North East Valley DGP eNews

No 1302: February 13, 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/.
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In this issue:

Editorial                                                ehealth Update        

Australian Doctor Articles                  Lag in training for nurses

Chronic Disease Management            A useful guide to diabetes in the workplace, Living Well with Diabetes day, Pictorial Guides, New diabetes smartphone app    

Professional Development                 CPD events   

Immunisation                                       Annual Immunisation and Influenza Update

Information Management                  New referral template for Mercy Radiology and Ultrasound requests, Medical Director Tips

Items of interest                                  Patient Choice Booking Coming to Austin Health 2013, GP Network News         

Mental Health                                      Mental Health Nurse Program                     

Paediatrics                                           Practical Paediatrics Program On-line: ENT                       

Women’s Health                                  Pelvic Floor Health and Incontinence, Prescribing and Safety in Perinatal Mental Health, Annual Women's Health Update                

Positions vacant/wanted                            

Fun stuff                                                        

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A Word from the Editor

ehealth Update

General practices can now assist patients to register for a PCEHR at the practice level, following the release of software that allows “known customers” of the practice to bypass the requirement for the patient to register online or by phone. DoHA has commissioned the development of assisted registration tool – see the DoHA website for more information on the 5 step process.

The assisted registration capability is for practices that have registered both for an HPI-O and have PCEHR-compliant software, but because of a backlog at Medicare, many practices are still waiting for their NASH certificates and consequently are not able yet to fully access the system.

For more information on assisted registration read the Guide to providing assisted registration or email PCEHR.AssistedReg@health.gov.au

The two providers of electronic transfer of prescriptions exchange services, eRx Script Exchange and MediSecure Script Vault, have achieved interoperability. This simply means you don’t have to have both as each system is able to read and dispense each other electronic transfers.

 

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Australian Doctor Articles

Lag in training for nurses

In February 2009 I wrote on how the influx of nurses into general practice was creating a few problems in the accurate clinical record keeping. The main area of concern being a lack of training so that clinical information wasn’t being correctly recorded e.g.

  • measurements such as BP, Height/Weight and family/social histories are typed directly into health assessments or care plans where they become “buried” and not part of the clinical record.
  • the same measurements may be typed directly into the progress notes with the same result.
  • reasons for contact or diagnoses are not coded correctly
  • home visit measurements taken at the home not finding their way back into the clinical software

Of course this division has spent a lot of time training nurses, either at PD sessions or within the practice and it is pleasing to note that the nurses in this division are usually excellent in their recording of clinical information. The same can’t be said in some areas outside the division where divisions or Medicare Locals haven’t seen nurse training as a priority, or don’t have staff with the necessary skills. The NEVDGP will continue to offer nurse and GP training, even on a limited basis as Noel only work 2 days a week (Tuesday and Wednesday) and Wendy is back to one day per week (Tuesday or Wednesday). We will do our best though!

For the full article click here.

 

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Chronic Disease Management

A useful guide to diabetes in the workplace 

Diabetes Australia – Vic has recently produced a simple guide to diabetes management at work which may be helpful for your patients living with diabetes. The new and updated resources ‘An employee’s guide’ and ‘An employer’s guide’ contain information, hints and practical examples on how to balance diabetes with rights and responsibilities at work. These booklets can be read on line, downloaded and printed or call the infoline on 1300 136 588 to have a photocopy posted.

 

Living Well with Diabetes day

On 23 February at Moonee Valley Racecourse will be a day of interactive information sessions and demonstrations to help your patients to live well with type 2 diabetes. There will also be a cooking demonstration by Travis McAuley, Head Chef of Hellenic Republic. Come along, meet the Diabetes Australia – Vic team, and find out about the support services available in your area! For more information visit the website.

 

Pictorial Guides

Diabetes Australia – Vic has pictorial guides for diabetes self-management in Arabic, Chinese, English, Greek, Italian and Vietnamese. The series of booklets promote culturally appropriate messages about healthy eating, exercise, managing diabetes and foot care that are easy to read. Copies are $1.10 each plus applicable postage. For further information or to order copies please phone 1300 136 588 or visit the website for bulk orders. Consumers can now order single copies from the web shop. Postage is free for DA–Vic members.

 

New diabetes smartphone app

RealTime Health, with the support of DA–Vic, has released a suite of free mobile apps: ‘Type 1 Diabetes: Adults’, ‘Type 1 Diabetes: Young People’ and ‘Type 2 Diabetes’ to help people deal with the day-to-day management of diabetes. These new apps enable people to hear the stories of others, share their knowledge, access local support groups and management programs, and learn from the latest news and research. These apps are free from the App Store or Google Play. Read more about the apps here.

 

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Continuing Professional Development

GP Skin Cancer Workshop

Saturday 23 & Sunday 24 March 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.

 

Chronic Kidney Management in General Practice

In collaboration with Kidney Health Australia, ThinkGP present an online resource covering the detection and management of Chronic Kidney Disease. This education highlights a new staging system for CKD in Australia and describes the action plans recommended for each stage. Complications of CKD are listed and the targets for various clinical features are described. Click here.

 

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Immunisation

Annual Immunisation and Influenza Update

Tuesday 19th March 7- 9pm (Dinner and registration from 6.30pm). Presenter – Dr Peter Eizenberg. Topics will include: HPV for boys, MMR-V, Influenza for 2013 and more. At John Scott meeting house, Car park 7, Latrobe University, Bundoora.

Flier to follow next week.

 

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Information Management

New referral template for Mercy Radiology and Ultrasound requests

A GP friendly electronic version of the Medical Imaging referral has been produced by Noel at the division. For most GPs this will replace the paper version developed elsewhere. This is currently being trialled by Nurse Pauline Oakley and Dr Debbie Moors at Wingrove Medical Clinic and awaiting the approval process at the Mercy. Once this occurs we will place the template on the NEVDGP website and advise you of that through our weekly eNews.

 

Medical Director Tip - The Correspondence menu and Actioned Items

The Correspondence menu (previously Investigations) can be accessed from the Main screen or from within the patient record. It is from here that you:

·         check the Holding File and by clicking the Action button at the bottom of the screen you can mark the results as Discuss, No Action or Urgent

·         create your Investigation request forms (there are buttons that do the same thing).

·         The Actioned Items is the key screen for monitoring any documents that have been “actioned” by the GP – it is from here you can print Urgent or Discuss lists – see your questions answered.

 

 

 

This week’s IM problem - Printing Urgent and Discuss lists

Question: How do I generate and print the “Discuss” and “Urgent” investigation results?

Answer: This will be quite different to what you are used to.

1.      From the Main screen (no patient record open) select Correspondence > Actioned Items – this will open the Actioned Items window. Even with a patient record you can go to the Correspondence menu and select Actioned Items (all patients).

2.      From the Date Checked column select a required date range by clicking on the “down arrowhead” next to “Date Checked”.

3.      From the Notation column select Discuss or Return Urgently, as the case may be.

4.      Highlight the results you wish to print:

a.      You can select all items simultaneously by clicking the Select All link at the very top right of the screen.

b.      To print a selection, hold down the Control key and click on each of the results you want to select.

c.       Clicking on the first item, holding down SHIFT key and then clicking on the last item will highlight all items between the two clicks; clicking the Select All link is much easier.

5.      Click the Print List button.

Note: When you print the list, you will be asked: “Do you wish to mark these patients as being notified?” Generally speaking, Items should only be marked as Notified if a clinician has discussed the item with the patient. Your practice however, may have a specific process that means it is OK to say “Yes” to this question. As with any of the instructions in these hints, they are to be used in conjunction with your documented practice protocols and systems.

 

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Items of Interest

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.  More detailed information will be available in the New Year on this project.  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: Closing the Gap Agreement Should be Renewed; Urgent Action Needed to Curb Problem Gambling Among Young People; Mandatory Eye Checks for Health Assessments for Aboriginal and Torres Strait Islander Adults and Older People; DVA Mental Health Services; New Guidelines for Type 2 Diabetes in Children

 

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Mental Health

The Divisions Mental Health Nurse Program continues to enjoy a high degree of popularity and usage by the Division’s GPs .

Currently more than 70 Division GPs use the services of Janine Nedelkos or Ken Luxmoore to jointly manage patients with a mental health disorder. Ken & Janine have run this program since 2008 and are available to support you with patients who you determine would benefit from this additional support.

If you have patients who would benefit from this Commonwealth initiative and the extra support would free you up for other issues you can contact Ken or Janine by ringing the Division on 9496 4333 or contacting them directly on 9496 4201 or 9496 4203

Patient enrolment criteria

General practitioners will determine which patients have a severe mental health disorder and would benefit from receiving services provided under this initiative based on the following criteria:

The patient has a diagnosis of mental health disorder And

The disorder causes significant disablement to the patient’s social, personal and occupational functioning And,

The patient has experienced at least one episode of hospitalisation for treatment of their mental health disorder or

is at risk of requiring hospitalisation in the future if appropriate treatment and care is not provided And

The patient is expected to require continuing treatment and management of their mental health disorder over the next two years. And

The general practitioner or psychiatrist is principally responsible for the patient’s clinical mental health care And

The patient provides consent to the treatment from a mental health nurse.

 

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Paediatrics

Practical Paediatrics Program On-line: ENT

Presented by Ms Elizabeth Rose ENT surgeon at the Royal Children's Hospital and Royal Victorian Eye and Ear covering diagnosis, management (including antibiotic use) and complications of acute and chronic otitis media. Otitis externa, sinusitis and chronic ottorhea are also covered. All activities are accredited for CPD points from RACGP and ACRRM. Click here.

 

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Women’s Health

Pelvic Floor Health and Incontinence

ThinkGP, in collaboration with the Continence Foundation of Australia, presents this month’s topic as the first part of our new women’s health series.

 

Prescribing and Safety in Perinatal Mental Health

Tuesday 26th February  7- 9pm (Registration & refreshments from 6.30) at Lecture Theatre, Level 4, Mercy Hospital for Women, 163 Studley Road, Heidelberg.

Dr Megan Galbally, Consultant Psychiatrist and Head of Unit, Perinatal Mental Health, Mercy Hospital for Women will discuss psychotropic medication and management issues in the perinatal period for women with mental health diagnoses and outline support services available.

For full Mercy Hospital for Women 2013 GP Seminar program details and registration click here or for further information: Merran Mackie mmackie@mercy.com.au or 8458 4831.

 

Annual Women's Health Update

Saturday 2 March 8:30am to 6:30pm at Melbourne Convention and Exhibition Centre

Click here for brochure and registration.

 

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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

Practice Staff

Heidelberg area - Practice Nurse, RN Div 1 Grade 2, 3 days permanent/part time - Tues, Weds and Thurs 9am to 5.30pm. To apply go to:  www.bchs.currentjobs.com.au and enter ref code 1200617

 

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Humour

Old goats

Groups of Americans were traveling by tour bus through Holland.

As they stopped at a cheese farm, a young guide led them through the process of cheese making, explaining that goat's milk was used.

She showed the group a lovely hillside where many goats were grazing. 'These' she explained, 'are the older goats put out to pasture when they no longer produce.'

She then asked, 'What do you do in America with your old goats?'

A spry old gentleman answered, 'They send us on bus tours!'

 

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And remember

 

            … Bad decisions make good stories.