UPDATED ADVANCED FORMS FROM 1 JULY 2019

28 Jun 2019

Please Refer to 2018 /2019 Practice Claiming Guide and add/update where appropriate.  Please import the following advanced forms and ensure clinical staff are made aware of the additional and updated claiming information as soon as possible. An updated Claiming Guide will be available via the next issue of the Weekly Update.

 

  1. Primary Options for Acute Care

From the 1st July 2019, Hauraki PHO will administer Primary Options for Acute Care for Hauraki PHO Practices. Pinnacle MHN will no longer coordinate the process. Click on the following link to locate information and resources.   Primary Options Communication Package

 

  1. Extended Consult Advanced Form

A further service – Acute Care – has been added. This may be used if you wish for a service that has been declined by Primary Options. Please note however, it will be funded from your SIA allocation.

Click here for updated Extended Consult  Advanced Form

Note:  Please inactivate the previous version prior to importing the new form.

 

  1.   Healthy Weight Consultations

The form has been updated to add a 6 month Review Recall for the patient on completion of the Initial Healthy Weight Consult, however the recall time frame can be between 6 – 12 months.

Click here for updated Healthy Weight Consultations Advanced Form

Note:  Please inactivate the previous version prior to importing the new form.

 

  1. Increasing Equity of Access to Contraception  - Long Acting Reversible Contraception (LARC)

Contract Period

Initially until 30 September 2019

Service objectives

The purpose of this service is to decrease the high rates of unplanned pregnancy, which can negatively impact physical and mental health, and social wellbeing. Specific objectives are to:

  • Increase equity of access to contraception for low income women and those living in deprivation,
  • Reduce poor health and social outcomes for women and infants associated with an unplanned pregnancy and birth, and
  • Provide more women with support so that they can make a decision about their fertility and when to have children.

Background and context

Unplanned pregnancy in New Zealand

In New Zealand (NZ), more than 40 percent of births are unplanned. In 2017 there were more than 37,000 unplanned pregnancies resulting in around 24,000 births and 12,000 abortions. There are almost double (57percent) of the numbers of births from unplanned pregnancies to women living in quintile 5, compared to 29 percent for women living in quintiles 1-3. NZ and international data shows that cost is one of the critical factors in contraceptive access.

There are also some sub groups of women with higher rates of unplanned pregnancies. Highest rates of unplanned pregnancies are in young women (80 percent), Māori (70 percent), Pacific women (60 percent), women with substance abuse issues (67 percent) and women in receipt of a state-funded benefit (66 percent).

Health impact of unplanned pregnancies

Unplanned pregnancies often result in welcomed and very much wanted infants, but some can result in infants being born in to environments that lack the support for optimal child and maternal health and are associated with poorer health and social outcomes for women and children.

For unplanned pregnancies there is a 31 percent increased risk of having pre term births and 36 percent increased risk of low birth weight babies (Shah, 2015) that can result in ongoing functional disability, including cerebral palsy, cognitive, motor and language delay. There are persistently poorer mental health outcomes for mothers, particularly young mothers and a higher risk of foetal alcohol spectrum disorder.

Births from unplanned pregnancies can reduce women’s ability to participate in paid work, meet educational goals and place financial strain on families. For teens births from unplanned pregnancies interrupts education and reduces employment options. Forty-nine percent of teen parents live in quintile 5 areas, and fifty-seven percent are Māori. By age 25, their average income was one third of a matched cohort of other 25 year olds and half of all teen mothers had no NCEA passes. 

Benefits of contraceptive access

Access to contraception gives autonomy to girls, women and couples to choose the timing of their pregnancies and pursue other priorities, such as education, financial, personal, family or work goals. This improves health and wellbeing for women and children.

Eligibility (target population)

Women aged 15-44 years who:

  • live in quintile 5 areas; or
  • hold a community services card; or
  • are at high risk of poor health and social outcomes (as set out in the background and agreed).
  • women who would also qualify for services under the Free Under 25s Contraceptive and Sexual Health Agreement are included under this agreement but cannot be claimed under Free Under 25 Contraceptive and Sexual Health Agreement

Exclusions

  • women not eligible for publically funded healthcare
  • women with heavy menstrual bleeding
  • women who do not fit under eligibility target population

 

Services funded

Service

Conditions

Contraceptive Consultation

Maximum of two per annum per women

Depo Provera

Maximum of four per annum per women

Jadelle / IUD insertion

 

Jadelle removal

 

IUD removal

 

Removal and insertion at same consult

 

 

Click here for  new Access to Contraception Advanced Form

Click here for Instructions to Import and Set up Access to Contraception Advanced Form in Medtech32

Click here for Instructions to Import and Set Up Access to Contraception Advanced Form in Evolution

 

  1. Long Term Contraception

The form has been updated to include a prompt ‘If patient is female and aged between 15-44 years, consider utilising LARC funding’.

Click here for updated Long Term Contraception Advanced Form

Note:  Please inactivate the previous version prior to importing the new form.

 

  1. Under 25 Free Sexual Health Consultation

The form has been updated to include Nurse Practitioner as a Service Provider.   

Click here for updated U25 Advanced Form

Note:  Please inactivate the previous version prior to importing the new form.

 

If you have questions or require assistance please contact practicesupport@haurakipho.org.nz