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Appendix H: Treatment monitoring

This appendix is provided in accordance with DVA’s obligations under the Repatriation Private Patient Principles 2004 (RPPPs). The National Treatment Monitoring Committee (NATMOC) and State Treatment Monitoring Committees (SATMOC) were established in 1992 under the Veterans’ Entitlements Act 1986 via the RPPPs to address and monitor possible concerns from ex-service organisations (ESOs) regarding the integration or sale of the Repatriation General Hospitals and subsequent delivery of hospital care to the veteran community.

In 2009, the then Minister for Veterans’ Affairs announced the new National Consultation Framework, components of which replaced the NATMOC (the Operational Working Party and National Health, Aged and Community Care Forum). The SATMOC were incorporated into the state-based consultative forums with representatives from relevant ESOs.

DVA has arrangements with each state and territory health authority for public hospital access, and it has service agreements with private hospitals including day procedure centres and mental health facilities.

The state and territory consultative forums are chaired by the respective Deputy Commissioners and are the consultation mechanism used for sharing information with the ESO community regarding complaints and concerns relating to health and hospital matters.

National Consultation Framework

The National Consultation Framework is responsible for treatment monitoring on behalf of both the Repatriation Commission and the Military Rehabilitation and Compensation Commission, and includes the:

  • Ex-Service Organisation Round Table (ESO Round Table)
  • Current and Former Members of the ADF – Emerging Issues Forum (EIF)
  • Operational Working Party (OWP)
  • National Mental Health Forum (NMHF)
  • National Health, Aged and Community Care Forum (NHACCF)
  • state and territory forums.

National consultation forums

During 2012–13, the ESO Round Table and the NMHF met three times each; the EIF, NHACCF and OWP each met twice.

Common themes discussed across the national consultation forums included:

  • mental health initiatives
  • the Support for Wounded, Injured or Ill Program
  • the On Base Advisory Service
  • progress of the Government’s reviews into the Military Rehabilitation and Compensation Act 2004 and the Safety, Rehabilitation and Compensation Act 1988 (including the SRCA White Card)
  • advocacy programs (Building Excellence in Support and Training and the Training and Information Program)
  • streamlined communication with current and ex-serving Australian Defence Force personnel
  • Defence-DVA Links liaison on programs
  • introduction of a single claim form
  • post-Afghanistan veteran support services
  • Anzac Centenary 2014–18, including the Gallipoli 2015 ballot process; local, national and international matters; commemoration updates; and grant programs
  • claims processing
  • the Coordinated Veterans’ Care Program
  • the use of telemonitoring in enhancing patient care
  • the use of personally controlled electronic health records (e-health)
  • the Veterans and Veterans Families Counselling Service.

State and territory forums

Common themes discussed across all state and territory forums included:

  • mental health initiatives, including mobile applications
  • progress of the On Base Advisory Service
  • Anzac Centenary 2014–18, including the Gallipoli 2015 ballot process; local, national and international matters; commemoration updates; and grant programs
  • progress of the Government’s reviews into the Military Rehabilitation and Compensation Act 2004 and the Safety, Rehabilitation and Compensation Act 1988 (including the SRCA White Card)
  • advocacy programs (Building Excellence in Support and Training; and the Training and Information Program)
  • the Coordinated Veterans’ Care Program
  • the use of telemonitoring in enhancing patient care
  • the use of personally controlled electronic health records (e-health)
  • the Choice and Maintainability in Veterans’ Services project – including MyAccount
  • streamlining compensation claims and entitlements processing
  • veteran transport entitlements
  • client and service delivery trends
  • Defence-DVA Links liaison on programs
  • Veterans’ Health Week
  • the Rehabilitation Transition Project and its progress
  • Veterans Pharmaceutical Reimbursement Scheme implementation
  • the 2013–14 Budget briefing.

During 2012–13, the state and territory forums met three or four times each. Matters of significance considered at these forums included:

New South Wales

  • operation of the Repatriation Private Patient Scheme
  • access to and quality of health services
  • Office of Australian War Graves operations
  • provision of medical specialist care via Medibank Health Solutions
  • the open-door policy with new Military Rehabilitation and Compensation Act2004claimants
  • the At Ease online portal
  • support for reservists
  • mild traumatic brain injury.

Victoria

  • the Living Longer Living Better program
  • ’Word of Mouth Technology’ hearing assistance devices
  • accommodation and assisted care for homeless and disabled veterans
  • the sexual and physical abuse claims process
  • criteria for admission to the Coral-Balmoral Mental Health Ward at Heidelberg Repatriation Hospital.

Queensland

  • access to services and quality of services provided
  • the Defence Service Homes Insurance Scheme
  • client liaison function
  • children education schemes
  • contemporary veterans and dependants
  • complaints and feedback reporting
  • the Rehabilitation Appliances Program
  • consultation with ESOs on supporting current and former Australian Defence Force personnel
  • hospital reports, including bed days and treatment statistics.

South Australia

  • review by KPMG of all major metropolitan hospitals
  • palliative care in South Australia (SA)
  • SA Health bedside entertainment policy
  • Direct Admission Pathways – how it is undertaken at the former Repatriation General Hospital
  • the DVA patient satisfaction survey conducted to monitor and improve the quality of care for patients.

Western Australia

  • DVA service models
  • local Anzac Centenary preparations (Albany Interpretive Centre)
  • Indigenous service education and community awareness
  • community nursing
  • the Veterans’ Medicines Advice and Therapeutics Education Services program.

Tasmania

  • a proposed service model that provides assistance for contemporary widow/ers
  • a veterans’ mental health education training package for community nurses
  • staff training to enhance understanding of military culture and the possible effects of service on veterans’ mental health
  • the Defence Home Ownership Assistance and Defence Service Homes Insurance Schemes
  • public and private hospital and allied health services including compliments and complaints regarding health care
  • briefs by the Training Information Program Chair and a member of the Tasmanian Veterans’ Advisory Council
  • Veterans’ Home Care and Community Nursing operations
  • Tasmanian Government Anzac Centenary arrangements.

Northern Territory

  • local service delivery data and service profile
  • changes to portability periods for some payments, and Rehabilitation Appliances Program prior approvals
  • School kids Bonus and clean energy payments.

Australian Capital Territory

  • operation of the Repatriation Private Patient Scheme
  • access to and quality of health services
  • feedback and the veterans’ satisfaction survey.

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