North East Valley DGP eNews

No 1305: March 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/.
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In this issue:

Editorial                                                Onerous form filling

Australian Doctor Articles                  Stick to the code

Chronic Disease Management            Common physical activity myths and diabetes       

Professional Development                 CPD events   

Information Management                  Medical Director Tips

Items of interest                                  Lymphoedema, CLOSING - Mercy Hospital for Women’s IVANHOE Clinic, Inpatient and Outpatient Rehabilitation Services in Ivanhoe, GP Network News

News for Practice Staff                       Online Orientation Program for Nurses new to General Practice, ComDiab Facilitator Training Course, e-Learning Training Package to Support Medicare Item 10997, Nursing Scholarships, Newsletter

Positions vacant/wanted                            

Fun stuff                                                        

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A Word from the Editor

Onerous form filling

In the past weeks two local organisations, one being a hospital, have provided forms in pdf format for doctors to fill in as part of the referral process.  It is too onerous and time consuming for a GP to manually fill out these forms. Such forms need to be in rtf format with fields built in so that clinical software such as MD or BP can use them and the information is autopopulated, thus saving the GP time and providing an electronic record.

Fortunately the hospital has contacted us and a proper MD version has been created. As for the other organisation, they thought they had resolved the situation by sending a Word version which was in the newer Word docx format/  LetterWriter can’t import docx documents. But even so, would each practice be expected to add their own fields to make the form usable? The division would happily create a usable version if ever asked. Will this happen? Not likely.

 

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Australian Doctor Articles

Stick to the code

In May 2009 I wrote (yet again!) on the reasons for using coded items when creating patient histories. I noted however, that some GPs were reverting to free text for reasons as it more accurately describing a patient’s condition. My suggestion was to use coded items and then use the Comment section to further explain the condition.

The down side of this is that the Comment information does not appear in the Progress Notes under Reason for contact: nor are they obvious in the Past History list – in the Past History you need to click on the condition (e.g. Stent – coronary artery) and the Comment box appears at the bottom of the screen.

You can, however, get both the Past History item and “Comment” to appear in any of the LetterWriter referrals; you only need to modify the referral template so that the comments are included in the PMH list.

1.      Open LetterWriter and from the File menu select Modify template.

2.      Locate and open the referral template.

3.      Right click on the <<Clinical Details:History List>> field and select Properties.

4.      Place a tick in the Include Comments? box

From now on the referral will contain both the diagnosis/reason for contact and the comment. For the full article click here.

 

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Chronic Disease Management

Common physical activity myths and diabetes

Regular physical activity is an important part of diabetes management and essential for good health. Here, we clear up some of the common myths.

 

Participate in Diabetes Australia – Vic History

DA–Vic will shortly celebrate its 60 year anniversary with a commemorative celebration in the Melbourne Town Hall. A new historical display, showcasing photographs and equipment used in the treatment and management of diabetes over the past 60 years will be unveiled. The event will feature the screening of a short video interviewing some of the original attendees of the first meeting on 24 March 1953. This will be followed by speeches by distinguished guests, light lunch and entertainment. All DA–Vic members, community members and past supporters are invited to celebrate this moment in history with us:  Melbourne Town Hall, Swanston Street: 12.15 - 3pm - Saturday, 16 March 2013. RSVP: 1300 136 588 or email ccarey@diabetesvic.org.au

 

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Continuing Professional Development

Influenza & Immunisation Update

TUESDAY (not 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

 

ThinkGP
This week, in collaboration with The Australian Institute for Clinical Education and The Australian Lifestyle Medicine Association, we introduce two video series which can be viewed on an iPad or a computer.
One discusses the Practitioner Immediate Life Support (PILS) course, and the other is about Lifestyle Medicine.

 

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Information Management

Medical Director Tip - eHealth “Shared Health Summary”

A Shared Health Summary is a clinical document created from the patient's clinical record, which contains key pieces of information (see below) about a patient's health status and can be shared with a wide range of healthcare providers and to the PCEHR. The content of a SHS will vary depending on what the patient wants included and /or excluded and on the quality of the clinical record in MD.

The eHealth referral can only be electronically transferred to other providers and the PCEHR once you have set up your PKI and secure messaging. The referral includes:

·         Allergies / Adverse Reactions

·         Medications

·         Problem / Diagnoses

·         Procedures

·         Other Medical History

Please note:

·         Individual items within a category can be deleted by highlighting the row and pressing delete (or right click/delete)

·         You cannot add individual items to the categories (so get it right in the clinical record first!)

·         It appears you cannot add categories such as Warnings and Family and Social History

·         You can send the SHS to the PCEHR by clicking on the eHealth icon

·         Any deleted items are not deleted from the MD clinical record

·         You can send via MD Exchange or an “external transport” such as Argus

 

This week’s IM problem - What is an eHealth “Event summary”?

Question: I have had a look at the CDA Event Summary in LetterWriter and find it a bit confusing. What is it?

Answer: An Event Summary is used to capture key health information about significant healthcare events that are relevant to the ongoing care of an individual.

An event summary is intended to be the ‘default’ clinical document type and is used when none of the other types of clinical document are appropriate. For example, an after-hours GP clinic may use it to provide information that is important to the ongoing care of the individual. Similarly, it can be used in cases where clinical document types have yet to be developed. For example, an allied health provider may choose to use an event summary in advance of an allied health clinical document types being developed.

As a GP you would be more inclined to use CDA Shared Health Summary.

 

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Items of Interest

Lymphoedema

March is the Lymphoedema awareness month and the ALA (Australasian Lymphology Association) prepared a document on early recognition and management of Lymphoedema for GP's.

 

CLOSING - Mercy Hospital for Women’s IVANHOE Clinic

Please be advised that the Mercy Ivanhoe Clinic, 113 Waterdale Rd, Ivanhoe, will close at the end of Friday 5 April 2013. All services previously accessed at the Ivanhoe Clinic will be provided at the Mercy Hospital for Women at 163 Studley Rd, Heidelberg from 8 April 2013. Patients who have appointments beyond 5 April 2013 will be contacted and informed of the change of location. For further information, please contact Deb Pidd, Nurse Unit manager, Outpatient Department T: 8458 4203.

Thank you for your support of the Mercy Ivanhoe Clinic and for your ongoing support of the Mercy Hospital for Women.

 

Inpatient and Outpatient Rehabilitation Services in Ivanhoe

North Eastern Rehabilitation Centre provides a tailored rehabilitation service across a variety of specialties including Neurological/stroke, Cardiac, Pain Management, Reconditioning, Falls Prevention and Pre Post Surgery. Program includes a thorough assessment from the multi-disciplinary team comprised of Medical Specialists, Physiotherapists, Occupational Therapists, Social Workers, Nurses, Dietitians and Psychologists. For further information please call 1300 1 REHAB (73422) to speak with one of the admission co-ordinators or visit the website.

 

GP Network News

This week’s edition includes: AMA Council of General Practice; Building Faith in Organ Donation; Practice Eligible Pathway Assessment of Experience Deadline; Further Changes to RAP Prior Approval Arrangements.

 

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News for Practice Staff

Online Orientation Program for Nurses new to General Practice

The online Orientation Program course can now be found via the Resources page on AMLA’s website. For those not familiar with the course, it is designed to provide a comprehensive orientation for nurses working in the general practice environment and an understanding of the roles and responsibilities required.
The cost of the course is $150 per student, is a total of 12 modules and takes approximately 15 hours to complete. To download the course outline click here.

 

ComDiab Facilitator Training Course

The Australian Diabetes Council is running a ComDiab course for registered nurses. The training will qualify RNs to run small group education sessions providing practical information for people with diabetes, their carers or anyone interest in attending.

For more information about the ComDiab certification requirements and CPD points go to the Australian Diabetes Council website or contact Australian Diabetes Council on 1300 DIABETES (1300 342 238).

 

e-Learning Training Package to Support Medicare Item 10997

The ACN has an E-Learning Training Package to Support Medicare Item 10997. It is an online learning program that consists of eight disease specific modules that cover the topic areas of arthritis, asthma, cancer, coronary heart disease, dementia, diabetes and chronic kidney disease. Access to the modules is available at a minimum cost of $121 for online access; and $127 for online access plus CD ROM.
You can register or contact ACN on 1800 265 534 or email 3lp@rcna.org.au for more information.

 

Nursing Scholarships

Australian Government Scholarships for Nurses are opening soon. Go to the ACN website for information and opening details.

 

Newsletter

For the latest APNA newsletter click here.

 

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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

Doctors

Watsonia - Rosanna Medical Centre is seeking a PT/VR GP. A computerised, accredited, mixed billing, long established practice. Friendly supportive team. Please call (03) 9435 1191.

 

Practice Staff

Diamond Creek Medical Centre - Practice nurse Div 1, part time. Computer literatacy – knowledge of Medical Director an advantage, Typing skills, Wound management experience, Preferably vaccination experience. Monday and Friday 9.30-2pm and available to fill in for present nursing staff holiday and sick leave.

Please contact Lina Rogers on 9438 1911 or email linarog@hotmail.com

 

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Humour

The taxidermist
A bloke walks into a bar in New Zealand and orders a shandy.
All the Kiwis sitting around the bar look up, expecting to see another Australian visitor.
The barman says, "You ain’t from around here, are ya?"
The guy says, "No, I'm from Canada."
The bartender says, "What do you do in Canada?"
The guy says, "I'm a taxidermist."
The bartender says, "A tixidermist? What the hick is a tixidermist? Do you drive a tixi?"
"No, a taxidermist doesn't drive a taxi. I mount animals."
The bartender grins and yells, "He's okay boys. He's one of us."

 

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And remember

 

            … Light travels faster than sound. This is why some people appear bright until you hear them speak.