Some GPs were frustrated with the task of having to manage patients who had commenced opioids in hospital (quotes 4.4 and 4.5). By compare all products in the market and may receive compensation when we We try to take an open and transparent approach and provide a broad-based comparison service. There were several limitations to this study. Today RAMS called me and said ANZ won't give them a discharge date because they don't have a signed discharge authority.....I signed two, count them two on the 10th with everything else. This document has been signed by all parties. Most lenders have their own specific forms for this process. Common themes identified in the qualitative responses were (i) inadequacy of discharge information relating to opioids that were supplied to the patients, (ii) infrequent provision of an opioid management plan, (iii) differing patient expectations and (iv) difficulties in managing patients commenced on opioids (see Table 1 for illustrative quotations). Whilst this is the first study to explore the accuracy of opioid information in discharge summaries for opioid‐naïve surgical patients, as discussed earlier, the accuracy of general medication information and the communication of medication changes in discharge summaries is well recognized and not unique to our organization.8, 11, 13. Keepitsimplestupid This study comprised two components. By providing you with the ability to apply for a credit card or loan, we are not guaranteeing that your application will be approved. Difficulty managing patients commenced on opioids, 4.1 ‘Some people have difficulty getting off it and there are no clinics to refer them to’ (GP7), 4.2 ‘Patients have been taking opioids for 7–10 days regularly. A theme that emerged from the GP surveys was the differing expectation amongst patients about their pain and ongoing need for opioids. Our study found that only 12.8% of discharge summaries contained an opioid management plan. The mean and SD was used to describe normally distributed data while the median and interquartile range was used to describe non‐normally distributed data. GPs felt that some patients had unrealistic expectations that they would be completely pain free following surgery and that their opioid prescriptions would be prescribed ongoing. We’re committed to our readers and editorial independence. 150+ bank forms CBA, Westpac, Bankwest, St George, ANZ, ING & NAB. There were 18 electronic surveys completed, of which three were excluded as they were incomplete. Started 14 hours ago, © 2020 Nine Digital Pty Ltd ANZ have a service level agreement (in WA anyway) to action Discharges within 10 working days. Patient demographics were obtained from the hospital's electronic medical record, Cerner Millennium (Cerner Corporation, Kansas City, MO, USA). Zgierska et al. Only a quarter of GPs who were surveyed were satisfied with the information provided to them from the hospital regarding prescribed opioids. Of the remaining 258, 63 (24.4%) summaries had at least one discrepancy between the opioid(s) listed and the opioid(s) dispensed. 120405 - Australia and New Zealand Banking Group Limited (ANZ) ABN 11 005 357 522. These expectations contribute to the challenges that GPs face in providing ongoing management. Number of times cited according to CrossRef: Prescribing of opioids in surgical patients on discharge from Australian public hospitals: work to do, 1. comparison rate. You should consider whether the products or services featured on our site are appropriate for your needs. A competitive variable rate loan from St.George. Future studies should explore interventions and strategies to improve this. Start comparing your options. Renee - I signed the discharge authority 10th January but the new bank (RAMS) had apparently asked them for a booking date etc before Christmas? Non‐oxycodone opioids were converted to oxycodone equivalents using a standard reference, as oxycodone was the most frequently prescribed opioid at the study hospital.12 Each patients' medication history on admission form, completed by a clinical pharmacist, was reviewed to determine whether the patient was taking an opioid medication (regular or ‘as required’) prior to admission. If you're unsure about anything, seek professional advice before you apply for any product or commit to any plan. Future interventions should focus on strategies to improve this. They should expect a little post‐op discomfort’ (GP13), 3.3 ‘Wanting or expecting to continue, either because not clearly explained or pain is complex’ (GP17), 3.4 ‘Patients expect to keep having them’ (GP39), 3.5 ‘Patients … have an expectation that GPs will continue to prescribe often without seeing the patient’ (GP44), 3.6 ‘A finish date and conversation with the patient or tapering doses and ceasing is essential before leaving hospital to set the appropriate expectation’ (GP46), 3.7 ‘Patient expectations [are] that they can be continued indefinitely in the community, as there has been no clear communication to the patient about how long they are to remain on them for’ (GP50), 4. Up to $4,000 refinance cashback. Categorical data were presented with counts and percentages. I would be worried that you aren't getting what you asked for though. TELL your broker to get you a date by end of today (tell him you KNOW it should have been settled by now and if he doesnt start earning his commission you will report him to the ANZ, RAMS and MIAA. Please note that the information published on our site should not be construed as personal advice and does not consider your personal needs and circumstances. We provide tools so you can sort and filter these lists to highlight features that matter to you. Track your credit score for free in the Finder app, Free There is evidence that pharmacist contribution to the preparation of discharge prescriptions and discharge summaries can improve the accuracy of this information.8, 11, 14. I've been waiting for my refinance to be settled since before Christmas! Studies have demonstrated that up to 5% of opioid‐naïve patients prescribed opioids on hospital discharge become chronic opioid users.15-18 Post‐discharge opioid management plans are therefore essential for GPs to understand the hospital prescribers' initial aim and anticipated duration of therapy. reviews. Now, to keep the debtors off my back for another week........ good to hear everything has been sorted!! I am going to report all of this to MIAA. we deal with ANZ a lot and compared to other banks they are usually very good with discharges. We value our editorial independence and follow editorial guidelines. Started 18 hours ago, By Who We Are; What We Do; … Second, the response rate from the GP survey was low. In the absence of this information, it is difficult for GPs to continue management of these patients in the community. Studies that have evaluated the general accuracy of medication lists in discharge summaries have found that 12–62% contain at least one discrepancy.8, 13 This variability is due to differences in processes used to create the discharge summary and methods used to identify discrepancies. We thank Ms Rachael Ball from the North Western Primary Health Network and Ms Christine Bellamy from the Eastern Melbourne Primary Health Network for their assistance in distribution of the GP surveys. Discharge Forms, Refinance Authorities & Request to Release forms - we have you covered. ANZ Bank New Zealand Limited Page 2 of 3. Where our site links to particular products or displays 'Go to site' buttons, we may receive a commission, referral fee or payment when you click on those buttons or apply for a product. It was also distributed electronically to GPs within the Eastern Melbourne and North Western Melbourne Primary Health Networks' catchments. GPs also felt that there were no clinics they could refer these patients to if they had difficulty in managing them (quotes 4.1 and 4.4). Riotproof Acceptance by insurance companies is based on things like occupation, health and lifestyle. 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