12.     Glossary

Term

Description

ACCRM

Australian College of Rural and Remote Medicine.

AHOMP Program

After-Hours Other Medical Practitioner Program.

The AHOMP program provides access to higher urgent after-hours Medicare rebates to non-vocationally recognised medical practitioners providing after-hours general practice services through an accredited general practice or an accredited Medical Deputising Service. Normally non-vocationally recognised medical practitioners would access lower Medicare rebates.

AMA

Australian Medical Association.

AMDS

Approved Medical Deputising Service.

The Approved Medical Deputising Service Program is a workforce program intended to expand the pool of available doctors who provide after-hours ONLY services including home visits on behalf of general practice principals.

A AMDS service provider is an organisation which directly arranges for medical practitioners to provide after-hours medical services to patients of practice principals during the absence of, and at the request of, the practice principal.

A AMDS service provider is required to operate and provide uninterrupted access to care, for the whole of the after-hours period. The defined after-hours periods that must be covered by the AMDS service provider are: 6pm – 8am Weekdays, from noon Saturday, all day Sunday and public holidays.

A AMDS service provider must demonstrate that consultations and home visits are provided during the unsociable hours.

GP

General practitioner.

GP Trainee

A doctor who is undertaking a training program for the award of Fellowship.

High-value care

Services of proven efficacy reflecting current best medical practice, or services for which the potential benefit to consumers exceeds the risk and costs.

Inappropriate use/misuse

The use of MBS services for purposes other than those intended. This includes a range of behaviours, from failing to adhere to particular item descriptors or rules through to deliberate fraud.

Low-value care

The use of an intervention that evidence suggests confers no benefit or very little benefit on patients; or where the risk of harm exceeds the likely benefit; or, more broadly, where the added costs of the intervention do not provide proportional added benefits.

MBS

Medicare Benefits Schedule.

MBS item

An administrative object listed in the MBS and used for the purposes of claiming and paying Medicare benefits, comprising an item number, service descriptor and supporting information, Schedule fee and Medicare benefits.

MBS service

The actual medical consultation, procedure or test to which the relevant MBS item refers.

MDS

Medical deputising service.

A MDS is an organisation responsible for directly arranging for medical practitioners to provide after-hours services to patients on behalf of practice principals.

NAMDS

National Association for Medical Deputising Services.

Non-VR GP

Non-vocationally registered general practitioner.

Non-VRGPs are doctors who have not undertaken the appropriate training and continuing development to be considered a fellow of the Royal Australian College of General Practitioners or the Australian College of Rural and Remote Medicine. These doctors are not eligible to access the higher MBS rebates for consultations unless they are part of a workforce program such as the AHOMP or ROMP programs.

OMP

Other medical practitioner.

These are doctors who have not qualified to be recognised as a specialist (including consultant physicians and general practitioners). Some OMPs are on training pathways to become recognised as a specialist. Unless they are in a specific program, OMPs can only access MBS items with lower Medicare rebates than GPs and specialists.

PSR

Professional Services Review.

RACF

Residential aged care facility.

A special-purpose facility which provides accommodation and other types of support, including assistance with day-to-day living, intensive forms of care, and assistance towards independent living, to frail and aged residents.

RACGP

Royal Australian College of General Practitioners.

RDAA

Rural Doctors Association of Australia.

ROMP Program

Rural Other Medical Practitioners Program.

The ROMPS programme provides access to GP items with higher Medicare rebates to non-vocationally recognised medical practitioners providing general practice services in eligible rural and remote areas. Normally non-vocationally recognised medical practitioners would access MBS items with lower Medicare rebates.

Taskforce, The

The Medicare Benefits Schedule Review Taskforce.

Urgent afterhours items

Refers to MBS items 597, 598, 599 and 600.

These items provide for ‘urgent’ consultations in the after-hours period commencing from 6pm to 8am, provided at consulting room or other location such as patient’s home or RACF.

 

Urgent after-hours consultation

Item 597 and 598 provide for ‘urgent’ after-hours consultations in the after-hours periods of 7am-8am & 6pm-11pm, seven days a week.

 

Urgent  consultation in ‘unsociable’ after-hours

Items 599 and 600 provide for ‘urgent’ after-hours consultations in the ‘unsociable’ after-hours period of 11pm to 7am, seven days a week.

VR GP

Vocationally registered general practitioner.

VR GPs are fully qualified general practitioners who have the appropriate experience and undertaken the appropriate training and continuing development to be considered a fellow of the Royal Australian College of General Practitioners (RACGP) or the Australian College of Rural and Remote Medicine (ACRRM).

Working Group

After-Hours Working Group.

A working group of the MBS Review Taskforce.