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General Practice Queensland

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Diabetes

The Federal Government provides an incentive to GPs who take a coordinated approach for patients who experience diabetes. It involves providing patients with an annual diabetes program of care with specific minimum requirements over a 12-month period.

The following procedures must be carried out at least six monthly:

  • Calculate height, weight and BMI
  • Examine feet
  • Measure Blood Pressure  

The following procedures must be carried out at least annually:

  • Assess Diabetes control by HbA1c
  • Measure total cholesterol, triglycerides and HDL
  • Test for Micro albuminuria

The following procedure must be carried out at least 2 yearly:

  • Comprehensive eye examination

Other services to be provided as part of the annual cycle of care include:

  • Providing self-care education
  • Reviewing diet
  • Reviewing levels of physical activity
  • Checking smoking status
  • Reviewing medication

Services that are provided charged to the patient using the normal MBS item numbers. The Practice must use a patient register / recall system to qualify for PIP. A sign-on payment of $1.00 per Standardised Whole Patient Equivalent (SWPE) is received for each GP.

Activity Patient register and recall / reminder system Annual cycle of care for patients with Diabetes Outcomes payment
Item Number & type of consult N/A Level B - 2517 & 2518
Level C – 2521& 2522
Level D - 2525& 2526
N/A
P.I.P
($ per SWPE)
$1.00
(Approx. $1,000 per FTE GP)
   
S.I.P
($ per patient)
  $40 per patient $20 per patient
Notes One-off payment only.

Practice must be accredited and registered for PIP.

Incentive payable with quarterly PIP payments.
This step must be taken before you can access the Annual Cycle of Care Payments.
Use your usual attendance item numbers for the care you provide during the cycle of care.

Use the above item numbers in place of the usual attendance item for the consultation that completes the minimum annual requirements of care to trigger payment.

Payment is made to practices that complete annual programs of care for a target proportion of their patients with diabetes (for whom an HBA1c test has been conducted in the previous two years).
Target 20% of total number of diabetic patients must have received the annual cycle of care.


Together we can build a better health system