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Programmes » Ingested foreign body (POAC) - Tairāwhiti

Ingested foreign body (POAC)

Tairāwhiti | Gastroenterology | Under 18

Overview

Treatment of ingested metal foreign body in children with no red flags i.e. if object is a disc battery, sharp object, object >5cm, multiple magnets. 

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 practices in Tairāwhiti region can claim for this service. 

Who is eligible for this service?

Patients domiciled in Te Whatu Ora Tairāwhiti area.

Ingested metal foreign body in children – with no red flags i.e. if object is a disc battery, sharp object, object >5cm, multiple magnets. 

Who is excluded from the service?
  • Patients not domiciled in Te Whatu Ora Tairāwhiti area.
  • Ingested foreign body – disc battery, sharp object, object >5cm, multiple magnets. 
  • Inhaled foreign body in children. 

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 cannot be funded by POAC, the patient may be liable to the practice for the fees incurred. 

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

Prices listed below are GST inclusive.  

GP/NP/CP extended consultation: $79 or 

Rural GP/NP/CP extended consultation: $89 or

This funding is available to those practices that receive rural funding. 

Afterhours GP/NP/CP Extended consultation: $99 

This funding can be claimed when care is provided after 5pm, on weekends or on public holidays.

To cover an additional 15 minutes of GP/NP time above the initial 15-minute consultation. This invoice can be claimed twice per episode of care to fund a maximum of 30 minutes of additional time. This invoice can only be claimed at the time of the initial consultation

Funded via third party providers 
A chest X-ray is funded under this service, if clinically indicated. Patients who do not require a same day X-ray are not funded under POAC and should be referred to primary referred radiology. 

Radiology is only funded for same-day investigations (within a 24-hour period). 

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.  

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
Primary Options radiology providers
Published: 15/07/2020 | Document

Pinnacle has contracts with a number of radiology providers under Primary Options for Acute Care (POAC).

View resource
POAC business rules - Tairāwhiti
Published: 03/08/2020 | Document

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

View resource
Te Manawa Taki / Midland Region Community HealthPathways
Published: 14/11/2024 | 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
Primary Options resources
Published: 18/02/2027 | 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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