Western Bay of Plenty PHO - Covid Care in the Community Guidelines
18/03/2022
This document aims to provide clarity and support clinicians claiming for costs associated with Covid-19 Care in the Community. Please see below bullet points summarising key information and flowchart on the following page. Chart Review & Contact • Chart review and contact patient via text, email, patient portal • Funded for higher risk patients who do not require full initial assessment • Does not cover bulk messaging • Patient eligibility determined by Clinical Discretion Initial Assessment • Should be the first claim made for Higher Risk Covid Patients who do require assessment • To assess patient needs and determine clinical care plan - patient may be placed on Self or Active Management Pathway • Can only be claimed once per patient • Can be undertaken by any member of the general practice team (may involve multiple clinician input where clinically appropriate) Regular Review(s) • Should only be claimed once an initial assessment has been completed (but not on same day as initial assessment) • For patients on Active Management Pathway • Number and frequency of Reviews determined by Clinical Discretion. Guidance available on Health Pathways. • Can be carried out by any clinical member of the practice team Clinical discharge • Clinical team determines whether the patient has clinically recovered and can be discharged from clinical regular reviews.
Where clinical complications may arise, the following claim options are also available: Clinical Escalation • Where a new need or deterioration is identified during a Regular Review • Clinical care should be escalated to an appropriately qualified clinician • Cannot be claimed against an Initial Assessment • Claim fee is additional to Regular Review fee – but total is paid as one combined claim. Select ‘Regular Review’ – tick box for ‘clinical escalation’ for combined total. In Person Care in GP Clinic • Where patient requires in-person Care in GP Clinic. Full assessment where clinically required. At Home Care (per hour) + At Home Care (Mileage) • Where patient requires Care in their own home. Clinical Assessment (post transfer) • Re-assessment following transfer of care from hospital to primary care Follow-up check – Post Clinical Discharge • A single follow-up review after patient has been discharged from clinical reviews. Timing of the follow-up is determined clinically.