Question Are there any other services currently performed by non-radiology specialists? • 06/15 ADDITIONAL ISSUES FOR CONSULTATION 1. Rural and remote exemptions (refer to page 31-32 of the RIS) The intention of having rural exemptions is to ensure patients have access to services without compromising on quality. However, current arrangements for rural exemptions vary for each of the modalities, creating confusion due to an inconsistent approach. The current approach is also difficult to administer. Questions Does the current rule meet its goal of increasing access for patients without comprising on quality? • Should exemptions be geographically/distance based rather than looking at population base and • local availability of specialist services? Are there any other mechanisms that provide incentives for local services provision in rural Australia? • What is the role of tele-radiology? Should it be the only service, or an adjunct to the local service • provision? Should the exemption not be available for certain types of services? • 2. Implementing any changes and the relative role of regulation and the Diagnostic Imaging Accreditation Scheme (DIAS) (refer to page 33-34 of the RIS) The relative role of regulation and accreditation in enhancing the quality framework for MBS funded diagnostic imaging services will be determined following feedback received from stakeholders under this consultation process. Questions Would changes to supervision be better placed in the DIAS or remain in the regulations? • How would a practice based supervision approach be incorporated into regulation? • Is it necessary to have a modality based approach in the regulations (as a minimum) and a practice • based approach in accreditation? 06/15
Question • Are there any other services currently performed by non-radiology specialists? 06/15 ADDITIONAL ISSUES FOR CONSULTATION 1. Rural and remote exemptions (refer to page 31-32 of the RIS) The intention of having rural exemptions is to ensure patients have access to services without compromising on quality. However, current arrangements for rural exemptions vary for each of the modalities, creating confusion due to an inconsistent approach. The current approach is also difficult to administer. Questions • Does the current rule meet its goal of increasing access for patients without comprising on quality? • Should exemptions be geographically/distance based rather than looking at population base and local availability of specialist services? • Are there any other mechanisms that provide incentives for local services provision in rural Australia? • What is the role of tele-radiology? Should it be the only service, or an adjunct to the local service provision? • Should the exemption not be available for certain types of services? 2. Implementing any changes and the relative role of regulation and the Diagnostic Imaging Accreditation Scheme (DIAS) (refer to page 33-34 of the RIS) The relative role of regulation and accreditation in enhancing the quality framework for MBS funded diagnostic imaging services will be determined following feedback received from stakeholders under this consultation process. Questions • Would changes to supervision be better placed in the DIAS or remain in the regulations? • How would a practice based supervision approach be incorporated into regulation? • Is it necessary to have a modality based approach in the regulations (as a minimum) and a practice based approach in accreditation? 06/15
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