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Dr Jill Tomlinson 😷💉💉💉

Oct 19 • 4 tweets • 1 min read

Multiple stakeholders agree that #Medicare is in crisis.

The cause? Well, that’s a Diagnostic Dilemma.

While arguments on who is to blame can continue ad infinitum, it’s best for our patients that we work together to save Medicare & address major healthcare workforce problems.

It’s evident that some Medicare data doesn’t match what’s seem on the ground.

GP bulk billing rates of 89.6% in the July 2021 quarter? Sounds great, but the devil is always in the (very complex Medicare) data.

Healthcare is complex.

Incentivising & delivering high value care is difficult.

Change is hard.

Delivering quality healthcare is a struggle with workforce challenges & massive deferred & delayed care burdens.

The Government has a budget problem.

There are no simple solutions.

But it’s safe to say that a “blame pathway” isn’t going to lead us out of the current quagmire.

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More from @jilltomlinson

Dr Jill Tomlinson 😷💉💉💉

@jilltomlinson

Oct 20

What’s the AMA’s position on #Medicare use & misuse (aka health care resource stewardship)?

It’s a lengthy position statement, but relevant to the current #MBS debate.

#MBS 🧵

1.1 Health care resources need to be appropriately managed so that all patients can continue to receive the best quality care, now and in the future.

1.2 Individual doctors (medical practitioners) affect health care expenditure through their clinical
recommendations and decisions regarding patient treatment. As such, doctors have an important role as stewards of health care resources.

Read 40 tweets

Dr Jill Tomlinson 😷💉💉💉

@jilltomlinson

Jan 28

Today is the 120th consecutive day of #electivesurgery restrictions in Victoria. How did we get here?

🧵

On 25 March 2020 National Cabinet halted non urgent elective surgery on the advice of AHPPC

pm.gov.au/media/elective…

Emergency & category 1 surgeries could continue.

NB. Elective category 2 & 3 surgery is essential surgery. It diagnoses & it cures cancer. It treats disability, so people can return to walking, working, running & living. It is not optional surgery.

Read 29 tweets

Dr Jill Tomlinson 😷💉💉💉

@jilltomlinson

Jan 27

The Victorian Government has now had #electivesurgery restrictions in place for 118 days.

#ShowUsThePlanDan #SpringSt

Category 2 & category 3 essential surgery has been banned across the state for 21 days, with no roadmap for recommencement.

The Victorian Code Brown in public hospitals has been in place for 8 days.

It’s estimated by Government that it will last for 28-42 days.

The Code Brown does not apply to private hospitals, but the Government’s essential surgery lockdown does.

Read 5 tweets

Dr Jill Tomlinson 😷💉💉💉

@jilltomlinson

Jul 21, 2018

I’m operating this morning so may have to halt this tweet stream midstream but want to talk about My Health Record and #optoutMHR.

By way of disclosure, I was invited on an ADHA Committee about MyHR last year. It’s unpaid & I’ve never attended because I’m already fully booked with patients when they announce the meeting dates. Also, I’m an AMA Federal Councillor. The AMA is broadly in favour of a national

@avantmutual

medical record, but I make these tweets as a private citizen & surgeon, not because I’m AMA affiliated. Also, I did a project on MyHR last year with non-directed funding from @avantmutual - a practice grant that supported a study into MyHR implementation in specialist practice.

Read 41 tweets