General Medicine  |  Adult Pneumonia Pathway - For Providers

Acute Demand Service (ADS)

Community Acquired Pneumonia (CAP) Pathway criteria for ADS

Follow the Pneumonia Pathway Direct link under the current CPO Forms – Resources on Best Practice to the Pneumonia (CAP) Pathway

Eligible for funding:

1. Assess the patient’s CRB-65 score, this must be noted in the referral to ADS
2. If a follow-up is required within 48-72 hours then this can be funded under ADS
   • the funding is the same as for the oral cellulitis follow-up remuneration
3. Make a request to the Acute Demand Service with faxed clinical notes (an interim referral process) on the day to the WBoP PHO.
   • must have a start date into ADS
   • must state the first follow up date
   • include all relevant clinical information
   • Note if there if there has been a CXR requested using the Best Practice CPO radiology form

4. If a chest x-ray is required at the follow-up this can be requested using the current CPO radiology referral form
   • but please make a note in the clinical comment if the case is already in ADS as Pneumonia case

Not Eligible for funding:

• A follow-up that does not fall within the timeframe as per the Bay Nav CAP pathway
• A subsequent 6 week follow-up CXR is not funded