Cellphone 021 689 946 Purpose This paper presents the Tier 2 assessment of low back pain (LBP) and proposes two assessments at the Tier 3 level. The Tier 2 LBP assessment is presented in Appendix 1. The Tier 2 assessment analyses the current delivery of chronic low back pain services, the evidence for effective interventions and proposes the development of a complete model of care for chronic low back pain. The Tier 2 assessment does not analyse and discuss the two payer funding model for this patient group. The committee is asked to agree on the Tier 3 assessment(s) they wish to undertake, subject to consultation feedback when the Tier 2 document is published. Background A referral for assessment of spinal fusion was put forward by Waitemata and Auckland District Health Boards (DHBs) as part of the 2013/14 sector reactive referral round. The draft Tier 2 assessment of LBP was previously presented to the committee. The committee requested additional data to provide greater clarity of the materiality of LBP issues. A Tier 2 assessment of the model of care for LBP patients was required in order to understand the role and appropriate intervention level of spinal fusion in order to respond to the reactive referral received. The aim of the assessment was to identify the current approach to care for low back pain, and therefore understand if the level of surgical intervention outlined by the referrers was appropriate and what, if anything, might amend the level of demand for this intervention. Interventions which might impact on service demand and improved patient outcomes across the model of care were identified and a new model of care developed. Service gaps in this new model of care were then prioritised for further work by the NHC. Low back pain Tier 2 assessment report Low back pain is a common condition and frequently experienced. The care of these patients is funded by: Vote:Health, Vote:ACC and private insurance/out of pocket funding. Care is provided regardless of funding source by primary and community services and secondary care hospitals. The rate of care delivery varies by funding source. The following diagram provides a summary overview for Vote:Health and ACC funded patients over the model of care of LBP. Diagram 1: National Health Committee Tier 2 Assessment: Low Back Pain: A pathway to prioritisation Sept 2015 Discussion
Cellphone 021 689 946 Purpose This paper presents the Tier 2 assessment of low back pain (LBP) and proposes two assessments at the Tier 3 level. The Tier 2 LBP assessment is presented in Appendix 1. The Tier 2 assessment analyses the current delivery of chronic low back pain services, the evidence for effective interventions and proposes the development of a complete model of care for chronic low back pain. The Tier 2 assessment does not analyse and discuss the two payer funding model for this patient group. The committee is asked to agree on the Tier 3 assessment(s) they wish to undertake, subject to consultation feedback when the Tier 2 document is published. Background A referral for assessment of spinal fusion was put forward by Waitemata and Auckland District Health Boards (DHBs) as part of the 2013/14 sector reactive referral round. The draft Tier 2 assessment of LBP was previously presented to the committee. The committee requested additional data to provide greater clarity of the materiality of LBP issues. A Tier 2 assessment of the model of care for LBP patients was required in order to understand the role and appropriate intervention level of spinal fusion in order to respond to the reactive referral received. The aim of the assessment was to identify the current approach to care for low back pain, and therefore understand if the level of surgical intervention outlined by the referrers was appropriate and what, if anything, might amend the level of demand for this intervention. Interventions which might impact on service demand and improved patient outcomes across the model of care were identified and a new model of care developed. Service gaps in this new model of care were then prioritised for further work by the NHC. Low back pain Tier 2 assessment report Low back pain is a common condition and frequently experienced. The care of these patients is funded by: Vote:Health, Vote:ACC and private insurance/out of pocket funding. Care is provided regardless of funding source by primary and community services and secondary care hospitals. The rate of care delivery varies by funding source. The following diagram provides a summary overview for Vote:Health and ACC funded patients over the model of care of LBP. Diagram 1: National Health Committee Tier 2 Assessment: Low Back Pain: A pathway to prioritisation Sept 2015 Discussion