Diabetes Insulin Starts

Diabetes Insulin Starts Key Purpose/Benefit This a practice led service providing the necessary structure to meet the more short-term intensive time demand required to successfully initiate insulin therapy for patients with Type 2 Diabetes.

The insulin start package includes six contacts with the patient to deliver education and advice in order to manage the process safely.

The package can be provided by General Practitioners and/or registered nurses that have completed WBOP PHO approved Insulin Therapy education within the last 3 years See Section D, page 8.

The Diabetes Insulin Starts package is to include the following patient services: 

Full assessment of patient dietary habits and lifestyle routine

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Identification of the starting insulin type, dose and site selection

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Subsequent insulin adjustments

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Demonstration and supervision of insulin injection and blood glucose monitoring technique

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Assessment of patient injection technique and blood glucose monitoring technique

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Discussion regarding hypo glycaemia, signs, symptoms treatment and causes

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Discussion regarding the importance and implications of site rotation

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Education regarding insulin storage and correct constitution

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Education regarding any legal implications of insulin therapy such as driving; sharps disposal etc.

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Specific advice regarding the relevance of HbA1c tests, interpretation of this test and identification of individually agreed patient targets.

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Patient referral to Insulin Start education (10 hours)

Updated October 2021

Eligibility Criteria 

Patient has had a Diabetes Annual Review (DAR) within the last 12 months

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Patient diagnosed with Type 2 Diabetes for more than 6 months

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Most recent HbA1c result >64 mmol/mol

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Patient suitable for primary care diabetes management

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Patient offered referral to the WBOP PHO Diabetes Self-Management Group education courses for Insulin Starts. The referral process is detailed in Section S

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Patient is eligible for 1 insulin start only

Claim Process All PMS’s Claim using the Halcyon form, instructions on “How to Access Halcyon” from all Practice Management Systems are under H in this PHO Guide.

To claim Diabetes Insulin Starts, click New Registration The following tabs are mandatory to complete: Patient, Provider, and Registration Details

Updated October 2021

Medtech, MyPractice, Profile practices An invoice will automatically be created in your PMS and a claim will be electronically sent to the PHO on submission of the Halcyon form.

Houston practices An invoice will need to be manually created in your PMS for internal reconciliation purposes. A claim will be electronically sent to the PHO on submission of the Halcyon form.

Payment $205.69 including GST annually for every Diabetes Insulin Start, to be paid monthly in arrears following receipt of a claim by the WBOP PHO. Please Note: No patient co-payment is to be charged Buyer Created Tax Invoices (BCTI) can be accessed from the WBOP PHO Portal, showing a breakdown of payments by invoice number.

Contact Details: Service Claims and Claim Queries can be sent directly to: PracticeClaims@wboppho.org.nz PracticeClaims@wboppho.org.nz is the singular email for sending PHO invoices/claims queries.

While the email is monitored, for faster delivery to the correct PHO Service, please add the name of the service in the subject line of the email.

For all other queries regarding Programme guidance and support, contact your General Practice Liaison directly, or the GPL Team at: GPSAdmin@wboppho.org.nz

Updated October 2021