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Practice Incentive Payment Digital Health Incentive

Practice Incentive Payment Digital Health Incentive

What:

From May 2016 the Practice Incentive Program Digital Health Incentive replaces the Practice Incentive Program eHealth Incentive (ePIP), and includes new eligibility requirements.

Why:

Every day one in five Australian GPs see a patient for whom they have no information. Shared Health Summaries provided by a patient’s nominated healthcare provider can assist other healthcare professionals to provide better care.

The ePIP has been successful in encouraging the majority of general practices to become “My Health Record ready”; however this has not translated into active use of the system.

The new eligibility requirement is for general practices to contribute Shared Health Summaries to the My Health Record system for their patients. General practices will be required to upload Shared Health Summaries for a minimum of 0.5% of the practice’s standardised whole patient equivalent (SWPE) to be eligible for the Digital Health Incentive payment. All other Digital Health Practice Incentive Payment obligations and requirements remain the same.

Support:

Updated online training materials and access to face-to-face training will assist general practices and GPs become familiar with and confident to use today’s My Health Record system. Contact your Primary Health Network for more information about the support that is available.

Timing:

The Digital Health Incentive, including the requirement to upload Shared Health Summaries, will commence from 1 May 2016. This timing is aligned with the reference period May–July for the August 2016 payment quarter.

Further details:

Formal, written notification about the new Digital Health Incentive requirements will be issued to general practices currently enrolled in PIP by the Department of Human Services. Future notifications will provide information on what practices need to do to participate in the Digital Health Incentive.

What are the five eligibility requirements:

Practice Incentive Program (PIP) Digital Health Incentive Requirements (From May 2016)

Requirement 1—Integrating Healthcare Identifiers into Electronic Practice Records

The practice must:

  1. Apply to Human Services to obtain a Healthcare Provider Identifier–Organisation (HPI–O) for the practice, and store the HPI–O in a compliant clinical software system;
  2. ensure that each general practitioner within the practice has their Healthcare Provider Identifier–Individual (HPI–I) stored in a compliant clinical software system; and
  3. Use a compliant clinical software system to access, retrieve and store verified Individual Healthcare Identifiers (IHI) for presenting patients.

Requirement 2—Secure Messaging Capability

The practice must have a standards-compliant secure messaging capability to electronically transmit and receive clinical messages to and from other healthcare providers, use it where feasible, and have a written policy to encourage its use in place.

Requirement 3—Data Records and Clinical Coding

Practices must ensure that where clinically relevant, they are working towards recording the majority of diagnoses for active patients electronically, using a medical vocabulary that can be mapped against a nationally recognised disease classification or terminology system. Practices must provide a written policy to this effect to all GPs within the practice.

Requirement 4—Electronic Transfer of Prescriptions

The practice must ensure that the majority of their prescriptions are sent electronically to a Prescription Exchange Service (PES).

Requirement 5—My Health Record system

The practice must:

  • Use compliant software for accessing the My Health Record system, and creating and posting shared health summaries and event summaries;
  • Apply to participate in the My Health Record system upon obtaining a HPI–O; and
  • Upload a shared health summary for a minimum of 0.5% of the practice’s standardised whole patient equivalent (SWPE) count of patients per PIP payment quarter.

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