CCPS_Bull019

The Statements of Principles Monitoring, Aetiology and CCPS Commentary Unit

4th floor AMP Place, 10 Eagle St Brisbane Qld 4000.

Facsimile: 07 3223 8722.

Bob Connolly	07 3223 8325  (Manager, Brisbane)	Dr Bev Grehan	07 3223 8376
Maureen Anderson	08 8290 0365  (Manager, Adelaide)	Dr Jon Kelley	07 3223 8412
Duncan Cape	07 3223 8757	Sue Lee	08 8290 0227
Gaynor Cavanagh	07 3223 8331	Bernadette McCabe	07 3223 8393

SOP BULLETIN 19

18 January, 1999

THE FOLLOWING RMA SOPS ARE TO BE GAZETTED ON 27 JANUARY 1999

IMPORTANT OPERATIONAL FEATURES

MULTIPLE OSTEOCHONDROMATOSIS

New – 1 & 2 of 1999

This SOP is for a congenital condition which results in benign tumours consisting of bone capped by cartilage projecting from the lateral contours of endochondral bones, most commonly the long bones, pelvis, scapulae and ribs. It does not include the acquired condition which usually consists of only one or two osteochondromas and is coded differently. The SOP resulted from a specific case. The condition is rare and you are unlikely to come across it.

POST TRAUMATIC STRESS DISORDER

Revocation – 3 & 4 of 1999 (replaces 15 & 16 of 1994 as amended by 225 &  226 of 1995)

In the factors the word “stressor” has been changed to “severe stressor” and the definition of this is more relevant to service than was the previous definition of stressor.

The definition for severe stressor is now the same for this and the following three SOPs.

ACUTE STRESS DISORDER

Revocation – 5 & 6 of 1999 (replaces 119 & 120 of 1995)

In the factors the word “stressor” has been changed to “severe stressor” and the definition of this is more relevant to service than was the previous definition of stressor.

Within the definition for Acute Stress Disorder the definition of a (severe) stressor has been expanded, and is now the  same as that used in the SOP for PTSD.

CEREBROVASCULAR ACCIDENT

Revocation – 7 & 8 of 1999 (replaces 23 & 24 of 1994)

Factor (b)  “experiencing an acute severe stressor ...” has been changed to “experiencing a severe stressor ...”.

In the definition for (acute) severe stressor the words “which event or events might evoke intense fear, helplessness or horror” have been omitted.

PANIC DISORDER

Revocation – 9 & 10 of 1999 (replaces 31 & 32 of 1998)

The change made is similar to that made to the Cerebrovascular Accident SOP.

HEPATITIS B

Revocation – 11 & 12 of 1999 (replaces 14 & 15 of 1995 as amended by 124 &  125 of 1995)

The definitions for evidence of non-recent and recent infection have changed so that there are now a range of tests which will allow the diagnosis to be made.

OPEN-ANGLE GLAUCOMA

Revocation – 13 & 14 of 1999 (replaces 241 & 242 of 1995)

This SOP now includes all secondary causes of open-angle glaucoma except congenital glaucoma. Some codes overlap with the new angle-closure SOP. Where the diagnosis results in a code which is used in both SOPs it will be necessary for the diagnosis to be determined as either open-angle or angle closure.

The number of factors in the SOP has gone from one previously to eleven now. Even where the diagnosis is for primary open-angle glaucoma the claim should be tested against all the factors.

ANGLE-CLOSURE GLAUCOMA

Revocation – 15 & 16 of 1999 (replaces 243 & 244 of 1995)

Changes are similar to those made to the SOP for Open Angle Glaucoma.

ADHESIVE CAPSULITIS OF THE SHOULDER

Revocation – 17 & 18 of 1999 (replaces 169 & 170 of 1996)

The change to the SOP clarifies the type of medical intervention which is required to negate the necessity for signs and symptoms resulting from trauma to the shoulder to last for at least three days following the trauma.

OSTEOARTHROSIS

Amendment – 19 & 20 of 1999 (amends  41 & 42 of 1998)

As for Adhesive Capsulitis of the Shoulder. The medical intervention clause had been removed from this SOP but has now been returned. Previously taking an aspirin was sufficient to satisfy the definition which is why it has now been redefined.

If you are having any problems with SOPs, including if you think a SOP needs to be changed, talk to us!