Physiotherapist

 

Early Intervention Physiotherapy Framework

What is the Early Intervention Physiotherapy Framework?

The Early Intervention Physiotherapy Framework (EIPF) is a physiotherapy model that focuses on early intervention to maximise return to work and health outcomes. The EIPF supports physiotherapists in their clinical practice through training and increased fees in the early stages of treatment following an injury.   

How do I join the Early Intervention Physiotherapy Framework?

    1. Ensure you are registered to provide services to the TAC 
    2. Read the fact sheets below to decide if joining the EIPF is right for you (including the service standards and sample declaration) 
    3. Complete the online training (hyperlink: http://www.earlyinterventionphysiotherapyframework.com.au)
       
      To log in, you need to register (the 'Register' button is on the right of the screen). This allows you to resume the training later if you need to.
       
      Questions throughout the training are for learning purposes only. Your answers will not affect your ability to enrol in the EIPF program.
       
      If you experience any issues, please email the following addresses. Technical support will be available Monday - Friday (8am - 5pm). info@vide.co.nz or cameron.gosling@monash.edu
    4. Sign and return the declaration to:
      Email: hdsg_provider_support@tac.vic.gov.au 
              or 
      Fax: (03) 9656 9432
       
      Your enrolment will start from the date your declaration is received by the TAC and VWA. A confirmation letter will also be sent, for your records.


    Send enquiries to hdsg_provider_support@tac.vic.gov.au

Further information

Physiotherapy Servicing and Certified Capacity Measures

Q&A for physiotherapists
August 2016

FREQUENTLY ASKED QUESTIONS

  1. What are Physiotherapy Servicing and Certified Capacity Measures?
  2. Who receives Servicing and Certified Capacity Measures?
  3. What measures are used?
  4. Over what period of time are these measures taken?
  5. How do I find my patient's date of injury and first service?
  6. Does the medical or employer excess apply to my data?
  7. What should I do when my patient has made minimal improvement in the past six months?
  8. What can I do when the measures I receive are unexpected?
  9. Does receipt of the Servicing and Capacity Measures require me to take any action or contact the TAC or WorkSafe?
  10. Can anyone request my Servicing and Certified Capacity Measures?
  11. Are the Certified Capacity Measures based on my certifying behaviour?
  12. What if I disagree with the primary certifier's opinion of a patient's capacity?
  13. Can I complete the Certificate of Capacity?
  14. Why is a case mix adjustment made for certified capacity measures?
  15. Is the case mix adjustment applied to the servicing measures?


1
.  What are Physiotherapy Servicing and Certified Capacity Measures?

Developed by the TAC and WorkSafe in partnership with the Australian Physiotherapy Association (APA), the Physiotherapy Servicing and Certified Capacity Measures is an initiative of the Quality Improvement Framework (QIF).

The measures outline frequency of treatment provided over the life of a patient's claim and shows improvements in their certified capacity. The measures also allow the TAC and WorkSafe to identify opportunities to work with physiotherapists to ensure that an injured person receives treatment focused on return to health and return to work outcomes.

This data gives physiotherapists an overview of how they rate against their peers when treating TAC and WorkSafe clients.

The information comprises private physiotherapy treatment only. It does not include treatment provided in hospitals, outpatient rehabilitation or c ommunity health centre settings.

2. Who receives Servicing and Certified Capacity Measures?

The TAC and WorkSafe provide Physiotherapy Servicing and Certified Capacity Measures to physiotherapists who have treated 10 or more patients w ith a TAC or WorkSafe claim in the past six months.

3. What measures are used?

The measures are based on two key areas that review treatment provided in a recent 12 month period.

  1. Service - the frequency and duration of treatment post initial treatment after injury and/or surgery:
  • 3 month measure – proportion of your patients receiving two or more treatments per week after three months post initial treatment after injury and/or surgery
  • 6 month measure – proportion of your patients receiving more than one treatment per week after six months post initial treatment after injury and/or surgery
  • 12 month measure – proportion of your patients receiving continuing treatment after 12 months post initial treatment after injury and/or surgery
  1. Certified capacity:
  • Certified capacity data is calculated on patients who are receiving loss of earnings/weekly compensation payments and have no certified capacity at the first paid treatment date
  • This is collated based on a certificate certifying a person's capacity and not their actual return to work
  • Information is derived from the Certificate of Capacity which reflects a change from unfit to fit for alternate, modified or full duties by 3 and 6 months post initial treatment after injury and/or surgery

Physiotherapists can assist with return to work outcomes through early expectation setting and by completing a Certificate of Capacity. To find out more information on how to complete a Certificate of Capacity, visit tac.vic.gov.au/certificate or worksafe.vic.gov.au/certificate

4. Over what period of time are these measures taken?

The measures reflect data that has been collected in the most recently available 12-month period.

The first six months of the period overlap with the previous scorecard, but the second six months are new.

Physiotherapists can determine whether their treatment patterns and case mix are changing significantly over time by comparing the most recent scorecard with previous data.

5. How do I find my patient's date of injury and first service?

A TAC client or WorkSafe injured worker's date of injury is recorded when their claim is lodged. If the client or injured worker is unsure of the date of first private service, the TAC or WorkSafe Agent can provide this information.

6. Does the medical or employer excess apply to my data?

Data is taken from the treatment date where the TAC or WorkSafe Agent has paid the first physiotherapy treatment on the claim.

7. What should I do when my patient has made minimal improvement in the past six months?

The TAC and WorkSafe Clinical Panel can discuss your concerns and provide you with clinical advice and support.

Please email the TAC at provider@tac.vic.gov.au or WorkSafe at provider@worksafe.vic.gov.au.  Alternatively, you can call the TAC on 1300 654 329 or WorkSafe on 1800 136 089 for further assistance.

8. What can I do when the measures I receive are unexpected?

The TAC and WorkSafe Clinical Panel can discuss your concerns and provide you with clinical advice and support.

Please email the TAC at provider@tac.vic.gov.au or WorkSafe at provider@worksafe.vic.gov.au.  Alternatively, you can call the TAC on 1300 654 329 or WorkSafe on 1800 136 089 for further assistance.

9. Does receipt of the Servicing and Capacity Measures require me to take any action or contact the TAC or WorkSafe?

You do not need to take any action .

10. Can anyone request my Servicing and Certified Capacity Measures?

The information is only available to you and the members of the TAC and WorkSafe Clinical Panels. No other parties are provided with this information .

11. Are the Certified Capacity Measures based on my certifying behaviour?

Measures reflect any Certificate of Capacity written on your patient's claim by a medical practitioner, physiotherapist, chiropractor or osteopath .

12. What if I disagree with the primary certifier's opinion of a patient's capacity?

Contact the primary certifier to discuss your clinical opinion on your mutual patient's functional capacity and certification.

Please contact the TAC and WorkSafe Clinical Panel if you have further questions.

13. Can I complete the Certificate of Capacity?

For TAC claims, the Certificate of Capacity can be completed by a medical practitioner, dentist, optometrist, physiotherapist, chiropractor, osteopath, podiatrist or occupational therapist.

For WorkSafe, the Certificate of Capacity for a work-related injury or condition can be issued as follows:

  1. First Certificate
  • by a medical practitioner, physiotherapist, chiropractor or osteopath if the injured worker is not going to be claiming weekly payments (or loss of earnings)
  • by a medical practitioner if the injured worker is going to be claiming weekly payments
  1. Subsequent Certificates
  • by a medical practitioner, physiotherapist, chiropractor or osteopath.


14. Why is a case mix adjustment made for certified capacity measures?

The case mix adjustment aims to take into account the complexity of patients which a physiotherapist is managing .

15. Is the case mix adjustment applied to the servicing measures?

The case mix adjustment does not apply to the servicing measures as most severe claims (e.g. major head injury claims) have been removed from the population.

DOWNLOADS

Policies that relate to you

Other policies you may use

Fees

How to invoice the TAC

When invoicing for services provided to a TAC client, it's important to include the below information. This will help ensure prompt and accurate payment.  

Invoicing information required

 Payee details

  • Group/company/agency
  • TAC payee number (this will be advised once the TAC has received your initial invoice for services.  This number will then be required for future invoicing)
  • Payee billing address
  • Payee practice/clinic address  - if different to your billing address

Client/Patient details

  • Family name and given name/s
  • Patient's TAC claim number for example 04/12345.  If this is unknown, please use your patients date of birth and date of the transport accident

Service details

  • Name of health professional /service provider
  • Date of service
  • Time of service if more than one service was provided on the same day
  • TAC item number and description - as per the TAC fee schedule
  • Duration of each service
  • Itemised fee for each service
  • Service location - if different to the practice/ clinic address
  • Total charge for invoiced items
  • Services which are subject to GST must be submitted on a GST compliant invoice

If you require multiple providers on the one invoice you must be clearly identify the service listed under each health professional/service provider.

You can also use this invoice template XLS, 0.03MB to assist you in preparing your invoices.

Submitting your invoice

Please send an original copy of your invoice to the below address.  Please note duplicate accounts, such as statements, photocopies or facsimiles will not be processed for payment. 

Transport Accident Commission (TAC)
GPO Box 2751
MELBOURNE   VIC   3001

Payment of invoices

Electronic Funds Transfer (EFT) is our preferred method of payment. Please complete the EFT/ Direct Deposit Authority form to help ensure the prompt payment of invoices.

Additional information required for:

Common Law, VCAT, s.93 and recoveries.  Please refer to the TAC's letter of instruction for this information. 

If you have further invoicing or payment queries please contact us.

 

Certificate of Capacity

Extended consultations

Extended consultations can be funded for physiotherapy services.  These sessions are for people injured in a transport accident who require treatment beyond that of a standard consultation.  These injuries may include:

  • A significant acquired brain injury
  • A spinal cord injury
  • Lymphoedema
  • Severe burns
  • Complex and multi-site orthopaedic injuries. See also the TAC Criteria for CSMO.

The TAC expects extended physiotherapy consultations are delivered in line with the principles of the Clinical Framework for the Delivery of Health Services PDF, 1.29MB.

If your patient has a severe injury that is not listed above, an application can be made for the injury to be assessed 'on merit'.

Prior approval is required for all extended consultations. 

Applying for extended consultations

Physiotherapists must submit written information along with their Physiotherapy Treatment Notification Plan (TNP) or Physiotherapy Management Form specifying the length of direct patient contact time required per session, for example 31-40 mins or greater than 40 mins, and justifying the need for extended consultations.

Treatment will be reviewed at regular intervals as negotiated between the physiotherapist and the TAC.

 

Clinical resources

Refer to our helpful range of clinical resources when treating your patient

Personal Injury Education Foundation (PIEF) Training modules

PIEF offer a free series of training presentations which have been designed to assist healthcare professionals, specifically physiotherapists, to learn more about the important role they play in helping patients to return to work after a work or motor vehicle related injury.

The training presentations are available on the PIEF website:

http://www.pief.com.au/index.php/health-professionals/allied-health-vic

Equipment

Refer to the Equipment List when recommending equipment for your patient

Forms and brochures

Additional forms and brochures when treating your patient are also available. 

Gym/Swim program: evaluation form (for Provider use only) Summary: 

This form is for reporting the progress of clients participating in TAC-funded gym, swimming and pilates programs as part of their rehabilitation.


Physiotherapy: management review (PMR) form Summary: 

This form is to be completed by physiotherapists to report on the progress and/or effectiveness of a client's physiotherapy treatment and self-management plan. The separate 'notes' document in this section provides additional instructions and clarification to help complete the form.


Physiotherapy: treatment notification plan (TNP) form Summary: 

The TAC requires physiotherapists to prepare and submit a treatment notification plan (TNP) when seeing a client for the first time, where more  than five sessions are required and/or when there are has been a gap in physiotherapy treatment of longer than six months. The plan requires a clinical diagnoses, proposed treatment plan, self-management strategies and outcome measures.


Independence Plan - Information for providers Summary: 

This brochure introduces TAC's new way of working with providers to support seriously injured clients, known as Independence. Independence aims to improve client outcomes and better align service delivery with evolving community expectations regarding supporting people with serious injuries. 


Billing Review Program - Information for Allied Health Providers Summary: 

The TAC and WorkSafe conduct periodic reviews of payments made to providers for medical and allied health services provided to TAC clients and injured workers through the Health Practitioner Billing Review Program.

The primary focus of the program is to ensure that payments made to medical and allied health providers are appropriate and comply with TAC and WorkSafe policies and fee schedules.


CMSO (Complex and Multi-site Orthopaedic Injuries) Summary: 


This document outlines to Physiotherapists the TAC's Complex and Multi-site Orthopaedic injuries criteria