Application Detail

Status

Closed

Description of Medical Service

The Intensivist consultations range from routine services to more complex and prolonged services.

• Routine services include the insertion of lines and referral for specialised care, such as total parenteral nutrition.
• Complex services, such as those provided by METs, involve the evaluation of a patient including taking a detailed history, performing a physical examination, the organisation and review of investigations, exploring treatment options, discussion of care plans with the patient and family members, telephone conversations with other specialists, or discussion with a multi-disciplinary team

Description of Medical Condition

Currently Intensivists use MBS Group A3 professional attendance items 104 and 105.

The proposed intervention would be used by Intensivists instead of items 104 and 105. The new items would also be restricted against MBS Sub-Group 10, Management and Procedures undertaken in an ICU, which include an initial assessment and development of a patient management plan. It is intended that an IC specialist cannot claim a time tiered consultation and an ICU management item within a 24 hour period. If a patient is subsequently admitted to ICU only the ICU items would be claimable. Currently there is no restriction between consultation items and ICU items.

Reason for Application

-

Medical Service Type

-

Previous Application Number

Not Applicable

Associated Documentation

Application Form

-

PICO Confirmation

Final Decision Analytic Protocol (DAP) (PDF 110 KB)
Final Decision Analytic Protocol (DAP) (Word 373 KB)

Assessment Report

Public Summary Document

Public Summary Document (PDF 90 KB)
Public Summary Document (Word 93 KB)

Meetings for this Application

PASC

15 September 2011
12 - 13 April 2012

ESC

13 - 14 February 2014

MSAC

3 - 4 April 2014