QI Incentive Payment Update Department of Health - PIP

3
June 2019 - In brief June 2019 - In Brief For links to resources, clinical updates and more, visit news.wapha.org.au 28 November 2019 Have not been able to be included in the first tranche assessments (November 2019) due to further work being required to assess their eligibility (i.e. correction of records, review of decisions and other extenuating circumstances). Non-compliance with eHealth Incentive requirements (this can affect all PIP payments for a short time) The practice’s accreditation having expired The annual confirmation statement has not been confirmed. For a small number of AMS and ACCHS payments, PIP QI eligibility assessments may be delayed where multiple subsidiary organisations are reporting to a singular ‘umbrella’ organisation for the purposes of nKPI reporting. General practices may have had their payment delayed or withheld due to: If a practice has not received a payment and feels that there are extenuating circumstances as to why they should have been considered, they may request a Review of Decision through the DNS. For more information, contact Practice Assist on 1800 227 747 or email [email protected] Continued page 2 Department of Health - PIP QI Incentive Payment Update Registered with the Department of Human Services (DHS) to participate in PIP QI by 15 October 2019 and submitted data to their local Primary Health Network (PHN) prior to their PHN’s data submission cut-off date; or Registered with DHS to participate in PIP QI by 15 October 2019 and submitted nKPI data to the Department of Health as required under the Indigenous Australians' Health Program (IAHP); or Registered with DHS to participate and had an exemption granted between 1 August and 15 October 2019. Registered with DHS to participate in PIP QI between 16 October and 31 October 2019 and submitted data to their local PHN by 31 October 2019; or Registered with DHS to participate in PIP QI between 16 October and 31 October 2019 and submitted nKPI data to the Department of Health as required under the Indigenous Australians' Health Program (IAHP); or Registered with DHS between 1 August and 31 October and applied and had an exemption granted between 16 October and 31 October 2019; or The Department of Health has provided the below information for general practices, Aboriginal Medical Services (AMS) and Aboriginal Community Controlled Health Services (ACCHS) registered with the Practice Incentives Program (PIP) Quality Improvement (QI) Incentive program. Entities that meet the following specifications will receive their payment for the first quarter (August to October 2019) in November 2019: During the first 12 months of transition, entities that meet the below specifications will receive their payment in December 2019: 1 1

Transcript of QI Incentive Payment Update Department of Health - PIP

Page 1: QI Incentive Payment Update Department of Health - PIP

June 2019 - In brief June 2019 - In Brief

For links to resources, clinical updates and more, visit news.wapha.org.au

28 November 2019

Have not been able to be included in the firsttranche assessments (November 2019) due tofurther work being required to assess theireligibility (i.e. correction of records, review ofdecisions and other extenuatingcircumstances).

Non-compliance with eHealth Incentiverequirements (this can affect all PIP paymentsfor a short time)The practice’s accreditation having expiredThe annual confirmation statement has notbeen confirmed.

For a small number of AMS and ACCHSpayments, PIP QI eligibility assessments may bedelayed where multiple subsidiary organisationsare reporting to a singular ‘umbrella’organisation for the purposes of nKPI reporting. General practices may have had their paymentdelayed or withheld due to:

If a practice has not received a payment andfeels that there are extenuating circumstancesas to why they should have been considered,they may request a Review of Decision throughthe DNS. For more information, contact Practice Assist on1800 227 747 or [email protected]

Continued page 2

Department of Health - PIPQI Incentive Payment Update

Registered with the Department of HumanServices (DHS) to participate in PIP QI by 15October 2019 and submitted data to theirlocal Primary Health Network (PHN) prior totheir PHN’s data submission cut-off date; or Registered with DHS to participate in PIP QIby 15 October 2019 and submitted nKPI datato the Department of Health as requiredunder the Indigenous Australians' HealthProgram (IAHP); or Registered with DHS to participate and hadan exemption granted between 1 August and15 October 2019.

Registered with DHS to participate in PIP QIbetween 16 October and 31 October 2019and submitted data to their local PHN by 31October 2019; or Registered with DHS to participate in PIP QIbetween 16 October and 31 October 2019and submitted nKPI data to the Department ofHealth as required under the IndigenousAustralians' Health Program (IAHP); or Registered with DHS between 1 August and31 October and applied and had anexemption granted between 16 October and31 October 2019; or

The Department of Health has provided thebelow information for general practices,Aboriginal Medical Services (AMS) andAboriginal Community Controlled HealthServices (ACCHS) registered with the PracticeIncentives Program (PIP) Quality Improvement(QI) Incentive program. Entities that meet the following specificationswill receive their payment for the first quarter(August to October 2019) in November 2019:

During the first 12 months of transition, entitiesthat meet the below specifications will receivetheir payment in December 2019:

2

1

1

Page 2: QI Incentive Payment Update Department of Health - PIP

Page 2

08 6272 4900 | [email protected] | www.wapha.org.au

F r e e p e r t u s s i s - c o n t a i n i n gv a c c i n e n o w r e c o m m e n d e de a r l i e r i n p r e g n a n c yEvidence around the timing of pertussisvaccination in pregnancy has recently beenreviewed and the pertussis-containing vaccineis now recommended as a single dose between20 and 32 weeks in each pregnancy, includingpregnancies that are closely spaced to providemaximal protection to each infant. This adviceis reflected in the Australian ImmunisationHandbook. Maternal antibodies against pertussis provideprotection to babies until they have received atleast two doses of pertussis containingvaccines (at six weeks and four months of age).Babies less than six months of age are atgreatest risk of severe disease and death frompertussis. The most important factor associated withuptake of vaccination during pregnancy is ahealthcare provider recommendation. Pleasetake all opportunities to speak to your pregnantpatients and their partners about theimportance of getting vaccinated againstpertussis during pregnancy. The pertussis-containing vaccine is providedfree to pregnant women through the NationalImmunisation Program to protect bothpregnant women and their babies frompertussis and its complications.

More information for healthcare providers,including a clinical advice fact sheet andpromotional materials is available athealth.gov.au/immunisation or see the “Pertussis Vaccine for Pregnant and Post-Partum Women” HealthPathway.

GP Hospital Liason UpdatesS C G H O u t p a t i e n t R e f e r r a l sSir Charles Gairdner Hospital is conducting anextensive review of outpatient services andprocesses to improve patient access to care, andthis requires it to streamline it's processes. Referrals for a specialist outpatient appointmentshould be sent to the Central Referral Service(CRS) so that that patients can receive care inthe most suitable location. This includesdirecting referrals to sites that offer state-wideservices. Non-immediate referrals sent directlyto the hospital cannot be actioned, and will bereturned to the referrer. Immediate referrals, i.e. where the patient needsto be seen by the specialist within seven days,must be discussed with, and accepted by, therelevant specialty. To discuss a patient who mayrequire immediate review, phone the hospitalswitchboard on 6457 3333 and ask to speakwith the relevant on-call consultant/registrar. Ifaccepted, mark the referral as ‘immediate’ andfax to the hospital as directed by theconsultant/registrar to the specific fax numberprovided. For more information on how to refer foroutpatient appointments, see the CentralReferral Service guide for referrals. Dr Lucy GilkesHospital Liaison GPSir Charles Gairdner [email protected]

A d v i c e f o r h o s p i t a l r e f e r r a l st h a t i n c l u d e r a d i o l o g yr e p o r t s

Sir Charles Gairdner Hospital has requested thename of the imaging provider be included withradiology investigations as part of a referral.This assists hospital clinicians in being able toaccess a copy of the imaging when triagingreferrals and ensures patients are seen in aclinically appropriate time frame. SCGH advises this practice would be beneficialto all hospitals.

Clinical Updates

T c - 9 9 m s h o r t a g e o v e r WA Health has advised the supply ofTechnetium (Tc-99m), the main isotope used innuclear medicine scans, has much improvedand both public and private providers aregradually transitioning to normal scanningcapacity. This means that clinicians can now resumeissuing patient referrals for Tc-99m scansthrough their nuclear medicine provider forboth urgent and non-urgent scans.

Page 3: QI Incentive Payment Update Department of Health - PIP

View more upcoming GPeducation events atwapha.org.au/event

N a t i o n a l C a n c e r S c r e e n i n gR e g i s t e r n o w s u p p o r t i n gb o w e l c a n c e r s c r e e n i n g

Visit ncsr.gov.au for more information.

Collecting and storing NBCSP bowel cancerscreening dataInviting and reminding eligible people toparticipate (through integration with theMedicare database)Distributing free iFOBT kits to eligibleparticipants Providing the State and Territory ParticipantFollow-Up Function (PFUF) access to theNational Register to facilitate their supportand follow up of positive iFOBT resultsProviding information on participants tohealthcare providersReporting on key program and operationaloutcomes for policy makers and keystakeholders to ensure appropriate safety,monitoring and evaluation of the Program.

As of 18 November, the National CancerScreening Register will also be supporting theNational Bowel Cancer Screening Program(NBCSP), creating a single national record forparticipants of the NBCSP and the NationalCervical Screening Program. The Register will support the NBCSP by:

Additional functionality will be implemented instages from March 2020, including an onlineportal for healthcare providers to access andsubmit data, and integration with practicemanagement software and whole-of-government services (such as MyGov and MyHealth Record).

Page 3

08 6272 4900 | [email protected] | www.wapha.org.au

R e f e r r i n g p a t i e n t s t o M yA g e d C a r e n o w a v a i l a b l eo n l i n e The Department of Health together withHealthLink has developed a new electronicreferral process allowing GPs to refer theirpatients to My Aged Care directly from theirpractice management systems. The new e-Referral form can be accessed fromwithin Best Practice, Medical Director and Geniepractice management systems. For support or toenable access, contact HealthLink on 1800 125036 or email [email protected] A new After you’ve registered with My AgedCare brochure is also available to supportpatients with next steps once they have beenreferred. The Department welcomes feedbackon the new e-Referral form and the brochure,via [email protected]

N e w G P t r a i n i n g t o u p s k i l l i nh a r m m i n i m i s a t i o n a n d A O Du s eThe RACGP has launched a new educationprogram to help GPs develop skills in addressingalcohol and other drug use in their communities.The Alcohol and Other Drugs (AOD) GPEducation Program will be tailored to meet theneeds of GPs in different communities andsettings and encourages participation from ruraland remote GPs. To take part in the AOD GP Education Program,GPs will need to complete an online applicationform. Applications for the program will open 2December 2019. For more information, [email protected]

O n l i n e G P l e a r n i n g f o rH e p a t i t i s C p o i n t - o f - c a r eThe Australasian Society for HIV, Viral Hepatitisand Sexual Health Medicine (ASHM) havelaunched a free set of online learning modulesfor GPs and other community practitioners.ASHM’s Hepatitis C point-of-care (PoC) modulesare designed to introduce practitioners to PoCtesting and cover options for sample collection,the pathway to diagnosis and sharing results. Point-of-care tests provide an opportunity fortesting people who may not otherwise seektesting from medical settings and will greatlyenhance linkage to care in community settings.Visit ashm.org.au for more information.