What your practice needs to know about the new PIP QI Incentive

  11 July 2019  NWMPHN   |   Third party content – view disclaimer

What is the PIP QI?
The Practice Incentives Program Quality Improvement (PIP QI) Incentive is a payment to general practices that participate in quality improvement to improve patient outcomes and deliver best practice care. This new incentive starts on 1 August 2019.

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 stopping?
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.

We can support you to meet the PIP QI eligibility requirements. 

NWMPHN provides PEN CAT licences to practices in our region for free. This saves practices up to $2750 every 12 months. NWMPHN also supports 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 on the PEN CAT tool.

If you are currently not accredited or do not have PEN CAT please contact us on 03 9347 1188 or email: primarycare@nwmphn.org.au.

NWMPHN has designed a new model around quality improvement to help your practice meet the requirements for PIP QI. This new approach to working with general practice commences 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.

Where can I find more information?

  • NWMPHN is running two information sessions on PIP QI for all interested practices on 31 July and 8 August. Register for those sessions here:
  • To register for PIP QI via HPOS you will need a PRODA account. This resource will help you set up a PRODA account.
  • Online education on how to use PRODA is available from the Department of Health.
  • PEN CS is running webinars during July and August on how to use PEN CAT for PIP QI. Register for those webinars here.
  • The Department of Health has further information on its website, including detailed guidelines on PIP QI requirements, the Improvement Measures and the data governance framework.
  • NWMPHN has also developed a Quality Improvement Guide and Tools, which includes templates and examples to help you understand how to complete quality improvement activities in your practice.


Disclaimer: This article was provided by NWMPHN. While every effort has been made to ensure the information is accurate, North Western Melbourne Primary Health Network does not warrant or represent the accuracy, currency and completeness of any information or material included within.