​
​

A
Accountability See management and accountability
administrative issues, 4, 23
advertising and market research, 37
antibiotics, 3, 18
Audit and Risk Committee, 25, 26
Australian Health Practitioner Regulation Agency (AHPRA), 1
Australian Human Rights Commission (AHRC), 26
Australian Medical Association (AMA)
consultation, 1, 15
stakeholder, 3, 6
Australian Public Service (APS)
Code of Conduct, 27
staff employed, 28
values, 6, 27
Australian Public Service Employee Census 2019, performance
of PSR, 4
Australian Workplace Agreements, 27
Australia’s health system, 6

B
Brand, B, 36
Brindabella Business Park, 34
Business Manager, 23

C
case management unit
legal capacity, 23
organisational structure, 24
review meetings with Director, 15
staff, 15, 23
cases
completed, 10
negotiated agreements, 12
outcomes, 15–16
statistics, 11
Chief Executive, Medicare, 9, 10
Chief Financial Officer, 23, 30, 42. see also Lee, Linnet
chronic disease management items (CDM), 18–19
clinical records, random sampling, 1, 21
Comcare, 4
Commonwealth Disability Strategy, 33
Commonwealth Procurement Rules, 36
consultants, 36
corporate governance, 22–25
corporate plan 2018–19, 15, 22–23
corporate referrals, 2
Corporate Support Unit, 23

D
Department of Health
monitoring compliance, 3, 14, 16
Practitioner Review Program, 16
Provider Benefits Integrity division, 15, 23
random sample of records, 21
stakeholder, 6
Department of Human Services, 21
Determining Authority
final determinations, 9, 13
members, 32
ratification of negotiated agreements, 9
Di Dio, A, 36
Director, 13, 16, 22, 32, 42
introduction, 1
professional review 2018–19, 2–5
transmittal letter, iii. See also Quinlivan, Julie
disability reporting, 33
disqualification, 1, 12, 13

E
ecologically sustainable development, 37
employees. See staff
engagement framework, 3. See also stakeholders
enterprise agreement 2016–19, 27
Environment Protection and Biodiversity Conservation Act 1999, 37
Ernst and Young, 3–4
ethical standards, 27
executive management team, 24
Executive officer, 23, 30
external reviews, 3–4

F
Federal Courts, 4, 13, 17–18
financial performance, 35–37
advertising and market research, 37
asset management, 35
consultants, 36
outcome summary, 38
purchasing, 35
resource statement, 38
financial statements, 42–78
Flegg, K, 36
fraud, 1, 2, 26
Freedom of Information Act 1982, 36, 79
Freedom of Information statement, 79

G
gender, female representation in PSR panel, 3, 26
General Counsel, 30. See also Executive officer; Topperworth Bruce
governance processes, 8

H
Health Insurance Act 1973, 6–7, 36
Health Insurance (Professional Services Review—Allied health and
others) determination 2012, 7
human resources management, 27–28. See also staff

I
inappropriate health care practice
patterns of practice, 16
protection against, 9
Qualitative protective criteria, 14–15
Quantitative protection criteria, 14
types of practice, 16
types of practitioners investigated, 12
urgent after hour consultations, 19
inappropriate practice, definition, 16
Independent Auditor’s report, 40–41

J
judicial review, 13. See also Federal Court; legal issues

K
Karmakar v Minister of Health, 18
key management personnel (KMP), 30–31.See also executive
management team
key performance indicators (KPI), 22

L
leadership, 24
Lee, Linnet, 30
legal issues, 17–18
legal/para legal positions, 23

M
management and accountability
corporate governance and business planning, 22–23
fraud control, 26
human resources, 27–28
organisational structure, 23–24
risk, 24–25
structure and organisation, 22
Medicare
Establishment of, 16
maintaining principles of, 21
protect integrity of, 7–9
service defined, 16
Medicare benefits, repayments, 1, 12, 13
Minister of Health, 1, 6, 15, 22

N
National Disability Strategy 2010–20, 33
negotiated agreements, 9
Nithiananth v Commonwealth 2018, 17–18
Noetic consultants, 24–25

O
organisational restructure, 22
organisational structure, 23
overview of Agency, 6–8

P
patient safety, 2
peer review, process of, 1
performance against portfolio budget statements, 14–21
performance criteria, 14–15
Performance development Scheme (PDS), 27, 33
performance statement, 9–13
Pharmaceutical Benefits Scheme, protect the integrity of, 7–8, 9
planning
business, 22–25
corporate plan, 19
fraud control plan, 26
internal audit plan, 25
risk action plan, 25
portfolio shared services arrangements, 24
Practitioner Review Program, 16
practitioner, definition of, 7
principle legal officers, 23
professional standards, non-compliance, 2
professional support for, 10, 15
PSR
accommodation, 34
aim of, 9
and legal challenges, 17–18
newsletter, 3
organisational structure, 23
professional support for, 10, 15
publications, 37
role and functions of, 6–7, 27
structure of, 6
values and behaviours, 6, 27
website, 3
PSR Advisory Committee (PSRAC), 3
PSR Committees
findings of, 3
number of committees established, 12
performance of, 12
role of, 1
PSR panel
appointment, 1
gender and diversity in, 3
membership of, 3, 12, 32
PSR scheme
establishment, 6–7
legislative amendments, 8
outcomes, delivery of, 7
professional support, 10, 15
Senate inquiry 2011, 8
Public Governance, Performance and Accountability Act 2013, iii,
9, 36, 42
Public Service Act 1999, 6, 27, 32
Public service review, 4

Q
Quinlivan, Julie, 22, 30

R
Rankin, David, 30
recoveries ordered, 2
referrals
to AHPRA and other Boards, 13
from Chief Executive Medicare, 9–10
chronic disease management (CDM) items, 19
consultation items, 19
diversity in, 17
employer, 21
pharmaceutical, 18
received in 2018/19, 17
re-referrals, 13
skin medicine items, 20
remuneration, 31–32. See also salary ranges; performance pay
Remuneration Tribunal, 32
risk management, 4, 24–25

S
sampling methodology, 21
sanctions, 1, 9
schedule 4 and 8 medication, overprescribing, 3, 18
Senior Executive Service (SES), 32
senior legal officers, 23
Sharma, R, 36
Shelley, Andrew, 30
sleep studies, 20
small business, procurement initiatives, 37
Special Counsel, 30. See also Shelley, Andrew
staff
Australian Public Service (APS), 28
case management unit, 23
diversity in, 28
executive management team, 24
health and welfare of, 4
non-salary benefits, 29
Performance development Scheme (PDS), 27, 33
performance pay, 29–30
salary ranges, 29
training and development, 33
work load, 2–4
stakeholders, 3, 6, 10, 15, 21
statutory appointments, 80–84

T
Topperwien, Bruce, 22, 30
transmittal letter, iii

U
Universal McCann, 37

W
work health and safety, 33