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Programmes » Dehydration (POAC) - Taranaki

Dehydration (POAC)

Taranaki | Gastroenterology | Under 18 | Over 18 | Over 65

Overview

IV treatment for adults with moderate dehydration not responsive to oral fluids +/- antiemetic that can be safely managed in the community e.g. gastroenteritis, hyperemesis gravis, migraine.

Oral rehydration only for children (6months - 15yrs) with moderate dehydration or at risk of getting severely dehydrated due to gastroenteritis that can be managed safely 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. 

Details

Which practices can claim for this service?

All Pinnacle practices in Taranaki region can claim for this service. 

Who is eligible for the service?
  • Patients domiciled in Te Whatu Ora Taranaki area.
  • Adults with moderate dehydration not responsive to oral fluids +/- antiemetic that can be safely managed in the community.
  • Children aged between 6 months and 15 years with moderate dehydration or at risk of getting severely dehydrated due to gastroenteritis that can be managed safely in the community.   
Who is excluded from the service?
  • Patients not domiciled in Te Whatu Ora Taranaki area.
  • Adults and children with severe dehydration. Pre-hospital treatment that has been provided cannot be claimed, as admission to hospital is inevitable.
  • Administration of IV fluids in children <15 years.
  • Diabetic ketoacidosis treatment with IV fluids. The pre-hospital treatment that has been provided cannot be claimed, as admission to hospital is inevitable.
  • Adults and children with mild dehydration. 

Exclusion criteria to access POAC funding should not preclude emergency treatment of any medical conditions. 

When is the service complete?

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.  

Claiming guidelines

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. 

Please make your claim via Primary Options, select Dehydration and then attach the appropriate invoice(s).

Prices listed below are GST inclusive.

Rehydration: $158
IV rehydration only in adults, oral rehydration in children.This invoice is a package of care i.e. it includes an allocation for staff time as well as consumables. It cannot be claimed along with any other invoice on the same day. 

What level of clinical notes do I need to submit?

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.  

Does the patient have to pay?

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. 

How is the service funded?

The service is funded by Te Whatu Ora. 

Contact

Primary options team, Pinnacle Midlands Health Network
infoprimaryoptions@pinnacle.health.nz
027 687 7312

RELATED RESOURCES
Te Manawa Taki / Midland Region Community HealthPathways
Published: 04/06/2025 | 1 file | 1 link | Website

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.

View resource | Download files
POAC business rules - Taranaki
Published: 10/08/2020 | Document

Business rules for the Primary Options Acute Care programme (Taranaki), which supports primary care through funding specific clinical services.

View resource
Primary Options resources
Published: 18/02/2025 | 22 files | Document

Quick guides to assist practices with identifying eligibility criteria;invoices that can be claimed; managing claims and providing assistance with understanding remittance reports

View resource | Download files
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Privacy policy Terms & conditions Practice update dashboard