Eligible Providers and Key Points
- All GPs in practices participating in the Practice Incentives Program (PIP) will be eligible for an incentive payment once they have provided a predetermined number of Medicare-claimable services;
- Funding is available on a two tiered model and payments will be made automatically by Medicare Australia once the predetermined Qualifying Service levels (QSLs) have been reached;
- Payment will be made available to the GP who provided the service rather than to the practice; and the Program only applies to services provided to aged care residents in Commonwealth funded RACFs;
- The incentive payment will be available to GPs in practices participating in the PIP. These practices are required to be accredited or registered for accreditation against the Royal Australian College of General Practitioners (RACGP) Standards for General Practices.
Relevant MBS Items
Summary of MBS Items
Item 712, CMA (Comprehensive Medical Assessment)
Templates for CMA are available for Medical Director and Genie users, or in paper form.
- CMA standard assessment form (ready to print) CMA Form
- Medical Director CMA Templates
Available from North East Valley Division website: www.nevdgp.org.au (go to Division Resources, then to Aged Care)
- Genie CMA template
Item 903, RMMR - Residential Medication Management Review
Case Conferences at Aged Care Homes
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Hospital Transfer Tools
Hospital transfer letter check sheet - use this to ensure that you have included all the required documentation.
Example of a hospital transfer letter
Developed by Aged Care Homes, Hospitals and Divisions of General Practice in the Eastern suburbs of Melbourne.
Recommendations for Hospital Transfer Process
Transfer letter envelope
This envelope holds all the patient's transfer information when going to hospital to help ensure
- The information gets to the hospital
- The patient is identified as a resident of an aged care home
- Final check list that all required information has been sent.
Successful GP - RACF Models/Systems
In 2009 the GP Panel project completed a needs analysis of Aged Care Homes and GPs.
Many issues raised, such as medication management, were common problem areas to all groups.
Systems working well included:
- A few core GPs caring for majority of residents, 4 to 8 residents per GP
- GPs sharing care with others in their practice
- GP Clinic within the Aged Care Home
- Time and opportunity for GPs to develop long term relationship with Aged Care Home and staff
- GP understanding of Aged Care Home processes and imperatives
- Aged Care Home understanding of GP pressures
- Planned GP visits to Aged Care Home
- Aged Care Home support provided to GPs (preparation of paperwork, residents etc.) maximizing GP-resident contact time
Working Together Check Lists:
GP check lists
Aged Care Home check lists
GP & ACH Checklist Combined
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Aged Care GP interface resources and articles
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Presentation and Reports
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