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Home and Community Care Program Data Access Protocol

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Home and Community Care Program Data Access Protocol

Contents

Foreword ................................................................................................................................................ 3

General Enquiries ................................................................................................................................. 3

Glossary of Terms ................................................................................................................................. 3

1. Background .......................................................................................................................... 5

1.1 The HACC Program ....................................................................................................................... 5

1.2 HACC Minimum Data Set ............................................................................................................ 6

1.3 HACC MDS collection method .................................................................................................... 7

1.4 Scope of the HACC MDS collection ............................................................................................. 7

1.5 HACC MDS Data Fields ................................................................................................................ 8

2. HACC MDS Data Use ...................................................................................................... 11

2.1 HACC MDS Data Availability .................................................................................................... 11

2.2 Conditions of Use of HACC MDS Data .................................................................................... 11

Data Ownership .................................................................................................................................. 11

Data Security ....................................................................................................................................... 12

3. Access to HACC MDS Data ............................................................................................ 13

3.1 Requests for data in the public domain ..................................................................................... 13

3.2 Requests for aggregated data not in the public domain ......................................................... 13

3.3 Requests for unit record data ...................................................................................................... 13

3.4 Exemptions .................................................................................................................................... 14

Appendix 1: State and Territory HACC MDS Data Stewards ..................................................... 16

Appendix 2: Request for Aggregated HACC MDS Data .............................................................. 17

Appendix 3: Request for Unit Record HACC MDS Data ............................................................. 19

Foreword

This document establishes standards and processes for the release of information from the Home

and Community Care (HACC) Program National Minimum Data Set (MDS) Collection. This

framework is designed to protect the privacy of individual HACC clients and agencies.

HACC MDS data can be accessed by government agencies, HACC service provider agencies,

academic and research organisations, and individuals. The application process will vary

according to the applicant and the type of information requested.

HACC MDS data stewards are under no obligation to release data to any organisation or

individual. Fees may be charged for access to data, at the discretion of each jurisdiction.

General Enquiries

General enquiries about the access to or use of HACC MDS data, the progress of an existing

request or this document should be directed to:

The HACC MDS National Data Steward

C/- Australian Government Department of Health and Ageing

MDP 507, GPO Box 9848, Canberra, ACT, 2601

Tel: (02) 6289 5473

Fax: (02) 6289 8049

Email: [email protected]

Glossary of Terms

Agency means an organisation providing HACC-funded services (Service Provider)

Aggregated Data means statistics which relate to broad classes, groups, or categories, so that it

is not possible to distinguish the properties of individuals within those classes, groups, or

categories. For example, the number clients within age ranges, receiving particular services

within a region.

Data means HACC MDS data, provided by the National Data Repository.

Data Steward refers to Commonwealth, State and Territory government officials who are

responsible for governance of HACC MDS data. This role includes assessing requests for

HACC MDS data.

HACC Program means the Home and Community Care Program

NDR Means the National Data Repository, the central repository for HACC MDS data from all

providers.

Older persons refers to HACC clients aged 65 years or more, plus Indigenous HACC clients

aged 50 to 64.

Secure storage means that the data is protected by such security safeguards as is reasonable in

the circumstances to take against loss, unauthorised access, use, modification or disclosure, and

other misuse. This includes the maintenance of both physical and electronic security.

Service Provider means an organisation providing HACC-funded services.

Statistical Linkage Key (SLK). The HACC MDS SLK enables client data reported by

different service providers to be matched, enabling a more accurate picture of client numbers

and patterns of assistance. The HACC MDS SLK is considered the unique identifier for each

client. It consists of certain letters of the clients name as well as their date of birth and sex code.

It enables client data that is reported by different service providers and reported across different

collection periods (quarters) to be matched, enabling a more accurate picture of client numbers

and patterns of assistance over time. The de-identified nature of the HACC MDS SLK aims to

preserve the anonymity of client data.

Unit record data refers to records pertaining to individual clients.

Unlinked unit record data means data contained in Extract 1 of the HACC MDS data collection,

which are unmatched client records.

Linked unit record data means data contained in Quarterly Extract 2 of the HACC MDS data

collection, which are client records that have been combined on the basis of having the same

Statistical Linkage Key.

Younger persons with a Disability refers to HACC clients aged 0 to 49, plus non-indigenous

HACC clients aged 50 to 64 (including HACC clients aged 50 to 64 whose Indigenous status is

unknown).

1. Background

1.1 The HACC Program

The HACC Program is a major provider of essential community care services to frail aged people

and their carers, and younger people with disabilities and their carers. The HACC Program’s main

objective is to promote and enhance the independence of people in these client groups.

The HACC Program was formed as a joint Australian Government, State and Territory initiative

under the Home and Community Care Act 1985. Prior to 1 July 2011, the Australian

Government contributed approximately 60% of program funding and maintained a broad

strategic role for the program. The States and Territories were responsible for the day to day

administration of the Program.

In 2010, the Prime Minister, Premiers and Chief Ministers of states and territories reached an

historic agreement at the COAG, on health and hospitals reform – the establishment of the

National Health Reform Agreement (NHRA).

Aged and Community Care Officials (ACCO) were subsequently convened in 2010 to provide a

forum for Commonwealth and state/territory officials to progress multilateral discussions on the

existing aged care programs and reforms now outlined in the NHRA.

In July 2011, ACCO agreed that each jurisdiction participating in the reforms will continue to

collect HACC MDS data until the HACC MDS is superseded by a National Disability Minimum

Data (NDMDS) and an Ageing and Aged Care data collection.

At the Data Transfer Working Group (DTWG) meeting held in Canberra on the 7th of

September, the Commonwealth announced that from 1 July 2011, the Commonwealth assumed

sole data stewardship of HACC MDS data for care recipients from the aged cohort. The

Commonwealth also recognised that the states and territories are the sole data stewards of

HACC MDS data for younger care recipients.

Schedule F of the NHRA relates to basic community care services delivered through the HACC

program and details changes to roles and responsibilities that will lead to a National aged care

system and a National Disability Services system. This will include the development of a

National Disability Minimum Data Set (NDMDS). At present the NDMDS is expected to be

available from 1 July 2014.

Schedule F (Aged Care and Disability Services) of the NHRA does not apply to Victoria or

Western Australia. Consequently, arrangements in Victoria and Western Australia remained

unchanged.

The HACC Program is part of a broader framework of community and health services funded by

the Australian Government, States and Territories or jointly. The services within this framework

are both residential and community based. Examples include community health care services,

disability services, residential aged care homes, Community Aged Care Packages, the National

Respite for Carers Program and the Veterans’ Home Care Program administered by the

Department of Veterans’ Affairs.

The HACC Program aims to:

Provide a comprehensive, coordinated and integrated range of basic maintenance and support

services for frail older people and people with a disability and their carers;

Support these people to be more independent at home and in the community, thereby

enhancing their quality of life and/or preventing their inappropriate admission to long term

residential care; and

Provide flexible, timely services that respond to the needs of consumers.

1.2 HACC Minimum Data Set

The objectives of the HACC MDS are to:

Provide HACC program managers with data for policy development, strategic planning and

performance monitoring against agreed output/outcome criteria;

Assist HACC service providers to provide high quality services to their clients by informing

improvements in the internal management of HACC-funded service delivery; and

Facilitate consistency and comparability between HACC data and other aged, community

care and health data collections.

The HACC MDS contains client-based data that allows measurement of the range and intensity

of service provision, and the mapping of service outputs at a regional level as well as by service

provider. The HACC MDS data collection contributes to enhancements in program planning,

enabling funding to be related to measurable outputs, and improved accountability for HACC

Program funds.

A complete list of HACC MDS data items is provided at Section 1.5 HACC MDS Data Fields.

Since implementation of the collection in January 2001, improvements continue to be made in

the quality and comprehensiveness and use of HACC MDS data. The HACC MDS Data Reform

Working Group established in 2003, contributed to improvements in the data collection. In

2010, the Data Transfer Working Group replaced the Data Reform Working Group and

continues to contribute to improvements in the data collection.

HACC MDS Version 2 was introduced after a comprehensive evaluation and consultation

process with State and Territory stakeholders and the collection of HACC MDS Version 2

commenced from 1 January 2006.

During 2005-06 and 2006-07 data was provided in a mix of both Version 1 and Version 2

formats, and data supplied in MDS Version 1 format was mapped to the closest equivalent in

MDS version 2.

Information on the HACC MDS Version 2, including the current edition of Home and

Community Care Program National Minimum Data Set User Guide Version 2.0 (which

incorporates the HACC Data Dictionary) may be obtained from the Australian Government

website (at http://www.health.gov.au.

1.3 HACC MDS collection method HACC MDS data is collected by HACC-funded service providers either electronically or via

paper forms. Data is collected progressively and aggregated for transmission in accordance with

a quarterly collection cycle. Aggregated data is transmitted during the collection months

immediately following each quarterly activity period.

HACC MDS data is either sent:

To a State Data Repository (New South Wales, Victoria, Northern Territory and Tasmania)

and then to the National Data Repository; or

Directly to the National Data Repository.

All HACC MDS data transmissions are validated by the National Data Repository with feedback

provided to service providers or State Data Repositories.

Figure 1. HACC MDS collection arrangements

1.4 Scope of the HACC MDS collection

The HACC MDS collection comprises data about all individuals receiving HACC-funded

assistance from service providers located in Australia. To be included in the HACC MDS

collection a client must be known to a service provider as an individual. Clients are not included

in the HACC MDS collection where they are not known to a service provider as individuals, e.g.

clients helped anonymously through general telephone enquiries, or where advocacy work is

conducted on behalf of clients in general rather than for specific individuals.

Any service delivered to an individual known client that involves HACC funding is within the

scope of the HACC MDS collection. Services that do not involve HACC funding are not

reported under the HACC MDS.

The collection of HACC MDS information is on the basis of informed client consent and clients

may choose to opt-out of the collection. All data in relation to individual clients is de-identified

by service providers, ensuring that the privacy of individuals is protected.

1.5 HACC MDS Data Fields The HACC MDS has defined data fields. Any request for data needs to be restricted to that

which can be delivered from this set of fields, specifying the fields required and explaining how

they will be used in analyses.

HACC MDS v2 incorporated a number of significant changes to the HACC MDS data elements.

The changes are described below:

Revised definitions of the assistance types: Nursing, Social Support, Centre-Based Day Care,

Counselling/Support, Information and Advocacy, Assessment, and Case Management.

The assistance type, Counselling/Support, Information and Advocacy has been split into two

types Counselling/Support, Information and Advocacy (care recipient) and

Counselling/Support, Information and Advocacy (carer).

The assistance type Case Planning/Review and Coordination has been revised and renamed

Client Care Coordination. In addition, the counting methodology for Goods and Equipment

has been amended to enable the total amount of each category of item to be counted.

Collection of full demographic and circumstance data for the care recipient and a core set of

elements for the carer.

Details of the data fields may be found in the HACC MDS V2 User Guide available from: the

Australian Government’s website.

Differences between v1 and v2 data fields are summarised in the table below.

HACC MDS v1 HACC MDS v2 Comment

Reason for HACC client status Omitted

Accommodation setting after cessation of service

Omitted

First given name First given name No change

Family name/surname Family name/surname No change

Date of birth Date of birth No change

Sex Sex No change

Country of birth Country of birth No change

Living arrangements Living arrangements No change

Government pension/benefit status Government pension/benefit status

No change

Suburb/town/locality Suburb/town/locality No change

Postcode Postcode No change

Carer—existence of Carer—existence of No change

Carer residency status Carer residency status No change

HACC MDS v1 HACC MDS v2 Comment

Total amount of type of assistance received (time)

Total amount of type of assistance received (time)

No change

Total amount of type of assistance received (quantity)

Total amount of type of assistance received (quantity)

No change

Total amount of type of assistance received (cost)

Total amount of type of assistance received (cost)

No change

HACC client (data concept) HACC client (data concept) Reporting change

Area of residence Australian state/ territory identifier

Name change

Date of last assessment Date of last update Name change

Indigenous status Indigenous status Coding change

Main language spoken at home Main language spoken at home

Coding change

Accommodation setting Accommodation setting Coding change

Relationship of carer to care recipient Relationship of carer to care recipient

Coding change

Source of referral Source of referral Coding change

Main reason for cessation of service Main reason for cessation of service

Coding change

Primary type of assistance received Primary type of assistance received

Definitional and coding changes

Total assistance with goods and equipment received

Total assistance with goods and equipment received

Changes to reporting amounts

Date of birth estimate flag New element

DVA card status New element

Functional status New element

Additional functional status items

New element

Statistical linkage key information missing flag

New element

Carer’s letters of name New element

Carer’s date of birth New element

Carer’s date of birth estimate flag

New element

Carer’s sex New element

Carer’s Australian state/ territory identifier

New element

Carer’s Suburb/town/locality New element

Carer’s Postcode New element

Carer’s country of birth New element

Carer’s main language spoken at home

New element

Carer’s Indigenous status New element

HACC MDS v1 HACC MDS v2 Comment

Carer for more than one person

New element

Date of entry into HACC service episode

New element

Date of exit from HACC service episode.

New element

Notes:

1. The HACC MDS Guidelines incorporate the HACC Data Dictionary and provide

comprehensive information about HACC MDS data elements and instructions on how to

report them. Both documents are available from the Australian Government website at:

http://www.health.gov.au

2. HACC MDS Data Use

2.1 HACC MDS Data Availability

There are four different levels at which HACC MDS data may be made available:

1. Data aggregated to the National level;

2. Data aggregated to the level of one or more States or Territories;

3. Data aggregated to levels within one or more States or Territories;

4. Unit record data for one or more States or Territories.

It is expected that the majority of requests will be met with the use aggregated data, or for small

subsets of data elements at unit record level. The specific process to access HACC MDS data

will vary according to the type of request. These processes are detailed in the Access to HACC

MDS Data section of this document.

Note that the financial year data extracts produced by the HACC MDS National Data Repository

are recognised as the official data source for all reporting and research purposes. Consequently,

preliminary (quarterly) HACC MDS data extracts will not be released.

2.2 Conditions of Use of HACC MDS Data

Data Ownership

The Australian Government Department of Health and Ageing and contributing State and

Territory Governments retain ownership of HACC MDS data.

Individual HACC service provider agencies are recognised for their contribution.

From 1 July 2011, the Australian Government Department of Health and Ageing retains

ownership of data for older persons1 for all States and Territories, other than Victoria and

Western Australia where data stewardship is shared. State and Territory Governments retain

ownership of data for younger persons with a disability2, other than Victoria and Western

Australia where data stewardship is shared.

Aged and Community Care Officials (the senior government administrators responsible for the

HACC Program) are the Data Stewards for the HACC MDS Collection, are responsible for the

implementation of this Protocol and collectively constitute the HACC MDS Data Access

1 older people include all HACC clients aged 65 years or more plus Indigenous HACC clients aged 50-64

2 younger people with a disability include all HACC clients aged 0-49, plus non-Indigenous HACC clients aged 50-64

(including HACC clients aged 50-64 where Indigenous Status is unknown).

Committee. ACC Officials can delegate management of their jurisdictions’ HACC MDS data to

HACC Program administrators. The ACC Official representing the Australian Government

Department of Health and Ageing acts as National Data Steward for the HACC MDS Collection.

Contact details for Data Stewards are at Appendix 1.

Data Security

The Australian Government Department of Health and Ageing manages the HACC MDS

National Data Repository. The National Data Repository maintains a secure physical and

computer environment for the HACC MDS database and supporting systems.

The collection, storage and use of HACC MDS data are governed by Information Privacy

Principles (IPPs) and National Privacy Principles (NPPs) which have been established by the

Privacy Act 1988 and State Privacy Laws. Information on these is available at

http://privacy.gov.au/act/index.html

Any HACC MDS client level data provided by data stewards in response to a request must be

securely stored to prevent unauthorised or accidental access, modification, loss, damage,

copying or usage. Procedures must be put in place to protect the information whilst in

transmission.

Purpose of use

Data must only be used for the purposes for which access was approved. It will not be used to

affect an individual’s entitlement, or access, to services. Research purposes are to be restricted

to only the research project described in the approved data request. Should data be required for

an additional purpose a new data access request must be submitted.

Publication

Data stewards may request that copies of draft publications are provided three months before the

publication date. Copies of all publications that use HACC MDS data are to be provided to the

HACC MDS data access committee.

All published analysis will adhere to minimum levels of aggregation, such that particular

individuals and agencies cannot be identified. Any tables, graphs, or commentary derived from

the use of the data will also protect the identity of individuals and agencies.

Disposal

All data provided pursuant to this protocol, including any duplicate copies, or other copies

created through manipulation of the original data, are to be returned to the issuer and/or deleted,

physically destroyed or rendered irrecoverable at the times specified in the notification of

approval.

3. Access to HACC MDS Data

3.1 Requests for data in the public domain

The HACC MDS Annual Bulletins are compiled based on the financial year and are available

free of charge from the Australian Government’s website

The HACC MDS Annual Bulletin compiles statistics from state and territory HACC programs to

provide information at national levels of service care provision, and to inform planning, policy

and research.

Approval is not required to access and use these publications, although they should be cited in

tables and text of reports and formal correspondence. It is expected that these publications will

satisfy the majority of information requests.

3.2 Requests for aggregated data not in the public domain

Requests for aggregated HACC MDS data not publicly available require the submission of a

Request for Aggregated HACC MDS Data. The Data Steward will maintain a record of the

application and advise the applicant of the outcome of the request. Subject to approval, the Data

Steward will advise the applicant of the conditions of data release and the approximate cost and

timing of release.

Requests for aggregated data encompassing more than one jurisdiction will be referred by the

National Data Steward to the HACC MDS Data Access Committee, comprised of each

jurisdictional Data Steward for the jurisdictions involved or their nominated representative,

where:

The request includes data for younger people with a disability. OR

The request includes either Victoria or Western Australia and does not include younger

people with a disability

3.3 Requests for unit record data Applications for unit record HACC MDS data require the submission of the form Request for

Unit Record HACC MDS Data.

Requests for unit record data that encompass more than one jurisdiction will be referred by the

National Data Steward to the HACC MDS Data Access Committee, comprised of each

jurisdictional Data Steward for the jurisdictions involved or their nominated representative, for

approval, where:

The request includes data for younger people with a disability. OR

The request includes either Victoria or Western Australia and does not include younger

people with a disability

In considering requests for unit record data, Data Stewards will consider the following:

The extent to which the data will be used for the purposes for which it was originally

collected, i.e. strategic planning, policy development and research;

The extent to which HACC Program managers and the broader community will benefit from

the proposed research or analysis; and

The extent to which client and agency confidentiality will be protected, including how the

data will be used, disclosed, stored and destroyed.

The track record of the applicant in complying with the conditions placed on previous

releases of administrative data.

Applicants should note the following points:

1. Data Stewards can impose additional caveats on the release of information. Caveats include

restrictions and conditions on the use, subsequent use, or the destruction of material which

has been provided.

2. Data Stewards may withhold or restrict the release of data if in their opinion it is possible to

use the output to identify individuals or groups, or if any other data security issue arises. The

Data Custodian may also negotiate with the applicant to minimise the likelihood of

identification of individuals or agencies.

3. Data Stewards may determine that the purpose of a request would be met with the provision

of aggregated data.

4. In cases where the applicant has failed to comply with conditions placed on previous releases

of data, Data Stewards may deny the request, or require that those conditions are met prior to

any new request being considered.

Upon processing of the application, the applicant will be informed of the outcome of the request

the approximate cost and timing and proposed mechanism for data transmission.

The Data Steward will inform the applicant of the reasons if the request has been denied.

3.4 Exemptions Data Stewards do not require a request form to release HACC MDS data, and do not need to

maintain details of requests, in the following situations:

1. Release of HACC MDS data to government departments directly involved in the

administration of the HACC Program. This includes the regular distribution of data extracts

from the National Data Repository via the Australian Government to each jurisdiction.

2. Internal release of HACC MDS data within administering departments, for planning,

accountability and policy purposes.

3. Release of HACC MDS data to the contributing agency

AGGREGATED DATA

(NOT IN PUBLIC DOMAIN)

UNIT RECORD DATA

(1) Requests for data encompassing more than one jurisdiction will be referred by the National Data Steward to the HACC

MDS Data Access Committee, comprised of each jurisdictional Data Steward for the jurisdictions involved or their

nominated representative, where:

the request includes data for younger people with a disability. AND/OR

(2) the request includes either Victoria or Western Australia. Requests for data from one jurisdiction must be referred to the

State/Territory Data Steward, UNLESS the request only includes data for older people and is for New South Wales,

Queensland, South Australia, Tasmania, the Northern Territory or the Australian Capital Territory, in which case the

request must be referred to the National Data Steward.

Request involves data

from more than one

State/ Territory1 (1)

Request involves data

from only one

State/ Territory2 (2)

Request involves data

from more than one

State/ Territory (1)

Request involves data

from only

one State/ Territory (2)

Submit

Request for Aggregated

HACC MDS Data form

to National Data

Steward

Submit

Request for Aggregated

HACC MDS Data

form to State/Territory

Data Steward

Submit

Request for Unit Record

HACC MDS Data form

to National Data

Steward

Submit

Request for Unit Record

HACC MDS Data form

to

State/Territory Data

Steward

National Data Steward

to

(a) maintain record of

request, and

(b) inform applicant of

estimated cost and

timing

Data Steward to

(a) maintain record of

request, and

(b) inform applicant of

estimated cost and timing

National Data Steward

to

(a) maintain record of

request in HACC MDS

Data Access Register,

and

(b) inform applicant of

estimated cost and

timing

Data Steward to

(a) maintain record of

request in HACC MDS

Data Access Register,

and

(b) inform applicant of

estimated cost and

timing

National Data Steward

refers request to HACC

MDS Data Access

Committee for

consideration

Data Steward to assess

request

National Data Steward

refers request to HACC

MDS Data Access

Committee for

consideration

Data Steward to assess

request

Assess whether data requested could be considered ‘identifiable’;

Assess scientific rigour of project, benefits to HACC Program, and ethical acceptability

Additional caveats to be imposed on data release as required

Once all requirements satisfied, Data Steward to provide applicant with data

Applicant to provide Data Steward with copies of any final reports, results or other documents

Unit record file destroyed

Appendix 1: State and Territory Data Custodians

Australian Capital Territory HACC MDS

Data Steward

Home and Community Care Program

Level 2, 11 Moore Street

ACT Health

GPO Box 825

CANBERRA ACT 2601

Tel: (02) 6207 8734 Fax: (02) 6205 0866

South Australia HACC MDS Data Steward

Office for the Ageing

Department for Families and Communities

PO Box 70, Rundle Mall

ADELAIDE SA 5000

Tel: (08) 8207 0435 Fax: (08) 8207 0555

Email: [email protected]

New South Wales HACC MDS Data Steward

Business Improvement

Department of Ageing, Disability and Home Care

Level 5, 83 Clarence Street

SYDNEY NSW 2000

Email: [email protected]

Tasmania HACC MDS Data Steward

HACC Unit, Health Services

Department of Health and Human Services

GPO Box 125

HOBART TAS 7001

Tel: (03) 6233 4737 Fax: (03) 6233 4949

Northern Territory HACC MDS Data

Steward

Aged & Disability

Department of Health and Families

PO Box 40596

DARWIN NT 0800

Tel: (08) 8999 2770 Fax: (08) 8999 2488

Victorian HACC MDS Data Steward

Coordinated and Home Care Unit

Department of Human Services

GPO Box 4057

MELBOURNE VIC 3001

Tel: (03) 9096 8424 Fax: (03) 9096 9162

Email: [email protected]

Queensland HACC MDS Data Steward

Department of Communities, Disability Services

and Child Safety

Planning and Performance Reporting

GPO Box 806

BRISBANE QLD 4001

Tel: (07) 3239 0823

Email: [email protected]

Western Australia HACC MDS Data Steward

Aged Care Policy Directorate

Department of Health

PO Box 8172

PERTH WA 6849

Tel: (08) 9222 2343 Fax: (08) 9222 2192

Appendix 2: Request for Aggregated HACC MDS Data

Section 1: Project Title and Contact Details

Project Title

Project Manager

Contact Officer

Phone

Fax

Email

Organisation

Division, Branch, Unit

Address

Signature of Project Manager

Date

Section 2: Project Details

State the objectives of your project.

Describe the data you are requesting, including all variables, cross tabulations and how

you would like the data represented.

Describe how the data will be used, and indicate the analysis methodology proposed

and any reports (published or unpublished) that results are to be included in.

What is the anticipated project completion date?

Appendix 3: Request for Unit Record HACC MDS Data

Section 1: Project Title and Contact Details

Project Title

Principal Investigator

Contact Officer

Phone

Fax

Email

Organisation

Division, Branch, Unit

Address

Signature of Principal Investigator

Date

Section 2: Project Details

State the objectives of your project and explain how it relates to HACC data.

Explain why unit record data is required (why aggregated data can not meet the project requirement)

Describe how you would like the data to be provided. Note that HACC MDS data extracts are typically provided in comma delimited (CSV) format.

List which specific data elements are required.

Who will have access to the data provided? Supply names and positions of everyone involved and describe their involvement in the project.

Describe how the data will be used, including detail of the methodology proposed.

How and to whom will the results be disseminated? Indicate any reports (published or unpublished) that it might be included in.

What is the anticipated project completion date?

Which privacy principles are relevant to this request and what steps have you taken to address these?

Describe how you and/or your organisation will securely store and maintain the confidentiality of the HACC MDS data provided.

How will HACC MDS data be disposed of at the conclusion of the project?

Has your project been approved by an ethics committee at your institution?

YES NO

If YES, please provide the name of the committee and the date it was approved, and attach a copy.

If NO, please explain why there is no Institutional Ethics Approval.

Undertaking

I, _____________________________________________________________ Full name and position of Responsible Officer

in the ________________________________________________________ Name of Department or Organisation

HEREBY ACKNOWLEDGE that privacy legislation applies to the use of HACC MDS data. I UNDERTAKE that the

above mentioned organisation and/or individual/s will use the information in accordance with the following conditions.

1. The unit record file will not be matched, in whole or in part, with any other information for the purposes of attempting to identify individuals, nor will any other attempt to identify an individual be made.

2. The individual/organisation will not disclose or release the information to any other individual or organisation,

except as statistical information that does not identify an individual.

3. Access to the unit record file will be restricted to only those employees of the organisation who are directly

responsible to the Principal Investigator. The Principal Investigator will explain to any employees granted access

to the information the conditions attached to its use, and provide to the HACC Data Access Committee with

information on any changes to the personnel listed in the application.

4. Access will not be granted to any other organisation without specific approval of the HACC Data Access

Committee.

5. The information will only be used for purposes such as program planning, policy development and research.

6. The information will not be used as a basis for any legal, administrative or other actions that could directly affect

any particular individuals or organisations as a result of their identification in this project.

7. The identifying information will be used only for the project proposed and described in this application. Use of

any of this information in any other project will not be undertaken until a separate application form has been

submitted to, and approved by, the Data Steward.

8. Results of the project will be made available for consideration by the Data Access Committee, if so requested,

prior to any public release.

9. The Data Owners will be acknowledged in all reports and publications resulting from this project, and will be

provided with a copy of all such reports and publications.

10. The unit record file will be destroyed in a manner that prevents recovery at the time agreed in the notification of

data release.

11. The released information/data are provided as an information resource only. Whilst all reasonable care has been

taken in the preparation of the information/data, the Australian Government and State and Territory Governments

are not able to warrant the accuracy of the information/data and accept no responsibility for any loss, injury or any

other liability incurred by any person that arises as a result of the use of the information/data by any person or

organisation.

12. The recipient will comply in all respects with the requirements of the Privacy Act 1988.

13. Copyright in all data is vested in the Australian Government and contributing State and Territory Governments.

14. Any publication which uses the data must identify the HACC MDS National Data Repository as the source.

Signature: _________________________________________________________________________________

This application must be signed by a responsible officer with the authority or delegation to commit the above mentioned

organisation to the terms and conditions above.

Date:__________________________

Witness

Name:

Position: ______________________________________________________

Organisation/Unit: ______________________________________________

Signature: _____________________________________________________

Date:__________________________

All employees of the above organisation who will be granted access to the information must be listed and must agree to

comply with the conditions included in the undertaking.

When completed, please return this form to the appropriate Data Steward as identified in the HACC MDS Data

Access Protocol at Appendix 1.

Principal Investigator

Name: ____________________________________________________________________________________

Position: __________________________________________________________________________________

Organisation/Unit: __________________________________________________________________________

Signature: _________________________________________________________________________________

Date: ___________________________

Details of any other person/s who will have access to the data

The Data Access Committee is to be informed of any changes to the personnel listed here

Name: ____________________________________________________________________________________

Position: __________________________________________________________________________________

Organisation/Unit: __________________________________________________________________________

Signature: _________________________________________________________________________________

Date: ____________________________

Please attach details of any other person who will have access to the data.

Witness

Name: ____________________________________________________________________________________

Position: __________________________________________________________________________________

Organisation/Unit: __________________________________________________________________________

Signature: _________________________________________________________________________________

Date: ____________________________