Chronic Disease Management Patient Information
Those with chronic conditions now have a chance to help Gold Coast Health's Integrated Care team develop its plan to reduce the number of hospital stays among the city's sickest patients. The team is bringing together chronically ill patients, their GP's and hospital clinicians to ensure they receive care at the right time and place.
If you have a chronic condition and have been to hospital in the past three years:
If you have a chronic condition and have been to hospital in the past three years, phone Lauren Ward at Gold Coast Integrated Care on 1300 004 242.
Learn about Your Gold Coast University Hospital:- https://www.myhospitals.gov.au/hospital/310000050/gold-coast-university-hospital
Address:
1 Hospital Boulevard
Southport, Qld 4215
Phone 07 5687 0000
Gold Coast Health Hospitals website
Learn about your local hospital
Search and compare performance information for more than 1,000 Australian public and private hospitals.
https://www.myhospitals.gov.au/
Patients and Visitors
Medicare
- What's covered by Medicare
- How to claim a Medicare benefit
- How your Medicare account and card work
- How to enrol and get started in Medicare
20 May 2019
- - - - - - - - - - - - - - - - - - - - - - - - - - - -
Your My Health Record is an online summary of your health information, such as your medicines, any allergies you may have, and your medical history. Once your My Health Record is created your doctor, hospitals and other healthcare providers involved in your care can automatically access your health information, unless you set up your privacy controls.
Using these privacy controls lets you decide which healthcare providers can access your My Health Record and what they can view. You can also ask a provider not to upload certain information. If you decide you don’t want a My Health Record you can cancel it at any time.
Click on Frequently Asked Questions: https://www.oaic.gov.au/myhealthrecord/privacy/
By default, when an individual registers for a My Health Record they give standing consent for all registered healthcare provider organisations to access and upload information to their My Health Record. Learn more here.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - -
As many as one-in-five Australians now live with two or more chronic health conditions.
The most prominent are:
– requiring a range of health services from their GP through to specialists, nurses, pharmacists, physiotherapists, psychologists, dieticians and weight-loss programs.
---------------
“The reforms are designed to improve outcomes for people living with chronic disease or complex conditions,” said ACN CEO Kylie Ward. “This is a continuing opportunity for nurses who already play a key role in preventative care for people with chronic, complex and multiple conditions.
“ACN welcomes the Government’s vision for Health Care Homes, noting this is not a new concept to Australia. For example, the planned healthcare model delivered in the Department of Veteran’s Affairs Coordinated Veterans’ Care program has General Practice, Primary Health Care and Community Nurses working with the patient to deliver a well-coordinated patient-centered model of care for the targeted veterans who have chronic illness and complex care needs.”
Federal Health Minister Sussan Ley announced a new Healthier Medicare policy aimed at tailoring support to the needs of Australians living with chronic health problems. The government approximates as many as one in five Australians fit into this category. Key features of the policy include tailored care packages developed in partnership with patients and their families; new “health care homes”, delivered by nominated GP practices, to coordinate all care; and improved use of digital health measures to lift efficiency.
“Nurses and Nurse Practitioners will embrace the opportunity to be involved and use their scope of practice in the management of these patients and reduce the barriers patients face across fragmented health services, with the aim of keeping them well at home and out of hospital.”
04 April 2016
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
Planning your health care, Patient Information Sheet
Chronic Disease Management Patient Information - PDF 385 KB
If you need treatment from 2 or more health professionals, your doctor may also put a Team Care Arrangement plan in place for you. This lets your doctor work with, and refer you to, at least 2 other health professionals who will provide treatment or services to you.
Summary
9 February 2016
Pharmacist review, home checks part of medication strategy for people with dementia
By: Dallas Bastian in News, Top Stories August 4, 2017
Australian researchers are hoping to improve outcomes for people with dementia after they are discharged from hospital through a medication strategy that starts in the lead-up to discharge and continues into the home.
Associate professor Ashley Kable, from the University of Newcastle, said medication generally changes for people once they’ve been treated in hospital, which makes self-administration even harder for people with dementia, and added the responsibility often falls back on carers.
Kable said currently, home medication reviews can be requested by a general practitioner following a patient’s discharge from hospital, but are not always done. She said the safe medication strategy will include clinical pharmacist review of medications and communication with the carer, training in hospital to use medication dose administration aids and provision of a discharge medication plan and explanation.
The discharge summary will include a note for general practitioners to request a home medicines review. These will be conducted by community pharmacists who will aim to identify any prescribed medications that may be a risk for people with dementia, such as those that may cause confusion or result in falls, any potential drug interactions or contraindicated medications, any adjuvant medications being used in addition to prescribed medications that may be a risk, and any modifications to medications that may be required for a person with dementia.
SO, when your loved one is discharged from hospital, do make sure to go to your usual Pharmacist and ask for a Home Medicines Review. Many of the usual medications may have been changed, upped in dosage, or Brand altered in the hospital. YOU, need to know as the result can be most serious for your loved one. YOU, as a Carer, can do this. Alternatively, have a chat with your loved one's GP and have him write a note to your Pharmacist to do this.
How the pharmacist can simplify a dosing schedule during an Home Medicines Review:
• Reduce dosing frequency and recommend long-acting dosage forms where possible
• Recommend a higher strength to reduce the number of dosage units for a specific medicine where two tablets of the same medicine are taken at different times in a day
• Recommend a lower strength product where the person is cutting tablets in half or into quarters
• Consolidate dosing times to fit in with the patient’s lifestyle
• Recommend a combination product if suitable to reduce the number of medicines being used
• Recommend a suitable adherence aid for the patient with cognitive or dexterity issues
for a closer look:
https://www.veteransmates.net.au/documents/10184/38810/Nov_2016_GP_Insert.pdf/e9b3126e-bf0e-4238-bd74-8cdd617458d0
"With the focus on medicines and older Australians in these lists, we urge people to consider if they are on the right medicine, or whether they could be taking too many medicines and if you are due for a review. It’s always timely to check with your doctor or pharmacist to see if any medicines are unnecessary and if they could cause harm if taken together."
Prescription Drug Abuse Prevention
Prescription drug abuse prevention starts with you.
QUALITY USE OF MEDICINES TO OPTIMISE AGEING IN OLDER AUSTRALIANS:
Recommendations for a National Strategic Action Plan to Reduce Inappropriate Polypharmacy.
As our population ages, more people are living with multiple chronic diseases with an associated increase in polypharmacy (multiple medicines use). Medicines use in older people is a complex balance between managing disease and avoiding medicines related problems. Supervised withdrawal of unnecessary medicines (deprescribing) is safe and may improve quality of life in older people.
Chronic medical conditions
A chronic medical condition is one that has been (or is likely to be) present for six months or longer, for example, asthma, cancer, heart disease, diabetes, arthritis and stroke. There is no list of eligible conditions. However, these items are designed for patients who require a structured approach and to enable GPs to plan and coordinate the care of patients with complex conditions requiring ongoing care from a multidisciplinary care team. Your GP will determine whether a plan is appropriate for you.
§ Positioning and Lifting Patients in bed
And don't forget that when your loved one returns home from hospital, that YOU are the one who will be doing most of the 24/7 care. Do ask the visiting Nurse or Allied Health Worker to teach you how to lift them up and make them comfortable in their bed. You need to be particularly aware of bedsores if they cannot move in bed themselves.
Have a look here so that you know how you can help them feel comfortable when you are re-positioning and lifting them in their bed.
POSITIONING AND LIFTING PATIENTS-Title2
https://www.youtube.com/watch?v=H68Sa04s_1s
What are the chronic disease management Medicare items?
The chronic disease management (CDM) Medicare items are part of a government initiative that assists people living with a chronic and/or complex medical illness. Medicare rebates are available for treatment from allied health professionals who are assisting in managing the illness.
Your GP is required to prepare a management plan (called a GP Management Plan and Team Care Arrangements) so that your illness can be better managed with the assistance of allied health professionals.
The initiative allows a person with a complex and/or chronic illness to claim a Medicare rebate for up to five visits (in total) to certain allied health professionals within a calendar year. These allied health professionals include:
What illnesses or conditions are covered by the scheme?
Chronic medical conditions that may be covered by the scheme must have been present, or are likely to be present, for six months or more. The conditions include, but are not limited to:
There is no list of eligible conditions. However, the CDM items are designed for patients who require a structured approach and to enable GPs to plan and coordinate the care of patients with complex conditions requiring ongoing care from a multidisciplinary team.
Who is eligible for the rebates?
To be eligible to claim rebates under this initiative, you must have a chronic medical condition that has been present, or is likely to be present, for six months or more. Your illness must be being managed by a GP under a specific management plan (called a GP Management Plan and Team Care Arrangements).
Why is psychology provided for under this scheme?
Psychologists are experts in human behaviour. This means that they are able to assist not only those who have mental health problems, but also those who need help in adjusting to a chronic, or complex illness. Often chronic or complex illnesses require a number of lifestyle changes such as changes to health behaviours like diet, exercise, smoking and alcohol intake, or scheduling regular treatments or medications, as well as changes to work, family and living arrangements. Psychologists can often assist with better managing these changes. Being confronted with a long-term or complex illness can also be a very emotional time, and may cause many people to feel anxious or depressed, angry, helpless or confused. Psychologists can also often help to deal with these feelings so that you can better cope with your illness.
Can I access any psychologist?
Under the Medicare scheme you can only see a registered psychologist who has a Medicare Provider Number and who you have been referred to by your GP under a particular management plan.
- - - - - - - - - - - - - - - - - - - - - - -
GP Management Plan
A GP Management Plan (GPMP) can help people with chronic medical conditions by providing an organised approach to care. A GPMP is a plan of action you have agreed with your GP. This plan:
Team Care Arrangements
If you have a chronic medical condition and complex care needs requiring multidisciplinary care, your GP may also develop Team Care Arrangements (TCAs). These will help coordinate more effectively the care you need from your GP and other health or care providers.
TCAs require your GP to collaborate with at least two other health or care providers who will give ongoing treatment or services to you. Let your GP or nurse know if there are aspects of your care that you do not want discussed with other health care providers.
Review of GPMPs and TCAs
Once a plan is in place, it should be regularly reviewed by your GP. This is an important part of the planning cycle, where you and your GP check that your goals are being met and agree on any changes that might be needed.
Referrals for allied health services
If you have both a GPMP and TCAs prepared for you by your GP, you may be eligible for Medicare rebates for specific individual allied health services that your GP has identified as part of your care. The need for these services must be directly related to your chronic (or terminal) medical condition. If you have type 2 diabetes and your GP has prepared a GPMP, you can also be referred for certain allied health services provided in a group setting.
CDM Medicare Benefits Schedule items
Medicare Benefits Schedule (MBS) items make it easier for General Practitioners and practice nurses to manage the healthcare of patients with chronic medical conditions, including those patients who need multi-disciplinary care. For patients requiring multi-disciplinary care, General Practitioners can also claim from Medicare for coordinating team care planning and review services. Patients with GP Management Plans and Team Care Arrangements can access a maximum of five allied health services per calendar year.
Download The February 2018 Medicare Benefits Schedule
11 January 2018
Guidelines
Questions and Answers on the Chronic Disease Management (CDM) items
http://www.health.gov.au/internet/main/publishing.nsf/Content/mbsprimarycare-chronicdiseasemanagement-qanda#chronic
More Information
The explanatory notes and item descriptors for these items are available online in the Medicare Benefits Schedule (MBS).
11 January 2018
For inquiries about eligibility, claiming, fees and rebates, call the Department of Human Services (Medicare):
patient inquiries 132 011; provider inquiries 132 150.
In this section
9 February 2016
Guide to the Pharmacological Management of End of Life (Terminal) Symptoms in Residential Aged Care Residents:
A Resource for General Practitioners
Focuses on the pharmacological management of common end of life (terminal) symptoms experienced by dying residents. An evidence-based guide for GPs when leading and case managing the terminal care provided by multidisciplinary clinical teams in Australian residential aged care settings.
Download the document:
https://www.caresearch.com.au/Caresearch/tabid/3589/Default.aspx
Residential Aged Care Palliative Approach Toolkit
24 April 2019
Those with chronic conditions now have a chance to help Gold Coast Health's Integrated Care team develop its plan to reduce the number of hospital stays among the city's sickest patients. The team is bringing together chronically ill patients, their GP's and hospital clinicians to ensure they receive care at the right time and place.
If you have a chronic condition and have been to hospital in the past three years:
- heart disease
- lung disease
- kidney disease
- diabetes
- have multiple conditions
If you have a chronic condition and have been to hospital in the past three years, phone Lauren Ward at Gold Coast Integrated Care on 1300 004 242.
Learn about Your Gold Coast University Hospital:- https://www.myhospitals.gov.au/hospital/310000050/gold-coast-university-hospital
Address:
1 Hospital Boulevard
Southport, Qld 4215
Phone 07 5687 0000
Gold Coast Health Hospitals website
Learn about your local hospital
Search and compare performance information for more than 1,000 Australian public and private hospitals.
https://www.myhospitals.gov.au/
Patients and Visitors
- Coming to hospital
- Your time in hospital
- Leaving hospital
- Support Services
- Rights and Responsiblities
- Referrals and Bookings
Medicare
- What's covered by Medicare
- How to claim a Medicare benefit
- How your Medicare account and card work
- How to enrol and get started in Medicare
20 May 2019
- - - - - - - - - - - - - - - - - - - - - - - - - - - -
Your My Health Record is an online summary of your health information, such as your medicines, any allergies you may have, and your medical history. Once your My Health Record is created your doctor, hospitals and other healthcare providers involved in your care can automatically access your health information, unless you set up your privacy controls.
Using these privacy controls lets you decide which healthcare providers can access your My Health Record and what they can view. You can also ask a provider not to upload certain information. If you decide you don’t want a My Health Record you can cancel it at any time.
Click on Frequently Asked Questions: https://www.oaic.gov.au/myhealthrecord/privacy/
By default, when an individual registers for a My Health Record they give standing consent for all registered healthcare provider organisations to access and upload information to their My Health Record. Learn more here.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - -
As many as one-in-five Australians now live with two or more chronic health conditions.
The most prominent are:
- diabetes,
- heart disease,
- cancer,
- mental health,
- eye disease,
- respiratory conditions and
- arthritis
– requiring a range of health services from their GP through to specialists, nurses, pharmacists, physiotherapists, psychologists, dieticians and weight-loss programs.
---------------
“The reforms are designed to improve outcomes for people living with chronic disease or complex conditions,” said ACN CEO Kylie Ward. “This is a continuing opportunity for nurses who already play a key role in preventative care for people with chronic, complex and multiple conditions.
“ACN welcomes the Government’s vision for Health Care Homes, noting this is not a new concept to Australia. For example, the planned healthcare model delivered in the Department of Veteran’s Affairs Coordinated Veterans’ Care program has General Practice, Primary Health Care and Community Nurses working with the patient to deliver a well-coordinated patient-centered model of care for the targeted veterans who have chronic illness and complex care needs.”
Federal Health Minister Sussan Ley announced a new Healthier Medicare policy aimed at tailoring support to the needs of Australians living with chronic health problems. The government approximates as many as one in five Australians fit into this category. Key features of the policy include tailored care packages developed in partnership with patients and their families; new “health care homes”, delivered by nominated GP practices, to coordinate all care; and improved use of digital health measures to lift efficiency.
“Nurses and Nurse Practitioners will embrace the opportunity to be involved and use their scope of practice in the management of these patients and reduce the barriers patients face across fragmented health services, with the aim of keeping them well at home and out of hospital.”
04 April 2016
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
Planning your health care, Patient Information Sheet
Chronic Disease Management Patient Information - PDF 385 KB
If you need treatment from 2 or more health professionals, your doctor may also put a Team Care Arrangement plan in place for you. This lets your doctor work with, and refer you to, at least 2 other health professionals who will provide treatment or services to you.
Summary
- There are two types of plans that can be prepared by a General Practitioner (GP) for Chronic Disease Management (CDM):
- GP Management Plans (GPMP); and
- Team Care Arrangements (TCAs)
- There are two types of plans:
- If you have a chronic (or terminal) medical condition, your GP may suggest a GPMP.
- If you also have complex care needs and require treatment from two or more other health care providers, your GP may suggest TCAs as well.
- Your GP or practice staff must obtain your agreement before providing these plans.
- If a provider accepts the Medicare benefit as full payment for the service, there will be no out-of-pocket cost. If not, you will have to pay the difference between the fee charged and the Medicare rebate.
- If you have both a GPMP and TCAs prepared for you by your GP, you may be eligible for Medicare rebates for certain allied health services. It is up to a GP to determine whether you are eligible for these allied health services which must be directly related to the management of your chronic condition.
- The practice nurse can provide support and monitoring between visits to your GP.
- Your GP will offer you a copy of your plan.
- You and your GP should regularly review your plan/s.
9 February 2016
Pharmacist review, home checks part of medication strategy for people with dementia
By: Dallas Bastian in News, Top Stories August 4, 2017
Australian researchers are hoping to improve outcomes for people with dementia after they are discharged from hospital through a medication strategy that starts in the lead-up to discharge and continues into the home.
Associate professor Ashley Kable, from the University of Newcastle, said medication generally changes for people once they’ve been treated in hospital, which makes self-administration even harder for people with dementia, and added the responsibility often falls back on carers.
Kable said currently, home medication reviews can be requested by a general practitioner following a patient’s discharge from hospital, but are not always done. She said the safe medication strategy will include clinical pharmacist review of medications and communication with the carer, training in hospital to use medication dose administration aids and provision of a discharge medication plan and explanation.
The discharge summary will include a note for general practitioners to request a home medicines review. These will be conducted by community pharmacists who will aim to identify any prescribed medications that may be a risk for people with dementia, such as those that may cause confusion or result in falls, any potential drug interactions or contraindicated medications, any adjuvant medications being used in addition to prescribed medications that may be a risk, and any modifications to medications that may be required for a person with dementia.
SO, when your loved one is discharged from hospital, do make sure to go to your usual Pharmacist and ask for a Home Medicines Review. Many of the usual medications may have been changed, upped in dosage, or Brand altered in the hospital. YOU, need to know as the result can be most serious for your loved one. YOU, as a Carer, can do this. Alternatively, have a chat with your loved one's GP and have him write a note to your Pharmacist to do this.
How the pharmacist can simplify a dosing schedule during an Home Medicines Review:
• Reduce dosing frequency and recommend long-acting dosage forms where possible
• Recommend a higher strength to reduce the number of dosage units for a specific medicine where two tablets of the same medicine are taken at different times in a day
• Recommend a lower strength product where the person is cutting tablets in half or into quarters
• Consolidate dosing times to fit in with the patient’s lifestyle
• Recommend a combination product if suitable to reduce the number of medicines being used
• Recommend a suitable adherence aid for the patient with cognitive or dexterity issues
for a closer look:
https://www.veteransmates.net.au/documents/10184/38810/Nov_2016_GP_Insert.pdf/e9b3126e-bf0e-4238-bd74-8cdd617458d0
"With the focus on medicines and older Australians in these lists, we urge people to consider if they are on the right medicine, or whether they could be taking too many medicines and if you are due for a review. It’s always timely to check with your doctor or pharmacist to see if any medicines are unnecessary and if they could cause harm if taken together."
Prescription Drug Abuse Prevention
Prescription drug abuse prevention starts with you.
- Only take prescriptions medications as directed by your doctor.
- Never give your prescription medications to anyone else.
- Never take a medication that has been prescribed for someone else.
- Talk to children and teens about the dangers of abusing prescription drugs and safeguard medications in your home.
- Ask your pharmacy if they participate in take-back programs to safely dispose of unwanted and expired medications.
- Be aware too of the impact of those 'normal' medications - https://www.medicinenet.com/prescription_drug_abuse_pictures_slideshow/article.htm
QUALITY USE OF MEDICINES TO OPTIMISE AGEING IN OLDER AUSTRALIANS:
Recommendations for a National Strategic Action Plan to Reduce Inappropriate Polypharmacy.
As our population ages, more people are living with multiple chronic diseases with an associated increase in polypharmacy (multiple medicines use). Medicines use in older people is a complex balance between managing disease and avoiding medicines related problems. Supervised withdrawal of unnecessary medicines (deprescribing) is safe and may improve quality of life in older people.
Chronic medical conditions
A chronic medical condition is one that has been (or is likely to be) present for six months or longer, for example, asthma, cancer, heart disease, diabetes, arthritis and stroke. There is no list of eligible conditions. However, these items are designed for patients who require a structured approach and to enable GPs to plan and coordinate the care of patients with complex conditions requiring ongoing care from a multidisciplinary care team. Your GP will determine whether a plan is appropriate for you.
§ Positioning and Lifting Patients in bed
And don't forget that when your loved one returns home from hospital, that YOU are the one who will be doing most of the 24/7 care. Do ask the visiting Nurse or Allied Health Worker to teach you how to lift them up and make them comfortable in their bed. You need to be particularly aware of bedsores if they cannot move in bed themselves.
Have a look here so that you know how you can help them feel comfortable when you are re-positioning and lifting them in their bed.
POSITIONING AND LIFTING PATIENTS-Title2
https://www.youtube.com/watch?v=H68Sa04s_1s
What are the chronic disease management Medicare items?
The chronic disease management (CDM) Medicare items are part of a government initiative that assists people living with a chronic and/or complex medical illness. Medicare rebates are available for treatment from allied health professionals who are assisting in managing the illness.
Your GP is required to prepare a management plan (called a GP Management Plan and Team Care Arrangements) so that your illness can be better managed with the assistance of allied health professionals.
The initiative allows a person with a complex and/or chronic illness to claim a Medicare rebate for up to five visits (in total) to certain allied health professionals within a calendar year. These allied health professionals include:
- Aboriginal Health Workers
- Audiologists
- Chiropractors
- Chiropodists
- Diabetes Educators
- Dietitians
- Exercise Physiologists
- Mental Health Workers
- Occupational Therapists
- Osteopaths
- Physiotherapists
- Podiatrists
- Psychologists
- Speech Pathologists
What illnesses or conditions are covered by the scheme?
Chronic medical conditions that may be covered by the scheme must have been present, or are likely to be present, for six months or more. The conditions include, but are not limited to:
- Asthma
- Cancer
- Cardiovascular illness
- Diabetes
- Musculoskeletal conditions
- Stroke
There is no list of eligible conditions. However, the CDM items are designed for patients who require a structured approach and to enable GPs to plan and coordinate the care of patients with complex conditions requiring ongoing care from a multidisciplinary team.
Who is eligible for the rebates?
To be eligible to claim rebates under this initiative, you must have a chronic medical condition that has been present, or is likely to be present, for six months or more. Your illness must be being managed by a GP under a specific management plan (called a GP Management Plan and Team Care Arrangements).
Why is psychology provided for under this scheme?
Psychologists are experts in human behaviour. This means that they are able to assist not only those who have mental health problems, but also those who need help in adjusting to a chronic, or complex illness. Often chronic or complex illnesses require a number of lifestyle changes such as changes to health behaviours like diet, exercise, smoking and alcohol intake, or scheduling regular treatments or medications, as well as changes to work, family and living arrangements. Psychologists can often assist with better managing these changes. Being confronted with a long-term or complex illness can also be a very emotional time, and may cause many people to feel anxious or depressed, angry, helpless or confused. Psychologists can also often help to deal with these feelings so that you can better cope with your illness.
Can I access any psychologist?
Under the Medicare scheme you can only see a registered psychologist who has a Medicare Provider Number and who you have been referred to by your GP under a particular management plan.
- - - - - - - - - - - - - - - - - - - - - - -
GP Management Plan
A GP Management Plan (GPMP) can help people with chronic medical conditions by providing an organised approach to care. A GPMP is a plan of action you have agreed with your GP. This plan:
- identifies your health and care needs;
- sets out the services to be provided by your GP; and
- lists the actions you can take to help manage your condition.
Team Care Arrangements
If you have a chronic medical condition and complex care needs requiring multidisciplinary care, your GP may also develop Team Care Arrangements (TCAs). These will help coordinate more effectively the care you need from your GP and other health or care providers.
TCAs require your GP to collaborate with at least two other health or care providers who will give ongoing treatment or services to you. Let your GP or nurse know if there are aspects of your care that you do not want discussed with other health care providers.
Review of GPMPs and TCAs
Once a plan is in place, it should be regularly reviewed by your GP. This is an important part of the planning cycle, where you and your GP check that your goals are being met and agree on any changes that might be needed.
Referrals for allied health services
If you have both a GPMP and TCAs prepared for you by your GP, you may be eligible for Medicare rebates for specific individual allied health services that your GP has identified as part of your care. The need for these services must be directly related to your chronic (or terminal) medical condition. If you have type 2 diabetes and your GP has prepared a GPMP, you can also be referred for certain allied health services provided in a group setting.
CDM Medicare Benefits Schedule items
Medicare Benefits Schedule (MBS) items make it easier for General Practitioners and practice nurses to manage the healthcare of patients with chronic medical conditions, including those patients who need multi-disciplinary care. For patients requiring multi-disciplinary care, General Practitioners can also claim from Medicare for coordinating team care planning and review services. Patients with GP Management Plans and Team Care Arrangements can access a maximum of five allied health services per calendar year.
Download The February 2018 Medicare Benefits Schedule
11 January 2018
Guidelines
Questions and Answers on the Chronic Disease Management (CDM) items
http://www.health.gov.au/internet/main/publishing.nsf/Content/mbsprimarycare-chronicdiseasemanagement-qanda#chronic
More Information
The explanatory notes and item descriptors for these items are available online in the Medicare Benefits Schedule (MBS).
11 January 2018
For inquiries about eligibility, claiming, fees and rebates, call the Department of Human Services (Medicare):
patient inquiries 132 011; provider inquiries 132 150.
In this section
- Aboriginal and Torres Strait Islander people
- Autism — Helping Children with Autism program
- Diabetes type 2 — allied health
- Disability — Better Start for Children with Disability initiative
- Children in Out of Home Care Fact Sheet
- Chronic Disease Management (formerly Enhanced Primary Care or EPC) — GP services
- Chronic Disease Management — allied health individual services
- GP Health Assessment for Former Australian Defence Force (ADF) Personnel
- Health assessments
- History of key MBS primary care initiatives 1999-2013
- Medication management reviews
- Midwives and nurse practitioners
- Optometry under Medicare
- Pregnancy support counselling
9 February 2016
Guide to the Pharmacological Management of End of Life (Terminal) Symptoms in Residential Aged Care Residents:
A Resource for General Practitioners
Focuses on the pharmacological management of common end of life (terminal) symptoms experienced by dying residents. An evidence-based guide for GPs when leading and case managing the terminal care provided by multidisciplinary clinical teams in Australian residential aged care settings.
Download the document:
https://www.caresearch.com.au/Caresearch/tabid/3589/Default.aspx
Residential Aged Care Palliative Approach Toolkit
24 April 2019