1. Department of Veterans’ Affairs Practising Best Practice HIGH RISK FOOT PROJECT

2.  systems to monitor servicing and claiming patterns  best practice guidelines from professional bodies  established internal benchmarks  business teams to identify overpayment, inappropriate- servicing or non-compliance. HIGH RISK FOOT PROJECT DVA has

3. The Podiatry Board of Australia develops policies, codes and guidelines to guide podiatrists in appropriate professional conduct and practice. Two relevant documents are:  Code of Conduct  Guidelines on Clinical Records These documents are used as a reference by DVA when auditing podiatrists. They help to establish Best Practice models of care and highlight cases of potential inappropriate levels or types of care. HIGH RISK FOOT PROJECT RECORD KEEPING - AHPRA GUIDELINES

4. Some of the more common omissions seen through DVA audits:  S.O.A.P. format not followed  Practitioners not identified  No instrument batch tracking numbers  No orthotic lab prescriptions/instructions  Not abiding by DVA fee schedule requirements  Not employing EBP to manage conditions HIGH RISK FOOT PROJECT RECORD KEEPING - cont.

5. HIGH RISK FOOT PROJECT DVA guidelines to claim for Diabetes Neuro-Vascular assessments Currently there are no item codes to claim for this comprehensive assessment. RECOMMENDATION:  Claim the vascular component F104* - no Prior Approval (PA) required fee $66.75  Submit PA for the neurological component F985 Non-DVA Schedule Service (at std. consult fee $63.30) Set up a master form to insert individual client details for each PA request include: medical history, current signs & symptoms, risk status from previous DNV, what type of assessment you are proposing to conduct, an outline of how this will impact your treatment and ongoing management. * be sure to follow DVA & Best Practice guidelines for recording, content and frequency

6. ORTHOSES  Use current DVA Podiatrists Schedule of Fees  LIMIT of ONE pair every 365dys  Seek PA for replacement devices within 365dys HIGH RISK FOOT PROJECT DVA orthoses, footwear and appliances MEDICAL GRADE FOOTWEAR  Assessing Health Providers use form D0688 MGF Prescription NB. Updated Nov 2015  PA no longer required for Ready Made MGF  PA still required for custom, recreational and white card holders AIDS & APPLIANCES through RAP  Rehabilitation Appliances Program (RAP) use form D0992 Mobility & Functional Support direct order form  Moon Boots, Pneumatic Walkers etc. AR01 Ankle support/brace  Richie Brace AR19 Ankle Foot Orthosis

7. Applying current standards of care, being accountable and practising Best Practice are the responsibility of only one person… HIGH RISK FOOT PROJECT Professional Standards, Codes and Best Practice Continuing Professional Development is just that – CONTINUING! Keep abreast of the available documentations and guidelines:  AHPRA  NHMRC  APodC YOU

8. HIGH RISK FOOT PROJECT PODIATRY ADVISER Ph: 07 3223 8455 Fax: 07 3221 9639 Email: Nerylie.Whitecross@dva.gov.au NB. DVA privacy policy does not permit the transmission of veteran’s personal details via email DVA Health Provider Line 1300 550 457 (metro) 1800 550 457 (regional) PRIOR APPROVAL REQUESTS DVA Primary Health M & AH Team: Facsimile number 08 8290 0422

9. Practise Best Practice HIGH RISK FOOT PROJECT Thank you.