Treatment of patients with moderate asthma exacerbation that can be safely managed in the community.
This service is part of the Primary Options for Acute Care (POAC) programme.
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.
All Pinnacle practices in Waikato region can claim for this service.
Patients with moderate asthma exacerbation that can be safely managed in the community.
The minimum trial of therapy prior to initiation of POAC is:
Any patient with severe, life threatening asthma, including the pre-hospital treatment that has been provided, as admission to hospital is inevitable.
Exclusion criteria to access POAC funding should not preclude emergency treatment of any medical conditions.
Once the episode of care is completed and the patient is no longer acutely unwell, they exit the POAC programme.
Once the patient exits the POAC programme, the case requires a clinical outcome to be lodged. No payment can be made for any claims unless the outcome is completed.
Where treatment in the community is no longer clinically appropriate, the patient may be admitted to hospital during a POAC plan of care. Please indicate this in the clinical outcome.
The initial 15-minute GP/NP consultation incurs the usual consultation fee paid by the patient. All POAC services thereafter are provided at no cost to the patient. If the claim is unable to be funded by POAC, the patient may be liable to the practice for the fees incurred.
Prices listed below are GST inclusive.
Please make your claim via Primary Options, select Asthma and then attach the appropriate invoice(s).
Practice observations: $1.00 per minute
Practice observations (to cover spacer/nebuliser treatment) – maximum 2 hours (based on treatment provided as evidenced in clinical notes).
In-clinic observations can be claimed based on 3x10 minute baseline observations per hour. Practice observations can only be claimed at the time of the initial consult.
Practices are required to provide sufficiently detailed consultation notes to determine appropriate use of POAC funding otherwise the referral may be declined.
It has been recommended that in addition to a good assessment and history, the full range of appropriate observations should be documented, especially where the diagnosis is undetermined.
It is important to state the time of consultations and interactions with the patient.
The initial 15-minute GP/NP consultation incurs the usual consultation fee paid by the patient. All POAC services thereafter are provided at no cost to the patient.
The service is funded by Te Whatu Ora.
Primary options team, Pinnacle Midlands Health Network
infoprimaryoptions@pinnacle.health.nz
027 687 7312
Business rules for the Primary Options Acute Care programme (Waikato), which supports primary care through funding specific clinical services.
A web-based information portal supporting primary care clinicians to plan patient care through primary, community and secondary health care systems within the Midland Region.
Quick guides to assist practices with identifying eligibility criteria;invoices that can be claimed; managing claims and providing assistance with understanding remittance reports
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Read moreTreatment of patients with moderate asthma exacerbation that can be safely managed in the community.
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