North East Valley DGP eNews

No 1134: October 20, 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:

Aboriginal Health                                Online cultural awareness training

Chronic Disease Management            Supermarket Tours  

Professional Development                 CPD events   

HMR                                                      Pharmacy information for health professionals and consumers, Direct referrals for HMRs, Residential Medication Management Reviews

Immunisation                                       Prevenar 13, Vaccine Storage Tip, Supporting HPV Immunisation in General Practice

Information Management                  Medical Director Tips

Items of interest                                  Allied Health Services at Nillumbik Community Health Service, Referral Writer, Northern Health MBS (Bulk Bill) Clinics, GP Network News          

Mental Health                                      Prescribing Psychotropic Medications in General Practice, Focussed Psychological Strategies Skills Training for GPs      

News for Practice Staff                       Practice Managers/Practice Nurses Final Session, Newsletters, 4 year old healthy kids check    

Paediatrics                                           The Royal Children’s Hospital Patient Move Day    

Positions vacant/wanted                            

Fun stuff                                                        

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Aboriginal Health

Online cultural awareness training

See gplearning under CPD

 

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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 Epping Plaza Cnr Cooper and High Streets Epping on Wednesday 5 October 2011 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.

 

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Continuing Professional Development

MBS Update

Tuesday 8th November 7- 9pm (Dinner & Registration from 6:30 pm) John Scott Meeting House, La Trobe University Presented by: Mr Peter Larter for GPs, Practice Nurses & Managers.  Application Form

 

Co-ordinated Veterans Care Program Information Session

Wednesday 30th November 6:30pm – 9m. This will provide an overview on CVC program with input from Veterans Affairs, a local GP and Practice Manager. At John Scott Meeting House La Trobe University. Application Form coming soon.

 

gplearning

The Royal Australian College of General Practitioners (RACGP) has launched the improved gplearning website hosting online education for general practitioners (GP) and general practice teams. Online cultural awareness training that meets the requirements for the Indigenous PIP is available through gplearning www.gplearning.com.au. GP members of the RACGP already have access to gplearning as part of their membership.  For Instructions for non-members to access online activities on gplearning, click here.

To be able to launch activities on the gplearning website, you will need to allow the use of pop ups, so it is important to turn off pop up blockers. (Click here, or just ring Helpdesk - number is below). Also, please note that gplearning cannot be accessed via an i-Pad.

If you have any problems at all, don’t spend time trying to sort them out yourself, just contact the gplearning Helpdesk on 1800 284 789 and they will talk you through whatever problems you are having.

 

Pain Management CPD

The St. Vincent’s Barbara Walker Centre for Pain Management invites you to a full day education workshop. Held at St. Vincent’s Hospital Melbourne, the workshops on offer in 2011 are:

1.      Psychological approaches to managing chronic pain, 12 November 2011

2.      Using opioids safely in general practice, 3 December 2011

Approval has also been sought for ACRRM PDP, 40 Category 1 RACGP QI & CPD points.  Please refer to the brochure for workshop details and registration information.

 

Surgical Office Skills 

The Skills Laboratory at the Royal Australasian College of Surgeons in Melbourne is conducting a two-evening workshop for all GPs, particularly those who undertake simple surgical procedures in their office. Wednesday and Thursday, 7 & 8 December at Skills Laboratory, Level 1 East Wing Skills & Education Centre, Royal Australasian College of Surgeons, Corner of Spring Street and Lonsdale Street, Melbourne. Flyer. Enquiries & registration form call Arwen Tudor (03) 9276 7456 or Email arwen.tudor@surgeons.org or Dr David Lawrence (03) 9276 7455 or Email: david.lawrence@surgeons.org

 

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Home Medicines Review

Pharmacy information for health professionals and consumers

This link provides information for health professionals and consumers about programs and services under the Fifth Community Pharmacy Agreement. You will also find information about the standards you can expect from your community pharmacy. There are a number of new medication programs which will be phased in to assist medication management such as Staged Supply, encouragement for the use of Dose Administration Aids, Medication Use Reviews.

 

Direct referrals for HMRs

From October 1 Home Medicine Review (HMR) Requests, Item 900 can be sent directly to an accredited pharmacist. They can still be sent to the pharmacy of the consumer’s choice as previously. Use the same referral forms as previously, available on the Division website or your software programs.

Lists of pharmacies are available on the Division website. In addition this website can be searched by areas and shows hours open. An advanced search will show pharmacies that speak various languages.

The list of independent accredited pharmacists is available on the accredited pharmacists website.

Enter as a guest and then click on accredited pharmacist search.  You can search by name, postcode, town/city or Division of General Practice. Just click on the “File” icon, type in the search field and press enter.  This list can also be downloaded.

Further information is available on HMR here.

 

Residential Medication Management Reviews

RMMRs from October 1, 2011 can only be performed following initiation from a GP using an RMMR (Item 903) referral or a proforma letter (often provided by the accredited pharmacist to the GP).  An information sheet is here.  

Further information about RMMR is available here for the Pharmacy or here for GPs.

 

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Immunisation

Prevenar 13

As of 1st October 2011, Prevenar 13 supplementary dose is funded for children aged 12months to 35 months. Prevenar 13 is licensed for children less than 6 years of age. If a parent would like a child over 3 years to receive a Prevenar 13 supplementary dose they would be required to pay for the vaccine and the child must be less than 6 years of age. For Prevenar 13 info go to www.health.vic.gov.au/immunisation

 

Vaccine Storage Tip

Practices are encouraged to store vaccines in their original packaging in the refrigerator.

 

Supporting HPV Immunisation in General Practice

The HPV vaccination program is listed on the National Immunisation Program (NIP) Schedule and funded under the Immunise Australia Program.

An ongoing school-based program is routinely delivered to girls in the first year of secondary school. Girls in Victoria who commence the HPV immunisation course in Year 7 have until the end of Year 8 to complete the three-dose course free-of-charge. In addition to school settings, immunisations can also be obtained via public council immunisation sessions or a general practitioner. Therefore General Practice clinics in Victoria are required to provide the HPV vaccine (doses one, two and three) for free to all girls who meet these criteria. Older girls requesting HPV immunisation must purchase the vaccine at approximately $150 per dose.

General Practice orders for the HPV vaccine need to be made through the Department of Health on 1300 882 008 and the National HPV Vaccination Program Register needs to be notified of each dose given. The Register can be contacted on 1800 478 734.

Vaccine coverage rates released by the Register show that in Victoria, only 73% of school girls are completing the full three doses required. This is a drop-off of around 10% of girls who have the first injection. Cancer Council Victoria is currently rolling out a Department of Health-funded communications initiative to help address this issue. General Practices can assist by proactively promoting these key messages to girls in Years 7 and 8 and their parents, and by encouraging them to complete all three vaccine doses. As part of the communications drive, Cancer Council Victoria has distributed to all Victorian secondary schools an article to be included in their newsletter and a letter to all parents of girls in Year 8. These items are available on the website and may be used to help guide you in initiating discussions with girls and their parents.

For more information please visit www.cervicalcancervaccine.org.au

 

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Information Management

Medical Director Tip - Retrospectively adding a Reason for Medication

You can add (or edit) the Reason for Medication retrospectively:

1.      Click on the Current Medication tab and scroll to the right to find the Reason for Medication column.

2.      Double click in the blank space where this is no Reason for Medication recorded (or on an incorrectly coded item)

3.      Select a reason from the coded list.

4.      If you select Reason for Contact that gets recorded in today’s Progress Notes, not in the notes that the prescription was printed.

5.      To rectify this, highlight the Reason for Contact and press Control + X (Cut).

6.      Go to the Progress Note that the prescription was printed, click on the Append button and Paste (Control + V) in the Reason for Contact.

 

This week’s IM problem - Set up a prompt for patients eligible for a 40-49 Diabetes Assessment

Question: The GP at our practice wants to set up a prompt (the ‘bouncing” recall button) for all patients aged 40-49 so she can give them, where appropriate, the Type 2 Diabetes Assessment.

Answer: The best way is to set up a recall for all patients between 40-49 and exclude diabetes as a condition.

1.      With no patient record open go to Search >Patient

2.      Add the age as 40 to 49.

3.      Under Drug/Condition click on Condition.

4.      Click on the NOT square and type in DIAB for condition and double click on DIABETES – your search criteria should now read: All patients aged between 40 and 49 not having Diabetes

5.      Click on the Search button so the list of eligible patients appears.

6.      Click on the Add Recall button at the bottom of the screen and for the Reason for Recall type in 40-49 DIABETES ASSESSMENT and make the interval 1 month and a Once only recall.

7.      Click on Add and then Save.

Now whenever one of the eligible patient’s record is opened the “bouncing” recall button will appear, prompting the doctor, where appropriate to perform the Type 2 Diabetes Assessment. Note however, if the practice has a recall system that sends out letters the 40-49 DIABETES ASSESSMENT would have to be excluded as a recall reason because the above system is designed for opportunistic recalls.

 

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Items of Interest

Allied Health Services at Nillumbik Community Health Service

Over the next week or two, GP practices in Nillumbik may receive an email inviting them to participate in an online survey about Allied Health services offered by Nillumbik Community Health Service (NCHS). The survey should take between 5-15 minutes, depending on your familiarity with NCHS.

It would be appreciated if as many relevant staff as possible could complete the survey. If you would prefer to receive a hard copy of the survey, please contact Sally Western on 9430 9174, or email sallyw@nchs.org.au.

Your participation in the survey can be completely anonymous. Your feedback will help us to review and improve the Allied Health services we offer to clients.

If you would like to complete the survey now, please click on this link: https://www.surveymonkey.com/s/AHREFERRERSSURVEY

 

Referral Writer

Curtin University is testing an innovative software program, the Referral Writer, which aims to provide an efficient and easy to use tool for generating referrals. Help test its effectiveness. The study can be completed entirely online, in your own time and GPs are paid for participation (up to $600 per GP). For more details contact referralwriter@curtin.edu.au or see http://healthsciences.curtin.edu.au/research/chiri_surveys.cfm.

 

Northern Health MBS (Bulk Bill) Clinics

Referrals to these clinics must be addressed to a specific consultant to enable Northern Health to properly claim MBS funding.  This is in addition to clinic name, GP provider number and patient Medicare number.  This requirement will apply to most Northern Health clinics as the majority are MBS.  Consultant names and MBS clinic listings are located on www.nh.org.au ,go to GP ACCESS, go to Specialist Clinics.

 

GP Network News

This week’s edition includes: GP Super Clinics – need for a proper audit; MBS Indexation inadequate; Average fees for patient billed services; AMA delivers mental health petition to the Government; Advice for patients whose treatment plan is impacted by the cuts to mental health services and rebates; Australian Wound Management Association (AWMA); Aged care survey – call for participants; OnePath - Australian families are underinsured

 

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Mental Health

Prescribing Psychotropic Medications in General Practice

A one day Seminar, focussed on the challenges that confront General Practitioners in their day to day practice with Psychiatric patients.

Saturday 3rd December 9am-5pm at Grand Hyatt Hotel, Grosvenor Room, 123 Collins St, Melbourne. Flyer

 

Focussed Psychological Strategies Skills Training for GPs

Saturdays 19th November and 10th December Completed over two sessions at General Practice Victoria, 458 Swanston Street, Carlton.

Cost: $200 + GST= $220 total (non‐refundable). Enquiries: Christina Koniaras, Lifeblood, Tel: 9804 0777. See Flyer. To register please visit www.spheregp.com.au.

 

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News for Practice Staff

Practice Managers/Practice Nurses Final Session

Thursday 8th December, 6:30– 9pm. This will cover the services to general practice from the new, soon to be opened, Royal Children’s Hospital as well as an IM/eHealth Update. Plus some fun stuff! At John Scott Meeting House La Trobe University. Application Form coming soon.

 

Newsletters

The latest APNA newsletter is available here.

Edition 26 of The Benchmarque Group eNewsletter.

 

4 year old healthy kids check

This free online course will prepare practice nurses to meet the requirements of the Medicare Healthy Kids Check for 4 year olds.

 

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Paediatrics

The Royal Children’s Hospital Patient Move Day - Wednesday 30 November

o   Contact details will stay the same: Hospital phone numbers, fax numbers and address will stay the same during and after the move:

o   RCH Switchboard: 9345 5522

o   Patient outpatient-related questions: 9345 6180

o   GP hotline: 9345 7060

o   GP / Primary Care Liaison: 9345 4645

o   Fax number for referrals: 9345 5034

o   Department fax numbers will be forwarded to their new fax machines

o   Address: 50 Flemington Road, Parkville 3052

o   To find out more: www.rch.org.au/rchonthemove.

 

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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 Medical Centre- Opportunity for FT &PT VR GP to join a supportive and friendly medical Clinic. FT Nurse, computerized. No A/Hs, mixed billing. Good remuneration. Contact: Lina Rogers on 9438 1911 or 0407 119 780

 

Ivanhoe Medical Clinic - Opportunity for FT & PT VR GP to join one of Melbourne’s most famous practices in 2012. Modern, large supportive group (10 GPs), FT nurses, computerized, CDMs, no A/Hs, friendly, flexible, mixed billing. Good remuneration. Contact:- Dr.Stephen Smith or Dr.David Doig on 9499 1245.

 

Practice Staff

Ivanhoe - Medical Receptionist Permanent Part-Time required by a well-established, high quality General Practice to work 15 – 30 hours per week, including one weekend per month. The successful applicant will have experience working in a busy medical practice, possess excellent customer service skills, be flexible and enjoy working as part of a team. Hours will include covering for other staff when they are on leave.

Please reply giving details of experience and references to: The Practice Manager - maryh@dr131.com.au  

 

Positions wanted

Permanent VR GPs available from November - These doctors do not require DWS and can obtain a provider number.

For further details please contact Susan Hill at Medical Recruitment on 1300 137 142 or email me at susanhill@medicalrecruitment.com.au

 

Nurse Specialist Service - Care Plans and Health Assessments including all CDM allied health referrals and recalls professionally completed by a Nurse Specialist. Our prompt, confidential service can be conducted in the clinic using your preferred patient management program or as a home visit with documentation using standard Division templates. Small and large lists accepted. Enquiries to glendac@pbhealth.com.au or call on 0448 681 048.

 

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Humour

Chewing gum!

An Australian man was having a coffee and croissants with butter and jam in a cafe when an American tourist, chewing gum, sat down next to him.

The Australian politely ignored the American, who, nevertheless started up a conversation.

The American snapped his gum and said, “You Australian folk eat the whole bread?”

The Australian frowned, annoyed with being bothered during his breakfast, and replied, “of course.”

The American blew a huge bubble. “We don't. In the States, we only eat what's inside. The crusts we collect in a container, recycle them, transform them into croissants and sell them to Australia .”

The American had a smirk on his face. The Australian listened in silence.

The American persisted, “D'ya eat jam with your bread?”

Sighing, the Australian replied, “of course.”

Cracking his gum between his teeth, the American said, “We don't. In the States, we eat fresh fruit for breakfast, then we put all the peels, seeds and the leftovers in containers, recycle them, transform them into jam and sell it to Australia.”

The Australian then asked, “Do you have sex in the States?”

The American smiled and said “Why of course we do.” The Australian leaned closer to him and asked, “And what do you do with the condoms once you've used them?”

“We throw them away, of course!”

Now it was the Australians turn to smile.

“We don't. In Australia, we put them in a container, recycle them, melt them down into chewing gum and sell them to the United States. Why do you think it's called Wrigley's?”

 

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And remember

 

            …If you change lines (or traffic lanes), the one you were  in will always move faster than the one you are in now.