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Managing Business Risks in a Pandemic

Managing Business Risks in a Pandemic

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Surviving Telehealth’s Impending Tectonic Structural Shift

Tom Skotnicki- Medical Republic 2 April


Most of us are disoriented by the rapid changes at a time when so many are living in isolation and often dread.  Unless patient relationships are adroitly managed, the changes could prove to be an existential threat. And I suspect those in greatest danger will be those that fail to focus on the patient experience.

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AGPA urges focus on the viability of General Practices.

The AGPA welcomes the decision of the Australian Government to extend MBS (Medical Benefits Schedule) Telehealth item numbers to cover all members of the community and all GPs regardless of the circumstances. This will help to reduce the risk of COVID-19 transmission and support the maintenance of necessary patient care.

AGPA also applauds the recognition of General Practice and primary health care in leading the fight against the Pandemic.

However, AGPA urges the removal of requirements for the bulk billing only of Telehealth items as quickly as possible.

Many General Practices in Australia are structured in a way that private billing of patients is essential for their financial viability.

The viability of General Practices has come under significant strain in recent weeks as workloads have increased due to dealing with COVID-19 enquiries and changed work practices, while consultations have decreased as patients avoid the perceived risk of infection in waiting rooms.

If General Practices are to successfully maintain primary health care during the Pandemic their viability needs to be secured. Government must not interfere with the relationship between patients and Doctors and should allow Practices to decide how to manage their businesses and organise their billing structures

Media Release

AGPA Calls for Extension of Telehealth

16 March 2020

The Australian GP Alliance (AGPA) congratulates the Government on its decision to introduce Telehealth consultations for Australians who are classified as “at risk of COVID19”.

Supporting all high risk groups to reduce their exposure to COVID-19 by reducing time in waiting rooms, and public areas is welcomed.

AGPA notes that the ability to consult via Telehealth is limited to a Doctor who has held a consultation with the person in the last 12 months. This is too restrictive and unhelpful.

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COVID- 19 – Webinar 12 March 2020

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Practice Partners’ Reflections

Tom Skotnicki *

David and Trina Gregory first met in 1987 as young ED registrars. David took the lead in setting up their first practice in Port Macquarie the following year while Trina had six children over the next few years. Both are still working as GPs, albeit in Canberra. But when Practice Matters asked them if they would do it again if they were starting out today there was a cautious reaction. They both agreed that the 1980s was a far simpler time for General Practice.

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Is the PIP QI important?

Oliver Frank *

Practices participating in the QI PIP will receive 70 cents or less per consultation, if one divides the $5.00 per patient per year offered by the scheme by the average of seven visits per year that Australians make to general practice.  For practices with more than 10,000 SWPEs (standardised whole patient equivalent), the payment per consultation is likely to be less than 70 cents, because the QI PIP payment is capped at $50,000 per practice per year.  Apart from being able to receive this relatively small amount of money, are there any other reasons why GPs should or would see this new scheme as important?

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