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General practice compliance costs

Case studies report

Released 24 / 02 / 2003

This consultancy report was prepared by Campbell Research and Consulting. Thirteen separate case studies were conducted to provide information about the labour and other costs incurred in complying with some of the complex programs.

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  • Contents

Volume 1 - Program Analysis

Executive Summary
Background and methodology, Findings, Conclusion

1   Background, Objectives and Methodology
1.1   Objectives
1.2   Method
1.2.1   In-depth interviews
1.2.2   Financial information
1.2.3   Quality Assurance
1.2.4   Logbook
1.3 Case Studies Stratification
1.4   Recruitment
1.5   Data analysis
1.5.1   Qualitative data analysis
1.5.2   Compliance cost model design and analysis
1.6   The team working on the project
1.7   How to read this report
1.8   Acronyms and abbreviations used in this report
1.9   Disclaimer

2 Program Analysis
2.1   Overall issues
2.1.1   The practice size plays a critical role on the program up-take and compliance
2.1.2   Different programs cause different levels of frustration
2.1.3   Onus of responsibility is on the GP
2.1.4   Cumulative effect of paperwork
2.1.5   Improvement areas
2.2   Accreditation
2.3   PIP
2.3.1   After hours care and rurality
2.3.2   IM/IT
2.3.3  Immunisation Incentive program
2.3.4 NPS Program (Quality Prescribing Initiative)
2.3.5   Teaching
2.3.6   Service Incentive Payments (SIP)
2.4   Enhanced Primary Care (EPC)
2.5   RACGP
2.6   Vocational Registration and Continuing Professional Development
2.7 Centrelink
2.7.1   Key Is
2.7.2   Disability Allowance Forms
2.7.3   Sickness Allowance Forms
2.7.4   Carer Payments/Carer allowance Forms
2.7.5   New Start/Youth Allowance Forms
2.7.6   Mobility Allowance Forms
2.8 Department of Veterans Affairs
2.9   PBS
2.9.1   Phone authorisations
2.9.2   Written authorisations

3   Activity and Cost Item Analysis
3.1   Key assumptions
3.2   Overview
3.2.1   Proportional cost for labour and other costs
3.3   Practice size
3.4   Cost category analysis
3.4.1   (Interviewed) General Practitioners
3.4.2   Other GPs
3.4.3   Practice manager
3.4.4   Practice nurse
3.4.5   Other Professional support
3.4.6   Administrative support
3.4.7   Other costs
3.4.8   Comparative hourly rates
3.5   Program cost analysis
3.5.1   PIP
3.5.2   SIP
3.5.3   EPC
3.5.4   Vocational Registration
3.5.5   Centrelink
3.5.6   DVA
3.5.7   PBS

Volume 2 - Program Analysis

Background, Objectives and Methodology

Case Study 1 Outer Metro Group Practice

Case Study 2 Solo Rural Practice

Case Study 3 Small Outer Metropolitan Practice

Case Study 4 Solo Inner Metropolitan Practice

Case Study 5 Inner Metropolitan Corporate Practice

Case Study 6 Rural Group Practice

Case Study 7 Outer Metro Group Practice

Case Study 8 Inner Metropolitan Fringe Group Practice

Case Study 9 Fringe Outer Metro Corporate Practice

Case Study 10 Rural Small Practice

Case Study 11 Solo Remote Practice

Case Study 12 Inner Metropolitan Group Practice

Case Study 13 Rural Group Practice