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Multi Disciplinary Case Conferencing

The following information has been taken from the Medicare website:

MBS ITEMS
Items 740, 742, 744, 759, 762 and 765 apply only to a service in relation to a patient who suffers from at least one medical condition that has been (or is likely to be) present for at least 6 months, or that is terminal, and is not an in-patient of a hospital or a care recipient in a residential aged care facility.
 
Items 746, 749, 757, 768, 771 and 773 apply only to a service in relation to a patient who suffers from at least one medical condition that has been (or is likely to be) present for at least 6 months, or that is terminal, and is an in-patient of a hospital and is not a care recipient in a residential aged care facility. 
 
Items 734, 736, 738, 775, 778 and 779 apply only to a service in relation to a care recipient in a residential aged care facility who suffers from at least one medical condition that has been (or is likely to be) present for at least 6 months, or that is terminal.
 
CASE CONFERENCING PROCESSES
A case conference is a process by which a case conference team carries out the following activities:
(a) discussing a patient's history; and
(b) identifying the patient's multidisciplinary care needs; and
(c) identifying outcomes to be achieved by members of the case conference team giving care and service to the patient; and
(d) identifying tasks that need to be undertaken to achieve these outcomes, and allocating those tasks to members of the case conference team; and
(e) assessing whether previously identified outcomes (if any) have been achieved.
 
A case conference team includes a medical practitioner and at least two other members, who participate in the case conference, each of whom provides a different kind of care or service to the patient, and one of whom may be another medical practitioner (normally a specialist or consultant physician).
 
HOW DOES A GP DOCUMENT PARTICIPATION IN CASE CONFERENCES?
Is it adequate to place a note in the patient’s file recording the necessary information?

A note in the patient’s record is sufficient but must be included in the patient’s clinical records. It should include:
  • a record of the patient’s agreement to the medical practitioner participating in the case conference;
  • a record of the day on which the conference was held, and the times at which the conference started and ended;
  • a record of the names of the participants;
  • a record of the matters mentioned in clause A.32.4 of the Medicare Benefits Schedule, in so far as they relate to the GP’s participation in the case conference (to be cross referenced with the patient’s medical records); and
  • a summary of the case conference (a copy of which should be given to the patient).

 

 

Printed from http://www.scdgp.org.au/page/Programs/Chronic_Disease_Management_QI/Multi_Disiplinary_Case_Conferencing_/
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