Common use of Rationale Clause in Contracts

Rationale. To support a safe discharge from hospital, reduce a patient’s unnecessary length of time in hospital and prevent avoidable readmission. Reference document: NSW ComPacks Program Guidelines and Resources - March 2015 Notes on Calculation of Target: Targets are based on each District’s/Network’s ComPacks budget. Additional Notes: ComPacks are non-clinical case-managed community care packages available for people being transferred home from a participating New South Wales Public Hospital. Each package is available for up to 6 weeks from the package start date. Service Code Service Name Measurement Unit Service Volume Explanatory Notes Other Services PI-03 Hospital in the Home (HITH) – Acute Separations Number 1,695 Definition of Activity Measure: The number of overnight Bed Type 25 acute separations, as a measure of the number of patients receiving acute care through Hospital in the Home, as a substitution of hospitalisation. Rationale: To increase the number of people in NSW who receive acute clinical care (hospital substitution) in their home and ambulatory settings to reduce hospitalisations. To reduce demand on inpatient hospital services, as per GL2013_006 NSW Hospital in the Home (HITH) Guideline. Notes on Calculation of Target Target based on actual HITH activity for 2014/15 – Bed Type 25 acute overnight separations 1. Districts/Networkss performing above State average rate: target = [June 2015 Health Service HITH substitution rate] x [total Health Service acute overnight separations] + [0.5 per cent x total Health Service acute overnight separations] 2. Districts/Networkss performing below State average rate: target = [June 2015 State average HITH substitution rate] x [total Health Service acute overnight separations] HITH substitution rate: Numerator = Number Bed Type 25 acute overnight separations Denominator = Total Districts/Networks acute overnight separations Additional notes: The NWAU value for Hospital in the Home is included in Acute Admitted RTX Radiotherapy Courses (new and re-treat) 720 Definition of Activity Measure: Number of new and re-treatment patients treated with radiotherapy. Rationale for Target: Planning target of 414 courses per Linear Accelerater (linac) based on agreed national planning parameters. Minimum 360 courses per linac. The minimum target has been considered in relation to the average number of courses per linac for public sector services in 2014. Further, services at individual sites are to be at a level not less than activity in 2015/16. Additional notes: North Coast Cancer Institute: Lismore (2 linacs) Service Code Service Name Measurement Unit Service Volume Explanatory Notes Population Health Services PH-008c Healthy Children Initiative - Targeted Family Healthy Eating and Physical Activity Program - Enrolments Number 64 Definition of Activity Measure: The number of overweight/obese children 7-13 years old who enrol in the Targeted Family Healthy Eating and Physical Activity Program. Rationale: Priority in the NSW State Plan and to support relevant targets and objectives of the NSW Healthy Eating and Active Living Strategy (2013-2018). Notes on Calculation of Target: New Volumes provided for 2016/17. Volumes have been derived from the number of programs Districts agreed to deliver over the period 2016-17. Total targets were obtained by using an average of 12 participants per group for metropolitan LHDs, 10 participants per group for regional Districts and 8 participants per group for rural Districts. Participants are defined as the number of enrolments in the Targeted Family Healthy Eating and Physical Activity Program who attend one or more program sessions. PH-008d Healthy Children Initiative - Targeted Family Healthy Eating and Physical Activity Program - Completion Number 54 Definition of Activity Measure: The number of overweight/obese children 7-13 years old enrolled in the Targeted Family Healthy Eating and Physical Activity Program who complete 3 or more program sessions. Rationale: Priority in the NSW State Plan to support relevant targets and objectives of the NSW Healthy Eating and Active Living Strategy (2013- 2018). Notes on Calculation of Target Completion is defined as the number of overweight/obese children aged 7-13 years who complete three or more sessions, as per the once per week delivery model of the Targeted Family Healthy Eating and Physical Activity Program. The volume has been derived based on a target completion rate of 85 per cent of the Targeted Family Healthy and Physical Activity Program enrolment target for 2016/17. The target is achieved if the actual completion rate is > or equal to 85 per cent of the actual enrolment number. PH-009 Needle and Syringe Program - Sterile needles and syringes distributed Number 527,922 Definition of Activity Measure: Number of sterile needles and syringes distributed in the last 12 months via the NSW public sector Needle and Syringe Program outlets. Rationale: The NSW Government has committed to sustaining the virtual elimination of HIV transmission among people who inject drugs as per the NSW HIV Strategy 2016 – 2020 and to reducing the sharing of injecting equipment in the NSW Hepatitis B and Hepatitis C Strategies 2014-2020. Notes on Calculation of Target Volumes provided are based on actuals from 2014/15 and factoring in the average degree of increase that Districts achieved during the last six months of the year. PH-012b Stepping On Program - Participants Number 200 Definition of Activity Measure: The number of Stepping On Program participants Rationale: Priority in the Population Health Priorities for NSW 2012-2017. Notes on Calculation of Target Volumes provided for 2015/16 are to be maintained for 2016/17. Volumes have been derived from an average of 12 participants per group for Metropolitan LHDs and 10 participants per group for Rural LHDs. Participants are defined as the number of enrolments in the Stepping on Program who attend five or more program sessions. Service Code Service Name Measurement Unit Service Volume Explanatory Notes Population Health Services PH-017b Tobacco compliance monitoring: Sales to Minors and Point of Sale Number 228 Combined for MNCLHD and NNSWLH D Definition of Activity Measure: The total number of tobacco retailers that are inspected to check for compliance with sales to minors and point of sale provisions of the Public Health (Tobacco) Xxx 0000. Rationale: To support relevant priorities in the NSW Tobacco Strategy 2012 – 2017: to reduce the sale of illegal tobacco to people under the age of 18; and to reduce the incidence of smoking and other consumption of tobacco products and non-tobacco smoking products, particularly by young people. Notes on Calculation of Target New volume provided for 2015/16. Includes initial inspections only. Volumes are to be maintained or increased. Maternal, Child, Youth and Family Services KF-001 Aboriginal Maternal Infant Health Services - Women with Aboriginal babies accessing the service Number 180 Definition of Activity Measure: The number of new clients registered in an Aboriginal Maternal Infant Health Services. Rationale: The target aims to ensure that pregnant women having Aboriginal babies have access to culturally appropriate antenatal and postnatal care in order to reduce perinatal mortality and morbidity, preterm births and low birth weight of Aboriginal babies. Notes on Calculation of Target The number of new clients (women who identify their baby as being Aboriginal) admitted to the Aboriginal Maternal Infant Health Service based on current service level. Additional notes: The Aboriginal Maternal and Infant Health Service is a community-based maternity service, with a midwife and Aboriginal Health Worker working in partnership with Aboriginal families to provide culturally appropriate and respectful care for Aboriginal women and babies. KF-002 Building Strong Foundations for Aboriginal Children, Families and Communities – Clients (Children) enrolled in program Number N/A Definition of Activity Measure: The number of new clients (incident cases) enrolled in the Building Strong Foundations service Rationale: The target aims to ensure that local Aboriginal children and families have improved access to culturally appropriate local health care which will help assure that Aboriginal children are ready to learn when they start school. Additional notes: Building Strong Foundations provides culturally appropriate early childhood health services for Aboriginal children, birth to school entry age and their families.

Rationale. To support a safe discharge from hospital, reduce a patient’s unnecessary length of time in hospital and prevent avoidable readmission. Reference document: NSW ComPacks Program Guidelines and Resources - March 2015 Notes on Calculation of Target: Targets are based on each District’s/Network’s ComPacks budget. Additional Notes: ComPacks are non-clinical case-managed community care packages available for people being transferred home from a participating New South Wales Public Hospital. Each package is available for up to 6 weeks from the package start date. Service Code Service Name Measurement Unit Service Volume Explanatory Notes Other Services PI-03 Hospital in the Home (HITH) – Acute Separations Number 1,695 1,483 Definition of Activity Measure: The number of overnight Bed Type 25 acute separations, as a measure of the number of patients receiving acute care through Hospital in the Home, as a substitution of hospitalisation. Rationale: To increase the number of people in NSW who receive acute clinical care (hospital substitution) in their home and ambulatory settings to reduce hospitalisations. To reduce demand on inpatient hospital services, as per GL2013_006 NSW Hospital in the Home (HITH) Guideline. Notes on Calculation of Target Target based on actual HITH activity for 2014/15 – Bed Type 25 acute overnight separations 1. Districts/Networkss performing above State average rate: target = [June 2015 Health Service HITH substitution rate] x [total Health Service acute overnight separations] + [0.5 per cent x total Health Service acute overnight separations] 2. Districts/Networkss performing below State average rate: target = [June 2015 State average HITH substitution rate] x [total Health Service acute overnight separations] HITH substitution rate: Numerator = Number Bed Type 25 acute overnight separations Denominator = Total Districts/Networks acute overnight separations Additional notes: The NWAU value for Hospital in the Home is included in Acute Admitted RTX Radiotherapy Courses (new and re-treat) 720 Definition of Activity Measure: Number of new and re-treatment patients treated with radiotherapy. Rationale for Target: Planning target of 414 courses per Linear Accelerater (linac) based on agreed national planning parameters. Minimum 360 courses per linac. The minimum target has been considered in relation to the average number of courses per linac for public sector services in 2014. Further, services at individual sites are to be at a level not less than activity in 2015/16. Additional notes: North Coast Nepean Cancer Institute: Lismore Care Centre (2 linacs) Service Code Service Name Measurement Unit Service Volume Explanatory Notes Population Health Services PH-008c Healthy Children Initiative - Targeted Family Healthy Eating and Physical Activity Program - Enrolments Number 64 90 Definition of Activity Measure: The number of overweight/obese children 7-13 years old who enrol in the Targeted Family Healthy Eating and Physical Activity Program. Rationale: Priority in the NSW State Plan and to support relevant targets and objectives of the NSW Healthy Eating and Active Living Strategy (2013-2018). Notes on Calculation of Target: New Volumes provided for 2016/17. Volumes have been derived from the number of programs Districts agreed to deliver over the period 2016-17. Total targets were obtained by using an average of 12 participants per group for metropolitan LHDs, 10 participants per group for regional Districts and 8 participants per group for rural Districts. Participants are defined as the number of enrolments in the Targeted Family Healthy Eating and Physical Activity Program who attend one or more program sessions. PH-008d Healthy Children Initiative - Targeted Family Healthy Eating and Physical Activity Program - Completion Number 54 77 Definition of Activity Measure: The number of overweight/obese children 7-13 years old enrolled in the Targeted Family Healthy Eating and Physical Activity Program who complete 3 or more program sessions. Rationale: Priority in the NSW State Plan to support relevant targets and objectives of the NSW Healthy Eating and Active Living Strategy (2013- 2018). Notes on Calculation of Target Completion is defined as the number of overweight/obese children aged 7-13 years who complete three or more sessions, as per the once per week delivery model of the Targeted Family Healthy Eating and Physical Activity Program. The volume has been derived based on a target completion rate of 85 per cent of the Targeted Family Healthy and Physical Activity Program enrolment target for 2016/17. The target is achieved if the actual completion rate is > or equal to 85 per cent of the actual enrolment number. PH-009 Needle and Syringe Program - Sterile needles and syringes distributed Number 527,922 522,700 Definition of Activity Measure: Number of sterile needles and syringes distributed in the last 12 months via the NSW public sector Needle and Syringe Program outlets. Rationale: The NSW Government has committed to sustaining the virtual elimination of HIV transmission among people who inject drugs as per the NSW HIV Strategy 2016 – 2020 and to reducing the sharing of injecting equipment in the NSW Hepatitis B and Hepatitis C Strategies 2014-2020. Notes on Calculation of Target Volumes provided are based on actuals from 2014/15 and factoring in the average degree of increase that Districts achieved during the last six months of the year. PH-012b Stepping On Program - Participants Number 200 120 Definition of Activity Measure: The number of Stepping On Program participants Rationale: Priority in the Population Health Priorities for NSW 2012-2017. Notes on Calculation of Target Volumes provided for 2015/16 are to be maintained for 2016/17. Volumes have been derived from an average of 12 participants per group for Metropolitan LHDs and 10 participants per group for Rural LHDs. Participants are defined as the number of enrolments in the Stepping on Program who attend five or more program sessions. Service Code Service Name Measurement Unit Service Volume Explanatory Notes Population Health Services PH-017b Tobacco compliance monitoring: Sales to Minors and Point of Sale Number 228 Combined for MNCLHD and NNSWLH D 108 Definition of Activity Measure: The total number of tobacco retailers that are inspected to check for compliance with sales to minors and point of sale provisions of the Public Health (Tobacco) Xxx 0000. Rationale: To support relevant priorities in the NSW Tobacco Strategy 2012 – 2017: to reduce the sale of illegal tobacco to people under the age of 18; and to reduce the incidence of smoking and other consumption of tobacco products and non-tobacco smoking products, particularly by young people. Notes on Calculation of Target New volume provided for 2015/16. Includes initial inspections only. Volumes are to be maintained or increased. Maternal, Child, Youth and Family Services KF-001 Aboriginal Maternal Infant Health Services - Women with Aboriginal babies accessing the service Number 180 60 Definition of Activity Measure: The number of new clients registered in an Aboriginal Maternal Infant Health Services. Rationale: The target aims to ensure that pregnant women having Aboriginal babies have access to culturally appropriate antenatal and postnatal care in order to reduce perinatal mortality and morbidity, preterm births and low birth weight of Aboriginal babies. Notes on Calculation of Target The number of new clients (women who identify their baby as being Aboriginal) admitted to the Aboriginal Maternal Infant Health Service based on current service level. Additional notes: The Aboriginal Maternal and Infant Health Service is a community-based maternity service, with a midwife and Aboriginal Health Worker working in partnership with Aboriginal families to provide culturally appropriate and respectful care for Aboriginal women and babies. KF-002 Building Strong Foundations for Aboriginal Children, Families and Communities – Clients (Children) enrolled in program Number N/A 233 Definition of Activity Measure: The number of new clients (incident cases) enrolled in the Building Strong Foundations service Rationale: The target aims to ensure that local Aboriginal children and families have improved access to culturally appropriate local health care which will help assure that Aboriginal children are ready to learn when they start school. Additional notes: Building Strong Foundations provides culturally appropriate early childhood health services for Aboriginal children, birth to school entry age and their families.

Rationale. To support a safe discharge from hospital, reduce a patient’s unnecessary length of time in hospital and prevent avoidable readmission. Reference document: NSW ComPacks Program Guidelines and Resources - March 2015 Notes on Calculation of Target: Targets are based on each District’s/Network’s ComPacks budget. Additional Notes: ComPacks are non-clinical case-managed community care packages available for people being transferred home from a participating New South Wales Public Hospital. Each package is available for up to 6 weeks from the package start date. Service Code Service Name Measurement Unit Service Volume Explanatory Notes Other Services PI-03 Hospital in the Home (HITH) – Acute Separations Number 1,695 1,129 Definition of Activity Measure: The number of overnight Bed Type 25 acute separations, as a measure of the number of patients receiving acute care through Hospital in the Home, as a substitution of hospitalisation. Rationale: To increase the number of people in NSW who receive acute clinical care (hospital substitution) in their home and ambulatory settings to reduce hospitalisations. To reduce demand on inpatient hospital services, as per GL2013_006 NSW Hospital in the Home (HITH) Guideline. Notes on Calculation of Target Target based on actual HITH activity for 2014/15 – Bed Type 25 acute overnight separations 1. Districts/Networkss performing above State average rate: target = [June 2015 Health Service HITH substitution rate] x [total Health Service acute overnight separations] + [0.5 per cent x total Health Service acute overnight separations] 2. Districts/Networkss performing below State average rate: target = [June 2015 State average HITH substitution rate] x [total Health Service acute overnight separations] HITH substitution rate: Numerator = Number Bed Type 25 acute overnight separations Denominator = Total Districts/Networks acute overnight separations Additional notes: The NWAU value for Hospital in the Home is included in Acute Admitted RTX Radiotherapy Courses (new and re-treat) 720 Definition of Activity Measure: Number of new and re-treatment patients treated with radiotherapy. Rationale for Target: Planning target of 414 courses per Linear Accelerater (linac) based on agreed national planning parameters. Minimum 360 courses per linac. The minimum target has been considered in relation to the average number of courses per linac for public sector services in 2014. Further, services at individual sites are to be at a level not less than activity in 2015/16. Additional notes: North Central Coast Cancer Institute: Lismore Centre (2 linacs) Service Code Service Name Measurement Unit Service Volume Explanatory Notes Population Health Services PH-008c Healthy Children Initiative - Targeted Family Healthy Eating and Physical Activity Program - Enrolments Number 64 160 Definition of Activity Measure: The number of overweight/obese children 7-13 years old who enrol in the Targeted Family Healthy Eating and Physical Activity Program. Rationale: Priority in the NSW State Plan and to support relevant targets and objectives of the NSW Healthy Eating and Active Living Strategy (2013-2018). Notes on Calculation of Target: New Volumes provided for 2016/17. Volumes have been derived from the number of programs Districts agreed to deliver over the period 2016-17. Total targets were obtained by using an average of 12 participants per group for metropolitan LHDs, 10 participants per group for regional Districts and 8 participants per group for rural Districts. Participants are defined as the number of enrolments in the Targeted Family Healthy Eating and Physical Activity Program who attend one or more program sessions. PH-008d Healthy Children Initiative - Targeted Family Healthy Eating and Physical Activity Program - Completion Number 54 136 Definition of Activity Measure: The number of overweight/obese children 7-13 years old enrolled in the Targeted Family Healthy Eating and Physical Activity Program who complete 3 or more program sessions. Rationale: Priority in the NSW State Plan to support relevant targets and objectives of the NSW Healthy Eating and Active Living Strategy (2013- 2018). Notes on Calculation of Target Completion is defined as the number of overweight/obese children aged 7-13 years who complete three or more sessions, as per the once per week delivery model of the Targeted Family Healthy Eating and Physical Activity Program. The volume has been derived based on a target completion rate of 85 per cent of the Targeted Family Healthy and Physical Activity Program enrolment target for 2016/17. The target is achieved if the actual completion rate is > or equal to 85 per cent of the actual enrolment number. PH-009 Needle and Syringe Program - Sterile needles and syringes distributed Number 527,922 791,331 Definition of Activity Measure: Number of sterile needles and syringes distributed in the last 12 months via the NSW public sector Needle and Syringe Program outlets. Rationale: The NSW Government has committed to sustaining the virtual elimination of HIV transmission among people who inject drugs as per the NSW HIV Strategy 2016 – 2020 and to reducing the sharing of injecting equipment in the NSW Hepatitis B and Hepatitis C Strategies 2014-2020. Notes on Calculation of Target Volumes provided are based on actuals from 2014/15 and factoring in the average degree of increase that Districts achieved during the last six months of the year. PH-012b Stepping On Program - Participants Number 200 636 Combined for CCLHD and NSLHD Definition of Activity Measure: The number of Stepping On Program participants Rationale: Priority in the Population Health Priorities for NSW 2012-2017. Notes on Calculation of Target Volumes provided for 2015/16 are to be maintained for 2016/17. Volumes have been derived from an average of 12 participants per group for Metropolitan LHDs and 10 participants per group for Rural LHDs. Participants are defined as the number of enrolments in the Stepping on Program who attend five or more program sessions. Service Code Service Name Measurement Unit Service Volume Explanatory Notes Population Health Services PH-017b Tobacco compliance monitoring: Sales to Minors and Point of Sale Number 228 Combined for MNCLHD and NNSWLH D 144 Definition of Activity Measure: The total number of tobacco retailers that are inspected to check for compliance with sales to minors and point of sale provisions of the Public Health (Tobacco) Xxx 0000. Rationale: To support relevant priorities in the NSW Tobacco Strategy 2012 – 2017: to reduce the sale of illegal tobacco to people under the age of 18; and to reduce the incidence of smoking and other consumption of tobacco products and non-tobacco smoking products, particularly by young people. Notes on Calculation of Target New volume provided for 2015/16. Includes initial inspections only. Volumes are to be maintained or increased. Maternal, Child, Youth and Family Services KF-001 Aboriginal Maternal Infant Health Services - Women with Aboriginal babies accessing the service Number 180 60 Definition of Activity Measure: The number of new clients registered in an Aboriginal Maternal Infant Health Services. Rationale: The target aims to ensure that pregnant women having Aboriginal babies have access to culturally appropriate antenatal and postnatal care in order to reduce perinatal mortality and morbidity, preterm births and low birth weight of Aboriginal babies. Notes on Calculation of Target The number of new clients (women who identify their baby as being Aboriginal) admitted to the Aboriginal Maternal Infant Health Service based on current service level. Additional notes: The Aboriginal Maternal and Infant Health Service is a community-based maternity service, with a midwife and Aboriginal Health Worker working in partnership with Aboriginal families to provide culturally appropriate and respectful care for Aboriginal women and babies. KF-002 Building Strong Foundations for Aboriginal Children, Families and Communities – Clients (Children) enrolled in program Number N/A 134 Definition of Activity Measure: The number of new clients (incident cases) enrolled in the Building Strong Foundations service Rationale: The target aims to ensure that local Aboriginal children and families have improved access to culturally appropriate local health care which will help assure that Aboriginal children are ready to learn when they start school. Additional notes: Building Strong Foundations provides culturally appropriate early childhood health services for Aboriginal children, birth to school entry age and their families.

Rationale. To support a safe discharge from hospital, reduce a patient’s unnecessary length of time in hospital and prevent avoidable readmission. Reference document: NSW ComPacks Program Guidelines and Resources - March 2015 Notes on Calculation of Target: Targets are based on each District’s/Network’s ComPacks budget. Additional Notes: ComPacks are non-clinical case-managed community care packages available for people being transferred home from a participating New South Wales Public Hospital. Each package is available for up to 6 weeks from the package start date. Service Code Service Name Measurement Unit Service Volume Explanatory Notes Other Services PI-03 Hospital in the Home (HITH) – Acute Separations Number 1,695 2,083 Definition of Activity Measure: The number of overnight Bed Type 25 acute separations, as a measure of the number of patients receiving acute care through Hospital in the Home, as a substitution of hospitalisation. Rationale: To increase the number of people in NSW who receive acute clinical care (hospital substitution) in their home and ambulatory settings to reduce hospitalisations. To reduce demand on inpatient hospital services, as per GL2013_006 NSW Hospital in the Home (HITH) Guideline. Notes on Calculation of Target Target based on actual HITH activity for 2014/15 – Bed Type 25 acute overnight separations 1. Districts/Networkss performing above State average rate: target = [June 2015 Health Service HITH substitution rate] x [total Health Service acute overnight separations] + [0.5 per 0.5per cent x total Health Service acute overnight separations] 2. Districts/Networkss performing below State average rate: target = [June 2015 State average HITH substitution rate] x [total Health Service acute overnight separations] HITH substitution rate: Numerator = Number Bed Type 25 acute overnight separations Denominator = Total Districts/Networks acute overnight separations Additional notes: The NWAU value for Hospital in the Home is included in Acute Admitted RTX Radiotherapy Courses (new and re-treat) 720 2,160 Definition of Activity Measure: Number of new and re-treatment patients treated with radiotherapy. Rationale for Target: Planning target of 414 courses per Linear Accelerater (linac) based on agreed national planning parameters. Minimum 360 courses per linac. The minimum target has been considered in relation to the average number of courses per linac for public sector services in 2014. Further, services at individual sites are to be at a level not less than activity in 2015/16. Additional notes: North Coast Prince of Wales Hospital (3 linacs); St Xxxxxx Cancer Institute: Lismore Care Centre (2 3 linacs) Service Code Service Name Measurement Unit Service Volume Explanatory Notes Population Health Services PH-008c Healthy Children Initiative - Targeted Family Healthy Eating and Physical Activity Program - Enrolments Number 64 192 Definition of Activity Measure: The number of overweight/obese children 7-13 years old who enrol in the Targeted Family Healthy Eating and Physical Activity Program. Rationale: Priority in the NSW State Plan and to support relevant targets and objectives of the NSW Healthy Eating and Active Living Strategy (2013-2018). Notes on Calculation of Target: New Volumes provided for 2016/17. Volumes have been derived from the number of programs Districts agreed to deliver over the period 2016-17. Total targets were obtained by using an average of 12 participants per group for metropolitan LHDs, 10 participants per group for regional Districts and 8 participants per group for rural Districts. Participants are defined as the number of enrolments in the Targeted Family Healthy Eating and Physical Activity Program who attend one or more program sessions. PH-008d Healthy Children Initiative - Targeted Family Healthy Eating and Physical Activity Program - Completion Number 54 163 Definition of Activity Measure: The number of overweight/obese children 7-13 years old enrolled in the Targeted Family Healthy Eating and Physical Activity Program who complete 3 or more program sessions. Rationale: Priority in the NSW State Plan to support relevant targets and objectives of the NSW Healthy Eating and Active Living Strategy (2013- 2018). Notes on Calculation of Target Completion is defined as the number of overweight/obese children aged 7-13 years who complete three or more sessions, as per the once per week delivery model of the Targeted Family Healthy Eating and Physical Activity Program. The volume has been derived based on a target completion rate of 85 per cent of the Targeted Family Healthy and Physical Activity Program enrolment target for 2016/17. The target is achieved if the actual completion rate is > or equal to 85 per cent of the actual enrolment number. PH-009 Needle and Syringe Program - Sterile needles and syringes distributed Number 527,922 1,047,658 Definition of Activity Measure: Number of sterile needles and syringes distributed in the last 12 months via the NSW public sector Needle and Syringe Program outlets. Rationale: The NSW Government has committed to sustaining the virtual elimination of HIV transmission among people who inject drugs as per the NSW HIV Strategy 2016 – 2020 and to reducing the sharing of injecting equipment in the NSW Hepatitis B and Hepatitis C Strategies 2014-2020. Notes on Calculation of Target Volumes provided are based on actuals from 2014/15 and factoring in the average degree of increase that Districts achieved during the last six months of the year. PH-012b Stepping On Program - Participants Number 200 384 Definition of Activity Measure: The number of Stepping On Program participants Rationale: Priority in the Population Health Priorities for NSW 2012-2017. Notes on Calculation of Target Volumes provided for 2015/16 are to be maintained for 2016/17. Volumes have been derived from an average of 12 participants per group for Metropolitan LHDs and 10 participants per group for Rural LHDs. Participants are defined as the number of enrolments in the Stepping on Program who attend five or more program sessions. Service Code Service Name Measurement Unit Service Volume Explanatory Notes Population Health Services PH-017b Tobacco compliance monitoring: Sales to Minors and Point of Sale Number 228 Combined for MNCLHD and NNSWLH D 252 Definition of Activity Measure: The total number of tobacco retailers that are inspected to check for compliance with sales to minors and point of sale provisions of the Public Health (Tobacco) Xxx 0000. Rationale: To support relevant priorities in the NSW Tobacco Strategy 2012 – 2017: to reduce the sale of illegal tobacco to people under the age of 18; and to reduce the incidence of smoking and other consumption of tobacco products and non-tobacco smoking products, particularly by young people. Notes on Calculation of Target New volume provided for 2015/16. Includes initial inspections only. Volumes are to be maintained or increased. Maternal, Child, Youth and Family Services KF-001 Aboriginal Maternal Infant Health Services - Women with Aboriginal babies accessing the service Number 180 N/A Definition of Activity Measure: The number of new clients registered in an Aboriginal Maternal Infant Health Services. Rationale: The target aims to ensure that pregnant women having Aboriginal babies have access to culturally appropriate antenatal and postnatal care in order to reduce perinatal mortality and morbidity, preterm births and low birth weight of Aboriginal babies. Notes on Calculation of Target The number of new clients (women who identify their baby as being Aboriginal) admitted to the Aboriginal Maternal Infant Health Service based on current service level. Additional notes: The Aboriginal Maternal and Infant Health Service is a community-based maternity service, with a midwife and Aboriginal Health Worker working in partnership with Aboriginal families to provide culturally appropriate and respectful care for Aboriginal women and babies. KF-002 Building Strong Foundations for Aboriginal Children, Families and Communities – Clients (Children) enrolled in program Number N/A 68 Definition of Activity Measure: The number of new clients (incident cases) enrolled in the Building Strong Foundations service Rationale: The target aims to ensure that local Aboriginal children and families have improved access to culturally appropriate local health care which will help assure that Aboriginal children are ready to learn when they start school. Additional notes: Building Strong Foundations provides culturally appropriate early childhood health services for Aboriginal children, birth to school entry age and their families.

Rationale. To support a safe discharge from hospital, reduce a patient’s unnecessary length of time in hospital and prevent avoidable readmission. Reference document: NSW ComPacks Program Guidelines and Resources - March 2015 Notes on Calculation of Target: Targets are based on each District’s/Network’s ComPacks budget. Additional Notes: ComPacks are non-clinical case-managed community care packages available for people being transferred home from a participating New South Wales Public Hospital. Each package is available for up to 6 weeks from the package start date. Service Code Service Name Measurement Unit Service Volume Explanatory Notes Other Services PI-03 Hospital in the Home (HITH) – Acute Separations Number 1,695 1,001 Definition of Activity Measure: The number of overnight Bed Type 25 acute separations, as a measure of the number of patients receiving acute care through Hospital in the Home, as a substitution of hospitalisation. Rationale: To increase the number of people in NSW who receive acute clinical care (hospital substitution) in their home and ambulatory settings to reduce hospitalisations. To reduce demand on inpatient hospital services, as per GL2013_006 NSW Hospital in the Home (HITH) Guideline. Notes on Calculation of Target Target based on actual HITH activity for 2014/15 – Bed Type 25 acute overnight separations 1. Districts/Networkss performing above State average rate: target = [June 2015 Health Service HITH substitution rate] x [total Health Service acute overnight separations] + [0.5 per cent x total Health Service acute overnight separations] 2. Districts/Networkss performing below State average rate: target = [June 2015 State average HITH substitution rate] x [total Health Service acute overnight separations] HITH substitution rate: Numerator = Number Bed Type 25 acute overnight separations Denominator = Total Districts/Networks acute overnight separations Additional notes: The NWAU value for Hospital in the Home is included in Acute Admitted RTX Radiotherapy Courses (new and re-treat) 720 Definition of Activity Measure: Number of new and re-treatment patients treated with radiotherapy. Rationale for Target: Planning target of 414 courses per Linear Accelerater (linac) based on agreed national planning parameters. Minimum 360 courses per linac. The minimum target has been considered in relation to the average number of courses per linac for public sector services in 2014. Further, services at individual sites are to be at a level not less than activity in 2015/16. Additional notes: North Coast Central West Cancer Institute: Lismore Service (2 linacs) Service Code Service Name Measurement Unit Service Volume Explanatory Notes Population Health Services PH-008c Healthy Children Initiative - Targeted Family Healthy Eating and Physical Activity Program - Enrolments Number 64 N/A Definition of Activity Measure: The number of overweight/obese children 7-13 years old who enrol in the Targeted Family Healthy Eating and Physical Activity Program. Rationale: Priority in the NSW State Plan and to support relevant targets and objectives of the NSW Healthy Eating and Active Living Strategy (2013-2018). Notes on Calculation of Target: New Volumes provided for 2016/17. Volumes have been derived from the number of programs Districts agreed to deliver over the period 2016-17. Total targets were obtained by using an average of 12 participants per group for metropolitan LHDs, 10 participants per group for regional Districts and 8 participants per group for rural Districts. Participants are defined as the number of enrolments in the Targeted Family Healthy Eating and Physical Activity Program who attend one or more program sessions. PH-008d Healthy Children Initiative - Targeted Family Healthy Eating and Physical Activity Program - Completion Number 54 N/A Definition of Activity Measure: The number of overweight/obese children 7-13 years old enrolled in the Targeted Family Healthy Eating and Physical Activity Program who complete 3 or more program sessions. Rationale: Priority in the NSW State Plan to support relevant targets and objectives of the NSW Healthy Eating and Active Living Strategy (2013- 2018). Notes on Calculation of Target Completion is defined as the number of overweight/obese children aged 7-13 years who complete three or more sessions, as per the once per week delivery model of the Targeted Family Healthy Eating and Physical Activity Program. The volume has been derived based on a target completion rate of 85 per cent of the Targeted Family Healthy and Physical Activity Program enrolment target for 2016/17. The target is achieved if the actual completion rate is > or equal to 85 per cent of the actual enrolment number. PH-009 Needle and Syringe Program - Sterile needles and syringes distributed Number 527,922 826,148 Definition of Activity Measure: Number of sterile needles and syringes distributed in the last 12 months via the NSW public sector Needle and Syringe Program outlets. Rationale: The NSW Government has committed to sustaining the virtual elimination of HIV transmission among people who inject drugs as per the NSW HIV Strategy 2016 – 2020 and to reducing the sharing of injecting equipment in the NSW Hepatitis B and Hepatitis C Strategies 2014-2020. Notes on Calculation of Target Volumes provided are based on actuals from 2014/15 and factoring in the average degree of increase that Districts achieved during the last six months of the year. PH-012b Stepping On Program - Participants Number 200 250 Definition of Activity Measure: The number of Stepping On Program participants Rationale: Priority in the Population Health Priorities for NSW 2012-2017. Notes on Calculation of Target Volumes provided for 2015/16 are to be maintained for 2016/17. Volumes have been derived from an average of 12 participants per group for Metropolitan LHDs and 10 participants per group for Rural LHDs. Participants are defined as the number of enrolments in the Stepping on Program who attend five or more program sessions. Combined PH-012b Stepping On Program - Participants Number for FWLHD and WNSW LHD Service Code Service Name Measurement Unit Service Volume Explanatory Notes Population Health Services PH-017b Tobacco compliance monitoring: Sales to Minors and Point of Sale Number 228 Combined for MNCLHD FWLHD and NNSWLH D WNSW LHD Definition of Activity Measure: The total number of tobacco retailers that are inspected to check for compliance with sales to minors and point of sale provisions of the Public Health (Tobacco) Xxx 0000. Rationale: To support relevant priorities in the NSW Tobacco Strategy 2012 – 2017: to reduce the sale of illegal tobacco to people under the age of 18; and to reduce the incidence of smoking and other consumption of tobacco products and non-tobacco smoking products, particularly by young people. Notes on Calculation of Target New volume provided for 2015/16. Includes initial inspections only. Volumes are to be maintained or increased. Maternal, Child, Youth and Family Services KF-001 Aboriginal Maternal Infant Health Services - Women with Aboriginal babies accessing the service Number 180 300 Definition of Activity Measure: The number of new clients registered in an Aboriginal Maternal Infant Health Services. Rationale: The target aims to ensure that pregnant women having Aboriginal babies have access to culturally appropriate antenatal and postnatal care in order to reduce perinatal mortality and morbidity, preterm births and low birth weight of Aboriginal babies. Notes on Calculation of Target The number of new clients (women who identify their baby as being Aboriginal) admitted to the Aboriginal Maternal Infant Health Service based on current service level. Additional notes: The Aboriginal Maternal and Infant Health Service is a community-based maternity service, with a midwife and Aboriginal Health Worker working in partnership with Aboriginal families to provide culturally appropriate and respectful care for Aboriginal women and babies. KF-002 Building Strong Foundations for Aboriginal Children, Families and Communities – Clients (Children) enrolled in program Number N/A 71 Definition of Activity Measure: The number of new clients (incident cases) enrolled in the Building Strong Foundations service Rationale: The target aims to ensure that local Aboriginal children and families have improved access to culturally appropriate local health care which will help assure that Aboriginal children are ready to learn when they start school. Additional notes: Building Strong Foundations provides culturally appropriate early childhood health services for Aboriginal children, birth to school entry age and their families.

Rationale. To support a safe discharge from hospital, reduce a patient’s unnecessary length of time in hospital and prevent avoidable readmission. Reference document: NSW ComPacks Program Guidelines and Resources - March 2015 Notes on Calculation of Target: Targets are based on each District’s/Network’s ComPacks budget. Additional Notes: ComPacks are non-clinical case-managed community care packages available for people being transferred home from a participating New South Wales Public Hospital. Each package is available for up to 6 weeks from the package start date. Service Code Service Name Measurement Unit Service Volume Explanatory Notes Other Services PI-03 Hospital in the Home (HITH) – Acute Separations Number 1,695 3,471 Definition of Activity Measure: The number of overnight Bed Type 25 acute separations, as a measure of the number of patients receiving acute care through Hospital in the Home, as a substitution of hospitalisation. Rationale: To increase the number of people in NSW who receive acute clinical care (hospital substitution) in their home and ambulatory settings to reduce hospitalisations. To reduce demand on inpatient hospital services, as per GL2013_006 NSW Hospital in the Home (HITH) Guideline. Notes on Calculation of Target Target based on actual HITH activity for 2014/15 – Bed Type 25 acute overnight separations 1. Districts/Networkss performing above State average rate: target = [June 2015 Health Service HITH substitution rate] x [total Health Service acute overnight separations] + [0.5 per cent x total Health Service acute overnight separations] 2. Districts/Networkss performing below State average rate: target = [June 2015 State average HITH substitution rate] x [total Health Service acute overnight separations] HITH substitution rate: Numerator = Number Bed Type 25 acute overnight separations Denominator = Total Districts/Networks acute overnight separations Additional notes: The NWAU value for Hospital in the Home is included in Acute Admitted RTX Radiotherapy Courses (new and re-treat) 720 1,080 Definition of Activity Measure: Number of new and re-treatment patients treated with radiotherapy. Rationale for Target: Planning target of 414 courses per Linear Accelerater (linac) based on agreed national planning parameters. Minimum 360 courses per linac. The minimum target has been considered in relation to the average number of courses per linac for public sector services in 2014. Further, services at individual sites are to be at a level not less than activity in 2015/16. Additional notes: Royal North Coast Cancer Institute: Lismore Shore Hospital (2 3 linacs) Service Code Service Name Measurement Unit Service Volume Explanatory Notes Population Health Services PH-008c Healthy Children Initiative - Targeted Family Healthy Eating and Physical Activity Program - Enrolments Number 64 96 Definition of Activity Measure: The number of overweight/obese children 7-13 years old who enrol in the Targeted Family Healthy Eating and Physical Activity Program. Rationale: Priority in the NSW State Plan and to support relevant targets and objectives of the NSW Healthy Eating and Active Living Strategy (2013-2018). Notes on Calculation of Target: New Volumes provided for 2016/17. Volumes have been derived from the number of programs Districts agreed to deliver over the period 2016-17. Total targets were obtained by using an average of 12 participants per group for metropolitan LHDs, 10 participants per group for regional Districts and 8 participants per group for rural Districts. Participants are defined as the number of enrolments in the Targeted Family Healthy Eating and Physical Activity Program who attend one or more program sessions. PH-008d Healthy Children Initiative - Targeted Family Healthy Eating and Physical Activity Program - Completion Number 54 82 Definition of Activity Measure: The number of overweight/obese children 7-13 years old enrolled in the Targeted Family Healthy Eating and Physical Activity Program who complete 3 or more program sessions. Rationale: Priority in the NSW State Plan to support relevant targets and objectives of the NSW Healthy Eating and Active Living Strategy (2013- 2018). Notes on Calculation of Target Completion is defined as the number of overweight/obese children aged 7-13 years who complete three or more sessions, as per the once per week delivery model of the Targeted Family Healthy Eating and Physical Activity Program. The volume has been derived based on a target completion rate of 85 per cent of the Targeted Family Healthy and Physical Activity Program enrolment target for 2016/17. The target is achieved if the actual completion rate is > or equal to 85 per cent of the actual enrolment number. PH-009 Needle and Syringe Program - Sterile needles and syringes distributed Number 527,922 401,162 Definition of Activity Measure: Number of sterile needles and syringes distributed in the last 12 months via the NSW public sector Needle and Syringe Program outlets. Rationale: The NSW Government has committed to sustaining the virtual elimination of HIV transmission among people who inject drugs as per the NSW HIV Strategy 2016 – 2020 and to reducing the sharing of injecting equipment in the NSW Hepatitis B and Hepatitis C Strategies 2014-2020. Notes on Calculation of Target Volumes provided are based on actuals from 2014/15 and factoring in the average degree of increase that Districts achieved during the last six months of the year. PH-012b Stepping On Program - Participants Number 200 636 Combined for CCLHD and NSLHD Definition of Activity Measure: The number of Stepping On Program participants Rationale: Priority in the Population Health Priorities for NSW 2012-2017. Notes on Calculation of Target Volumes provided for 2015/16 are to be maintained for 2016/17. Volumes have been derived from an average of 12 participants per group for Metropolitan LHDs and 10 participants per group for Rural LHDs. Participants are defined as the number of enrolments in the Stepping on Program who attend five or more program sessions. Service Code Service Name Measurement Unit Service Volume Explanatory Notes Population Health Services PH-017b Tobacco compliance monitoring: Sales to Minors and Point of Sale Number 228 Combined for MNCLHD and NNSWLH D 216 Definition of Activity Measure: The total number of tobacco retailers that are inspected to check for compliance with sales to minors and point of sale provisions of the Public Health (Tobacco) Xxx 0000. Rationale: To support relevant priorities in the NSW Tobacco Strategy 2012 – 2017: to reduce the sale of illegal tobacco to people under the age of 18; and to reduce the incidence of smoking and other consumption of tobacco products and non-tobacco smoking products, particularly by young people. Notes on Calculation of Target New volume provided for 2015/16. Includes initial inspections only. Volumes are to be maintained or increased. Maternal, Child, Youth and Family Services KF-001 Aboriginal Maternal Infant Health Services - Women with Aboriginal babies accessing the service Number 180 N/A Definition of Activity Measure: The number of new clients registered in an Aboriginal Maternal Infant Health Services. Rationale: The target aims to ensure that pregnant women having Aboriginal babies have access to culturally appropriate antenatal and postnatal care in order to reduce perinatal mortality and morbidity, preterm births and low birth weight of Aboriginal babies. Notes on Calculation of Target The number of new clients (women who identify their baby as being Aboriginal) admitted to the Aboriginal Maternal Infant Health Service based on current service level. Additional notes: The Aboriginal Maternal and Infant Health Service is a community-based maternity service, with a midwife and Aboriginal Health Worker working in partnership with Aboriginal families to provide culturally appropriate and respectful care for Aboriginal women and babies. KF-002 Building Strong Foundations for Aboriginal Children, Families and Communities – Clients (Children) enrolled in program Number N/A Definition of Activity Measure: The number of new clients (incident cases) enrolled in the Building Strong Foundations service Rationale: The target aims to ensure that local Aboriginal children and families have improved access to culturally appropriate local health care which will help assure that Aboriginal children are ready to learn when they start school. Additional notes: Building Strong Foundations provides culturally appropriate early childhood health services for Aboriginal children, birth to school entry age and their families.

Rationale. To support a safe discharge from hospital, reduce a patient’s unnecessary length of time in hospital and prevent avoidable readmission. Reference document: NSW ComPacks Program Guidelines and Resources - March 2015 Notes on Calculation of Target: Targets are based on each District’s/Network’s ComPacks budget. Additional Notes: ComPacks are non-clinical case-managed community care packages available for people being transferred home from a participating New South Wales Public Hospital. Each package is available for up to 6 weeks from the package start date. Service ervice Code Service Name Measurement Unit Service Volume Explanatory Notes Other Services PI-03 Hospital in the Home (HITH) – Acute Separations Number 1,695 3,459 Definition of Activity Measure: The number of overnight Bed Type 25 acute separations, as a measure of the number of patients receiving acute care through Hospital in the Home, as a substitution of hospitalisation. Rationale: To increase the number of people in NSW who receive acute clinical care (hospital substitution) in their home and ambulatory settings to reduce hospitalisations. To reduce demand on inpatient hospital services, as per GL2013_006 NSW Hospital in the Home (HITH) Guideline. Notes on Calculation of Target Target based on actual HITH activity for 2014/15 – Bed Type 25 acute overnight separations 1. Districts/Networkss performing above State average rate: target = [June 2015 Health Service HITH substitution rate] x [total Health Service acute overnight separations] + [0.5 per cent x total Health Service acute overnight separations] 2. Districts/Networkss performing below State average rate: target = [June 2015 State average HITH substitution rate] x [total Health Service acute overnight separations] HITH substitution rate: Numerator = Number Bed Type 25 acute overnight separations Denominator = Total Districts/Networks acute overnight separations Additional notes: The NWAU value for Hospital in the Home is included in Acute Admitted RTX Radiotherapy Courses (new and re-treat) 720 2,160 Definition of Activity Measure: Number of new and re-treatment patients treated with radiotherapy. Rationale for Target: Planning target of 414 courses per Linear Accelerater (linac) based on agreed national planning parameters. Minimum 360 courses per linac. The minimum target has been considered in relation to the average number of courses per linac for public sector services in 2014. Further, services at individual sites are to be at a level not less than activity in 2015/16. Additional notes: North Coast Insert for individual Districts/Networks Liverpool Cancer Institute: Lismore Therapy Centre (4 linacs); Macarthur Cancer Therapy Centre (2 linacs) Service Code Service Name Measurement Unit Service Volume Explanatory Notes Population Health Services PH-008c Healthy Children Initiative - Targeted Family Healthy Eating and Physical Activity Program - Enrolments Number 64 240 Definition of Activity Measure: The number of overweight/obese children 7-13 years old who enrol in the Targeted Family Healthy Eating and Physical Activity Program. Rationale: Priority in the NSW State Plan and to support relevant targets and objectives of the NSW Healthy Eating and Active Living Strategy (2013-2018). Notes on Calculation of Target: New Volumes provided for 2016/17. Volumes have been derived from the number of programs Districts agreed to deliver over the period 2016-17. Total targets were obtained by using an average of 12 participants per group for metropolitan LHDs, 10 participants per group for regional Districts and 8 participants per group for rural Districts. Participants are defined as the number of enrolments in the Targeted Family Healthy Eating and Physical Activity Program who attend one or more program sessions. PH-008d Healthy Children Initiative - Targeted Family Healthy Eating and Physical Activity Program - Completion Number 54 204 Definition of Activity Measure: The number of overweight/obese children 7-13 years old enrolled in the Targeted Family Healthy Eating and Physical Activity Program who complete 3 or more program sessions. Rationale: Priority in the NSW State Plan to support relevant targets and objectives of the NSW Healthy Eating and Active Living Strategy (2013- 2018). Notes on Calculation of Target Completion is defined as the number of overweight/obese children aged 7-13 years who complete three or more sessions, as per the once per week delivery model of the Targeted Family Healthy Eating and Physical Activity Program. The volume has been derived based on a target completion rate of 85 per cent of the Targeted Family Healthy and Physical Activity Program enrolment target for 2016/17. The target is achieved if the actual completion rate is > or equal to 85 per cent of the actual enrolment number. PH-009 Needle and Syringe Program - Sterile needles and syringes distributed Number 527,922 809,068 Definition of Activity Measure: Number of sterile needles and syringes distributed in the last 12 months via the NSW public sector Needle and Syringe Program outlets. Rationale: The NSW Government has committed to sustaining the virtual elimination of HIV transmission among people who inject drugs as per the NSW HIV Strategy 2016 – 2020 and to reducing the sharing of injecting equipment in the NSW Hepatitis B and Hepatitis C Strategies 2014-2020. Notes on Calculation of Target Volumes provided are based on actuals from 2014/15 and factoring in the average degree of increase that Districts achieved during the last six months of the year. PH-012b Stepping On Program - Participants Number 200 264 Definition of Activity Measure: The number of Stepping On Program participants Rationale: Priority in the Population Health Priorities for NSW 2012-2017. Notes on Calculation of Target Volumes provided for 2015/16 are to be maintained for 2016/17. Volumes have been derived from an average of 12 participants per group for Metropolitan LHDs and 10 participants per group for Rural LHDs. Participants are defined as the number of enrolments in the Stepping on Program who attend five or more program sessions. Service Code Service Name Measurement Unit Service Volume Explanatory Notes Population Health Services PH-017b Tobacco compliance monitoring: Sales to Minors and Point of Sale Number 228 Combined for MNCLHD and NNSWLH D 216 Definition of Activity Measure: The total number of tobacco retailers that are inspected to check for compliance with sales to minors and point of sale provisions of the Public Health (Tobacco) Xxx 0000. Rationale: To support relevant priorities in the NSW Tobacco Strategy 2012 – 2017: to reduce the sale of illegal tobacco to people under the age of 18; and to reduce the incidence of smoking and other consumption of tobacco products and non-tobacco smoking products, particularly by young people. Notes on Calculation of Target New volume provided for 2015/16. Includes initial inspections only. Volumes are to be maintained or increased. Maternal, Child, Youth and Family Services KF-001 Aboriginal Maternal Infant Health Services - Women with Aboriginal babies accessing the service Number 180 60 Definition of Activity Measure: The number of new clients registered in an Aboriginal Maternal Infant Health Services. Rationale: The target aims to ensure that pregnant women having Aboriginal babies have access to culturally appropriate antenatal and postnatal care in order to reduce perinatal mortality and morbidity, preterm births and low birth weight of Aboriginal babies. Notes on Calculation of Target The number of new clients (women who identify their baby as being Aboriginal) admitted to the Aboriginal Maternal Infant Health Service based on current service level. Additional notes: The Aboriginal Maternal and Infant Health Service is a community-based maternity service, with a midwife and Aboriginal Health Worker working in partnership with Aboriginal families to provide culturally appropriate and respectful care for Aboriginal women and babies. KF-002 Building Strong Foundations for Aboriginal Children, Families and Communities – Clients (Children) enrolled in program Number N/A Definition of Activity Measure: The number of new clients (incident cases) enrolled in the Building Strong Foundations service Rationale: The target aims to ensure that local Aboriginal children and families have improved access to culturally appropriate local health care which will help assure that Aboriginal children are ready to learn when they start school. Additional notes: Building Strong Foundations provides culturally appropriate early childhood health services for Aboriginal children, birth to school entry age and their families.

Rationale. To support a safe discharge from hospital, reduce a patient’s unnecessary length of time in hospital and prevent avoidable readmission. Reference document: NSW ComPacks Program Guidelines and Resources - March 2015 Notes on Calculation of Target: Targets are based on each District’s/Network’s ComPacks budget. Additional Notes: ComPacks are non-clinical case-managed community care packages available for people being transferred home from a participating New South Wales Public Hospital. Each package is available for up to 6 weeks from the package start date. Service Code Service Name Measurement Unit Service Volume Explanatory Notes Other Services PI-03 Hospital in the Home (HITH) – Acute Separations Number 1,695 1,018 Definition of Activity Measure: The number of overnight Bed Type 25 acute separations, as a measure of the number of patients receiving acute care through Hospital in the Home, as a substitution of hospitalisation. Rationale: To increase the number of people in NSW who receive acute clinical care (hospital substitution) in their home and ambulatory settings to reduce hospitalisations. To reduce demand on inpatient hospital services, as per GL2013_006 NSW Hospital in the Home (HITH) Guideline. Notes on Calculation of Target Target based on actual HITH activity for 2014/15 – Bed Type 25 acute overnight separations 1. Districts/Networkss performing above State average rate: target = [June 2015 Health Service HITH substitution rate] x [total Health Service acute overnight separations] + [0.5 per cent x total Health Service acute overnight separations] 2. Districts/Networkss performing below State average rate: target = [June 2015 State average HITH substitution rate] x [total Health Service acute overnight separations] HITH substitution rate: Numerator = Number Bed Type 25 acute overnight separations Denominator = Total Districts/Networks acute overnight separations Additional notes: The NWAU value for Hospital in the Home is included in Acute Admitted RTX Radiotherapy Courses (new and re-treat) 720 1,440 Definition of Activity Measure: Number of new and re-treatment patients treated with radiotherapy. Rationale for Target: Planning target of 414 courses per Linear Accelerater (linac) based on agreed national planning parameters. Minimum 360 courses per linac. The minimum target has been considered in relation to the average number of courses per linac for public sector services in 2014. Further, services at individual sites are to be at a level not less than activity in 2015/16. Additional notes: North Coast Cancer Institute: Lismore , Coffs Harbour (2 linacs); North Coast Cancer Institute, Port Macquarie (2 linacs) Service Code Service Name Measurement Unit Service Volume Explanatory Notes Population Health Services PH-008c Healthy Children Initiative - Targeted Family Healthy Eating and Physical Activity Program - Enrolments Number 64 Definition of Activity Measure: The number of overweight/obese children 7-13 years old who enrol in the Targeted Family Healthy Eating and Physical Activity Program. Rationale: Priority in the NSW State Plan and to support relevant targets and objectives of the NSW Healthy Eating and Active Living Strategy (2013-2018). Notes on Calculation of Target: New Volumes provided for 2016/17. Volumes have been derived from the number of programs Districts agreed to deliver over the period 2016-17. Total targets were obtained by using an average of 12 participants per group for metropolitan LHDs, 10 participants per group for regional Districts and 8 participants per group for rural Districts. Participants are defined as the number of enrolments in the Targeted Family Healthy Eating and Physical Activity Program who attend one or more program sessions. PH-008d Healthy Children Initiative - Targeted Family Healthy Eating and Physical Activity Program - Completion Number 54 Definition of Activity Measure: The number of overweight/obese children 7-13 years old enrolled in the Targeted Family Healthy Eating and Physical Activity Program who complete 3 or more program sessions. Rationale: Priority in the NSW State Plan to support relevant targets and objectives of the NSW Healthy Eating and Active Living Strategy (2013- 2018). Notes on Calculation of Target Completion is defined as the number of overweight/obese children aged 7-13 years who complete three or more sessions, as per the once per week delivery model of the Targeted Family Healthy Eating and Physical Activity Program. The volume has been derived based on a target completion rate of 85 per cent of the Targeted Family Healthy and Physical Activity Program enrolment target for 2016/17. The target is achieved if the actual completion rate is > or equal to 85 per cent of the actual enrolment number. PH-009 Needle and Syringe Program - Sterile needles and syringes distributed Number 527,922 529,209 Definition of Activity Measure: Number of sterile needles and syringes distributed in the last 12 months via the NSW public sector Needle and Syringe Program outlets. Rationale: The NSW Government has committed to sustaining the virtual elimination of HIV transmission among people who inject drugs as per the NSW HIV Strategy 2016 – 2020 and to reducing the sharing of injecting equipment in the NSW Hepatitis B and Hepatitis C Strategies 2014-2020. Notes on Calculation of Target Volumes provided are based on actuals from 2014/15 and factoring in the average degree of increase that Districts achieved during the last six months of the year. PH-012b Stepping On Program - Participants Number 200 180 Definition of Activity Measure: The number of Stepping On Program participants Rationale: Priority in the Population Health Priorities for NSW 2012-2017. Notes on Calculation of Target Volumes provided for 2015/16 are to be maintained for 2016/17. Volumes have been derived from an average of 12 participants per group for Metropolitan LHDs and 10 participants per group for Rural LHDs. Participants are defined as the number of enrolments in the Stepping on Program who attend five or more program sessions. Service Code Service Name Measurement Unit Service Volume Explanatory Notes Population Health Services PH-017b Tobacco compliance monitoring: Sales to Minors and Point of Sale Number 228 Combined for MNCLHD and NNSWLH D Definition of Activity Measure: The total number of tobacco retailers that are inspected to check for compliance with sales to minors and point of sale provisions of the Public Health (Tobacco) Xxx 0000. Rationale: To support relevant priorities in the NSW Tobacco Strategy 2012 – 2017: to reduce the sale of illegal tobacco to people under the age of 18; and to reduce the incidence of smoking and other consumption of tobacco products and non-tobacco smoking products, particularly by young people. Notes on Calculation of Target New volume provided for 2015/16. Includes initial inspections only. Volumes are to be maintained or increased. Maternal, Child, Youth and Family Services KF-001 Aboriginal Maternal Infant Health Services - Women with Aboriginal babies accessing the service Number 180 145 Definition of Activity Measure: The number of new clients registered in an Aboriginal Maternal Infant Health Services. Rationale: The target aims to ensure that pregnant women having Aboriginal babies have access to culturally appropriate antenatal and postnatal care in order to reduce perinatal mortality and morbidity, preterm births and low birth weight of Aboriginal babies. Notes on Calculation of Target The number of new clients (women who identify their baby as being Aboriginal) admitted to the Aboriginal Maternal Infant Health Service based on current service level. Additional notes: The Aboriginal Maternal and Infant Health Service is a community-based maternity service, with a midwife and Aboriginal Health Worker working in partnership with Aboriginal families to provide culturally appropriate and respectful care for Aboriginal women and babies. KF-002 Building Strong Foundations for Aboriginal Children, Families and Communities – Clients (Children) enrolled in program Number N/A 30 Definition of Activity Measure: The number of new clients (incident cases) enrolled in the Building Strong Foundations service Rationale: The target aims to ensure that local Aboriginal children and families have improved access to culturally appropriate local health care which will help assure that Aboriginal children are ready to learn when they start school. Additional notes: Building Strong Foundations provides culturally appropriate early childhood health services for Aboriginal children, birth to school entry age and their families.