Janine E Walsh BSc. Hlth & Ex. Sc. ESSAM AEP - Accredited Exercise Physiologist - Exercise Life Skills Consultancy
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Janine E Walsh - Accredited Exercise Physiologist - Exercise Life Skills Consultancy Exercise For Heart Disease
 
Health Conditions/Benefits

For Health Professionals/ Referrers

The Enhanced Primary Care (EPC) program was introduced to provide more preventative care for Australians and improve the coordination of care for people with chronic conditions and complex care needs. The program provides a framework for a multidisciplinary approach to health care.

To cut down on paperwork and make it easier for GPs to manage the health care of patients with chronic medical conditions, including patients who need multidisciplinary care, new items in the Medicare Benefits Schedule were introduced in 2005.

A GP can develop a 'GP Management Plan' (Item 721) to help a patient with chronic illness. For patients with complex care needs, this plan may be supplemented by a 'team care plan' (Item 723), which involves allied health workers.

GPs can access Medicare rebates for preparing and reviewing GP Management Plans for patients with chronic medical conditions. For patients requiring multidisciplinary care, GPs can also claim from Medicare for coordinating team care planning and review services.

For more information on MBS Fee and Item Rebates:

MBS Online- Medicare Benefits Schedule
Chronic Disease Management Item 721 and Item 723:

www9.health.gov.au

Steps taken for a: GP Management Plan (GPMP)- Item 721

  1. Ensure Patient Eligibility- The Chronic Disease Management (CDM) items apply to treatment of people with chronic diseases, see examples below
  2. Develop Plan- this includes among other things: agree on management goals with the patient and identify treatments and services required
  3. Complete Documentation- see forms attachment below
  4. Claim MBS item

Steps taken for a: Team Care Arrangement (TCA)- Item 723

  1. Ensure Patient Eligibility- patients who need ongoing care from a team of health or care providers
  2. Develop TCA- this includes- discussing with patient which providers, you the GP, will collaborate with
  3. Complete Documentation- see forms attachment below
  4. Claim MBS item

A 'chronic' disease is defined as a one that has been or is likely to be present for 6 months or longer. Seventy percent of general practice visits are related to chronic disease. Physical inactivity is the second largest contributor towards chronic disease and illness, the first contributor being smoking. The minimum recommended amount of moderate physical activity per week is 150 minutes. Sixty- five percent of patients undertake less than this minimum recommendation.

Some examples of Chronic Diseases include:

To reduce paper work for doctors a combined form is available below

GPMP & TCA

Rebates also available from most Private Health Funds.

Rebates available from Department of Veterans Affairs (DVA).


Please note: It may take a few minutes to load the forms if you are using a dial-up Internet Connection. If you are unable to view the forms, you may need to download Adobe Acrobat for free by clicking on the icon below

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