Page 4431 - Week 10 - Thursday, 22 September 2011
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(1) (a) (i) The total number of patients who used HITH at Canberra Hospital (TCH) was 1,109 (619 patients for the Infusion Service and 490 patients for Home Visiting).
(ii) The total number of patients who used HITH at Calvary Public Hospital (Calvary) was 470.
(b) The total number of ‘bed days’ that HITH provided was 9,091 in total across ACT, (6,001 at TCH, and 3,090 at Calvary).
(c) The total number of occasions of service was 3,945.
(d) The total funding provided for operation of HITH in 2010/11 was $3,846,767.
(e) (i) TCH FTE was 22.12FTE, made up of the following:
• RMO4 1.00 FTE.
• Specialist .50 FTE.
• RN1 1.25 FTE (including relief).
• RN 2 18.18 (including relief and Registrar review clinic).
• RN3 1.19 FTE (including relief).
(i) Calvary HITH has an establishment of 6.5FTE. Not all positions were utilised during this period.
(f) (i) Monday to Saturday
• 0730-1630hrs - Home visiting shifts - 2 x Registered Nurses (travel independently).
• 0830-1700hrs - Infusion Service in HITH office - currently 5 Nursing staff mainly Registered Nurses and there is currently an Endorsed Enrolled Nurse (EEN) within the team.
• On Saturdays there are only 2 Nursing staff in the Office to cover the Infusion Service, usually 2 x RN's sometimes 1 x RN and 1 x EEN. There are fewer patients seen in the office on Saturdays.
• 1000-1830hrs - Referral Shift - 1 x Registered Nurse.
• 1330-2200hrs - Evening Shift - 2 x Registered Nurses usually or one Senior RN & an EEN.
• 2200hrs-0730 - On Call - 1 x Registered Nurse.
The only change is on Sundays - there is no Infusion Service in the HITH Office.
(ii) Calvary have RN1 or RN2 level nurses to provide coverage from 0700-2200hrs each day with an on-call nurse available from 2200-0700hrs.
(2) (a) (b) (c) Answer for all three above parts of question 2 is that both public hospitals are working on increasing activity in the Hospital in the Home service. However, the HITH is a specialised service which is totally dependant on the casemix of patients, therefore predicting numbers is not feasible.
(d) The total funding appropriated for operation of HITH in 2011/12 is $3,819,394. The decrease in budget for 2011/12 reflects the decreased need for extra overtime and penalties not utilised in 2010/11 and therefore not expected in 2011/12.
(e) (i) TCH FTE will be 22.12 FTE, made up of the following:
• RMO4 1.00 FTE.
• Specialist .50 FTE.
• RN1 1.25 FTE (including relief)
• RN 2 18.18 (including relief and Registrar review clinic).
• RN3 1.19 FTE (including relief).
(ii) Calvary 6.5FTE.
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