Technology/Clinical Practice Committee (TCPC)

The function of the Technology/Clinical Practice Committee (TCPC) is to ensure that new technologies and clinical practices at Monash Health are introduced within a rigorous and evidence-based framework.

About TCPC

Definition of a New Technology / Clinical Practice

A new technology or clinical practice is defined as a therapeutic intervention (including prostheses; implantable devices; high cost pharmaceuticals; medical, surgical or other clinical procedures) or diagnostic procedure that is considered by a reasonable body of clinical opinion to be significantly different from existing clinical practice.

Applications are required when a new technology or clinical practice that has not been performed at Monash Health is to be introduced. Variations to existing procedures and treatments that involve a new device or item of equipment may also require an application if they are significantly different from existing practice. You may wish to discuss this with the Secretariat, TCPC when in doubt.

Role and Responsibilities of the TCPC

The Committee oversees and supports clinicians in the safe and appropriate introduction of a technology or clinical practice that has not previously been undertaken at Monash Health.

Approval must be obtained from the committee before commencing any new technologies or clinical practices on any Monash Health patient, public or private.

Once a new technology or clinical practice is supported by the TCPC, it is the responsibility of the head of unit, program director and executive sponsor to oversee the implementation of any technology and clinical practice being introduced.

A copy of the Terms of Reference of the TCPC is found below.

Monash Health staff can access policies and procedures for the introduction of new technology and clinical practices via PROMPT.

Documents

Reporting Requirements of a New Technology or Clinical Practice being Introduced

The Committee monitors successful outcomes and adverse events for two years after the introduction of a new technology or clinical practice.

Templates that meet the reporting requirements have been developed to assist with data collection and reporting. These reports are collated and the information is reported to the Monash Health Executive Committee, and the Department of Health & Human Services annually.

Documents

Change of Use of Existing Technology and Current Clinical Practices

A ‘Change of Use’ application is required when any changes of use to current approved technologies or clinical practices are planned. This requires a ‘Change of Use’ form to be submitted to the Secretariat, TCPC.

Please refer to the TCPC application process below.

Evaluation of the TCP Program

The committee invites ongoing feedback about all systems and processes.

A program logic map and evaluation plan were developed to facilitate evaluation of the program.

The program won the 2009 Australian Council of Healthcare Standards Quality Improvement Award for Non-Clinical Service Delivery. It was also nominated for the 2009 Victorian Public Healthcare Award for Most Appropriate Care: providing least intrusive and earliest effective care.

The TCPC was last evaluated in December 2015. A copy of the evaluation report may be requested from the Secretariat, TCPC.

Documents

Program Logic Map

PDF Document

Other Activities of the TCPC – Evidence Dissemination Service

The Evidence Dissemination Service is currently being reviewed.

Documents

Decision Criteria

Decisions are evidence-based, transparent and accountable. The review process includes assessment of the following by the Committee:

  • safety, effectiveness and cost effectiveness
  • operational requirements such as cost, capacity, capability and credentialing
  • considerations related to access, equity, legal and ethical issues
  • review of patient information about the new procedure.

It is important that you speak with your Program Director and Business Manager to discuss your intention of introducing a new technology or clinical practice to Monash Health.

The decision flow chart guides clinicians and their Program Directors on important criteria to consider BEFORE submitting an application to be reviewed by the Technology/Clinical Practice Committee.

Application Process

Applications are required for:

1) A New Technology / Clinical Practice 

Any technology or clinical practice (TCP) to be introduced that has not already been performed at Monash Health requires an application. Variations to existing procedures and treatments that involve a new device or item of equipment may also require an application if they are significantly different from existing practice. In these cases, a ‘New TCP’ Application must be submitted.

2) A Change of use of Technology

When changes of use to current approved technologies or clinical practices are planned, a ‘Change of use’ Application must be submitted.

3) Reclassification of a technology/ clinical practice to become Standard Practice

If applicants wish to continue to use a previously approved technology or clinical practice after the standard two-year monitoring period,  a Review for ‘Reclassification for standard practice‘  must be submitted.

The committee reviews previously approved applications for reclassification to standard practice two years after introduction of the TCP or earlier by request from the relevant Department Head.

* Applications are not required when a technology or clinical practice is already in practice at Monash Health. However, the clinician should seek advice from the Monash Health Credentialing and Scope of Practice Committee regarding the credentialing requirements to undertake the procedure.

Meeting Dates:

The TCPC meets once a month to review and approve applications. The dates for the meetings can be downloaded from the link below. Applications are due two weeks prior to the meeting to allow sufficient time for the evidence behind application to be reviewed.

Resources:

Additional resources are also provided to help you in filling up the form.

Link to Additional Resources for more information.

Submissions and enquiries:

All submissions and enquiries may be directed to the Secretariat, TCPC.

Documents

New Technology/Clinical Practice reclassified to become Standard Practice

At the end of a two-year monitoring period, technologies and clinical practices may be considered by the TCPC to be reclassified to become standard practice at Monash Health.

Technology and clinical practices that have been reclassified to become standard practice in 2016 and 2017 are:

2016

  • Lucas 2 external chest compression system
  • Laparoscopic Sleeve Gastrectomy
  • Extracorporeal shockwave lithotripsy for renal tract stones
  • Drug eluting stents and balloons

2017

  • Thromboelastography
  • Skeletal distraction of the proximal interphalangeal joint
  • Fasciotomy of Dupuytren’s hand contractures

Summaries from before 2016 are avaliable on request from the TCPC email

Documents

New Technology/Clinical Practice applications submitted for consideration

The lists below display titles of applications submitted to the TCPC for consideration. This does not indicate if the technology or clinical practice is currently being used in Monash Health.

All decision summaries published are readily available upon request from the Secretariat, TCPC.

2019

  • Transperineal ultrasound for muscle biofeedback
  • Sentinel cerebral embolic protection
  • Migraine surgery
  • Corneal neurotisation

2018

  • Vagus nerve stimulation
  • Telemetric measurement of intracranial pressure
  • Per Oral Endoscopic Myotomy (POEM) procedure
  • Transoral thyroidectomy
  • FlexDex needle holder in paediatric urology
  • Transabdominal transanal total mesorectal excision (TATA-TME)
  • Treatment of venous insufficiency using percutaneous a) radiofrequency ablation and b) cyanoacrylate closure
  • Superficial temporal artery-middle cerebral artery (STA-MCA) bypass surgery

2017

  • Endometrial-ablation hyperthermia catheter
  • Tunnelled paracentesis for domiciliary ascitic drainage
  • Physiotherapists administering inhaled medications
  • Endoanchors
  • Nutrition and dietetics pathology requesting privileges
  • Intracardiac echocardiography (ICE)

2016

  • Nellix stent graft
  • Cochlear implantation in adults
  • Negative pressure device to treat lymphoedema
  • Micra leadless pacemaker
  • Patient Safety NET Woven EndoBridge (WEB) device for the treatment of complex wide-neck brain aneurysms
  • Hemospray use in non-variceal upper gastrointestinal bleeding
  • Electrical nerve stimulation after peripheral nerve injury repair
  • Coolsense device
  • GDC and PCOS Laser hair removal service

2015

  • Thromboelastograpy
  • ReCell – Autologous cell harvesting device
  • Vertebral augmentation (kyphoplasty) as palliative pain relief procedures in patients with disabling cancer-related spinal column pain
  • Perceval-S Sutureless aortic valve replacement
  • Skeletal distraction of the proximal interphalangeal joint
  • Biojector 2000 – Needle Free Injection System
  • Targeted Intra-operative Radiotherapy (IORT) for breast cancer

Contact information

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