Acute ECG (POAC)

All Pinnacle practices in the Te Whatu Ora Lakes area.

• Treatment of patients with low risk undifferentiated chest pain where the diagnosis is unclear, but the patient would otherwise be sent acutely to hospital for ECG. This funding does not cover the cost of a routine ECG

• Any patient with suspected MI/unstable angina/pulmonary embolus/cardiac related syncope/symptomatic arrhythmia. Not eligible for POAC funding including the pre-hospital treatment that has been provided, as admission to hospital is inevitable.
• Any patient who is haemodynamically unstable. Not eligible for POAC funding including the pre-hospital treatment that has been provided, as admission to hospital is inevitable.
• Chest pain without cardiac features e.g. musculoskeletal chest pains, anxiety, hyperventilation.
• Repeat medication/medication review and initiation of new medication consultations.
• Investigation of palpitations that are not present at the time of presentation and where the pulse is regular.  

• Patients not domiciled in Te Whatu Ora Lakes area

Exclusion criteria to access POAC funding should not preclude emergency treatment of any medical conditions. 

Once the episode of care is completed and the patient is no longer acutely unwell, they exit the POAC programme.  

Once the patient exits the POAC programme, the case requires a clinical outcome to be lodged. No payment can be made for any claims unless the outcome is completed.  

Where treatment in the community is no longer clinically appropriate, the patient may be admitted to hospital during a POAC plan of care. Please indicate this in the clinical outcome. 

The initial 15-minute GP/NP consultation incurs the usual consultation fee paid by the patient. All POAC services thereafter are provided at no cost to the patient. If the claim cannot be funded by POAC, the patient may be liable to the practice for the fees incurred. 

Prices listed below are GST inclusive. 

Please make your claim via Primary Options, select Acute ECG and then attach the appropriate invoice(s).

ECG: $63 
 
This invoice is a package of care i.e. it includes an allocation for staff time as well as consumables, it cannot be claimed along with any other claims. 

GP/NP/CP follow up: $79 or RN follow up: $39
A follow-up visit may be funded for management post ECG (based on treatment provided as evidenced in clinical notes).

This is limited to one consult within the acute episode of care. While follow up consultations can be virtual, to be eligible for funding, documentation needs to include a two-way conversation between the practice and the patient. A sent message with no documented response does not meet the definition of a consultation.

Rural GP/NP/CP follow up: $89 or RN follow up: $49
A follow-up visit may be funded for management post ECG (based on treatment provided as evidenced in clinical notes).

This funding is available to those practices who receive rural funding. 

This is limited to one consult within the acute episode of care. While follow up consultations can be virtual, to be eligible for funding, documentation needs to include a two-way conversation between the practice and the patient. A sent message with no documented response does not meet the definition of a consultation.

After hours GP/NP/CP follow up: $100 or RN follow up $59
A follow-up visit may be funded for management post ECG (based on treatment provided as evidenced in clinical notes).

This funding can be claimed when care is provided after 5pm, on weekends or on public holidays.

This is limited to one consult within the acute episode of care. While follow up consultations can be virtual, to be eligible for funding, documentation needs to include a two-way conversation between the practice and the patient. A sent message with no documented response does not meet the definition of a consultation.

Practices are required to provide sufficiently detailed consultation notes to determine appropriate use of POAC funding.  

It has been recommended that in addition to a good assessment and history, the full range of appropriate observations should be documented, especially where the diagnosis is undetermined. It is important to state the time of consultations and interactions with the patient. 

The initial 15-minute GP/NP consultation incurs the usual consultation fee paid by the patient. All POAC services thereafter are provided at no cost to the patient. 

The service is funded by Te Whatu Ora.