North East Valley DGP eNews

No 1301: February 6, 2013
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/.
To subscribe to eNews click on subscribe. To be removed from the eNews distribution list click on Unsubscribe

 

In this issue:

Editorial                                               A Word from the Editor       

Australian Doctor Articles                  CAT and data quality

Chronic Disease Management           The Community Asthma Program (CAP) update, Free DA–Vic Diabetes pictorial guides, Gwen Scott Grant Program, Gestational Diabetes DVD available in new languages

Professional Development                 CPD events   

Immunisation                                      Chief Health Officer Alert- Legionnaire’s Disease Outbreak Footscray Area, Single Dose Japanese Encephalitis Vaccine now available, Reallocated initial flu vaccine delivery, HPV vaccine program

Information Management                 Meeting the PIP eHealth requirements, Division audits to continue, Medical Director Tips

Items of interest                                  North Adelaide Medicare Local sacked by local Division of General Practice, Inpatient Wait Time Northern Health Continuing Care      

News for Practice Staff                       Newletters    

Women’s Health                                 Northern Health Referrals to Gynaecology Outpatients for Women with Abnormal Pap Smears, Medical and Surgical Disorders in Pregnancy Symposium 

Positions vacant/wanted                  

Fun stuff                                              

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A Word from the Editor

We’re baaaccckk!!!

Welcome to the first edition of eNews for 2013. It is our intention to continue with services to the GP practice community. Late last year, at an information evening, we were able to assist 37 practices (and 64 attendees), with help from NEHTA and Medicare, to work their way through the paperwork to meet the PIP eHealth requirements deadline of February 1, 2013. In fact all 37 practices had confidently predicted that they would have completed all forms before Christmas.

Meeting the requirement of being PCEHR ready by May 1, 2013, won’t be such a big step as the major software vendors have already made their software PCEHR compliant. The big step will be educating GPS and practice staff to engage patients with the PCEHR. That may not be all that easy, but hopefully the division will be in a position to assist.

The division is also continuing its audits so that practices are assisted in having the cleanest data possible for when they create the patient PCEHR.

 

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Australian Doctor Articles

CAT and data quality

In November 2008 I wrote about how using the PEN Clinical Audit Tool was taking data quality and analysis to new heights and that the PEN company was so readily adding new features in response to requests from divisions and other bodies. The PEN company is continuing this process and the Northern Medicare Local has taken over the process of funding the CAT licence to practices in its catchment. For full article click here.

 

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Chronic Disease Management

The Community Asthma Program (CAP) update

CAP is a HARP service that provides free education & support to young people (0-18 years) with asthma and their families, in their own home.

We have a new brochure & poster! Click here to download a copy of the brochure or contact Michelle Norman on 9377 7190 or email michelle.norman@doutta.org.au  to have some delivered to your practice.

Click here for a referral form to this service or for referral information you may also call the RCH CAP liaison staff on 9345 5295.

Current waiting times are approx 3 weeks.

 

Free DA–Vic Diabetes pictorial guides

DA–Vic is evaluating two pictorial guides: ‘Healthy Eating’ and ‘Managing My Diabetes’. Victorian dietitians and diabetes educators are invited to help recruit participants (ie your patients) for this evaluation. You will be sent six free pictorial guides to use with your patients and another 10 free pictorial guides once the evaluation is complete. For further information please contact Adele Mackie on 03 9667 1727 or email amackie@diabetesvic.org.au.

 

Gwen Scott Grant Program 2013

DA–Vic is pleased to announce the 2013 Gwen Scott Diabetes Professional Development Grant Program round will be open for applications in February and March, 2013. A total of $10,000 will be available via this grant program, which aims to help health professional members of DA–Vic to acquire skills that better assist people with diabetes. For more information on the program visit our website or contact Sue Hunt, Programs & Events Coordinator on 03 9667 1702 or email shunt@diabetesvic.org.au.

 

Gestational Diabetes DVD available in new languages

 The Understanding Gestational Diabetes DVD developed by the National Diabetes Services Scheme (NDSS) has recently been updated to include six new languages. It is now available as a two disc set.

·         Disc 1 - contains the existing DVD available in Arabic, Cantonese, Mandarin, Turkish and Vietnamese

·         Disc 2 - contains the new DVD in the six new languages which include; Bengali, English, Farsi, Khmer, Punjabi and Urdu

The DVD includes women from the target communities who have had gestational diabetes talking positively and sharing their experiences. Copies of the new two set DVD can be ordered from NDSS on 1300 136 588 or the NDSS Gestational Diabetes website. If you would like a free copy of the original DVD (Disc 1) please contact Kristie Cocotis on 03 9667 1733 or email kcocotis@diabetesvic.org.au

 

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Continuing Professional Development

GP Skin Cancer Workshop

Saturday 23rd & Sunday 24th March 9am-5pm at Monash University. This two-day GP workshop includes differentiating between benign and suspicious skin lesion, managing skin cancers and Dermoscopy teaching and practical hands-on interactive sessions using pigskin. For further information and flyer see here.

 

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Immunisation

Chief Health Officer Alert- Legionnaire’s Disease Outbreak Footscray Area

24 January 2013 - An outbreak of five cases of Legionnaires' disease has been identified, involving individuals who all report exposures in the Footscray area, in Melbourne’s west. For full article, click here.

 

Single Dose Japanese Encephalitis Vaccine now available

Sanofi Pasteur has announced that Imojev, the first vaccine to offer single dose primary immunisation against Japanese encephalitis, is now available to Australian healthcare professionals for immediate use. It is recommended for patients traveling to India, and South East Asia including China, particularly for those visiting friends or relatives in rural areas. Japanese encephalitis, transmitted by mosquitoes, affects an estimated 50,000 people across the globe each year with 10,000 deaths, mainly in children. Imojev can be administered anytime up to two weeks prior to departure and is effective for four years. More information is available at http://tinyurl.com/bcvhh4f

 

Reallocated initial flu vaccine delivery

Your initial delivery of the 2013 seasonal influenza vaccine and Pneumovax23R vaccine will be preallocated. Medical centres, community health and Aboriginal health services can expect stock in early March 2013. Do not book patients for the vaccine until your stock has arrived. After the initial delivery has arrived you can place further orders.

View your pre allocated stock at  http://www.health.vic.gov.au/immunisation/seasonal-influenza-vaccine.htm.

 

HPV vaccine program

Year 7 secondary school boys –ongoing program

From 2013 the HPV vaccine program will target boys in Year 7 of secondary school as an ongoing program to complement the girls’ Year 7 secondary school program. Boys and girls are eligible for a course of free vaccine. The three-dose course must be started in Year 7 and must be finished by the end of Year 8.

Year 9 secondary school boys – time-limited program

For a two year period a catch-up HPV vaccine program for Year 9 secondary school boys will be offered at the same time as the introduction of the Year 7 boys’ program. This two-year time-limited program begins in 2013 and runs again in 2014. Boys are eligible for the three-dose course of free vaccine while in Year 9 only.

Boys who do not attend school but who are age equivalent in the funded years can also receive a free course of Gardasil vaccine. They can get the vaccine at their doctor or local council immunisation service. A Year 7 student is about 12 to 13 years of age and a Year 9 student is about 14 to 15 years of age.

From February 2013, the National HPV Vaccination Program Register (HPV Register) will be accepting data on Gardasil® doses administered to boys

There are three main ways to notify the HPV Register. Register staff are available to discuss the most suitable option for your practice – please phone 1800 478 734.

Please note that HPV dose records are not automatically extracted and transmitted electronically from your practice management software and that the HPV Register is not part of the Australian Childhood Immunisation Register.

1. Complete the HPV Register single-dose notification form that was enclosed with the vaccine or print a copy from our website www.hpvregister.org.au/healthprofessionals.aspx. Post the printed report to PO Box 725, Sunshine VIC 3020, or fax to (03) 8360 8699.

2. Practice Management Software. Gardasil® reports can be extracted and printed from most popular practice management systems. Instructions are available on the HPV Register website www.hpvregister.org.au/  or phone 1800 478 734 (1800 HPV REG) for assistance. Post the printed report to PO Box 725, Sunshine VIC 3020, or fax to (03) 8360 8699.

3. Enter vaccination details directly via the web www.hpvregister.org.au by logging on to the HPV Register secure website. To enter vaccination details using the secure website you must be a registered online user. GPs can request online access by completing a GP registration form (available online at http://www.hpvregister.org.au/health-professionals.aspx) and faxing it to the HPV Register at (03) 8360 8699. Public vaccination clinics should contact the HPV Register directly (1800 478 734) to arrange online access.

 

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Information Management

Meeting the PIP ehEalth requirements

If your practice did not meet the deadline you will still receive the February ePIP payment, however your practice will not receive the May quarter ePIP payment. You can still register now and be eligible for the August ePIP payment.

PIP has advised that practices will be sent an application form in the next couple of months to reapply for the ePIP component.  Practices need to declare that they met all requirements as of 1 February. Apparently practices will not need to send in any documentation with this application; however PIP will do random audits on practices to see if they were compliant when they said they were.

Practices need to be compliant for the 5th requirement - Personally Controlled Electronic Health Record (PCEHR) by 1 May 2013.

 

Division audits to continue

For its part the North East Valley Division of General Practice has begun a process of assisting practices with its own audits, using both Medical Director and the CAT tool.

Over 25 practices have taken advantage of the two “audits” we have undertaken in the latter part of 2012, mainly by Wendy and Noel:

The first is of their clinical information in Medical Director. 3 patient files are examined for each GP, specifically looking at the recording of medications, progress notes, past history, investigations, measurements, allergies and warnings, Family and Social history as well as smoking and alcohol. The audit is specifically aimed at helping practices prepare for re-accreditation and the PCeHR as well as just having better record keeping habits, making it easier for colleagues and other health providers to understand what has gone on before...

The second audit has used PEN Clinical Audit Tool with a data quality report on allergies, smoking, diabetes measures and metrics (BP, BMI, waist), both for the whole practice and the individual GP.

Once the audit is completed a written report is emailed back to the practice to be discussed at a team meeting and, if preferred, Wendy and Noel can attend a team meeting to discuss the results. Two of the most pleasing aspects of doing this work has been the welcoming atmosphere we at the division have received when going into practices and that GPs were not threatened by the comparative data (results for individual GPs).

To arrange an audit call Noel on Tuesday or Wednesday on 9496 4333 or email noel@nevdgp.org.au

 

Medical Director Tip – 3 ways of prescribing and finding favourites

Most GPs have their favourite ways of opening the prescribing window (Select Drug). You can

  1. Click on the red + sign when in the medication screen
  2. Click on the Rx button while anywhere in the clinical screen
  3. Right click over the medications when in the mediation screen


The advantage of clicking the Rx button is that it displays the favourites – the list of commonly prescribed medications the GP has set up as Favourites. But even if you use the other 2 methods you can still bring up the favourites list by clicking on the Rx button that appears in the top right corner of the Select Drug window.

 

This week’s IM problem - Personalised templates

Question: I wish to use my own referral templates but I don’t want to clog up the list of templates for other users. How do I do this?

Answer: Create, modify or import your own templates and when complete:

  1. From the File menu select Save as Template...
  2. Under User Access click on Current User- this displays all the templates available to the currently logged in user. You will notice that the word USER is displayed in pink beside the template icon
  3. Type in a name for the template and click on the Save button.


These templates will only be visible for you.

 

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Items of Interest

North Adelaide Medicare Local sacked by local Division of General Practice

The Northern Adelaide Division of General Practice ousted the CEO and board of a Medicare Local over the December January break  claiming it had no other option because services were at risk and the ML was failing to meet its obligations to the community that had been laid down by the Federal Government. Of course the ML denies this but the whole saga is an interesting development. As reported in Australian doctor, “In the staid and sober world of health bureaucracy, all this comes across as somewhat surreal”.

Full article, ‘Hostile takeover’ of Medicare Local” in Australian Doctor on January 30, click here.

 

Patient Choice Booking Coming to Austin Health 2013

In 2013 Austin Health will be implementing Patient Choice Booking to Specialist Clinics (Outpatient Clinics). This is a new appointment scheduling system and waiting list that allow patients to be treated in turn and in the time frame required. This new system is anticipated to improve access for your patients into Specialist Clinics. Should you have any questions regarding this project, please contact Jacinta Opie, Project Manager, Patient Choice Booking Project via email: Jacinta.opie@austin.org.au

 

GP Network News

This week’s edition includes: In this issue: Federal Election date set; Australian not prepared for health impacts of extreme weather events; The National Mental Health Survey of Doctors and Medical Students; Chronic Disease Items – Time for a Rethink?; Killer flu season predicted; AMA Resources for Medical Fees;

 

Inpatient Wait Time Northern Health Continuing Care

As at Wednesday 6/2/2013 the current inpatient waiting times for Northern Health Continuing Care Inpatient Services are Rehab – 6-8 days and Gem – 1-3 days please refer. For further information/ assistance please contact: The ACCESS office on 9495 3443.

 

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News for Practice Staff

Newletters

For the latest APNA newletter click here.

For the latest Benchmarque newsletter click here.

 

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Women’s Health

Northern Health Referrals to Gynaecology Outpatients for Women with Abnormal Pap Smears

·         One low grade (CIN1) Pap smear is not an indication for referral to NH Gynaecology Clinic.  The GP should recall the patient for a 2nd Pap smear 6 months later.

·         Two or more low grade Pap smears at least 6 months apart is an indication for referral to NH Gynaecology Outpatients for colposcopy

·         A single High Grade Pap smear (CIN2 or CIN3) is an indication for referral

·         Pap smears reported as “inconclusive” should be repeated at least once before a patient with “inconclusive” results are referred.

 

Medical and Surgical Disorders in Pregnancy Symposium

Wednesday 20th of February 12.30 – 4.30pm in Conference room 4 at the Northern Hospital.

Topics include:

·         Cardiology and the pregnant/parturient woman   

·         Endocrine disorders and pregnancy      

·         Haematology: pregnancy, childbirth and beyond. 

·         General surgery in pregnancy and the puerperium

·         Update on infections in pregnancy, especially Hepatitis B and Cytomegalovirus

·         Obstetric anaesthesia

·         Two for the price of one: maternal and infant benefits of influenza (and other) vaccination  

For more information and to register email Linda.Jablonski@wh.org.au

 

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Positions vacant/wanted

Please note: All ads from last year have been deleted. To resubmit or place a new ad send to patty@nevdgp.org.au

 

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Humour

A new baby

A woman gives birth to a baby.

Afterwards, the doctor comes in, and he says, "I have to tell you something about your baby."
The woman sits up in bed and says, "What's wrong with my baby, Doctor? What's wrong???"
The doctor says, "Well, now, nothing's wrong, exactly, but your baby is a little bit different. Your baby is a hermaphrodite."
The woman says, "A hermaphrodite... what's that???"
The doctor says, "Well, it means your baby has the...er...features... of a male and a female."

The woman turns pale. She says, "Oh my God! You mean it has a penis...AND a brain!!!"

 

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And remember

 

            If you can't fix it with a hammer, you've got an electrical problem.