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Newsletter: 215/2015 Date: 20 July 2015 Distribution: All members CCLHD Contact: Your organiser Central Coast LHD Proposed Restructure Activity Based Management Unit Dear Member, Attached is correspondence the HSU has received from the Central Coast Local Health District (CCLHD) regarding a proposed restructure of the Activity Based Management Unit within the division of Finance and Corporate Services. Member feedback requested The HSU industrial team is currently reviewing the potential impacts of the proposed restructure upon affected employees. We are now seeking feedback, views and comments from our members. Please review the attached documentation and provide comments and feedback by close of business Friday 31 July 2015. You can submit it by email to [email protected] with subject line CCLHD ABMU HSU organiser and sub-branch involvement Your HSU organiser Glen Pead will be visiting your workplace shortly and convening a meeting to discuss the matter with affected employees. The HSU is also seeking expressions of interest from members to be part of the consultative process as a workplace delegate in any upcoming USCC meetings regarding this proposal. The most effective way to deal with these kinds of proposals is by taking into account the concerns of the group, agreeing on a way forward and presenting that united position to management. Please distribute this newsletter to your work colleagues for their information and comments and encourage them to attend the meeting. Not a member of the HSU? Now is time to join and have your say! You can join online or call 1300 478 679 and join over the phone. A union’s effectiveness and negotiation power strongly depends upon the strength and density of its membership base. Join your work colleagues today by becoming a member of the Health Services Union and help us to continue to protect, build and improve your working life. In unity, Gerard Hayes Secretary, HSU NSW/ACT.
Transcript

Newsletter: 215/2015 Date: 20 July 2015 Distribution: All members CCLHD Contact: Your organiser

Central Coast LHD

Proposed Restructure Activity Based Management Unit

Dear Member, Attached is correspondence the HSU has received from the Central Coast Local Health District (CCLHD) regarding a proposed restructure of the Activity Based Management Unit within the division of Finance and Corporate Services. Member feedback requested The HSU industrial team is currently reviewing the potential impacts of the proposed restructure upon affected employees. We are now seeking feedback, views and comments from our members. Please review the attached documentation and provide comments and feedback by close of business Friday 31 July 2015. You can submit it by email to [email protected] with subject line CCLHD ABMU HSU organiser and sub-branch involvement Your HSU organiser Glen Pead will be visiting your workplace shortly and convening a meeting to discuss the matter with affected employees. The HSU is also seeking expressions of interest from members to be part of the consultative process as a workplace delegate in any upcoming USCC meetings regarding this proposal. The most effective way to deal with these kinds of proposals is by taking into account the concerns of the group, agreeing on a way forward and presenting that united position to management. Please distribute this newsletter to your work colleagues for their information and comments and encourage them to attend the meeting. Not a member of the HSU? Now is time to join and have your say! You can join online or call 1300 478 679 and join over the phone. A union’s effectiveness and negotiation power strongly depends upon the strength and density of its membership base. Join your work colleagues today by becoming a member of the Health Services Union and help us to continue to protect, build and improve your working life. In unity,

Gerard Hayes Secretary, HSU NSW/ACT.

!

Director!Finance!&!Corporate!Services!

!

Manager,!Financial!Accoun8ng!

Manager,!Management!Accoun8ng!

Manager,!Efficiency!Improvement!

Manager,!Performance!&!

Casemix!

Manager,!Ac8vity!Based!Management!1.0!FTE!x!HSM4!

Ac8vity!Based!Management!Improvement!

Officer!(Casemix)!1.0!FTE!x!HSM2!

Ac8vity!Based!Management!

Improvement!Officer!(Revenue)!

1.0!FTE!x!HSM2!

Manager,!Clinical!Cos8ng!

Clinical!Cos8ng!Officer!

Manager,!Business!Intelligence!&!Performance!Repor8ng!

Manager,!Management!Informa8on!&!Repor8ng!

Senior!Business!Intelligence!Officer!

Senior!Business!Intelligence!Officer!

Business!Intelligence!Officer!

0.5!Data!Manager!

Manager,!Revenue!Processing!

Senior!Revenue!Administrator!

Senior!Revenue!Administrator!

Senior!Revenue!Administrator!

Senior!Revenue!Administrator!

Assistant!!Manager,!Revenue!Processing!

Revenue!Administrator!

Revenue!Administrator!

Revenue!Administrator!

Revenue!Administrator!

Revenue!Administrator!

Revenue!Administrator!

Manager,!Capital!Works!and!Asset!Management!

Manager,!Corporate!Services!

EA!Director!Finance!&!Corporate!Services!

!

Director!Finance!&!Corporate!Services!

!

Manager,!Financial!Accoun8ng!

Manager,!Management!Accoun8ng!

Manager,!Efficiency!Improvement!

Manager,!Performance!&!

Casemix!

Manager,!Ac8vity!Based!Management!1.0!FTE!x!HSM4!

Ac8vity!Based!Management!Officer!

1.0!FTE!x!HSM3!

Manager,!Clinical!Cos8ng!

Clinical!Cos8ng!Officer!

Manager,!Business!Intelligence!&!Performance!Repor8ng!

Manager,!Management!Informa8on!&!Repor8ng!

Senior!Business!Intelligence!Officer!

Senior!Business!Intelligence!Officer!

Business!Intelligence!Officer!

0.5!Data!Manager!

Manager,!Revenue!Processing!

Senior!Revenue!Administrator!

Senior!Revenue!Administrator!

Senior!Revenue!Administrator!

Senior!Revenue!Administrator!

Assistant!!Manager,!Revenue!Processing!

Revenue!Administrator!

Revenue!Administrator!

Revenue!Administrator!

Revenue!Administrator!

Revenue!Administrator!

Revenue!Administrator!

Manager,!Capital!Works!and!Asset!Management!

Manager,!Corporate!Services!

EA!Director!Finance!&!Corporate!Services!

Position Description Template for Interim Electronic Recruitment System

Position Number: <Auto Generated>

Position Title: Activity Based Management Officer

Cost Centre: 251243: Finance – Performance & Casemix

Organisation: Central Coast Local Health District

Geographical Locations/Suburbs:

All Central Coast

Facilities/Hospitals: All Central Coast Local Health District Hospitals and Community Health Facilities.

Multiple Awards? Y/N

No

Award Grouping(s): Health Manager

Classification(s):

Registration/Licence Requirements

Current Unrestricted NSW Driver’s License

A) Specialty Coding - MEDICAL: (Only complete A or B)

Professional Category Primary Function Client Group Speciality Code

! Medical ! Basic training med / other ! Advanced / Comb Training

medicine / other ! Paed - Adv/Combined Training ! Medicine / Other ! Paed & Child Health ! Surgery - Basic Training ! Surgery - Advanced Training ! Surgery - Other ! Unstreamed

! Adult ! Paediatric ! Mixed

B) Specialty Coding - NURSING: (Only complete A or B)

Professional Category Primary Function Client Group Speciality Code

! Nursing ! Critical Care / ED ! Medical ! Surgical ! Mixed Medical / Surgical ! Peri operative ! Midwifery/Obstetrics ! Aged Care ! Rehabilitation/Disability ! Mental Health ! Family & Child Health ! Community Health ! Other

! Adult ! Paediatric ! Mixed

Vaccination Category: ! Category A " Category B

Responsible To: Manager, Activity Based Management

Responsible For (staff): NIL

Purpose of Position: The position of Activity Based Management Officer exists within Central Coast Local Health District (The District). This position is to work within the strategic direction set by the Manager, Activity Based Management to drive the implementation of Activity Based Management within the District and to ensure that all aspects of the recording and management of admitted, non-admitted and emergency department activity is optimised in order to deliver the best possible outcomes of care to patients, the best possible results when comparing the District’s performance to other Local Health Districts, both within and outside the New South Wales Health Service, and the best possible revenue outcomes for the District from Government (Funding) and ‘own source’ (Private Revenue) revenue streams. This position will undertake review of performance by comparison to NSW Peer Hospitals, and to other exemplar hospitals, in all components of care across Admitted Acute including Mental Health (DRG’s), Admitted Sub and Non-Acute (SNAP Weights), Emergency Department (URG’s), and Non-Admitted (Tier 2 Clinic Service Weights). Informed by the continuous review of performance, the position will engaging clinicians and teams in relation to performance improvement in all aspects of ABM. This will be achieved by the position contributing to the development and implementation of Efficiency (Productivity) Improvement Strategies and Revenue Improvement Strategies sufficient to meet the District’s financial objectives, and liaising with / managing key stakeholders within the Divisions to enable the successful achievement of the strategies, by providing ongoing education in relation to all aspects of ABM and their application within clinical areas and by direct involvement in the day to day operations of clinical units to coach the units towards business as usual consideration of ABM issues. The position will provide expert advice and guidance as well as high level analytical support to enable the operational managers to make well informed management decisions on an ABM basis in relation to patient flow, case management, care pathways, and matters relating to funding and/or revenue. The position will ensure that the highest standards of service are provided to internal customers at all times, and that interactions with external stakeholders such as NSW Health, Agency for Clinical Innovation, Bureau of Health Information, and Health Roundtable are professional and reflect the standards of the District.

Key Accountabilities Operational / Advisory: • Achievement of efficiency improvement targets for the District; • Achievement of revenue improvement targets for the District; • Improvement of performance indicators towards peer/exemplar

benchmarks (ie. ALOS, Cost per NWAU, Unplanned Readmission/Unplanned Representation, Avoidable Admissions, etc)

• Improvement of level of understanding of ABM amongst operational staff;

• Improvement of accuracy of recorded activity data including volume and complexity of patient care;

• Effective negotiation and change management for performance improvement for the District;

General Duties/Responsibilities: • Participate in Quality improvement activities and provide a high level of

customer service to all stakeholders including patients, staff and others.

• Comply with all NSW Health and CCLHD policies and procedures • Maintain strict confidentiality in relation to all patient, staff and

workplace matters. • Use CCLHD resources efficiently, minimising cost and wastage. • Report any risk identified (eg: OHS, Clinical, Financial, Technology,

Public Image) to the manager and request a risk assessment. Participate in risk management activities.

• Implement the principles of Multiculturalism by ensuring services within the position holder’s area of responsibility are accessible and culturally appropriate to consumers.

• Co-operate with other staff members to ensure that duty requirements and standards are being met and maintained.

• Perform all other delegated tasks appropriately and in line with grading and capabilities.

Challenges / Problem Solving • Achievement of deadlines and milestones. • Ensuring that medical record keeping is comprehensive, accurate and

conducive to good downstream patient care and accurate clinical coding.

• Comparing performance between District hospitals and peer/exemplar hospitals and ensuring that strategies to improve performance are successful.

• Improving efficiency so that consistent high quality care can be provided to all patients in a timely and effective fashion.

• Maximising revenue generation potential (government funding and private revenue) by ensuring that the recorded complexity of patient activity is maximised, and that all potential private revenue streams are maximised.

• Working with Divisions to ensure appropriate processes are in place to maximise activity based funding and private revenue capture.

• Maintaining a current knowledge of policies and practices in relation to Activity Based Funding, Private Revenue / Patient Billing, Clinical Coding, Medical Records, Project Management.

• Building and Maintaining strong working relationships with managers and staff at all levels and across all departments of the District.

• Travel between Central Coast Local Health District facilities and other NSW Health facilities when required.

Communication Internal • Manager, Performance & Casemix • Manager, Activity Based Management • Activity Based Management (AMB) Improvement Officer/s • Central Coast Local Health District Executive Leadership Team • Divisional Management Accountants • Performance Reporting Team Members • Cost Centre Managers • Medical Heads of Department • Health Information Service • Clinical Governance / Clinical Redesign • All clinicians/admin staff • Revenue processing team

External • NSW Health • Agency for Clinical Innovation • Bureau of Health Information • Health Roundtable • Other hospitals

Decision Making Day to day advisory decision making within the parameters of the operational plan for the unit as agreed between the Manager, Activity Based Management and the Manager, Performance and Casemix, and of the relevant policy instruments both local and external to the District, will be required as this position will operate independently whilst ensuring that advice provided is consistent with the strategic direction and professional standards of the District. Decisions that require greater consideration of the strategic impact, or that require a level of delegation will be referred to the Manager, Activity Based Management.

Selection Criteria (max 8 criteria)

1. Tertiary qualification in Management, Accounting, Business, Commerce, Health Information Management, Health Administration or extensive relevant experience;

2. Knowledge and experience in applying ABM principles and revenue improvement strategies, and demonstrated analytical capabilities;

3. Knowledge and practical skills of software packages commonly used for: clinical coding, clinical costing, medical record keeping, patient administration, performance analysis (ie. Business Objects, Qlikview, SAS, SPSS, NSW Health ABM Portal) and MS office software (particularly Excel);

4. Demonstrated interpersonal skills, written and verbal communication skills and proven capabilities in liaison and negotiation at all levels and with a wide range of stakeholders, and demonstrated capability to work reliably and independently to a high professional standard and within a clearly articulated strategic direction;

5. Demonstrated experience in identifying and implementing service provision changes with a view to improving efficiencies in the Health environment;

6. Experience in managing a range of information and monitoring & reporting on performance in a large, complex organisation;

7. Demonstrated understanding of clinical coding, the factors that contribute to it, and how this relates to assignment of DRGs;

8. Demonstrated knowledge and understanding of policies and legislation in relation to key components of the role, including: Activity Based Funding, Medicare Benefits Schedule, Clinical Coding, Patient Administration, Workplace Health and Safety.

Position Dimensions

Staffing NIL

Budget NIL

Financial Delegation

NIL

Pre Employment Screening Check – select one

What pre-employment screening check is required for this position: " National Criminal Record Check ! Working With Children ! Aged Care

Attachments – provide as a separate document(s)

! Attachment 1: Competency Framework ! Attachment 2: Organisational Profile <Auto Generated> ! Attachment 3: Organisational Chart ! Attachment 4:Medical Board Information

Job Demands Checklist

Physical Demands

Infr

eque

nt

Occ

asio

nally

Freq

uent

Con

stan

t

Rep

etiti

ve

Not

App

licab

le

Sitting - remaining in a seated position to perform tasks X

Standing - remaining standing without moving about to perform tasks X

Walking - Floor type: even / uneven / slippery, indoors / outdoors, slopes X

Running - Floor type: even / uneven / slippery, indoors / outdoors, slopes X

Bend/Lean Forward from Waist - Forward bending from the waist to perform tasks X

Trunk Twisting - Turning from the waist while sitting or standing to perform tasks X

Kneeling - remaining in a kneeling posture to perform tasks X

Squatting / Crouching - Adopting a squatting or crouching posture to perform tasks X

Leg / Foot Movement - Use of leg and / or foot to operate machinery X

Climbing (stairs/ladders) - Ascend / descend stairs, ladders, steps X

Lifting / Carrying - Light lifting & carrying: 0 - 9 kg X

Lifting / Carrying - Moderate lifting & carrying: 10 - 15 kg X

Lifting / Carrying - Heavy lifting & carrying: 16kg & above X

Reaching - Arms fully extended forward or raised above shoulder X

Pushing / Pulling / Restraining - Using force to hold / restrain or move objects toward or away from the body X

Head / Neck Postures - Holding head in a position other than neutral (facing forward) X

Hand & Arm Movements - Repetitive movements of hands and arms X

Grasping / Fine Manipulation - Gripping, holding, clasping with fingers or hands X

Work At Heights - Using ladders, footstools, scaffolding, or other objects to perform work X

Driving - Operating any motor powered vehicle X

Sensory Demands

Infr

eque

nt

Occ

asio

nally

Freq

uent

Con

stan

t

Rep

etiti

ve

Not

App

licab

le

Sight - Use of sight is an integral part of work performance e.g. Viewing of X-Rays, computer screens X

Hearing - Use of hearing is an integral part of work performance e.g. Telephone enquiries X

Smell - Use of smell is an integral part of work performance e.g. Working with chemicals X

Taste - Use of taste is an integral part of work performance e.g. Food preparation X

Touch - Use of touch is an integral part of work performance X

Psychosocial Demands

Infr

eque

nt

Occ

asio

nally

Freq

uent

Con

stan

t

Rep

etiti

ve

Not

App

licab

le

Distressed People - e.g. Emergency or grief situations X

Aggressive & Uncooperative People - e.g. drug / alcohol, dementia, mental illness X

Unpredictable People - e.g. Dementia, mental illness, head injuries X

Restraining - involvement in physical containment of patients / clients X

Exposure to Distressing Situations - e.g. Child abuse, viewing dead / mutilated bodies X

Environmental Demands

Infr

eque

nt

Occ

asio

nally

Freq

uent

Con

stan

t

Rep

etiti

ve

Not

App

licab

le

Dust - Exposure to atmospheric dust X

Gases - Working with explosive or flammable gases requiring precautionary measures X

Fumes - Exposure to noxious or toxic fumes X

Liquids - Working with corrosive, toxic or poisonous liquids or chemicals requiring PPE X

Hazardous substances - e.g. Dry chemicals, glues X

Noise - Environmental / background noise necessitates people raise their voice to be heard X

Inadequate Lighting - Risk of trips, falls or eyestrain X

Sunlight - Risk of sunburn exists from spending more than 10 minutes per day in sunlight X

Extreme Temperatures - Environmental temperatures are less than 15C or more than 35C X

Confined Spaces - areas where only one egress (escape route) exists X

Slippery or Uneven Surfaces - Greasy or wet floor surfaces, ramps, uneven ground X

Inadequate Housekeeping - Obstructions to walkways and work areas cause trips and falls X

Working At Heights - Ladders / stepladders / scaffolding are required to perform tasks X

Biological Hazards - e.g. exposure to body fluids, bacteria, infectious diseases X


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