North East Valley DGP eNews

No 1117: June 9, 2011
eNews is a weekly electronic newsletter sent to all GP practices (with email addresses) within the NEV catchment. The aim is to provide up to date information relevant to GPs and to disseminate the latest activities and resources from the division. All feedback and enquiries welcome and should be addressed to Patty Marshall. You can also visit our website at: http://www.nevdgp.org.au/.
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In this issue:

Chronic Disease Management            Supermarket Tours, Diabetes Australia - Vic offers OzDAFNE       

Professional Development                 CPD events   

Information Management                  Medical Director Tips

Items of interest                                  Epilepsy in General Practice, VHIA Bulletin - Minimum Wage Decision, Lower Hume Child FIRST, Discharge Summary - New Format, GP Network News

Men’s Health                                        Men’s Health Week

News for Practice Staff                       Medical Receptionists Seminar, Practice Managers' Network      

NPS                                                       New QPI brochure & planner, NPS GP clinical audit update

Paediatrics                                           Ear, Nose, Throat and Eyes Practical Paediatrics   

Women’s Health                                  Complications, Communications and Guidelines in Shared Maternity Care, Streamlining Antenatal Pathology into Northern Health                

Positions vacant/wanted                            

Fun stuff                                                        

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Chronic Disease Management

Supermarket Tours

Diabetes Australia – Vic organises supermarket tours to help make shopping for food easier. As part of the two hour tour, local dietitians show you how to accurately read and understand food labels, select healthy food alternatives and identify products that are appropriate for people with diabetes. Participants will receive a show bag with the Diabetes Australia Healthy Shopping Guide, information sheets and other useful information. A tour is taking place at Coles Tunstall Square Cnr Doncaster and Tunstall Roads Donvale on Tuesday 21 June at 10.00am. Cost: $10 members and $15 for non-members. Limited bookings are available for each tour. To make a booking, contact the Diabetes Info and Advice Line (DIAL) on 1300 136 588.

 

Diabetes Australia - Vic offers OzDAFNE

This is a five day diabetes education program designed for adults with type 1 diabetes who are not on an insulin pump. This comprehensive small group program covers topics such as carbohydrate estimation, insulin adjustment, physical activity and the management of illness and hypoglycaemia, as well as allowing participants to share their experiences of type 1. OzDAFNE has been shown to improve blood glucose control, lessen severe hypoglycaemia and improve quality of life. The next OzDAFNE course will commence on Monday 11 July. Participants have an individual appointment approximately 1-3 weeks prior to the course. Further information for health professionals and people with type 1 diabetes can be accessed at the website www.dafne.org.au or by calling 03 9667 1719.

 

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Continuing Professional Development

Are you confident about your role in the National Bowel Cancer Screening Program?

An easy on-line learning module can provide you with the answers, and is now available to RACGP members AND non-members. After logging in, simply type ‘bowel’ into the search criteria. Please note, non-members will need to click on ‘FREE 30 day trial’ and create a username and password first.

After completing the module, you will better understand: Your role as a GP in the Program; The duty of care linked to GPs; How to manage people eligible and ineligible for free screening with the Program; How to complete the paperwork for the Program; Implementation of the Program in your practice.

Members will also receive 2 RACGP QA&CPD points for completing the module.

For more information, please contact the Bowel Cancer Education Coordinator at the Cancer Council WA on (08) 9388 4376 today.

 

Austin Health - Division of Medicine Grand Round

“Thunderstorm Asthma” Speakers: Dr Michael Sutherland, Head Allergy Service Austin Health and Dr Megan Howden, Respiratory Registrar.

Wednesday 15th, 12:30pm at John Lindell Lecture Theatre, Level 4, Lance Townsend Building (opp. Medical Library), Austin Campus. Informal lunch at 1.15pm outside the Lecture Theatre.

 

Early Detection and Management of Chronic Kidney Disease

Presented by: Dr Peter Mount, Nephrologist, Austin Hospital

Wednesday 29th June, 6:30 - 9 pm (Dinner from 6:00 pm) at John Scott Meeting House, La Trobe University. Flyer

 

Orthopaedic Update for General Practice

Shoulders, Knees and Spine at Epworth Richmond, Auditorium, Level 2, 89 Bridge Road

Wednesday 22 June 7.15-9.15pm (Dinner from 6.15) Flyer

 

Acute ENT Conditions and Acute Visual Disturbance

Tuesday 26th July 7-9pm (Light refreshments from 6.30pm) at Lucy Jones Hall (entrance off Albert St), Eye And Ear Hospital, Gisborne Street, East Melbourne. Flyer

 

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Information Management

Medical Director Tip - Fixing uncoded diagnoses

1.      Open the HCN Maintenance program and under Database tasks select Medical Director. Tasks. Double click on Diagnosis Coder.

2.      The box on the left contains all the uncoded diagnoses.

3.      Click on the uncoded diagnosis you wish to change in the left panel and type the first few letters of the coded diagnosis in the right panel

4.      When the list appears select by double clicking the appropriate diagnosis and then click on the Correct button.

5.      Proceed with further uncoded diagnosis and when complete click OK.

 

This week’s IM problem - Removing doctors from the pathology results drop down list

Question: When you print Return Urgently, Discuss (or No Action) pathology results you can choose an individual doctor from a drop down list under Checked by:

It seems that any doctor who has ever ordered a test, including the doctor of those patients who have been imported from another practice, appear on the drop down list. This can be a nuisance for the person who prints lists by individual doctors as there are a large number of doctors in the list, most of whom do not work at the practice anymore. Is there a way of removing the unnecessary doctors from the list?

Answer: Unfortunately there is no solution at this stage. This is a known issue at HCN and has been logged.

 

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Items of Interest

Epilepsy in General Practice

Epilepsy Australia and Epilepsy New Zealand want to know about epilepsy in general practice.

Take the one minute survey for GPs and go into the draw to win one of three 3M Littmann Electronic Stethoscopes Model 3200 (www.littmann.com.au).

Click on the link, or type it into your browser to start the survey. https://www.surveymonkey.com/s/epilepsyaustraliaGP

The survey will run until July 22nd 2011

 

VHIA Bulletin - Minimum Wage Decision

On Friday 3 June 2011 Fair Work Australia handed down its minimum wage decision that increased the national minimum wage for award/agreement free employees by 3.4%. The decision represents an increase of $19.40 per week or 0.51 cents per hour and means that from the first full pay period on or after 1 July 2011 the national minimum wage will be $589.30 per week or $15.51 per hour (up from $569.90 or $15 per hour).

Job classifications contained in modern awards will be increased by 3.4% on the first full pay period on or after 1 July 2011 including the minimum wages for junior employees, employees to whom training arrangements apply and employees with a disability.

There is no obligation to pass on the minimum wage increases to agreement-covered employees provided the wages in the agreement are equal to or above the new award minimum. Where the wages of agreement-covered employees do fall below the award minimum the employees must be paid at least the award minimum.

The VHIA will shortly release up-dated Salary Circulars to cover those modern awards that are applicable to the health and community services sector.

If you have any questions about this matter please contact Peter Clarke at VHIA on (03) 9861 4000.

 

Lower Hume Child FIRST

Child FIRST (Family Information, Referral and Support Team) provides a centralised entry point for families and professionals into Family Services. Key functions of Child FIRST are: Screening and Assessment; Information & Advice to families and professionals; Providing support to families; Needs and Risk Assessment; Referral to Family Services program; Referral to a broad range of community services, programs and external agencies; Assertive Outreach/Home Visiting; Case Conferencing; Active Holding.

Child FIRST is a state-wide initiative to strengthen services that are provided to vulnerable children, young people and families. Anyone can make a referral to Child FIRST.

Child FIRST also works in partnership with other local agencies to ensure families receive the most appropriate services and support.

If you would like further information about Child FIRST within the Murrindindi & Mitchell Shires or to make a referral please contact 1800 663 107.

 

Discharge Summary – New Format

On June 15th Austin Health will commence using a new electronic Patient Record System – the CERNER system. As a consequence, the discharge summary that you receive from this date will have a different format. However the Emergency Department and Day Surgery Discharge Summaries will remain unchanged. 

With the introduction of the CERNER system, Austin Health will be relying on the Human Services Directory (HSD) to access GP details. To ensure that communication is addressed correctly, GPs are encouraged to check that their details on the HSD are up-to-date. Should you have any questions regarding this change, please contact the GP Liaison Officer, Dr Wendy Fisher, wendy.fisher@austin.org.au.

 

GP Network News

This week’s edition includes: New AMA President; State and Territory AMAs recognized for excellence in lobbying and communication;World No Tobacco Day 2011 – 31 May; AMA Submission on Personally Controlled Electronic Health Records (PCEHR; AMA Submission on draft guidelines on Sexual boundaries: A guide for doctors and patients; Exclusive I.T. deals on Dell, Lenovo, Netgear and more!

 

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Men’s Health

Men’s Health Week

‘Time to talk tackle’ is the theme for International Men’s Health Week – June 13-19. Andrology Australia, the Australian Centre for Excellence in Male Reproductive Health has free resources available. To find out more go to www.andrologyaustralia.org or call 1300 303 878.

 

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News for Practice Staff

Medical Receptionists Seminar - Triage at the front desk

Tuesday 21st June 6:30 pm-9pm (Dinner from 6pm) John Scott Meeting House, La Trobe University. Presented by: Panel of NEV staff, PMs, PNs and GPs.  

[Application Form]

 

Practice Managers' Network

Wednesday 22nd June 6:30 pm-9:00 pm (Dinner from 6pm) at John Scott Meeting House, La Trobe University. [Map]

  • Occuational Health and Safety
  • IM Update - Personally Controlled Electronic Health Record
  • Bowel Cancer Screening project Target Group: Practice Managers

[Application Form]

 

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National Prescribing Service

New QPI brochure & planner

For practices taking part in the QPI PIP the NPS has released new documentation that you might find useful. These include a new QPI brochure and planner also available from the Health Professionals section of the NPS website

 

NPS GP clinical audit update

NPS clinical audits available for the current QPI year: 1 May 2011 – 30 April 2012 include the following:

Clinical e-Audit: Review of proton pump inhibitor (PPI) prescribing. Online enrolment at www.nps.org.au/health_professionals [available now]

Clinical e-Audit: Optimising management of type 2 diabetes. Online enrolment at www.nps.org.au/health_professionals [available now]

Clinical e-Audit: Management of hypertension. Online enrolment at www.nps.org.au/health_professionals  (Note, this e-Audit involves review of only 10 patients) [available now]

Topics coming soon include:

Reducing risk of osteoporotic fractures and falls (paper version) - will be posted from July 2011

Clinical e-Audit: CV risk and lipid modifying therapy - available in August 2011

Antipsychotics (paper version) –available in August 2011

 

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Paediatrics

Ear, Nose, Throat and Eyes Practical Paediatrics

Thursday June 16th, 7-9pm (6.30pm to register and light refreshments) at Ella Latham Theatre, Royal Children’s Hospital

  • Ophthalmology: Latest recommendations for management of: Eye infections, corneal ulcers and abrasions, squint and pseudo-squint, ptosis and retinoblastoma detection.
  • Ears nose & throat - Latest recommendations for management of ASOM and recurrent ASOM, OME - prolonged antibiotics, ET exercises, diagnosing effusion clinically, grommets; otitis externa; the discharging ear in General Practice; pharyngitis/tonsillitis – the role of swabbing, antibiotics and managing recurrent.

See flyer and register online here.

 

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Women’s Health

Case Studies: Complications, Communications and Guidelines in Shared Maternity Care

·         To provide the opportunity for case based discussion around common GP obstetric related presentations

·         To explore methods available in general practice to decrease potential for risk of communication failures and improve quality and safety for the antenate

·         To inform GPs of the availability of revised Guidelines for Shared Maternity Care Affiliates Nov 2010

Dr Bernadette White, Clinical Director, Obstetric and Maternity Services, Mercy Hospital for Women and Dr Alison Yeung, Clinical Geneticist, Genetic Health Services Victoria.

Tuesday 21st June, 7-9pm (Registration & Refreshments from 6.30pm)at Level 4 Mercy Hospital for Women, Heidelberg

4 (Category 2) points in the RACGP QI&CPD Program for the 2011-2013 triennium have been applied for.

For further details and registration flyer click here or contact Merran Mackie on tel: 8458 4833 or email mmackie@mercy.com.au

 

Streamlining Antenatal Pathology into Northern Health

In my new role as GP Liaison Consultant I have spent some time in Antenatal Clinics at The Northern Hospital and observed that many results can be very difficult to find or seem to go missing somewhere between GP and the hospital. With this in mind it would be very helpful if all investigations requested during a woman’s pregnancy (including booking bloods) could be ordered with a request for ‘Copy to ANC, TNH’.  Northern Health will be requiring its consultants to cc shared care GP’s into all tests ordered in its clinics. Obviously the clinical responsibility remains with the Doctor who ordered the test but hopefully this will reduce the need to repeat tests unnecessarily. Thank you so much for your ongoing cooperation as we aim to improve patient care.  Dr Mary Thomas- NH GP Consultant

 

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Positions vacant/wanted

Please note: only new ads or resubmitted ads will be posted here. All other ads can be found on the website

 

Positions vacant

Doctors

Diamond Creek - PT/FT GP wanted for accredited, computerised practice. Private billing (high fees), practice nurse support, visiting specialists. Physio, psychologist & psychiatrist on site. Supportive, friendly and happy workplace. Contact practice manager Lina Rogers on 9348 1911 or 0407 119 780.

 

Hurstbridge - F/T or P/T VR GP required for computerised, fully accredited medical centre located in a lovely leafy semi-rural environment.  A fabulous, friendly work environment with nursing support and ancillary health.  Outer Metro Relocation Incentives could apply.  Contact Heather Fisher (Practice Manager) 9718 2611, 0407 355 035 or hfisher@hurstbridgemedical.net.au

 

Ivanhoe Medical Clinic - PT VR GP for 2-4 sessions/week - must include Thursday & Friday afternoons. Modern, large supportive group(10 GPs), FT nurses, computerised, CDMs, no A/Hs, friendly ,flexible, mixed billing. Good remuneration. Contact: Dr Stephen Smith or Dr David Doig9499 1245.

 

Ivanhoe - VR GP Required for regular weekend work (weekly, fortnightly or monthly) in fully accredited, computerised, private billing General Practice. Excellent renumeration and friendly environment. Hours negotiable (Practice is open Sat: 9 – 4 and Sun 10 – 12). Please contact Dr Peter Eizenberg (Principal) or Mary Howe (Practice Manager) on phone: 03 9497 1644 or email: maryh@dr131.com.au.

 

Ivanhoe - VR GP F/T or P/T required to work in the GP operated Accredited Livingstone Street Clinic. A friendly and supportive team environment in this computerised Medical Centre with Allied Health, RN’s and Radiology & Pathology on site. No A/H’s. Please contact John or Ken on 03 9497 1188.

 

Northcote - FT/PT VR GP or Subsequent Trainee GP position. Fully accredited, computerised, long established doctor owned practice in a new purpose built facility with a fabulous work environment. Ancillary Health, Pharmacy and Pathology services on site. Inquiries Diane Cronin (Practice Manager) 9481 1214. Visit our website www.doctorsofnorthcote.com.

 

Practice Staff

CBD - Primary Health Nurse Div 1 wanted 2 days per week. Attractive remuneration negotiable. Salary packaging offered. The Living Room Primary Health Service provides free healthcare and support to improve the physical, mental and social wellbeing of individuals who are homeless or at risk of homelessness, disadvantaged or marginalised, with complex healthcare needs. Applications close COB Friday 24th June. For more information contact Ms Ilana Jaffe on 9945 2100.

 

Greensborough - We require an experienced, highly motivated medical receptionist for our busy clinic.  Permanent part time including weekends.  Email resume to info@sunrisemedicalcentre.com.au

 

Ivanhoe - Practice nurse required for busy friendly 5 Doctor Clinic. Tuesday, Wednesday and some relieving shifts. Duties include General Practice nurse duties. The ability to do care planning would be an advantage.  Contact Meri on Ph 9497 1188

Positions wanted

Registered Nurse - RN Div 1 Independant Contractor available for immediate start. Services include Chronic disease management/Health Coaching e.g. Care planning and Team care arrangements. Health Assessments and Nursing home patient assessments e.g Comprehensive Medical Assessments. Mobile Contact 0403 994 299.

 

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Humour

Financial planning

Dan was a single guy living at home with his father and working in the family business.

When he found out he was going to inherit a fortune when his sickly father died, he decided he needed a wife with which to share his fortune.

One evening at an investment meeting he spotted the most beautiful woman he had ever seen. Her natural beauty took his breath away. "I may look like just an ordinary man," he said to her, but in just a few years, my father will die, and I'll inherit $20 million."

Impressed, the woman obtained his business card and three days later, she became his stepmother.

.....Women are so much better at financial planning than men.

 

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And remember

 

            …Never squat with your spurs on.