The Practice Incentives Program (PIP) is administered by the Department of Human Services (DHS), on behalf of the Australian Government Department of Health (DoH).
To be eligible to participate in the PIP, a general practice must meet all of the following requirements:
The PIP currently comprises eight incentives. Participating practices can apply for as many or as few as are applicable to their practice. Each PIP has its own program eligibility criteria, questions and required supporting evidence. The PIP includes incentives for:
To support practices through this transition, WA Primary Health Alliance has collated some frequently asked questions to explain the components and processes of the PIP QI. This library of FAQs will continue to expand with the implementation of PIP QI.
The Department of Health has also released its own set of FAQs, which you can access here.
The PIP Quality Improvement Incentive is a new incentive that became available from 1 August, 2019, as part of the Practice Incentives Program. It's a payment to general practices that participate in quality improvement activities to improve patient outcomes and deliver best practice care.
There are two components that a general practice needs to meet to be eligible for a PIP QI incentive payment:
The PIP QI Guidelines outline the payment information (page 6) for practices participating in PIP QI.
Eligible practices will be able to receive a maximum of payment of $12,500.00 per quarter, based on $5.00 per Standardised Whole Patient Equivalent (SWPE) per year. The table below provides some guidance on the payments available per quarter, and per annum, based on your practice's SWPE.
This information is provided as an estimate only: the payments for which your practice is eligible may differ from the calculations below.
Remember that four incentives (Diabetes, Cervical Screening, Asthma, and Quality Prescribing) have ceased with the introduction of the PIP QI.
The Service Incentive Payments (SIPs) associated with these terminated incentives also ceased with the introduction of the PIP QI.
Yes. To be eligible to receive a PIP QI payment, general practices must:
One exception to this are Aboriginal Community Controlled Health Services (ACCHS) and other organisations funded under the Indigenous Australians' Health Programme (IAHP), which already provide data against the Aboriginal and Torres Strait Islander National Key Performance Indicators (nKPIs), within existing arrangements with the Department of Health (see FAQ below for more information).
There is a temporary exception to Item 3, whereby practices may request an exemption from the Department of Health to allow them to seek an alternative data sharing method to the one available from their PHN. More information on the exemption is available in the FAQ below.
The PIP QI exemption gives practices a limited period of time in which to establish a method of sharing the PIP Eligible Data Set with their PHN. The exemption may be sought because:
Practices that are granted an exemption must still meet certain requirements to maintain eligibility for the Practice Incentives Program, and specifically the Quality Improvement Incentive.
More information on the PIP QI exemption can be found by clicking here.
Aboriginal Community Controlled Health Services and other organisations funded under the Indigenous Australians' Health Programme for the delivery of primary health care services that wish to receive the PIP QI Incentive payment must: