Mental Health & Better Access Quality Improvement - Activity 5
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The purpose of this activity is to ensure patients with a mental health diagnosis (particularly high-risk mental health patients, e.g. bipolar disorder and a Mental Health Treatment Plan) that require phone (level C or D) and/or videoconference longer appointments (level C, D or E) are identified and proactively offered MyMedicare registration supporting continuity of care and improved outcomes.
Note:
- For Better Access telehealth services (including MHTPs), eligible patients must have had at least one face-to-face appointment in the previous 12 months with a GP or PMP.
- Phone level C and D appointments are only available to MyMedicare registered patients at their MyMedicare practice.
- Phone and video level C, D or E appointment attract ‘triple’ bulk billing incentives for MyMedicare registered patients at their MyMedicare practice.
Preparation
- Assemble your QI/data team: Include clinical, admin, and IT staff.
- Back up your database: Always back up before making bulk changes.
- Ensure access to POLAR or equivalent audit tool: For reporting and cross-checks.
- Review relevant guides:
- Best Practice Knowledge Base
- Medical Director: Medical Director Help
Step-by-step guide
Step 1: Identify High-Risk Mental Health Patients with Current Diagnosis and MHTP
Best Practice Premier
- Search for patients with a current mental health diagnosis and a MHTP in place:
- Go to Utilities > Search > Patients.
- Set criteria for mental health diagnoses (e.g., bipolar, schizophrenia, severe depression) and filter for those with a Mental Health Treatment Plan (MHTP).
- Export or print the list for review.
- Best Practice Knowledge Base
Medical Director
- Search for patients with a current mental health diagnosis and a MHTP in place:
- Go to Search > Patients.
- Filter by diagnosis (e.g., bipolar, schizophrenia, severe depression) and by those with an active MHTP.
- Export or print the list for review.
- Medical Director Help
Step 2: Identify Patients Who Require/Prefer Telehealth
- Review the list with clinicians to determine which patients are high-risk, have barriers to in-person care, or have previously indicated a preference for telehealth.
- Identify which of those patients are currently registered or not registered for MyMedicare with the general practice.
- Engage patients not registered for MyMedicare to voluntarily register as appropriate.
- Add a flag or note in the patient record for those who should be prioritized for phone/video appointments.
Step 3: Schedule and Offer Telehealth Appointments
- Contact eligible patients (via phone, SMS, or email) to offer a telehealth appointment.
- Use recall or appointment systems to schedule and document telehealth appointments.
- Provide instructions to patients on how to access phone or video consultations.
Step 4: Documentation and Follow-Up
- Record all contact attempts, patient preferences, and appointment outcomes in the patient record.
- Update the register to reflect telehealth appointments and any changes to the care plan.
- Track the number of patients identified, contacted, and who attended telehealth appointments.
- Reflect as a team: What worked? What could be improved for next cycle?
Key Tips and Resources
- Use the following MyMedicare Registration Checklist to support your practice processes related to informed consent and MyMedicare registration - MyMedicare Registration Checklist.docx
- Best Practice Premier:
- Best Practice Knowledge Base
- Medical Director:
- Medical Director Help
Summary Table
| Step | Best Practice Premier | Medical Director |
|---|---|---|
| 1. Identify MH patients with MHTP that require telehealth | Utilities > Search > Patients | Search > Patients |
| 2. Flag for telehealth | Add note/flag in record | Add note/flag in record |
| 3. Schedule telehealth | Recall/appointment system | Recall/appointment system |
| 4. Document & follow-up | Update patient record & register | Update patient record & register |





