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  • 1. Ministerial Review of Victorian Public Health Medical Staff Health Services Survey This survey covers a range of employment and remuneration issues relating to medical staff employed within your health service. The information is required to provide the Review Panel with data necessary for it to consider matters relating to the Terms of Reference for the Review. The survey is in three parts: A. Staffing Information B. Remuneration C. Private Practice Arrangements D. Your assistance is sought in the completion of all relevant parts of this survey. There may be a number of survey questions that are not applicable to the medical staffing arrangements in your health service. Wherever this occurs, please circle the “n/a” option where appropriate, or otherwise mark “n/a” for the question. It is asked that you return the completed survey to the Review Office at the address shown below by Friday 10th August 2007. It should be noted that all responses will be treated confidentially by the Review and will not be released or used for any other purpose without your express permission. Only aggregated information will be used in any output from the Review with no individual health service’s responses being identified. If you need to clarify a question or require any other assistance in completing this survey, please contact the Review Office on (03) 9096 2522. Any other questions relating to the Review should be directed to the Project Manager on (03) 9096 2583. Completed surveys should be returned to: Carlo Trifiletti Project Officer Ministerial Review of Victorian Public Health Medical Staff GPO Box 4057 MELBOURNE VIC 3001 EMAIL: medminrev@dhs.vic.gov.au Thankyou for your assistance. Survey – July 2007
  • 2. Ministerial Review of Victorian Public Health Medical Staff RETURN DETAILS Please provide the following details: Health Service Name Contact Officer Contact Telephone Contact Facsimile Contact Email Address Survey – July 2007
  • 3. Ministerial Review of Victorian Public Health Medical Staff PART A - Staffing Information 1. Please show the number of staff employed within your health service according to the groupings shown in the following table. Craft / Specialty HMOs & Full-Time Fractional FFS Visiting Clinical Registrars Specialists Specialists Medical Academics Officers EFT Heads EFT Heads EFT Heads EFT Heads EFT Heads Anaesthetics Cardiology Cardio-thoracic Surgery Clinical Pharmacology Dermatology Ear, Nose & Throat Emergency Medicine Endocrinology Gastroenterology General Medicine General Practitioners General Surgery Geriatrics Haematology Infectious Diseases Intensive Care Medical Administrators Medical Oncology Neonatology Nephrology Neurology Neurosurgery Obstetrics & Gynaecology Ophthalmology Orthopaedics Paediatrics Palliative Care Pathology Plastic Surgery Psychiatry Radiology Radiation Oncology Rheumatology Thoracic Medicine Urology Vascular Surgery Other 2. Which specialties/roles has your health service found it most difficult to recruit to/retain staff in and why? Survey – July 2007
  • 4. Ministerial Review of Victorian Public Health Medical Staff 3. What is the approximate number of Senior Medical Staff who have left your health service in the last two years to take up employment interstate, or in private practice, and in what classifications were these staff employed? Interstate Private Practice 4. What is the approximate number of Senior Medical Staff recruited by your health service from interstate in the last two years, and in what classifications are these staff employed? 5. How many 2006 Interns and HMO Year 2 doctors have left your health service to take up interstate positions for 2007? 6. How many Interns, HMO Year 2 doctors and Registrars have been recruited from interstate for 2007 7. What percentage of your 2006 Interns have remained in employment with your health service for 2007? % 8. What are the issues affecting Senior Medical Staff employment within your health service that are of most concern to either staff or management? 9. What are the issues affecting Junior Medical Staff employment within your health service that are of most concern to either staff or management? Survey – July 2007
  • 5. Ministerial Review of Victorian Public Health Medical Staff 10. In the last financial year, what was the expenditure by your health service on Locum services? AREA EXPENDITURE ($) 1) THROUGH DIRECT EMPLOYMENT: a) Junior Medical Staff b) Senior Medical Staff 2) THROUGH AGENCIES: a) Junior Medical Staff b) Senior Medical Staff Survey – July 2007
  • 6. Ministerial Review of Victorian Public Health Medical Staff PART B - Remuneration Remuneration Packages 1. What proportion of the medical staff employed by your health service (other than those employed on a predominantly Fee For Service basis) is paid a normal hours base or annualised salary at or above the EBA rate (pro-rata for less than full-time employees)? Group Proportion of Doctors (based on head count) paid at: 100% of EBA 101-110% of 110-125% of 126-150% of >150% of rate EBA rate EBA rate EBA rate EBA rate HMOs % % % % % MOs % % % % % Registrars % % % % % Full-Time % % % % % Specialists Fractional % % % % % Specialists Clinical Academics % % % % % 2. Would you please describe a typical remuneration package that would be offered to fill the following positions/roles: Position/Role Package Elements Director of Senior [Annualised) General Surgeon Anaesthetist – Medical Cardiologist – Psychiatrist – value] – Full-time (6-9 half-time (7-12 Services – Full- Full-time (10-15 Full-time (10-14 yrs exp.) yrs exp.) time (10-15 yrs yrs exp.) yrs exp.) exp.) Salary Package Base Salary - min - max Private practice bonus (or allowance in lieu) Out of Hours ( eg based on 1:4 on- call) Professional Development Support Fully Maintained Vehicle IT/Communication s Package (eg laptop, PDA, mobile phone, home phone line rental, internet access, etc.) Value of Employer Superannuation contribution Value of leave loading on annual leave Value of Professional Indemnity Insurance Survey – July 2007
  • 7. Ministerial Review of Victorian Public Health Medical Staff Total Remuneration Package Other Benefits No of wks Annual Leave No of Wks Prof Dev Leave Proportion of time made available for private practice (eg 1 day per week = 20%) Proportion of Clinical /Non- clinical time (eg 80/20) Dedicated Car Parking (Y, N or n/ a) Dedicated Office Space (Y, N or n/a) Secretarial Support (Y, N or n/a) Research Support (Y, N or n/a) Other (please describe) Specialists’ Remuneration 3. Please complete the following table by providing details of the lowest and highest gross annual salaries (annualised rate) payable to staff in the specialties/classifications shown. Where staff are not employed in a particular specialty, but a vacancy exists, please show the expected level of salary payable to fill the position. Craft / Specialty Full-Time Fractional Clinical Salaried Medical Specialists Academics Specialists Anaesthetics Lowest Highest Cardiology Lowest Highest Cardio-thoracic Surgery Lowest Highest Clinical Pharmacology Lowest Highest Dermatology Lowest Highest Survey – July 2007
  • 8. Ministerial Review of Victorian Public Health Medical Staff Craft / Specialty Full-Time Fractional Clinical Salaried Medical Specialists Academics Specialists Ear, Nose & Throat Lowest Highest Emergency Medicine Lowest Highest Endocrinology Lowest Highest Gastroenterology Lowest Highest General Medicine Lowest Highest General Practitioners Lowest Highest General Surgery Lowest Highest Geriatrics Lowest Highest Haematology Lowest Highest Infectious Diseases Lowest Highest Intensive Care Lowest Highest Medical Administrators Lowest Highest Medical Oncology Lowest Highest Neonatology Lowest Highest Nephrology Lowest Highest Neurology Lowest Highest Neurosurgery Lowest Highest Obstetrics & Gynaecology Lowest Highest Ophthalmology Lowest Highest Orthopaedics Lowest Highest Paediatrics Lowest Highest Palliative Care Lowest Highest Pathology Lowest Highest Plastic Surgery Lowest Highest Psychiatry Lowest Highest Radiation Oncology Lowest Highest Survey – July 2007
  • 9. Ministerial Review of Victorian Public Health Medical Staff Craft / Specialty Full-Time Fractional Clinical Salaried Medical Specialists Academics Specialists Radiology Lowest Highest Rheumatology Lowest Highest Thoracic Medicine Lowest Highest Urology Lowest Highest Vascular Surgery Lowest Highest Other Lowest Highest 4. Does your health service pay Specialists employed on a less than full-time basis (other than those employed on a predominantly Fee For Service basis) according to EBA rates and conditions? Yes No n/a (please circle) If no, on what basis are rates determined? 5. Is Lochtenberg discounting applied to rates paid to these Specialists? Yes No (please circle) If yes, please attach a copy of your health service’s policy/guidelines outlining how discounting is applied, or otherwise please provide a brief description of how discounting is applied. 6. Are the Specialists you employ on a less than full-time basis (other than those employed on a predominantly Fee For Service basis) also able to access Fee For Service (FFS) payments: In hours ? Yes No n/a (please circle) After hours? Yes No n/a (please circle) If yes to either of the above, which specialties are eligible to receive these payments and on what basis? Survey – July 2007
  • 10. Ministerial Review of Victorian Public Health Medical Staff Please attach a copy of any relevant documentation describing these arrangements. 7. Where FFS payments are made to these staff, on what scale are they based? CMBS Vic Schedule Other (please circle) Please describe how payments are determined - eg what proportion of the CMBS these represent (eg 95%, 110%, etc). 8. Where FFS payments are made to Specialists you employ on a less than full-time basis (other than those employed on a predominantly Fee For Service basis), is the fee discounted where HMO/Registrar (or other) support is available? Yes No n/a (please circle) If yes, which specialties does this discounting apply to and on what basis? 9. Are FFS payments to these Specialists discounted where multiple consultancies occur? Yes No n/a (please circle) If yes, which specialties does this discounting apply to and on what basis? 10. Does your health service employ/engage any Specialists on a predominantly Fee For Service basis? Yes No n/a (please circle) If yes, on what scale are the FFS payments to these VMOs based? CMBS Vic Schedule Other (please circle) Please describe how payments are determined - eg what proportion of the CMBS these represent (eg 95%, 110%, etc). 11. Are the payments made to these Specialists paid through your health service’s payroll system? Yes No n/a (please circle) Survey – July 2007
  • 11. Ministerial Review of Victorian Public Health Medical Staff 12. Do these Specialists receive any other form of remuneration from the health service (eg “on-call” allowance, private practice bonuses, etc)? Yes No n/a (please circle) If yes, please describe what additional remuneration is available. 13. Are payments made to these Specialists subject to discounting where HMO/Registrar (or other) support is available? Yes No n/a (please circle) If yes, which specialties does discounting apply to and on what basis? Clinical Academics 14. Does your health service have a uniform agreement covering the remuneration of Clinical Academics? Yes No n/a (please circle) If yes, please attach a copy of the relevant documentation. Performance Management 15. Has your health service incorporated performance criteria and assessment into the remuneration package for Senior Medical Staff? Yes No n/a (please circle) If yes, please attach any relevant documentation, or describe the performance arrangements that have been introduced. 16. Where such initiatives are in place, what percentage of Salaried Medical Specialists are subject to a yearly performance review? Survey – July 2007
  • 12. Ministerial Review of Victorian Public Health Medical Staff Annualised (“rolled-up”) Salaries 17. Have annualised salaries been introduced for any medical staff in your health service? Yes No n/a (please circle) If yes, please list which groups and what payments have been annualised. On-Call Arrangements 18. Please complete the following table by ticking the on-call/re-call payment options that are available to staff in the groups/specialities listed. Craft / Specialty Groups On-Call Fee for Time based Allowance Service Re-calls Re-calls Anaesthetics Full-Time Specialists Fractional Specialists Fee For Service Visiting Medical Officers Clinical Academics Cardiology Full-Time Specialists Fractional Specialists Fee For Service Visiting Medical Officers Clinical Academics Cardio-thoracic Surgery Full-Time Specialists Fractional Specialists Fee For Service Visiting Medical Officers Clinical Academics Clinical Pharmacology Full-Time Specialists Fractional Specialists Fee For Service Visiting Medical Officers Clinical Academics Dermatology Full-Time Specialists Fractional Specialists Fee For Service Visiting Medical Officers Clinical Academics Ear, Nose & Throat Full-Time Specialists Fractional Specialists Fee For Service Visiting Medical Officers Clinical Academics Emergency Medicine Full-Time Specialists Fractional Specialists Fee For Service Visiting Medical Officers Clinical Academics Endocrinology Full-Time Specialists Fractional Specialists Fee For Service Visiting Medical Officers Clinical Academics Gastroenterology Full-Time Specialists Fractional Specialists Fee For Service Visiting Medical Officers Clinical Academics General Medicine Full-Time Specialists Fractional Specialists Fee For Service Visiting Medical Officers Clinical Academics General Practitioners Full-Time Specialists Fractional Specialists Fee For Service Visiting Medical Officers Clinical Academics General Surgery Full-Time Specialists Fractional Specialists Fee For Service Visiting Medical Officers Clinical Academics Geriatrics Full-Time Specialists Fractional Specialists Fee For Service Visiting Medical Officers Survey – July 2007
  • 13. Ministerial Review of Victorian Public Health Medical Staff Craft / Specialty Groups On-Call Fee for Time based Allowance Service Re-calls Re-calls Clinical Academics Haematology Full-Time Specialists Fractional Specialists Fee For Service Visiting Medical Officers Clinical Academics Infectious Diseases Full-Time Specialists Fractional Specialists Fee For Service Visiting Medical Officers Clinical Academics Intensive care Full-Time Specialists Fractional Specialists Fee For Service Visiting Medical Officers Clinical Academics Medical Administrators Full-Time Specialists Fractional Specialists Fee For Service Visiting Medical Officers Clinical Academics Medical Oncology Full-Time Specialists Fractional Specialists Fee For Service Visiting Medical Officers Clinical Academics Neonatology Full-Time Specialists Fractional Specialists Fee For Service Visiting Medical Officers Clinical Academics Nephrology Full-Time Specialists Fractional Specialists Fee For Service Visiting Medical Officers Clinical Academics Neurology Full-Time Specialists Fractional Specialists Fee For Service Visiting Medical Officers Clinical Academics Neurosurgery Full-Time Specialists Fractional Specialists Fee For Service Visiting Medical Officers Clinical Academics Obstetrics & Gynaecology Full-Time Specialists Fractional Specialists Fee For Service Visiting Medical Officers Clinical Academics Ophthalmology Full-Time Specialists Fractional Specialists Fee For Service Visiting Medical Officers Clinical Academics Orthopaedics Full-Time Specialists Fractional Specialists Fee For Service Visiting Medical Officers Clinical Academics Palliative Care Full-Time Specialists Fractional Specialists Fee For Service Visiting Medical Officers Clinical Academics Pathology Full-Time Specialists Fractional Specialists Fee For Service Visiting Medical Officers Clinical Academics Plastic Surgery Full-Time Specialists Fractional Specialists Fee For Service Visiting Medical Officers Clinical Academics Psychiatry Full-Time Specialists Fractional Specialists Fee For Service Visiting Medical Officers Clinical Academics Radiation Oncology Full-Time Specialists Fractional Specialists Fee For Service Visiting Medical Officers Clinical Academics Radiology Full-Time Specialists Fractional Specialists Fee For Service Visiting Medical Officers Clinical Academics Rheumatology Full-Time Specialists Fractional Specialists Fee For Service Visiting Medical Officers Clinical Academics Thoracic Medicine Full-Time Specialists Fractional Specialists Fee For Service Visiting Medical Officers Clinical Academics Survey – July 2007
  • 14. Ministerial Review of Victorian Public Health Medical Staff Craft / Specialty Groups On-Call Fee for Time based Allowance Service Re-calls Re-calls Urology Full-Time Specialists Fractional Specialists Fee For Service Visiting Medical Officers Clinical Academics Vascular Surgery Full-Time Specialists Fractional Specialists Fee For Service Visiting Medical Officers Clinical Academics Other Full-Time Specialists Fractional Specialists Fee For Service Visiting Medical Officers Clinical Academics 19. Do you employ Night Registrars? Yes No If yes what specialties are covered by the Night Registrar? Superannuation 20. On what does your health service base superannuation payments for medical staff? (Tick appropriate box) HMOs & MOs Registrars Full-time Fractional Specialists Specialists Base rate only Base rate plus out of hours Base rate plus private practice salary bonus Base rate + out of hours + private practice salary bonus Survey – July 2007
  • 15. Ministerial Review of Victorian Public Health Medical Staff PART C - Private Practice Arrangements Private Practice Funds (Special Purposes Funds, Dillon Funds or equivalent) 1. What change has occurred in public/private mix since 1999/2000? Public Private Public Days Private Days Admissions Admissions 1999/2000 2006/2007 1. Either in tabular form, or by description, please provide the following information: (i) The names of each Private Practice Fund in operation at your health service; (ii) The number of participants in each fund showing separately the number of Full- Time staff and Fractional staff; (iii) The types and quantum of benefits (eg salary bonus, car, CME, books/journals, etc.) paid to participants by the funds; (iv) The types and quantum of any facility fees that are charged against income from the funds; (v) How and by whom the benefits paid by these funds are determined; (vi) Which benefits are included in “salary” for salary packaging purposes; (vii) Which funds are open to new members; (viii) The average total benefit paid to participants by each fund for each financial year from 2004/2005 through to 2006/2007 and the anticipated average total benefit for 1999/2000. In addition, please complete the following table showing the number of medical staff whose Total Benefit against normal salary (base or annualised) falls into the ranges shown (eg a staff member with a base salary of $100,000 receiving a total private practice fund benefit of $30,000 would be counted in the 26-40% category). Group Number of Staff With Total Benefit X% Over Normal Salary 0% 1-10% 11-25% 26-40% >40% Full-Time Specialists Fractional Specialists Clinical Academics 2. Have the levels of benefit paid by these funds been consistent in recent years? Yes No n/a (please circle) If no, please describe what changes have occurred 3. Where no funds are in operation, or where existing funds are not open to new members, what, if any, alternative arrangements are in place? Survey – July 2007
  • 16. Ministerial Review of Victorian Public Health Medical Staff 4. Do staff in the following groups participate in the operation of private practice within normal hours of work and not billed through the private practice/special purposes funds? Full-time Specialists Yes No n/a (please circle) Fractional Specialists Yes No n/a (please circle) Clinical Academics Yes No n/a (please circle) If yes for any of the above, what numbers of staff in the applicable group(s) access this arrangement and to what specialties does this apply? 5. Is there an over-arching health service policy regarding private practice income? Yes No n/a (please circle) If yes, please attach a copy of the policy or provide a brief description of the policy below. 6. Are private practice income arrangements described in employment contracts? Yes No n/a (please circle) 7. Are there any special rostering arrangements in place for Full-Time Specialists to allow time for personal/external private practice (eg 4 day weeks)? Yes No n/a (please circle) If yes, please or attach copies of any policy/relevant documentation or briefly describe what arrangements exist. 8. How widespread is the participation in the above arrangements? Extensive Moderate Minimal n/a (please circle) Survey – July 2007
  • 17. Ministerial Review of Victorian Public Health Medical Staff Please attach a copy of your hospitals salary packaging policy. 3. Is there a clause in employment contracts, or has there been any other documentation circulated to staff, that describes the benefits of salary packaging as being subject to change at any time? Yes No n/a (please circle) If yes, please attach a copy of the relevant documentation. Survey – July 2007

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