Definitions

Definitions

A list of terms and their definitions may be found at Section 3 of the HSE Act, and Regulation 3 of the HSE Regulations. Other specific terms are also defined throughout the HSE Act where appropriate. A section reference has been provided for these specific terms in the table below.

Term

Definition

Advisory Committee

Health Service Establishments Advisory Committee, established under section 6 of the HSE Act.

Application

(a) an application for a licence under section 9 of the HSE Act; or

(b) an application for transfer of a licence under section 19; or

(c) an application to alter or extend an establishment under section 20; or

(d) an application for amendment of a licence under section 22.

Cardiac Catheterisation

 

See: HSE Regulations, Schedule 3,

Part 1

the procedure of passing a catheter (or other instrument) through a  major blood vessel to the heart for a diagnostic or therapeutic purpose.

Note: This is a specialised service, and additional licensing standards apply. This procedure may only be performed by a private hospital authorised (i.e. licensed) to provide this service.

Child

a person who has not attained the age of 14 years.

'Class' of Establishment

- Private Hospitals

 

See: HSE Regulations, Part 2 (Cl. 5)

A private hospital can be one of the following classes:

(a) general – a private hospital used for a purpose other than the purposes of a surgical, maternity, rehabilitation or psychiatric class hospital; or

(b) surgical – a private hospital used for the purpose of conducting surgical operations or endoscopic procedures, other than those that would normally be conducted by a medical practitioner in his or her consulting rooms; or

(c) maternity – a private hospital used for the purpose of providing maternity care; or

(d) rehabilitation – a private hospital used for the purpose of providing long-term or specialised physical rehabilitation; or

(e) psychiatric – a private hospital used for the purpose of providing psychiatric care.

'Class' of Establishment

- Day Procedure Centres

 

See: HSE Regulations, Part 2 (Cl. 5)

A day procedure centre can be one of the following classes:

(a) low risk – a day procedure centre that undertakes low-risk surgical treatment that can be safely performed using simple sedation; or

(b) endoscopic – a day procedure centre used for the purpose of providing endoscopic treatment that involves the administration of a general anaesthetic or intravenous sedative otherwise than for the purpose of simple sedation; or

(c) surgical – a day procedure centre used for the purpose of providing surgical treatment that involves the administration of a general, spinal, epidural or major regional block anaesthetic, or intravenous sedative otherwise than for the purpose of simple sedation.

Day-procedure centre

an establishment at which any patient is admitted and discharged on the same day for medical, surgical or other treatment, but does not include –

(a) any such establishment conducted by or on behalf of the State; or

(b) a public hospital or health service under the control of a public health  organisation within the meaning of the Health Act 1997; or

(c) a private hospital licensed under this Act; or

(d) a residential care service.

Decision of the Secretary

 

See: HSE Act, s27

A decision/determination of the Secretary:

(a) to refuse an application; or

(b) of the class or classes of establishments for which the licence is issued; or

(c) of the maximum number of patients who may be accommodated overnight at any one time in the facility (private hospital and residential care licences); or

(e) of the conditions subject to which a licence is issued; or

(f) to require the licensee of an establishment to carry out repairs, maintenance, alterations, extensions or improvements to the establishment; or

(g) to amend a licence (otherwise than on the application of the licensee); or

(h) to cancel a licence.

Director of nursing

the director of nursing of an establishment, as referred to in section 39, who is a registered nurse; and has such experience as the Secretary considers necessary for the proper conduct of the establishment. The Director of Nursing is responsible for the care of the patients in the establishment as prescribed by the regulations.

Emergency Services

 

See: HSE Regulations, Schedule 3,

Part 2

a service for the care of persons injured in accidents, or for those suffering

from medical or other emergencies, through the provision of reception, resuscitation, medical and surgical and surgical facilities and life support systems.

Note: This is a specialised service, and additional licensing standards apply. This procedure may only be performed by a private hospital authorised (i.e. licensed) to provide this service.

Establishment

(a) a day-procedure centre; or

(b) a private hospital; or

(c) a residential care service.

Former Act

the Hospitals Act 1918

Fit and Proper Person: Corporations

For the purposes of the HSE Act, a corporation is not a 'fit and proper' person to be a licensee unless each director and each person concerned in the management of the corporation is a fit and proper person to be a licensee.

HSE Act, the

The Health Service Establishments Act 2006.

HSE Regulations, the

The Health Service Establishments Regulations 2011.

Infringement Offence

 

See: HSE Act, s55A

An offence against the HSE Act or the HSE Regulations that is prescribed by the HSE regulations as an 'infringement offence'. These are prescribed in Schedule 6 of the HSE Regulations.

Intensive Care

 

 

 

See: HSE Regulations, Schedule 3,

Part 3

the observation, care and treatment of patients with life-threatening or

potentially life-threatening illnesses, injuries or complications, from which recovery is possible, in a separate intensive care unit that is specially staffed and equipped for that purpose.

Note: This is a specialised service, and additional licensing standards apply. This procedure may only be performed by a private hospital authorised (i.e. licensed) to provide this service

 

Licence

a licence issued under section 12 and in force under the HSE Act, including a temporary licence.

Licensee

the holder (or any one or more of the holders) for the time being, of a licence.

Licensed establishment

an establishment in respect of which a licence has been issued under the Health Service Establishments Act 2006.

Licensing standards

the standards prescribed by the Health Service Establishments Regulations 2011.

Major Shareholder

 

See: HSE Regulations,

Reg 19

a shareholder whose shareholding exceeds 20% of the total shareholding in the Corporation.

Material alteration to or extension of

 

See: HSE Act, s20

a material alteration to or extension of the establishment for which a permit is required under the Building Act 2000.

Neonatal Intensive Care

 

See: HSE Regulations, Schedule 3,

Part 4

life support, monitoring and care for newly born children suffering from life-threatening prematurity, illness or disability at birth, or post-birth complications.

Note: This is a specialised service, and additional licensing standards apply. This procedure may only be performed by a private hospital authorised (i.e. licensed) to provide this service.

 

Patient

(a) in respect of a private hospital: a person accommodated in the private hospital for treatment; or

(b) in respect of a day-procedure centre: a person admitted to the day-procedure centre for treatment; or

(c) a person for whom any residential care service is provided.

Personal care

(a) assistance with one or more of the following:

(i) bathing, showering or personal hygiene;

(ii) dressing or undressing;

(iii) meals; or

(b) physical assistance or supervision for persons subject to a disability; or

(c) assistance or supervision in dispensing medicine; or

(d) the provision of substantial emotional support.

Practitioner

a medical practitioner or a dentist.

Premises

includes any land, building and part of any building.

Prescribed records

the register of patients and/or any other records required by or under the HSE Act to be kept at the establishment.

Private hospital

premises at which any patient is provided with accommodation, medical, surgical or other treatment and with ancillary nursing care, for fee, gain or reward, but does not include –

(a) an establishment conducted by or on behalf of the State; or

(b) a day-procedure centre; or

(c) a residential care service.

Note: see s33(2) for further information on what may be classified as a 'private hospital'

Person who conducts an establishment

 

s3(4) HSE Act

(a) a corporation which conducts the establishment (except where that corporation is acting only in its capacity as an agent); or

(b) a natural person who conducts the establishment, whether jointly with other persons or alone (except where that person is acting only in the person's capacity as an employee or an agent).

Professional attention

 (a) medical or surgical treatment by or under the supervision of a registered medical practitioner; or

(b) obstetric treatment by or under the supervision of a registered medical practitioner or a registered nurse with obstetric qualifications; or

(c) dental treatment by or under the supervision of a registered dental practitioner; or

(d) podiatric treatment by a registered podiatrist.

Note: A reference in the HSE Act to medical, surgical or other treatment includes a reference to a diagnosis for the purposes of any such treatment: see s3(2).

Public hospital

a State-funded hospital.

Register of patients

the register that to be kept at an establishment, under section 42 of the HSE Act.

Residential care service

premises where accommodation and personal care or nursing care are provided to an elderly person who is not a member of the immediate family of the proprietor of the service, but does not include a service providing accommodation for persons otherwise living independently even though the provision of accommodation may or may not include domestic services such as the preparation of meals, cleaning and laundry services.

Regulations, the

the Health Service Establishments Regulations 2011

Secretary

The Secretary of the Department of Health and Human Services, Tasmania.

Temporary licence

a licence issued under section 13 and in force under the HSE Act.

 

Type A procedure

a procedure involving professional attention normally requiring admitted overnight hospital stay.

Type B procedure

a procedure involving professional attention normally requiring admitted hospital treatment that does not include part of an overnight stay.

Type C procedure

a procedure involving professional attention that does not normally require admitted hospital treatment.

Common Acronyms

ACSQHC

Australian Commission on Safety and Quality in Health Care (Federal body)

AHPRA

Australian Health Practitioner Regulation Agency (Federal body)

AHSSQA

Australian Health Service Safety and Quality Accreditation Scheme (Federal)

ANZCA

Australian and New Zealand College of Anaesthetists

AS

Australian Standard, as published by the Standards Authority of Australia

CEO

Chief Executive Officer

DHHS

Department of Health and Human Services (Tasmania)

HSE

Health Service Establishment

HSEAC

Health Service Establishments Advisory Committee (Tasmanian Statutory Body)

HSRMC

Health Services Regulation Management Committee (DHHS body)

HSRMG

Health Service Regulation Management Guide

ISO/

BS EN ISO/

DIN EN ISO

International Standard, as published by the International Organisation for Standardization

NSQHS

National Safety and Quality Health Service Standards

TCGF

Tasmanian Clinical Governance Framework

THSAF

Tasmanian Health Services Accreditation Framework