The Purpose of Primary Options Acute Demand Management Service (POADMS) is to:
- fund primary care to provide safe, acute and non-acute care in the community setting, to reduce acute hospital presentations and out-patient service utilisation
- provide a service that maintains a strong focus on serving high deprivation populations (those living in quintile 5), Māori, Pasifika, older people and children
- ensure equitable access for all populations
- ensure that interventions are demonstrating clinically suitable treatment plans that meet the eligibility criteria, with a clear line of clinical reasoning towards the referred outcome
- ensure that a high trust approach to clinical leadership is taken, by that the service is accountable to funded packages.
A range of specific investigations, extended consultations, and community administration of treatments are provided at no cost (except the initial GP consultation) to the patient/whānau. These include:
- diagnostic procedures, for example x-ray, ultrasound
- GP and practice nurse home visiting
- intravenous therapy
- respite rest home care
- early discharge from hospital
POADMS operates on a high-trust model, supporting frontline clinicians to deliver care that reduces secondary service utilisation and where no other funding is available. The package of care must contribute to a reduction in:
- Ambulatory Sensitive Hospitalisations (ASH)
- unplanned ED admissions
- Acute Bed Day (ABD) occupation
Short term interventions to achieve this include:
- IV therapy
- GP, nurse practitioner or nurse consultation
- nurse observation
- Private x-ray or ultrasound, fast tracking diagnostic procedures
- Rest home stay