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.
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.
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.
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.
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.
The Evidence Dissemination Service is currently being reviewed.
Decisions are evidence-based, transparent and accountable. The review process includes assessment of the following by the Committee:
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.
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.
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.
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.
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:
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.