Are you ready for the Auditor - AMA WA
Are you ready for the Auditor - AMA WA
Are you ready for the Auditor - AMA WA
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Continued from page 34<br />
and withdrawing telehealth incentive payments from mid-<br />
2014. Fur<strong>the</strong>r, <strong>the</strong> Government is requiring that telehealth<br />
consultations must now be conducted over a distance of at<br />
least 15km to be eligible <strong>for</strong> rebates.<br />
As if that was not enough, General Practice was faced with<br />
<strong>the</strong> Government’s preparedness to coerce Practitioners into<br />
taking part in <strong>the</strong> Personally Controlled Electronic Health<br />
Record (PCEHR) system. The Government announced that<br />
General Practices must choose to participate in PCEHR if<br />
<strong>the</strong>y are to continue in receiving e-health PIP funding. To put<br />
it mildly, that is nothing more than a cheap <strong>for</strong>m of blackmail.<br />
The Federal Government is not providing any new funding<br />
<strong>for</strong> <strong>the</strong> new clinical service that GPs are asked to provide in<br />
helping patients prepare a shared health summary as part<br />
of <strong>the</strong> PCEHR. Indeed, it could be argued that a<br />
good idea whose time has come has been badly<br />
managed by <strong>the</strong> Government to <strong>the</strong> point<br />
that GPs should not go near it, but even<br />
now, more so now given GPs <strong>the</strong>mselves<br />
are effectively being expected to fund<br />
<strong>the</strong> implementation of something<br />
that is administratively problematic.<br />
As Dr Hambleton says, “this double<br />
whammy represents a substantial<br />
road block to effective implementation<br />
of <strong>the</strong> PCEHR and threatens<br />
Australia’s ef<strong>for</strong>ts to be world leader in<br />
e-health.”<br />
Did <strong>the</strong> Government consult with <strong>the</strong><br />
<strong>AMA</strong> or <strong>the</strong> profession over its plans revealed<br />
in <strong>the</strong> budget? No! The Government knew <strong>the</strong>se<br />
massive cuts were in effect hitting General Practice in <strong>the</strong> hip<br />
pocket and also quality patient care. These savage cuts follow<br />
o<strong>the</strong>r cuts in recent budgets to items such as Joint Injection<br />
Rebates, <strong>the</strong> Mental Health rebates, <strong>the</strong> loss of Medicare<br />
Practice Nurse Rebates and earlier cuts to <strong>the</strong> Immunisation<br />
Incentive Scheme as well as <strong>the</strong> insane decision to remove GP<br />
After-Hours PIP. GPRA, in its media release entitled “GPRA<br />
appoints Dr Ginni Mansberg as Ambassador <strong>for</strong> i-heart<br />
my GP campaign,” advises that it’s launching its campaign<br />
on 19 May 2012 to coincide with <strong>the</strong> second anniversary of<br />
World Family Doctor Day, which celebrates <strong>the</strong> importance<br />
of General Practitioners and Family Doctors. It’s a good<br />
idea and is aimed at encouraging <strong>the</strong> public to share positive<br />
stories about why <strong>the</strong>y ‘heart’ <strong>the</strong>ir GP on <strong>the</strong> website www.<br />
iheartmygp.com.au.<br />
Members of <strong>the</strong> public can also join <strong>the</strong> conversation on<br />
facebook (www.facebook.com/iheartmygp) and on twitter<br />
(twitter.com/iheartmygp)).<br />
Interestingly, <strong>the</strong> media release states that <strong>the</strong> campaign<br />
has al<strong>ready</strong> caught <strong>the</strong> eye of <strong>the</strong> Federal Health Minister,<br />
who has allegedly recorded a short video outlining why she<br />
‘hearts’ her GP, alongside o<strong>the</strong>r politicians. One wonders why<br />
<strong>the</strong> Health Minister would consider that such a great idea,<br />
when her Government has delivered such a financial battering<br />
to GPs and <strong>the</strong>ir patients around <strong>the</strong> nation. GPs, being<br />
undermined <strong>the</strong> way <strong>the</strong>y have, will not appreciate <strong>the</strong>n<br />
being told by <strong>the</strong> perpetrators that <strong>the</strong>y ‘heart’<br />
<strong>the</strong>ir GP.<br />
The Government needs constant<br />
reminding that General Practice is<br />
<strong>the</strong> cornerstone of <strong>the</strong> health care<br />
system and are <strong>the</strong> linchpin of<br />
primary care’s service delivery.<br />
This Federal budget<br />
again gouged millions<br />
out of General Practice<br />
and yet expects GPs to<br />
per<strong>for</strong>m even greater<br />
miracles<br />
Over 29,800 GPs undertake well<br />
over 100 million consultations<br />
a year, and are <strong>the</strong> first point of<br />
contact when a person has a health<br />
problem. This Government needs<br />
to know that General Practice and<br />
its patients do not ‘heart’ what <strong>the</strong>y<br />
have done to General Practice and have<br />
continued to do in this budget.<br />
Federal President Dr Hambleton has written<br />
to <strong>the</strong> Minister <strong>for</strong> Health and Ageing, raising grave concerns<br />
about <strong>the</strong> impact of <strong>the</strong> cuts announced in 2012–2013<br />
Federal Budget to <strong>the</strong> PIP program, and has expressed<br />
disappointment that <strong>the</strong> engine room of <strong>the</strong> health system,<br />
General Practice, is once again <strong>the</strong> target of funding cuts.<br />
It is hoped that Minister sees sense and is prepared to get<br />
<strong>the</strong> Government to overturn <strong>the</strong>se ill-conceived budgetary<br />
decisions. However, <strong>the</strong> Government’s track record shows that<br />
GPs should not hold <strong>the</strong>ir breath.<br />
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