North East Valley DGP eNews

No 1135: October 27, 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:

Aged Care                                             Aged Care Interest Group

Professional Development                 CPD events   

Information Management                  Medical Director Tips

Items of interest                                  The University of Melbourne’s General Practice based medical education information forum, Brain Tumours - What’s Going On..., Everything Hearing

Mental Health                                      Changes to the Mental Health Item Numbers        

News for Practice Staff                       Assisting Women to Conceive survey          

NPS                                                       NPS Audits

Paediatrics                                           RCH Patient Move Day - Wednesday 30 November           

Women’s Health                                  Perinatal and Infant Mental Health Specialist Skills Position 2012,                                 

Positions vacant/wanted                            

Fun stuff                                                        

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Aged Care

Aged Care Interest Group

Support and education in geriatrics for GPs who visit or are interested in visiting Aged Care Facilities.

Managing Advanced Parkinson’s Disease. Speaker: Dr Andrew Hughes – Neurologist, Movement Disorder Service, Austin Health

Monday November 14th 1-2 pm (Light lunch 12.30pm) at Vasey House, 5 Tower Ave, Bundoora (near BECC)                                                           

Please RSVP to Lorraine on 9466 9615.

 

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Continuing Professional Development

MBS Update

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

 

Sleep Easy

A free interactive workshop, presented by Mitcham Private Hospital, designed to provide GPs with the latest information and practical advice from clinicians who specialise in sleep disorders. Presentations:

1.   Things that go bump in the night – Restless Leg Syndrome & other Parasomnias with Dr Murad Ibrahim –Sleep Physician and Director of Mitcham Sleep Centre

2.   Down but not out: Insomnia, Drugs and Depression with Dr Vivek Malipatil, Sleep Physician

3.   Obstructive Sleep Apnoea Gizmos & Gadgets: Exploring the Snoring with Dr James Ward, Sleep Physician

Tuesday 15th November 6.30 – 9.30pm (dinner provided) at The Sebel Heritage, Yarra Valley, Heritage Avenue, Chirnside Park (early reply encouraged).

For enquiries, please email moutsosa@ramsayhealth.com.au or call 0420 895 910.

 

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Information Management

Medical Director Tip - Quickly accessing a template

Rather than using mouse clicks and scrolling through a list of templates you can open a template quite quickly from within the patient screen.

1.      Press <F8> to open LetterWriter.

2.      Press Control + N (if you have a blanks screen. No need for this step if the list of templates is already on the screen).

3.      Quickly type the first 3 letters of the template name. For example, typing STA will immediately highlight the STANDARD LETTER template.

4.      Press Enter to open the template.

5.      If prompted to enter the surname of an address book entry, type in the first few letters of the surname, then select the desired addressee.

 

This week’s IM problem - Finding patients with a chronic disease who are overweight and are smokers

Question: Can I use MD to get a list of patients with a specific chronic disease (e.g. diabetes) who are smokers and overweight. We wish to target those patients as part of our proactive treatment.

Answer:  You are able to generate a list of patients with a chronic disease (such as diabetes) and smokers, but the MD search doesn’t allow for overweight patients to be included. It is better to use a program like the PEN Clinical Audit Tool for this. If you use MD to generate a list of diabetes patients who are smokers it is an easy step to send a mail merge recall letter to those patients. If you use the PEN Clinical Audit Tool to generate a list of eligible patients the mail merge can’t be done with MD’s mail merge facility.

 

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Items of Interest

The University of Melbourne’s General Practice based medical education information forum

The forum will provide an overview and answer your questions regarding the University’s new medical course and the changes to General Practice involvement. GPs and Practice Managers are welcome to attend the forum, to be held at the Northern Division of General Practice on Thursday 3rd November 7-9pm. See flyer.

 

Brain Tumours - What’s Going On...

A forum on current developments & ideas in brain tumour care, presented by Austin Health Neuro-Oncology & Brain Tumour Support Service.

Wednesday 2nd November 6-8pm (5.30pm registration & refreshments)

Program Includes:

• A/Professor Terry Johns– brain tumour basics

• Dr Hui Gan – clinical trials update

• Dr Lawrence Cher – steroid management

• Brain Tumour Alliance Australia

• Issues in Supportive Care from both the patients’ & health professionals’ perspective

Bookings are essential by October 31. RSVP to Dianne 9496 3315 or Belinda 9496 5763

 

Everything Hearing

This is a private Audiology service which offers your patients a full range of assessments generally only offered at Hospitals. All ages from neonates to adults can be seen. Assessments include diagnostic hearing and balance tests. We also fit a full range of hearing aids for both private and OHS clients. Medicare rebates are available. Visit us at www.everythinghearing.com.au or call us on 9416 3285 if you have any questions or for a referral pad.

 

GP Network News

This week’s edition includes: AMA List of Medical Services and Fees - 1 November 2011; AMA President visits NT and WA; Report from Mental Health Inquiry delayed; Senate Inquiry into rural health services; Impact of mental health funding cuts on rural areas; Pharmacy Location Rule Changes.

 

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Mental Health

Changes to the Mental Health Item Numbers

In November 2011 there will be changes to the Mental Health Item Numbers, mental health rebates and to the Better Access to Mental Health Care Initiative to reduce the number of Medicare eligible sessions from 12 to 10.

How will this impact GPs when they see a patient with a mental health condition?

Mental Health Item Numbers:

1.      The level of mental health training of the GP will continue to impact on the rebate for the Mental Health Treatment Plan item. The content of the Mental Health Treatment Plan & Review remain unchanged.

2.      Rebates for the development of a Mental Health Treatment Plan will be time based (see attached). Either

a.      Consultation 20-39 minutes

b.      Consultation 40+ minutes

3.      There are changes to the fee structure for the mental health review & consultation items

Referrals for Focused Psychological Strategies:

4.      Referrals for Focused Psychological Strategies (FPS) can only be made through one referral pathway ie; Better Access OR Better Outcomes, NOT BOTH.

5.      Consider the eligibility criteria for each of the referral pathways (Better Access (Medicare) or Better Outcomes (ATAPS)

a.      Better Outcomes (ATAPS) have strict eligibility criteria (see attached) relating to target groups for this program

b.      Changes to the population groups that will be targeted. Services for these groups will be developed in the coming months.

6.    There will be a reduction in the number of Medicare eligible sessions for Better Access referrals, from 12 (6+6) to 10 (6+4). Access to a greater number of sessions  is not an eligibility criteria for the ATAPS program in and of itself.

Please note: The NEVDGP website has new MD MH Treatment Plan and Review templates to reflect these changes. You need to delete old templates and install the new ones from IM Resources – Mental Health templates (only use the new template from November 1st 2011)

 

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News for Practice Staff

Assisting Women to Conceive survey

APNA, on behalf of Monash University, is promoting a survey which explores practice nurse fertility-awareness knowledge, attitudes and practices.

To participate in this exciting research project please complete the online survey!

This survey will take five minutes and runs for the month of October only! When completed you will go into the draw to WIN one of three iPod Shuffles.

To find out more please visit ‘Assisting Women to Conceive’.

 

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National Prescribing Service

NPS Audits

Paper audits for the current QPI PIP period are now closed. However, there are several electronic audits still open for the May 2011 – April 2012 period.  topics include: CVD Risk and Lipid Modifying Therapy, Management of Hypertension, Proton Pump Prescribing and Management of Type 2 Diabetes.

More information is available on the NPS website and can be found here.

 

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Paediatrics

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

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

·      RCH Switchboard: 9345 5522

·      Patient outpatient-related questions: 9345 6180

·      GP hotline: 9345 7060

·      GP / Primary Care Liaison: 9345 4645

·      Fax number for referrals: 9345 5034

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

·      Address: 50 Flemington Road, Parkville 3052

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

 

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Women’s Health

Perinatal and Infant Mental Health Specialist Skills Position 2012

New GP training opportunities will be available in 2012 as part of Victoria’s Perinatal Mental Health Initiative. Potential rotations are available in association with the mother‐baby units in Melbourne and with the Infant Mental Health Services at Royal Children’s Hospital and Southern Health.

For more information see flyer or contact Dr Sandra Radovini on 03 9371 0203 or email radovini@unimelb.edu.au.

 

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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

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

Inner Peace

By following simple advice heard on the Dr. Phil show, you too can find inner peace.

Dr. Phil proclaimed, "The way to achieve inner peace is to finish all the things you have started and have never finished."

So, I looked around my house to see all the things I started and hadn't finished, and before leaving the house this morning, I finished off a bottle of Merlot, a bottle of Zinfandel, a bottle of Bailey's Irish Cream, a bottle of Kalhua, a package of Oreos, the remainder of my old Prozac prescription, the rest of the cheesecake, some Doritos and a box of chocolates.

You have no idea how good I feel right now.

Please pass this on to those whom you think might be in need of inner Peace.

 

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And remember

 

            The severity of the itch is inversely proportional to the reach.