2016/17 Guidance for Quarterly Reporting

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2016/17 Guidance for Quarterly Reporting
2016/17
District Health Board (DHB)
Non-Financial Quarterly
Reporting
DHB Guide to DHB Non-Financial Quarterly Reporting Process and
Assessments
Update: 14 Dec 2016
Contents
1.
2.
Introduction .........................................................................................................................................................3
2016/17 Monitoring Framework .........................................................................................................................4
2.1.
Overview .....................................................................................................................................................4
2.2.
Indicators in the framework ........................................................................................................................4
3. Crown Funding Agreement (CFA) variation reporting .........................................................................................5
4. Process for Quarterly Reporting ..........................................................................................................................6
5. Timeframes ..........................................................................................................................................................7
5.1.
Standard timeframe 2016/17 .....................................................................................................................8
5.2.
Delayed health target timeframe 2016/17 .................................................................................................9
6. DHB Quarterly Reporting Website .....................................................................................................................10
7. Reporting Templates..........................................................................................................................................11
8. Resources for Reporting ....................................................................................................................................12
9. Assessment Criteria/Ratings ..............................................................................................................................13
9.1.
Health targets & performance measures..................................................................................................13
9.2.
CFA Variations ...........................................................................................................................................14
9.3.
Initial and Confirmed ratings.....................................................................................................................14
10. Poor Performance Reporting .............................................................................................................................15
11. Quarterly Performance Dashboards ..................................................................................................................17
12. Contact Information...........................................................................................................................................18
Appendix 1: Non-financial performance measure reporting calendar for 2016/17 ..................................................19
Appendix 2: CFA Variation Reporting calendar for 2016/17 ......................................................................................20
Page 2 of 20
1. Introduction
As part of their Crown Funding Agreements, DHBs are required to supply the Ministry with regular reports on their
non-financial performance. These are submitted on a quarterly basis for the indicators agreed in each DHB’s Annual
Plan as part of the 2016/17 monitoring framework.
Section 13.3 of the Ministry’s Operational Policy Framework 2016/171 details the requirement to provide these
reports and sets out the process by which these reports are submitted and assessed.
This document details the process for non-financial quarterly reporting, including the types of measures reported
on, the two stage assessment process, the reporting timeframes for 2016/17, what the different ratings mean and
how DHBs and the Ministry are expected to work together to address issues with reporting.
1
http://nsfl.health.govt.nz/accountability/operational-policy-framework-0/operational-policy-framework-201617
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2. 2016/17 Monitoring Framework
2.1. Overview
Prior to 2010/11, the DHB non-financial monitoring framework was designed primarily to assess DHB contribution
towards implementation of the Health Strategies. Cabinet decisions from 2000 directed that the focus be weighted
towards key priorities identified in formal strategy documents, with less emphasis on activity, output and impacts
monitoring. With the current Government’s increased focus on productivity and value for money, the balance has
shifted to an increasingly close interest in DHB provider arm activity. This is due to the high level of financial
investment in DHB provider arms and their impact on overall health spending.
The 2016/17 monitoring framework is based on the 2014/15 monitoring framework and is intended to provide the
Minister with a rounded view of performance. The four dimensions of DHB performance, that reflect DHBs’
functions as owners, funders and providers of health and disability services are:
Policy Priorities
 achieving Government’s priority goals/objectives and
targets
System Integration
 meeting service coverage requirements and supporting
sector inter-connectedness
Outputs
 purchasing the right mix and level of services within
acceptable financial performance
Ownership
 providing quality services efficiently.
2.2. Indicators in the framework
Until the end of the 2009/10 financial year, non-financial reporting was based on a three tier system of indicators.
These were health targets, indicators of DHB performance (IDPs), and additional reporting. With the introduction
of the dimensions of performance in 2010/11 and the work done to reduce the reporting burden on DHBs, there
are now only two tiers of measures: health targets and performance measures.
All health targets are contained within the Policy Priorities dimension and their titles are preceded by the code HT.
Performance measures are spread across the Policy Priorities, System Integration, Outputs and Ownership
dimensions. The code at the beginning of their title identifies which dimension they fit into, as set out below:
Code Dimension
Page 4 of 20
PP
Policy Priorities
SI
System Integration
OP
Outputs
OS
Ownership
3. Crown Funding Agreement (CFA) variation reporting
The non-financial quarterly reporting process is also used to collect and assess reports on CFA variations. This is in
line with the Ministerial Review Group’s recommendation in October 2009 to provide more centralised collection
of reporting on the accountability arrangements and to reduce the reporting burden.
All CFA variations with a reporting component, and created since the 2009/10 year, are required to have their
reports collected as part of the non-financial quarterly reporting process. However, there is a small group of CFA
variations which will not be reported on via the non-financial quarterly reporting process for the following reasons:


Reporting is done directly to a specific Ministry team (i.e. reports for Very Low Cost Access and Zero Fees
for Under Sixes and Under Thirteens are emailed to the Primary Care team)
The reporting is required at specific timeframes that do not align with the quarterly reporting process
timelines and which cannot be moved.
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4. Process for Quarterly Reporting
The DHB Quarterly Non-Financial Reporting process involves two formal rounds of Ministry assessment and
feedback on DHB reports against the monitoring framework. The process uses the DHB Quarterly Reporting system
which is a web based interface between DHBs and the Ministry.
The process has five main steps:
1. The Ministry populates the reporting website with the list of reports required for the quarter, and sends
the reporting template to DHBs
2. DHB reporting is uploaded to the site (by the 20th of the month following the end of the quarter)
3. DHB reports are assessed by the Ministry and initial ratings and feedback are provided via the website
4. DHBs access the initial results and respond to Ministry’s feedback via the website
5. The Ministry assesses the responses and supplies a final rating.
The process is the same for each quarter and is set out in Figure One below. Timeframes for each quarter are
provided in the Timeframes section of this document.
Figure One: DHB Quarterly Reporting Process Flow Chart
District Health Boards
Ministry of Health
1.
Database reset for new quarter and
reporting template sent to DHBs
DHB Quarterly
Reporting Website
2. DHBs submit Quarterly
Reports through the website
DHB Quarterly
Reporting Database II
3. Ministry Initial Assessment
rating and feedback
4. DHBs respond to Ministry
5. Ministry provides
feedback.
Confirmed Assessment
Copies of Minister’s
dashboard reports sent to
DHB Chairs and CEOs
Page 6 of 20
Ministry reports
sent to the Minister
of Health
5. Timeframes
The timeframes for each quarter are based on working days from the date specified in section 13.3.1 in the OPF:
‘Each DHB will deliver its quarterly report information by the 20th day of the month following the end of a quarter’.
This remains the same for each quarter during the year, as set out below.
Step
Timeframe
1 Website activated & template sent to DHBs
One month before reporting is due
2 DHB Reports Due
20th of the month following the end of the quarter
3 Ministry Initial rating and feedback posted
8-10 working days from receiving reports
4 DHB Response due
5 working days from receiving initial ratings
5 Confirmed rating and feedback posted
4-5 working days from receiving DHB feedback
There are two timeframes for each quarter; the first is the standard timeframe for all reporting, the second is the
delayed health target timeframe. This is used for the Electives health target, the CVD health target, the Smoking
health target (primary care component) and the Electives CFA variation due to the nature of these measures and
the up-to-date data required.
When normal reporting dates fall on non-business days during 2016/17, the due dates have been extended to the
next business day. The dates that final PHO PP data will be available are approximate, as the Ministry cannot
discount the possibility of delays in the provision of the data by DHB Shared Services.
To ensure that all stages of the reporting process can be completed on time, it is essential that DHBs endeavour to
provide complete reports by the due date each quarter. The Ministry will track the proportion of each DHB’s reports
that are provided by the due date and assessment reports on the timeliness of DHB reporting will be provided to
both the Minister and DHB’s CEO on an exceptional basis when any issues occur. Allowances will be made where
the DHB has sought and been granted an extension (prior to the due date) for reports unable to be provided in
time.
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5.1. Standard timeframe 2016/17
Quarter One
Website activated & template sent to DHBs
Friday, 16 September 2016
DHB Reports Due
Thursday, 20 October 2016
Ministry Initial rating and feedback posted
Monday, 31 October 2016
DHB Response due
Monday, 7 November 2016
Confirmed rating and feedback posted
Monday, 14 November 2016
Quarter Two
Website activated & template sent to DHBs
Friday, 16 December 2016
DHB Reports Due
Friday, 20 January 2017
Ministry Initial rating and feedback posted
Tuesday, 31 January 2017
DHB Response due
Wednesday, 8 February 2017
Confirmed rating and feedback posted
Wednesday, 15 February 2017
Quarter Three
Website activated & template sent to DHBs
Friday, 17 March 2017
DHB Reports Due
Thursday, 20 April 2017
Ministry Initial rating and feedback posted
Monday, 1 May 2017
DHB Response due
Monday, 8 May 2017
Confirmed rating and feedback posted
Monday, 15 May 2017
Quarter Four
Website activated & template sent to DHBs
Friday, 16 June 2017
DHB Reports Due
Thursday, 20 July 2017
Ministry Initial rating and feedback posted
Tuesday, 1 August 2017
DHB Response due
Tuesday, 8 August 2017
Confirmed rating and feedback posted
Tuesday 15, August 2017
Page 8 of 20
5.2. Delayed health target timeframe 2016/17
Quarter One
Final Electives/ Preliminary PHOPP data available to DHBs
Ministry Initial rating
DHB Response due
Final PHO PP available to DHBs
Confirmed rating and feedback posted
Tuesday, 1 November 2016
(approximately)
Tuesday, 1 November 2016
Monday, 7 November 2016
Monday, 7 November 2016
(approximately)
Monday, 14 November 2016
Quarter Two
DHB Response due
Tuesday, 31 January 2017
(approximately)
Tuesday, 31 January 2017
Tuesday, 7 February 2017
(approximately)
Wednesday, 8 February 2017
Confirmed rating and feedback posted
Wednesday, 15 February 2017
Preliminary Electives and PHOPP data available to DHBs
Ministry Initial rating
Final Elective and PHO PP available to DHBs
Quarter Three
Final Electives/ Preliminary PHOPP data available to DHBs
Ministry Initial rating
DHB Response due
Final PHO PP available to DHBs
Confirmed rating and feedback posted
Monday, 1 May 2017
(approximately)
Monday, 1 May 2017
Monday, 8 May 2017
Monday, 8 May 2017
(approximately)
Monday, 15 May 2017
Quarter Four
DHB Response due
Tuesday, 1 August 2017
(approximately)
Tuesday, 1 August 2017
Monday, 7 August 2017
(approximately)
Tuesday, 8 August 2017
Confirmed rating and feedback posted
Tuesday 15, August 2017
Final Electives/Preliminary PHO PP data available to DHBs
Ministry Initial rating
Final PHO PP available to DHBs
Page 9 of 20
6. DHB Quarterly Reporting Website
The DHB Quarterly Reporting website is designed to facilitate the process of DHBs reporting to the Ministry. All
information on reporting for each quarter can be found on this site, including resources and data sets provided
from the Ministry to DHBs. Where some datasets are not contained on the website, links will be provided to other
sites where the information is located for reporting purposes.
The website is password protected and log-on information is below.
URL: http://www.moh.govt.nz/apps/dhbq.nsf/Logon?OpenForm
User Name:
this is your DHB name (e.g. Auckland)
Password:
Initially supplied by the Ministry but can be changed.
If you do not know your password, please contact the Ministry’s Quarterly Reporting
(Contact details in section 12)
Page 10 of 20
7. Reporting Templates
The reporting template is updated each quarter and provided to DHBs when the website has been activated at the
start of each reporting period. The reporting template consolidates all the requirements for reports (health targets,
performance measures and CFA variations) that are due to be submitted that quarter.
The order in which these appear in the reporting template reflects how they are set out on the DHB Quarterly
Reporting website.
Template
DHB Quarterly Reporting Website
Section 3 - Health targets
A HT <Health target title>
Sections 4 - 8 - Performance measures
B <Performance measure title>
Section 9 - CFA variations
C CFA <CFA variation title>
This reporting template also contains:



the timetable for the current reporting quarter;
any updated changes to reporting requirements for the quarter being reported on; and
changes that affect the reporting for the reporting year.
The reporting template can be found in the General Toolkit section of the DHB Quarterly Reporting Website.
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8. Resources for Reporting
Resources that are required for reporting include:



Data sets provided from the Ministry
Templates for reporting
Reporting requirement documentation
The DHB Quarterly Reporting website provides all resource information on reporting for each quarter, including
resources and data sets provided from the Ministry to DHBs. Where some datasets are not contained on the
website, links will be provided to other sites where the information is located for reporting purposes.
The 2016/17 Performance Measure Technical Definitions, found under Accountability Documents on the
Nationwide Service Framework Library (NSFL) website, provide details on the reporting required for each health
target and performance measure. Links to related non sensitive data sets and reporting templates will be listed
alongside individual technical document (rather than with the larger indicator dictionary for each performance
dimension).
DHBs’ nominated contacts for quarterly reporting will be advised by email once data sets are available either on
the NSFL or the Quarterly Reporting website for each quarter.
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9. Assessment Criteria/Ratings
There are two sets of Assessment Criteria/Ratings for reporting, one for health targets and performance measures,
and another for CFA Variations. Both of these are outlined below.
9.1. Health targets & performance measures
Progress towards each target or measure will be assessed and reported to the Minister of Health according to the
reporting frequency outlined in the indicator dictionary for each performance dimension (found on the NSFL).
Health Target progress will be publicly reported on the Ministry’s website.
A resolution plan, that outlines the actions being taken to address poorer than planned performance, must be
supplied where performance is not meeting the agreed expectation. For further information, see Section 10 Poor
Performance Reporting
In some cases, specific assessment criteria are set out for each target or measure. These can be found in the
relevant pages of the indicator dictionary or the technical definition document for the measure (both on the NSFL).
Where a target/measure description does not include specific assessment criteria, the following criteria will apply:
Rating
Abbrev
Outstanding
performer/sector leader
O
1. This rating indicates that the DHB achieved a level of performance
considerably better than the agreed DHB and/or sector
expectations.
2. For those measures, included in the Maori health plan, this rating
is applied when the DHB has met the target agreed in its Annual
Plan and has achieved the target level of performance for the
Maori population group, and the Pacific population group.
Note: this rating can only be applied in the fourth quarter for measures
that are reported quarterly or six-monthly. Measures reported
annually can receive an ‘O’ rating, irrespective of when the reporting is
due.
A
1. Deliverable demonstrates targets / expectations have been met in
full.
2. In the case of deliverables with multiple requirements, all
requirements are met.
3. For those measures, included in the Maori health plan, this rating
is applied when the DHB has met the target agreed in its Annual
Plan and has achieved significant progress for the Maori
population group, and the Pacific population group.
4. Data, or a report confirming expectations have been met, has been
provided through a mechanism outside the Quarterly Reporting
process, and the assessor can confirm.
P
1. Target/expectation not fully met, (including not meeting
expectations for Maori and Pacific population groups) but the
resolution plan satisfies the assessor that the DHB is on track to
compliance.
2. A deliverable has been received, but some clarification is required.
3. In the case of deliverables with multi-requirements, where all
requirements have not been met at least 50% of the requirements
have been achieved.
Achieved
Partial achievement
Page 13 of 20
Criteria
Not achieved
– escalation required
N
1.
2.
3.
4.
The deliverable is not met.
There is no resolution plan if deliverable indicates non-compliance.
A resolution plan is included, but it is significantly deficient.
A report is provided, but it does not answer the criteria of the
performance indicator.
5. There are significant gaps in delivery.
6. It cannot be confirmed that data or a report has been provided
through channels other than the quarterly process.
Note: 1) ‘NR’ refers to ‘No report has been received’.
2) ‘NA’ refers to Not Applicable.
9.2. CFA Variations
The assessment criteria for CFA variation reporting are different to the criteria applied to health targets and
performance measures. The progress and developmental reporting nature for CFA variations is more compliance
based, and therefore the target-oriented nature of health target and performance measure assessment is not
considered appropriate. The assessment criteria detailed below reflect the more qualitative nature of this
component.
Category
Satisfactory
Further work required
Not Acceptable
Abbrev
Criteria
S
1. The report is assessed as up to expectations
2. Information as requested has been submitted in full
B
1. Although the report has been received, clarification is required
2. Some expectations are not fully met
N
1. There is no report
2. The explanation for no report is not considered valid.
Note: ‘NA’ refers to Not Applicable.
9.3. Initial and Confirmed ratings
DHB reports will be rated, using the criteria in 9.1 and 9.2 above, in both the initial and confirmed assessment
rounds each quarter.
If a DHB receives a rating of P, B or N for a particular measure or CFA Variation, the Ministry’s assessor will outline
the reasons in the Ministry feedback section and the DHB will be expected to submit an updated report/further
comment during the confirmed reporting round. Supplying the requested information may result in the DHB
receiving an improved score in the Confirmed assessment round. However, this is not guaranteed.
Page 14 of 20
10. Poor Performance Reporting
If a DHB fails to submit a required report against any health target, performance measure or CFA Variation, receives
an ‘N’ rating in the Confirmed assessment round, or is determined to have significant emerging performance issues
or service coverage issues, these issues will be highlighted to the Minister in the Performance Issues section of the
DHB’s quarterly dashboard performance report.
If reports against the measure or variation are not due to be submitted in the following quarterly, the DHB will be
asked to report in the following quarter. These requirements will be outlined in the Poor Performance Reporting
section of each quarter’s Reporting Template (see section 7 above). If all the appropriate information is provided
to meet all the expectations of the requirement in the following quarter, then this will no longer be considered to
be a Poor Performance Reporting issue.
However, if all the appropriate information to meet all the expectations of the requirement is not provided in the
following quarter, then further escalation may follow and the DHB will be required to continue to report on a
quarterly basis until the issue(s) has been resolved, and the issue(s) will continue to be escalated via the
‘Ministry/DHB Relationship Protocol’ (see Figure Two below).
Figure Two: Ministry/DHB Relationship Protocol
Condition
Responsibility
MoH
0 Either:
Seeking to resolve an
outstanding issue, or
non-compliance of an
already agreed deadline.
Lack of compliance may
include only partial
completion of the total
requirement
1 If no satisfactory
resolution
Regional DHB
Relationship
Manager (RM)
Action by Ministry
DHB
DHB Contact Raise the issue and seek to effect an
early resolution
Suggested
timeframe
ASAP
If issue involves a missed deadline,
DHB to be reminded as soon as
possible that deadline is missed and
compliance is required or reason for
non-compliance supplied
If reason for delay is not considered
reasonable, advise that escalation
will occur.
DHB PAMF
Manager
GM/CEO
Director – DHB
Performance
Manager initially seeks to resolve
problem with appropriate DHB
Manager
24–48 hours
If timeline involved, agree a new
timeline
Manager to secure a resolution plan
in writing; OR
If DHB does not comply, advise that
escalation will continue after this
period.
2 Disagreement at Level 1,
or if no response from
DHB within new agreed
timeline (if appropriate),
or 24 hours if no change
to original requirement
Service
Commissioning
Director / DG
CEO
Letter prepared by responsible
National
manager/ RM for National Director
Director/DG
including options that are available to
decision
the Ministry and/or DHB
National Director to either speak to
or forward letter to CEO
National Director to decide whether
or not DG to release letter
CEO should be given sufficient time
to reply in writing
Page 15 of 20
Condition
Responsibility
MoH
3 If National Director
unable to reach
resolution with DHB CEO
Minister
Action by Ministry
DHB
Chair
Brief prepared by responsible
manager/RM for Minister providing
background to escalation including
draft letter to be forwarded by the
Minister to the Chair
The Minister may wish to initiate
discussion with the DHB Chair rather
than sending a note of censure.
If the Minister agrees to sign-off the
letter to the Chair, the National
Director should formally advise the
appropriate CEO of this action prior
to the Chair’s receipt of the
Minister’s letter
Page 16 of 20
Suggested
timeframe
Minister’s
decision
11. Quarterly Performance Dashboards
At the conclusion of the reporting process each quarter, the Ministry will produce a dashboard summarising each
DHB’s performance. The dashboard displays performance against the health targets, a selection of performance
measures, ESPIs and financial performance. An example of previous year dashboard format is displayed below:
These dashboards will be produced concurrently with the public health target reporting and will be provided to
DHBs shortly after the embargoed package of health target results.
The dashboards are designed to inform performance conversations between the Minister, the Ministry and DHBs.
They will not be published on the Ministry’s website.
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12.
Contact Information
If you have any queries about the DHB Quarterly Reporting process, the reporting requirements, or any issues with
the DHB Quarterly Reporting Website please contact:
Darryl Oldfield
Senior Analyst
Health Target
Monitoring
DHB Performance
Service Commissioning
Ministry of Health
DDI: 04 816 2699
Email: :[email protected]
Page 18 of 20
Jane Wang
Senior Analyst
Non-Financial DHB Performance Monitoring
Monitoring
DHB Performance
Service Commissioning
Ministry of Health
DDI: 04 816 2657
Email: [email protected]
Appendix 1: Non-financial performance measure reporting calendar for 2016/17
The table below sets out the quarters in which non-financial performance measures are due to be reported in 2016/17. DHBs will be notified if there are any changes to the reporting requirements during the year.
Quarter Due
Code
Health Targets
Policy Priorities
System Integration
Ownership
Outputs
Developmental
Progress update
Update: 14 Dec 2016
HT1
HT2
HT3a
HT4
HT5
HT7
PP6
PP7
PP8
PP10
PP11
PP12
PP13
PP20
PP21
PP21
PP22
PP23
PP25
PP26
PP27
PP28
PP29
PP30
PP31
SI1
SI2
SI3
SI4
SI5
OS3
OS8
OS10
OP1
DV4
HS
Performance Measure
Shorter stays in Emergency Departments
Improved access to elective surgery
Faster cancer treatment
Increased Immunisation
Better help for smokers to quit
Raising healthy kids
Improving the health status of people with severe mental illness through improved access
Improving mental health services using transition (discharge) planning
Shorter waits for non-urgent mental health and addiction services for 0-19 year olds
Oral Health- Mean DMFT score at Year 8
Children caries-free at five years of age
Utilisation of DHB-funded dental services by adolescents from School Year 9 up to and including age 17 years
Improving the number of children enrolled in DHB funded dental services
Improved management for long term conditions (CVD, Acute heart health, Diabetes, and Stroke)
Immunisation coverage FA1 (2 and 5 years old)
Immunisation coverage FA2 (HPV)
Improving system integration and SLMs
Improving Wrap Around Services – Health of Older People
Prime Minister’s youth mental health project
Rising to the Challenge: The Mental Health and Addiction Service Development Plan
Supporting Vulnerable Children
Reducing Rheumatic fever
Improving waiting times for diagnostic services
Faster cancer treatment (31 day indicator) / Shorter waits for cancer treatment (radiotherapy and chemotherapy)
Better help for smokers to quit in public hospitals (previous health target)
Ambulatory sensitive hospitalisations (ASH)
Delivery of Regional Service Plans
Ensuring delivery of Service Coverage
Standardised Intervention Rates (SIRs)
Delivery of Whānau Ora
Inpatient Average Length of Stay (ALOS)
Reducing Acute Readmissions to Hospital
Improving the quality of identity data within the National Health Index (NHI) and data submitted to National Collections
Mental health output Delivery against Plan
Improving patient experience
Supporting delivery of the New Zealand Health Strategy
Frequency
Quarterly
Quarterly
Quarterly
Quarterly
Quarterly
Quarterly
Six-Monthly
Quarterly
Quarterly
Annual
Annual
Annual
Annual
Quarterly
Quarterly
Annually
Quarterly
Quarterly
Quarterly
Quarterly
Quarterly
Quarterly
Quarterly
Quarterly
Quarterly
Six-Monthly
Quarterly
Six-Monthly
Quarterly
Annual
Quarterly
Quarterly
Quarterly
Quarterly
Quarterly
Quarterly
1
2
3
4
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MoH to supply
Data
(from National
collections)
DHB to Supply
data
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Appendix 2: CFA Variation Reporting calendar for 2016/17
The table below lists the CFA Variation reports scheduled for 2016/17, as at 1st July 2016. This list is subject to change as new Variations are agreed throughout the financial
year.
Variation Name
Frequency
Quarter Due
1
2
3
4
All DHBs
reporting?
-
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x
Appoint Cancer Nurse Coordinators
Six-Monthly
-
Appoint cancer psychological and social support workers
Six-Monthly
-
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Appoint regional cancer centre clinical psychologists
Six-Monthly
B4 School Check
Quarterly
Disability Support Services (DSS) Increase of Funding
Quarterly
Electives Initiative and Ambulatory Initiative
Quarterly
Green Prescription Initiative
Quarterly
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Immunisation Coordination Service
Annually
-
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-
-
x
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x
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National Immunisation Register (NIR) Ongoing Administration Services
Annually
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-
-
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National Patient Flow
Annually
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Quarterly
Well Child/Tamariki Ora Services
Quarterly
-
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Health Services for Emergency Quota Refugees
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Update: 14 Dec 2016
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