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Programmes » ACC GP MRI service - Tairāwhiti

ACC GP MRI service

Tairāwhiti | Musculoskeletal | Under 18 | Over 18 | Over 65

Overview

The ACC GP MRI pathways support GPs to make direct referrals for high tech imaging (namely MRIs).

Please note this programme of work has been renamed by ACC to General Practitioner Referred Magnetic Resonance Imaging aka GPMRI and will be referred to as this moving forward.

The pathways focus on patients with knee and back (cervical and lumbar spine) injuries. Historically GPs could only refer for a low-tech imaging X-ray or ultrasound, with all high-tech imaging restricted to specialist requests, this is no longer the case. Accredited GPs can now follow nationally ratified guidelines to refer directly to radiology services for MRI investigations. These guidelines have been developed with clinical input from GPs, radiologists and specialists, leveraging existing guidance across New Zealand and Australia.

Your Pinnacle Services Contract applies to this service. By claiming for this service, you have indicated that you have read and agreed to the business rules set out here.  

This is NOT a clinical guideline. 

Details

Which practices can claim for this service?

Any Pinnacle practice who has an accredited GP(s) using these referral pathways can claim for this service.

Service components

Pinnacle is responsible for providing accreditation (practical training) for GPs to use the ACC HTI referral pathways. Their role is also to support referrers and radiology providers through the referral process, to manage service quality through clinical governance and audit functions and reimburse GPs for the services they provide. 

GPs must complete practical training in order to be accredited to use these referral pathways. All referrals must be made via the indici™ PMS or, in the case of non-indici™ users, referrals are encouraged to be made by the BPAC eReferral process. Outcome data required by the ACC contract must be completed within indici™. A claim for services provided can be made at the same time as outcome data is provided.

Who is eligible for the service?

All patients who meet the eligibility criteria of the pathway can have access to this service. 

The four clinical pathways can be accessed via the ACC HTI Toolkit. 

Who is excluded from the service?

Patients who do not meet ALL eligibility criteria for a pathway cannot access this service.

When is the service complete?
  1. The ACC HTI outcome data template must be completed in indici™ for each referral before payment will be made.

  2. The episode of care is complete once the patient has been consulted regarding the treatment journey moving forward post MRI.

  3. A patient may access the clinical pathways for more than one injury site OR for the same injury site more than once if this is a new injury to the same site.
Claiming guidelines

There are two potential service fees that can be claimed.

  1. GP Extended consult (claimable with each MRI completed): $115.00 (GST incl.)
  2. Time taken to source radiologist advice if required - additional: $46.00 (GST incl.)
What level of clinical notes do I need to submit?

Referral data must be provided as per the referral template in indici™. 

Clinical notes in the form of outcome data template completion is required. (Detailed instructions included in practical training session).

Does the patient have to pay?

The patient will pay the original consultation fee (ACC). The patient will not be charged for the consultation post imaging which will explain the treatment journey moving forward.

How is the service funded?

The service is funded by ACC.

Contact

Petrina Cooper, Strategic Project Lead
petrina.cooper@pinnacle.health.nz
0274 778 852

RELATED RESOURCES
ACC GP MRI toolkit
Published: 01/09/2021 | 5 files | Document | Video

Diagnostic pathways and referral steps for the ACC GP MRI programme.

View resource | Download files
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PROGRAMMES
ACC GP MRI service
Lakes | Musculoskeletal | Under 18 | Over 18 | Over 65

The ACC high tech imaging (HTI) pathway supports GPs to make direct referrals for high tech imaging (namely MRIs).

View details
RESOURCE
ACC GP MRI toolkit
Published: 01/09/2021 | 5 files | Document | Video

Diagnostic pathways and referral steps for the ACC GP MRI programme.

View resource | Download files
Taranaki
47 Molesworth Street
New Plymouth 4310
+64 6 759 4364
Tairāwhiti
Level 1
152 Grey Street
PO Box 1188
Gisborne 4040
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PO Box 1716
Taupō 3351
+64 7 376 0060
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Privacy policy Terms & conditions Practice update dashboard