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?
Continue reading “Is the PIP QI important?”
Nathan Pinskier *
AGPA has the potential to play a vital role in the future of
Australian health policy development as the status of General Practice within
the overall healthcare system has never been comprehensively defined. General
practitioners have a clear role but does General Practice?
General Practice is not by definition a public healthcare
service yet it provides a comprehensive range of services to the public. It is
largely regarded as a private primary care service but is underpinned by
federal dollars (Medicare, DVA, PIP etc..) and as a result is subject to some oversight
and a level of control by the Federal Department of Health.
Continue reading “Where does General Practice fit in the overall Australian Health System?”
First of all let
me precede my comments with a caveat drawn from social media, hashtag
I have on
occasion heard hospital based specialists be incredulous that GPs do not have
routine access to the eTG (therapeutic guidelines) and the inevitable “GPs
should…..” statement followed. It seems
that those who made the observation were blissfully unaware of the thousands of
dollars an eTG subscription would cost the average General Practice in an
economic environment of underfunding of primary care. Most hospital based
specialists appear to have no appreciation of the cost of doing GP medical
business. Another wondered whether the
education provided to GPs should be at a final year medical student level? I subsequently wondered if our fellowship was
invisible. I hear from those in my
family who are in the hospital environment how often the hidden curriculum of
“Just a GP” comes up in informal hospital settings and I wonder why?
Continue reading “Do hospitals and hospital based specialists appreciate General Practice?”
John Deery, Chair, AGPA
Some of you may be wondering why AGPA wrote directly to the profession last month calling for an end to the disrespect of General Practice by successive governments. The simple answer is that it was overdue.
The reality is that running a GP practice in Australia has become increasingly problematical in the face of issues such as the Medicare freeze, changes to rebate rates in various geographical areas, restrictions on the GP workforce, and the attempts to cut a sweetheart deal with pathology on co-location rentals. The cavalier attitude adopted to the legitimate fears over access to patient and practice data inherent in the PIP QI arrangements is just the latest example of a failure to listen to General Practice.
Continue reading “Letter to GPs”
The PIP QI program went live on 1 August 2019.
The AGPA and a group of concerned Doctors reviewed the data collection arrangements for the program and determined that there were significant privacy issues for patient and Practice information.
The Department of Health has now released a new set of guidelines which addresses many of the issues raised by the AGPA.
A win for common sense.
Continue reading “PIP QI – AGPA makes progress”
By Julie Lambert
Sydney GPs shifting to a new integrative care model are reporting better morale, happier patients, and some uncertainty about investment returns. The burden on general practices adopting the “patient-centred medical home” (PCMH) model is a heavy one, according to a new report from the WentWest Primary Health Network. Continue reading “Why changing the GP model is worth the effort”
By Michael McCormack*
It’s simply not good enough. That is your first thought when you meet the people affected by Australia’s rural doctor shortage.
The people who travel for hours on country roads or who wait for weeks or even longer just to see a doctor. Those who do their best – who rally local business communities to help, who open their arms to a new recruit and make them welcome – just to make sure the doctor stays. Yet this is the reality in many country communities around Australia. Continue reading “Train GPs in the Bush for the Bush: Deputy PM”
Australia’s health system comes out very well in a recent US study comparing health care system performance in Australia, Canada, France, Germany, the Netherlands, New Zealand, Norway, Sweden, Switzerland, the United Kingdom, and the United States. Continue reading “Australia comes out well in 11-nation health study”
Member Communication and Practice Support
As we mentioned in our December newsletter we have been working to try to improve communication and support our members who are spread across the country.
In February we trialled an online interactive seminar (read Webinar you can hold a discussion in) for the Queensland members and some other Queensland practice owners. The topic was Changes to the Cybersecurity Legislation and the Requirements for Reporting Security Breaches. We had a very good presentation from Redfish and a great discussion. Continue reading “Welcome to our first newsletter for 2018”
The rising number of tests and scans at major clinics and medical centres is under investigation by the Federal Department of Health, according to a report in The Australian. It will focus on whether the cause is inappropriate financial arrangements. The department will look at compliance and whether GPs are getting unlawful kick-backs to request pathology services, especially where the services are co-located. Continue reading “Department to look at pathology blow-out and GP conduct”