North East Valley DGP eNews

No 1303: February 20, 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                                                Practice membership of the NMML & After Hours Care   

Australian Doctor Articles                  The Doctors Control Panel

Chronic Disease Management            Living with a Chronic Condition Resource, Diabetes for disability support workers        

Professional Development                 CPD events   

HMR                                                      Home Medicine Reviews (MBS Item 900) Update

Information Management                  eHealth support, Medical Director Tips

Items of interest                                  Coroners Court Information Days, GP Network News, Inpatient Wait Time Northern Health Continuing Care   

News for Practice Staff                       APNA newsletter      

NPS                                                       NPS: New Visiting Program – Type 2 Diabetes

Women’s Health                                  Imaging referrals faxed to Mercy Hospital for Women                 

Positions vacant/wanted                            

Fun stuff                                                        

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A Word from the Editor

Practice membership of the NMML & After Hours Care

Following requests from both large and small practices, the Division has contacted the NMML Board seeking advice on the admittance of General Practices to membership of the NMML. We have yet to receive a response but will continue to pursue this important issue on your behalf and at your request. We have also been contacted by practices regarding the future of After Hours Care post June 2013. We are aware that many of you have concerns regarding the future and role of deputizing services after this date, and like you we have not been advised of arrangements when the current PIP is withdrawn. The Division understands that a number of meetings have been organized this month on this important issue and encourages you all to have at least a representative at the meetings “to learn about changes to after hours locum services, after hours funding arrangements and how this may impact on your GP practice which sounds a bit like a fait accompli rather than a consultation phase?

 

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Australian Doctor Articles

The Doctors Control Panel

In March 2009 I first wrote about the Doctors Control Panel, an “add on” program to Medical Director and Best Practice, written by practicing Melbourne GP, Dr Anton Knieriemen. This mini program has a “pop up” at the bottom of the MD or BP screen that alerts the GP to which preventive care items need to be addressed. It has a number of colour-coded “tablets” that tell you: Nothing recorded (red), Needs updating (orange) and Up-to-date (green). This includes the clinical, medication, measurements and required tests of preventive care.

The program is still going strong and is as popular as ever, just ask Dr Jenny Bourke or Dr Alan McCleary, both GPs from the North East Valley division.

According to the DCP website, the DCP:

  1. Presents information clearly and concisely
  2. Facilitates change and improvement within workflow
  3. Fosters electronic recording
  4. Greatly assists implementing current preventive care guidelines
  5. Simplifies MBS CDM item utilisation
  6. Eliminates majority of phone calls for results via integrated web results. Results can now be delivered to patients via an iphone/ipad app (iWedgetail)
  7. Contains Red Book Guideline guidance implementation and references (Licenced from RACGP) plus other major guidelines as recommended for use within Australia

For the original Australian Doctor article click here.

For the DCP website which includes testimonials and costings click here.

 

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Chronic Disease Management

Living with a Chronic Condition Resource

Getting the Right Help, in the Right Place at the Right time for your Patients - To help GPs match patient needs with the appropriate service, referral and access to programs for people with chronic disease have been streamlined in Banyule, Nillumbik and Darebin. Use this brochure to assist you to identify the level of care your patient needs and the organisation that provides the most appropriate services to meet these needs.

For more information contact Jean Crewe NEPCP 9450 2678 or jean.crewe@bchs.org.au

 

Diabetes for disability support workers

Run by Diabetes Australia – Vic this is an interactive half day workshop for disability support workers working with and caring for people with diabetes in a variety of residential and support settings. Topics covered will include:  What is diabetes; How diabetes is managed; Day to day care requirements; Food choices for people with diabetes; Blood glucose monitoring; Managing high/low blood glucose levels and Planning safe outings for people with diabetes. This event will take place on Friday 22 March 2013 at the Multicultural Hub Level 1 506 Elizabeth Street Melbourne. Cost is $50.00 (incl GST). For further information and bookings ring 03 9667 1728 or visit our website.

 

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Continuing Professional Development

Influenza & Immunisation Update

Wednesday March 19th 7pm-9.15 pm (Dinner from 6.30pm) Presented by Dr Peter Eizenberg at John Scott Meeting House, La Trobe University, Bundoora. Flyer

 

Diabetes and chronic kidney disease - a sinister combination

ThinkGP, together with Kidney Health Australia brings you this education which investigates the relationship between kidney disease and diabetes and the significant changes in management that are required in individuals who have both conditions. One third of patients with diabetes have diabetic kidney disease. Click here. 

 

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Home Medicines Review

Home Medicine Reviews (MBS Item 900) Update – Business as usual

Pharmacy Guild considered a moratorium on HMRs as funds were expended. There have been some implications of pharmacists and GPs rorting the system so it appears the rules will be tightened in the near future to ensure that needy consumers will not be disadvantaged. 

The intent is that HMRs are always performed in the consumer’s home unless there is special request from the patient to meet elsewhere, e.g. Doctor’s surgery or pharmacy, for reasons such as a safety issue.

Since September 2012 GPs can refer to the pharmacy of the consumer’s choice or directly to an accredited pharmacist and this is still the case

 

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Information Management

eHealth support

There are a number of places where you can get support for eHealth, including:

1.      North East Valley website which includes draft policy documents

2.      HCN eHealth page which includes set up documentation and “how to” movies

3.      NEHTA – PIP information and includes PIP eHealth registers

4.      Australian Association of Practice Managers – eHealth information

5.      Medicare – PIP eHealth Guidelines

To make things easier for you we have tried to put all the resources on one page on the NEVDGP website which we will keep updated and inform you via the weekly eNews.

 

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

The “Reason for medication” list. By default, is usually out of view on your screen – you need to scroll across to the right to find it. To change its position so it can be viewed more easily:

  1. Click on the “Reason for medication” column heading.
  2. Hold down the mouse button and drag to the left.
  3. Once you are satisfied with the column’s new position, let go the mouse button.

 

This week’s IM problem - Retrospectively adding a Reason for medication

Question: How do I add a “Reason for medication” at a later date – one doctor, over the years, has never done it. We are trying to clean up our patient medication lists.

Answer: From the patient medication screen:

1.      Locate the “Reason for medication” column. By default it is usually the last column, and most likely hidden from view – you will need to scroll across to the right to find it.

2.      Double click in the blank space where there should be a reason for medication – this will open the “Reason for medication” window.

3.      Select a reason from the coded list and click OK.

So you don’t have to do this again why don’t you have a team meeting, which, by gentle guidance, decides to force entering a reason for every prescribed medication. This could be achieved by going to Tools >Options >Prescribing – tick in “Reason for Medication” box

 

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Items of Interest

Coroners Court of Victoria
Program of Information Days 2013 held at Plueckhahn Theatre - Coronial Services Centre, 57-83 Kavanagh Street, Southbank
Monday 22 April & Monday 27 May 1pm-4.30pm For hospital staff and GPs. Hosted by the Coroners Prevention Unit’s Health and Medical Investigation Team, presenters include a coroner, pathologist and representatives from: Initial Investigations Office; Police Coronial Support Unit and Family & Community Support Service.
To register your interest in attending an Information Day email CCOVInformationDays@coronerscourt.vic.gov.au indicating your preferred session date.   Please note that numbers are limited.
For enquiries: call Pamela Reid on telephone 8688 0736, Coroners Prevention Unit - Health and Medical Investigation Team. www.coronerscourt.vic.gov.au

 

GP Network News

This week’s edition includes: AMA Calls for an end to the Public Hospital Funding Blame Game; AMA Calls For Better Funding Model For Medical Teaching and Training; Byte from BEACH: Measuring the impact of pay-for-performance in general practice; Voluntary Patient Registration – What Do You Think?; Protecting your Provider Number.

 

Inpatient Wait Time Northern Health Continuing Care

As at 20/2 /2013 the current inpatient waiting times for Northern Health Continuing Care Inpatient Services are Rehab – 0-3 days please refer –and Gem 2-5 days please refer. For further information/ assistance please contact: The ACCESS office on 9495 3443.

 

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News for Practice Staff

APNA newsletter

For the latest APNA newsletter including information about scholarships click here.

 

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National Prescribing Service

NPS: New Visiting Program – Type 2 Diabetes

The division has just launched a new NPS program titled ‘Type 2 Diabetes: Priorities & Targets’.

GPs and Practice Nurses have the option of taking part in practice visits or case study meetings. The program provides RACGP points, nurse points, QPI PIP and evidence of continuing professional development for accreditation purposes. The program will focus on:

•          The importance of addressing blood pressure and lipids as a priority in people with type 2 diabetes

•          The need to individualise blood glucose targets based on patient factors and duration of disease

•          Glucose-lowering medicine options when intensifying glycaemic therapy

If you or your practice regularly participates in the NPS practice visit program, the division will contact you before the end of June 2013 to organise a visit. 

If you are not a regular participant in NPS programs and would like more information, please contact Dr Mary Levidiotis (NEVDGP NPS Program Coordinator) on 9496 4333 or alternatively complete the attached form and return to the division.

 

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Women’s Health

Imaging referrals faxed to Mercy Hospital for Women

The FAX number 8458 4241 for requesting imaging and ultrasound referrals to the Mercy Hospital is now functional. A reminder that if you do not receive information regarding an appointment or availability within 1 week of faxing your referral, please confirm receipt of the faxed referral by telephoning Imaging on 8458 4300 or 8458 4238.

For further enquires contact Dr Mary Anne McLean GP Liaison Medical Advisor Mercy Hospital for Women on 8458 4831 or eMail: mmclean@mercy.com.au

The MD template of the above form, currently being developed by the division will be available soon for wider distribution.

 

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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

A very tired nurse walks into a bank, totally exhausted after a 12 hour shift.

Preparing to write a cheque, she pulls a rectal thermometer out of her purse and tries to write with it.

When she realizes her mistake, she looks at the flabbergasted teller and without missing a beat, she says: “Some bum has gone off with my biro”

 

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And remember

 

            The first testicular guard, the "Cup," was used in Hockey in 1874 and the first helmet was used in 1974. That means it only took 100 years for men to realize that their brain is also important.