Reporting and Funding Telehealth Activity: A Queensland Perspective
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1 Reporting and Funding Telehealth Activity: A Queensland Perspective Stephanie Ferdinands Telehealth Support Unit Clinical Excellence Division, Queensland Health
2 Reporting and Funding Non-admitted patient telehealth service events Admitted patient telehealth events Emergency Department telehealth consultations Store and forward assessments Key Performance Indicator Telehealth 2
3 Non-admitted patient telehealth service event Service Event Definition An interaction between one or more healthcare provider(s) with one non-admitted patient, which must contain therapeutic/clinical content and result in a dated entry in the patient's medical record. 1 1 Australian Government, Australian Institute of Health & Welfare. National Health Data Dictionary. < Retrieved 29/09/2016 3
4 Monthly Activity Collection Scope Telehealth service events are non-admitted patient consultations or group sessions delivered via videoconferencing technology. 2 Telehealth Service Events may be reported once by the provider-end facility and once by the recipient end facility. 3 2 Monthly Activity Collection (MAC) Manual , Section Monthly Activity Collection (MAC) Manual , Section
5 Non-admitted patient telehealth Data Capture: service events Patient administration systems (e.g. HBCIS APP appointment scheduling) Data Reporting: Monthly Activity Collection (MAC) 5
6 Monthly Activity Collection Telehealth Forms Facility Form Name Data captured Provider end MACONTELP 1:1 service events delivered by the provider-end, by provider type, by clinic type Recipient end MACONTELR 1:1 service events delivered by the recipient-end, by provider type, by clinic type Provider end MACONGTLP Group session service events (patients) delivered by provider ends, by provider type, by clinic type Recipient end MACONGTLR Group session service events (patients) delivered by recipient ends, by provider type, by clinic type Source: Monthly Activity Collection (MAC) Manual , Section
7 Monthly Activity Collection Telehealth Forms Microsoft Excel Workshee Source: Monthly Activity Collection Telehealth Forms 7
8 Private non-admitted patient telehealth service events - Funding MBS telehealth items 11 specialist end items 23 patient-end items The patient and specialist are required to be located a minimum of 15 kms apart at the time of the consultation. MBS billing requirements must be met. Source: Medicare Benefits Schedule Video Consultation Items: 8
9 Non-admitted patient telehealth service events Funding The Queensland Activity Based Funding Model Localisation pays both the provider and recipient nonadmitted patient telehealth service events, by Tier 2 Clinic Type. Healthcare Purchasing Initiative provides a $200 payment for any additional public non-admitted patient telehealth service events above actual volumes for the equivalent period in the previous year where the Tier 2 Clinic Type reported has a non-zero price weight. Source: Health funding principles and Guidelines: Financial year. Version 2.0 Queensland Health Healthcare Purchasing Specification Sheet: Purchasing Intention Telehealth Queensland Health 9
10 National reporting of non-admitted telehealth activity In Independent Hospital Pricing Authority (IHPA) introduced new Tier 2 classes to report patient end telehealth service events: Telehealth Patient Location Telehealth Patient Location Implementation in Queensland: Recipient-end telehealth service events will continue to be reported by Clinic Type on the Telehealth Recipient-end forms When data are reported nationally the recipient-end telehealth data are mapped to the 2 new Tier 2 classes. Source: The Pricing Framework for Australian Public Hospital Services Independent Hospital Pricing Authority Tier 2 Non-Admitted Services Compendium , Independent Hospital Pricing Authority 10
11 Admitted patient telehealth event A telehealth session is defined as the transmission and receipt of real-time audio and visual information via videoconference systems between participating sites. A telehealth event is an interactive, real-time clinical activity provided to an admitted patient during a telehealth session. A telehealth session may involve one or more admitted patient/s with each patient having a telehealth event. A telehealth event may occur more than once during an admitted patient episode of care. Source: Queensland Hospital Admitted Patient Data Collection Manual , Chapter 16, Queensland Health. 11
12 Admitted patient telehealth Captured: events Hospital Based Corporate Information System (HBCIS) Telehealth Inpatient Details screen. Reported: Queensland Hospital Admitted Patient Data Collection (QHPADC). 12
13 Source: HBCIS Telehealth Inpatient Details Screen
14 Admitted patient telehealth events Funding The Queensland Healthcare Purchasing Intention provides a payment of $200 for the provider end of an admitted patient telehealth service event specialist medical consultations. Excludes: Allied Health and Nursing telehealth service events. Events where the provider and recipient facility are the same. Source: Healthcare Purchasing Purchasing Intention Telehealth, Queensland Health 14
15 Emergency Department telehealth consultations Captured and reported: Emergency Department Information System (EDIS)/Rural EDIS, local patient administration systems, TEMSU. 15
16 Emergency Department telehealth consultation - Funding The Queensland Healthcare Purchasing Intention provides a payment of $100 for the provider end of an Emergency Department Telehealth specialist medical consultations. Excludes: Allied Health and Nursing telehealth service events Events where the provider and recipient facility are the same Source: Healthcare Purchasing Purchasing Intention Telehealth, Queensland Health 16
17 Store and Forward Assessments The acquisition and storing of an image for clinical purposes that is then forwarded to (or retrieved by) another clinician at another site for clinical assessment. Source: Monthly Activity Collection Manual , Section
18 Capture: Store and Forward Assessments Local data collection systems Image/s are required to be transmitted and stored securely in a repository that enables the image/s and associated clinical information to be retained and retrieved Reporting: Monthly Activity Collection (MAC) Provider-end form (MACONTELP) Source: Monthly Activity Collection Manual , Addendum to Section
19 Source: Monthly Activity Collection , MACONTELP 19
20 Store and Forward Assessment Funding The Queensland Healthcare Purchasing Intention $100 - provider end of store and forward image assessments Medical officer only public non-admitted patient only Clinic types: Dermatology, Ear Nose and Throat, Ophthalmology, and Wound Management only must not form part of another telehealth or face to face service event must be of therapeutic/clinical content and result in a dated entry in the patient's medical record Excludes: evaluation of medical images during in-scope telehealth or face to face service events. image assessment for admitted patients assessment of X-ray images and radiology reports Source: Healthcare Purchasing Intention Telehealth, Queensland Health 20
21 Target: Key Performance Indicator for telehealth 20% increase on the number of non-admitted patient telehealth service events Calculation Non-admitted patient telehealth service events. Numerator: Year-to-date (YTD) 2016/17 total non-admitted telehealth service events Denominator: YTD 2015/16 total non-admitted telehealth service events Formula: (Numerator Denominator)/Denominator x 100 Data Source: Monthly Activity Collection Source: Performance Indicators, Queensland Health 21
22 Telehealth Treating people locally Connecting Queenslanders with safe and sustainable patient centered healthcare. Stephanie Ferdinands Telehealth Support Unit Clinical Excellence Division Queensland Health 22
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