Section 70 has been changed so that the Medical Officer of Health (‘Public Health’) can decide the appropriate place of isolation of a patient with COVID-19. For some patients this may enable them to isolate in the community at their usual residence (i.e. Community Supported Isolation and Quarantine (C-SIQ)).
Additional Primary Care Funding
Funding published last week (Thursday 21 October) enables primary care to claim funding if Public Health refers a COVID-19 patient for full management by primary care teams.
The C-SIQ clinical team is looking after patients with COVID-19 who are isolating in the community, with support available 24 hours a day. At this stage, primary care will not be approached to take over full care, but may be asked to contribute to the care of people with COVID-19 in the community.
Funding has been made available to include COVID-19 related care provided by primary care for a patient with COVID-19 on request from Public Health, the C-SIQ clinical team, or the patient. This is irrespective of where the patient is in their journey. Non-COVID-19 related care (e.g. prescription repeats, pre-existing conditions) and proactive activity (e.g. welfare calls) is not included in this funding and co-payments should be charged if appropriate.
Claiming will be available via POAC; further details on funding and how to claim will be published when available. Retrospective claims will be allowed to 18 October 2021 so please keep records of activity.
A full patient assessment should be documented, including a history, consideration of pre-existing medical conditions, clinically appropriate examination, and management plan. This should be included in any claim.
Current Journey for People with COVID-19
Note: this is the pathway under current public health settings and model of care, and is likely to change as Auckland transitions from elimination to suppression. There may be some delays in transition of care between Public Health and MIQ teams.
Advice to Primary Care
Managing COVID-19 in the Home Webinar
The Goodfellow Unit is facilitating a webinar on managing COVID-19 in the home in conjunction with the NRHCC. The webinar will be held on Thursday 28 October 7.30 to 8.45pm. The webinar will cover what has been done in London and Canada around home management of COVID-19 patients, current experience from the MIQ team, and current planning and modelling for Metro Auckland. To register visit the Goodfellow Unit.