ph: 09 535 7218
POAC only funds dehydration cases for moderate dehydration with vomiting and must include a trial antiemetic and oral fluids for all patients presenting with moderate dehydration in primary care. After 60mins, reassess and if insufficient response then give IV fluids + antie...
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This new pathway provides guidance on the likely causes of toothache by type of pain and options for pain relief.  In addition it discusses the limited role of oral antibiotics, which antibiotics to use, and that intravenous antibiotics are not indicated for dental absc...
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A trial oral Fluclox 1g QID unless : symptomatic PVD, symptomatic venous insufficiency or BMI >40 for all patients presenting with cellulitis in primary care Discuss all cases for consideration of IVs without a trial of oral antibiotics with the Infectious Diseases team u...
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POAC Funded ECG for chest pain

December 10, 2019
An internal review of chest pain cases has demonstrated that many claims for ECGs performed to investigate a possible  diagnosis  of  Acute Coronary Syndrome do not align with the Acute Chest Pain HealthPathway A normal ECG alone cannot rule out Acute Coronary...
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POAC funding of X-ray

November 12, 2019
An internal review of radiology cases claimed under POAC has highlighted many X-ray requests that do not align with the plain X-Ray HealthPathway  POAC funded X-ray should be reserved for same day imaging where results will inform immediate management and/or determine r...
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Background

Historically it has not been part of POAC’s remit to fund unavoidable admission i.e. admissions where, from the initial community assessment, it is clear that hospital evaluation is required.   In the current environment, delays in ambulance services continue to ...
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This pathway assists GPs with navigating through the causes of pelvic pain in young women to decide a provisional diagnosis and thereby refer to the correct service, or appropriately investigate and follow-up in the community. Please note there are limited indications f...
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In January 2019 new pathways were published for Skin and Soft Tissue Abscess in Adults, Mastitis and Breast Abscess and Bartholin’s Cyst or Abscess. Communications were sent via Medinz and the POAC blog – click here to sign up Following review by the regional Antimi...
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Hepatitis C Treatment - Update to pathway and claiming process

The Chronic Hepatitis C pathway has been updated for the newly funded direct acting antiviral (DAA) medication, Maviret™. Maviret™ is the recommended treatment in primary care for a majority of patients with Hepatitis C who do not have cirrhosis: Cure rate of 99%...
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Primary Care communications for new abscess management pathways

Auckland Regional HealthPathways has developed three new pathways for abscess management: Skin and soft tissue abscess in adultsBartholin's cyst or abscess Mastitis and breast abscess These best practice regionally agreed pathways have been developed with both primary a...
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