Health Insurance (Quality Assurance Activity – Australian and New Zealand Intensive Care Society Centre for Outcome and Resource Evaluation Intensive Care Registries) Declaration 2023 (Cth)

Health Insurance (Quality Assurance Activity – Australian and New Zealand Intensive Care Society Centre for Outcome and Resource Evaluation Intensive Care Registries) Declaration 2023

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

Dated       29 June 2023          

Professor Paul Kelly

Chief Medical Officer

Department of Health and Aged Care

Contents

Part 1———Preliminary   1

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

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

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

4  Repeal ...................................................................................................................................... 1

5  Schedule................................................................................................................................... 1

Schedule 1—Description of quality assurance activity  2

1  Name of activity ...................................................................................................................... 2

2  Description of activity.............................................................................................................. 2

Part 1—Preliminary

1  Name

This instrument is the Health Insurance (Quality Assurance Activity – Australian and New Zealand Intensive Care Society Centre for Outcome and Resource Evaluation Intensive Care Registries) Declaration 2023

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Note:    This table relates only to the provisions of this instrument as originally made.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  Repeal

This instrument is repealed when it ceases to be in force in accordance with subsection 124X(4) of the Health Insurance Act 1973.

5  Schedule

The quality assurance activity described in the Schedule to this declaration is, to the extent that the quality assurance activity relates to health services provided in Australia, declared to be a quality assurance activity to which Part VC of the Health Insurance Act 1973 applies.

Schedule 1—Description of quality assurance activity

1  Name of activity

The name of the quality assurance activity is the Australian and New Zealand Intensive Care Society Centre for Outcome and Resource Evaluation Intensive Care Registries.

2  Description of activity

This quality assurance activity is conducted by the Australian and New Zealand Intensive Care Society and consists of five intensive care registries that collect data for auditing and benchmarking of intensive care unit (ICU) performance in Australia. The five registries are:

·     Adult Patient Database

·     Australian and New Zealand Paediatric Intensive Care (ANZPIC) Registry

·     Critical Care Resources (CCR) Registry

·     ICU Central Line Associated Bloodstream Infection Registry

·     Extra Corporeal Membrane Oxygenation Database

An additional two datasets collect information across the five registries:

·     Critical Health Resource Information System collecting COVID-19 specific data; and

·     Patient Reported Outcome and Experience Measures database.

The governance structure of the Australian and New Zealand Intensive Care Society (ANZICS) Centre for Outcome and Resource Evaluation (CORE) Intensive Care Registries allows significant liaison with state and territory health departments to improve the quality of services provided in ICUs and includes a Jurisdictional Advisory Group (JAG). The JAG provides a forum for discussion, and ensures outcomes and deliverables are relevant and informative to ongoing improvement in delivery of intensive care services.

Individual submitting ICUs receive access to reports that identify their performance against de-identified peer group hospitals. Regional reports are provided to specific jurisdictional reporting bodies and data review committees. Additional reports with more detailed analysis are produced when outlier performance is detected.

The ANZICS CORE Intensive Care Registries develop an annual activity report that provides summary information for each registry based on aggregated non-identifiable data, disseminated to stakeholders in Commonwealth and state and territory departments of health, hospitals, tertiary institutions, libraries, and international intensive care societies. Individual annual activity reports are provided for the CCR and ANZPIC registries.

The ANZICS CORE Intensive Care Registries also facilitate provision of de-identified data to third-party researchers about the availability and utilisation of critical care resources, patient outcomes, mortality, disease patterns and the effectiveness of intensive care services in Australia.