Federal Register of Legislation - Australian Government

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Declarations/Other as made
This instrument amends the Declaration of Quality Assurance Activity under section 124X of the Health Insurance Act 1973 – QAA 1/2017 to allow the Victorian Perioperative Consultative Council to access information from the Australian and New Zealand Audits of Surgical Mortality, which is managed by the Royal Australasian College of Surgeons.
Administered by: Health
Registered 24 Jun 2021
Tabling HistoryDate
Tabled HR03-Aug-2021
Tabled Senate03-Aug-2021
To be repealed 19 Oct 2021
Repealed by Division 1 of Part 3 of Chapter 3 of the Legislation Act 2003
Table of contents.

Commonwealth Coat of Arms of Australia

 

Health Insurance (Quality Assurance Activity Australian and New Zealand Audits of Surgical Mortality) Amendment Declaration 2021

 

I, PAUL KELLY, delegate for the Minister for Health, make the following amending declaration under section 124X of the Health Insurance Act 1973.

Dated    19 June 2021            

Professor Paul Kelly

Chief Medical Officer

Department of Health

 

 

 


Contents

Part 1 —       Preliminary                                                                                             1

1  Name........................................................................................................................................ 1

2  Commencement........................................................................................................................ 1

3  Authority.................................................................................................................................. 1

4  Schedule................................................................................................................................... 1

Schedule 1— Amendments                                                                                          2

 

 

 

 


Part 1— Preliminary

1  Name

                   This instrument is the Health Insurance (Quality Assurance Activity – Australian and New Zealand Audits of Surgical Mortality) Amendment Declaration 2021.

2  Commencement

             (1)  Each provision of this instrument specified in column 1 of the table commences, or is taken to have commenced, in accordance with column 2 of the table. Any other statement in column 2 has effect according to its terms.

 

Commencement information

Column 1

Column 2

Column 3

Provisions

Commencement

Date/Details

1.  The whole of this instrument

The day after this instrument is registered.

 

Note:          This table relates only to the provisions of this instrument as originally made. It will not be amended to deal with any later amendments of this instrument.

             (2)  Any information in column 3 of the table is not part of this instrument. Information may be inserted in this column, or information in it may be edited, in any published version of this instrument.

3  Authority

                   This instrument is made under subsection 124X(1) of the Health Insurance Act 1973.

4  Schedule

                   Each instrument that is specified in a Schedule to this instrument is amended or repealed as set out in the applicable items in the Schedule concerned, and any other item in a Schedule to this instrument has effect according to its terms.

 


Schedule 1 — Amendments

 

Declaration of Quality Assurance Activity under section 124X of the Health Insurance Act 1973 – QAA 1/2017

 

1          Item 1, Schedule 1 (Description of Quality Assurance Activity)

 

Omit all the words after “Description:”, substitute:

 

The ANZASM comprises a group of regionally based surgical mortality audits, being the:

(a)    Australian Capital Territory Audit of Surgical Mortality;

(b)   Northern Territory Audit of Surgical Mortality;

(c)    Queensland Audit of Surgical Mortality;

(d)   South Australian Audit of Surgical Mortality;

(e)    Tasmanian Audit of Surgical Mortality;

(f)    Victorian Audit of Surgical Mortality (VASM);

(g)    Western Australian Audit of Surgical Mortality; and

(h)   New South Wales’ (NSW) Collaborative Hospitals Audit of Surgical Mortality.

 

The VASM includes the participation of the Victorian Perioperative Consultative Council (VPCC) as established under the Public Health and Wellbeing Act 2008 (Vic) and Public Health and Wellbeing Regulations 2019 (Vic). The VASM may share documents and information related to individual mortality cases which the VASM considers requires multidisciplinary review, and anaesthetic-related mortality cases with the VPCC. The means by which documents and information is shared between the VASM and VPCC is determined and revised by these bodies as required.

 

The VPCC may make recommendations in respect of those documents and information, and monitor the implementation of those recommendations in accordance with its functions under Division 2 of Part 4 of the Public Health and Wellbeing Act 2008 (Vic).

 

The ANZASM is managed by the Royal Australasian College of Surgeons (RACS). Each of the regionally based audits is under the governance of the ANZASM, with the exception of the Collaborative Hospitals Audit of Surgical Mortality which is managed by the NSW Clinical Excellence Commission and co-governed in collaboration with RACS.

 

The ANZASM provides a self-reporting and hospital or health system based notification of death system for surgeons, anaesthetists and radiologists, relating to patient deaths occurring in a hospital where:

(a)    the patient was under the care of a surgeon (surgical admissions), whether or not an operation was performed; or

(b)   the patient was under the care of a physician (medical and non-surgical admission) and there was surgical intervention.

 

The ANZASM includes, but is not limited to:

(a)    notification of death by surgeon, radiologist or anaesthetist, hospital or health system;

(b)   completion and review of relevant case form;

(c)    report to reporting surgeon, anaesthetist or radiologist by assessing surgeon;

(d)   public reporting on aggregated data;

(e)    strategic and national review by the ANZASM Steering Committee; and

(f)    the making of recommendations and monitoring of the implementation of those recommendations (including by the VPCC in respect of the ANZASM in accordance with its functions under Division 2 of Part 4 of the Public Health and Wellbeing Act 2008 (Vic)).

 

 

ANZASM is a mandatory component of the RACS Continuing Professional Development Scheme.