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This form the Transcript to the National Press Club today:
Quote:
Existing professional boundaries restrict our ability to use fully the skills of the current health workforce.
We want health professionals to work together better as a team.
This should be reflected in how we educate and train them.
To this end, the Commission recommends the adoption of a new competency-based framework for future clinical education, and better defining of clinical scopes of practice.
We will also require multidisciplinary clinical training facilities across all service settings, including in rural areas.
To link the health and education sectors - and provide overarching national leadership - we propose the establishment of a National Clinical Education and Training Agency.
This Agency would oversee development of the competency based framework, clinical education funding, and would assist in health workforce planning.
We have examined the vexed issue of the maldistribution of the medical workforce and propose some changes.
Where doctors are scarce, such as in remote and rural areas, appropriately credentialed nurse practitioners and other registered health professionals should be able to order diagnostic tests and make specialist referrals that are covered by Medicare.
The same should apply to PBS cover for prescriptions.
We also propose that specific items on the MBS should be able to be billed by a medical practitioner where the care is provided by a competent health professional credentialed to undertake this activity.
We want the health workforce of the future to be a dynamic team, comprising individuals who are qualified, adaptable, and technically competent.
The Commission anticipates some lively feedback on these workforce reform directions.
LL
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The Following 2 Users Say Thank You to LuckyLisfranc For This Useful Post:
Kara47 (15th February 2009),
Tuckersm (15th February 2009)
14.2 We propose facilitating access to care where doctors are scarce. Commencing in remote and some rural areas:
• Medicare rebates should apply to some diagnostic services and specialist medical services ordered or referred by nurse practitioners and other registered health professionals according to defined scopes of practice determined by health professional registration bodies.
• Pharmaceutical Benefits Scheme subsidies (or, where more appropriate, support for access to subsidised pharmaceuticals under section 100 of the National Health Act 1953) should apply to pharmaceuticals prescribed from approved formularies by nurse practitioners and other registered health professionals according to defined scopes of practice.
• Where there is appropriate evidence, specified procedural items on the Medicare Benefits Schedule should be able to be billed by a medical practitioner for work performed by a competent health professional, credentialed for defined scopes of practice.
There you go!
Do the nail surgery - but let the GP get paid for it...bugger that!
LL
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***************************************** Remember, it's just a foot.
Yes but Dentistry now get $4500 per patient per year - with similar operating costs, equipment and not too dis-similar procedures in terms of skillset and technicality, it makes me question of the current health scheme and the people who are in charge of it! Watch that same graph in 2009 - Dentistry will make us look like Aboriginal Health worker service.
Part of me also thinks that graph is either wrong or their data collection is skew-wiff - are we really meant to believe that there was only 51 occasions of service in Aboriginal Health in this country? And a mere 2400 in Mental Health? Either the data is wrong or we are not utilising the health system to its fullest - but we already knew that didn't we!
Food for thought?
The Following User Says Thank You to Paul Bowles For This Useful Post:
Yes but Dentistry now get $4500 per patient per year - with similar operating costs, equipment and not too dis-similar procedures in terms of skillset and technicality, it makes me question of the current health scheme and the people who are in charge of it! Watch that same graph in 2009 - Dentistry will make us look like Aboriginal Health worker service.
Part of me also thinks that graph is either wrong or their data collection is skew-wiff - are we really meant to believe that there was only 51 occasions of service in Aboriginal Health in this country? And a mere 2400 in Mental Health? Either the data is wrong or we are not utilising the health system to its fullest - but we already knew that didn't we!
Food for thought?
Paul
It's an "allied health" graph - dentistry has its own separate table. We are in there probably because we have been stupid enough to allow ourselves to be lumped in with the "allied health" crew in this country. US podiatry were smart enough to get a separate identity, rather than get lost in the mysterious void of music therapists and touchy-feely non-clinical 'professions'.
I would be surprised if the data wasn't accurate. There would be very few quasi-private billing aboriginal health workers in the country - they usually get direct funding. The new mental health initiative is again a separate item now.
LL
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***************************************** Remember, it's just a foot.
The Following User Says Thank You to LuckyLisfranc For This Useful Post:
Yeh I understand - but that was partly my point that we are lumped with allied health - I know your thoughts on the issue and I am in agreement, our costs and overheads (not to mention other things) far exceed most other "Allied" health workers on a per practitioner basis. But we are still "Allied Health".
I was also inferring that that stats maybe incorrect due to the billing issues (such as you mentioned) - but if in fact those stats are extremely accurate, then we as a country need to look long and hard at the current state of health care provision.
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NHHRC Interim Report
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