Monday, June 14, 2010

What does collaboration look like with MIGA

The Hon Nicola Roxon MP - Minister for Health and Ageing has announced that MIGA has been awarded the contract to be the sole provider under a new Government supported Scheme to provide Professional Indemnity Insurance to privately practising midwives MIGA - the Medical Insurance Group A full time equivalent will cost you $7500.00 per year. (The Australian College of Midwives will also have a competitive insurance so watch this space)

This insurance company has outlined what collaboration will look like: here are the exerts from the document on collaboration to read the whole document click this link;

A Collaborative Arrangement must provide for:
- consultation between you and an Obstetric Specified Medical Practitioner;
- referral of a patient to a Specified Medical Practitioner; and
- transfer of a patent's care to an Obstetric Specified Medical Practitioner.

A Collaborative Arrangement means one of the following types of arrangements:
- a patient is referred in writing to you for Midwifery Services by a Specified Medical Practitioner;

or
- an arrangement in writing between you and one or more Specified Medical
Practitioners which provides for consultation between you and the Medical
Practitioner(s), referral of patients to the Medical Practitioner(s), transfer of a
patient's care to the Medical Practitioner(s) and which is signed by you and the
Medical Practitioner(s);
or
- you have met each of the following requirements for each patient:

- you have recorded the name of the Specified Medical Practitioner who is (or will
be) collaborating with you in your written records;

- you have told the patient that you will be collaborating with a Specified Medical
Practitioner and recorded this in your written records;

- you have an acknowledgement by the named Medical Practitioner that they will
be collaborating with you in the patient's care and you have recorded this in
Your written records (this acknowledgement may apply to more than one
patient);

- you have recorded in your written records plans for the circumstances in which
you will consult with an Obstetric Specified Medical Practitioner; refer the
patient to a Specified Medical Practitioner; transfer the patient's care to an
Obstetric Specified Medical Practitioner;

- you have recorded any consultation or other communication between you and
an Obstetric Specified Medical Practitioner about the patient's care in your
written records;

- you have recorded any referral of the patient by you to a Specified Medical
Practitioner in Your written records;
- you have recorded any transfer by you of the patient's care to an Obstetric
Specified Medical Practitioner in your written records;

- when you give a copy of the hospital booking letter (however described) for the
patient to a named Medical Practitioner, you have recorded the acknowledgement that the named Medical Practitioner has received a copy of the hospital booking letter in your written records;

- when you give a copy of the patient's maternity care plan prepared by you to a
named Medical Practitioner, You have recorded in your written records the
acknowledgement that the named Medical Practitioner has received the copy of
the maternity care plan;

- if you request diagnostic imaging or pathology services for the patient, you have
recorded when you give the results of those services to a named Medical
Practitioner in your written records; and

- you have given a discharge summary (however described) at the end of your
care for a patient to the named Medical Practitioner and the patient's usual
general practitioner and recorded this in Your written records.

I will leave you to ponder on this and comment.....

cheers Pauline





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