Common use of Calculation of Target Clause in Contracts

Calculation of Target. The set target is estimated using data previously supplied by the District as part of its monthly reporting requirements Additional notes: SCHN provides this service for SESLHD. Service Code Service Name Measurement Unit Service Volume Explanatory Notes Primary and Community Health Services PC-001 Facilitated discharge planning for older people, including Acute to Aged-Related Care Services - Patients seen Number 712 Definition of Activity Measure: The total number of patients seen by Aged-Related Care Services (or similar services) occurring during the reference period. Rationale: To monitor activity levels and set performance targets. Notes on Calculation of Target: Target volumes established in 2015/16 based on number of patients seen for that year or through consultation with Districts. Subsequent maintenance or revision through consultation with Districts based on annual activity levels. Additional notes: Aged-Related Care Services and similar services that facilitate discharge planning of older people, to be maintained or increased from 2015/16 levels. PC-002 Aged Care Services in Emergency Teams - Patients seen Number 4,020 Definition of Activity Measure: The total number of patients seen by Aged Care Services in Emergency Teams occurring during the reference period. Rationale: To monitor activity levels and set performance targets. Notes on Calculation of Target: Target volumes established in 2015/16 based on number of patients seen for that year or through consultation with Districts. Subsequent maintenance or revision through consultation with Districts based on annual activity levels. Additional notes: The Aged Care Services in Emergency Teams service is a multidisciplinary, specialist aged care service in the Emergency Department. SCHEDULE D, Part B: Nationally Funded Centres and Supra LHD Services Notes:  All Agreements include Part B in full to provide an overview of these Centres and Services to all Districts/Networks.  Supra LHD Services are characterised by a combination of the following factors:  High cost services with low volume activity;  A relationship between volume and quality of clinical outcomes;  Specialised skills of individual clinicians or teams, and/or limited supply/distribution of the workforce;  Highly specialised equipment and/or support services; and  Significant investment in infrastructure required.  Importantly, Supra LHD Services must demonstrate a broader catchment than just the LHD in which they are physically located and must provide a significant proportion of the total volume of service to eligible patients from other geographical areas of residence. Service Code Service Name Measurement Unit Locations (Where applicable) Service Level Explanatory Notes Nationally Funded Centres NFC-001 Pancreas Transplantation – Nationally Funded Centre N/A Westmead See Notes Definition of Activity Measure: N/A Rationale: As per Nationally Funded Centre Agreement Notes on Calculation of Target: Access for all patients across Australia accepted onto Nationally Funded Centre program Additional notes: Provision of Pancreas Transplantation as per the Nationally Funded Centre Agreement. NFC-002 Paediatric Liver Transplantation – Nationally Funded Centre N/A The Children’s Hospital at Westmead See Notes Definition of Activity Measure: N/A Rationale: As per Nationally Funded Centre Agreement Notes on Calculation of Target: Access for all patients across Australia accepted onto Nationally Funded Centre program Additional notes: Provision of Paediatric Liver Transplantation services as per the Nationally Funded Centre Agreement. NFC-003 Xxxxxxx Procedure – Nationally Funded Centre N/A The Children’s Hospital at Westmead See Notes Definition of Activity Measure: N/A Rationale: As per Nationally Funded Centre Agreement Notes on Calculation of Target: Access for all patients across Australia accepted onto Nationally Funded Centre program Additional notes: Provision of Xxxxxxx Surgery as per the Nationally Funded Centre Agreement. NFC-004 Islet Cell Transplantation – Nationally Funded Centre N/A Westmead See Notes Definition of Activity Measure: N/A Rationale: As per Nationally Funded Centre Agreement Notes on Calculation of Target: Access for all patients across Australia accepted onto Nationally Funded Centre program Additional notes: Provision of Islet Cell Transplantation services as per the Nationally Funded Centre Agreement. Service Code Service Name Measurement Unit Locations (Where applicable) Service Level Explanatory Notes Supra LHD Services AICU / HDU Adult Intensive Care Unit / High Dependency Unit Beds Royal North Shore (38) Westmead (48 +1 new in 2016/17) Nepean (20) Liverpool (31 +1 new in 2016/17) Royal Xxxxxx Xxxxxx (50 +1 new in 2016/17) Concord (16) St Xxxxxx (36) Prince of Wales (22) Xxxx Xxxxxx (22 +1 new in 2016/17, including 4 paediatric intensive care cots) St Vincent’s (21) See Locations 24 Hours, 7 days Definition of Activity Measure: Access to highly specialised services provided in level 6 Intensive Care Unit/High Dependency Unit services through Critical Care Referral Networks and default matrix. Rationale: To provide adult ICU services, which are available 24 hours per day, 7 days per week, 365 days per year at a level not less than activity in 2015/16. Services to be provided in accordance with Critical Care Tertiary Referral Networks & Transfer of Care (Adults) PD2010_21. Additional notes: The bed numbers are Intensive Care Unit / High Dependency Unit. Bed numbers listed in the baselines are as at July 2016. Any capacity changes for 2016/17 are shown as additional. Units with new beds in 2016/17 will need to demonstrate networked arrangements with identified partner Xxxxx 0 XXXX services, in accordance with the recommended standards in the NSW Agency for Clinical Innovation’s Intensive Care Service Model: NSW Level 4 Adult Intensive Care Units. ALT Adult Liver Transplant Number Royal Xxxxxx Xxxxxx See Notes Definition of Activity Measure: Number of transplants undertaken for listed patients Rationale: Based on the availability of matched organs available and offered for listed patients based on National Organ and Tissue Donation guidelines for organ allocation. Additional notes: To provide Adult Liver Transplant services at a level where all available donor organs with matched recipients are transplanted. To undertake adult liver harvesting for live liver donation. These services will be available equitably to all referrals. SSCI Severe Spinal Cord Injury Service Access Prince of Wales Xxxxx Xxxxx Xxxxx Xxxxx Xxxxxxxxxxxxxx Xxxxxx, Xxxxxx SCHN See Notes Definition of Activity Measure: Equitable access for severe spinal cord injured patients. Rationale: NSW Spinal Cord Injury Plan Additional notes: Provision of severe spinal cord injury services, inclusive of intensive care, acute and subacute phases of care. Service Code Service Name Measurement Unit Locations (Where applicable) Service Level Explanatory Notes Supra LHD Services BMTAA Blood and Marrow Transplantation – Allogeneic Number St Vincent's (37) Westmead (62) Royal Xxxxxx Xxxxxx (18) Liverpool (13) Royal North Shore (30) SCHN Randwick & Westmead (51) See Locations Definition of Activity Measure: Number of transplants for listed patients. Clinical need will outweigh wait list time. Rationale: Equitable access for all referrals. Notes on Calculation of Target: Projections based on the 10 year trend (2004-05 to 2013-14). BMTL Blood and Marrow Transplant Laboratory N/A St Vincent's - to Gosford Westmead – to Nepean, Wollongong, SCHN at Westmead See Notes Definition of Activity Measure: N/A Rationale: N/A Additional notes: Laboratory Services will be provided as stipulated in the NSW Blood and Marrow Transplantation Selected Specialty and Statewide Service Plan. CE Complex Epilepsy Access Westmead Royal Prince Xxxxxx Xxxxxx of Wales SCHN Randwick & Westmead See Notes Definition of Activity Measure: Equitable access to consultation, diagnostics and treatment modalities. Rationale: Statewide Complex Epilepsy Strategy. Additional notes: Comprehensive service to provide assessment and management of complex epilepsy, including brain stimulator and other epilepsy surgery. ECMO Extracorporeal Membrane Oxygenation Retrieval Number Royal Xxxxxx Xxxxxx St Vincent's See Notes Definition of Activity Measure: Number of patients with acute respiratory or cardiac conditions retrieved on Extracorporeal Membrane Oxygenation to St Vincent’s and Royal Xxxxxx Xxxxxx Rationale: Extracorporeal Membrane Oxygenation Medical Retrieval Strategy Additional notes: 24 hour on-call roster shared between Royal Xxxxxx Xxxxxx and St Vincent’s - admission of all retrieved patients. In collaboration with Aeromedical Ambulance Medical Retrieval Service and other Extracorporeal Membrane Oxygenation Services, provide the Extracorporeal Membrane Oxygenation Retrieval Service, including the referral and transfer service and the Extracorporeal Membrane Oxygenation retrieval team on alternate weeks as per PD2010_21 (or otherwise agreed). Service Code Service Name Measurement Unit Locations (Where applicable) Service Level Explanatory Notes Supra LHD Services HLT Heart Lung Transplantation Number St Vincent's See Notes Definition of Activity Measure: Number of transplants undertaken for listed patients Rationale: Based on the availability of matched organs available and offered for listed patients based on National Organ and Tissue Donation guidelines for organ allocation. All available organs transplanted to clinically appropriate recipients. Additional notes: To provide Heart and Heart Lung transplantation services at a level where all available donor organs with matched recipients are transplanted. These services will be available equitably to all referrals. HRM High Risk Maternity Access Royal Xxxxxx Xxxxxx Royal North Shore Royal Hospital for Women Liverpool Xxxx Xxxxxx Nepean Westmead See Notes Definition of Activity Measure: Equitable access for women to consultation, diagnostics and treatment modalities. Rationale: NSW Critical Care Networks (Perinatal) PD2010_069. Access for all women with high risk pregnancies. Additional notes: Provide level 6 maternity services and fulfill network and default role as described in PD2010_069. Provide access to services in conjunction with NICU at a level not less than that provided in 2015/16 in order to provide an effective statewide network and reduce unnecessary transfers. NICS Neonatal Intensive Care Service Cot availability SCHN Randwick (4 cots) SCHN Westmead (22 cots +1 new in 2016/17) Royal Xxxxxx Xxxxxx (22 cots) Royal North Shore (15 cots) Royal Hospital for Women (16 cots) Liverpool (12 cots) Xxxx Xxxxxx (18 cots) Nepean (12 cots) Westmead (23 cots +1 new in 2016/17) See Locations 24 Hours, 7 days Definition of Activity Measure: Cot availability relates directly to equitable access for babies to consultation, diagnostics and treatment modalities. Rationale: NSW Critical Care Networks (Perinatal) PD2010_069 Additional notes: To provide neonatal intensive care services at a level equivalent to cots listed, which are available 24 hours per day, 7 days per week, 365 days per year at a level not less than activity in 2015/16. Units fulfill network and default role as described in PD2010_069. Cot numbers listed in the baselines are as at July 2016. Any capacity changes for 2016/17 are shown as new. PERI Peritonectomy Number St Xxxxxx 115 Definition of Activity Measure: Number of peritonectomy cases undertaken. Rationale: Capacity determined by District to allow equitable access to Intensive Care Unit beds at St Xxxxxx Hospital. Agreed by Multidisciplinary clinical team at St Xxxxxx. Additional notes: Provision of Peritonectomy services accepted by the Enhanced Multi-Disciplinary Team Service Code Service Name Measurement Unit Locations (Where applicable) Service Level Explanatory Notes Supra LHD Services PICU Paediatric Intensive Care Bed availability SCHN Randwick (13 beds) SCHN Westmead (22 beds) Xxxx Xxxxxx (up to 4 beds) See Locations 24 Hours, 7 days Definition of Activity Measure: Bed availability relates directly to equitable access for children to consultation, diagnostics and treatment modalities. Rationale: NSW Critical Care Networks (Paediatrics) PD2010_030 Additional notes: To provide paediatric intensive care services, which are available 24 hours per day, 7 days per week, 365 days per year at a level not less than activity in 2015/16. Services to be provided in accordance with Critical Care Network Referral Role as described in PD2010_030. Bed numbers listed in the baselines are as at July 2016. Any capacity changes for 2016/17 are shown as new. SBS Severe Burn Service Access Concord Royal North Shore SCHN Westmead See Locations 24 Hours, 7 days Definition of Activity Measure: Bed availability relates directly to equitable access to consultation, diagnostics and treatment modalities in both inpatient and outpatient settings. Rationale: NSW Burn Transfer Guidelines (Agency for Clinical Innovation 2014) Additional notes: Provision of the Severe Xxxxx Services, inclusive of intensive care, acute and subacute and outreach phases of care. Ensures equitable access for all eligible patients, regardless of geographical area of residence, consistent with NSW Burn Transfer Guidelines (refer IB2014_071) SDC Sydney Dialysis Centre Access Royal North Shore See Notes Definition of Activity Measure: Access, set up and ongoing support for home dialysis equipment. Rationale: As per 0000 Xxxxxx Dialysis Centre funding agreement with Northern Sydney Local Health District Additional notes: Provides statewide access and support to home dialysis equipment, and training at agreed levels. Formal machine replacement strategy as per 2012 business case. HBM Hyperbaric Medicine N/A Prince of Wales See Notes Definition of Activity Measure: Provide equitable access to hyperbaric services. Rationale: N/A HSCT Haematopoietic Stem Cell Transplantation for Severe Scleroderma Number of Transplants St Vincent's 10 Definition of Activity Measure: Number of transplants undertaken for severe scleroderma patients Rationale: Agency for Clinical Innovation Model of Care Additional notes: The service will be available equitably to all referrals. SCHEDULE E: Performance Measures KPIs The performance of Districts, Networks and other Health Services and Support Organisations is assessed in terms of whether it is meeting the performance targets for individual KPIs.  Performing Performance at, or better than, target  Underperforming Performance within a tolerance range X Not performing Performance outside the tolerance threshold KPIs have been designated into two tiers:  Tier 1 - Will generate a performance concern when the organisation’s performance is outside the tolerance threshold for the applicable reporting period.  Tier 2 - Will generate a performance concern when the organisation’s performance is outside the tolerance threshold for more than one reporting period. Service Measures A range of service measures are identified to assist the organisation to improve provision of safe and efficient patient care and to provide the contextual information against which to assess performance.

Calculation of Target. The set target is estimated using data previously supplied by the District as part of its monthly reporting requirements Additional notes: SCHN provides this service for SESLHD. Service Code Service Name Measurement Unit Service Volume Explanatory Notes Primary and Community Health Services PC-001 Facilitated discharge planning for older people, including Acute to Aged-Related Care Services - Patients seen Number 712 400 Definition of Activity Measure: The total number of patients seen by Aged-Related Care Services (or similar services) occurring during the reference period. Rationale: To monitor activity levels and set performance targets. Notes on Calculation of Target: Target volumes established in 2015/16 based on number of patients seen for that year or through consultation with Districts. Subsequent maintenance or revision through consultation with Districts based on annual activity levels. Additional notes: Aged-Related Care Services and similar services that facilitate discharge planning of older people, to be maintained or increased from 2015/16 levels. PC-002 Aged Care Services in Emergency Teams - Patients seen Number 4,020 5,715 Definition of Activity Measure: The total number of patients seen by Aged Care Services in Emergency Teams occurring during the reference period. Rationale: To monitor activity levels and set performance targets. Notes on Calculation of Target: Target volumes established in 2015/16 based on number of patients seen for that year or through consultation with Districts. Subsequent maintenance or revision through consultation with Districts based on annual activity levels. Additional notes: The Aged Care Services in Emergency Teams service is a multidisciplinary, specialist aged care service in the Emergency Department. SCHEDULE D, Part B: Nationally Funded Centres and Supra LHD Services Notes:  All Agreements include Part B in full to provide an overview of these Centres and Services to all Districts/Networks.  Supra LHD Services are characterised by a combination of the following factors:  High cost services with low volume activity;  A relationship between volume and quality of clinical outcomes;  Specialised skills of individual clinicians or teams, and/or limited supply/distribution of the workforce;  Highly specialised equipment and/or support services; and  Significant investment in infrastructure required.  Importantly, Supra LHD Services must demonstrate a broader catchment than just the LHD in which they are physically located and must provide a significant proportion of the total volume of service to eligible patients from other geographical areas of residence. Service Code Service Name Measurement Unit Locations (Where applicable) Service Level Explanatory Notes Nationally Funded Centres NFC-001 Pancreas Transplantation – Nationally Funded Centre N/A Westmead See Notes Definition of Activity Measure: N/A Rationale: As per Nationally Funded Centre Agreement Notes on Calculation of Target: Access for all patients across Australia accepted onto Nationally Funded Centre program Additional notes: Provision of Pancreas Transplantation as per the Nationally Funded Centre Agreement. NFC-002 Paediatric Liver Transplantation – Nationally Funded Centre N/A The Children’s Hospital at Westmead See Notes Definition of Activity Measure: N/A Rationale: As per Nationally Funded Centre Agreement Notes on Calculation of Target: Access for all patients across Australia accepted onto Nationally Funded Centre program Additional notes: Provision of Paediatric Liver Transplantation services as per the Nationally Funded Centre Agreement. NFC-003 Xxxxxxx Procedure – Nationally Funded Centre N/A The Children’s Hospital at Westmead See Notes Definition of Activity Measure: N/A Rationale: As per Nationally Funded Centre Agreement Notes on Calculation of Target: Access for all patients across Australia accepted onto Nationally Funded Centre program Additional notes: Provision of Xxxxxxx Surgery as per the Nationally Funded Centre Agreement. NFC-004 Islet Cell Transplantation – Nationally Funded Centre N/A Westmead See Notes Definition of Activity Measure: N/A Rationale: As per Nationally Funded Centre Agreement Notes on Calculation of Target: Access for all patients across Australia accepted onto Nationally Funded Centre program Additional notes: Provision of Islet Cell Transplantation services as per the Nationally Funded Centre Agreement. Service Code Service Name Measurement Unit Locations (Where applicable) Service Level Explanatory Notes Supra LHD Services AICU / HDU Adult Intensive Care Unit / High Dependency Unit Beds Royal North Shore (38) Westmead (48 +1 new in 2016/17) Nepean (20) Liverpool (31 +1 new in 2016/17) Royal Xxxxxx Xxxxxx (50 +1 new in 2016/17) Concord (16) St Xxxxxx (36) Prince of Wales (22) Xxxx Xxxxxx (22 +1 new in 2016/17, including 4 paediatric intensive care cots) St Vincent’s (21) See Locations 24 Hours, 7 days Definition of Activity Measure: Access to highly specialised services provided in level 6 Intensive Care Unit/High Dependency Unit services through Critical Care Referral Networks and default matrix. Rationale: To provide adult ICU services, which are available 24 hours per day, 7 days per week, 365 days per year at a level not less than activity in 2015/16. Services to be provided in accordance with Critical Care Tertiary Referral Networks & Transfer of Care (Adults) PD2010_21. Additional notes: The bed numbers are Intensive Care Unit / High Dependency Unit. Bed numbers listed in the baselines are as at July 2016. Any capacity changes for 2016/17 are shown as additional. Units with new beds in 2016/17 will need to demonstrate networked arrangements with identified partner Xxxxx 0 XXXX services, in accordance with the recommended standards in the NSW Agency for Clinical Innovation’s Intensive Care Service Model: NSW Level 4 Adult Intensive Care Units. ALT Adult Liver Transplant Number Royal Xxxxxx Xxxxxx See Notes Definition of Activity Measure: Number of transplants undertaken for listed patients Rationale: Based on the availability of matched organs available and offered for listed patients based on National Organ and Tissue Donation guidelines for organ allocation. Additional notes: To provide Adult Liver Transplant services at a level where all available donor organs with matched recipients are transplanted. To undertake adult liver harvesting for live liver donation. These services will be available equitably to all referrals. SSCI Severe Spinal Cord Injury Service Access Prince of Wales Xxxxx Xxxxx Xxxxx Xxxxx Xxxxxxxxxxxxxx Xxxxxx, Xxxxxx SCHN See Notes Definition of Activity Measure: Equitable access for severe spinal cord injured patients. Rationale: NSW Spinal Cord Injury Plan Additional notes: Provision of severe spinal cord injury services, inclusive of intensive care, acute and subacute phases of care. Service Code Service Name Measurement Unit Locations (Where applicable) Service Level Explanatory Notes Supra LHD Services BMTAA Blood and Marrow Transplantation – Allogeneic Number St Vincent's (37) Westmead (62) Royal Xxxxxx Xxxxxx (18) Liverpool (13) Royal North Shore (30) SCHN Randwick & Westmead (51) See Locations Definition of Activity Measure: Number of transplants for listed patients. Clinical need will outweigh wait list time. Rationale: Equitable access for all referrals. Notes on Calculation of Target: Projections based on the 10 year trend (2004-05 to 2013-14). BMTL Blood and Marrow Transplant Laboratory N/A St Vincent's - to Gosford Westmead – to Nepean, Wollongong, SCHN at Westmead See Notes Definition of Activity Measure: N/A Rationale: N/A Additional notes: Laboratory Services will be provided as stipulated in the NSW Blood and Marrow Transplantation Selected Specialty and Statewide Service Plan. CE Complex Epilepsy Access Westmead Royal Prince Xxxxxx Xxxxxx of Wales SCHN Randwick & Westmead See Notes Definition of Activity Measure: Equitable access to consultation, diagnostics and treatment modalities. Rationale: Statewide Complex Epilepsy Strategy. Additional notes: Comprehensive service to provide assessment and management of complex epilepsy, including brain stimulator and other epilepsy surgery. ECMO Extracorporeal Membrane Oxygenation Retrieval Number Royal Xxxxxx Xxxxxx St Vincent's See Notes Definition of Activity Measure: Number of patients with acute respiratory or cardiac conditions retrieved on Extracorporeal Membrane Oxygenation to St Vincent’s and Royal Xxxxxx Xxxxxx Rationale: Extracorporeal Membrane Oxygenation Medical Retrieval Strategy Additional notes: 24 hour on-call roster shared between Royal Xxxxxx Xxxxxx and St Vincent’s - admission of all retrieved patients. In collaboration with Aeromedical Ambulance Medical Retrieval Service and other Extracorporeal Membrane Oxygenation Services, provide the Extracorporeal Membrane Oxygenation Retrieval Service, including the referral and transfer service and the Extracorporeal Membrane Oxygenation retrieval team on alternate weeks as per PD2010_21 (or otherwise agreed). Service Code Service Name Measurement Unit Locations (Where applicable) Service Level Explanatory Notes Supra LHD Services HLT Heart Lung Transplantation Number St Vincent's See Notes Definition of Activity Measure: Number of transplants undertaken for listed patients Rationale: Based on the availability of matched organs available and offered for listed patients based on National Organ and Tissue Donation guidelines for organ allocation. All available organs transplanted to clinically appropriate recipients. Additional notes: To provide Heart and Heart Lung transplantation services at a level where all available donor organs with matched recipients are transplanted. These services will be available equitably to all referrals. HRM High Risk Maternity Access Royal Xxxxxx Xxxxxx Royal North Shore Royal Hospital for Women Liverpool Xxxx Xxxxxx Nepean Westmead See Notes Definition of Activity Measure: Equitable access for women to consultation, diagnostics and treatment modalities. Rationale: NSW Critical Care Networks (Perinatal) PD2010_069. Access for all women with high risk pregnancies. Additional notes: Provide level 6 maternity services and fulfill network and default role as described in PD2010_069. Provide access to services in conjunction with NICU at a level not less than that provided in 2015/16 in order to provide an effective statewide network and reduce unnecessary transfers. NICS Neonatal Intensive Care Service Cot availability SCHN Randwick (4 cots) SCHN Westmead (22 cots +1 new in 2016/17) Royal Xxxxxx Xxxxxx (22 cots) Royal North Shore (15 cots) Royal Hospital for Women (16 cots) Liverpool (12 cots) Xxxx Xxxxxx (18 cots) Nepean (12 cots) Westmead (23 cots +1 new in 2016/17) See Locations 24 Hours, 7 days Definition of Activity Measure: Cot availability relates directly to equitable access for babies to consultation, diagnostics and treatment modalities. Rationale: NSW Critical Care Networks (Perinatal) PD2010_069 Additional notes: To provide neonatal intensive care services at a level equivalent to cots listed, which are available 24 hours per day, 7 days per week, 365 days per year at a level not less than activity in 2015/16. Units fulfill network and default role as described in PD2010_069. Cot numbers listed in the baselines are as at July 2016. Any capacity changes for 2016/17 are shown as new. PERI Peritonectomy Number St Xxxxxx 115 Definition of Activity Measure: Number of peritonectomy cases undertaken. Rationale: Capacity determined by District to allow equitable access to Intensive Care Unit beds at St Xxxxxx Hospital. Agreed by Multidisciplinary clinical team at St Xxxxxx. Additional notes: Provision of Peritonectomy services accepted by the Enhanced Multi-Disciplinary Team Service Code Service Name Measurement Unit Locations (Where applicable) Service Level Explanatory Notes Supra LHD Services PICU Paediatric Intensive Care Bed availability SCHN Randwick (13 beds) SCHN Westmead (22 beds) Xxxx Xxxxxx (up to 4 beds) See Locations 24 Hours, 7 days Definition of Activity Measure: Bed availability relates directly to equitable access for children to consultation, diagnostics and treatment modalities. Rationale: NSW Critical Care Networks (Paediatrics) PD2010_030 Additional notes: To provide paediatric intensive care services, which are available 24 hours per day, 7 days per week, 365 days per year at a level not less than activity in 2015/16. Services to be provided in accordance with Critical Care Network Referral Role as described in PD2010_030. Bed numbers listed in the baselines are as at July 2016. Any capacity changes for 2016/17 are shown as new. SBS Severe Burn Service Access Concord Royal North Shore SCHN Westmead See Locations 24 Hours, 7 days Definition of Activity Measure: Bed availability relates directly to equitable access to consultation, diagnostics and treatment modalities in both inpatient and outpatient settings. Rationale: NSW Burn Transfer Guidelines (Agency for Clinical Innovation 2014) Additional notes: Provision of the Severe Xxxxx Services, inclusive of intensive care, acute and subacute and outreach phases of care. Ensures equitable access for all eligible patients, regardless of geographical area of residence, consistent with NSW Burn Transfer Guidelines (refer IB2014_071) SDC Sydney Dialysis Centre Access Royal North Shore See Notes Definition of Activity Measure: Access, set up and ongoing support for home dialysis equipment. Rationale: As per 0000 Xxxxxx Dialysis Centre funding agreement with Northern Sydney Local Health District Additional notes: Provides statewide access and support to home dialysis equipment, and training at agreed levels. Formal machine replacement strategy as per 2012 business case. HBM Hyperbaric Medicine N/A Prince of Wales See Notes Definition of Activity Measure: Provide equitable access to hyperbaric services. Rationale: N/A HSCT Haematopoietic Stem Cell Transplantation for Severe Scleroderma Number of Transplants St Vincent's 10 Definition of Activity Measure: Number of transplants undertaken for severe scleroderma patients Rationale: Agency for Clinical Innovation Model of Care Additional notes: The service will be available equitably to all referrals. SCHEDULE E: Performance Measures KPIs The performance of Districts, Networks and other Health Services and Support Organisations is assessed in terms of whether it is meeting the performance targets for individual KPIs.  Performing Performance at, or better than, target  Underperforming Performance within a tolerance range X Not performing Performance outside the tolerance threshold KPIs have been designated into two tiers:  Tier 1 - Will generate a performance concern when the organisation’s performance is outside the tolerance threshold for the applicable reporting period.  Tier 2 - Will generate a performance concern when the organisation’s performance is outside the tolerance threshold for more than one reporting period. Service Measures A range of service measures are identified to assist the organisation to improve provision of safe and efficient patient care and to provide the contextual information against which to assess performance.

Calculation of Target. The set target is estimated using data previously supplied by the District as part of its monthly reporting requirements Additional notes: SCHN provides this service for SESLHD. Service Code Service Name Measurement Unit Service Volume Explanatory Notes Primary and Community Health Services PC-001 Facilitated discharge planning for older people, including Acute to Aged-Related Care Services - Patients seen Number 712 909 Definition of Activity Measure: The total number of patients seen by Aged-Related Care Services (or similar services) occurring during the reference period. Rationale: To monitor activity levels and set performance targets. Notes on Calculation of Target: Target volumes established in 2015/16 based on number of patients seen for that year or through consultation with Districts. Subsequent maintenance or revision through consultation with Districts based on annual activity levels. Additional notes: Aged-Related Care Services and similar services that facilitate discharge planning of older people, to be maintained or increased from 2015/16 levels. PC-002 Aged Care Services in Emergency Teams - Patients seen Number 4,020 13,861 Definition of Activity Measure: The total number of patients seen by Aged Care Services in Emergency Teams occurring during the reference period. Rationale: To monitor activity levels and set performance targets. Notes on Calculation of Target: Target volumes established in 2015/16 based on number of patients seen for that year or through consultation with Districts. Subsequent maintenance or revision through consultation with Districts based on annual activity levels. Additional notes: The Aged Care Services in Emergency Teams service is a multidisciplinary, specialist aged care service in the Emergency Department. SCHEDULE D, Part B: Nationally Funded Centres and Supra LHD Services Notes:  All Agreements include Part B in full to provide an overview of these Centres and Services to all Districts/Networks.  Supra LHD Services are characterised by a combination of the following factors:  High cost services with low volume activity;  A relationship between volume and quality of clinical outcomes;  Specialised skills of individual clinicians or teams, and/or limited supply/distribution of the workforce;  Highly specialised equipment and/or support services; and  Significant investment in infrastructure required.  Importantly, Supra LHD Services must demonstrate a broader catchment than just the LHD in which they are physically located and must provide a significant proportion of the total volume of service to eligible patients from other geographical areas of residence. Service Code Service Name Measurement Unit Locations (Where applicable) Service Level Explanatory Notes Nationally Funded Centres NFC-001 Pancreas Transplantation – Nationally Funded Centre N/A Westmead See Notes Definition of Activity Measure: N/A Rationale: As per Nationally Funded Centre Agreement Notes on Calculation of Target: Access for all patients across Australia accepted onto Nationally Funded Centre program Additional notes: Provision of Pancreas Transplantation as per the Nationally Funded Centre Agreement. NFC-002 Paediatric Liver Transplantation – Nationally Funded Centre N/A The Children’s Hospital at Westmead See Notes Definition of Activity Measure: N/A Rationale: As per Nationally Funded Centre Agreement Notes on Calculation of Target: Access for all patients across Australia accepted onto Nationally Funded Centre program Additional notes: Provision of Paediatric Liver Transplantation services as per the Nationally Funded Centre Agreement. NFC-003 Xxxxxxx Procedure – Nationally Funded Centre N/A The Children’s Hospital at Westmead See Notes Definition of Activity Measure: N/A Rationale: As per Nationally Funded Centre Agreement Notes on Calculation of Target: Access for all patients across Australia accepted onto Nationally Funded Centre program Additional notes: Provision of Xxxxxxx Surgery as per the Nationally Funded Centre Agreement. NFC-004 Islet Cell Transplantation – Nationally Funded Centre N/A Westmead See Notes Definition of Activity Measure: N/A Rationale: As per Nationally Funded Centre Agreement Notes on Calculation of Target: Access for all patients across Australia accepted onto Nationally Funded Centre program Additional notes: Provision of Islet Cell Transplantation services as per the Nationally Funded Centre Agreement. Service Code Service Name Measurement Unit Locations (Where applicable) Service Level Explanatory Notes Supra LHD Services AICU / HDU Adult Intensive Care Unit / High Dependency Unit Beds Royal North Shore (38) Westmead (48 +1 new in 2016/17) Nepean (20) Liverpool (31 +1 new in 2016/17) Royal Xxxxxx Xxxxxx (50 +1 new in 2016/17) Concord (16) St Xxxxxx (36) Prince of Wales (22) Xxxx Xxxxxx (22 +1 new in 2016/17, including 4 paediatric intensive care cots) St Vincent’s (21) See Locations 24 Hours, 7 days Definition of Activity Measure: Access to highly specialised services provided in level 6 Intensive Care Unit/High Dependency Unit services through Critical Care Referral Networks and default matrix. Rationale: To provide adult ICU services, which are available 24 hours per day, 7 days per week, 365 days per year at a level not less than activity in 2015/16. Services to be provided in accordance with Critical Care Tertiary Referral Networks & Transfer of Care (Adults) PD2010_21. Additional notes: The bed numbers are Intensive Care Unit / High Dependency Unit. Bed numbers listed in the baselines are as at July 2016. Any capacity changes for 2016/17 are shown as additional. Units with new beds in 2016/17 will need to demonstrate networked arrangements with identified partner Xxxxx 0 XXXX services, in accordance with the recommended standards in the NSW Agency for Clinical Innovation’s Intensive Care Service Model: NSW Level 4 Adult Intensive Care Units. ALT Adult Liver Transplant Number Royal Xxxxxx Xxxxxx See Notes Definition of Activity Measure: Number of transplants undertaken for listed patients Rationale: Based on the availability of matched organs available and offered for listed patients based on National Organ and Tissue Donation guidelines for organ allocation. Additional notes: To provide Adult Liver Transplant services at a level where all available donor organs with matched recipients are transplanted. To undertake adult liver harvesting for live liver donation. These services will be available equitably to all referrals. SSCI Severe Spinal Cord Injury Service Access Prince of Wales Xxxxx Xxxxx Xxxxx Xxxxx Xxxxxxxxxxxxxx Xxxxxx, Xxxxxx SCHN See Notes Definition of Activity Measure: Equitable access for severe spinal cord injured patients. Rationale: NSW Spinal Cord Injury Plan Additional notes: Provision of severe spinal cord injury services, inclusive of intensive care, acute and subacute phases of care. Service Code Service Name Measurement Unit Locations (Where applicable) Service Level Explanatory Notes Supra LHD Services BMTAA Blood and Marrow Transplantation – Allogeneic Number St Vincent's (37) Westmead (62) Royal Xxxxxx Xxxxxx (18) Liverpool (13) Royal North Shore (30) SCHN Randwick & Westmead (51) See Locations Definition of Activity Measure: Number of transplants for listed patients. Clinical need will outweigh wait list time. Rationale: Equitable access for all referrals. Notes on Calculation of Target: Projections based on the 10 year trend (2004-05 to 2013-14). BMTL Blood and Marrow Transplant Laboratory N/A St Vincent's - to Gosford Westmead – to Nepean, Wollongong, SCHN at Westmead See Notes Definition of Activity Measure: N/A Rationale: N/A Additional notes: Laboratory Services will be provided as stipulated in the NSW Blood and Marrow Transplantation Selected Specialty and Statewide Service Plan. CE Complex Epilepsy Access Westmead Royal Prince Xxxxxx Xxxxxx of Wales SCHN Randwick & Westmead See Notes Definition of Activity Measure: Equitable access to consultation, diagnostics and treatment modalities. Rationale: Statewide Complex Epilepsy Strategy. Additional notes: Comprehensive service to provide assessment and management of complex epilepsy, including brain stimulator and other epilepsy surgery. ECMO Extracorporeal Membrane Oxygenation Retrieval Number Royal Xxxxxx Xxxxxx St Vincent's See Notes Definition of Activity Measure: Number of patients with acute respiratory or cardiac conditions retrieved on Extracorporeal Membrane Oxygenation to St Vincent’s and Royal Xxxxxx Xxxxxx Rationale: Extracorporeal Membrane Oxygenation Medical Retrieval Strategy Additional notes: 24 hour on-call roster shared between Royal Xxxxxx Xxxxxx and St Vincent’s - admission of all retrieved patients. In collaboration with Aeromedical Ambulance Medical Retrieval Service and other Extracorporeal Membrane Oxygenation Services, provide the Extracorporeal Membrane Oxygenation Retrieval Service, including the referral and transfer service and the Extracorporeal Membrane Oxygenation retrieval team on alternate weeks as per PD2010_21 (or otherwise agreed). Service Code Service Name Measurement Unit Locations (Where applicable) Service Level Explanatory Notes Supra LHD Services HLT Heart Lung Transplantation Number St Vincent's See Notes Definition of Activity Measure: Number of transplants undertaken for listed patients Rationale: Based on the availability of matched organs available and offered for listed patients based on National Organ and Tissue Donation guidelines for organ allocation. All available organs transplanted to clinically appropriate recipients. Additional notes: To provide Heart and Heart Lung transplantation services at a level where all available donor organs with matched recipients are transplanted. These services will be available equitably to all referrals. HRM High Risk Maternity Access Royal Xxxxxx Xxxxxx Royal North Shore Royal Hospital for Women Liverpool Xxxx Xxxxxx Nepean Westmead See Notes Definition of Activity Measure: Equitable access for women to consultation, diagnostics and treatment modalities. Rationale: NSW Critical Care Networks (Perinatal) PD2010_069. Access for all women with high risk pregnancies. Additional notes: Provide level 6 maternity services and fulfill network and default role as described in PD2010_069. Provide access to services in conjunction with NICU at a level not less than that provided in 2015/16 in order to provide an effective statewide network and reduce unnecessary transfers. NICS Neonatal Intensive Care Service Cot availability SCHN Randwick (4 cots) SCHN Westmead (22 cots +1 new in 2016/17) Royal Xxxxxx Xxxxxx (22 cots) Royal North Shore (15 cots) Royal Hospital for Women (16 cots) Liverpool (12 cots) Xxxx Xxxxxx (18 cots) Nepean (12 cots) Westmead (23 cots +1 new in 2016/17) See Locations 24 Hours, 7 days Definition of Activity Measure: Cot availability relates directly to equitable access for babies to consultation, diagnostics and treatment modalities. Rationale: NSW Critical Care Networks (Perinatal) PD2010_069 Additional notes: To provide neonatal intensive care services at a level equivalent to cots listed, which are available 24 hours per day, 7 days per week, 365 days per year at a level not less than activity in 2015/16. Units fulfill network and default role as described in PD2010_069. Cot numbers listed in the baselines are as at July 2016. Any capacity changes for 2016/17 are shown as new. PERI Peritonectomy Number St Xxxxxx 115 Definition of Activity Measure: Number of peritonectomy cases undertaken. Rationale: Capacity determined by District to allow equitable access to Intensive Care Unit beds at St Xxxxxx Hospital. Agreed by Multidisciplinary clinical team at St Xxxxxx. Additional notes: Provision of Peritonectomy services accepted by the Enhanced Multi-Disciplinary Team Service Code Service Name Measurement Unit Locations (Where applicable) Service Level Explanatory Notes Supra LHD Services PICU Paediatric Intensive Care Bed availability SCHN Randwick (13 beds) SCHN Westmead (22 beds) Xxxx Xxxxxx (up to 4 beds) See Locations 24 Hours, 7 days Definition of Activity Measure: Bed availability relates directly to equitable access for children to consultation, diagnostics and treatment modalities. Rationale: NSW Critical Care Networks (Paediatrics) PD2010_030 Additional notes: To provide paediatric intensive care services, which are available 24 hours per day, 7 days per week, 365 days per year at a level not less than activity in 2015/16. Services to be provided in accordance with Critical Care Network Referral Role as described in PD2010_030. Bed numbers listed in the baselines are as at July 2016. Any capacity changes for 2016/17 are shown as new. SBS Severe Burn Service Access Concord Royal North Shore SCHN Westmead See Locations 24 Hours, 7 days Definition of Activity Measure: Bed availability relates directly to equitable access to consultation, diagnostics and treatment modalities in both inpatient and outpatient settings. Rationale: NSW Burn Transfer Guidelines (Agency for Clinical Innovation 2014) Additional notes: Provision of the Severe Xxxxx Services, inclusive of intensive care, acute and subacute and outreach phases of care. Ensures equitable access for all eligible patients, regardless of geographical area of residence, consistent with NSW Burn Transfer Guidelines (refer IB2014_071) SDC Sydney Dialysis Centre Access Royal North Shore See Notes Definition of Activity Measure: Access, set up and ongoing support for home dialysis equipment. Rationale: As per 0000 Xxxxxx Dialysis Centre funding agreement with Northern Sydney Local Health District Additional notes: Provides statewide access and support to home dialysis equipment, and training at agreed levels. Formal machine replacement strategy as per 2012 business case. HBM Hyperbaric Medicine N/A Prince of Wales See Notes Definition of Activity Measure: Provide equitable access to hyperbaric services. Rationale: N/A HSCT Haematopoietic Stem Cell Transplantation for Severe Scleroderma Number of Transplants St Vincent's 10 Definition of Activity Measure: Number of transplants undertaken for severe scleroderma patients Rationale: Agency for Clinical Innovation Model of Care Additional notes: The service will be available equitably to all referrals. SCHEDULE E: Performance Measures KPIs The performance of Districts, Networks and other Health Services and Support Organisations is assessed in terms of whether it is meeting the performance targets for individual KPIs.  Performing Performance at, or better than, target  Underperforming Performance within a tolerance range X Not performing Performance outside the tolerance threshold KPIs have been designated into two tiers:  Tier 1 - Will generate a performance concern when the organisation’s performance is outside the tolerance threshold for the applicable reporting period.  Tier 2 - Will generate a performance concern when the organisation’s performance is outside the tolerance threshold for more than one reporting period. Service Measures A range of service measures are identified to assist the organisation to improve provision of safe and efficient patient care and to provide the contextual information against which to assess performance.

Calculation of Target. The set target is estimated using data previously supplied by the District as part of its monthly reporting requirements Additional notes: SCHN provides this service for SESLHD. Service Code Service Name Measurement Unit Service Volume Explanatory Notes Primary and Community Health Services PC-001 Facilitated discharge planning for older people, including Acute to Aged-Related Care Services - Patients seen Number 712 420 Definition of Activity Measure: The total number of patients seen by Aged-Related Care Services (or similar services) occurring during the reference period. Rationale: To monitor activity levels and set performance targets. Notes on Calculation of Target: Target volumes established in 2015/16 based on number of patients seen for that year or through consultation with Districts. Subsequent maintenance or revision through consultation with Districts based on annual activity levels. Additional notes: Aged-Related Care Services and similar services that facilitate discharge planning of older people, to be maintained or increased from 2015/16 levels. PC-002 Aged Care Services in Emergency Teams - Patients seen Number 4,020 9,458 Definition of Activity Measure: The total number of patients seen by Aged Care Services in Emergency Teams occurring during the reference period. Rationale: To monitor activity levels and set performance targets. Notes on Calculation of Target: Target volumes established in 2015/16 based on number of patients seen for that year or through consultation with Districts. Subsequent maintenance or revision through consultation with Districts based on annual activity levels. Additional notes: The Aged Care Services in Emergency Teams service is a multidisciplinary, specialist aged care service in the Emergency Department. SCHEDULE D, Part B: Nationally Funded Centres and Supra LHD Services Notes:  All Agreements include Part B in full to provide an overview of these Centres and Services to all Districts/Networks.  Supra LHD Services are characterised by a combination of the following factors:  High cost services with low volume activity;  A relationship between volume and quality of clinical outcomes;  Specialised skills of individual clinicians or teams, and/or limited supply/distribution of the workforce;  Highly specialised equipment and/or support services; and  Significant investment in infrastructure required.  Importantly, Supra LHD Services must demonstrate a broader catchment than just the LHD in which they are physically located and must provide a significant proportion of the total volume of service to eligible patients from other geographical areas of residence. Service Code Service Name Measurement Unit Locations (Where applicable) Service Level Explanatory Notes Nationally Funded Centres NFC-001 Pancreas Transplantation – Nationally Funded Centre N/A Westmead See Notes Definition of Activity Measure: N/A Rationale: As per Nationally Funded Centre Agreement Notes on Calculation of Target: Access for all patients across Australia accepted onto Nationally Funded Centre program Additional notes: Provision of Pancreas Transplantation as per the Nationally Funded Centre Agreement. NFC-002 Paediatric Liver Transplantation – Nationally Funded Centre N/A The Children’s Hospital at Westmead See Notes Definition of Activity Measure: N/A Rationale: As per Nationally Funded Centre Agreement Notes on Calculation of Target: Access for all patients across Australia accepted onto Nationally Funded Centre program Additional notes: Provision of Paediatric Liver Transplantation services as per the Nationally Funded Centre Agreement. NFC-003 Xxxxxxx Procedure – Nationally Funded Centre N/A The Children’s Hospital at Westmead See Notes Definition of Activity Measure: N/A Rationale: As per Nationally Funded Centre Agreement Notes on Calculation of Target: Access for all patients across Australia accepted onto Nationally Funded Centre program Additional notes: Provision of Xxxxxxx Surgery as per the Nationally Funded Centre Agreement. NFC-004 Islet Cell Transplantation – Nationally Funded Centre N/A Westmead See Notes Definition of Activity Measure: N/A Rationale: As per Nationally Funded Centre Agreement Notes on Calculation of Target: Access for all patients across Australia accepted onto Nationally Funded Centre program Additional notes: Provision of Islet Cell Transplantation services as per the Nationally Funded Centre Agreement. Service Code Service Name Measurement Unit Locations (Where applicable) Service Level Explanatory Notes Supra LHD Services AICU / HDU Adult Intensive Care Unit / High Dependency Unit Beds Royal North Shore (38) Westmead (48 +1 new in 2016/17) Nepean (20) Liverpool (31 +1 new in 2016/17) Royal Xxxxxx Xxxxxx (50 +1 new in 2016/17) Concord (16) St Xxxxxx (36) Prince of Wales (22) Xxxx Xxxxxx (22 +1 new in 2016/17, including 4 paediatric intensive care cots) St Vincent’s (21) See Locations 24 Hours, 7 days Definition of Activity Measure: Access to highly specialised services provided in level 6 Intensive Care Unit/High Dependency Unit services through Critical Care Referral Networks and default matrix. Rationale: To provide adult ICU services, which are available 24 hours per day, 7 days per week, 365 days per year at a level not less than activity in 2015/16. Services to be provided in accordance with Critical Care Tertiary Referral Networks & Transfer of Care (Adults) PD2010_21. Additional notes: The bed numbers are Intensive Care Unit / High Dependency Unit. Bed numbers listed in the baselines are as at July 2016. Any capacity changes for 2016/17 are shown as additional. Units with new beds in 2016/17 will need to demonstrate networked arrangements with identified partner Xxxxx 0 XXXX services, in accordance with the recommended standards in the NSW Agency for Clinical Innovation’s Intensive Care Service Model: NSW Level 4 Adult Intensive Care Units. ALT Adult Liver Transplant Number Royal Xxxxxx Xxxxxx See Notes Definition of Activity Measure: Number of transplants undertaken for listed patients Rationale: Based on the availability of matched organs available and offered for listed patients based on National Organ and Tissue Donation guidelines for organ allocation. Additional notes: To provide Adult Liver Transplant services at a level where all available donor organs with matched recipients are transplanted. To undertake adult liver harvesting for live liver donation. These services will be available equitably to all referrals. SSCI Severe Spinal Cord Injury Service Access Prince of Wales Xxxxx Xxxxx Xxxxx Xxxxx Xxxxxxxxxxxxxx Xxxxxx, Xxxxxx SCHN See Notes Definition of Activity Measure: Equitable access for severe spinal cord injured patients. Rationale: NSW Spinal Cord Injury Plan Additional notes: Provision of severe spinal cord injury services, inclusive of intensive care, acute and subacute phases of care. Service Code Service Name Measurement Unit Locations (Where applicable) Service Level Explanatory Notes Supra LHD Services BMTAA Blood and Marrow Transplantation – Allogeneic Number St Vincent's (37) Westmead (62) Royal Xxxxxx Xxxxxx (18) Liverpool (13) Royal North Shore (30) SCHN Randwick & Westmead (51) See Locations Definition of Activity Measure: Number of transplants for listed patients. Clinical need will outweigh wait list time. Rationale: Equitable access for all referrals. Notes on Calculation of Target: Projections based on the 10 year trend (2004-05 to 2013-14). BMTL Blood and Marrow Transplant Laboratory N/A St Vincent's - to Gosford Westmead – to Nepean, Wollongong, SCHN at Westmead See Notes Definition of Activity Measure: N/A Rationale: N/A Additional notes: Laboratory Services will be provided as stipulated in the NSW Blood and Marrow Transplantation Selected Specialty and Statewide Service Plan. CE Complex Epilepsy Access Westmead Royal Prince Xxxxxx Xxxxxx of Wales SCHN Randwick & Westmead See Notes Definition of Activity Measure: Equitable access to consultation, diagnostics and treatment modalities. Rationale: Statewide Complex Epilepsy Strategy. Additional notes: Comprehensive service to provide assessment and management of complex epilepsy, including brain stimulator and other epilepsy surgery. ECMO Extracorporeal Membrane Oxygenation Retrieval Number Royal Xxxxxx Xxxxxx St Vincent's See Notes Definition of Activity Measure: Number of patients with acute respiratory or cardiac conditions retrieved on Extracorporeal Membrane Oxygenation to St Vincent’s and Royal Xxxxxx Xxxxxx Rationale: Extracorporeal Membrane Oxygenation Medical Retrieval Strategy Additional notes: 24 hour on-call roster shared between Royal Xxxxxx Xxxxxx and St Vincent’s - admission of all retrieved patients. In collaboration with Aeromedical Ambulance Medical Retrieval Service and other Extracorporeal Membrane Oxygenation Services, provide the Extracorporeal Membrane Oxygenation Retrieval Service, including the referral and transfer service and the Extracorporeal Membrane Oxygenation retrieval team on alternate weeks as per PD2010_21 (or otherwise agreed). Service Code Service Name Measurement Unit Locations (Where applicable) Service Level Explanatory Notes Supra LHD Services HLT Heart Lung Transplantation Number St Vincent's See Notes Definition of Activity Measure: Number of transplants undertaken for listed patients Rationale: Based on the availability of matched organs available and offered for listed patients based on National Organ and Tissue Donation guidelines for organ allocation. All available organs transplanted to clinically appropriate recipients. Additional notes: To provide Heart and Heart Lung transplantation services at a level where all available donor organs with matched recipients are transplanted. These services will be available equitably to all referrals. HRM High Risk Maternity Access Royal Xxxxxx Xxxxxx Royal North Shore Royal Hospital for Women Liverpool Xxxx Xxxxxx Nepean Westmead See Notes Definition of Activity Measure: Equitable access for women to consultation, diagnostics and treatment modalities. Rationale: NSW Critical Care Networks (Perinatal) PD2010_069. Access for all women with high risk pregnancies. Additional notes: Provide level 6 maternity services and fulfill network and default role as described in PD2010_069. Provide access to services in conjunction with NICU at a level not less than that provided in 2015/16 in order to provide an effective statewide network and reduce unnecessary transfers. NICS Neonatal Intensive Care Service Cot availability SCHN Randwick (4 cots) SCHN Westmead (22 cots +1 new in 2016/17) Royal Xxxxxx Xxxxxx (22 cots) Royal North Shore (15 cots) Royal Hospital for Women (16 cots) Liverpool (12 cots) Xxxx Xxxxxx (18 cots) Nepean (12 cots) Westmead (23 cots +1 new in 2016/17) See Locations 24 Hours, 7 days Definition of Activity Measure: Cot availability relates directly to equitable access for babies to consultation, diagnostics and treatment modalities. Rationale: NSW Critical Care Networks (Perinatal) PD2010_069 Additional notes: To provide neonatal intensive care services at a level equivalent to cots listed, which are available 24 hours per day, 7 days per week, 365 days per year at a level not less than activity in 2015/16. Units fulfill network and default role as described in PD2010_069. Cot numbers listed in the baselines are as at July 2016. Any capacity changes for 2016/17 are shown as new. PERI Peritonectomy Number St Xxxxxx 115 Definition of Activity Measure: Number of peritonectomy cases undertaken. Rationale: Capacity determined by District to allow equitable access to Intensive Care Unit beds at St Xxxxxx Hospital. Agreed by Multidisciplinary clinical team at St Xxxxxx. Additional notes: Provision of Peritonectomy services accepted by the Enhanced Multi-Disciplinary Team Service Code Service Name Measurement Unit Locations (Where applicable) Service Level Explanatory Notes Supra LHD Services PICU Paediatric Intensive Care Bed availability SCHN Randwick (13 beds) SCHN Westmead (22 beds) Xxxx Xxxxxx (up to 4 beds) See Locations 24 Hours, 7 days Definition of Activity Measure: Bed availability relates directly to equitable access for children to consultation, diagnostics and treatment modalities. Rationale: NSW Critical Care Networks (Paediatrics) PD2010_030 Additional notes: To provide paediatric intensive care services, which are available 24 hours per day, 7 days per week, 365 days per year at a level not less than activity in 2015/16. Services to be provided in accordance with Critical Care Network Referral Role as described in PD2010_030. Bed numbers listed in the baselines are as at July 2016. Any capacity changes for 2016/17 are shown as new. SBS Severe Burn Service Access Concord Royal North Shore SCHN Westmead See Locations 24 Hours, 7 days Definition of Activity Measure: Bed availability relates directly to equitable access to consultation, diagnostics and treatment modalities in both inpatient and outpatient settings. Rationale: NSW Burn Transfer Guidelines (Agency for Clinical Innovation 2014) Additional notes: Provision of the Severe Xxxxx Services, inclusive of intensive care, acute and subacute and outreach phases of care. Ensures equitable access for all eligible patients, regardless of geographical area of residence, consistent with NSW Burn Transfer Guidelines (refer IB2014_071) SDC Sydney Dialysis Centre Access Royal North Shore See Notes Definition of Activity Measure: Access, set up and ongoing support for home dialysis equipment. Rationale: As per 0000 Xxxxxx Dialysis Centre funding agreement with Northern Sydney Local Health District Additional notes: Provides statewide access and support to home dialysis equipment, and training at agreed levels. Formal machine replacement strategy as per 2012 business case. HBM Hyperbaric Medicine N/A Prince of Wales See Notes Definition of Activity Measure: Provide equitable access to hyperbaric services. Rationale: N/A HSCT Haematopoietic Stem Cell Transplantation for Severe Scleroderma Number of Transplants St Vincent's 10 Definition of Activity Measure: Number of transplants undertaken for severe scleroderma patients Rationale: Agency for Clinical Innovation Model of Care Additional notes: The service will be available equitably to all referrals. SCHEDULE E: Performance Measures KPIs The performance of Districts, Networks and other Health Services and Support Organisations is assessed in terms of whether it is meeting the performance targets for individual KPIs.  Performing Performance at, or better than, target  Underperforming Performance within a tolerance range X Not performing Performance outside the tolerance threshold KPIs have been designated into two tiers:  Tier 1 - Will generate a performance concern when the organisation’s performance is outside the tolerance threshold for the applicable reporting period.  Tier 2 - Will generate a performance concern when the organisation’s performance is outside the tolerance threshold for more than one reporting period. Service Measures A range of service measures are identified to assist the organisation to improve provision of safe and efficient patient care and to provide the contextual information against which to assess performance.

Calculation of Target. The set target is estimated using data previously supplied by the District as part of its monthly reporting requirements Additional notes: SCHN provides this service for SESLHD. Service Code Service Name Measurement Unit Service Volume Explanatory Notes Primary and Community Health Services PC-001 Facilitated discharge planning for older people, including Acute to Aged-Related Care Services - Patients seen Number 712 1,353 Definition of Activity Measure: The total number of patients seen by Aged-Related Care Services (or similar services) occurring during the reference period. Rationale: To monitor activity levels and set performance targets. Notes on Calculation of Target: Target volumes established in 2015/16 based on number of patients seen for that year or through consultation with Districts. Subsequent maintenance or revision through consultation with Districts based on annual activity levels. Additional notes: Aged-Related Care Services and similar services that facilitate discharge planning of older people, to be maintained or increased from 2015/16 levels. PC-002 Aged Care Services in Emergency Teams - Patients seen Number 4,020 2,600 Definition of Activity Measure: The total number of patients seen by Aged Care Services in Emergency Teams occurring during the reference period. Rationale: To monitor activity levels and set performance targets. Notes on Calculation of Target: Target volumes established in 2015/16 based on number of patients seen for that year or through consultation with Districts. Subsequent maintenance or revision through consultation with Districts based on annual activity levels. Additional notes: The Aged Care Services in Emergency Teams service is a multidisciplinary, specialist aged care service in the Emergency Department. SCHEDULE D, Part B: Nationally Funded Centres and Supra LHD Services Notes:  All Agreements include Part B in full to provide an overview of these Centres and Services to all Districts/Networks.  Supra LHD Services are characterised by a combination of the following factors:  High cost services with low volume activity;  A relationship between volume and quality of clinical outcomes;  Specialised skills of individual clinicians or teams, and/or limited supply/distribution of the workforce;  Highly specialised equipment and/or support services; and  Significant investment in infrastructure required.  Importantly, Supra LHD Services must demonstrate a broader catchment than just the LHD in which they are physically located and must provide a significant proportion of the total volume of service to eligible patients from other geographical areas of residence. Service Code Service Name Measurement Unit Locations (Where applicable) Service Level Explanatory Notes Nationally Funded Centres NFC-001 Pancreas Transplantation – Nationally Funded Centre N/A Westmead See Notes Definition of Activity Measure: N/A Rationale: As per Nationally Funded Centre Agreement Notes on Calculation of Target: Access for all patients across Australia accepted onto Nationally Funded Centre program Additional notes: Provision of Pancreas Transplantation as per the Nationally Funded Centre Agreement. NFC-002 Paediatric Liver Transplantation – Nationally Funded Centre N/A The Children’s Hospital at Westmead See Notes Definition of Activity Measure: N/A Rationale: As per Nationally Funded Centre Agreement Notes on Calculation of Target: Access for all patients across Australia accepted onto Nationally Funded Centre program Additional notes: Provision of Paediatric Liver Transplantation services as per the Nationally Funded Centre Agreement. NFC-003 Xxxxxxx Procedure – Nationally Funded Centre N/A The Children’s Hospital at Westmead See Notes Definition of Activity Measure: N/A Rationale: As per Nationally Funded Centre Agreement Notes on Calculation of Target: Access for all patients across Australia accepted onto Nationally Funded Centre program Additional notes: Provision of Xxxxxxx Surgery as per the Nationally Funded Centre Agreement. NFC-004 Islet Cell Transplantation – Nationally Funded Centre N/A Westmead See Notes Definition of Activity Measure: N/A Rationale: As per Nationally Funded Centre Agreement Notes on Calculation of Target: Access for all patients across Australia accepted onto Nationally Funded Centre program Additional notes: Provision of Islet Cell Transplantation services as per the Nationally Funded Centre Agreement. Service Code Service Name Measurement Unit Locations (Where applicable) Service Level Explanatory Notes Supra LHD Services AICU / HDU Adult Intensive Care Unit / High Dependency Unit Beds Royal North Shore (38) Westmead (48 +1 new in 2016/17) Nepean (20) Liverpool (31 +1 new in 2016/17) Royal Xxxxxx Xxxxxx (50 +1 new in 2016/17) Concord (16) St Xxxxxx (36) Prince of Wales (22) Xxxx Xxxxxx (22 +1 new in 2016/17, including 4 paediatric intensive care cots) St Vincent’s (21) See Locations 24 Hours, 7 days Definition of Activity Measure: Access to highly specialised services provided in level 6 Intensive Care Unit/High Dependency Unit services through Critical Care Referral Networks and default matrix. Rationale: To provide adult ICU services, which are available 24 hours per day, 7 days per week, 365 days per year at a level not less than activity in 2015/16. Services to be provided in accordance with Critical Care Tertiary Referral Networks & Transfer of Care (Adults) PD2010_21. Additional notes: The bed numbers are Intensive Care Unit / High Dependency Unit. Bed numbers listed in the baselines are as at July 2016. Any capacity changes for 2016/17 are shown as additional. Units with new beds in 2016/17 will need to demonstrate networked arrangements with identified partner Xxxxx 0 XXXX services, in accordance with the recommended standards in the NSW Agency for Clinical Innovation’s Intensive Care Service Model: NSW Level 4 Adult Intensive Care Units. ALT Adult Liver Transplant Number Royal Xxxxxx Xxxxxx See Notes Definition of Activity Measure: Number of transplants undertaken for listed patients Rationale: Based on the availability of matched organs available and offered for listed patients based on National Organ and Tissue Donation guidelines for organ allocation. Additional notes: To provide Adult Liver Transplant services at a level where all available donor organs with matched recipients are transplanted. To undertake adult liver harvesting for live liver donation. These services will be available equitably to all referrals. SSCI Severe Spinal Cord Injury Service Access Prince of Wales Xxxxx Xxxxx Xxxxx Xxxxx Xxxxxxxxxxxxxx Xxxxxx, Xxxxxx SCHN See Notes Definition of Activity Measure: Equitable access for severe spinal cord injured patients. Rationale: NSW Spinal Cord Injury Plan Additional notes: Provision of severe spinal cord injury services, inclusive of intensive care, acute and subacute phases of care. Service Code Service Name Measurement Unit Locations (Where applicable) Service Level Explanatory Notes Supra LHD Services BMTAA Blood and Marrow Transplantation – Allogeneic Number St Vincent's (37) Westmead (62) Royal Xxxxxx Xxxxxx (18) Liverpool (13) Royal North Shore (30) SCHN Randwick & Westmead (51) See Locations Definition of Activity Measure: Number of transplants for listed patients. Clinical need will outweigh wait list time. Rationale: Equitable access for all referrals. Notes on Calculation of Target: Projections based on the 10 year trend (2004-05 to 2013-14). BMTL Blood and Marrow Transplant Laboratory N/A St Vincent's - to Gosford Westmead – to Nepean, Wollongong, SCHN at Westmead See Notes Definition of Activity Measure: N/A Rationale: N/A Additional notes: Laboratory Services will be provided as stipulated in the NSW Blood and Marrow Transplantation Selected Specialty and Statewide Service Plan. CE Complex Epilepsy Access Westmead Royal Prince Xxxxxx Xxxxxx of Wales SCHN Randwick & Westmead See Notes Definition of Activity Measure: Equitable access to consultation, diagnostics and treatment modalities. Rationale: Statewide Complex Epilepsy Strategy. Additional notes: Comprehensive service to provide assessment and management of complex epilepsy, including brain stimulator and other epilepsy surgery. ECMO Extracorporeal Membrane Oxygenation Retrieval Number Royal Xxxxxx Xxxxxx St Vincent's See Notes Definition of Activity Measure: Number of patients with acute respiratory or cardiac conditions retrieved on Extracorporeal Membrane Oxygenation to St Vincent’s and Royal Xxxxxx Xxxxxx Rationale: Extracorporeal Membrane Oxygenation Medical Retrieval Strategy Additional notes: 24 hour on-call roster shared between Royal Xxxxxx Xxxxxx and St Vincent’s - admission of all retrieved patients. In collaboration with Aeromedical Ambulance Medical Retrieval Service and other Extracorporeal Membrane Oxygenation Services, provide the Extracorporeal Membrane Oxygenation Retrieval Service, including the referral and transfer service and the Extracorporeal Membrane Oxygenation retrieval team on alternate weeks as per PD2010_21 (or otherwise agreed). Service Code Service Name Measurement Unit Locations (Where applicable) Service Level Explanatory Notes Supra LHD Services HLT Heart Lung Transplantation Number St Vincent's See Notes Definition of Activity Measure: Number of transplants undertaken for listed patients Rationale: Based on the availability of matched organs available and offered for listed patients based on National Organ and Tissue Donation guidelines for organ allocation. All available organs transplanted to clinically appropriate recipients. Additional notes: To provide Heart and Heart Lung transplantation services at a level where all available donor organs with matched recipients are transplanted. These services will be available equitably to all referrals. HRM High Risk Maternity Access Royal Xxxxxx Xxxxxx Royal North Shore Royal Hospital for Women Liverpool Xxxx Xxxxxx Nepean Westmead See Notes Definition of Activity Measure: Equitable access for women to consultation, diagnostics and treatment modalities. Rationale: NSW Critical Care Networks (Perinatal) PD2010_069. Access for all women with high risk pregnancies. Additional notes: Provide level 6 maternity services and fulfill network and default role as described in PD2010_069. Provide access to services in conjunction with NICU at a level not less than that provided in 2015/16 in order to provide an effective statewide network and reduce unnecessary transfers. NICS Neonatal Intensive Care Service Cot availability SCHN Randwick (4 cots) SCHN Westmead (22 cots +1 new in 2016/17) Royal Xxxxxx Xxxxxx (22 cots) Royal North Shore (15 cots) Royal Hospital for Women (16 cots) Liverpool (12 cots) Xxxx Xxxxxx (18 cots) Nepean (12 cots) Westmead (23 cots +1 new in 2016/17) See Locations 24 Hours, 7 days Definition of Activity Measure: Cot availability relates directly to equitable access for babies to consultation, diagnostics and treatment modalities. Rationale: NSW Critical Care Networks (Perinatal) PD2010_069 Additional notes: To provide neonatal intensive care services at a level equivalent to cots listed, which are available 24 hours per day, 7 days per week, 365 days per year at a level not less than activity in 2015/16. Units fulfill network and default role as described in PD2010_069. Cot numbers listed in the baselines are as at July 2016. Any capacity changes for 2016/17 are shown as new. PERI Peritonectomy Number St Xxxxxx 115 Definition of Activity Measure: Number of peritonectomy cases undertaken. Rationale: Capacity determined by District to allow equitable access to Intensive Care Unit beds at St Xxxxxx Hospital. Agreed by Multidisciplinary clinical team at St Xxxxxx. Additional notes: Provision of Peritonectomy services accepted by the Enhanced Multi-Disciplinary Team Service Code Service Name Measurement Unit Locations (Where applicable) Service Level Explanatory Notes Supra LHD Services PICU Paediatric Intensive Care Bed availability SCHN Randwick (13 beds) SCHN Westmead (22 beds) Xxxx Xxxxxx (up to 4 beds) See Locations 24 Hours, 7 days Definition of Activity Measure: Bed availability relates directly to equitable access for children to consultation, diagnostics and treatment modalities. Rationale: NSW Critical Care Networks (Paediatrics) PD2010_030 Additional notes: To provide paediatric intensive care services, which are available 24 hours per day, 7 days per week, 365 days per year at a level not less than activity in 2015/16. Services to be provided in accordance with Critical Care Network Referral Role as described in PD2010_030. Bed numbers listed in the baselines are as at July 2016. Any capacity changes for 2016/17 are shown as new. SBS Severe Burn Service Access Concord Royal North Shore SCHN Westmead See Locations 24 Hours, 7 days Definition of Activity Measure: Bed availability relates directly to equitable access to consultation, diagnostics and treatment modalities in both inpatient and outpatient settings. Rationale: NSW Burn Transfer Guidelines (Agency for Clinical Innovation 2014) Additional notes: Provision of the Severe Xxxxx Services, inclusive of intensive care, acute and subacute and outreach phases of care. Ensures equitable access for all eligible patients, regardless of geographical area of residence, consistent with NSW Burn Transfer Guidelines (refer IB2014_071) SDC Sydney Dialysis Centre Access Royal North Shore See Notes Definition of Activity Measure: Access, set up and ongoing support for home dialysis equipment. Rationale: As per 0000 Xxxxxx Dialysis Centre funding agreement with Northern Sydney Local Health District Additional notes: Provides statewide access and support to home dialysis equipment, and training at agreed levels. Formal machine replacement strategy as per 2012 business case. HBM Hyperbaric Medicine N/A Prince of Wales See Notes Definition of Activity Measure: Provide equitable access to hyperbaric services. Rationale: N/A HSCT Haematopoietic Stem Cell Transplantation for Severe Scleroderma Number of Transplants St Vincent's 10 Definition of Activity Measure: Number of transplants undertaken for severe scleroderma patients Rationale: Agency for Clinical Innovation Model of Care Additional notes: The service will be available equitably to all referrals. SCHEDULE E: Performance Measures KPIs The performance of Districts, Networks and other Health Services and Support Organisations is assessed in terms of whether it is meeting the performance targets for individual KPIs.  Performing Performance at, or better than, target  Underperforming Performance within a tolerance range X Not performing Performance outside the tolerance threshold KPIs have been designated into two tiers:  Tier 1 - Will generate a performance concern when the organisation’s performance is outside the tolerance threshold for the applicable reporting period.  Tier 2 - Will generate a performance concern when the organisation’s performance is outside the tolerance threshold for more than one reporting period. Service Measures A range of service measures are identified to assist the organisation to improve provision of safe and efficient patient care and to provide the contextual information against which to assess performance.

Calculation of Target. The set target is estimated using data previously supplied by the District as part of its monthly reporting requirements Additional notes: SCHN provides this service for SESLHD. Service Code Service Name Measurement Unit Service Volume Explanatory Notes Primary and Community Health Services PC-001 Facilitated discharge planning for older people, including Acute to Aged-Related Care Services - Patients seen Number 712 330 Definition of Activity Measure: The total number of patients seen by Aged-Related Care Services (or similar services) occurring during the reference period. Rationale: To monitor activity levels and set performance targets. Notes on Calculation of Target: Target volumes established in 2015/16 based on number of patients seen for that year or through consultation with Districts. Subsequent maintenance or revision through consultation with Districts based on annual activity levels. Additional notes: Aged-Related Care Services and similar services that facilitate discharge planning of older people, to be maintained or increased from 2015/16 levels. PC-002 Aged Care Services in Emergency Teams - Patients seen Number 4,020 4,248 Definition of Activity Measure: The total number of patients seen by Aged Care Services in Emergency Teams occurring during the reference period. Rationale: To monitor activity levels and set performance targets. Notes on Calculation of Target: Target volumes established in 2015/16 based on number of patients seen for that year or through consultation with Districts. Subsequent maintenance or revision through consultation with Districts based on annual activity levels. Additional notes: The Aged Care Services in Emergency Teams service is a multidisciplinary, specialist aged care service in the Emergency Department. SCHEDULE D, Part B: Nationally Funded Centres and Supra LHD Services Notes:  All Agreements include Part B in full to provide an overview of these Centres and Services to all Districts/Networks.  Supra LHD Services are characterised by a combination of the following factors:  High cost services with low volume activity;  A relationship between volume and quality of clinical outcomes;  Specialised skills of individual clinicians or teams, and/or limited supply/distribution of the workforce;  Highly specialised equipment and/or support services; and  Significant investment in infrastructure required.  Importantly, Supra LHD Services must demonstrate a broader catchment than just the LHD in which they are physically located and must provide a significant proportion of the total volume of service to eligible patients from other geographical areas of residence. Service Code Service Name Measurement Unit Locations (Where applicable) Service Level Explanatory Notes Nationally Funded Centres NFC-001 Pancreas Transplantation – Nationally Funded Centre N/A Westmead See Notes Definition of Activity Measure: N/A Rationale: As per Nationally Funded Centre Agreement Notes on Calculation of Target: Access for all patients across Australia accepted onto Nationally Funded Centre program Additional notes: Provision of Pancreas Transplantation as per the Nationally Funded Centre Agreement. NFC-002 Paediatric Liver Transplantation – Nationally Funded Centre N/A The Children’s Hospital at Westmead See Notes Definition of Activity Measure: N/A Rationale: As per Nationally Funded Centre Agreement Notes on Calculation of Target: Access for all patients across Australia accepted onto Nationally Funded Centre program Additional notes: Provision of Paediatric Liver Transplantation services as per the Nationally Funded Centre Agreement. NFC-003 Xxxxxxx Procedure – Nationally Funded Centre N/A The Children’s Hospital at Westmead See Notes Definition of Activity Measure: N/A Rationale: As per Nationally Funded Centre Agreement Notes on Calculation of Target: Access for all patients across Australia accepted onto Nationally Funded Centre program Additional notes: Provision of Xxxxxxx Surgery as per the Nationally Funded Centre Agreement. NFC-004 Islet Cell Transplantation – Nationally Funded Centre N/A Westmead See Notes Definition of Activity Measure: N/A Rationale: As per Nationally Funded Centre Agreement Notes on Calculation of Target: Access for all patients across Australia accepted onto Nationally Funded Centre program Additional notes: Provision of Islet Cell Transplantation services as per the Nationally Funded Centre Agreement. Service Code Service Name Measurement Unit Locations (Where applicable) Service Level Explanatory Notes Supra LHD Services AICU / HDU Adult Intensive Care Unit / High Dependency Unit Beds Royal North Shore (38) Westmead (48 +1 new in 2016/17) Nepean (20) Liverpool (31 +1 new in 2016/17) Royal Xxxxxx Xxxxxx (50 +1 new in 2016/17) Concord (16) St Xxxxxx (36) Prince of Wales (22) Xxxx Xxxxxx (22 +1 new in 2016/17, including 4 paediatric intensive care cots) St Vincent’s (21) See Locations 24 Hours, 7 days Definition of Activity Measure: Access to highly specialised services provided in level 6 Intensive Care Unit/High Dependency Unit services through Critical Care Referral Networks and default matrix. Rationale: To provide adult ICU services, which are available 24 hours per day, 7 days per week, 365 days per year at a level not less than activity in 2015/16. Services to be provided in accordance with Critical Care Tertiary Referral Networks & Transfer of Care (Adults) PD2010_21. Additional notes: The bed numbers are Intensive Care Unit / High Dependency Unit. Bed numbers listed in the baselines are as at July 2016. Any capacity changes for 2016/17 are shown as additional. Units with new beds in 2016/17 will need to demonstrate networked arrangements with identified partner Xxxxx 0 XXXX services, in accordance with the recommended standards in the NSW Agency for Clinical Innovation’s Intensive Care Service Model: NSW Level 4 Adult Intensive Care Units. ALT Adult Liver Transplant Number Royal Xxxxxx Xxxxxx See Notes Definition of Activity Measure: Number of transplants undertaken for listed patients Rationale: Based on the availability of matched organs available and offered for listed patients based on National Organ and Tissue Donation guidelines for organ allocation. Additional notes: To provide Adult Liver Transplant services at a level where all available donor organs with matched recipients are transplanted. To undertake adult liver harvesting for live liver donation. These services will be available equitably to all referrals. SSCI Severe Spinal Cord Injury Service Access Prince of Wales Xxxxx Xxxxx Xxxxx Xxxxx Xxxxxxxxxxxxxx Xxxxxx, Xxxxxx SCHN See Notes Definition of Activity Measure: Equitable access for severe spinal cord injured patients. Rationale: NSW Spinal Cord Injury Plan Additional notes: Provision of severe spinal cord injury services, inclusive of intensive care, acute and subacute phases of care. Service Code Service Name Measurement Unit Locations (Where applicable) Service Level Explanatory Notes Supra LHD Services BMTAA Blood and Marrow Transplantation – Allogeneic Number St Vincent's (37) Westmead (62) Royal Xxxxxx Xxxxxx (18) Liverpool (13) Royal North Shore (30) SCHN Randwick & Westmead (51) See Locations Definition of Activity Measure: Number of transplants for listed patients. Clinical need will outweigh wait list time. Rationale: Equitable access for all referrals. Notes on Calculation of Target: Projections based on the 10 year trend (2004-05 to 2013-14). BMTL Blood and Marrow Transplant Laboratory N/A St Vincent's - to Gosford Westmead – to Nepean, Wollongong, SCHN at Westmead See Notes Definition of Activity Measure: N/A Rationale: N/A Additional notes: Laboratory Services will be provided as stipulated in the NSW Blood and Marrow Transplantation Selected Specialty and Statewide Service Plan. CE Complex Epilepsy Access Westmead Royal Prince Xxxxxx Xxxxxx of Wales SCHN Randwick & Westmead See Notes Definition of Activity Measure: Equitable access to consultation, diagnostics and treatment modalities. Rationale: Statewide Complex Epilepsy Strategy. Additional notes: Comprehensive service to provide assessment and management of complex epilepsy, including brain stimulator and other epilepsy surgery. ECMO Extracorporeal Membrane Oxygenation Retrieval Number Royal Xxxxxx Xxxxxx St Vincent's See Notes Definition of Activity Measure: Number of patients with acute respiratory or cardiac conditions retrieved on Extracorporeal Membrane Oxygenation to St Vincent’s and Royal Xxxxxx Xxxxxx Rationale: Extracorporeal Membrane Oxygenation Medical Retrieval Strategy Additional notes: 24 hour on-call roster shared between Royal Xxxxxx Xxxxxx and St Vincent’s - admission of all retrieved patients. In collaboration with Aeromedical Ambulance Medical Retrieval Service and other Extracorporeal Membrane Oxygenation Services, provide the Extracorporeal Membrane Oxygenation Retrieval Service, including the referral and transfer service and the Extracorporeal Membrane Oxygenation retrieval team on alternate weeks as per PD2010_21 (or otherwise agreed). Service Code Service Name Measurement Unit Locations (Where applicable) Service Level Explanatory Notes Supra LHD Services HLT Heart Lung Transplantation Number St Vincent's See Notes Definition of Activity Measure: Number of transplants undertaken for listed patients Rationale: Based on the availability of matched organs available and offered for listed patients based on National Organ and Tissue Donation guidelines for organ allocation. All available organs transplanted to clinically appropriate recipients. Additional notes: To provide Heart and Heart Lung transplantation services at a level where all available donor organs with matched recipients are transplanted. These services will be available equitably to all referrals. HRM High Risk Maternity Access Royal Xxxxxx Xxxxxx Royal North Shore Royal Hospital for Women Liverpool Xxxx Xxxxxx Nepean Westmead See Notes Definition of Activity Measure: Equitable access for women to consultation, diagnostics and treatment modalities. Rationale: NSW Critical Care Networks (Perinatal) PD2010_069. Access for all women with high risk pregnancies. Additional notes: Provide level 6 maternity services and fulfill network and default role as described in PD2010_069. Provide access to services in conjunction with NICU at a level not less than that provided in 2015/16 in order to provide an effective statewide network and reduce unnecessary transfers. NICS Neonatal Intensive Care Service Cot availability SCHN Randwick (4 cots) SCHN Westmead (22 cots +1 new in 2016/17) Royal Xxxxxx Xxxxxx (22 cots) Royal North Shore (15 cots) Royal Hospital for Women (16 cots) Liverpool (12 cots) Xxxx Xxxxxx (18 cots) Nepean (12 cots) Westmead (23 cots +1 new in 2016/17) See Locations 24 Hours, 7 days Definition of Activity Measure: Cot availability relates directly to equitable access for babies to consultation, diagnostics and treatment modalities. Rationale: NSW Critical Care Networks (Perinatal) PD2010_069 Additional notes: To provide neonatal intensive care services at a level equivalent to cots listed, which are available 24 hours per day, 7 days per week, 365 days per year at a level not less than activity in 2015/16. Units fulfill network and default role as described in PD2010_069. Cot numbers listed in the baselines are as at July 2016. Any capacity changes for 2016/17 are shown as new. PERI Peritonectomy Number St Xxxxxx 115 Definition of Activity Measure: Number of peritonectomy cases undertaken. Rationale: Capacity determined by District to allow equitable access to Intensive Care Unit beds at St Xxxxxx Hospital. Agreed by Multidisciplinary clinical team at St Xxxxxx. Additional notes: Provision of Peritonectomy services accepted by the Enhanced Multi-Disciplinary Team Service Code Service Name Measurement Unit Locations (Where applicable) Service Level Explanatory Notes Supra LHD Services PICU Paediatric Intensive Care Bed availability SCHN Randwick (13 beds) SCHN Westmead (22 beds) Xxxx Xxxxxx (up to 4 beds) See Locations 24 Hours, 7 days Definition of Activity Measure: Bed availability relates directly to equitable access for children to consultation, diagnostics and treatment modalities. Rationale: NSW Critical Care Networks (Paediatrics) PD2010_030 Additional notes: To provide paediatric intensive care services, which are available 24 hours per day, 7 days per week, 365 days per year at a level not less than activity in 2015/16. Services to be provided in accordance with Critical Care Network Referral Role as described in PD2010_030. Bed numbers listed in the baselines are as at July 2016. Any capacity changes for 2016/17 are shown as new. SBS Severe Burn Service Access Concord Royal North Shore SCHN Westmead See Locations 24 Hours, 7 days Definition of Activity Measure: Bed availability relates directly to equitable access to consultation, diagnostics and treatment modalities in both inpatient and outpatient settings. Rationale: NSW Burn Transfer Guidelines (Agency for Clinical Innovation 2014) Additional notes: Provision of the Severe Xxxxx Services, inclusive of intensive care, acute and subacute and outreach phases of care. Ensures equitable access for all eligible patients, regardless of geographical area of residence, consistent with NSW Burn Transfer Guidelines (refer IB2014_071) SDC Sydney Dialysis Centre Access Royal North Shore See Notes Definition of Activity Measure: Access, set up and ongoing support for home dialysis equipment. Rationale: As per 0000 Xxxxxx Dialysis Centre funding agreement with Northern Sydney Local Health District Additional notes: Provides statewide access and support to home dialysis equipment, and training at agreed levels. Formal machine replacement strategy as per 2012 business case. HBM Hyperbaric Medicine N/A Prince of Wales See Notes Definition of Activity Measure: Provide equitable access to hyperbaric services. Rationale: N/A HSCT Haematopoietic Stem Cell Transplantation for Severe Scleroderma Number of Transplants St Vincent's 10 Definition of Activity Measure: Number of transplants undertaken for severe scleroderma patients Rationale: Agency for Clinical Innovation Model of Care Additional notes: The service will be available equitably to all referrals. SCHEDULE E: Performance Measures KPIs The performance of Districts, Networks and other Health Services and Support Organisations is assessed in terms of whether it is meeting the performance targets for individual KPIs.  Performing Performance at, or better than, target  Underperforming Performance within a tolerance range X Not performing Performance outside the tolerance threshold KPIs have been designated into two tiers:  Tier 1 - Will generate a performance concern when the organisation’s performance is outside the tolerance threshold for the applicable reporting period.  Tier 2 - Will generate a performance concern when the organisation’s performance is outside the tolerance threshold for more than one reporting period. Service Measures A range of service measures are identified to assist the organisation to improve provision of safe and efficient patient care and to provide the contextual information against which to assess performance.

Calculation of Target. The set target is estimated using data previously supplied by the District as part of its monthly reporting requirements Additional notes: SCHN provides this service for SESLHD. Service Code Service Name Measurement Unit Service Volume Explanatory Notes Primary and Community Health Services PC-001 Facilitated discharge planning for older people, including Acute to Aged-Related Care Services - Patients seen Number 712 1,070 Definition of Activity Measure: The total number of patients seen by Aged-Related Care Services (or similar services) occurring during the reference period. Rationale: To monitor activity levels and set performance targets. Notes on Calculation of Target: Target volumes established in 2015/16 based on number of patients seen for that year or through consultation with Districts. Subsequent maintenance or revision through consultation with Districts based on annual activity levels. Additional notes: Aged-Related Care Services and similar services that facilitate discharge planning of older people, to be maintained or increased from 2015/16 levels. PC-002 Aged Care Services in Emergency Teams - Patients seen Number 4,020 3,654 Definition of Activity Measure: The total number of patients seen by Aged Care Services in Emergency Teams occurring during the reference period. Rationale: To monitor activity levels and set performance targets. Notes on Calculation of Target: Target volumes established in 2015/16 based on number of patients seen for that year or through consultation with Districts. Subsequent maintenance or revision through consultation with Districts based on annual activity levels. Additional notes: The Aged Care Services in Emergency Teams service is a multidisciplinary, specialist aged care service in the Emergency Department. SCHEDULE D, Part B: Nationally Funded Centres and Supra LHD Services Services‌ Notes:  • All Agreements include Part B in full to provide an overview of these Centres and Services to all Districts/Networks.  • Supra LHD Services are characterised by a combination of the following factors:  • High cost services with low volume activity;  • A relationship between volume and quality of clinical outcomes;  • Specialised skills of individual clinicians or teams, and/or limited supply/distribution of the workforce;  • Highly specialised equipment and/or support services; and  • Significant investment in infrastructure required.  • Importantly, Supra LHD Services must demonstrate a broader catchment than just the LHD in which they are physically located and must provide a significant proportion of the total volume of service to eligible patients from other geographical areas of residence. Service Code Service Name Measurement Unit Locations (Where applicable) Service Level Explanatory Notes Nationally Funded Centres NFC-001 Pancreas Transplantation – Nationally Funded Centre N/A Westmead See Notes Definition of Activity Measure: N/A Rationale: As per Nationally Funded Centre Agreement Notes on Calculation of Target: Access for all patients across Australia accepted onto Nationally Funded Centre program Additional notes: Provision of Pancreas Transplantation as per the Nationally Funded Centre Agreement. NFC-002 Paediatric Liver Transplantation – Nationally Funded Centre N/A The Children’s Hospital at Westmead See Notes Definition of Activity Measure: N/A Rationale: As per Nationally Funded Centre Agreement Notes on Calculation of Target: Access for all patients across Australia accepted onto Nationally Funded Centre program Additional notes: Provision of Paediatric Liver Transplantation services as per the Nationally Funded Centre Agreement. NFC-003 Xxxxxxx Procedure – Nationally Funded Centre N/A The Children’s Hospital at Westmead See Notes Definition of Activity Measure: N/A Rationale: As per Nationally Funded Centre Agreement Notes on Calculation of Target: Access for all patients across Australia accepted onto Nationally Funded Centre program Additional notes: Provision of Xxxxxxx Surgery as per the Nationally Funded Centre Agreement. NFC-004 Islet Cell Transplantation – Nationally Funded Centre N/A Westmead See Notes Definition of Activity Measure: N/A Rationale: As per Nationally Funded Centre Agreement Notes on Calculation of Target: Access for all patients across Australia accepted onto Nationally Funded Centre program Additional notes: Provision of Islet Cell Transplantation services as per the Nationally Funded Centre Agreement. Service Code Service Name Measurement Unit Locations (Where applicable) Service Level Explanatory Notes Supra LHD Services AICU / HDU Adult Intensive Care Unit / High Dependency Unit Beds Royal North Shore (38) Westmead (48 +1 new in 2016/17) Nepean (20) Liverpool (31 +1 new in 2016/17) Royal Xxxxxx Xxxxxx (50 +1 new in 2016/17) Concord (16) St Xxxxxx (36) Prince of Wales (22) Xxxx Xxxxxx (22 +1 new in 2016/17, including 4 paediatric intensive care cots) St Vincent’s (21) See Locations 24 Hours, 7 days Definition of Activity Measure: Access to highly specialised services provided in level 6 Intensive Care Unit/High Dependency Unit services through Critical Care Referral Networks and default matrix. Rationale: To provide adult ICU services, which are available 24 hours per day, 7 days per week, 365 days per year at a level not less than activity in 2015/16. Services to be provided in accordance with Critical Care Tertiary Referral Networks & Transfer of Care (Adults) PD2010_21. Additional notes: The bed numbers are Intensive Care Unit / High Dependency Unit. Bed numbers listed in the baselines are as at July 2016. Any capacity changes for 2016/17 are shown as additional. Units with new beds in 2016/17 will need to demonstrate networked arrangements with identified partner Xxxxx 0 XXXX services, in accordance with the recommended standards in the NSW Agency for Clinical Innovation’s Intensive Care Service Model: NSW Level 4 Adult Intensive Care Units. ALT Adult Liver Transplant Number Royal Xxxxxx Xxxxxx See Notes Definition of Activity Measure: Number of transplants undertaken for listed patients Rationale: Based on the availability of matched organs available and offered for listed patients based on National Organ and Tissue Donation guidelines for organ allocation. Additional notes: To provide Adult Liver Transplant services at a level where all available donor organs with matched recipients are transplanted. To undertake adult liver harvesting for live liver donation. These services will be available equitably to all referrals. SSCI Severe Spinal Cord Injury Service Access Prince of Wales Xxxxx Xxxxx Xxxxx Xxxxx Xxxxxxxxxxxxxx Xxxxxx, Xxxxxx SCHN See Notes Definition of Activity Measure: Equitable access for severe spinal cord injured patients. Rationale: NSW Spinal Cord Injury Plan Additional notes: Provision of severe spinal cord injury services, inclusive of intensive care, acute and subacute phases of care. Service Code Service Name Measurement Unit Locations (Where applicable) Service Level Explanatory Notes Supra LHD Services BMTAA Blood and Marrow Transplantation – Allogeneic Number St Vincent's (37) Westmead (62) Royal Xxxxxx Xxxxxx (18) Liverpool (13) Royal North Shore (30) SCHN Randwick & Westmead (51) See Locations Definition of Activity Measure: Number of transplants for listed patients. Clinical need will outweigh wait list time. Rationale: Equitable access for all referrals. Notes on Calculation of Target: Projections based on the 10 year trend (2004-05 to 2013-14). BMTL Blood and Marrow Transplant Laboratory N/A St Vincent's - to Gosford Westmead – to Nepean, Wollongong, SCHN at Westmead See Notes Definition of Activity Measure: N/A Rationale: N/A Additional notes: Laboratory Services will be provided as stipulated in the NSW Blood and Marrow Transplantation Selected Specialty and Statewide Service Plan. CE Complex Epilepsy Access Westmead Royal Prince Xxxxxx Xxxxxx of Wales SCHN Randwick & Westmead See Notes Definition of Activity Measure: Equitable access to consultation, diagnostics and treatment modalities. Rationale: Statewide Complex Epilepsy Strategy. Additional notes: Comprehensive service to provide assessment and management of complex epilepsy, including brain stimulator and other epilepsy surgery. ECMO Extracorporeal Membrane Oxygenation Retrieval Number Royal Xxxxxx Xxxxxx St Vincent's See Notes Definition of Activity Measure: Number of patients with acute respiratory or cardiac conditions retrieved on Extracorporeal Membrane Oxygenation to St Vincent’s and Royal Xxxxxx Xxxxxx Rationale: Extracorporeal Membrane Oxygenation Medical Retrieval Strategy Additional notes: 24 hour on-call roster shared between Royal Xxxxxx Xxxxxx and St Vincent’s - admission of all retrieved patients. In collaboration with Aeromedical Ambulance Medical Retrieval Service and other Extracorporeal Membrane Oxygenation Services, provide the Extracorporeal Membrane Oxygenation Retrieval Service, including the referral and transfer service and the Extracorporeal Membrane Oxygenation retrieval team on alternate weeks as per PD2010_21 (or otherwise agreed). Service Code Service Name Measurement Unit Locations (Where applicable) Service Level Explanatory Notes Supra LHD Services HLT Heart Lung Transplantation Number St Vincent's See Notes Definition of Activity Measure: Number of transplants undertaken for listed patients Rationale: Based on the availability of matched organs available and offered for listed patients based on National Organ and Tissue Donation guidelines for organ allocation. All available organs transplanted to clinically appropriate recipients. Additional notes: To provide Heart and Heart Lung transplantation services at a level where all available donor organs with matched recipients are transplanted. These services will be available equitably to all referrals. HRM High Risk Maternity Access Royal Xxxxxx Xxxxxx Royal North Shore Royal Hospital for Women Liverpool Xxxx Xxxxxx Nepean Westmead See Notes Definition of Activity Measure: Equitable access for women to consultation, diagnostics and treatment modalities. Rationale: NSW Critical Care Networks (Perinatal) PD2010_069. Access for all women with high risk pregnancies. Additional notes: Provide level 6 maternity services and fulfill network and default role as described in PD2010_069. Provide access to services in conjunction with NICU at a level not less than that provided in 2015/16 in order to provide an effective statewide network and reduce unnecessary transfers. NICS Neonatal Intensive Care Service Cot availability SCHN Randwick (4 cots) SCHN Westmead (22 cots +1 new in 2016/17) Royal Xxxxxx Xxxxxx (22 cots) Royal North Shore (15 cots) Royal Hospital for Women (16 cots) Liverpool (12 cots) Xxxx Xxxxxx (18 cots) Nepean (12 cots) Westmead (23 cots +1 new in 2016/17) See Locations 24 Hours, 7 days Definition of Activity Measure: Cot availability relates directly to equitable access for babies to consultation, diagnostics and treatment modalities. Rationale: NSW Critical Care Networks (Perinatal) PD2010_069 Additional notes: To provide neonatal intensive care services at a level equivalent to cots listed, which are available 24 hours per day, 7 days per week, 365 days per year at a level not less than activity in 2015/16. Units fulfill network and default role as described in PD2010_069. Cot numbers listed in the baselines are as at July 2016. Any capacity changes for 2016/17 are shown as new. PERI Peritonectomy Number St Xxxxxx 115 Definition of Activity Measure: Number of peritonectomy cases undertaken. Rationale: Capacity determined by District to allow equitable access to Intensive Care Unit beds at St Xxxxxx Hospital. Agreed by Multidisciplinary clinical team at St Xxxxxx. Additional notes: Provision of Peritonectomy services accepted by the Enhanced Multi-Disciplinary Team Service Code Service Name Measurement Unit Locations (Where applicable) Service Level Explanatory Notes Supra LHD Services PICU Paediatric Intensive Care Bed availability SCHN Randwick (13 beds) SCHN Westmead (22 beds) Xxxx Xxxxxx (up to 4 beds) See Locations 24 Hours, 7 days Definition of Activity Measure: Bed availability relates directly to equitable access for children to consultation, diagnostics and treatment modalities. Rationale: NSW Critical Care Networks (Paediatrics) PD2010_030 Additional notes: To provide paediatric intensive care services, which are available 24 hours per day, 7 days per week, 365 days per year at a level not less than activity in 2015/16. Services to be provided in accordance with Critical Care Network Referral Role as described in PD2010_030. Bed numbers listed in the baselines are as at July 2016. Any capacity changes for 2016/17 are shown as new. SBS Severe Burn Service Access Concord Royal North Shore SCHN Westmead See Locations 24 Hours, 7 days Definition of Activity Measure: Bed availability relates directly to equitable access to consultation, diagnostics and treatment modalities in both inpatient and outpatient settings. Rationale: NSW Burn Transfer Guidelines (Agency for Clinical Innovation 2014) Additional notes: Provision of the Severe Xxxxx Services, inclusive of intensive care, acute and subacute and outreach phases of care. Ensures equitable access for all eligible patients, regardless of geographical area of residence, consistent with NSW Burn Transfer Guidelines (refer IB2014_071) SDC Sydney Dialysis Centre Access Royal North Shore See Notes Definition of Activity Measure: Access, set up and ongoing support for home dialysis equipment. Rationale: As per 0000 Xxxxxx Dialysis Centre funding agreement with Northern Sydney Local Health District Additional notes: Provides statewide access and support to home dialysis equipment, and training at agreed levels. Formal machine replacement strategy as per 2012 business case. HBM Hyperbaric Medicine N/A Prince of Wales See Notes Definition of Activity Measure: Provide equitable access to hyperbaric services. Rationale: N/A HSCT Haematopoietic Stem Cell Transplantation for Severe Scleroderma Number of Transplants St Vincent's 10 Definition of Activity Measure: Number of transplants undertaken for severe scleroderma patients Rationale: Agency for Clinical Innovation Model of Care Additional notes: The service will be available equitably to all referrals. SCHEDULE E: Performance Measures Measures‌ KPIs The performance of Districts, Networks and other Health Services and Support Organisations is assessed in terms of whether it is meeting the performance targets for individual KPIs.  Performing Performance at, or better than, target  Underperforming Performance within a tolerance range X Not performing Performance outside the tolerance threshold KPIs have been designated into two tiers:  • Tier 1 - Will generate a performance concern when the organisation’s performance is outside the tolerance threshold for the applicable reporting period.  • Tier 2 - Will generate a performance concern when the organisation’s performance is outside the tolerance threshold for more than one reporting period. Service Measures A range of service measures are identified to assist the organisation to improve provision of safe and efficient patient care and to provide the contextual information against which to assess performance.