Department of Health’s PIP Quality Incentive

The Department of Health’s Practice Incentive Program (PIP) Quality Improvement (QI) Incentive guidance commenced on 1 August 2019. Intitally when I heard about this new PIP I was a little apprehensive about the work that may be involved but now I have a solid understanding I am feeling pretty relaxed. I suspect as time goes on the reporting requirements will change.

What is the QI PIP?

The PIP is a payment to general practices which participate in quality improvement (QI) activities intending to improve patient outcomes and deliver best-practice care.

What is involved?

General Practice is required to participate in continuous quality improvement (QI) activities with its relevant local Primary Health Network (PHN) and Provide the PIP Eligible Data Set to the PHN every quarter. In a nutshell it is pretty straight forward.

Monitoring by PHN

To be honest, this the first thought that came to mind that I was most paniced about. For some reason I envisioned having to sit down with PHN multiple times a quarter to run through getting my QI activity approved and then demonstrating I had met it. But it turns out it is very straight forward. At this stage, PHN will not be monitoring the Practice has achieved their QI activities. Instead, they will merely be reporting to the Department of Health that the Practice has submitted their data.

PIP Changes

Practices should note that 4 incentives will cease on 31 July 2019:

  • Asthma Incentive
  • Quality Prescribing Incentive
  • Cervical Screening Incentive
  • Diabetes Incentive.

The six PIP Incentives that continue to remain unchanged are:

  • eHealth Incentive
  • After Hours Incentive
  • Rural Loading Incentive
  • Teaching Payment
  • Indigenous Health Incentive, and
  • Procedural General Practitioner Payment

Eligibility for PIP

As set out on the Department of Health’s website, there are two key areas a general practice needs to meet to qualify for the PIP QI Incentive Payment:

  • Participate in QI
    The PIP QI Incentive will reward practices for participating in continuous quality improvement activities in partnership with their local Primary Health Network (PHN).
  • Provide the de-identified data to your PHN
    General practices must provide to their local PHN the PIP Eligible Data Set from their general practice clinical information system.

Medicare encourages you to contact your local PHN to prepare for these changes. Go to www.health.gov.au/phn and select the contact tab to find your local PHN.

Payments

Payments 

The PIP QI Incentive is managed by the Department of Human Services (Human Services). Human Services will make the PIP QI payment quarterly to the nominated bank account of the Practice.

Eligible practices can receive a maximum payment of $12,500 per quarter, based on $5.00 per Standardised Whole Patient Equivalent, per year. To receive payments, general practices must have submitted their quarterly data at least once during the data submission period for that quarter. ACCHS and other IAHP organisations will provide data within their existing arrangement with the Department of Health.

How to find PIP QI in Proda

From 1 August 2019 you need to go to PRODA to register to for PIP. Once you have logged in go to:

  • My Programs
  • Practice Incentive Program
  • Select the practice (click Update)
  • Then press ‘Exit’
  • Then select ‘Incentive Summary’

You can register throughout the month of August 2019.

More Information

More information about the PIP QI requirements, including data governance arrangements, is available on the Department of Health’s PIP QI Website.  

Practices will be able to register for the PIP QI Incentive via HPOS from 1 August 2019 using their Provider Digital Access (PRODA) account.

Useful References

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