The Practice Incentives Program Quality Improvement (PIP QI) Incentive is a new payment available to general practices from 1 August 2019.

The PIP QI Incentive is available to practices that participate in quality improvement to improve patient outcomes and deliver best practice care.

There are two components to the PIP QI:

  1. Participate in Continuous Quality Improvement
  2. Provide the PIP Eligible Data Set (10 Improvement Measures) to your local Primary Health Network (PHN)

How much will the PIP payment be?

Eligible practices can receive a maximum payment of $12,500 per quarter, based on $5.00 per Standardised Whole Patient Equivalent, per year.

Which payments are changing?

From 1 August 2019, the following PIP incentives will cease:

  • Asthma
  • Quality Prescribing
  • Cervical Screening
  • Diabetes

The following incentives will remain unchanged:

  • eHealth Incentive
  • After Hours Incentive
  • Rural Loading Incentive
  • Teaching Payment
  • Indigenous Health Incentive
  • Procedural General Practitioner Payment
  • General Practitioner Aged Care Access Incentive
What are the eligibility requirements?

To be eligible to receive a PIP QI payment general practices must:

  • be eligible to claim PIPs – be accredited or registered for accreditation
  • register for the PIP QI Incentive through Health Professional Online Services (HPOS) from 1 August 2019
  • electronically submit data to North Western Melbourne Primary Health Network (NWMPHN) quarterly. NWMPHN uses the PEN Clinical Audit Tool (also known as CAT4 or PEN CAT) as a tool for practices to submit data.
  • undertake continuous quality improvement activities in partnership with NWMHPN
What are the Improvement Measures?
  1. Proportion of patients with diabetes with a current HbA1c result
  2. Proportion of patients with a smoking status
  3. Proportion of patients with a weight classification
  4. Proportion of patients aged 65 and over who were immunised against influenza
  5. Proportion of patients with diabetes who were immunised against influenza
  6. Proportion of patients with COPD who were immunised against influenza
  7. Proportion of patients with an alcohol consumption status
  8. Proportion of patients with the necessary risk factors assessed to enable CVD assessment
  9. Proportion of female patients with an up-to-date cervical screening
  10. Proportion of patients with diabetes with a blood pressure result

How can we help?

North Western Melbourne Primary Health Network (NWMPHN) provides PEN CAT licences to practices in our region for free. This saves practices up to $2750 every 12 months. We also support practices to use the PEN CAT tool to analyse and use their practice data for quality improvement. Group and in-practice training sessions are also available.

If your practice is not accredited or does not have PEN CAT please call us on (03) 9347 1188 or email: primarycare@nwmphn.org.au

NWMPHN has designed a new quality improvement support model to help your practice meet the requirements for PIP QI. This new approach to working with general practice started in July 2019. Visits will be booked with all practices to discuss how this model can best work for you.

If you would like to start the conversation now, call us on (03) 9347 1188 or email: primarycare@nwmphn.org.au

More information

 To register for PIP QI through Health Professional Online Services (HPOS) you will need a Provider Digital Access (PRODA) account. This resource will help you set up a PRODA account.

 How to use PRODA (Department of Health)

 PEN CS webinars – how to use PEN CAT for PIP QI

  PIP QI Incentive guidance (Department of Health) – includes detailed guidelines on PIP QI requirements, the Improvement Measures and the data governance framework.

 NWMPHN Quality Improvement Guide and Tools – includes templates and examples to help you understand how to complete quality improvement activities in your practice.

  Video guide to registering for PIP QI (courtesy of Western NSW PHN)

  Is your practice eligible to claim PIP QI? (A how-to guide)

  Pen CS resource kit (username: media / password: gpmedia)

  PIP QI Readiness Checklist for General Practice

  Using CAT4 and Topbar for PIP QI activities