North East Valley DGP eNews

Description: Description: Description: imagesNo 1308: March 27, 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                                                Document management in MD 3.14           

Aged Care                                             Interim Drug Chart

Australian Doctor Articles                  April Fool

Chronic Disease Management            Gestational Diabetes DVD is now available in eleven languages, Supermarket tours

Professional Development                 CPD events   

Information Management                  Medical Director Tips

Items of interest                                  CLOSING - Mercy Hospital for Women’s IVANHOE Clinic

News for Practice Staff                       Wound Care Workshops with Jan Rice

Paediatrics                                           Chronic cough, asthma and the snoring child

Positions vacant/wanted                  

Fun stuff                                              

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A Word from the Editor

Document management in MD 3.14

As you well know there have been considerable changes to MD’s correspondence management system since the release of MD3.14. With the exception of the Tasmanian ML document the support documentation was a little slow in appearing, but there are now 5 areas for support documentation:

These are:

1.      Medical Director 3 - Module 5 - Incoming Pathology and Electronic Documents, produced by the Tasmanian Medicare Local (Download – disregard security warning). To date this is the most comprehensive overview of the correspondence management system.

2.      Correspondence Management with Medical Director – HCN publication (Download). This document tends to concentrate on scanning with various workflow options.

3.      Correspondence Management FAQs – HCN publication (Download). Includes a few handy hints.

4.      eNews Hints – NEVDGP weekly publication (Read the weekly eNews, including this week’s)

5.      NEVDGP “How to” sheets – NEVDGP website (Download). Additional sheets will be progressively added over the next few weeks, the most recent being placed at the top of the Cheatsheet list.

Over the next few weeks additional “How to” sheets as well as Document handling workbooks will be developed by Noel and when ready, you will be advised by eNews. This will also involve a consolidation of the eNews hints previously printed in eNews on this topic.

This is part of the North East Valley’s continued commitment to supporting practices, not only in the North East Valley catchment but beyond as well. As we always have!

 

 

NB: There will be no eNews next week – next edition 10th April.

 

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Aged Care

Interim Drug Chart

In response to a need identified by the NEVDGP Aged Care Panels, the Austin Health and Northern Health, together with the Division, developed an Interim Residential Care Medication Administration Chart in 2010. The Interim Chart is prepared by hospital pharmacists and is designed to enable RACFs to administer discharge medications as soon as the patient arrives at the RACF and continue to do so for up to 7 days, until the GP attends to review the resident and write up a long-term medication chart. The chart is provided for patients discharged from all campuses of Austin Health and from the Bundoora Campus of Northern health. In 2011 the Austin Health Pharmacy Department won the Victorian Department of Health Excellence in Service Provision Award for the interim chart service. In 2012 an evaluation of the interim chart was published in BMJ Open (http://bmjopen.bmj.com/content/2/3/e000918.full) The paper reports that the chart significantly reduced the incidence of missed doses and use of locum medical services to write medication charts in the first 24 hours after discharge. This excellent initiative requires implementation in other areas of Melbourne. As I have had numerous enquiries about an interim chart in other areas of Melbourne it is thought useful to publicise this information. The Australian Commission on Safety and Quality in Health Care (ACSQHC) is planning to develop a national interim residential medication administration chart but until that happens the above information may be helpful. For further information contact Rohan Elliott [Rohan.Elliott@austin.org.au]. 

 

Reported by Jenny Gowan, PhD, Aged Care Consultant Pharmacist  

 

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Australian Doctor Articles

April Fool

With April just round the corner I thought I would reproduce the April Fool’s joke I did in 2010. As you know, each week I publish a computer hint in eNews and on 1 April, 20I0 I wrote a hint which was, I thought, an obvious April Fool’s joke, a fairly funny one at that. I explained that the April upgrade had a new set of options that included and “Accurate Recording” tab.

 

The “Accurate Recording” options listed became more absurd the further you went down list and included:

  • Force GP to mark result as “notified”
  • Don’t allow free text of measurements
  • Don’t allow GP to free text Recall reasons
  • Disallow GPs from using weird abbreviations that no-one else understandss (sic)
  • GP to physically remove a recall once it has happened and not just leave it for some else to chase up... AGAIN!

Most readers got the joke but, surprisingly, a few didn’t. Two practice managers must have just scan-read it and thought it was for real. They rang me to say they couldn’t find the “Accurate Recording” tab in the April upgrade. To this day I have not divulged the names of those two practice managers; mainly for fear of my life (threats have been made!).

The point I was that software doesn’t do the job for you, rather the clinician is responsible for accurate record keeping and the GP must understand that the patient and their clinical record does not belong to the individual doctor but to the patients and all their health providers. This means that a clinical record that is shared with other health providers (for example, via referrals, care plans and health assessments, and more recently the PCEHR), MUST be accurate and it is not fair to colleagues who are continually “data cleansing” the poor records of the non-compliers. For the full article click here.

 

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Chronic Disease Management

Gestational Diabetes DVD is now available in eleven languages

The Understanding Gestational Diabetes: Healthy Pregnancy, Healthy Baby DVD has recently been updated by the National Diabetes Services Scheme to include the following six new languages - Bengali, English, Farsi, Khmer, Punjabi and Urdu. It is available as a two disc set, with disc two containing the existing DVD available in Arabic, Cantonese, Mandarin, Turkish and Vietnamese. The DVD explains to women and their families how to manage their gestational diabetes and what to do when the baby is born. Copies of the DVD can be ordered by calling the Diabetes Australia – Vic Infoline 1300 136 588 or via the website.

 

Supermarket tours

Organised by Diabetes Australia – Vic 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 Tuesday 9 April at Woolworths Cnr Whitehorse Road and Mangan Street Balwyn.  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

ThinkGP - Seizure disorders in general practice

Epilepsy is the world's most common serious brain disorder and it is currently impacting the lives of over 225,000 Australians.
Visit http://www.epilepsy.org.au/ to learn more and get involved and also see this week's featured education, Seizure disorders in general practice produced in collaboration with Epilepsy Action Australia.

Annual health professional symposium 2013: Diabetes Down Under

Friday 10 May at Melbourne Exhibition Centre. Diabetes Australia – Vic is hosting this educational event for diabetes nurse educators, dietitians and diabetes health professionals in partnership with Baker IDI Heart & Diabetes Institute. Download the symposium flyer for further information. Registrations are open and can be made by contacting Baker IDI Heart & Diabetes Institute. Early bird bookings close 8 April 2013.

 

Infection Control Update

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

 

CPR Update

The division is currently negotiating with a provider of CPR training (different to the provider we have previously used) with the aim of running 1 or 2 group sessions. Unfortunately we don’t have a date as yet but we envisage it will be sometime in May. The session will be run on a user pay basis and we will advise you via eNews and a Flier when we have negotiated a date or dates.

 

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Information Management

Medical Director Tip - Letters screen – making it look like it used to

The new look Letters screen (and Holding File, Results, Documents and Correspondence screens) can be confusing. I would suggest 2 changes to the Letters screen.

Changing the order of columns - many of the column headings are not particularly useful. Change their position by clicking on the column heading and dragging the less useful columns to the far right and dragging the more useful ones to the left. This is best done when Preview - Bottom is on. To make it look like it used have the following columns to the far left:

·         Date Created

·         Sender/Provider

·         Recipient/Doctor

·         Subject

·         Description

Please note: the column order of Results, Holding File and Documents will be different.

Changing the Preview Screen to the right

The Preview button is on the top left of the Letters screen. Change it to Preview – Right. You will, depending on screen size, have to adjust the width of the Letters screen and the Preview screen – this is done by clicking on the vertical grey line (to get a left-right arrow) and dragging to adjust the window width.

Your Letters screen will now closely resemble what it looked like before the big changes to MD’s document handling in late 2012. Your next PC upgrade should include the wider screens.

 

This week’s IM problem - Where the #?@% are my results?

Question: Help! I keep losing my results in the Holding file!! And in the Results!

Answer: With each column of the Holding file (and Results, Letters, Documents and Correspondence) you are able to:

·         Filter (restricting the view to a defined criteria)

·         Sort (by date, provider, patient name, source etc.)

While these features can be very handy at times they also cause considerable distress and anxiety amongst clinicians.  According to Dr David Fong (Doutta Galla Community Health Centre) the ability to filter “...has almost no practical use for the average clinician, but can be useful to staff who are creating recall lists, e.g. checking which patients have results that need to be discussed or recalled urgently”.

It is very easy to turn on a filter and if a column is filtered, a tiny * is placed next to the column heading. The simplest way to get all your results back (i.e. remove the filter) is to click on the Clear Filter button at the top of the screen.

 

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Items of Interest

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.

GP Network News

This week’s edition includes: Ongoing Funding Needed to Close the Gap; UGPA Leaders Insist on Immediate Training Reforms to Increase Australia’s GP Workforce; New Joint Pain Tool; Be Brave and Re-Regulate Antibiotics; GPs Manage Sleep Apnoea as Effectively as Specialists; CIR Conference 2013.

 

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News for Practice Staff

Wound Care Workshops with Jan Rice

Wednesday 24 April 9.30-12.30pm at GPV Victoria, Swanson St, Carlton. Cost $125. Resources and lunch provided. 3 CPD hours for nurses. Register at: www.gpv.org.au/event.asp or email: r.oldham@gpv.org.au.

 

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Paediatrics

Chronic cough, asthma and the snoring child

Royal Children’s Hospital GP training - Speakers: Dr. Sarath Ranganathan, Dr Mandie Griffiths and Dr Phil Robinson from the RCH Respiratory Department.

Tuesday 23 April 7-9pm (registration and refreshments from 6.30pm) at Ella Latham Theatre, Royal Children’s Hospital. For further information and online registration 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

Practice Staff

Ivanhoe Medical Clinic - part time position available for a Registered Nurse Division 1/Community Care Nurse to co-ordinate and manage our Veterans Care and Home Health Assessments programs. Experience in this area would be an asset but not essential. Both programs are well established and have been in place for some time. 

For more info call Practice Manager on 9499 1245 or email – Barbara.folkers@ivanhoemedical.com.au

 

Northcote area – 3 days per week Div 1 Practice Nurse required to assist our medical staff in a busy general practice. Duties include wound care, travel health, immunisations, health assessments, patient triage, assist with clinical procedures and all other duties required in a general practice.  Visit our website www.doctorsofnorthcote.com for more information.

To apply forward your resume to manager@doctorsofnorthcote.com.

 

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Humour

Student who obtained 0% on an exam

We would have given him 100%

 

Q1. In which battle did Napoleon die? * His last battle

Q2. Where was the Declaration of Independence signed? * At the bottom of the page

Q3. River Ravi flows in which state? * Liquid

Q4. What is the main reason for divorce? * Marriage

Q5. What is the main reason for failure? * Exams

Q6. What can you never eat for breakfast? * Lunch & dinner

Q7. What looks like half an apple? * The other half

Q8. If you throw a red stone into the blue sea what it will become? * It will simply become wet

Q9. How can a man go eight days without sleeping? * No problem, he sleeps at night.

Q10. How can you lift an elephant with one hand? * You will never find an elephant that has only one hand..

Q11. If you had three apples and four oranges in one hand and four apples and three oranges in other hand, what would you have? * Very large hands

Q12. If it took eight men ten hours to build a wall, how long would it take four men to build it? * No time at all, the wall is already built.

Q13. How can u drop a raw egg onto a concrete floor without cracking it? * Any way you want, concrete floors are very hard to crack.

 

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And remember

 

            … We never really grow up; we only learn how to act in public.