Download High complex inpatient services

High complex inpatient services:
Potential list
May 2016
The purpose of this document is to list potential high complex inpatient services provided in public hospital
services in South East Queensland. The list is provided to inform consumer representatives considering
submitting an expression of interest for the position on the project steering committee.
Table 1
Adult (15+ years) high complex inpatient services
Service
Diagnosis/Procedure
Cardiac surgery #
Coronary bypass
Cardiac valve procedures
Insertion of Ventricular Assist Device, Other cardiothoracic/vascular
procedures with CPB pump
Cochlear implantation
Cochlear implant
Complex Burns management
Severe full thickness burns, ventilation and surgery
Skin grafts for burns
Complex gynae-oncology surgery #
Pelvic Evisceration and Radical Vulvectomy
Uterus and Adnexa procedures for malignancy
Bone marrow transplantation #
Allogeneic and Autologous bone marrow transplants
Complex Leukaemia #
Lymphoma and Leukaemia with complex OR procedure
Complex acute leukaemia
Complex Head and Neck surgery #
Head and neck procedures with microvascular tissue transfer, or with
or without malignancy.
Parotid gland, parathyroid, complex mouth and salivary gland and
thyroglossal procedures
Complex HIV
Complex Human Immunodeficiency Virus
Interventional Cardiology #
Circulatory disorders with invasive cardiac investigation
AICD or Pacemaker procedures
Trans-Vascular Percutaneous Cardiac Intervention
Percutaneous Coronary Angioplasty
Maxillofacial surgery
Maxillo and Maxillo-Facial procedures
Complex medical oncology
Nervous system neoplasms with radiotherapy
Complex Ear, Nose, Mouth and Throat malignancy
Spinal #
Spinal procedures including insertion of implantable spinal infusion
device
Spinal fusion and other Neck and Back procedures
Acute and complex chronic Paraplegia/Quadriplegia
Neurosurgery #
Cranial procedures
Pituitary procedures
Insertion of neurostimulator device and ventricular shunt revision
Procedures for complex Cerebral Palsy, Muscular Dystrophy and
Neuropathy
EEG Monitoring
Telemetric EEG Monitoring
Service
Diagnosis/Procedure
Multi-Trauma #
Tracheostomy, Ventilation, Cranial, Hip, Femur & Lower Limb,
Abdominal and other procedures for trauma
Complex Ophthalmology
Procedures for:
 Penetrating Eye Injury
 Enucleations,
 Orbital
 Major Corneal
 Major Scleral
 Major Conjunctival
Complex Orthopaedics
Procedures for:
 Complex bilateral and multiple major joint of lower limb with
revision
 Amputation
 Limb lengthening
 Bone and joint diagnostic including biopsy
Complex Plastic surgery
Microvascular Tissue Transfer for skin, subcutaneous tissue &
breast disorders or skin grafts for complex injuries to the hand
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Cranio-facial surgery
Surgical repair for Cleft Lip and Palate disorders
Complex Acute Psychiatry
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Major affective disorders,
Complex paranoia & acute psychiatric disorders
Eating and obsessive-compulsive disorders
Schizophrenia disorders
Complex Renal Medicine
Complex operative insertion of peritoneal catheter for Dialysis
Complex Respiratory Medicine
ECMO
Complex Cystic Fibrosis
Long-term Ventilation >=96 hrs
Bronchoscopy with overnight+ stay
Thoracic surgery #
Major chest procedures
Cardiothoracic procedures without CPB Pump
Organ Transplantation
Liver transplant
Lung/heart transplant
Kidney transplant
Complex GI surgery #
Stomach, Oesophageal and Duodenal procedures
Pancreas, Liver, Biliary Tract, Hepatobiliary procedures
Bariatric procedures
Complex Metabolic surgery
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Other Endocrine, Nutritional and Metabolic procedures,
Complex endoscopic and investigative procedures for metabolic
disorders
Complex Urology
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Adrenal procedures
Complex male reproductive system procedures
Transurethral prostatectomy for complex urinary disorder
Complex Vascular surgery #
Extracranial and major reconstruction vascular procedures
Non-major vascular procedures
Vascular procedures for amputation
High complex inpatient services: Potential list
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Table 2
Child (0–14 years) high complex inpatient services
Service
Diagnosis/Procedure
Complex Breast surgery
Major procedures for non-malignant breast disorders
Cardiac surgery #
Cardiac valve procedures
Insertion of Ventricular Assist Device, Other cardiothoracic/vascular
procedures with CPB pump
Complex Cardiology #
Complex circulatory disorders (non-interventional)
Circulatory disorders with invasive cardiac investigation
AICD or Pacemaker procedures
Trans-Vascular Percutaneous Cardiac Intervention
Percutaneous Coronary Angioplasty
Complex Colorectal surgery
Complex major small and large bowel procedures
Minor small and large bowel procedures
Complex Endoscopy
Complex colonoscopy
Colonoscopy with overnight+ stay
Complex gastroscopy
ERCP procedure with overnight+ stay
Complex Metabolic disorders
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Endoscopic and investigative procedures for metabolic
disorders
Complex inborn errors of metabolism
Other Endocrine, Nutritional and Metabolic OR procedures
Cochlear implantation
Cochlear implant
Complex ENT surgery
Complex Ear, Nose, Mouth and Throat Procedures
Complex Endocrinology
Complex diabetes and endocrine disorders
Complex bone diseases and arthropathies
Extensive burns management
Severe full thickness burns, ventilation and surgery
Skin grafts for burns
Complex burns
Complex Gastroenterology
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Complex Gynae-oncology surgery #
Uterus and Adnexa procedures for malignancy
Bone marrow transplantation #
Allogeneic and Autologous transplants
Complex Lymphoma & Leukaemia #
Lymphoma and Leukaemia with OR procedure
Complex inflammatory bowel disease
Cirrhosis and alcoholic hepatitis
Complex disorders of Liver
Complex Lymphoma and leukaemia
Non-complex Lymphoma and leukaemia overnight+ stay
Haematological surgery
Splenectomy and Complex blood and immune system disorders
with other OR procedure
Non-complex blood and immune system disorders with other OR
procedure
Complex Head and Neck surgery #
Head and neck procedures with microvascular tissue transfer or
with or without malignancy, Procedures for :
 Parotid gland,
 Complex Mouth and salivary gland
 Thyroid

HIV
High complex inpatient services: Potential list
Thyroglossal
Human Immunodeficiency Virus
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Service
Diagnosis/Procedure
Complex Septicaemia
Complex Septicaemia
Maxillofacial surgery
Maxillo and Maxillo-Facial procedures
Medical Oncology
Complex malignancies
Non-complex malignancies
Complex Neurology
Complex
 Cerebral Palsy
 Degenerative Nervous System disorders
 Multiple Sclerosis
 Cerebellar Ataxia
 Cranial and Peripheral Nerve disorders
 Neurological and vascular disorders of the Eye
EEG Monitoring
Telemetric EEG Monitoring
Stroke #
Complex Stroke & other cerebrovascular disorders
Non-complex Stroke & other cerebrovascular disorders
Spinal #
Spinal procedures including insertion of implantable spinal infusion
device
Spinal fusion and other Neck and Back procedures
Paraplegia/Quadriplegia, Spinal cord conditions and complex Spinal
disorders
Neurosurgery #
Cranial procedures
Pituitary procedures
Insertion of neurostimulator device and ventricular shunt revision
Procedures for Cerebral Palsy, Muscular Dystrophy and
Neuropathy
Complex intracranial injuries
Multi-Trauma #
Procedures for:
 Ventilation and Cranial
 multiple significant trauma to Hip, Femur & Lower Limb
 complex multiple trauma with or without procedures
Complex injuries
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Complex procedures for injuries to lower limb
Complex sprains, strains and dislocations of Hip, Pelvis and
Thigh
Complex fractures of Neck of Femur
Pathological fractures
Other procedures for injuries to hand
Complex non-specialist paediatric
surgery
Procedures for:
 complex Hernia
 other neoplastic disorders
 complex infectious and parasitic diseases
 complex other contacts with health services
 complex Peritoneal Adhesiolysis
Complex Ophthalmology
Procedures for:
 Penetrating Eye Injury
 Enucleations
 Orbital
 Glaucoma
 Complex cataract
High complex inpatient services: Potential list
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Service
Diagnosis/Procedure
Complex Orthopaedics
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Rehabilitation
Rehabilitation
Complex Plastic surgery
Microvascular tissue transfer, skin grafts, or other plastic OR
procedures for skin, subcutaneous tissue & breast disorders
Hip replacement
Complex Humerus, Tibia, Fibula and Ankle procedures
Amputation
Complex other Hip and Femur procedures
Limb lengthening procedures
Bone and Joint diagnostic procedures including biopsy
Cranio-Facial surgery and complex Cranial or Peripheral Nerve
and other nervous system procedures
Surgical repair for Cleft Lip and palate disorders
Complex acute psychiatry
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Complex neonates #
Neonates with significant OR procedure or less than 1000 grams
Paranoia & acute psychiatric disorders
Complex major affective disorders
Neonates without significant OR procedure and between 1000 and
1499 grams
Complex Renal Medicine
Operative insertion of peritoneal catheter for Dialysis
Kidney failure
Complex Respiratory Medicine
ECMO
Complex Cystic Fibrosis
Long-term Ventilation >=96 hrs
Ventilation support for:
 Respiratory system disorders
 Injuries, poisoning and toxic effects of drugs
 Infectious and Parasitic diseases
 Nervous system disorders
Bronchoscopy with overnight+ stay
Interstitial lung disease
Complex Chronic Obstructive Airways disease, Pulmonary Oedema
and respiratory failure, Pleural Effusion, Respiratory Tuberculosis
Complex Thoracic surgery #
Major chest procedures
Cardiothoracic procedures without CPB Pump and other respiratory
system OR procedures
Organ transplantation
Liver transplant
Kidney transplant
Upper GI surgery
Stomach, Oesophageal and Duodenal procedures
Pancreas, Liver, Biliary Tract, Hepatobiliary procedures, other
complex Digestive system procedures and Complex disorders of
the Biliary Tract
Complex Cholecystectomy with closed CDE
Laparoscopic Cholecystectomy without closed CDE
Pyloromyotomy
Complex Urology
Adrenal and complex Kidney, Ureter and Bladder procedures
Non-complex Kidney, Ureter and Bladder procedures
Urethral and complex transurethral procedures
Male reproductive system procedures
High complex inpatient services: Potential list
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Service
Diagnosis/Procedure
Vascular surgery #
Major reconstruction vascular procedures, Vascular procedures
without CPB pump, Other circulatory system OR procedures
Peripheral vascular disorders and Skin ulcers overnight+ stay
High complex inpatient services: Potential list
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