comau Website wwwmmdscomau brPage 2br brPage 3br brPage 4br brPage 5br Aged Care Access Incentive payments 12 Whereas inclinic GPs who do 200 visits a year receive a 500000 incentive payment 13 brPage 6br Meals on Wheels volunteer visits an elderly ID: 76137
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ProductivityCommissionintoOlderAustraliansAugust2010 Website: www.mmds.com.au ProductivityCommissionintoOlderAustraliansAugust2010IntroductionExecutivethefollowingdocuments:MMDSJune2010proposalimproveaccesstimelyandappropriateprimarycarethe2010(submittedMinisterparticular,drawsdocumentsprimarymedicalAustralians.Deputising(MMDS)MMDSprovidesurgentprimarymedicalduringentirehourspatientsgeneralpractitioners(GPs).beenyears;accreditedtheaccreditedprovidermedicalprogramsfeaturedprominentlytimeMMDSmanagespoolVMOsVisitingMedicalOfficersmedicalhoursbehalfpatientsprincipalMoredetailedtheMedicalDeputisingfrequentlysectionMMDSwebsite homeafterhours2009MMDSnumber,patientsfacilities16,811patientsthelivingindependentlyhome.MMDSvaluablecommentaccessmedicalcare.Residentsresidentialfacilitiesdependentincreasingly(arrangedthroughmedicaldeputisingprimarymedicalenvironment;facility.illustratedthegraphHomeGrowth2009)beenhomepatientscommunitysAustraliansindependence,staybeneficialandunderminedMMDSNumberHomeAftermany                                                           operatesonlyVictoria,however,refersmedicalAustralia.careprovidedseparate,confidentialmaterial,publicationProductivityCommissionwebsite.MedicalProgramgovernmentimprovehoursVMOworkforce2010MediumAward;2010SensisResponsibility2010VictorianAwardAustralianHospitals2008 ProductivityCommissionintoOlderAustraliansAugust2010theirhomebecauseunableclinicneedmedicalcare.   leaveboutgastroconduciveunusualhousebecausedementiaavailable.MMDSworkedprovidesmanagepatientspreventsduringperiodMMDSprovidesduring(afterclinicweekendspublicholidays).thingsmedicaldeputisinghomeduringtheperiod.thepatientsbuttherebatesufficientrathertravellingnearbyclinicbattlingcongestionpayinghighpricesdomiciliarycare.Medicare,commencesMonhoursmadeThismeansresidentagedcarebecomesmanyuntilmedicalattentionexceptiontransferhospitalappropriate.contributingclinicandshortages.capacitymeetmedicalneedspatientconstituencyThisdilemmahoursunwittinglyforcepatientsresidentialagedfacilitiestheperiod).PatternshomeincreasesincreasinglyhomevisitsdeliveredmedicaldeputisingservicesitemnumbersdifferentiatebetweenservicesdelivereddeliveredmedicaldeputisingsignificancemedicaldeputisingmedicalAustralia(particularlyAustralians)tendsinvisible.meansMedicareidentifynumberhoursprovidedcannotmedicalpractitionerThisinhibitsmeaningfulanalysis                                                                                                                                                                                        'ageingimpliesperson(own)homecareinstitution.olderageservicesmeetneedspreventcostly,traumaticmoredependentfacility,"BarbaraHorner,ResearchCurtinUniversity,(0409457550)residentsfacilitiessenthospitalperiodstafffacilityareskilledcopewithcallandthinkingpatient.traumatised,waitingtrolley,nursingstrugglewithtoileting,comfortableManytimespatientadmittedchroniccomplexhadyearstheworseexperience.clinichourcomparehour ProductivityCommissionintoOlderAustraliansAugust2010medicalcloudsgovernmentencouragingclinicclosingpatients),choiceswork/lifebutthereductionAustralianshouseresidentialunableclinicneedmedicalfollowbeinghours numberthatmanyputgovernmentunheededdecisionpetitions,wholeheartedlysupportedfacilitiesmaderepeatedattemptsengageconsidersimple,limitedinterventionsolutionsbutsolution(underpinnedinfrastructureplace)thatMMDSwouldimmediatelymedicalAustralians.primarymedicalserviceshomeclinicalfacilitatedmedicaldeputisingcoveredMedicaresystemmedicalhealthbulkbilled;paidMedicare.MMDSproprietylimitedcompanyandthemanagement(includingrecruitmentmedicalpractitionertheirtrainingpracticehourscontinuingdevelopment).governmentmanagementmedicalprovidedmedicaldeputising   Notwithstandingpractice(albeitlineRoyal(RACGP)General(normedicaldeputisingIncentives(PIP)Thisevenindividualfewerpatientsresidentialagedfacilitiesyear,eligiblereceive                                                           OlderAustraliansForumRadioAugust2010Withexceptionthroughprogramincomegeneralpractitioners(GPs)Medicarerebates.Foreligiblereceiveincentivestheymustaccredited,workingtowardsAustralianPractitioners'(RACGP)StandardsPractices.numberrelatesVMOswhoworkparttimenumberregardfulltimeVMOs ProductivityCommissionintoOlderAustraliansAugust2010Aged Care Access Incentive paymentsWhereas in-clinic GPs who do 200 visits a year receive a $5,000.00 incentive payment.thenationally,costgovernmenthoursmedicaldeputisingapproximately$10.50patientInvitationMMDSyearsfurtherconsultation.MMDShappyProductivityitscomprehensivestatisticalNotwithstandingMMDSrolemedicalprimarymedicalAustralians.RecommendationsGovernmentPolicypolicycommunitybenefitmedicaldeputisingwhichprovideimmediateimprovementsprimarymedical(MMDSexperienceprovisionhourscapacityincludeRACFsownhomes).DefineMedicareItemsAppropriatelyRemunerateAppropriatelymedicaldeputisingandprogramsfacilitaterecruitment.remunerationclinicalMMDSdoctorsworkduringpatientshourandclinicinfrastructureduringpatientsmedicalconsumablesforpatientclinicalsupport.addition,congestionduringexpensiveconsumption,whilenightmare.)MedicalDeputisingassistretaininglevelspatientsfacilities.                                                           Health: GPCareAccessIncentive(ACAI)aimsencourageprovideincreasedandcontinuingCommonwealthfundedResidentialFacilities(RACFs)andrecognisesthedifficultiesfacedprovidingcarethesefacilities payment$1500eligibleservices201011;$3500 servicesRACFs201011.2010 ProductivityCommissionintoOlderAustraliansAugust2010ImplementationrecommendationsImmediatelyimprovelevelmedicalavailableresidentscaresupportelderlywantcontinueindependentlyRedistributeattendedtimely(reduceuntilhoursthevolumecalls).MMDSnumbersresidentsRACFspublicpromptlyVMOpatientbuthealthAustraliansprovidingmedicaltimelymanner,thatpractitionertheyunwellresultbetterMMDSmodelparticular,governmentNationalHealthandHospitalNetworkwaitingtimes;ensureimproveAustralianseverythingMMDSdoesdonemeets/contributesgovernmentadditionalgovernmentfinancialinvestment.addition,patientcentredrecommendation â healthmustpatientcentred).EnhanceMMDSMeals on Wheels volunteer visits an elderly gentleman who has no next of kin. The volunteer is the only contact this man has during the day. His condition has deteriorated and he is now dizzy and cannot eat; not life threatening but needs to see a doctor. The elderly gentleman is very fearful of going to hospital due to a previous bad experience but agrees that ambulance to hospital may be the only available option. The GP cannot leave the clinic but recommends calling the deputising service. Without the deputising service this would have been a no-win situation - fearful and distressing for the elderly patient, inappropriate ambulance transfer and presentation at hospital emergency department. Elderly lady home alone requires daily injection for chronic illness GP has constraints at the clinic which prevent daily home visits. When her own GP cant come and see her, this elderly lady relies on a VMO to come and see her after hours. Patient in aged care facility needs catheter changed, pathology test and possible treatment for infection. The patients usual GP is in surgery for the afternoon and unable to attend. As a result, the patient will just sit there in pain with blockage until 4.00 pm when staff can arrange a VMO to visit after hours. Nursing staff could send the patient to hospital via ambulance but thats not a good solution. Hospital emergency departments are just that, emergency departments, they are not geared for the management of elderly and chronically ill patients who need regular turning, toileting and fluids imagine, also, how distressing it must be for this type of patient long wait on a trolley in unfamiliar ProductivityCommissionintoOlderAustraliansAugust2010MMDSunderpinned(InformationCommunicationTechnology).leadingedgewiththecapacityclients.collectionpatientthroughclinicalpracticeauditable.1.2patientrecordsMMDSaccumulatedandvaluableintelligenceandmanagementsystemsmaximumflexibilitythecapacityreportsnumerousparameters.MMDSyearsfurtherconsultation.MMDShappyProductivityitscomprehensivestatisticalNotwithstandingMMDSthemedicaldeputisingacrossprimarymedicalAustralians.MMDSmodelworkedwellsomeyears,contributiontheneedsthecontaininginappropriateemergencydepartmenttimelymedicalpatients.   deputisingcapacitytheindustryaccessmedicalpleasecontactMMDSExecutiveOfficer                                                           JosieMMDSDirectorCEOrolesSurveyorgeneralstandardsAustralianGeneralAccreditedProviderVicePresident,National(NAMDS)20022004,20072008.RABSQAAssessorforCareAccreditationJosieworkscloselyinvitationnumberprojects:CommitteeGeneralVictoriaGuidelines2003ProjectAdvisoryCommitteeNorthMelbournedevelopedcomprehensiveresidentialcareGPs,otherhealthserviceprovidersandAdvisoryCommitteeDeathResidentialAgedCareNorthValleyDivisionGeneral(NEVDGP),2009REACHsupportservicesBarwon