Download Application for a Licence to Operate

APPLICATION FOR A LICENCE TO
OPERATE
POLICIES, PROCEDURES AND OTHER DOCUMENTATION REQUIRED
Insert Name of Facility
Requirements
1. Provision of monthly patient data.
Confirmation that contact has been made with and
that systems are in place for the submission of
patient activity data as required by the Chief Health
Officer via the Health Statistics Unit, Queensland
Health as follows:
1.1 Submission of reports to the Chief Health
Officer within 35 days after the end of the month; in
accordance with Section 144, Private Health
Facilities Act 1999 and Section 7, Private Health
Facilities Regulation 2000.
‘The licensee must submit reports about patient
identification, diagnosis and activity’. Detailed
requirements are prescribed in the Queensland
Hospital Admitted Patient Data Collection
(QHAPDC), Health Statistics Unit Queensland
Health.
1.2 Provision of Perinatal statistics data to the Chief
Executive (the Director-General) within 35 days after
the end of the month for every baby born in
Queensland; in accordance with the Public Health
Act 2005 and Public Health Regulation 2005.
Detailed requirements are prescribed in the
Perinatal Data Collection, Health Statistics Unit,
Queensland Health.
Telephone: (07) 3234 1875
Email: [email protected]
Website:https://www.health.qld.gov.au/hsu/default.asp
2. Medical emergency policy including patient transfer
procedures
3. Patient admission criteria
4. Patient consent procedures
5. Patient complaint procedures
6. Infection control policy
7. Medication management plan
Comments
8. Quality policy
9. Storage and collection
contaminated waste policy
of
waste,
including
10. Risk management plan
11. Credentialling and clinical privileges committee
terms of reference and meeting minutes which
includes names of members
12. Infection Control committee meeting minutes which
includes names of members
13. Proposed staff roster for each clinical area
14. Staff orientation program
15. Water risk quality management plan including initial
water testing results
16. Name of quality assurance entity, date of
registration and proposed date of initial certification.
Management team and service providers
Requirements
Insert information and/or provide attachment
17. Name, details and summary of curricula vita (CV) for
Chief Executive Officer/Manager of facility
18. Name, details, Australian Health Practitioner
Regulation Agency (AHPRA) registration number
and summary of CV for Nurse-in-Charge at the
facility
19. Staff plan - List intended service providers’ names
and AHPRA registration number where applicable
(medical/surgical/allied health and support staff).
Certificates & operational requirements
Requirement
(when available)
1. Local Authority Certificate of Occupancy
Confirmation
(provide short statement that testing has occurred)
2. Medical Gases installation compliance certificate &
confirmation that testing has occurred
3. Electrical compliance certification & confirmation of
testing
4. Nurse / Emergency call compliance or letter plus
confirmation of testing
5. Air-conditioning certificates
6. Radiation Health compliance certificate for lead
shielding installations (if applicable)
7. Medical equipment compliance statement and
confirmation that the equipment has been switched
on and tested and is covered under warranty
APPLICATION FOR A LICENCE TO OPERATE 062016
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8.
9.
Sterilisers and associated equipment validation,
performance qualification and commissioning
statements
Diagrammatic evacuation plan
10. Testing of the emergency generator (if applicable)
APPLICATION FOR A LICENCE TO OPERATE 062016
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