Audit overview

Public hospitals collect, generate, and use a wide range of patient data—from personal details such as names and addresses, to clinical information such as diagnostic notes and test results.

Public hospitals increasingly use information and communications technology (ICT) to deliver healthcare, and to capture and store patient information. Digital records give clinicians easy access to their patients' information at the point of care and allow clinicians to quickly share information and results, with the aim of avoiding duplication and medical errors.

Acronyms

ASD Australian Signals Directorate
BH Barwon Health
DDOS distributed denial of service
DHHS Department of Health and Human Services
EMR electronic medical record
HTS Health Technology Solutions
ICT information and communications technology
ITIL Inform

Appendix A. Audit Act 1994 section 16—submissions and comments

We have consulted with DHHS, Bendigo Health, Melbourne Health, Monash Health, Latrobe Regional Hospital, Peninsula Health and South West Healthcare and we considered their views when reaching our audit conclusions. As required by section 16(3) of the Audit Act 1994, we gave a draft copy of this report to those agencies and asked for their submissions or comments. We also provided a copy of the report to the Department of Premier and Cabinet.

Responsibility for the accuracy, fairness and balance of those comments rests solely with the agency head.

3 Understanding and meeting demand

Demand for mental health services in Victoria is increasing, not just in relation to the number of people who need services, but also in the severity of illness. The drivers of the increased demand include population growth, legal and illegal drug use, and heightened community awareness of mental health issues. The number of people experiencing mental illness in Australia has increased significantly in the last 10 years, as Figure 3A shows, and Victoria is consistent with this trend.

1 Audit context

1.1 Overview of Victoria's mental health services system

Nearly half (45 per cent) of Victorians will experience mental illness in their lifetime. Annually, one in five Victorians, or 1.2 million, suffer from a mental illness1. Of these 1.2 million people, based on 2017 population figures:

Audit overview

One objective of the Health Services Act 1988 is to 'ensure that an adequate range of essential health services is available to all persons resident in Victoria, irrespective of where they live or whatever their social or economic status'. Mental health care is one such service.

Mental illness affects not only an individual's wellbeing and quality of life, but also their physical health and engagement in employment, education and community; with flow-on effects to the human services, general health and justice systems.

Acronyms

AMHS area mental health service
AIHW Australian Institute of Health and Welfare
CCU community care unit
CMI/ODS Client Management Interface/Operational Data Store
DHHS Department of Health and Human Services
ED emergency department
LOS length of stay
KPI key performance indic

Transmittal Letter

Ordered to be published

VICTORIAN GOVERNMENT PRINTER September 2018

PP No 442, Session 2014–18

The Hon. Bruce Atkinson MLC
President
Legislative Council
Parliament House
Melbourne
 
The Hon Colin Brooks MP
Speaker
Legislative Assembly
Parliament House
Melbourne
 

Dear Presiding Officers