Better Sooner More Convenient Primary Care - New Zealand Doctor
Better Sooner More Convenient Primary Care - New Zealand Doctor
Better Sooner More Convenient Primary Care - New Zealand Doctor
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4 Objectives<br />
<br />
<br />
<br />
<br />
to continue with direct access from primary care to plain film radiology<br />
to develop direct access by primary care to CT scans for health problems that meet the<br />
criteria<br />
to develop access to musculoskeletal ultrasound without significantly increasing the<br />
waiting list for other types of ultrasound<br />
to enhance the skills of those requesting radiological investigations and interpreting the<br />
reports.<br />
5 Benefits and gains<br />
Output measures - track quarterly<br />
Indicator Baseline Target – Yr 1 Year 2 Year 3<br />
Number of plain film and US 5000 pa 5200 5400 5700<br />
Total number of CT scans 3500 3750 4000 4250<br />
Numbers CTs ordered by GPs Est. 10 300 320 340<br />
Number of musculoskeletal 0 0 40 60<br />
ultrasounds<br />
Orthopaedic FSAs 873 870 830 810<br />
Number of educational sessions<br />
held per annum<br />
1 1 1 1<br />
6 Deliverables / activities<br />
Implementation phase: to June 30, 2010<br />
Develop guidelines for general practitioners to access:<br />
CT head for head injury<br />
CT scan for painless haematuria<br />
CT urogram for renal colic<br />
CT colonography instead of barium enemas.<br />
Task<br />
Gather copies of guidelines used in other regions<br />
Establish multidisciplinary groups to review guidelines and adapt for<br />
local use (include Māori participation)<br />
Develop referral template based<br />
Provide educational session for referrers in the use of the guidelines<br />
Establish system for tracking volumes<br />
By when<br />
March<br />
March – April<br />
May<br />
May<br />
Business case appendices V12 AC 25Feb2010 Page 74