Description: Description: Description: Description: Description: Description: MCj04105910000[1]North East Valley DGP eNews

No 1244: December 13, 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                                                Last eNews for the Year      

Australian Doctor Articles                  Training and improving the accuracy of clinical records

Chronic Disease Management            New Program for Teens with Type 1 Diabetes       

Professional Development                 CPD events   

Immunisation                                       Health Alert - Legionnaires’ Disease, Human Papillomavirus (HPV) Vaccine Extended To Boys, Hepatitis B Vaccine Ceasing In Schools

Information Management                  Medical Director Tips

Items of interest                                  Electronic Delivery of Austin Health Outpatient Letters – Now Available, Christmas Closure of Austin Health Specialist Clinics, RVEEH Pre-referral Guidelines

News for Practice Staff                       MBS Quick Reference Guide

Women’s Health                                  Medical problems in obstetrics                               

Positions vacant/wanted                            

Fun stuff                                                        

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A Word from the Editor

Last eNews for the Year

This will be the last eNews for 2102 but we will be back in early February to take up the fight of the division still providing a quality and needed support for the practices within the NEVDGP catchment.

Many thought that at the start of July 2012 we would disappear as the Medicare Local “took over” GP support. This didn’t happen, and although reduced in staff we have been able to provide support in

·         Immunisation and accreditation

·         Information Management

·         NPS

·         PM/PN network

·         eHealth

·         Weekly eNews

·         Active website with useful resources

·         Mental Health Nurses

Additionally we have run 3 sessions on eHealth and our AGM with over 70 participants at each event. So to those of you who thought it was all over, it isn’t! We’ll be back in the new year providing the valuable and quality support for which we are known, Merry Christmas to all!!

 

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Australian Doctor Articles

Training and improving the accuracy of clinical records

On October 2008, in an Australian Doctor article, I went on again about recording accurate clinical records  I have been banging on about this for a long time. Why doesn’t anyone listen!!

Anyway the article put adult learning into context – in a classroom situation you usually take in about 20% of what is being said to you – this is the 20/80 rule. But when learning how to record accurate patient records you should learn how to do it 100%, especially in 5 key areas:

  • Accurate histories
  • Use coded items
  • Up-to-date medication lists
  • Don’t free text measurements
  • Save time by using shortcuts, such as Comment and Management shortcuts in Progress Notes and Auto text in LetterWriiter.

I do see a marked improvement over the 4 years but improvement can be agonisingly slow. To see the full article, now over 4 years old, click here.

 

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Chronic Disease Management

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

ThinkGP  

This week, produced in collaboration with Kidney Health Australia, ThinkGP presents an education module that discusses the detection and management of Chronic Kidney Disease (CKD) in general practice.  

Click here to start this free education   Chronic Kidney Disease(CKD)Management in General Practice

 

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Immunisation

Health Alert - Legionnaires’ Disease

A small cluster of cases of Legionnaires' disease has been identified, involving three individuals who all report exposures in the Bundoora area.

·         Consider Legionnaires’ disease in patients who have been around the Bundoora area with influenza-like symptoms, and particularly those with atypical pneumonia.

·         Rapid confirmation can be obtained by urinary antigen testing. Sputum for culture should be sought in all cases if possible.

·         Legionnaires’ disease is a Group A notifiable condition which requires immediate notification to the Department of Health.

See here for full alert.

 

Human Papillomavirus (HPV) Vaccine Extended To Boys

The current HPV vaccine program will be extended to include boys from next year. This means that both boys and girls in Year 7 of secondary school will benefit from the free Gardasil® vaccine. A catch-up program will also be available for boys in Year 9. This two year time-limited school based program will occur in 2013 and 2014, giving all boys aged between 12 and 15 years the opportunity to be vaccinated against HPV. For further information visit: www.health.vic.gov.au/immunisation

 

Hepatitis B Vaccine Ceasing In Schools

The hepatitis B vaccine will no longer be administered in Year 7 of secondary school, as most Year 7 students will have had the vaccine when they were an infant. Students who may not have had the hepatitis B vaccine as an infant include those who were born overseas, those who started school a year later than other children or those who repeated a year of school. This small cohort of eligible students can be vaccinated by their doctor or local council immunisation service until the end of 2013. For further information visit: www.health.vic.gov.au/immunisation.

 

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Information Management

Medical Director Tip - Recording the practice HPI-O and the doctors HPI-Is

Once you have received notification of your 16 digit HPI-0 (after registering as a “Seed organisation) you enter it into MD:

·         Tools >Options >Practice tab - enter the 16 digit HPI-0 in the HPI-0 No. field

Once you have the individual identifiers for the doctors (HPI-Is) you need to edit each GPs details:

·         No record open. Users > Setup Users >Highlight doctor’s name and click on Edit – enter the 16 digit HPI-I in the HPI-I No. field.

 

This week’s IM problem - Multiple Pathology providers

Question: How come we have 5 types of Melbourne Pathology available when you go to print a pathology request. We also have several forms of Radar imaging as seen on the drop down box option.

Answer: Check your address book and in Filter by Category select Pathology. There should be only one Melbourne Pathology entry (same for Radar). If for some reason Melbourne Pathology has undertaken a breeding program in your address book, simply delete all but one entry.

Yes it has solved the problem. Thanks!

 

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Items of Interest

Electronic Delivery of Austin Health Outpatient Letters – Now Available

Austin Health can now deliver some Outpatient letters to GPs electronically. The service is fast, FREE and saves you time on scanning.  It is compatible with all the popular practice management systems. Outpatient letters are sent from OzeScribe, Austin Health’s external transcription provider using Global Health’s ReferralNet secure message system. Letters are delivered straight into your practice management software. This service at OzeScribe is known as OzePost.

If you would like to begin using this free service, please visit www.ozescribe.com.au/ozepost for easy online registration. For any additional information, please contact OzeScribe on 1300 727 423 or Global Health on 9765 0664. If your practice already has ReferralNet installed, you should already be receiving some of your Outpatient letters electronically from Austin Health.

 

Christmas Closure of Austin Health Specialist Clinics

The Specialist Clinics at Austin Health will be closed from December 21st 2012 until January 7th, 2013.  For patients who need urgent medical attention, please refer them to the Austin's Emergency Department for assessment and management.  Should you have any questions regarding the closure, please contact Dr. Wendy Fisher, GP Liaison Officer, Austin Health at wendy.fisher@austin.org.au.

 

RVEEH Pre-referral Guidelines

Pre-referral guidelines have been developed at the Royal Victorian Eye and Ear Hospital, to assist GPs to streamline referrals and identify which patients to refer and when. Conditions include cataract, dry eye, blepharitis, diabetic eye disease and age related macular degeneration. Click on the “Pre-referral Guidelines”, from the “For GPs and other referrers” page of the Eye and Ear Hospital website.

 

GP Network News

This week’s edition includes: AMA Checklist to Help General Practices Prepare For e-Health Incentive Changes; AMA Slams Public Hospital Funding Cuts; AMA President talks about training in general practice; Veterans’ MATES: Topical issues: emollients and corticosteroids; Australian Rotary Health - Indigenous Health Scholarship.

 

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News for Practice Staff

MBS Quick Reference Guide

A revised MBS Items and Fees Quick Reference Guide is a very handy resource available here from the Tasmanian Medicare Local.

 

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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

Positions wanted

Registered Nurse Div 1 - Available on a contract/flexible basis offering the following services - Chronic Disease Management, Health Assessments, Comprehensive Medical Assessments and Accreditation co-ordination. Contact: Silvana Antonucci 0403 994 299

 

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Humour

People in other countries sometimes go out of their way to communicate with their English-speaking tourists.

Here is a list of signs seen around the world:

 

At a Budapest zoo:
PLEASE DO NOT FEED THE ANIMALS. IF YOU HAVE ANY SUITABLE FOOD, GIVE IT TO THE GUARD ON DUTY.

Doctor’s office, Rome:
SPECIALIST IN WOMEN AND OTHER DISEASES.

Hotel, Acapulco:
THE MANAGER HAS PERSONALLY PASSED ALL THE WATER SERVED HERE.

In a Nairobi restaurant:
CUSTOMERS WHO FIND OUR WAITRESSES RUDE SHOULD WAIT AND SEE THE MANAGER.

In a City restaurant in Japan:
OPEN SEVEN DAYS A WEEK, AND WEEKENDS TOO.

In a Calcutta Coffee House:
PEOPLE DISCARDING CIGARETTE STUBS IN CUPS WILL BE SERVED COFFEE IN ASH TRAYS.

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And remember

 

            … You only need two tools in life - WD-40 and duct tape. If it doesn't move and should, use the WD-40. If it shouldn't move and does, use the duct tape.