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Hospitals and Day Procedure Centres

DVA provides veterans and war widows and widowers (entitled persons) with access to quality hospital care in a range of hospital settings. This webpage provides information to services providers and hospital staff about DVA’s hospital arrangements including services in public hospitals, private hospitals, private mental health hospitals and day procedure centres. Under the Repatriation Private Patient Principles (Instrument 2015 No. R33) DVA beneficiaries can be admitted to public or private hospitals as private patients, with the doctor of their choice.

Documents, resources and checklists

Online resources

Critical Care, Acute Care and Rehabilitation Program certificates

Acute Care Certificates are used to certify that patients are required to receive acute care continuously for a period of 35 days or more. Public and private hospitals can either use the DVA Acute Care Certificate (PDF 153 KB) or a similar form.

Critical Care Certificates clinically verify the need for accommodation in a Critical Care Facility and list the required interventions and level of Nursing Care. These certificates include the DVA Coronary Care Patient Certificate (PDF 289 KB) and the DVA Intensive Care Patient Certificate (PDF 310 KB). They are to be kept on the patient file for audit purposes. Do not send original Critical Care Certificates to either the Department of Human Services (DHS) or DVA.

The Rehabilitation Program Certificate is to be provided when a patient is admitted for an inpatient rehabilitation, admitted same day or non-admitted sessional rehabilitation programme. The certificate should be signed by a rehabilitation physician. A template that can be downloaded for hospital use is available. The certificate must be kept with the patient’s clinical record for audit purposes.

Group Accommodation and Theatre Banding (GATB) and Surgically Implanted Prostheses schedules

DVA's Private hospital agreements require that accommodation and operating theatre charges are claimed based on the Group Accommodation and Theatre Banding Schedule (GATB)

The GATB schedule comprises two tables: one based on the Commonwealth Medicare Benefits Schedule (CMBS) and the other on ICD 10 Medical Group Accommodation Banding Schedule diagnosis/ disease codes.

The latest listing of the Surgically Implanted Prostheses Schedule from the Department of Health (DoH) is available from the DoH website. Please refer to the section titled: "Arrangements for listing and setting benefits for prostheses" where you will find the schedule available in four different versions – PDF, Access, Word and Excel.

Submission of HCP Data

All private hospitals, mental health private hospitals and Day Procedure Centres are required to submit HCP data using the Hospital Casemix Protocol (HCP) Data Upload link.

Effective Discharge Planning

Effective discharge planning optimises positive post-hospital physical and mental health outcomes for patients, reduces hospital readmission and improves patient independence.  DVA is committed to working with hospitals to facilitate the seamless transfer of Entitled Persons to their homes and communities.  In order to assist hospital staff and those involved in the discharge planning process, DVA has developed a Discharge Planning Resource Guide which provides information on a very broad range of health services available to DVA entitled persons.

1. Public hospitals

DVA has agreements with all Australian State and Territory Governments to provide treatment and care to eligible members of the veteran community in their public hospitals.

Admissions to public hospitals for Gold Card holders, do not generally require prior financial approval. There are, however, some exceptions which include, but are not limited to, cosmetic and non-MBS procedures. Admissions for White Card holders need to be related to their accepted war-caused disabilities.

Note: Quality reporting is not required by public hospitals.

Change to claiming for surgically implanted prostheses in Qld, NSW, ACT, Tas and NT

DVA’s public hospital arrangements have moved to a new purchasing model that closely mirrors that of the Independent Hospital Pricing Authority (IHPA).

Under this model, the cost of surgically implanted prostheses is included in the activity based payment made to state or territory health departments for each admitted episode.

From 1 July 2016 hospitals in Qld, NSW, ACT, Tas and NT are no longer able to claim separately through DHS for surgically implanted prostheses.

If you require any further information or clarification concerning your hospital’s specific internal funding or payment arrangements, please contact your Local Health Network or your state or territory health department.

Should you have any DVA specific queries please contact DVA.Public.Hospitals@dva.gov.au

Change to claiming for non-admitted services in Tasmania

From 1 July 2016 Tasmanian public hospitals will no longer be able to claim for non-admitted services, provided to DVA clients, through DHS.  DVA now provides funding for non-admitted services to the Tasmanian Department of Health and Human Services.   For 2015-16 and beyond non-admitted services provided to DVA clients should be reported to the Tasmanian Department of Health and Human Services.

2. Private hospitals and Private Mental Health hospitals

DVA has Agreements with a majority of Private hospitals and Private Mental Health hospitals (see the following lists) throughout Australia to provide treatment and care to eligible members of the veteran community.

Admissions to Private hospitals for Gold Card holders do not require prior financial approval, however there are some exceptions which include admissions for non-approved programs, and some non-MBS procedure items. White Card holder admissions must be related to accepted war-caused disabilities.  The Information Guide for Private and Mental Health Hospitals provides relevant information for hospital staff.

Quality reporting for Private Hospitals and Private Mental Health Hospitals

Private Hospitals and Private Mental Health hospitals are required to complete and submit a quality report annually. The DVA Hospitals quality report is due on 31 October and covers the previous financial year.

Streamlined Quality Reporting from 1 July 2017

Following industry consultation undertaken in 2015, DVA reviewed and updated the quality template for hospitals to use to report on their Safety and Quality Accreditation Outcome status and related quality measures incorporated into the Hospital Services Agreement. The updated quality report includes the capacity for hospitals to use one EXCEL BASED template to report on:

  • private hospital services
  • private mental health services, and
  • better discharge planning services.

Once completed, the Quality Report must be emailed to the Private Hospital Quality Reporting mailbox.

The NEW consolidated reporting template is published below and is to be used from 1 July 2017 to cover the 2016-17 financial year. The first quality report using the new template is due on 31 October 2017.

The Word Based reporting templates listed below are now superseded by the Excel-based template and are only to be used to report for the 2015-16 financial year.

Program proposals for Private hospital-based (including private mental health) services

DVA is continually encouraging providers to submit proposals that may improve health outcomes in the veteran population. In order to assist providers to draft their proposals, a set of Guidelines are provided to guide the process. Please review DVA’s Guidelines for hospital based program proposals for new hospital-based services and programs for veteran care before submitting a proposal to DVA. Mental Health private hospital providers also have access to a suite of templates and guidelines for reference.  DVA has developed guidelines and templates for reference and these can be found below:

Better Discharge Planning (BDP)

The Better Discharge Planning (BDP) programme is delivered by private hospitals who have been contracted to provide this service.

As an extension of the existing discharge planning services, the BDP programme aims to improve health outcomes, reduce re-admissions and length of hospital stays by providing additional support to entitled persons who are transferring from hospital into community or home based care.  

The BDP information guide sets out the service delivery requirements for this programme.

Quality Reporting for the BDP Programme

All contracted hospitals delivering Better Discharge Planning services are required to provide a quality report annually. The completed BDP Quality Report template is to be emailed to DVA Private Hospital Quality Reports by 31 October.

Effective 1 July 2017, the quality report for Better Discharge Planning services has been incorporated into the Private Hospitals quality reporting template (see section 3 of the template). BDP Quality Reporting will no longer be undertaken using a separate report. 

The superceded BDP quality report for periods prior to 30 June 2017 is available for hospitals who need to report against the 2015-16 period. 

3. Day Procedure Centres

DVA has agreements with a majority of day procedure centres throughout Australia to provide day procedure services to eligible members of the veteran community.

Generally, for Gold Card holders, admissions to these centres do not require prior financial approval, however, there are some exceptions which include, but are not limited to, cosmetic and non-MBS procedures. Admissions for White Card holders need to be related to their accepted war-caused disabilities. The DPC Information Guide provides important information for Day Procedure Centres (DPCs) working with DVA.

Quality Reporting for DPCs

The reporting period for DPC is is March to September with reports due three months after the end of the period. Quality Reports are to be emailed to DVA Private Hospital Quality Reports by 31 December each year.  Current templates are included below:

Hospital News

DVA has been moving towards an online news hub and has introduced the DVA Provider News webpage. DVA will use this site to communicate articles which may be of interest to hospital providers and their staff.

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