Diabetes PIP/SIP
In November 2001 the Commonwealth Government expanded the Practice Incentive Program (PIP) to improve earlier diagnosis and management of specific chronic diseases including. All Accredited General Practices are eligible for the Practice Incentive Program (PIP).
The Diabetes PIP initiative is made up of 3 components;
- Patient Register and Recall/Reminder System
PIP practices will receive a one-off payment if they use a patient register and recall/reminder system for their patients with diabetes.
- Service Incentive Payment (SIP – diabetes)
To be eligible for diabetes service incentive payment (SIP – diabetes) it is necessary to complete an annual diabetes cycle of care (outlined below) for a patient of the practice.
- Outcome payments
Diabetes outcome payments are made to practices that reach target levels of care for their patients with diabetes. For a summary sheet of the diabetes PIP payments and MBS Items numbers, please refer to the resources listed below.
Diabetes Annual Cycle of Care
The minimum requirements are;
|
Blood Pressure |
Every 6 months |
|
Ht / Wt / waist (BMT) |
Every 6 months |
|
Feet Exam |
Every 6 months |
|
Glycaemic control (HbA1c) |
Once per year |
|
Blood lipids |
Once per year |
|
Microalbuminuria |
Once per year |
|
Eye Exam |
At least every 2 years |
|
Smoking |
Review once per year |
|
Healthy eating plan |
Review once per year |
|
Physical activity |
Review once per year |
|
Self care education |
Review once per year |
|
Medications |
Review once per year |
*Based on RACGP Diabetes general practice guidelines, 2006/07.
Resources
| Summary sheet Diabetes PIP payments and MBS Items numbers (Sourced from Monash DGP) | WORD (39KB) |
| Diabetes Annual Cycle of Care Checklist (Sourced from Monash DGP) - one page sheet | WORD (63KB) |
| Diabetes Annual Cycle of Care Checklist Desktop Guide - 2 sheet per page | PDF (18KB) |
| Diabetes Annual Cycle of Care Checklist Desktop Guide | WORD (82KB) |
|
Mastering MBS Items and Diabetes SIP (Service Incentive Payments) |
PDF (35KB) |
| Diabetes Management in General Practice (Clinical Management Guidelines) 2007/08 | PDF (1MB) |
| Goals for Optimum Diabetes Management Reference Card | PDF ( 174KB) |
PIP Helpline Phone: 1800 222 032 Available for queries and PIP/SIP resources/forms
Useful website
Medicare Australia http://www.medicareaustralia.gov.au/providers/incentives_allowances/pip.shtml
Diabetes Data Aggregation Strategy
An activity under the Division’s Chronic Disease Prevention & Management Program, is the Diabetes Data Aggregation Initiative. The strategy involves implementing a software tool developed by Canning Division of General Practice that aggregates and manages diabetes data at a practice level.
The “Diabetes Data Aggregation Tool” can improve practice systems by identifying those patients that have diabetes and assisting with the following;
- Establishment and maintenance of Recall Reminder Systems for patients with diabetes
- Assist practices with forward planning for consultation reviews
- Assist practices with downloads of diabetes pathology results using HL7 messaging format for direct upload to medical software including; Medical Director; Medtech32; Best Practice; Medical Spectrum Classis and more to follow
- Support practices in implementing best practice strategies such as; Diabetes PIP/SIP, Medicare CDM Items (GPMP and TCA)
Amanda Rattray from the Division provides practice visits regarding this initiative. Please contact her at the Division to arrange a time or Phone (02) 9525 4011