6TMVr suitability case conferences

6 TMVr suitability case conferences

(1) This section sets out the requirements that a case conference must meet to be a TMVr suitability case conference. (2) The requirements are as follows: (a) the conference must be for the purpose of determining if a patient is suitable for a service described in item 38461 or 38463; (b) the conference must last at least 10 minutes; (c) the conference must be conducted by a team of at least 3 participants, including: (i) a cardiothoracic surgeon; and (ii) an interventional cardiologist; and (iii) a specialist or consultant physician, neither of whom will provide a service to the patient to which item 38461 or 38463 applies; (d) at least one participant of the conference must be accredited by the TMVr accreditation committee to perform a service described in item 38461 or 38463; (e) the coordinator of the conference must ensure that the patient: (i) is aware of the purpose and nature of the conference; and (ii) has consented to the conference being held; and (iii) is made aware of the recommendations made as a result of the conference; (f) during the conference: (i) each member of the team must provide expertise in assessing the patient and informing the recommendations to be made; and (ii) the patient’s risk and technical suitability for a service described in item 38461 or 38463 must be assessed, including by taking into account the risk and technical suitability of the patient to receive a surgical mitral valve replacement and the patient’s cognitive function and frailty; and (iii) the team must make a recommendation as to whether the patient is suitable for a service described in item 38461 or 38463; (g) the coordinator must create a record of the conference, including: (i) the day the conference is held; and (ii) the time the conference starts and ends; and (iii) the names of each of the participants of the conference; and (iv) the details of the conference, including the particulars of the assessment of the patient during the conference and the recommendations made as a result of the conference.