046 Restricted Financial Asset Revenue -$23,880 I Total Own Source Revenue (I=G+H) -$327,926 J Total Revenue (J=F+I) -$1,722,798 -$399,207 K L M Total Expense Budget - General Funds $1,752,530 Restricted Financial Asset Expense Budget $13,656 Other Expense Budget $2,658 399,207 N Total Expense Budget as per Attachment C Part 1 (N=K+L+M) $1,768,845 399,207 O Net Result (O=J+N) $46,046 P Q R Net Result Represented by: Asset Movements -$44,212 Liability Movements -$1,835 Entity Transfers S Total (S=P+Q+R) -$46,046 Note: The Ministry will closely monitor cash at bank balances during the year to ensure compliance with this NSW Treasury policy. * The subsidy amount does not include items E and G, which are revenue receipts retained by the LHDs/SHNs and sit outside the National Pool. Part 3 Schedule C Part 3 2018/19Shared Services & Consolidated Statewide Payment Schedule South Eastern Sydney LHD St Vincent's Health Network $ (000's) HS Charges HS Service Centres HS Service Centres Warehousing HS Enable NSW HS Food Services HS Soft Service Charges HS Linen Services HS Recoups HS IPTAAS HS Fleet Services HS Patient Transport Services HS MEAPP $6,108 $22,741 $3,675 $29,992 $9,326 $11,556 $172$3,236 $7,125 Total HSS Charges $93,931 eHealth EH Corporate IT EH Information Services ICT SPA $6,227 $13,035 Total eHealth Charges $19,262 IH Transports Interhospital Ambulance Transports Interhospital Ambulance NETS $1,895 $109 Total Interhospital Ambulance Charges $2,004 Interhospital NETS Charges - SCHN $111 Payroll Total Payroll (including SGC, FSS, Excluding LSL & PAYG) $915,449 Loans MoH Loan Repayments Treasury Loan (SEDA) Total Loans Blood and Blood Products $14,160 7,913 NSW Pathology $50,746 Compacks (HSSG) $1,918 470 TMF Insurances (WC, MV & Property) $15,069 2,973 Energy Australia $14,835 Total $1,127,485 11,356 Note: This schedule represents initial estimates of Statewide recoveries processed by the Ministry on behalf of Service Providers. LHD's are responsible for regularly reviewing these estimates and liaising with the Ministry where there are discrepancies. The Ministry will work with LHD's and Service Providers throughout the year to ensure cash held back for these payments reflects actual trends. Consistent with prior years procedures, a mid year review will occur in January with further adjustments made if required. Note: The amounts above include GST, where applicable. Part 4 2018/19 National Health Funding Body Service Agreement - South Eastern Sydney LHD St Vincent's Health Network Period: 1 July 2018 - 30 June 2019 National Reform Agreement Commonwealth Schedule C Part 4 Acute 152,039 42,363 ED 28,285 6,438 Mental Health 13,592 4,227 Sub Acute 24,751 8,449 Non Admitted 50,406 13,324 Activity Based Funding Total 269,074 74,801 Block Funding Total $42,081,265 12,701,843 Total 269,074 74,801 $42,081,265 Capital Program SOUTH EASTERN SYDNEY LHD ASSET AUTHORISATION LIMITS 2018/19 Capital Projects SMRT BP2 ETC 2018/19 Estimated Expenditure to 30 June 2018 Cost to Complete at 30 June 2018 BP2 Allocation 2018/19 XX0 Xxx. 0000/00 XX0 Xxx. 2020/21 BP2 Est. 2021/22 Balance to Complete $ $ $ $ $ $ $ $ WORKS IN PROGRESS SESLHD Minor Works & Equipment P51069 14,170,500 14,170,500 14,170,500 14,170,500 14,170,500 Asset Refurbishment/Replacement Strategy - Statewide P55345 2,421,788 St Xxxxxx Hospital Cancer Care Centre Stage 5 P56131 3,990,000 1,532,099 2,457,901 2,457,901 Prince of Wales Hospital Digital Subtraction Angiography Unit P56242 1,110,000 151,959 958,041 958,041 Engadine Community Health Centre - Construct Dental Clinic P56412 600,000 600,000 600,000 TOTAL WORKS IN PROGRESS 19,870,500 1,684,058 18,186,442 20,008,230 14,770,500 14,170,500 TOTAL ASSET ACQUISITION PROGRAM 19,870,500 1,684,058 18,186,442 20,008,230 14,770,500 14,170,500 PROJECTS MANAGED BY HEALTH INFRASTRUCTURE MAJOR NEW WORKS 0000/00 Xx Xxxxxx Xxxxxxxx Birthing Suite & Theatre Refurbishment P56410 11,500,000 0 11,500,000 10,000,000 1,500,000 TOTAL MAJOR NEW WORKS 11,500,000 11,500,000 10,000,000 1,500,000 MAJOR WORKS IN PROGRESS St Xxxxxx Hospital Redevelopment Stage 1 & Acute Services Building Cont (part B) P55333 265,500,000 261,690,894 3,809,106 3,809,106 Randwick Campus Reconfiguration and Expansion Stage 1 (including land acquisition) P56067 720,000,000 104,000,000 616,000,000 62,000,000 52,000,000 85,000,000 118,025,000 298,975,000 TOTAL MAJOR WORKS IN PROGRESS 985,500,000 365,690,894 619,809,106 65,809,106 52,000,000 85,000,000 118,025,000 298,975,000 TOTAL MANAGED BY HEALTH INFRASTRUCTURE 997,000,000 365,690,894 631,309,106 75,809,106 53,500,000 85,000,000 118,025,000 298,975,000 Notes: Expenditure needs to remain within the Asset Authorisation Limits indicated above Minor Works and Equipment > $10,000 includes a confund contribution of $6,014,686 This does not include new and existing Locally Funded Initiative (LFI) Projects which will be included in Initial Capital Allocation Letters 12,701,843 Schedule D: Purchased Volumes Growth Investment Strategic Priority $’000 NWAU18 Performance Metric Activity Growth inclusive of Local Priority Issues Acute Inclusive of Xxxxxxxxxx reinstatement of 2017/18 growth and St Xxxxxx Service Expansion House 2 - 164,603 45,202 As per Schedule E / Activity of New Service Activity Identified Emergency Department Inclusive of reinstatement of 2017/18 growth 2.4 - 30,463 7,275 As per Schedule E Sub-Acute (Admitted and Non-Admitted) 2 - 23,275 7,061 As per Schedule E Sub and Non Acute Inpatient Services – Palliative Care Component 3.3 - 2,965 3,560 As per Schedule E Non-Admitted Inclusive of reinstatement of 2017/18 growth 2 / 3 - 48,223 13,371 As per Schedule E Public Dental Clinical Service – Total Dental Activity 1 - 16,511 310 (DWAU) As per Schedule E Mental Health Admitted 3.2 - 13,359 4,157 As per Schedule E Mental Health Non-Admitted 3.2 - 10,319 1,649 As per Schedule E Mental Health Reforms Specialist child and adolescent community mental health services 3.2 - 110 Client-related hours Specialist adult community mental health services 3.2 - 73 Client-related hours Specialist older persons community mental health services 3.2 - 110 Client-related hours Service Investment Capital and Service Expansion: The Xxxxxxxxxx Hospital RADIUS 2 / 3 1,000 Genomics 5 631 - Activity of new service identified New Service Identified Highly Specialised Service - Peritonectomy Services – Huntington’s Disease 2 1,030 801 - As per Schedule E Strategic Priority Target Performance Metric STATE PRIORITY Elective Surgery Volumes Number of Admissions from Surgical Waiting List - All Patients 2.4 19,900 3,434 Number Number of Admissions from Surgical Waiting List - Children < 16 Years Old 2.4 626 - Number Growth Investment Strategic Priority $ ‘000 NWAU18 Performance Metric NSW HEALTH STRATEGIC PRIORITIES Providing World Class Clinical Care Where Patient Safety is First Hospital Acquired Complications (HAC) initiatives 2.1 350 - Demonstration of reduction in HAC ETP 2.4 44 - - ETP Trajectory Leading Better Value Care – Program Support Transition 2.2 250 150 - Performance against LBVC Deliverables Integrate Systems to Deliver Truly Connected Care Integrated Care Strategy The Integrated Care purchasing model for 2018/19 converts 25% of the existing recurrent funding for Integrated Care for People with Chronic Conditions (ICPCC) (previously the Chronic Disease Management Program) into purchased activity for each LHD/SHN. This is shown as NWAU for each LHD/SHN. 3.1 1,478 164 201 36 Demonstration of delivery of activities outlined in the approved Activity Work Plan and meeting data collection requirements (including monitoring, evaluation, and the Patient Flow Portal) Clinical Redesign of NSW Health Responses to Violence, Abuse and Neglect 3.6 410 with general escalation applied for 2018/19 - Commence implementation of local VAN service redesign and recruitment of permanent clinical staff where staffing gaps have been identified RPM Roadmap Enable eHealth, Health Information and Data Analytics Data quality improvement – clinical coding / documentation 6.3 250 268 - Data quality improvement XXXXXX business implementation $250,000 to be allocated to Intra Health for XXX - One- One-off for 2018/19 6.3 500 - Complete Stage 1 LEAP and transition of at least one data stream (AP, ED or WL) as per LHD/SHN Program Management Plan

Appears in 1 contract

Samples: www.svhs.org.au

Locations Service Requirement. Pancreas Transplantation – Nationally Funded Centre Westmead As per Nationally Funded Centre Agreement - Access for all patients across Australia accepted onto Nationally Funded Centre program Paediatric Liver Transplantation – Nationally Funded Centre SCHN Westmead Islet Cell Transplantation – Nationally Funded Centre Westmead Schedule C: Budget Part 1 Issued 14 July 2017 Schedule C Part 1 South Eastern Sydney Northern NSW LHD - Budget 2018/19 2018/19 2017/18 2017/18 BUDGET Comparative Data A B C D E F G H I Target Volume (NWAU18NWAU17) Volume (Admissions & Attendances) Indicative only State Price per NWAU18 NWAU17 LHD/SHN Projected Average Cost per NWAU18 NWAU17 Initial Budget 2018/19 2017/18 ($ '000) 2017/18 2016/17 Annualised Budget ($ '000) Variance Initial and Annualised ($ '000) Variance (%) Volume Forecast 2017/18 2016/17 (NWAU18NWAU17) A Acute Admitted 164,603 162,901 72,136 92,526 $4,713 4,691 $4,621 4,818 $759,665 338,389 $729,698 324,171 $29,967 161,434 14,218 70,528 Emergency Department 30,463 223,467 23,907 200,445 $140,485 112,148 $134,272 107,750 $6,213 29,709 4,397 23,505 Non Admitted Patients (Including Dental) 48,082 940,440 20,483 422,466 $221,901 96,084 $213,928 85,353 $7,973 47,324 10,730 18,654 Total 243,149 1,326,808 116,525 715,437 $1,122,051 546,621 $1,077,899 517,275 $44,152 4.129,345 5.7% 238,468 112,687 B Sub-Acute Services - Admitted 20,443 16,239 6,393 2,825 $4,713 4,691 $4,621 4,818 $94,264 29,988 $89,980 27,723 $4,285 19,909 2,265 6,053 Sub-Acute Services - Non Admitted 2,214 170 $10,230 797 $10,010 779 $219 2,214 18 170 Total 22,657 16,239 6,562 2,825 $104,494 30,785 $99,990 28,502 $4,504 4.52,283 8.0% 22,123 6,223 C Mental Health - Admitted (Acute and Sub-Acute) 13,359 3,216 8,152 2,339 $4,713 4,691 $4,621 4,818 $61,731 38,242 $60,408 33,773 $1,324 13,359 4,469 7,382 Mental Health - Non Admitted 10,319 243,346 8,512 147,105 $51,205 21,724 $48,650 20,403 $2,555 9,975 1,321 8,334 Mental Health - Classification Adjustment $2,440 457 $2,388 447 $52 9 Total 23,678 246,563 16,664 149,444 $115,376 60,423 $111,445 54,623 $3,931 3.55,799 10.6% 23,334 15,716 D Block Funding Allocation Block Funded Hospitals (Small Hospitals) $24,046 $23,507 $539 Block Funded Services In-Scope - Teaching, Training and Research $57,757 11,558 $56,519 11,299 $1,238 259 Total $58,416 35,603 $57,163 34,806 $1,253 2.2797 2.3% E State Only Block Funded Services Total $217,531 50,488 $212,867 49,357 $4,664 2.21,131 2.3% F Transition Grant $15,145 Transition Grant (excluding Mental Health) and RSCᵝ $15,145 $14,806 $339 2.3% G Gross-Up (Private Patient Service Adjustments) $70,207 13,013 $68,701 12,721 $1,505 2.2291 2.3% H Provision for Specific Initiatives & TMF Adjustments (not included above) Data Improvement Project * Additional Palliative Care Nurses $750 HAC Improvement Project $350 333 Purchasing Adjustors (incl Hospital Acquired Complications) -$1,149 HealthShare Accelerated Savings Program -$1,575 and Data Quality Projects $296 Better Value Care Initiatives $803 TMF Workers Compensation Premium Adjustment $308 Election Commitment - Additional Nursing, Midwifery and Support positions $354 Electricity escalations 392 Enhancement to Violence, Abuse and Neglect Services $2,004 New parents and children initiatives 396 Year 2 Drug & Alcohol Package $460 105 Total $6,629 2,634 $6,629 2,634 I Restricted Financial Asset Expenses $13,656 1,358 $13,656 1,358 J Depreciation (General Funds only) $57,826 30,500 $57,826 30,500 K Total Expenses (K=A+B+C+D+E+F+G+H+I+J) $1,766,187 786,569 $1,699,547 743,949 $66,639 3.942,620 5.7% L Other - Gain/Loss on disposal of assets etc $2,658 301 $2,658 301 M LHD Revenue -$1,722,798 -$1,646,709 -$76,089 -$767,281 -$714,707 -$52,574 N Net Result (N=K+L+M) $46,046 19,590 $55,496 -$9,450 General Note: ABF growth is funded at 90% of the State Price for all “business as usual” activity and new builds or new capacity has continued to be funded at the full State Price ᵝ Part of the Acute, ED and Subacute Admitted transition grant has been used to fund growth (see Schedule C glossary) * Data Improvement Project $250k to be allocated to Intra Health for XXX 29,544 Part 2 2018/19 2017/18 Schedule C Part 0 Xxxxx Xxxxxxx Xxxxxx 2 Northern NSW LHD $ (000's) A B C D E Government Grants Subsidy* -$1,091,840 -$559,174 In-Scope Services - Block Funded -$87,520 -$49,769 Out of Scope Services - Block Funded -$173,675 -$33,165 Capital Subsidy -$8,786 -$5,062 Crown Acceptance (Super, LSL) -$33,051 -$14,392 F Total Government Contribution (F=A+B+C+D+E) -$1,394,872 -$661,561 G H Own Source revenue GF Revenue -$304,046 -$103,851 Restricted Financial Asset Revenue -$23,880 -$1,869 I Total Own Source Revenue (I=G+H) -$327,926 -$105,719 J Total Revenue (J=F+I) -$1,722,798 -$767,281 K L M Total Expense Budget - General Funds $1,752,530 785,211 Restricted Financial Asset Expense Budget $13,656 1,358 Other Expense Budget $2,658 301 N Total Expense Budget as per Attachment C Part 1 (N=K+L+M) $1,768,845 786,871 O Net Result (O=J+N) $46,046 19,590 P Q R Net Result Represented by: Asset Movements -$44,212 -$19,086 Liability Movements -$1,835 -$504 Entity Transfers S Total (S=P+Q+R) -$46,046 -$19,590 Note: The minimum weekly cash reserve buffer for unrestricted cash at bank has been updated for FY 2017/18 to $2.8m and remains at approximately 4 days' cash expenses after removing Depreciation, Crown Acceptance and MOH Holdbacks). Based on final June 2017 cash balances, adjustments will be made in July 2017 to ensure alignment with the cash buffer requirements of NSW Treasury Circular TC15_01 Cash Management – Expanding the Scope of the Treasury Banking System. The Ministry will closely monitor cash at bank balances during the year to ensure compliance with this NSW Treasury policy. * The subsidy amount does not include items E and G, which are revenue receipts retained by the LHDs/SHNs and sit outside the National Pool. Part 3 Schedule C Part 3 2018/19Shared 2017/18Shared Services & Consolidated Statewide Payment Schedule South Eastern Sydney Northern NSW LHD $ (000's) HS Charges HS Service Centres HS Service Centres Warehousing HS Enable NSW HS Food Services HS Soft Service Charges HS Linen Services HS Recoups HS IPTAAS HS Fleet Services HS Patient Transport Services HS MEAPP $6,108 3,015 $22,741 10,624 $3,675 2,233 $29,992 18,827 $9,326 4,511 $11,556 3,929 $172$3,236 1,720 $7,125 3,147 $41 $1,494 Total HSS Charges $93,931 49,540 eHealth EH Corporate IT EH Information Services ICT SPA $6,227 1,801 $13,035 5,183 Total eHealth Charges $19,262 6,984 IH Transports Interhospital Ambulance Transports Interhospital Ambulance NETS $1,895 9,803 $109 49 Total Interhospital Ambulance Charges $2,004 9,852 Interhospital NETS Charges - SCHN $111 18 Payroll Total Payroll (including SGC, FSS, Excluding LSL & PAYG) $915,449 346,733 Loans MoH Loan Repayments Treasury Loan (SEDA) $805 Total Loans $805 Blood and Blood Products $14,160 3,874 NSW Pathology $50,746 17,875 Compacks (HSSG) $1,918 2,754 TMF Insurances (WC, MV & Property) $15,069 6,052 Energy Australia $14,835 5,065 Total $1,127,485 449,553 Note: This schedule represents initial estimates of Statewide recoveries processed by the Ministry on behalf of Service Providers. LHD's are responsible for regularly reviewing these estimates and liaising with the Ministry where there are discrepancies. The Ministry will work with LHD's and Service Providers throughout the year to ensure cash held back for these payments reflects actual trends. Consistent with prior years procedures, a mid year review will occur in January with further adjustments made if required. Note: The amounts above include GST, where applicable. Part 4 2018/19 2017/18 National Health Funding Body Service Agreement - South Eastern Sydney Northern NSW LHD Period: 1 July 2018 2017 - 30 June 2019 2018 National Reform Agreement Commonwealth Schedule C Part 4 Acute 152,039 71,725 ED 28,285 22,859 Mental Health 13,592 6,233 Sub Acute 24,751 5,651 Non Admitted 50,406 18,226 Activity Based Funding Total 269,074 124,694 Block Funding Total $42,081,265 14,890,692 Total 269,074 124,694 $42,081,265 14,890,692 Capital Program SOUTH EASTERN SYDNEY NORTHERN NSW LHD ASSET AUTHORISATION LIMITS 2018/19 2017/18 Capital Projects SMRT BP2 ETC 2018/19 2017/18 Estimated Expenditure to 30 June 2018 2017 Cost to Complete at 30 June 2018 2017 BP2 Allocation 2018/19 2017/18 XX0 Xxx. 0000/00 XX0 Xxx. 2020/21 2019/20 BP2 Est. 2021/22 2020/21 Balance to Complete $ $ $ $ $ $ $ $ WORKS IN PROGRESS SESLHD Minor Works & Equipment P51069 14,170,500 14,170,500 14,170,500 14,170,500 14,170,500 Asset Refurbishment/Replacement Strategy - Statewide P55345 2,421,788 St Xxxxxx 5,475,234 5,425,234 50,000 50,000 Xxxxxxx Xxxxxxxx Xxxxxxxx Xxxxxxx X00000 6,300,000 3,265,978 3,034,022 3,034,022 Grafton Hospital Cancer Redevelopment Ambulatory Care Centre Stage 5 P56131 3,990,000 1,532,099 2,457,901 2,457,901 Prince of Wales Hospital Digital Subtraction Angiography Unit P56242 1,110,000 151,959 958,041 958,041 Engadine Community P56047 7,000,000 2,132,952 4,867,048 4,867,048 Bullinah Aboriginal Health Centre - Construct Dental Clinic P56412 600,000 600,000 600,000 Service (Jali Health Post) Expan P56196 450,000 50,000 400,000 400,000 Minor Works and Equipment >$10,000 P51069 2,865,000 2,865,000 2,865,000 TOTAL WORKS IN PROGRESS 19,870,500 1,684,058 18,186,442 20,008,230 14,770,500 14,170,500 22,090,234 10,874,164 11,216,070 11,216,070 TOTAL ASSET ACQUISITION PROGRAM 19,870,500 1,684,058 18,186,442 20,008,230 14,770,500 14,170,500 22,090,234 10,874,164 11,216,070 11,216,070 PROJECTS MANAGED BY HEALTH INFRASTRUCTURE MAJOR NEW WORKS 0000/00 Xx Xxxxxx Xxxxxxxx Birthing Suite & Theatre Refurbishment P56410 11,500,000 0 11,500,000 10,000,000 1,500,000 2017/18 Lismore Hospital Redevelopment 3C - includes ICU 52,500,000 52,500,000 5,000,000 25,000,000 22,500,000 Tweed Hospital and Integrated Ambulatory Services Redevelopment 534,131,000 534,131,000 2,525,000 10,703,000 30,884,000 50,000,000 440,019,000 TOTAL MAJOR NEW WORKS 11,500,000 11,500,000 10,000,000 1,500,000 586,631,000 586,631,000 7,525,000 35,703,000 53,384,000 50,000,000 440,019,000 MAJOR WORKS IN PROGRESS St Xxxxxx Lismore Hospital Redevelopement Stage 3A & 3B P55028 260,250,000 154,628,046 105,621,954 27,780,838 43,915,638 33,925,478 Tweed Hospital and Car Park - Planning P56063 1,000,000 484,751 515,249 515,249 Tweed Hospital Redevelopment Stage 1 & Acute Services Building Cont (part B) P55333 265,500,000 261,690,894 3,809,106 3,809,106 Randwick Campus Reconfiguration and Expansion Stage 1 (including land acquisition) P56067 720,000,000 104,000,000 616,000,000 62,000,000 52,000,000 85,000,000 118,025,000 298,975,000 P56162 48,160,000 1,000,000 47,160,000 21,968,000 25,192,000 TOTAL MAJOR WORKS IN PROGRESS 985,500,000 365,690,894 619,809,106 65,809,106 52,000,000 85,000,000 118,025,000 298,975,000 309,410,000 156,112,797 153,297,203 49,748,838 69,622,887 33,925,478 TOTAL MANAGED BY HEALTH INFRASTRUCTURE 997,000,000 365,690,894 631,309,106 75,809,106 53,500,000 85,000,000 118,025,000 298,975,000 896,041,000 156,112,797 739,928,203 57,273,838 105,325,887 87,309,478 50,000,000 440,019,000 Notes: Expenditure needs to remain within the Asset Authorisation Limits indicated above Minor Works and Equipment > $10,000 includes a confund contribution of $6,014,686 1,578,000 This does not include new and existing Locally Funded Initiative (LFI) Projects which will be included in Initial Capital Allocation Letters Schedule D: Purchased Volumes Growth Investment Strategic Priority $’000 NWAU18 Performance Metric Activity Growth inclusive of Local Priority Issues Service Stream Target (NWAU17) Acute Inclusive of Xxxxxxxxxx and St Xxxxxx Service Expansion 2 - 164,603 As per Schedule E / Activity of New Service Identified Inpatient Services 72,136 Emergency Department 2.4 Services 23,907 Sub and Non Acute Inpatient Services - 30,463 As per Schedule E Sub-Acute (Admitted and Non-Admitted) 2 - 23,275 As per Schedule E All 6,393 Sub and Non Acute Inpatient Services – Palliative Care Component 3.3 1,977 Non Admitted Patient Services - 2,965 As per Schedule E Non-Admitted Tier 2 / 3 - 48,223 As per Schedule E Clinics 18,091 Public Dental Clinical Service – Total Dental Activity 1 - 16,511 2,562 (20,742 DWAU) As per Schedule E Mental Health Admitted 3.2 - 13,359 As per Schedule E Inpatient Activity 8,152 Mental Health Non-Non Admitted 3.2 - 10,319 As per Schedule E Mental Health Reforms Specialist child and adolescent community mental health services 3.2 - 110 Client-related hours Specialist adult community mental health services 3.2 - 73 Client-related hours Specialist older persons community mental health services 3.2 - 110 Client-related hours Service 8,512 Growth Investment Capital and Service Expansion: The Xxxxxxxxxx Hospital RADIUS 2 / 3 1,000 - Activity of new service identified Highly Specialised Service - Peritonectomy 2 1,030 - As per Schedule E Strategic Priority Target Performance Metric STATE PRIORITY Elective Surgery Volumes Number of Admissions from Surgical Waiting List - All Patients 2.4 19,900 13,900 Number Number of Admissions from Surgical Waiting List - Children < 16 Years Old 2.4 626 800 Number Growth Investment Strategic Priority $ ‘000 NWAU18 NWAU17 Performance Metric NSW HEALTH STRATEGIC PRIORITIES Providing World Class Clinical PROVIDING WORLD-CLASS CLINICAL CARE BETTER VALUE CARE Statewide Initiatives Management of Osteoarthritis – OACCP 2.2 39.345 ACI Evaluation Osteoporotic Refracture Prevention - ORP 2.2 13.115 ACI Evaluation Diabetes High Risk Foot Services – HRFS 2.2 18.66 ACI Evaluation Diabetes Mellitus 2.2 - ACI Evaluation Chronic Heart Failure – CHF 2.2 803 - ACI Evaluation Chronic Obstructive Pulmonary Disease – COPD 2.2 - ACI Evaluation Renal Supportive Care Where Patient 2.2 & 3.3 53 ACI Evaluation Adverse Events: Falls in Hospitals 2.1 - CEC Criteria Total NWAU 124.12 IMPLEMENTATION INVESTMENT Improving Safety is First Hospital Acquired Complications (HAC) initiatives 2.1 350 and Quality Data Data quality improvement – clinical coding / documentation 6 600 - Demonstration of reduction in HAC ETP 2.4 44 - ETP Trajectory Leading Better Value Care – Program Support Transition 2.2 Data quality improvement XXXXXX business implementation 6 250 - Deployment of emergency department and wait list data streams Growth Investment Strategic Priority $ ‘000 NWAU17 Performance against LBVC Deliverables Integrate Systems to Deliver Truly Connected Care Metric INTEGRATED CARE Local Initiatives/s Integrated Care Strategy The Integrated Care purchasing model program Not included in Schedule C, a separate budget supplementation for 2018/19 converts 25% of the existing recurrent funding for Integrated Care for People with Chronic Conditions (ICPCC) (previously the Chronic Disease Management Program) into purchased activity for each LHD/SHN. This is shown as NWAU for each LHD/SHN. this amount will be provided in July 2017 3.1 1,478 164 1,100 - Demonstration of delivery of activities outlined in the approved Activity Work Plan and meeting data collection requirements (including monitoring, evaluation, and the Patient Flow Portal) RPM Roadmap Growth Investment Strategic Priority $ NWAU17 Performance Metric SERVICE INVESTMENT System Priority Investment Clinical Redesign of NSW Health Responses to Violence, Abuse and Neglect 3.6 410 with general escalation applied for 2018/19 396,353 - Commence implementation of local VAN service Participation in clinical redesign and recruitment of permanent additional clinical staff where staffing gaps have been Local Priority Issues Acute Including increased surgery capacity at Lismore and The Tweed, expanded bowel screening services 2 - 72,136 Activity of new service identified Enable eHealthEmergency Department 2.4 - 23,907 Activity of new service identified Sub-Acute (Admitted and Non-Admitted) 2 - 6,393 Activity of new service identified Non-Admitted Including expansion of community based services 2 / 3 - 18,091 Activity of new service identified Mental Health Admitted Including annualisation of Xxxxx Central Hospital 3.2 - 8,152 Activity of new service identified Mental Health Non-Admitted 3.2 - 8,512 Activity of new service identified Schedule E: Performance against Strategies and Objectives The performance of Districts, Networks, other Health Information Services and Support Organisations is assessed in terms of whether it is meeting performance targets for individual key performance indicators for each NSW Health Strategic Priority.  Performing Performance at, or better than, target  Underperforming Performance within a tolerance range X Not performing Performance outside the tolerance threshold Detailed specifications for the key performance indicators are provided in the Service Agreement Data Analytics Data quality Supplement along with the list of improvement – clinical coding / documentation 6.3 250 - Data quality improvement XXXXXX business implementation $250,000 measures that will continue to be allocated tracked by the Ministry’s Business Owners - see xxxx://xxxx.health.nsw.gov.au/xxxx/view_data_resource_description.cfm?ItemID=22508 Performance concerns will be raised with the Organisation for focused discussion at performance review meetings in line with the NSW Health Performance Framework. The Data Supplement also maps indicators and measures to Intra key strategic programs including  Premier’s and State Priorities  Election Commitments  Better Value Care  Patient Safety First  Mental Health for XXX - One- off for 2018/19 6.3 500 - Complete Stage 1 LEAP Reform  Financial Management Transformations Key deliverables under the NSW Health Strategic Priorities 2017-18 will also be monitored, noting that process key performance indicators and transition of at least one data stream (AP, ED or WL) as per LHD/SHN Program Management Planmilestones are held in the detailed Operational Plans developed by each Health Service and Support Organisation. Key Performance Indicators Strategic Priority Domain Measure Target Not Performing X Under Performing  Performing 

Appears in 1 contract

Samples: 2017 18 Service Agreement

Locations Service Requirement. Pancreas Transplantation – Nationally Funded Centre Westmead As per Nationally Funded Centre Agreement - Access for all patients across Australia accepted onto Nationally Funded Centre program Paediatric Liver Transplantation – Nationally Funded Centre SCHN Westmead Islet Cell Transplantation – Nationally Funded Centre Westmead Schedule C: Budget Part 1 Schedule C Part 1 South Eastern Sydney Mid North Coast LHD - Budget 2018/19 2018/19 BUDGET Comparative Data A B C D E F G H I Target Volume (NWAU18) Volume (Admissions & Attendances) Indicative only State Price per NWAU18 LHD/SHN Projected Average Cost per NWAU18 Initial Budget 2018/19 ($ '000) 2017/18 Annualised Budget ($ '000) Variance Initial and Annualised ($ '000) Variance (%) Volume Forecast 2017/18 (NWAU18) A Acute Admitted 164,603 162,901 57,534 71,195 $4,713 $4,621 4,658 $759,665 267,364 $729,698 255,219 $29,967 161,434 12,145 56,022 Emergency Department 30,463 223,467 15,288 121,529 $140,485 71,094 $134,272 67,858 $6,213 29,709 3,236 14,895 Non Admitted Patients (Including Dental) 48,082 940,440 20,036 423,840 $221,901 93,152 $213,928 89,384 $7,973 47,324 3,768 19,618 Total 243,149 1,326,808 92,857 616,564 $1,122,051 431,610 $1,077,899 412,460 $44,152 4.119,150 4.6% 238,468 90,535 B Sub-Acute Services - Admitted 20,443 16,239 4,095 2,205 $4,713 $4,621 4,658 $94,264 19,023 $89,980 18,080 $4,285 19,909 943 3,969 Sub-Acute Services - Non Admitted 2,214 848 $10,230 3,948 $10,010 3,863 $219 2,214 85 848 Total 22,657 16,239 4,943 2,205 $104,494 22,971 $99,990 21,943 $4,504 4.51,027 4.7% 22,123 4,817 C Mental Health - Admitted (Acute and Sub-Acute) 13,359 3,216 5,253 1,500 $4,713 $4,621 4,658 $61,731 24,404 $60,408 23,237 $1,324 13,359 1,168 5,101 Mental Health - Non Admitted 10,319 243,346 2,710 57,954 $51,205 12,848 $48,650 12,211 $2,555 9,975 637 2,625 Mental Health - Classification Adjustment $2,440 978 $2,388 957 $52 21 Total 23,678 246,563 7,963 59,454 $115,376 38,231 $111,445 36,405 $3,931 3.51,826 5.0% 23,334 7,726 D Block Funding Allocation Block Funded Hospitals (Small Hospitals) $33,347 $32,632 $715 Block Funded Services In-Scope - Teaching, Training and Research $57,757 13,612 $56,519 13,320 $1,238 292 Total $58,416 46,959 $57,163 45,952 $1,253 1,007 2.2% E State Only Block Funded Services Total $217,531 54,792 $212,867 53,618 $4,664 1,174 2.2% F Transition Grant $4,938 Transition Grant (excluding Mental Health) and RSCᵝ $4,938 $4,832 $106 2.2% G Gross-Up (Private Patient Service Adjustments) $70,207 13,178 $68,701 12,896 $1,505 282 2.2% H Provision for Specific Initiatives & TMF Adjustments (not included above) Data Improvement Project * $750 HAC Improvement Project $350 Leading Better Value Care Program Support Transition $150 Purchasing Adjustors (incl Hospital Acquired Complications) -$1,149 -$431 Commissioning - Mid North Coast $300 HealthShare Accelerated Savings Program -$1,575 -$419 Election Commitment - Additional Nursing, Midwifery and Support positions $354 542 Electricity escalations $2,004 802 ICT escalation (Intra Health) $974 New parents and children initiatives $460 275 Total $6,629 3,293 $6,629 3,293 I Restricted Financial Asset Expenses $13,656 967 $13,656 967 J Depreciation (General Funds only) $57,826 16,904 $57,826 16,904 K Total Expenses (K=A+B+C+D+E+F+G+H+I+J) $1,766,187 633,842 $1,699,547 605,978 $66,639 3.927,865 4.6% L Other - Gain/Loss on disposal of assets etc $2,658 594 $2,658 594 M LHD Revenue -$1,722,798 -$1,646,709 -$76,089 -$625,349 -$590,394 -$34,955 N Net Result (N=K+L+M) $46,046 9,087 $55,496 -$9,450 16,177 -$7,090 General Note: ABF growth is funded at 90% of the State Price for all “business as usual” activity and new builds or new capacity has continued to be funded at the full State Price ᵝ Part of the Acute, ED and Subacute Admitted transition grant has been used to fund growth (see Schedule C glossary) * Data Improvement Project $250k to be allocated to Intra Health for XXX Part 2 2018/19 Schedule C Part 0 Xxxxx Xxxxxxx Xxxxxx 2 Mid North Coast LHD $ (000's) A B C D E Government Grants Subsidy* -$1,091,840 -$427,150 In-Scope Services - Block Funded -$87,520 -$55,709 Out of Scope Services - Block Funded -$173,675 -$47,145 Capital Subsidy -$8,786 -$7,155 Crown Acceptance (Super, LSL) -$33,051 -$8,629 F Total Government Contribution (F=A+B+C+D+E) -$1,394,872 -$545,789 G H Own Source revenue GF Revenue -$304,046 -$78,152 Restricted Financial Asset Revenue -$23,880 -$1,408 I Total Own Source Revenue (I=G+H) -$327,926 -$79,560 J Total Revenue (J=F+I) -$1,722,798 -$625,349 K L M Total Expense Budget - General Funds $1,752,530 632,876 Restricted Financial Asset Expense Budget $13,656 967 Other Expense Budget $2,658 594 N Total Expense Budget as per Attachment C Part 1 (N=K+L+M) $1,768,845 634,436 O Net Result (O=J+N) $46,046 9,087 P Q R Net Result Represented by: Asset Movements -$44,212 -$8,447 Liability Movements -$1,835 -$641 Entity Transfers S Total (S=P+Q+R) -$46,046 -$9,087 Note: The Ministry will closely monitor cash at bank balances during the year to ensure compliance with this NSW Treasury policy. * The subsidy amount does not include items E and G, which are revenue receipts retained by the LHDs/SHNs and sit outside the National Pool. Part 3 Schedule C Part 3 2018/19Shared Services & Consolidated Statewide Payment Schedule South Eastern Sydney Mid North Coast LHD $ (000's) HS Charges HS Service Centres HS Service Centres Warehousing HS Enable NSW HS Food Services HS Soft Service Charges HS Linen Services HS Recoups HS IPTAAS HS Fleet Services HS Patient Transport Services HS MEAPP $6,108 2,368 $22,741 8,678 $3,675 1,348 $29,992 12,728 $9,326 3,837 $11,556 3,072 $172$3,236 2,870 $7,125 2,085 $114 $962 Total HSS Charges $93,931 38,063 eHealth EH Corporate IT EH Information Services ICT SPA $6,227 2,164 $13,035 4,939 Total eHealth Charges $19,262 7,103 IH Transports Interhospital Ambulance Transports Interhospital Ambulance NETS $1,895 6,431 $109 477 Total Interhospital Ambulance Charges $2,004 6,908 Interhospital NETS Charges - SCHN $111 81 Payroll Total Payroll (including SGC, FSS, Excluding LSL & PAYG) $915,449 284,377 Loans MoH Loan Repayments Treasury Loan (SEDA) $17 Total Loans $17 Blood and Blood Products $14,160 4,045 NSW Pathology $50,746 9,324 Compacks (HSSG) $1,918 2,169 TMF Insurances (WC, MV & Property) $15,069 5,241 Energy Australia $14,835 4,521 Total $1,127,485 361,850 Note: This schedule represents initial estimates of Statewide recoveries processed by the Ministry on behalf of Service Providers. LHD's are responsible for regularly reviewing these estimates and liaising with the Ministry where there are discrepancies. The Ministry will work with LHD's and Service Providers throughout the year to ensure cash held back for these payments reflects actual trends. Consistent with prior years procedures, a mid year review will occur in January with further adjustments made if required. Note: The amounts above include GST, where applicable. Part 4 2018/19 National Health Funding Body Service Agreement - South Eastern Sydney Mid North Coast LHD Period: 1 July 2018 - 30 June 2019 National Reform Agreement Commonwealth Schedule C Part 4 Acute 152,039 54,164 ED 28,285 14,552 Mental Health 13,592 5,311 Sub Acute 24,751 4,362 Non Admitted 50,406 20,551 Activity Based Funding Total 269,074 98,940 Block Funding Total $42,081,265 19,399,348 Total 269,074 98,940 $42,081,265 19,399,348 Capital Program SOUTH EASTERN SYDNEY MID NORTH COAST LHD ASSET AUTHORISATION LIMITS 2018/19 Capital Projects SMRT BP2 ETC 2018/19 Estimated Expenditure to 30 June 2018 Cost to Complete at 30 June 2018 BP2 Allocation 2018/19 XX0 Xxx. 0000/00 XX0 Xxx. 2020/21 BP2 Est. 2021/22 Balance to Complete $ $ $ $ $ $ $ $ WORKS IN PROGRESS SESLHD MNCLHD Minor Works & Equipment P51069 14,170,500 14,170,500 14,170,500 14,170,500 14,170,500 3,262,500 0 3,262,500 3,262,500 3,262,000 0000000 Asset Refurbishment/Replacement Strategy - Statewide P55345 2,421,788 St Xxxxxx Hospital Cancer Care Centre Stage 5 P56131 3,990,000 1,532,099 2,457,901 2,457,901 Prince of Wales Hospital Digital Subtraction Angiography Unit P56242 1,110,000 151,959 958,041 958,041 Engadine Community Health Centre - Construct Dental Clinic P56412 600,000 600,000 600,000 5,732,425 MNCLHD Energy Efficient Government Program P56342 7,716,081 3,363,113 4,352,968 4,352,968 MNCLHD Energy Efficient Government Program P56357 1,068,268 750,797 317,471 317,471 TOTAL WORKS IN PROGRESS 19,870,500 1,684,058 18,186,442 20,008,230 14,770,500 14,170,500 12,046,849 4,113,910 7,932,939 13,665,364 3,262,500 3,262,500 TOTAL ASSET ACQUISITION PROGRAM 19,870,500 1,684,058 18,186,442 20,008,230 14,770,500 14,170,500 12,046,849 4,113,910 7,932,939 13,665,364 3,262,500 3,262,500 PROJECTS MANAGED BY HEALTH INFRASTRUCTURE MAJOR NEW WORKS XXX XXXXX 0000/00 Xx Xxxxxx Xxxxxxxx Birthing Suite & Theatre Refurbishment P56410 Xxxx Xxxxxxxxx Hospital Car Park P56404 11,500,000 0 11,500,000 10,000,000 1,500,000 5,000,000 6,500,000 TOTAL MAJOR NEW WORKS 11,500,000 11,500,000 10,000,000 1,500,000 5,000,000 6,500,000 MAJOR WORKS IN PROGRESS St Xxxxxx Coffs Harbour Hospital Expansion P56166 194,000,000 5,000,000 189,000,000 15,500,000 89,000,000 84,500,000 Macksville Hospital Redevelopment Stage 1 & Acute Services Building Cont (part B) P55333 265,500,000 261,690,894 3,809,106 3,809,106 Randwick Campus Reconfiguration and 2 P56040 73,000,000 51,114,543 21,885,457 9,135,457 2,750,000 10,000,000 Port Macquarie Hospital Mental Health Expansion Stage 1 (including land acquisition) P56067 720,000,000 104,000,000 616,000,000 62,000,000 52,000,000 85,000,000 118,025,000 298,975,000 P56161 17,008,000 14,372,701 2,635,299 2,635,299 TOTAL MAJOR WORKS IN PROGRESS 985,500,000 365,690,894 619,809,106 65,809,106 52,000,000 85,000,000 118,025,000 298,975,000 284,008,000 70,487,244 213,520,756 27,270,756 91,750,000 84,500,000 10,000,000 TOTAL MANAGED BY HEALTH INFRASTRUCTURE 997,000,000 365,690,894 631,309,106 75,809,106 53,500,000 85,000,000 118,025,000 298,975,000 295,508,000 70,487,244 225,020,756 32,270,756 98,250,000 84,500,000 10,000,000 Notes: Expenditure needs to remain within the Asset Authorisation Limits indicated above Minor Works and Equipment > $10,000 includes a confund contribution of $6,014,686 1,423,000 This does not include new and existing Locally Funded Initiative (LFI) Projects which will be included in Initial Capital Allocation Letters Schedule D: Purchased Volumes Growth Investment Strategic Priority $’000 NWAU18 Performance Metric Activity Growth inclusive of Local Priority Issues Acute Inclusive of Xxxxxxxxxx and St Xxxxxx Service Intensive Care Unit Expansion – Coffs Harbour 2 - 164,603 57,534 As per Schedule E / / Activity of New Service Identified Emergency Department Inclusive of Emergency Department Expansion – Coffs Harbour 2.4 - 15,288 As per Schedule E / Activity of New Service Identified Emergency Department 2.4 - 30,463 As per Schedule E Sub-Acute (Admitted and Non-Admitted) 2 - 23,275 4,095 As per Schedule E Sub and Non Acute Inpatient Services – Palliative Care Component 3.3 - 2,965 1,012 As per Schedule E Non-Admitted 2 / 3 - 48,223 18,797 As per Schedule E Public Dental Clinical Service – Total Dental Activity 1 - 16,511 16,619 (DWAU) As per Schedule E Mental Health Admitted Inclusive of Child and Adolescent Service Expansion – Port Macquarie 3.2 - 13,359 5,253 As per Schedule E / Activity of New Service Identified Mental Health Non-Admitted 3.2 - 10,319 2,710 As per Schedule E Mental Health Reforms Specialist child and adolescent community mental health services 3.2 - 110 37 Client-related hours Specialist adult community mental health services 3.2 - 73 18 Client-related hours Specialist older persons community mental health services 3.2 - 110 18 Client-related hours Service Investment Capital and Mid North Coast Service Expansion: The Xxxxxxxxxx Hospital RADIUS 2 / 3 1,000 Expansions 7.1 300 - Activity of new service identified Highly Specialised Service - Peritonectomy 2 1,030 - As per Schedule E Strategic Priority Target Performance Metric STATE PRIORITY Elective Surgery Volumes Number of Admissions from Surgical Waiting List - All Patients 2.4 19,900 11,873 Number Number of Admissions from Surgical Waiting List - Children < 16 Years Old 2.4 626 576 Number Growth Investment Strategic Priority $ ‘000 NWAU18 Performance Metric NSW HEALTH STRATEGIC PRIORITIES Providing World Class Clinical Care Where Patient Safety is First Hospital Acquired Complications (HAC) initiatives 2.1 350 - Demonstration of reduction in HAC ETP 2.4 44 85 - ETP Trajectory Leading Better Value Care – Program Support Transition 2.2 250 150 - Performance against LBVC Deliverables Integrate Systems to Deliver Truly Connected Care Integrated Care Strategy The Integrated Care purchasing model for 2018/19 converts 25% of the existing recurrent funding for Integrated Care for People with Chronic Conditions (ICPCC) (previously the Chronic Disease Management Program) into purchased activity for each LHD/SHN. This is shown as NWAU for each LHD/SHN. 3.1 1,478 164 520 77 Demonstration of delivery of activities outlined in the approved Activity Work Plan and meeting data collection requirements (including monitoring, evaluation, and the Patient Flow Portal) Clinical Redesign of NSW Health Responses to Violence, Abuse and Neglect 3.6 410 342 with general escalation applied for 2018/19 - Commence implementation of local VAN service redesign and recruitment of permanent clinical staff where staffing gaps have been identified Enable eHealth, Health Information and Data Analytics Data quality improvement – clinical coding / documentation 6.3 250 - Data quality improvement XXXXXX business implementation $250,000 to be allocated to Intra Health for XXX - One- One-off for 2018/19 6.3 500 - Complete Stage 1 LEAP and transition of at least one data stream (AP, ED or WL) as per LHD/SHN District Program Management Plan

Appears in 1 contract

Samples: mnclhd.health.nsw.gov.au

Locations Service Requirement. Pancreas Transplantation – Nationally Funded Centre Westmead As per Nationally Funded Centre Agreement - Access for all patients across Australia accepted onto Nationally Funded Centre program Paediatric Liver Transplantation – Nationally Funded Centre SCHN Westmead Islet Cell Transplantation – Nationally Funded Centre Westmead Schedule C: Budget Part 1 Schedule C Part 1 South Eastern Sydney Mid North Coast LHD - Budget 2018/19 2018/19 BUDGET Comparative Data A B C D E F G H I Target Volume (NWAU18) Volume (Admissions & Attendances) Indicative only State Price per NWAU18 LHD/SHN Projected Average Cost per NWAU18 Initial Budget 2018/19 ($ '000) 2017/18 Annualised Budget ($ '000) Variance Initial and Annualised ($ '000) Variance (%) Volume Forecast 2017/18 (NWAU18) A Acute Admitted 164,603 162,901 57,534 71,195 $4,713 $4,621 4,658 $759,665 267,364 $729,698 255,219 $29,967 161,434 12,145 56,022 Emergency Department 30,463 223,467 15,288 121,529 $140,485 71,094 $134,272 67,858 $6,213 29,709 3,236 14,895 Non Admitted Patients (Including Dental) 48,082 940,440 20,036 423,840 $221,901 93,152 $213,928 89,384 $7,973 47,324 3,768 19,618 Total 243,149 1,326,808 92,857 616,564 $1,122,051 431,610 $1,077,899 412,460 $44,152 4.119,150 4.6% 238,468 90,535 B Sub-Acute Services - Admitted 20,443 16,239 4,095 2,205 $4,713 $4,621 4,658 $94,264 19,023 $89,980 18,080 $4,285 19,909 943 3,969 Sub-Acute Services - Non Admitted 2,214 848 $10,230 3,948 $10,010 3,863 $219 2,214 85 848 Total 22,657 16,239 4,943 2,205 $104,494 22,971 $99,990 21,943 $4,504 4.51,027 4.7% 22,123 4,817 C Mental Health - Admitted (Acute and Sub-Acute) 13,359 3,216 5,253 1,500 $4,713 $4,621 4,658 $61,731 24,404 $60,408 23,237 $1,324 13,359 1,168 5,101 Mental Health - Non Admitted 10,319 243,346 2,710 57,954 $51,205 12,848 $48,650 12,211 $2,555 9,975 637 2,625 Mental Health - Classification Adjustment $2,440 978 $2,388 957 $52 21 Total 23,678 246,563 7,963 59,454 $115,376 38,231 $111,445 36,405 $3,931 3.51,826 5.0% 23,334 7,726 D Block Funding Allocation Block Funded Hospitals (Small Hospitals) $33,347 $32,632 $715 Block Funded Services In-Scope - Teaching, Training and Research $57,757 13,612 $56,519 13,320 $1,238 292 Total $58,416 46,959 $57,163 45,952 $1,253 1,007 2.2% E State Only Block Funded Services Total $217,531 54,792 $212,867 53,618 $4,664 1,174 2.2% F Transition Grant $4,938 Transition Grant (excluding Mental Health) and RSCᵝ $4,938 $4,832 $106 2.2% G Gross-Up (Private Patient Service Adjustments) $70,207 13,178 $68,701 12,896 $1,505 282 2.2% H Provision for Specific Initiatives & TMF Adjustments (not included above) Data Improvement Project * $750 HAC Improvement Project $350 Leading Better Value Care Program Support Transition $150 Purchasing Adjustors (incl Hospital Acquired Complications) -$1,149 -$431 Commissioning - Mid North Coast $300 HealthShare Accelerated Savings Program -$1,575 -$419 Election Commitment - Additional Nursing, Midwifery and Support positions $354 542 Electricity escalations $2,004 802 ICT escalation (Intra Health) $974 New parents and children initiatives $460 275 Total $6,629 3,293 $6,629 3,293 I Restricted Financial Asset Expenses $13,656 967 $13,656 967 J Depreciation (General Funds only) $57,826 16,904 $57,826 16,904 K Total Expenses (K=A+B+C+D+E+F+G+H+I+J) $1,766,187 633,842 $1,699,547 605,978 $66,639 3.927,865 4.6% L Other - Gain/Loss on disposal of assets etc $2,658 594 $2,658 594 M LHD Revenue -$1,722,798 -$1,646,709 -$76,089 -$625,349 -$590,394 -$34,955 N Net Result (N=K+L+M) $46,046 9,087 $55,496 -$9,450 16,177 -$7,090 General Note: ABF growth is funded at 90% of the State Price for all “business as usual” activity and new builds or new capacity has continued to be funded at the full State Price ᵝ Part of the Acute, ED and Subacute Admitted transition grant has been used to fund growth (see Schedule C glossary) * Data Improvement Project $250k to be allocated to Intra Health for XXX Part 2 2018/19 Schedule C Part 0 Xxxxx Xxxxxxx Xxxxxx 2 Mid North Coast LHD $ (000's) A B C D E Government Grants Subsidy* -$1,091,840 -$427,150 In-Scope Services - Block Funded -$87,520 -$55,709 Out of Scope Services - Block Funded -$173,675 -$47,145 Capital Subsidy -$8,786 -$7,155 Crown Acceptance (Super, LSL) -$33,051 -$8,629 F Total Government Contribution (F=A+B+C+D+E) -$1,394,872 -$545,789 G H Own Source revenue GF Revenue -$304,046 -$78,152 Restricted Financial Asset Revenue -$23,880 -$1,408 I Total Own Source Revenue (I=G+H) -$327,926 -$79,560 J Total Revenue (J=F+I) -$1,722,798 -$625,349 K L M Total Expense Budget - General Funds $1,752,530 632,876 Restricted Financial Asset Expense Budget $13,656 967 Other Expense Budget $2,658 594 N Total Expense Budget as per Attachment C Part 1 (N=K+L+M) $1,768,845 634,436 O Net Result (O=J+N) $46,046 9,087 P Q R Net Result Represented by: Asset Movements -$44,212 -$8,447 Liability Movements -$1,835 -$641 Entity Transfers S Total (S=P+Q+R) -$46,046 -$9,087 Note: The Ministry will closely monitor cash at bank balances during the year to ensure compliance with this NSW Treasury policy. * The subsidy amount does not include items E and G, which are revenue receipts retained by the LHDs/SHNs and sit outside the National Pool. Part 3 Schedule C Part 3 2018/19Shared Services & Consolidated Statewide Payment Schedule South Eastern Sydney Mid North Coast LHD $ (000's) HS Charges HS Service Centres HS Service Centres Warehousing HS Enable NSW HS Food Services HS Soft Service Charges HS Linen Services HS Recoups HS IPTAAS HS Fleet Services HS Patient Transport Services HS MEAPP $6,108 2,368 $22,741 8,678 $3,675 1,348 $29,992 12,728 $9,326 3,837 $11,556 3,072 $172$3,236 2,870 $7,125 2,085 $114 $962 Total HSS Charges $93,931 38,063 eHealth EH Corporate IT EH Information Services ICT SPA $6,227 2,164 $13,035 4,939 Total eHealth Charges $19,262 7,103 IH Transports Interhospital Ambulance Transports Interhospital Ambulance NETS $1,895 6,431 $109 477 Total Interhospital Ambulance Charges $2,004 6,908 Interhospital NETS Charges - SCHN $111 81 Payroll Total Payroll (including SGC, FSS, Excluding LSL & PAYG) $915,449 284,377 Loans MoH Loan Repayments Treasury Loan (SEDA) $17 Total Loans $17 Blood and Blood Products $14,160 4,045 NSW Pathology $50,746 9,324 Compacks (HSSG) $1,918 2,169 TMF Insurances (WC, MV & Property) $15,069 5,241 Energy Australia $14,835 4,521 Total $1,127,485 361,850 Note: This schedule represents initial estimates of Statewide recoveries processed by the Ministry on behalf of Service Providers. LHD's are responsible for regularly reviewing these estimates and liaising with the Ministry where there are discrepancies. The Ministry will work with LHD's and Service Providers throughout the year to ensure cash held back for these payments reflects actual trends. Consistent with prior years procedures, a mid year review will occur in January with further adjustments made if required. Note: The amounts above include GST, where applicable. Part 4 2018/19 National Health Funding Body Service Agreement - South Eastern Sydney Mid North Coast LHD Period: 1 July 2018 - 30 June 2019 National Reform Agreement Commonwealth Schedule C Part 4 Acute 152,039 54,164 ED 28,285 14,552 Mental Health 13,592 5,311 Sub Acute 24,751 4,362 Non Admitted 50,406 20,551 Activity Based Funding Total 269,074 98,940 Block Funding Total $42,081,265 19,399,348 Total 269,074 98,940 $42,081,265 19,399,348 Capital Program SOUTH EASTERN SYDNEY MID NORTH COAST LHD ASSET AUTHORISATION LIMITS 2018/19 Capital Projects SMRT BP2 ETC 2018/19 Estimated Expenditure to 30 June 2018 Cost to Complete at 30 June 2018 BP2 Allocation 2018/19 XX0 Xxx. 0000/00 XX0 Xxx. 2020/21 BP2 Est. 2021/22 Balance to Complete $ $ $ $ $ $ $ $ WORKS IN PROGRESS SESLHD MNCLHD Minor Works & Equipment P51069 14,170,500 14,170,500 14,170,500 14,170,500 14,170,500 3,262,500 0 3,262,500 3,262,500 3,262,000 0000000 Asset Refurbishment/Replacement Strategy - Statewide P55345 2,421,788 St Xxxxxx Hospital Cancer Care Centre Stage 5 P56131 3,990,000 1,532,099 2,457,901 2,457,901 Prince of Wales Hospital Digital Subtraction Angiography Unit P56242 1,110,000 151,959 958,041 958,041 Engadine Community Health Centre - Construct Dental Clinic P56412 600,000 600,000 600,000 5,732,425 MNCLHD Energy Efficient Government Program P56342 7,716,081 3,363,113 4,352,968 4,352,968 MNCLHD Energy Efficient Government Program P56357 1,068,268 750,797 317,471 317,471 TOTAL WORKS IN PROGRESS 19,870,500 1,684,058 18,186,442 20,008,230 14,770,500 14,170,500 12,046,849 4,113,910 7,932,939 13,665,364 3,262,500 3,262,500 TOTAL ASSET ACQUISITION PROGRAM 19,870,500 1,684,058 18,186,442 20,008,230 14,770,500 14,170,500 12,046,849 4,113,910 7,932,939 13,665,364 3,262,500 3,262,500 PROJECTS MANAGED BY HEALTH INFRASTRUCTURE MAJOR NEW WORKS XXX XXXXX 0000/00 Xx Xxxxxx Xxxxxxxx Birthing Suite & Theatre Refurbishment P56410 Xxxx Xxxxxxxxx Hospital Car Park P56404 11,500,000 0 11,500,000 10,000,000 1,500,000 5,000,000 6,500,000 TOTAL MAJOR NEW WORKS 11,500,000 11,500,000 10,000,000 1,500,000 5,000,000 6,500,000 MAJOR WORKS IN PROGRESS St Xxxxxx Coffs Harbour Hospital Expansion P56166 194,000,000 5,000,000 189,000,000 15,500,000 89,000,000 84,500,000 Macksville Hospital Redevelopment Stage 1 & Acute Services Building Cont (part B) P55333 265,500,000 261,690,894 3,809,106 3,809,106 Randwick Campus Reconfiguration and 2 P56040 73,000,000 51,114,543 21,885,457 9,135,457 2,750,000 10,000,000 Port Macquarie Hospital Mental Health Expansion Stage 1 (including land acquisition) P56067 720,000,000 104,000,000 616,000,000 62,000,000 52,000,000 85,000,000 118,025,000 298,975,000 P56161 17,008,000 14,372,701 2,635,299 2,635,299 TOTAL MAJOR WORKS IN PROGRESS 985,500,000 365,690,894 619,809,106 65,809,106 52,000,000 85,000,000 118,025,000 298,975,000 284,008,000 70,487,244 213,520,756 27,270,756 91,750,000 84,500,000 10,000,000 TOTAL MANAGED BY HEALTH INFRASTRUCTURE 997,000,000 365,690,894 631,309,106 75,809,106 53,500,000 85,000,000 118,025,000 298,975,000 295,508,000 70,487,244 225,020,756 32,270,756 98,250,000 84,500,000 10,000,000 Notes: Expenditure needs to remain within the Asset Authorisation Limits indicated above Minor Works and Equipment > $10,000 includes a confund contribution of $6,014,686 1,423,000 This does not include new and existing Locally Funded Initiative (LFI) Projects which will be included in Initial Capital Allocation Letters Schedule D: Purchased Volumes Growth Investment Strategic Priority $’000 NWAU18 Performance Metric Activity Growth inclusive of Local Priority Issues Acute Inclusive of Xxxxxxxxxx and St Xxxxxx Service Intensive Care Unit Expansion – Coffs Harbour 2 - 164,603 57,534 As per Schedule E / / Activity of New Service Identified Emergency Department Inclusive of Emergency Department Expansion – Coffs Harbour 2.4 - 15,288 As per Schedule E / Activity of New Service Identified Emergency Department 2.4 - 30,463 As per Schedule E Sub-Acute (Admitted and Non-Admitted) 2 - 23,275 4,095 As per Schedule E Sub and Non Acute Inpatient Services – Palliative Care Component 3.3 - 2,965 1,012 As per Schedule E Non-Admitted 2 / 3 - 48,223 18,797 As per Schedule E Public Dental Clinical Service – Total Dental Activity 1 - 16,511 16,619 (DWAU) As per Schedule E Mental Health Admitted Inclusive of Child and Adolescent Service Expansion – Port Macquarie 3.2 - 13,359 5,253 As per Schedule E / Activity of New Service Identified Mental Health Non-Admitted 3.2 - 10,319 2,710 As per Schedule E Mental Health Reforms Specialist child and adolescent community mental health services 3.2 - 110 37 Client-related hours Specialist adult community mental health services 3.2 - 73 18 Client-related hours Specialist older persons community mental health services 3.2 - 110 18 Client-related hours Service Investment Capital and Mid North Coast Service Expansion: The Xxxxxxxxxx Hospital RADIUS 2 / 3 1,000 Expansions 7.1 300 - Activity of new service identified Highly Specialised Service - Peritonectomy 2 1,030 - As per Schedule E Strategic Priority Target Performance Metric STATE PRIORITY Elective Surgery Volumes Number of Admissions from Surgical Waiting List - All Patients 2.4 19,900 11,873 Number Number of Admissions from Surgical Waiting List - Children < 16 Years Old 2.4 626 576 Number Growth Investment Strategic Priority $ ‘000 NWAU18 Performance Metric NSW HEALTH STRATEGIC PRIORITIES Providing World Class Clinical Care Where Patient Safety is First Hospital Acquired Complications (HAC) initiatives 2.1 350 - Demonstration of reduction in HAC ETP 2.4 44 85 - ETP Trajectory Leading Better Value Care – Program Support Transition 2.2 250 150 - Performance against LBVC Deliverables Integrate Systems to Deliver Truly Connected Care Integrated Care Strategy The Integrated Care purchasing model for 2018/19 converts 25% of the existing recurrent funding for Integrated Care for People with Chronic Conditions (ICPCC) (previously the Chronic Disease Management Program) into purchased activity for each LHD/SHN. This is shown as NWAU for each LHD/SHN. 3.1 1,478 164 520 77 Demonstration of delivery of activities outlined in the approved Activity Work Plan and meeting data collection requirements (including monitoring, evaluation, and the Patient Flow Portal) Clinical Redesign of NSW Health Responses to Violence, Abuse and Neglect 3.6 410 342 with general escalation applied for 2018/19 - Commence implementation of local VAN service redesign and recruitment of permanent clinical staff where staffing gaps have been identified Enable eHealth, Health Information and Data Analytics Data quality improvement – clinical coding / documentation 6.3 250 - Data quality improvement XXXXXX business implementation $250,000 to be allocated to Intra Health for XXX - One- One-off for 2018/19 6.3 500 - Complete Stage 1 LEAP and transition of at least one data stream (AP, ED or WL) as per LHD/SHN District Program Management PlanPlan Schedule E: Performance against Strategies and Objectives

Appears in 1 contract

Samples: mnclhd.health.nsw.gov.au

Locations Service Requirement. Pancreas Transplantation – Nationally Funded Centre Westmead As per Nationally Funded Centre Agreement - Access for all patients across Australia accepted onto Nationally Funded Centre program Paediatric Liver Transplantation – Nationally Funded Centre SCHN Westmead Islet Cell Transplantation – Nationally Funded Centre Westmead Schedule C: Budget Part 1 Schedule C Part 1 South Eastern Western Sydney LHD - Budget 2018/19 2018/19 2019/20 2019/20 BUDGET Comparative Data A B C D E F G H I Target Volume (NWAU18NWAU19) Volume (Admissions & Attendances) Indicative only State Price per NWAU18 NWAU19 LHD/SHN Projected Average Cost per NWAU18 NWAU19 Initial Budget 2018/19 2019/20 ($ '000) 2017/18 2018/19 Annualised Budget ($ '000) Variance Initial and Annualised ($ '000) Variance (%) Volume Forecast 2017/18 2018/19 (NWAU18NWAU19) A Acute Admitted 164,603 162,901 174,094 175,165 $4,713 4,925 $4,621 4,849 $759,665 836,972 $729,698 790,646 $29,967 161,434 46,326 167,272 Emergency Department 30,463 223,467 30,859 207,377 $140,485 148,364 $134,272 140,179 $6,213 29,709 8,185 29,657 Non Admitted Patients (Including Dental) 48,082 940,440 50,774 991,907 $221,901 243,832 $213,928 229,360 $7,973 47,324 14,472 48,529 Total 243,149 1,326,808 255,727 1,374,448 $1,122,051 1,229,169 $1,077,899 1,160,185 $44,152 4.168,984 5.9% 238,468 245,458 B Sub-Acute Services - Admitted 20,443 16,239 13,196 5,198 $4,713 4,925 $4,621 4,849 $94,264 63,518 $89,980 60,284 $4,285 19,909 3,235 12,752 Sub-Acute Services - Non Admitted 2,214 1,412 $10,230 6,845 $10,010 6,678 $219 2,214 167 1,412 Total 22,657 16,239 14,608 5,198 $104,494 70,364 $99,990 66,962 $4,504 4.53,402 5.1% 22,123 14,164 C Mental Health - Admitted (Acute and Sub-Acute) 13,359 3,216 7,909 1,684 $4,713 4,925 $4,621 4,849 $61,731 38,326 $60,408 37,293 $1,324 13,359 1,033 7,884 Mental Health - Block Funded Hospitals $63,546 $61,993 $1,553 Mental Health - Non Admitted 10,319 243,346 7,933 137,104 $51,205 40,224 $48,650 37,631 $2,555 9,975 Mental Health - Classification Adjustment 2,593 7,508 Total 15,842 138,788 $2,440 142,096 $2,388 136,917 $52 Total 23,678 246,563 $115,376 $111,445 $3,931 3.55,179 3.8% 23,334 15,392 D Block Funding Allocation Block Funded Hospitals (Small Hospitals) $3,784 $3,692 $92 Block Funded Services In-Scope - Teaching, Training and Research $57,757 87,339 $56,519 85,204 $1,238 2,135 Total $58,416 91,123 $57,163 88,896 $1,253 2.22,227 2.5% E State Only Block Funded Services Total $217,531 195,597 $212,867 190,817 $4,664 2.24,780 2.5% Transition Grant (excluding Mental Health) and RSCᵝ ROCᵝ G Gross-Up (Private Patient Service Adjustments) $70,207 37,974 $68,701 37,046 $1,505 2.2928 2.5% H Provision for Specific Initiatives & TMF Adjustments (not included above) Blacktown Hospital Impact Stage 2 $5,400 Data Improvement Project * $750 HAC Improvement Project 500 Leading Better Value Care Program $350 Other Block Growth and Purchasing Adjustors (incl Hospital Acquired Complications) -$1,149 HealthShare Accelerated Savings Program -$1,575 -$2,074 Mobile dental clinics $2,841 2015 Election Commitment - Additional Nursing, Midwifery and Support positions $354 Electricity escalations $2,004 New parents and children initiatives $460 105 Procurement Savings -$3,699 Efficiency dividends 2019-20 -$512 Total $6,629 2,911 $6,629 2,911 I Restricted Financial Asset Expenses $13,656 11,731 $13,656 11,731 J Depreciation (General Funds only) $57,826 75,854 $57,826 75,854 K Total Expenses (K=A+B+C+D+E+F+G+H+I+J) $1,766,187 1,856,819 $1,699,547 1,768,408 $66,639 3.988,412 5.0% L Other - Gain/Loss on disposal of assets etc $2,658 1,369 $2,658 1,369 M LHD Revenue -$1,722,798 -$1,646,709 -$76,089 -$1,792,692 -$1,694,572 -$98,120 N Net Result (N=K+L+M) $46,046 65,496 $55,496 -$9,450 75,205 -$9,708 General Note: ABF growth is funded at 9077% of the State Price for all “business as usual” activity and new builds or new capacity has continued to be funded at the full State Price ᵝ Part of the Acute, ED and Subacute Admitted transition grant has been used to fund growth (see Schedule C glossary) * Data Improvement Project $250k to be allocated to Intra Health for XXX Part 2 2018/19 2019/20 Schedule C Part 0 Xxxxx Xxxxxxx Xxxxxx 2 Western Sydney LHD $ (000's) A B C D E Government Grants Subsidy* -$1,091,840 -$1,146,907 In-Scope Services - Block Funded -$87,520 -$162,122 Out of Scope Services - Block Funded -$173,675 -$162,708 Capital Subsidy -$8,786 -$6,681 Crown Acceptance (Super, LSL) -$33,051 -$33,372 F Total Government Contribution (F=A+B+C+D+E) -$1,394,872 -$1,511,789 G H Own Source revenue GF Revenue -$304,046 -$261,921 Restricted Financial Asset Revenue -$23,880 -$18,982 I Total Own Source Revenue (I=G+H) -$327,926 -$280,903 J Total Revenue (J=F+I) -$1,722,798 -$1,792,692 K L M Total Expense Budget - General Funds $1,752,530 1,845,088 Restricted Financial Asset Expense Budget $13,656 11,731 Other Expense Budget $2,658 1,369 N Total Expense Budget as per Attachment C Part 1 (N=K+L+M) $1,768,845 1,858,188 O Net Result (O=J+N) $46,046 65,496 P Q R Net Result Represented by: Asset Movements -$44,212 -$62,368 Liability Movements -$1,835 -$3,128 Entity Transfers S Total (S=P+Q+R) -$46,046 -$65,496 Note: The minimum weekly cash reserve buffer for unrestricted cash at bank has been updated for FY 2019/20 to $1.3m and has been reduced by approximately 75% of the FY 2018/19 buffer as a result of the transition of creditor payments and PAYG remittance to HealthShare and HealthShare managed bank accounts from the 1st July 2019. Based on final June 2019 cash balances, adjustments will be made in July 2019 to ensure alignment with the cash buffer requirements of NSW Treasury Circular TC15_01 Cash Management – Expanding the Scope of the Treasury Banking System. The Ministry will closely monitor cash at bank balances during the year to ensure compliance with this NSW Treasury policy. * The subsidy amount does not include items E and G, which are revenue receipts retained by the LHDs/SHNs and sit outside the National Pool. Part 3 Schedule C Part 3 2018/19Shared 2019/20Shared Services & Consolidated Statewide Payment Schedule South Eastern Western Sydney LHD $ (000's) HS Charges HS Service Centres HS Ambulance Make Ready HS Service Centres Warehousing HS Enable NSW HS Food Services HS Soft Service Charges HS Linen Services HS Recoups HS IPTAAS HS Fleet Services HS Patient Transport Services HS MEAPP (quarterly) $6,108 5,765 $22,741 18,348 $3,675 2,080 $29,992 27,978 $9,326 10,169 $11,556 8 $172$3,236 4,203 $7,125 13,038 $4,813 Total HSS Charges $93,931 86,402 eHealth EH Corporate IT & SPA EH Information Services ICT SPA Recoups $6,227 28,100 $13,035 10,602 Total eHealth Charges $19,262 38,702 IH Transports Interhospital Ambulance Transports Interhospital Ambulance NETS $1,895 2,459 $109 19 Total Interhospital Ambulance Charges $2,004 2,478 Interhospital NETS Charges - SCHN $111 118 Payroll Total Payroll (including SGC, FSS, Excluding LSL & PAYG) $915,449 1,214,186 Loans MoH Loan Repayments Treasury Loan (SEDA) $1,257 Total Loans $1,257 Blood and Blood Products $14,160 11,847 NSW Pathology $50,746 60,751 Compacks (HSSG) $1,918 1,361 TMF Insurances (WC, MV & Property) $15,069 15,625 Creditor Payments $425,904 Energy Australia $14,835 18,395 Total $1,127,485 1,877,026 Note: This schedule represents initial estimates of Statewide recoveries processed by the Ministry on behalf of Service Providers. LHD's LHD's/Health Entities are responsible for regularly reviewing these estimates and liaising with the Ministry where there are discrepancies. The Ministry will work with LHD's LHD's/Health Entities and Service Providers throughout the year to ensure cash held back for these payments reflects actual trends. Consistent with prior years procedures, a mid year review will occur in January with further adjustments made if required. Note: The amounts above include GST, where applicableCommencing 2019/20 two additional holdbacks have been included to reflect new statewide payment and recovery processes for Creditors and PAYG. Amendments will also be made to the subsidy sheets in 2019/20 to incorporate contributions from other sources to cover subsidy shortfalls as a result of the additional holdbacks. Part 4 2018/19 2019/20 National Health Funding Body Service Agreement - South Eastern Western Sydney LHD Period: 1 July 2018 2019 - 30 June 2019 2020 4 National Reform Agreement In- Scope Estimated National Weighted Activity Units Commonwealth Funding Contribution Schedule C Part 4 Acute 152,039 166,667 ED 28,285 29,809 Mental Health 13,592 8,529 Sub Acute 24,751 14,711 Non Admitted 50,406 47,089 Activity Based Funding Total 269,074 266,805 Block Funding Total $42,081,265 110,730,666 Total 269,074 266,805 $42,081,265 110,730,666 Capital Program SOUTH EASTERN WESTERN SYDNEY LHD ASSET AUTHORISATION LIMITS 2018/19 PROJECTS MANAGED BY HEALTH SERVICE 2019/20 Capital Projects SMRT BP2 ETC 2018/19 Project Code Estimated Total Cost 2019/20 Estimated Expenditure to 30 June 2018 2019 Cost to Complete at 30 June 2018 BP2 2019 Capital Budget Allocation 2018/19 XX0 Xxx. 0000/00 XX0 Xxx2019/20 2019/20 Capital Budget Allocation by Source of Funds Confund 2019/20 Local Funds 2019/20 Revenue 2019/20 Lease Liabilities 2019/20 $ $ $ $ $ $ $ $ WORKS IN PROGRESS Asset Refurbishment/Replacement Strategy - Statewide P55345 22,677,995 19,688,907 2,989,088 2,164,945 2,164,945 - - - Minor Works & Equipment >$10,000 Program P51069 n.a - - 9,274,500 3,766,000 5,508,500 - - Oral health Minor Works - WSLHD P56237 750,000 750,000 750,000 750,000 - - - TOTAL WORKS IN PROGRESS 23,427,995 19,688,907 3,739,088 12,189,445 6,680,945 5,508,500 - - TOTAL CAPITAL EXPENDITURE AUTHORISATION LIMIT MANAGED BY WESTERN SYDNEY LHD 23,427,995 19,688,907 3,739,088 12,189,445 6,680,945 5,508,500 - - (Continued) PROJECTS MANAGED BY HEALTH INFRASTRUCTURE 2019/20 Capital Projects Project Code Estimated Total Cost 2019/20 Estimated Expenditure to 30 June 2019 Cost to Complete at 30 June 2019 Capital Budget Allocation 2019/20 Budget Est. 2020/21 BP2 Budget Est. 2021/22 Budget Est. 2022/23 Balance to Complete $ $ $ $ $ $ $ $ WORKS IN PROGRESS SESLHD Minor Works & Equipment P51069 14,170,500 14,170,500 14,170,500 14,170,500 14,170,500 Asset Refurbishment/Replacement Strategy - Statewide P55345 2,421,788 St Xxxxxx Hospital Cancer Care Centre Stage 5 P56131 3,990,000 1,532,099 2,457,901 2,457,901 Prince of Wales Hospital Digital Subtraction Angiography Unit P56242 1,110,000 151,959 958,041 958,041 Engadine Community Health Centre - Construct Dental Clinic P56412 600,000 600,000 600,000 TOTAL WORKS IN PROGRESS 19,870,500 1,684,058 18,186,442 20,008,230 14,770,500 14,170,500 TOTAL ASSET ACQUISITION PROGRAM 19,870,500 1,684,058 18,186,442 20,008,230 14,770,500 14,170,500 PROJECTS MANAGED BY HEALTH INFRASTRUCTURE MAJOR NEW WORKS 0000/00 Xx Xxxxxx Xxxxxxxx Birthing Suite & Theatre Refurbishment P56410 11,500,000 0 11,500,000 10,000,000 1,500,000 2019/20 Cystic Fibrosis Specialist Service Unit (CFSSU) at Westmead Hospital P56519 65,000,000 - 65,000,000 250,000 250,000 500,000 28,300,000 35,700,000 TOTAL MAJOR NEW WORKS 11,500,000 11,500,000 10,000,000 1,500,000 65,000,000 - 65,000,000 250,000 250,000 500,000 28,300,000 35,700,000 MAJOR WORKS IN PROGRESS St Xxxxxx Blacktown-MT Druitt HS Redev. P54756 655,186,804 592,841,035 62,345,769 34,892,483 27,453,285 - - - Westmead Hospital Redevelopment Stage 1 & Acute Services Building Cont (part B) P55333 265,500,000 261,690,894 3,809,106 3,809,106 Randwick Campus Reconfiguration and Expansion Stage 1 (including land acquisition) P56067 720,000,000 104,000,000 616,000,000 62,000,000 52,000,000 85,000,000 118,025,000 298,975,000 P55335 832,300,000 509,752,661 322,547,339 286,403,302 7,308,488 13,034,498 - 15,801,051 Xxxxx Xxxx Health Service – Land Acquisition P56405 75,000,000 1,851,186 73,148,814 56,409,670 3,389,145 13,350,000 - - TOTAL MAJOR WORKS IN PROGRESS 985,500,000 365,690,894 619,809,106 65,809,106 52,000,000 85,000,000 118,025,000 298,975,000 1,562,486,804 1,104,444,882 458,041,922 377,705,455 38,150,918 26,384,498 - 15,801,051 TOTAL CAPITAL EXPENDITURE AUTHORISATION LIMIT MANAGED BY HEALTH INFRASTRUCTURE 997,000,000 365,690,894 631,309,106 75,809,106 53,500,000 85,000,000 118,025,000 298,975,000 1,627,486,804 1,104,444,882 523,041,922 377,955,455 38,400,918 26,884,498 28,300,000 51,501,051 Notes: Expenditure needs to remain within the Asset Capital Expenditure Authorisation Limits (CEAL) indicated above Minor Works and Equipment > $10,000 includes a confund contribution of $6,014,686 This does The above budgets do not include allocations for new and existing FY20 Locally Funded Initiative (LFI) Projects which or Right of Use Assets (Leases) Projects. These budgets will be included in Initial Capital Allocation Letters issued through a separate process. Minor Works & Equipment >$10,000 Program is an annual allocation with no Total Estimated Cost Schedule D: Purchased Volumes Growth Investment Strategic Priority $’000 NWAU18 NWAU19 Performance Metric Activity Growth inclusive of Local Priority Issues Acute Inclusive of Xxxxxxxxxx and St Xxxxxx Service Expansion 2 - 164,603 As per 174,094 See Schedule E / Activity of New Service Identified Emergency Department 2.4 - 30,463 As per 30,859 See Schedule E Sub-Acute (Admitted and Non-Admitted) 2 - 23,275 As per 13,196 See Schedule E Sub and Non Acute Inpatient Services – Palliative Care Component 3.3 - 2,965 As per 1,935 See Schedule E Non-Admitted 2 / 3 - 48,223 As per 45,261 See Schedule E Public Dental Clinical Service – Total Dental Activity 1 - 16,511 (DWAU) As per 1 - 56,640 See Schedule E Mental Health Admitted 3.2 - 13,359 As per 7,909 See Schedule E Mental Health Non-Admitted Inclusive of 2018/19 Mental Health Reform Program Growth 3.2 - 10,319 As per 7,933 See Schedule E Mental Health Reforms Specialist child Alcohol and adolescent community mental health services 3.2 other drug related Admitted 1.3 - 110 Client-290 See Schedule E Alcohol and other drug related hours Specialist adult community mental health services 3.2 Non Admitted 1.3 - 73 Client-related hours Specialist older persons community mental health services 3.2 - 110 Client-related hours 5,570 See Schedule E Service Investment Capital and Blacktown Hospital Service Expansion: The Xxxxxxxxxx Hospital RADIUS Impact Stage 2 / 3 1,000 2 5,400 - Activity of new service identified Highly Specialised Service - Peritonectomy 2 1,030 - As per Schedule E Strategic Priority Target Performance Metric STATE PRIORITY Elective Surgery Volumes Number of Admissions from Surgical Waiting List - All Patients Children <16 Years Old 2.4 19,900 904 Number Number of Admissions from Surgical Waiting List - Children < 16 Years Old – Cataract extraction 2.4 626 1,800 Number Growth Investment Strategic Priority $ ‘000 NWAU18 NWAU19 Performance Metric NSW HEALTH STRATEGIC PRIORITIES Providing World Class Clinical Care Where Patient Safety is First Hospital Acquired Complications (HAC) initiatives 2.1 350 - Demonstration of reduction in HAC ETP 2.4 44 - ETP Trajectory Leading Better Value Care Program Program Implementation Support Transition Funding 2.2 250 350 - Performance against LBVC Deliverables Enable eHealth, Health Information and Data Analytics Data Improvement Project Data improvement project includes $200,000 EBI program, $100,000 Data Quality, and $200,000 Intra- health Transfer to EBI central program. 6.4 500 - Established Local Governance for Xxxxxx Transition, Completion of Impact Assessment, Participation in extract test work package. Special Considerations in Baseline Investment Strategic Priority $ ‘000 NWAU19 Performance Metric Integrate Systems to Deliver Truly Connected Care Integrated Care (IC) Strategy The Integrated Care purchasing model Weight adjusted Block funding 3.1 2,659 - Adoption and implementation in 2019-20 of one scaled IC initiative (as per Ministry of Health shortlist). All patients enrolled in the Patient Flow Portal (PFP) for 2018/19 converts 25% of the existing recurrent funding for ongoing monitoring; PFP data will inform regular evaluation. Integrated Care for People with Chronic Conditions (ICPCC) (previously The ICPCC purchasing model for 2019/20 converts 50% of the Chronic Disease Management Program) existing recurrent funding for ICPCC into purchased activity for each LHDDistrict/SHNNetwork. This is shown as NWAU for each LHDDistrict/SHNNetwork. 3.1 1,478 164 Demonstration of delivery of activities outlined 1,423 305 Identify patients using Risk Stratification in the approved Activity Work Plan and meeting data collection requirements Patient Flow Portal (including monitoring, evaluationPFP), and the Patient Flow Portal) use PFP for ongoing monitoring of patients within ICPCC. PFP data will inform evaluation. Clinical Redesign of NSW Health Responses to Violence, Abuse and Neglect 3.6 410 with general escalation applied (VAN) 3.5 637 - Participate in monitoring and evaluation activities as described in the funding agreement Provide integrated 24/7 psychosocial and Medical Forensic responses for 2018/19 victims of Domestic and Family Violence, Child Physical Abuse and Neglect, and Sexual Assault. Provide community development and outreach services for sexual assault. Provide community development and outreach services for sexual assault. Social Impact Investment – Community Based Palliative Care Administration investment not included in Schedule C, a separate budget supplementation for this amount will be provided in July 2019 3.1 8,279 (service activity) 200 (administration) - Commence implementation Delivery of local VAN service redesign and recruitment the minimum guarantee of permanent clinical staff where staffing gaps have been identified Enable eHealth, Health Information and Data Analytics Data quality improvement – clinical coding / documentation 6.3 250 - Data quality improvement XXXXXX business implementation $250,000 referrals to be allocated the Resolve service. Monthly submission of agreed minimum data set to Intra Health for XXX - One- off for 2018/19 6.3 500 - Complete Stage 1 LEAP and transition Ministry of at least one data stream (AP, ED or WL) as per LHD/SHN Program Management PlanHealth

Appears in 1 contract

Samples: www.wslhd.health.nsw.gov.au

Locations Service Requirement. Pancreas Transplantation – Nationally Funded Centre Westmead As per Nationally Funded Centre Agreement - Access for all patients across Australia accepted onto Nationally Funded Centre program Paediatric Liver Transplantation – Nationally Funded Centre SCHN Westmead Islet Cell Transplantation – Nationally Funded Centre Westmead Schedule C: Budget Part 1 Schedule C Part 1 South Eastern Sydney LHD St Vincent's Health Network - Budget 2018/19 2018/19 2017/18 2017/18 BUDGET Comparative Data A B C D E F G H I Volume LHD/SHN Projected 2016/17 Annualised Variance Initial and Target Volume (NWAU18NWAU17) Volume (Admissions & Attendances) Indicative only State Price per NWAU18 LHD/SHN Projected NWAU17 Average Cost per NWAU18 NWAU17 Initial Budget 2018/19 2017/18 ($ '000) 2017/18 Annualised Budget ($ '000) Variance Initial and Annualised ($ '000) Variance (%) Volume Forecast 2017/18 2016/17 (NWAU18NWAU17) A Acute Admitted 164,603 162,901 42,289 40,119 $4,713 198,375 $4,621 194,630 $759,665 $729,698 $29,967 161,434 3,746 42,572 Emergency Department 30,463 223,467 6,839 46,640 $140,485 4,691 $134,272 4,869 $6,213 29,709 32,080 $31,339 $741 6,856 Non Admitted Patients (Including Dental) 48,082 940,440 9,057 267,433 $221,901 42,487 $213,928 41,586 $7,973 47,324 902 9,097 A Total 243,149 1,326,808 58,184 354,191 $1,122,051 272,943 $1,077,899 267,554 $44,152 4.15,389 2.0% 238,468 B 58,525 Sub-Acute Services - Admitted 20,443 16,239 7,808 3,774 $4,713 36,626 $4,621 34,957 $94,264 $89,980 $4,285 19,909 1,668 7,652 Sub-Acute Services - Non Admitted 2,214 2,421 $10,230 11,359 $10,010 11,068 $219 2,214 291 2,421 B Total 22,657 16,239 10,229 3,774 $104,494 47,985 $99,990 46,026 $4,504 4.51,959 4.3% 22,123 C 10,073 Mental Health - Admitted (Acute and Sub-Acute) 13,359 3,216 4,397 1,437 $4,713 20,626 $4,621 20,065 $61,731 $60,408 $1,324 13,359 561 4,392 Mental Health - Non Admitted 10,319 243,346 2,154 37,229 $51,205 4,691 $48,650 4,869 $2,555 9,975 8,517 $7,919 $598 2,073 Mental Health - Classification Adjustment $2,440 11 $2,388 11 $52 0 C Total 23,678 246,563 6,551 38,665 $115,376 29,154 $111,445 27,995 $3,931 3.51,160 4.1% 23,334 D 6,465 Block Funding Allocation Block Funded Services In-Scope - Teaching, Training and Research $57,757 23,727 $56,519 23,120 $1,238 607 D Total $58,416 23,727 $57,163 23,120 $1,253 2.2607 2.6% E State Only Block Funded Services Total -$35,095 -$32,998 -$2,098 6.4% Transition Grant $217,531 $212,867 $4,664 2.2% 12,992 F Transition Grant (excluding Mental Health) and RSCᵝ $12,992 $12,660 $333 2.6% G Gross-Up (Private Patient Service Adjustments) $70,207 19,713 $68,701 19,209 $1,505 2.2505 2.6% H $4,691 $4,869 Schedule C Part 1 Provision for Specific Initiatives & TMF Adjustments (not included above) Data Improvement Project * $750 HAC Improvement Project $350 Commissioning - Genomics Purchasing Adjustors (incl Hospital Acquired Complications) -$1,149 HealthShare Accelerated Savings Program -$1,575 and Data Quality Projects Highly Specialised Services - Huntingtons Better Value Care Initiatives TMF Workers Compensation Premium Adjustment Election Commitment - Additional Nursing, Midwifery and Support positions $354 Electricity escalations $2,004 New parents and children initiatives $460 Year 2 Drug & Alcohol Package H Total $6,629 $6,629 I Restricted Financial Asset Expenses $13,656 $13,656 J Depreciation (General Funds only) $57,826 $57,826 K Total Expenses (K=A+B+C+D+E+F+G+H+I+J) $1,766,187 $1,699,547 $66,639 3.9% L Other - Gain/Loss on disposal of assets etc $2,658 $2,658 M LHD Revenue -$1,722,798 -$1,646,709 -$76,089 N Net Result (N=K+L+M) $46,046 560 $55,496 -$9,450 General Note: ABF growth is funded at 90332 $1,000 $258 $161 $172 $95 $2,578 $373,997 -$373,997 $363,565 -$363,565 $2,578 $10,432 -$10,432 2.9% of the State Price for all “business as usual” activity and new builds or new capacity has continued to be funded at the full State Price ᵝ Part of the Acute, ED and Subacute Admitted transition grant has been used to fund growth (see Schedule C glossary) * Data Improvement Project $250k to be allocated to Intra Health for XXX Part 2 2018/19 2017/18 Schedule C Part 0 Xxxxx Xxxxxxx Xxxxxx LHD 2 St Vincent's Health Network $ (000's) A B C D E Government Grants Subsidy* -$1,091,840 In-Scope Services - Block Funded -$87,520 Out of Scope Services - Block Funded -$173,675 Capital Subsidy -$8,786 Crown Acceptance (Super, LSL) -$33,051 -$272,977 -$24,413 -$76,607 F Total Government Contribution (F=A+B+C+D+E) -$1,394,872 -$373,997 G H Own Source revenue GF Revenue -$304,046 Restricted Financial Asset Revenue -$23,880 I Total Own Source Revenue (I=G+H) -$327,926 J Total Revenue (J=F+I) -$1,722,798 -$373,997 K L M Total Expense Budget - General Funds $1,752,530 Restricted Financial Asset Expense Budget $13,656 Other Expense Budget $2,658 373,997 N Total Expense Budget as per Attachment C Part 1 (N=K+L+M) $1,768,845 373,997 O Net Result (O=J+N) $46,046 P Q R Net Result Represented by: Asset Movements -$44,212 Liability Movements -$1,835 Entity Transfers S Total (S=P+Q+R) -$46,046 Note: The minimum weekly cash reserve buffer for unrestricted cash at bank has been updated for FY 2017/18 to $0.0m and remains at approximately 4 days' cash expenses after removing Depreciation, Crown Acceptance and MOH Holdbacks). Based on final June 2017 cash balances, adjustments will be made in July 2017 to ensure alignment with the cash buffer requirements of NSW Treasury Circular TC15_01 Cash Management – Expanding the Scope of the Treasury Banking System. The Ministry will closely monitor cash at bank balances during the year to ensure compliance with this NSW Treasury policy. * The subsidy amount does not include items E and G, which are revenue receipts retained by the LHDs/SHNs and sit outside the National Pool. Part 3 Schedule C Part 3 2018/19Shared 2017/18Shared Services & Consolidated Statewide Payment Schedule South Eastern Sydney LHD St Vincent's Health Network $ (000's) HS Charges HS Service Centres HS Service Centres Warehousing HS Enable NSW HS Food Services HS Soft Service Charges HS Linen Services HS Recoups HS IPTAAS HS Fleet Services HS Patient Transport Services HS MEAPP $6,108 $22,741 $3,675 $29,992 $9,326 $11,556 $172$3,236 $7,125 Total HSS Charges $93,931 eHealth EH Corporate IT EH Information Services ICT SPA $6,227 $13,035 Total eHealth Charges $19,262 IH Transports Interhospital Ambulance Transports Interhospital Ambulance NETS $1,895 $109 Total Interhospital Ambulance Charges $2,004 Interhospital NETS Charges - SCHN $111 Payroll Total Payroll (including SGC, FSS, Excluding LSL & PAYG) $915,449 Loans MoH Loan Repayments Treasury Loan (SEDA) Total Loans Blood and Blood Products $14,160 7,618 NSW Pathology $50,746 Compacks (HSSG) $1,918 470 TMF Insurances (WC, MV & Property) $15,069 2,415 Energy Australia $14,835 Total $1,127,485 10,503 Note: This schedule represents initial estimates of Statewide recoveries processed by the Ministry on behalf of Service Providers. LHD's are responsible for regularly reviewing these estimates and liaising with the Ministry where there are discrepancies. The Ministry will work with LHD's and Service Providers throughout the year to ensure cash held back for these payments reflects actual trends. Consistent with prior years procedures, a mid year review will occur in January with further adjustments made if required. Note: The amounts above include GST, where applicable. Part 4 2018/19 2017/18 National Health Funding Body Service Agreement - South Eastern Sydney LHD St Vincent's Health Network Period: 1 July 2018 2017 - 30 June 2019 2018 National Reform Agreement In- Commonwealth Schedule C Part 4 Acute 152,039 42,244 ED 28,285 6,775 Mental Health 13,592 5,434 Sub Acute 24,751 7,172 Non Admitted 50,406 12,698 Activity Based Funding Total 269,074 74,323 Block Funding Total $42,081,265 8,821,483 Total 269,074 74,323 $42,081,265 Capital Program SOUTH EASTERN SYDNEY LHD ASSET AUTHORISATION LIMITS 2018/19 Capital Projects SMRT BP2 ETC 2018/19 Estimated Expenditure to 30 June 2018 Cost to Complete at 30 June 2018 BP2 Allocation 2018/19 XX0 Xxx. 0000/00 XX0 Xxx. 2020/21 BP2 Est. 2021/22 Balance to Complete $ $ $ $ $ $ $ $ WORKS IN PROGRESS SESLHD Minor Works & Equipment P51069 14,170,500 14,170,500 14,170,500 14,170,500 14,170,500 Asset Refurbishment/Replacement Strategy - Statewide P55345 2,421,788 St Xxxxxx Hospital Cancer Care Centre Stage 5 P56131 3,990,000 1,532,099 2,457,901 2,457,901 Prince of Wales Hospital Digital Subtraction Angiography Unit P56242 1,110,000 151,959 958,041 958,041 Engadine Community Health Centre - Construct Dental Clinic P56412 600,000 600,000 600,000 TOTAL WORKS IN PROGRESS 19,870,500 1,684,058 18,186,442 20,008,230 14,770,500 14,170,500 TOTAL ASSET ACQUISITION PROGRAM 19,870,500 1,684,058 18,186,442 20,008,230 14,770,500 14,170,500 PROJECTS MANAGED BY HEALTH INFRASTRUCTURE MAJOR NEW WORKS 0000/00 Xx Xxxxxx Xxxxxxxx Birthing Suite & Theatre Refurbishment P56410 11,500,000 0 11,500,000 10,000,000 1,500,000 TOTAL MAJOR NEW WORKS 11,500,000 11,500,000 10,000,000 1,500,000 MAJOR WORKS IN PROGRESS St Xxxxxx Hospital Redevelopment Stage 1 & Acute Services Building Cont (part B) P55333 265,500,000 261,690,894 3,809,106 3,809,106 Randwick Campus Reconfiguration and Expansion Stage 1 (including land acquisition) P56067 720,000,000 104,000,000 616,000,000 62,000,000 52,000,000 85,000,000 118,025,000 298,975,000 TOTAL MAJOR WORKS IN PROGRESS 985,500,000 365,690,894 619,809,106 65,809,106 52,000,000 85,000,000 118,025,000 298,975,000 TOTAL MANAGED BY HEALTH INFRASTRUCTURE 997,000,000 365,690,894 631,309,106 75,809,106 53,500,000 85,000,000 118,025,000 298,975,000 Notes: Expenditure needs to remain within the Asset Authorisation Limits indicated above Minor Works and Equipment > $10,000 includes a confund contribution of $6,014,686 This does not include new and existing Locally Funded Initiative (LFI) Projects which will be included in Initial Capital Allocation Letters 8,821,483 Schedule D: Purchased Volumes Growth Investment Strategic Priority $’000 NWAU18 Performance Metric Activity Growth inclusive of Local Priority Issues Service Stream Target (NWAU17) Acute Inclusive of Xxxxxxxxxx and St Xxxxxx Service Expansion 2 - 164,603 As per Schedule E / Activity of New Service Identified Inpatient Services 42,289 Emergency Department 2.4 Services 6,839 Sub and Non Acute Inpatient Services - 30,463 As per Schedule E Sub-Acute (Admitted and Non-Admitted) 2 - 23,275 As per Schedule E All 7,808 Sub and Non Acute Inpatient Services – Palliative Care Component 3.3 3,560 Non Admitted Patient Services - 2,965 As per Schedule E Non-Admitted Tier 2 / 3 - 48,223 As per Schedule E Clinics 11,439 Public Dental Clinical Service – Total Dental Activity 1 - 16,511 40 (310 DWAU) As per Schedule E Mental Health Admitted 3.2 - 13,359 As per Schedule E Inpatient Activity 4,397 Mental Health Non-Non Admitted 3.2 - 10,319 As per Schedule E Mental Health Reforms Specialist child and adolescent community mental health services 3.2 - 110 Client-related hours Specialist adult community mental health services 3.2 - 73 Client-related hours Specialist older persons community mental health services 3.2 - 110 Client-related hours Service 2,154 Growth Investment Capital and Service Expansion: The Xxxxxxxxxx Hospital RADIUS 2 / 3 1,000 - Activity of new service identified Highly Specialised Service - Peritonectomy 2 1,030 - As per Schedule E Strategic Priority Target Performance Metric STATE PRIORITY Elective Surgery Volumes Number of Admissions from Surgical Waiting List - All Patients 2.4 19,900 3,400 Number Number of Admissions from Surgical Waiting List - Children < 16 Years Old 2.4 626 0 Number Growth Investment Strategic Priority $ ‘000 NWAU18 NWAU17 Performance Metric NSW HEALTH STRATEGIC PRIORITIES Providing World Class Clinical PROVIDING WORLD-CLASS CLINICAL CARE BETTER VALUE CARE Statewide Initiatives Management of Osteoarthritis – OACCP 2.2 4.372 ACI Evaluation Osteoporotic Refracture Prevention - ORP 2.2 13.115 ACI Evaluation Diabetes High Risk Foot Services – HRFS 2.2 6.22 ACI Evaluation Diabetes Mellitus 2.2 - ACI Evaluation Chronic Heart Failure – CHF 2.2 803 - ACI Evaluation Chronic Obstructive Pulmonary Disease – COPD 2.2 - ACI Evaluation Renal Supportive Care Where Patient 2.2 & 3.3 17.667 ACI Evaluation Adverse Events: Falls in Hospitals 2.1 - CEC Criteria Total NWAU 41.374 IMPLEMENTATION INVESTMENT Improving Safety is First Hospital Acquired Complications (HAC) initiatives 2.1 350 - Demonstration of reduction in HAC ETP 2.4 44 - ETP Trajectory Leading Better Value Care and Quality Data Data quality improvement Program Support Transition 2.2 clinical coding / documentation 6 250 - Data quality improvement XXXXXX business implementation 6 250 - Deployment of emergency department and wait list data streams Growth Investment Strategic Priority $ ‘000 NWAU17 Performance against LBVC Deliverables Integrate Systems to Deliver Truly Connected Care Metric INTEGRATED CARE Local Initiatives/s Integrated Care Strategy The Integrated Care purchasing model program Not included in Schedule C, a separate budget supplementation for 2018/19 converts 25% of the existing recurrent funding for Integrated Care for People with Chronic Conditions (ICPCC) (previously the Chronic Disease Management Program) into purchased activity for each LHD/SHN. This is shown as NWAU for each LHD/SHN. this amount will be provided in July 2017 3.1 1,478 164 400 - Demonstration of delivery of activities outlined in the approved Activity Work Plan and the RPM Roadmap Growth Investment Strategic Priority $ NWAU17 Performance Metric SERVICE INVESTMENT System Priority Investment Genomics Phase 2 5 560,000 - Activity of new service identified Highly Specialised Services – Huntington’s 2 1,000,000 - Activity of new service identified Local Priority Issues Acute 2 - 42,289 Activity of new service identified Emergency Department 2.4 - 6,839 Activity of new service identified Sub-Acute (Admitted and Non-Admitted) 2 - 7,808 Activity of new service identified Non-Admitted 2 / 3 - 11,439 Activity of new service identified Mental Health Admitted 3.2 - 4,397 Activity of new service identified Mental Health Non-Admitted 3.2 - 2,154 Activity of new service identified Schedule E: Performance against Strategies and Objectives The performance of Districts, Networks, other Health Services and Support Organisations is assessed in terms of whether it is meeting data collection requirements (including monitoring, evaluation, and the Patient Flow Portal) Clinical Redesign of performance targets for individual key performance indicators for each NSW Health Responses to ViolenceStrategic Priority.  Performing Performance at, Abuse and Neglect 3.6 410 or better than, target  Underperforming Performance within a tolerance range X Not performing Performance outside the tolerance threshold Detailed specifications for the key performance indicators are provided in the Service Agreement Data Supplement along with general escalation applied for 2018/19 - Commence implementation the list of local VAN service redesign and recruitment of permanent clinical staff where staffing gaps have been identified Enable eHealth, Health Information and Data Analytics Data quality improvement – clinical coding / documentation 6.3 250 - Data quality improvement XXXXXX business implementation $250,000 measures that will continue to be allocated tracked by the Ministry’s Business Owners - see xxxx://xxxx.health.nsw.gov.au/xxxx/view_data_resource_description.cfm?ItemID=22508 Performance concerns will be raised with the Organisation for focused discussion at performance review meetings in line with the NSW Health Performance Framework. The Data Supplement also maps indicators and measures to Intra key strategic programs including  Premier’s and State Priorities  Election Commitments  Better Value Care  Patient Safety First  Mental Health for XXX - One- off for 2018/19 6.3 500 - Complete Stage 1 LEAP Reform  Financial Management Transformations Key deliverables under the NSW Health Strategic Priorities 2017-18 will also be monitored, noting that process key performance indicators and transition of at least one data stream (AP, ED or WL) as per LHD/SHN Program Management Planmilestones are held in the detailed Operational Plans developed by each Health Service and Support Organisation. Key Performance Indicators Strategic Priority Domain Measure Target Not Performing X Under Performing  Performing 

Appears in 1 contract

Samples: 2017 18 Service Agreement

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