North East Valley DGP eNews

No 1235: September 26, 2012
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:

Editorial                                                NEVDGP audit findings on Progress Notes recording         

Australian Doctor Articles                  Look, no hands!

Chronic Disease Management            Closure of the Medicare Chronic Disease Dental Scheme, Free type 2 diabetes awareness sessions, Supermarket Tours    

Professional Development                 CPD events   

Information Management                  Medical Director Tips

Items of interest                                  Dr Marie™ is now open in Epping, Northern Health GP Liaison Unit Disbanded, GP Network News         

News for Practice Staff                       Orientation Program for Nurses New to General Practice, APNA newsletter         

Positions vacant/wanted                            

Fun stuff                                                        

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A Word from the Editor

NEVDGP audit findings on Progress Notes recording

Past History was checked that:

·         coded items were used rather than free text entry

·         Summary items were being used correctly

·         Active/Inactive status was being kept up-to-date

Use of coded items was usually quite good but, as expected (or suspected), there were several examples where uncoded items were used where coded items were available.

What we also found is about 50% of GPs either do not know how to correctly record history items or lack the time to do so correctly. Examples of this include:

·         all Summary items were “Active” or too many were “Active”

·         repetitive Summary items (e.g. the result of which the same condition would appear more than once on a referral)

·         updating Active and Inactive history items was not done

·         cases where all history items were saved in past history without any of them being summary items – this meant that no items would be listed in a referral

Our major recommendation in most cases was for a practice team meeting to discuss ways of assuring that history summaries are kept up-to-date so that there is a clear distinction of Current History (Summary box ticked plus Active) and Past History (Summary box ticked plus Inactive) – this will mean that Health Summaries will be accurate (important for re-accreditation, the PCeHR, accuracy of referrals, Care Plans and Health Assessments plus it is just plain good clinical practice)

Of lesser importance it was noted that the use of “confidential” could be used in more cases where patient confidentiality needs to be respected, such as in HIV and mental health conditions.

 

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Australian Doctor Articles

Look, no hands!

In a general practice setting there should be a lot of teaching and learning going on as new staff need to be trained in the practice management system and GPs and nurses need to be taught the clinical software program. It may be just a case of up skilling present staff with new features of a program, or you have suddenly found a new feature that you like, so you immediately show your colleagues. All the above scenarios should be about using adult teaching techniques to ensure that the maximum learning takes place. So, how is this in-house training carried out in your practice? My experience tells me that it is done badly...

For the original full article click here.

 

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Chronic Disease Management

Closure of the Medicare Chronic Disease Dental Scheme

The Government has announced the closure of the Medicare Chronic Disease Dental Scheme from 1 December 2012. No Medicare benefits will be payable for any dental services provided under Medicare dental items 85011-87777 from this date. The cost of any future dental services will need to be met by the patient.

Patients who have not received the relevant GP care planning items prior to 8 September 2012 will not be able to access the Chronic Disease Dental Scheme from 8 September 2012 and prior to 1 December 2012.

The division is removing templates and reference to this scheme from its website. Further details regarding the closure are available at Chronic Disease Dental Scheme.

 

Free type 2 diabetes awareness sessions

Diabetes Australia – Vic offers free type 2 diabetes awareness sessions to community groups in languages other than English. The sessions are available in Arabic, Cantonese, Greek, Italian, Macedonian, Mandarin, Spanish, Turkish and Vietnamese. These sessions focus on increasing awareness of diabetes and reducing the risk of developing type 2 diabetes. The session runs for 75 minutes, and is presented by a trained bilingual health educator in your chosen language at a venue of your choice. To book a session, please visit www.diabetesvic.org.au or call 9667 1733.

 

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 571-583 High Street Epping on Wednesday 10 October 2012. Cost: $10 members and $15 for non-members. Limited bookings are available for each tour. To confirm time/date and to make a booking, contact the Diabetes Info and Advice Line (DIAL) on 1300 136 588.

 

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Continuing Professional Development

ThinkGP

In collaboration with NSWST ThinkGP has produced these free education activities which are very useful when GP's need to discover the appropriate assessment for STIs in regard to a patients sexual history.  

These activities demonstrate the STI testing tool and the benefits of using this tool with your patients, specifically the aspect of contact tracing. 

STI contact tracing for General Practice -http://thinkgp.com.au/education/content/10299

The Key features in managing STI-STI testing tool- http://thinkgp.com.au/education/content/329

 

General Practitioner Pharmacotherapy Training Program for Opioid Dependence

Sunday 11 November, 8.45am – 4.30pm at General Practice Victoria, 458 Swanston St, Carlton.

This session is designed to for those who: Would like to improve their knowledge and skills in managing problematic pharmaceutical opioid use; and Are interested in prescribing pharmacotherapies for opioid dependence within the Victorian regulatory framework. Flyer.

 

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Information Management

Medical Director Tip - Recording past history

The RACGP Standards for general practices (4th edition), criterion 1.7.2 suggests the following for the recording of histories.

This includes:

·         problem/diagnosis/procedures and clinical interventions use coded text

·         comments and free text to provide further detail as relevant

·         record so as to protect patient confidentiality (e.g. for HIV status, mental psychosis)

·         an indication of the date of onset. Date of resolution is desirable

·         it may be the case that there is no medical history to record. Record utilizing the functionality of the software: unknown; none; or not asked

 

This week’s IM problem - Checking that Health Summaries are accurate

Question: How do I quickly check that my Health Summaries are accurate?

Answer: There are two ways of doing this but perhaps you can do both.

Firstly, when you go to Past History you will notice a box at the bottom of the screen which allows you to view your history in various ways. Click on Summary items and this will display those items that will be transferred to your Care Plans, Referrals, Health Assessments and Health Summary. Those items that have Active in the Status column are current history and those marked inactive will be considered as past history.

 

To see how these will be displayed in the Health Summary click on the Summaries menu and select Health Summary. Your history will be displayed under 2 headings:

·      Current active problems - where the Summary items have Active in the Status column

·      Past medical history - where the Summary items have Inactive in the Status column

 

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Items of Interest

Dr Marie™ is now open in Epping

To provide women with greater access to quality sexual and reproductive healthcare services we have recently opened a new Dr Marie™ centre in Epping. Our services include: medical pregnancy termination, decision-based counselling, STI checks, contraceptive inserts, pap smears and 24 hour aftercare. Dr Marie™ is part of Marie Stopes International, a global not-for-profit organisation.

27 Memorial Avenue, Epping. Freecall 1800 003 707  www.drmarie.org.au

 

Northern Health GP Liaison Unit Disbanded

The Northern Health GP Liaison Unit has been disbanded, effective from Monday 17 Sept.  The emergence of Medicare Locals makes the Unit redundant.  These changes have required Northern Health to adopt a decentralised model of "GP interaction", integrated at the individual program and service level.
As the team at GP Liaison disbands we would like to extend a big thank you to all who have contributed to the success of the program over the last 11 years.  During this time we have built strong links with the local Divisions of General Practice, General Practice Victoria, local GPs, NH management, clinicians as well as Consultants, and more recently, the Northern Melbourne Medicare Local.  We are proud of what we have achieved and are encouraged by the opportunities that lie ahead in this new environment. 

 

GP Network News

This week’s edition includes: Communiqué – National Summit on Alcohol Marketing to Young People; Alcohol Industry self-regulation has failed; Veterans’ MATES – Proton Pump Inhibitors – How much for how long? National Walk to Work Day.

 

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News for Practice Staff

Orientation Program for Nurses New to General Practice

Thursday 11 & Friday 12 October at Arrow on Swanston, 488 Swanston Street, Carlton. Cost: $250.00 (GST inc).  The fee includes all course materials, morning tea and lunch on both days

This 2 day workshop will support nurses who are working in general practice and are new to the nurse’s role or for the nurse who would benefit from an overview of the general practice setting.

Registration form.

 

APNA newsletter

Latest newsletter is here.

 

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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

Northcote – F/T P/T 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.

 

Positions wanted

Finance Administrator available - The NEVDGP’s (ex!) Finance Administrator of 17 years, is looking for a couple of new clients for her own bookkeeping business, which she has also run for @ 16 years.

She currently has two other medium/large medical practices as clients, so is very familiar with the accounting and bookkeeping required for medical practices.

She works with MYOB, is a registered BAS Agent and is very conversant with all aspects of bookkeeping and accounting.

Contact Anne MacDonald on 0413 589 499

 

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Humour

Creation
A man said to his wife one day, "I don't know how you can be so stupid and so beautiful all at the same time."
The wife responded, "Allow me to explain. God made me beautiful so you would be attracted to me; God made me stupid so I would be attracted to you!”

 

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And remember

 

            … Since light travels faster than sound, people appear bright until you hear them speak.