North East Valley DGP eNews

No 1307: March 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/.
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In this issue:

Editorial                                                ‘Doctors of Ivanhoe’ and 3 others have been denied membership of NMML

Australian Doctor Articles                  Mind the glitch

Chronic Disease Management            Type 1 in the City - Food and eating out, Getting started: type 2 diabetes information session, Supermarket tours

Professional Development                 CPD events   

Immunisation                                       Eligibility criteria for free secondary school-based vaccine

Information Management                  Clinical software templates, New Pathology Management Cheatsheet for 3.14d and higher, Medical Director Tips

Items of interest                                  Practice Manager retires, Northern Melbourne Regional Development Australia Committee, GP Network News, Waiting Times for Admission to Northern Health Sub Acute

News for Practice Staff                       APNA newsletter, Infection Control Update

Positions vacant/wanted                  

Fun stuff                                              

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A Word from the Editor

‘Doctors of Ivanhoe’ and 3 others have been denied membership of NMML

The division has been ascertaining the status of NEVDGP practices and their membership of the Northern Melbourne Medicare Local.
Of replies received to date to the Division’s questionnaire sent on Monday :

·         18 practices have been approved for membership (after a 6 months wait)

·         7 practices applied but are still awaiting a response

·         4 practices have been rejected

·         7 practices did not apply

Interestingly, one of the rejected practices is ‘Doctors of Ivanhoe’, the practice of the Division’s Chair, Dr Peter Eizenberg, who has been an outspoken advocate for General Practice membership of the NMML.

Asked for comment, Dr Eizenberg indicated he questioned the NMML CEO on the grounds for rejection and he was told the decision was made by the NMML Board in accordance with the Constitution, and they do not have to disclose any reason for their decision.

When Peter protested that he was involved in the creation of the NMML Constitution and he believed Doctors of Ivanhoe met all the criteria, and asked what appeal process exists, the CEO advised him the Board’s decision is final and there is no mechanism for appeal.

The other 3 practices have been left totally confused:

·         one GP asking why their practice was rejected and a comparably sized practice down the road was accepted

·         another was extremely angry at such treatment and found the rejection an insult to a well-run medical practice

·         the third received “a most unsatisfactory jargon filled nonsense letter – think Grouch Marx re: clubs”

We are interested to hear your views. Please email comments to noel@nevdgp.org.au.

If you have not yet replied to Monday’s brief fax questionnaire, please take a few moments to reply ASAP, so that our statistics can be as accurate as possible. The questionnaire can be anonymous but you are free to add your name and practice if you wish.

 

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Australian Doctor Articles

Mind the glitch

In April 2010 I wrote about how software problems could result in a medicolegal disaster for some doctors. Accurate clinical records — preferably electronic — and robust recall management systems can go a long way to protecting GPs and their medical clinics from adverse legal actions.

Yet the fault of inaccurate or incomplete clinical notes can at times result from a ‘glitch’ in the software system. I have heard many horror stories of clinical data being lost, often during software upgrades or migration process. Sometimes these issues were slow to be resolved.

So who is at fault if a doctor is being sued for negligence based on a glitch in the system? I put this question to Karen Stephens, Risk Adviser from Avant, Australia’s largest medical defence organisation.

For the full article and Karen’s response on how to protect yourself, click here.

 

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Chronic Disease Management

Type 1 in the City - Food and eating out

Diabetes Australia – Vic is running an information session in Melbourne for people living with type 1 diabetes. The presenter will be Adele Mackie Accredited Practising Dietitian. Adele will discuss ways in which you can be better prepared and more confident about managing your diabetes whilst eating out. Please provide own snacks and hypo food.

Saturday 23 March at Royal Melbourne Hospital, Function and Convention Centre, Charles Latrobe Lecture Theatre, Ground Floor, Grattan Street, Carlton. This is a free session but bookings are essential T: 1300 136 588 W: www.diabetesvic.org.au.

 

Getting started: type 2 diabetes information session

Diabetes Australia – Vic - is running this program for people with type 2 diabetes who are newly diagnosed or have not had diabetes education in the past. Programs are run by our Diabetes Educator and Dietitian, who will provide you with valuable information to manage your diabetes. This program has been revised and will be delivered over 5 hours. This session is being run over two nights.

Wednesday 24 April and Wednesday 1 May (5.30pm-8.00pm) at Diabetes Australia-Vic, 1st Floor (stairs only), 570 Elizabeth Street, Melbourne. Cost: $10 members and $15 for non-members. Bookings are essential. Please call 1300 136 588. Click to view flyer.

 

Supermarket tours

Diabetes Australia – Vic organises supermarket tours as a fun way of learning how to make healthier shopping choices for you and your family. As part of the two-hour tour, a dietitian will show you how to read and understand food labels and select healthy food alternatives. A comprehensive pocket size healthy shopping guide booklet is included as part of the tour cost and helps to take all the hard work out of food shopping. A tour is taking place on Wednesday 27 March at Coles, Tunstall Square Shopping Centre, Cnr Doncaster and Tunstall Roads, Donvale and on Friday 5 April at Woolworths, Cnr Main and Station Streets, Box Hill. Bookings are essential and places are limited. To confirm time/date and to make a booking contact the Diabetes Info and Advice Line on 1300 136 588. Cost: $10 members and $15 for non-members.

 

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Continuing Professional Development

Infection Control Update

Date for your diary - Wednesday 12th June with Marg Jennings at John Scott, La Trobe University. Flyer available soon.

 

Chronic Kidney Disease

ThinkGP and Kidney Health Australia education include Diabetes and chronic kidney disease and Chronic Kidney Disease (CKD) Management in General Practice.

 

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Immunisation

Eligibility criteria for free secondary school-based vaccine

The eligibility criteria for free vaccines for adolescents, has been simplified. Adolescents are mostly vaccinated through the secondary school-based program by local council immunisation services. Some individual circumstances mean adolescents attend their GP for vaccines. See here. (As presented at the Immunisation Update at John Scott, La Trobe Uni last night – 19th March).

For the Quick Guide: Catch-up Immunisation for Victoria click here.

 

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Information Management

Clinical software templates

Vic Referral Form: there has been an update of what was formerly call the Vic – Statewide Referral Form. This has been replaced by the Vic – Referral Form (March 2013) and is suitable not just for hospital referrals but for all referrals. This newly revised template (March 2013) is available from the NEVDGP website.

Mercy Hospital for Women – Radiology and Ultrasound Request: This can also be found under IM Resources – Hospital Referrals and there is a special section for Mercy referrals. This newly revised template (March 2013), and incidentally written by the NEVDGP, is available from the NEVDGP website.

ATAPS Documents and Forms for GPs

MD and BP templates for referral and re-referral used to found on the Northern DGP website. Unfortunately this site has closed and the NMML originally replaced them with paper-based forms in pdf format, expecting GPs to hand write the information into the forms. After some complaints by GPs and PMs, the ML did provide the forms in Word format and eventually the correct rtf format but without working fields. All enquiries (or maybe complaints) for ATAPS forms should be directed to the Northern Melbourne Medicare Local on 9490 2700. You can still find some other useful Mental Health templates on the NEVDGP website.

 

New Pathology Management Cheatsheet for 3.14d and higher

There is an updated two sided “cheatsheet’ in pdf format for Pathology Management. One side contains the instructions for dealing with Urgent, Discuss and No Action results and the second side is a flowchart of the process. This cheatsheet takes into account the changes to the document handling of MD 3.14d and later.

 

Medical Director Tip - More on SOAP

The Subjective, Objective, Assessment and Plan of the SOAP protocol can be achieved in the “Medical Director way”.

·         Subjective = History (Shortcut = Hx)

·         Objective = Examination (Shortcut = OE)

·         Assessment = Reason (Shortcut = Dx) as this is where you use the coded lists for either a diagnosis of differential diagnosis.

·         Plan – this translates to Actions. When you prescribe and do investigation requests the medications and requests are placed in the Progress Notes under the heading of Actions.

 

This week’s IM problem - How to delete an unwanted result

Question: We are getting results from a doctor who used to work here. The results belong to patients who are not part of our practice. How do I delete them?

Answer: First of all contact the other doctor to ensure s/he has actioned the results. And maybe contact the pathology provider as well. Then do the following:

1.      With no patient record open click on Correspondence and then Check Holding File and select your name from the doctor’s list.

2.      Click on the unwanted result to highlight it, or if you wish to delete more than one result, hold down the Control key and select a non-contiguous list of patients.

3.      Click on the Delete key at the top of the screen.

 

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Items of Interest

Practice Manager retires

Sheila Bouskill, Practice Manager of Diamond Valley Clinic, has retired after 14 years at the job and intends to retire to Phillip Island at the end of March. We appreciate Sheila expressing her thanks to the division –

“I would like to thank you and all at NEVDGP for your total support over the last 14 years. It has been a great pleasure to know that you were always just at the other end of the phone. Your web site has been a godsend. I have lost count of the times I have used it”.

We wish Sheila and her husband all the best for their life at Phillip Island.

 

Northern Melbourne Regional Development Australia Committee

An invitation to the launch of the Community Health Screening Program in the North

Tuesday, 26 March at 7.00am for 7.15am breakfast at Greensborough RSL, Anzac Room, 111 Main St, Greensborough. Speakers: Dr Mark Howard, Institute for Breathing and Sleep and Mr David Parkin OAM, AFL legend. Health Screen Demonstration by preventionXpress. RSVP to helen.mecozzi@gmail.com or phone 0434 231 987 Advise of any dietary requirements.

 

GP Network News

This week’s edition includes: AMA President to Run for Re-election; ACCC Ruling on Fee Setting – What You Need to Know; Time to Look at Employing Pharmacists in General Practice?; The AMA National Conference 2013 - Australia's Health System: What's the Treatment?; Organisational Resilience Professional Development Program 8-9 April 2013.

 

Waiting Times for Admission to Northern Health Sub Acute

The wait time for admission to our Sub Acute wards at Bundoora Extended Care and Broadmeadows Health Service is currently GEM: 3 days and REHAB: 3 days.

Please direct referrals to Fax: 8405 2805 and/or Telephone: 8405 2806 to discuss potential admissions.

 

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News for Practice Staff

APNA newsletter

For the latest APNA newsletter click here.

 

Infection Control Update

See under CPD

 

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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

 

Immunisation Nurse - Banyule City Council’s Health team are seeking an Immunisation Nurse to support the unit on a casual basis. You will attend Council run immunisations sessions to vaccinate clients and provide other related nurse immunisation services to the municipality. We offer a great team, opportunity to contribute to the community and competitive pay. To view the full advertisement click here.

 

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Humour

How smart is your right foot?

This short exercise only takes 2 seconds so you won’t interrupt your daily workflow too much. This will confuse your mind but see if you can outsmart your foot.

1.      While sitting at your desk lift your right foot off the floor and use it to make clockwise circles.

2.      Now, while doing that, draw the number “6” in the air with you right hand. Your foot will now change direction.

Try it again later if at first you don’t succeed -  very few do!

 

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And remember

 

            Knowledge is knowing a tomato is a fruit; wisdom is not putting it in a fruit salad.