Health Insurance (Quality Assurance Activity – Australian and New Zealand Temporomandibular Joint Replacement Registry) Declaration 2023 (Cth)

Health Insurance (Quality Assurance Activity – Australian and New Zealand Temporomandibular Joint Replacement Registry) 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       24 July 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 Temporomandibular Joint Replacement Registry) 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Note:    This table relates only to the provisions of this instrument as originally made.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 Temporomandibular Joint Replacement Registry (ANZTMJRR).

2  Description of activity

The ANZTMJRR is a quality improvement program that audits clinical outcomes of temporomandibular joint replacement (TMJR) procedures in Australia and New Zealand. Data collected includes the extent of pre- and post-surgery pain and disability, timing of recovery and any complications. The data will assist to:

(a)identify factors affecting the outcome of TMJR surgery; and

(b)educate surgeons, patients, healthcare providers, hospitals, government and industry on the comparative performance of different approaches to TMJR procedures.

The Australian and New Zealand Association of Oral and Maxillofacial Surgeons (ANZAOMS) is the peak professional organisation for oral and maxillofacial surgery in Australia and New Zealand and is responsible for the oversight of the ANZTMJRR.

The ANZTMJRR collects prospective and retrospective data from oral and maxillofacial surgeons for TMJR procedures undertaken since 2000.

The ANZTMJRR will utilise separation data from all state and territory health departments to verify the information provided by each of the hospitals.

The data obtained through the Activity will be analysed to identify and evaluate the factors that improve standards in prostheses, surgical technique and patient selection, as well as improving the benefit and cost effectiveness of these procedures.

The Activity provides confidential auditing to allow individual surgeons to compare their outcomes with other surgeons.

The ANZTMJRR includes Patient Reported Outcome Measures (PROMs) responses to survey questions completed pre- and post-surgery regarding surgical outcomes.

PROMs data will be used to assist in the design, delivery and funding of health services by aligning clinical outcomes and patient satisfaction with value and efficient, best practice care.

The ANZAOMS will publish de-identified TMJR information to show the use of prostheses and surgical techniques associated with lower revision rates and which contribute to significant improvements in the quality of life of patients.

The ANZAOMS will publish aggregated non-identifiable findings in annual reports with information on patient demographics, trends for different types of surgeries undertaken, prosthesis usage and fixation, outcomes including morbidity and mortality as well as prostheses effectiveness and survival rates.