Healthy Kids CheckHealthy Kids Check

MBS item 709 – GPMBS item 709 – GP and 711 - PN and 711 - PN

Hunter Urban Division of Hunter Urban Division of General Practice General Practice

ContentContent• Pt consent

• Pt eligibility

• Components of the Health Check and Referral pathways

• Guest Speakers

PATIENT CONSENT PATIENT CONSENT

• Consent must be noted on the patient record.

• Consent can be either written or verbal.

PATIENT ELIGIBILITYPATIENT ELIGIBILITY

The Check will provide an opportunity to:• issue parents/guardians with information

and advice on healthy habits for life for children;

• link parents/guardians and children to the primary health care system;

• assist General Practitioners (GPs) and Practice Nurses to identify any health issues for children prior to starting school; and

• enable GPs to provide treatment or referral for any conditions identified as a result of the check.

PATIENT ELIGIBILITYPATIENT ELIGIBILITY

• Claim item number once per child

• Must have 4 yr old immunisation documented

• Note if a copy of the Department's publication on developing healthy habits for kids Get Set For Life has been provided to the patient’s parents/guardian

PATIENT ELIGIBILITYPATIENT ELIGIBILITY

• If a health professional is unsure whether a patient has already received this service, they may call Medicare Australia, with the patient’s parent/guardian present, on 132 011.

PATIENT ELIGIBILITYPATIENT ELIGIBILITY

• Patient’s ‘usual doctor’, or• Undertaken on behalf of a GP by a

practice nurse (registered or enrolled nurse).

• Should the practice nurse identify any health concerns that require medical intervention, the patient must be reviewed by the patient’s ‘usual doctor’ who will arrange referrals and follow-up as clinically required.

CLAIMINGCLAIMING

Supervision at a distance is recognised as an acceptable form of supervision. This means that the claiming GP does not have to be physically present at the time the service is provided. However, the GP should be able to be contacted if required.

CLAIMINGCLAIMING

Where the GP and practice nurse are at the same location, the GP is not required to be present while the Healthy Kids Check is undertaken. It is up to the GP to decide whether he or she needs to see the patient.

CLAIMINGCLAIMINGCan the GP claim a consultation in

addition to the Healthy Kids Check?

• The time the patient spends receiving a service from the practice nurse is itemised separately under item 711 and should not be counted as part of the Medicare item claimed for time spent with the GP.

CLAIMINGCLAIMING

Can the GP claim a nurse item number in addition to the Healthy Kids Check?

• Where the practice nurse provides another service (eg immunisation) on the same day, the GP is able to claim for both items.

CLAIMINGCLAIMING

Item 10990 or 10991 (bulk billing incentives) can be claimed in conjunction with items 709 and 711 provided the conditions of item 10990 and 10991 are satisfied.

COMPONENTS OF THE COMPONENTS OF THE HEALTH CHECKHEALTH CHECK

• Information collection and physical examinations/assessments

• Initiating interventions and/or referrals as indicated; and

• Providing health advice and information to the patient’s parents/guardian, utilising the Department's publication Get Set For Life +++To order send an email to resourcekits@health.gov.au

Information CollectionInformation Collection

• Taking a patient medical, social, and family history and or updating an existing history. (mandatory)

• Relevant examinations and investigations based on information from the patient’s medical, social and family history. (mandatory)

Assessment of the PatientAssessment of the PatientOverall assessment of the patient’s health(a) Height and weight (plot and interpret growth curve/calculate BMI)

(b) Eyesight

(c) Hearing

(d) Oral health (teeth and gums)

(e) Toileting

(f) Allergies –allergy vs intolerance, generic names

Assessment – other considerationsAssessment – other considerations(non-mandatory)(non-mandatory)

• Appetite/eating habits• Activity level• Speech and language development• Fine and gross motor skills• Behaviour and mood

Interventions - Provide Advice and Interventions - Provide Advice and Information to PatientInformation to Patient

• Discuss results of health check and recommended future action with the patient.

• Provide, or put in place arrangements for, any interventions required.

Interventions - Provide Advice and Interventions - Provide Advice and Information to ParentInformation to Parent

• Education, counselling or advice • Initiation of treatment

– GP Management Plan and Team Care Arrangement items

– Asthma cycle of care – include asthma management plan

Interventions - Provide Advice and Interventions - Provide Advice and Information to PatientInformation to Patient

Referrals • to other medical practitioners and allied health professionals• to specialised and social support services

And Finally…And Finally…

• A record of the health check must be kept on the patient’s file. (mandatory)

More From Our Guest Speakers…More From Our Guest Speakers…• Developmental Assessment – Eileen• Eyesight and Hearing screening – Alison Boehme, Child and Family Health

Nurse HNEH• Oral Health – Karen Sleishman, Child and Family Health Nurse HNEH• Height and weight - Colin Bell (Good For Kids Good for Life) HNEH• Allergies – Jan Belcher HNEH