Temporary POAC Pathway : Acute Referral Decline Management

6 May 2020

The WDHB Primary Options Clinical Monitoring Group has acknowledged the large number of acute referral declines arising from the change in service provision during the COVID-19 pandemic and has added a new temporary pathway to the POAC to support GPs in the management of these patients.

 

Acute Referral Declines so that the Patient can be Managed in the Community (Trial Pathway 17)

 

Background

Given the impact of COVID – 19 on patient care, General Practitioners will be funded under POAC to discuss and implement a care management plan for patients referred urgently to the hospital who can be managed safely in primary care in consultation with the relevant specialist.

 

Eligibility Criteria

Patients where an acute admission has been considered by a general practitioner and after discussion with the relevant SMO (excluding ED) a care management plan has been instigated to avoid admission. This applies only for the period where the hospital has reduced capacity or ability to provide the urgent care due to Covid – 19 or patients are unable to go to the hospital due to transport/access issues.

Patients whose usual place of residence is the Waikato DHB district

 

Inclusions

Extended Initial Consultation either face to face or virtual for up to 30 minutes

Follow-up consultation(s) either face to face or virtual

 

Funding Claim

GP extended consultation (30 mins) $75

Follow-up extended consultations $75  - Maximum of 2

All patients 15 years and over make a co-payment for the initial consultation

 

Start and end date

Claims may be backdated for services to 1 May 2020 and will end on 30 June 2020. This pathway will be reviewed and decisions made by 30 June 2020 as to whether will be continue to be included.

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