Transcript DIABETES GROUP PROGRAMS APDs, CDEs & AEPS

Acknowledgement
This project has been funded by the
Australian Better Health Initiative:
A joint Australian, State & Territory
Initiative
Medicare Group Items
• Available 1 May 2007
• Multidisciplinary group services for
people with type 2 diabetes
• Service provision by Medicareregistered providers: CDEs &/or
AEPs and/or APDs upon referral
from General Practitioner
Credentialled Diabetes Educators
(CDEs)
• expertise in diabetes management and
patient centred diabetes self
management education
• undertake ongoing professional
development and comply with ADEA
credentialling program
Accredited Exercise Physiologists
(AEPs)
• expertise in either health & fitness /
exercise rehabilitation
• undertake ongoing professional
development to comply with AAESS
accreditation program
Accredited Practising Dietitians
(APDs)
• expertise in medical nutrition therapy
and nutrition education
• undertake ongoing professional
development and to comply with the
requirements of the APD program
Professional Collaboration
CDE
GP
GP
AEP
APD
Evidence supporting type 2 diabetes
group services
• ↓ glycosylated
haemoglobin
• ↓ fasting blood
glucose
• ↓ systolic blood
pressure
• ↓ need for
diabetes
medications
•
•
•
•
↓ anxiety/ stress
↑ knowledge
↑ quality of life
Improving locus of
control
• Improving blood
lipids
• ↓ body weight
Refer to Deakin, T, McShane, CE, Cade, JE et al. Group based training for
self management strategies in people with type 2 diabetes mellitus.
Cochrane Database Sys Rev. 2005: CD003417.
Which patients are eligible?
To be eligible for allied health group services, a
patient must;
• Have type 2 diabetes
• Have a relevant care plan in place
• Be referred by their GP to the eligible allied
health professional for assessment for group
services
New Group Items
• New allied health items - 6 numbers,
two for each profession
• Allow people with type 2 diabetes to
receive Medicare rebates for group
services provided by;
~CDEs and/or AEPs and/or APDs
• These services are in addition to the 5
individual allied health services each
calendar year
• The group programs available do not have to be
limited to type 2 diabetes groups only.
• Other relevant group programs, such as blood
glucose monitoring, fitness or weight
management group services, may be available
and appropriate for a suitably assessed person
with type 2 diabetes to attend.
Medicare Group Items for People with Type 2 Diabetes
STEP 1:
Referral
STEP 2:
Individual
Assessment
STEP 3:
Group Services
GP refers eligible patient to CDE or AEP or APD or
practice known be involved in group services under
the Medicare Group Item, to be assessed for
suitability for a preferred group service.
CDE or AEP or APD individually assesses the patient
for suitability and prepares for group services.
Patients unsuitable for groups may be screened out at
this time.
Report: to GP on assessment undertaken, suitability
for group services, nature of proposed group services
CDE and/or AEP and/or APD conduct group sessions.
A maximum 8 sessions per calendar year.
Sessions must include 2-12 Medicare patients.
Non-Medicare, full-paying patients can also attend.
Report: after last service to referring GP for each
Medicare patient.
Step 1:
Referral
GP refers eligible patient to CDE or AEP or
APD or practice known be involved in group
services under the Medicare Group Item to be
assessed for suitability for a preferred group
service
Step 2:
Individual Assessment
CDE or AEP or APD individually assesses the patient
for suitability and prepares for group services.
Patients unsuitable for groups may be screened out at
this time.
MBS Items: 81100, 81110, 81120
Rebate: $60
Consultation: minimum 45mins
Report: to GP on assessment undertaken, suitability
for group services, nature of proposed group services
Note: 1 assessment claimable per calendar year
Reporting to GP: Assessment
• Outline of the assessment undertaken
• Suitability of referred patient for group services
• Nature of proposed group services
Step 3: Group Services
• CDE and/or AEP and/or APD conduct group
programs.(81105,81115,81225)
• A maximum 8 sessions per calendar year.
• Sessions must be minimum 1 hour duration.
• Rebate is $15 per patient per sessions.
• Sessions must include 2-12 Medicare patients.
• Non-Medicare, full-paying patients can also attend.
• Report: after last service to referring GP for each
Medicare patient.
Reporting to GP: Group Services
• Attendance record
• Description of group services conducted
• Outcomes achieved
How to find your local CDE/AEP/APD
• Check the relevant association website…
Australian Diabetes Educators Association
www.adea.com.au
Australian Association for Exercise & Sports Science
www.aaess.com.au
Dietitians Association of Australia
www.daa.asn.au
Questions