National Injury Insurance Scheme (Queensland) Regulation 2016
sec.18Appropriateness of service
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sec.18 Appropriateness of service
The agency must consider whether the treatment, care or support for, or relating to, the person’s treatment care and support needs— is consistent with other treatment, care or support being received by the person; and is consistent with current clinical practice and other industry best practice for the treatment, care or support of persons with similar injuries. In considering the matters mentioned in subsection (1) , the agency must also have regard to the following matters— whether the treatment, care or support will be consistent with the person’s future treatment, care or support needs; whether the treatment, care or support relates directly to the person’s individual goals; whether the treatment, care or support could be harmful to the person; whether similar treatment, care or support is already being, or is to be, provided to the person for the injury; whether there is evidence that supports the effectiveness of the treatment, care or support. peer reviewed journal articles inclusion of the treatment in clinical guidelines and frameworks successful clinical trials inclusion in the medical benefits schedule administered by the Commonwealth (sec.18-ssec.1) The agency must consider whether the treatment, care or support for, or relating to, the person’s treatment care and support needs— is consistent with other treatment, care or support being received by the person; and is consistent with current clinical practice and other industry best practice for the treatment, care or support of persons with similar injuries. (sec.18-ssec.2) In considering the matters mentioned in subsection (1) , the agency must also have regard to the following matters— whether the treatment, care or support will be consistent with the person’s future treatment, care or support needs; whether the treatment, care or support relates directly to the person’s individual goals; whether the treatment, care or support could be harmful to the person; whether similar treatment, care or support is already being, or is to be, provided to the person for the injury; whether there is evidence that supports the effectiveness of the treatment, care or support. peer reviewed journal articles inclusion of the treatment in clinical guidelines and frameworks successful clinical trials inclusion in the medical benefits schedule administered by the Commonwealth
- (a) is consistent with other treatment, care or support being received by the person; and
- (b) is consistent with current clinical practice and other industry best practice for the treatment, care or support of persons with similar injuries.
- (a) whether the treatment, care or support will be consistent with the person’s future treatment, care or support needs;
- (b) whether the treatment, care or support relates directly to the person’s individual goals;