❓ Mr. O'Gorman inquires about angiogram transfers from Joondalup Health Campus, associated costs, alternative procedures, and their availability/cost within the WA public health system. The response provides some data but cites limitations and resource constraints for certain aspects.
AnsweredQoN 6209Legislative Assembly
QuestionView source ↗
(1) How many patients from the Joondalup Health Campus were transferred from Joondalup to another facility, either public or private, for the purposes of receiving an angiogram over the past twelve months?
(2) What was the cost of transferring those patients via ambulance to other facilities?
(3) How many patients returned positive angiograms that required further medical intervention?
(4) What was the cost of those further treatments?
(5) Is there an alternative less invasive procedure to an angiogram to determine blockages to the blood vessels?
(6) If there is an alternative to an angiogram is that test available in the public health system in Western Australia?
(7) What is the cost of the alternate test compared to the cost of an angiogram?
(2) What was the cost of transferring those patients via ambulance to other facilities?
(3) How many patients returned positive angiograms that required further medical intervention?
(4) What was the cost of those further treatments?
(5) Is there an alternative less invasive procedure to an angiogram to determine blockages to the blood vessels?
(6) If there is an alternative to an angiogram is that test available in the public health system in Western Australia?
(7) What is the cost of the alternate test compared to the cost of an angiogram?
AnswerView source ↗
Answered
1 November 2011
Responded by
Minister for Health
Response time
40 days
(1) There were 184 cases in the calendar year 2010 that were transferred from Joondalup Health Campus (JHC) to a public or private facility. Please note that this data is preliminary due to coding issues impacting on full year reporting for 2010 in the private sector.
Note
: As of July 2010, the Australian Coding Standard 0042:
Procedures not normally coded
, states under section 13 (Imaging services) that angiograms are only coded if performed in conjunction with cardiac catheterisation. Therefore, for the purpose of best answering the question the selection was those with a diagnosis of
acute or subsequent myocardial infarction and a procedure of coronary angiography
.
(2) Generally speaking, patients being transferred from JHC to another site with a diagnosis suggesting that an angiogram
may
be required at a receiving site would cost $420 per transfer.
(3 - 4) This would require individual patient record audit and cannot be undertaken within the requested timeframes. This task would also mean that staff would need to be diverted from their other duties to conduct the individual patient record audits.
(5) Computerised Tomography (CT) angiogram is available, however its role is limited. It may be used for visualising cardiovascular anomalies or excluding disease in those patients who are a low to intermediate risk. It is not the test of choice for the assessment of coronary artery disease or acute coronary syndromes.
(6) Yes.
(7) The Medicare Benefit Schedule Fee for CT angiogram is $700 (provided equipment is less than 10 years old) compared to an angiogram $341.45.
Notice: This document is created or edited using unregistered or evaluation copy of rtLib valid for testing or development purposes only. To use it for productive or any other purposes please register it. You may purchase the license on
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Note
: As of July 2010, the Australian Coding Standard 0042:
Procedures not normally coded
, states under section 13 (Imaging services) that angiograms are only coded if performed in conjunction with cardiac catheterisation. Therefore, for the purpose of best answering the question the selection was those with a diagnosis of
acute or subsequent myocardial infarction and a procedure of coronary angiography
.
(2) Generally speaking, patients being transferred from JHC to another site with a diagnosis suggesting that an angiogram
may
be required at a receiving site would cost $420 per transfer.
(3 - 4) This would require individual patient record audit and cannot be undertaken within the requested timeframes. This task would also mean that staff would need to be diverted from their other duties to conduct the individual patient record audits.
(5) Computerised Tomography (CT) angiogram is available, however its role is limited. It may be used for visualising cardiovascular anomalies or excluding disease in those patients who are a low to intermediate risk. It is not the test of choice for the assessment of coronary artery disease or acute coronary syndromes.
(6) Yes.
(7) The Medicare Benefit Schedule Fee for CT angiogram is $700 (provided equipment is less than 10 years old) compared to an angiogram $341.45.
Notice: This document is created or edited using unregistered or evaluation copy of rtLib valid for testing or development purposes only. To use it for productive or any other purposes please register it. You may purchase the license on
http://www.rtlib.com
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