North East Valley DGP eNews

No 1242: November 28, 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                                                Interoperability a key to eHealth success   

Australian Doctor Articles                  Getting more out of LetterWriter

Chronic Disease Management            New diabetes healthcare checklists, Device Review – Blood Glucose Meters, New Program for Teens with Type 1 Diabetes       

Professional Development                 CPD events   

Immunisation                                       The Science of Immunisation: Questions and Answers

Information Management                  Medical Director Tips

Items of interest                                  Some smartphone apps,      

News for Practice Staff                       PM/PN Network meeting    

Paediatrics                                           Vascular birthmarks

Women’s Health                                  Medical problems in obstetrics                   

Positions vacant/wanted                            

Fun stuff                                                        

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A Word from the Editor

Interoperability a key to eHealth success

Over the years a great stumbling block to secure electronic messaging has been the lack of interoperability between the different vendors. This meant that you had to have the same program at each end of the electronic messaging, for example Argus only worked with Argus, HealthLink to HealthLink or ReferralNet to ReferralNet.  This is now rapidly changing as the National E-Health Transition Authority (NEHTA) will fund secure messaging vendors to work together to enable their products to connect with each other and between healthcare providers, with particular emphasis on the primary care sector as well as  other healthcare providers, including specialists, allied health providers and hospitals.

DoHA is also providing funds so that the 2 ePrescription services, eRx and MediSecure, will also be modified so they can “talk” top each other.

Such a change in the interoperability between different programs should make it much simpler for general practices as they will not need to have multiple secure messaging programs to communicate with other health providers. This interoperability is currently a requirement of vendors to comply with the eHealth Practice Incentives Program (ePIP), due to come in in February next year.

 

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Australian Doctor Articles

Getting more out of LetterWriter

In May 2008 I wrote an article on a few neat tricks you can use to get more out of LetterWriter. This included:

  • Using the Data toolbar to include additional clinical information to a template, such as;
    • Current progress notes
    • Past obstetric history
    • BP, Ht and Wt measurements
  • Using the Autotext feature to create shortcuts of often used text or even to add fields by just typing in a few letters (the shortcut)

All this is still valid today and once mastered, you will save a lot of time. For the full article click here

In June 2008 I wrote an additional article on Autotext, citing an example where it was used to simplify the creation of GPMPsTCAs.  To see this article click here.

 

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Chronic Disease Management

New diabetes healthcare checklists

Diabetes Australia – Vic is pleased to announce the new Your Type 1 Diabetes Checklist and Your Type 2 Diabetes Checklist. The handy pocket-sized, z-cards include a list of regular healthcare checks and appointments with healthcare professionals, such as eye, dental and HBA1c checks. They also list other things to keep in mind, such as peer support and education sessions. These checklists are designed to help people with diabetes keep on top of their diabetes management. The checklists will be available to order for free from our website soon. In the meantime, you can check out the type 1 checklist here.

 

Device Review – Blood Glucose Meters

Diabetes Australia – Vic has conducted its first comprehensive product review. The web-based resource will allow your patients to compare devices on the market and choose the best device for their diabetes self-management. DA–Vic has assembled a panel of consumers who have tested the devices. The reviews include the positive, negative and general comments about the devices. Reviews are available on the DA–Vic website. Check back soon for insulin pump reviews.

 

New Program for Teens with Type 1 Diabetes

Diabetes Australia – Vic is pleased to announce a new program for teens with type 1 diabetes. TEAM T1 is a self-management education program for teenagers with type 1 diabetes aged 14 – 18 years. It is based on the five day DAFNE program, which teaches people the skills needed to achieve intensive insulin therapy with multiple daily injections (MDI). Places are available for the first course in January 2013 at DA–Vic. Further information is available from the DA–Vic website

 

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Continuing Professional Development

Common Eye Conditions 

This week ThinkGP presents an education module produced in collaboration with Vision2020. This education discusses the common causes of vision loss, the presenting features, diagnostic assessments and management.

Click on Common Eye Conditions to start this free education.

 

Women in General Practice – Networking Event

Inner North West Melbourne Medicare Local is holding a networking event especially for female GPs next Wednesday 5th December from 6.30pm until 9.30pm. The evening will be hosted by INWMML Chair, Dr Ines Rio.  Register online.

 

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Immunisation

The Science of Immunisation: Questions and Answers

This new booklet from the Australian Academy of Science has been published today. It is available on the Academy website at: http://www.science.org.au/policy/immunisation.html

This publication aims to address confusion created by contradictory information available in the public domain and covers areas of both scientific consensus and uncertainty.

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Information Management

Medical Director Tip - Changing position of “Reason for Medication” column

Now that you consider the “Reason for medication” an important part of your clinical record you may wish to drag the “Reason for medication” window to the left so it is clearly visible without the need to scroll across to the right.

 

This week’s IM problem - Retrospectively adding “Reason for prescription

Question: Our practice has decided to enter “Reason for medication” for all medications. But, is there a way of retrospectively adding a reason?

Answer: Yes this is fairly straight forward.

1.      On the medication screen you will notice a “Reason for medication” column – you will probably need to scroll to the extreme right of the medication screen to find it.

2.      Where you find a “blank” entry (i.e. no “Reason for medication” has been added), you simply double click the blank space – this opens the “Reason for medication” window.

3.      Simply select the reason from the coded list and make the decision whether to add to Past Medical History or to click on the Summary, Active or Confidential boxes.

 

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Items of Interest

Some smartphone apps

Medscape: Free. Medscape is the leading medical resource most used by physicians, medical students, nurses and other healthcare professionals for clinical information - Android, iPhone, iPad.

Calculate: Free. More than 150 calculators and decision support tools. (American, watch the units) - iPhone, iPad, Android, Blackberry.

fit2travel: Free. An interactive map showing recommended vaccinations for all the countries you're visiting and more - iPhone, Android.

Google Translate: Free. Translate words and phrases between more than 60 languages using Google Translate for iOS. For most languages, you can speak your phrases and hear the corresponding translations. iPhone, Android.

Safe Sleeping: Free. SIDS and Kids Safe Sleeping is an evidence-based health promotion campaign developed for health professionals. iPhone.

Unit: Free. Unit & currency conversion. iPhone.

WolframAlpha. Free. Wolfram|Alpha gets knowledge and answers not by searching the web, but by doing dynamic computations based on a vast collection of built-in data, algorithms, and methods. iPhone, Android, others.

 

GP Network News

This week’s edition includes: More hearings in ANF Pay Claim; BEACH Refutes Criticism of GPs; Better Access Initiative – Transition arrangements ceasing; DVA Videos promote mental health awareness; DVA CVC training - misconceptions clarified; Reminder on Closing the Gap Prescription Co-payments; Join the fight against antibiotic resistance;

 

Inpatient Wait Time Northern Health Continuing Care

As at Wednesday 27/11/2012 the current inpatient waiting times for Northern Health Continuing Care Inpatient Services are Rehab – 1-3 days please refer –and Gem – 5-7 days please refer. For further information/assistance please contact: The ACCESS office on 9495 3443.

 

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News for Practice Staff

PM/PN Network meeting

The final meeting for this year will be on Wednesday 12th December 6:30pm-9pm (Dinner Provided) at John Scott Meeting House, La Trobe University, Bundoora.

There will be no charge for PMs and PNs who work in the NEVDGP catchment. Please note for any PMs and PNs outside the NEVDGP catchment (such as former Northern or Impetus divisions) there will be a $35 charge per person. Also note that this event is for the Practice Manager and Nurses of the practice, and not other staff such as receptionists (our budget doesn’t extend that far). See here for flyer.

 

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Paediatrics

Vascular birthmarks

This online learning activity from the RCH has now been launched with Paediatric Dermatologist Dr David Orchard. Capillary malformations (port wine stains) and haemangiomas of infancy (strawberry naevus) with a focus on diagnosis, possible complications, when to investigate and when to refer (urgently and non-urgently). Register online.

 

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Women’s Health

Medical problems in obstetrics

An update on the management of common antenatal medical complications - endocrine, haematological, cardiac, infectious diseases and more presented by local specialists.

Wednesday 20th February 2013 12:30-4pm at Conference room 4, Northern Hospital.

For more information and to RSVP call Linda Jablonski on 8405 2581 or Email: linda.jablonski@nh.org.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

 

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Humour

English Can Be Fun

Spotted in a toilet of a London office: TOILET OUT OF ORDER. PLEASE USE FLOOR BELOW.
In a London Laundromat: AUTOMATIC WASHING MACHINES: PLEASE REMOVE ALL YOUR CLOTHES WHEN THE LIGHT GOES OUT.
Outside a London second-hand shop: WE EXCHANGE ANYTHING - BICYCLES, WASHING MACHINES, ETC. WHY NOT BRING YOUR WIFE ALONG AND GET A WONDERFUL BARGAIN?
Spotted in a safari park: ELEPHANTS PLEASE STAY IN YOUR CAR.
Seen during a London conference: FOR ANYONE WHO HAS CHILDREN AND DOESN'T KNOW IT, THERE IS A DAY CARE ON THE 1ST FLOOR.
Notice in a field in Scotland: THE FARMER ALLOWS WALKERS TO CROSS THE FIELD FOR FREE, BUT THE BULL CHARGES.
On a repair shop door: WE CAN REPAIR ANYTHING (PLEASE KNOCK HARD ON THE DOOR, THE BELL DOESN'T WORK) .

 

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And remember

 

            … Junk is something you’ve kept for years and throw away three weeks before you need it.