Document ID: chunk:federal_register_of_legislation:F2024C01088:reg:6
Version: federal_register_of_legislation:F2024C01088
Segment Type: reg
Provision Reference: reg 6
Character Range: 9927–12024

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.