North East Valley DGP eNews

No 1320: June 26, 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                                                The future of the NPS Program, STOP PRESS: Mental Health and After Hours Update         

Chronic Disease Management            National Diabetes Week 2013, Healthy Shopping Guide, Supermarket tours

Professional Development                 CPD events   

Immunisation                                       Changes to the National immunisation Program (NIP) from July 1, 2013

Information Management                  Medical Director, Best Practice & General Computer Tips

Items of interest                                  GP Network News

Women’s Health                                  Discussing Contraception

Positions vacant/wanted                  

Fun stuff                                              

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A Word from the Editor

The future of the NPS Program

Sadly this is the last week that Dr Mary Levidiotis will be working in her role as NPS co-ordinator at the North East Valley Division of General Practice. Mary has spent the last 13 years with the division and will be sorely missed by both her NEVDGP colleagues and her practice clients. We wish her well in her future employment.

The Division has been notified that NPS intends to manage directly the delivery of the educational services to health professionals. NPS is currently recruiting and inducting new Clinical Service Specialists who progressively from 1 July will deliver services previously provided by Divisions of General Practice. The newly appointed Clinical Service Specialist responsible for the North East Valley catchment area will contact relevant health professionals shortly after commencing work to discuss the delivery of services. If, in the interim, health professionals have any questions about future service delivery they can contact the customer service centre on (02) 8217 8700 or by emailing customer@nps.org.au.

NPS Educational activities can also be ordered from the June edition of NPS Direct. NPS Direct is a new monthly e-newsletter for Australian health professionals, designed to meet your information needs and keep you up to date with the latest evidence on medicines, medical devices and current health topics. Clinicians can subscribe to NPS Direct here.

From a personal point of view, Mary is very sad to be leaving her NPS role after thirteen years of working with GPs and General Practice staff of the NEV. She expresses her thanks to everyone for their continued support of both her and the NPS program and wishes everyone all the very best personally and professionally.

 

STOP PRESS:

Mental Health Update

The Division has been advised today that new funding has been approved by Medicare Australia for the continuation of the Division’s Mental Health Nurse Program for 2013-14. We will be in touch with those members affected by this news in the next few weeks. We are hopeful of partnering Austin Health again for this program.

 

After Hours Update

The Victorian AMA is still seeking to negotiate an After Hours contract with the Northern Melbourne Medicare Local that more closely resembles the contract approved by the Australian Medicare Locals Alliance

Several practices have indicated to the Division that their Medical Indemnity provider will not cover them for some or all of the requirements in Clause 9.3 of the proposed NMML after Hours contract.

Based on this advice we STRONGLY recommend that you check with your MEDICAL INDEMNITY PROVIDER.

As we understand it, no fees for locum service cover (Tier 1) will be required by either MMDS or ALMS after 1 July 2013, regardless of whether or not a practice signs up for the NMML grant.

This applies to the whole NMML area.

a)      For practices that are already MMDS clients, then locum service covers all AH times, or as much as required by the practice, i.e. no change required.

b)      For practices that are current ALMS clients, then they have offered same cover at no fee, i.e. no change required, and if those practices decide to change to MMDS in the future, then we expect that they will be covered as practices in (a).

 

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Chronic Disease Management

National Diabetes Week 2013

The Face of Diabetes in Australia is the name of the new campaign by Diabetes Australia being launched for National Diabetes Week on 14 – 20 July 2013. We need a new national strategy because the epidemic of diabetes continues – and it will soon represent the greatest burden of disease in Australia. The campaign launch will be at the Yarra Gallery at Federation Square at 10.30 am on Sunday, 14 July. For more information contact Colin Carey on 03 96671717 or email.

 

Healthy Shopping Guide  

Diabetes Australia’s best-selling Healthy Shopping Guide is even bigger and better than before. The guide features: more than 1200 examples of suggested food products commonly found on supermarket shelves; nutrient criteria for 35 different food categories; shows how to read food labels and spot misleading claims. It is a 122-page pocket guide and it takes all the hard work out of healthy food shopping. RRP $7.50* + postage. For further information call Diabetes Australia – Vic on 1300 136 588. *DA–Vic members receive a 10% discount plus free postage.

 

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 Thursday 18 July at Coles, Barkly Square Shopping Centre, 90-106 Sydney Road, Brunswick. 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

Clinical Interpretation of Blood Gases Webinar

Wednesday 26 June 7pm with Dr Michael P Metz. This presentation will focus on the day to day use of blood gas results and is particularly intended for those who don’t see blood gas results very often or haven’t seen them in a while. There will be a brief discussion of blood gas theory. Recognition and interpretation of common patterns of results will be explored. The Siggaard-Andersen nomogram will be introduced. Case examples will be offered to facilitate interpretation. Common artefacts and pre-analytical interference with results will be discussed.

At the end of the webinar, one should be able to confidently approach a blood gas result and use it for the care of patients.

Registration is OPEN! To register (FREE), visit: http://www.appn.net.au/webinar.aspx (Please sign in to access the webinar registration - blue button).

 

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Immunisation

Changes to the National Immunisation Program (NIP) from July 1, 2013

There will be 2 new vaccines on the NIP from July 1:

·         Menitorix®: a single vaccine dose that will replace two injections, Hiberix® and NeisVac-C®, both of which are administered at 12 months of age. This means one less needle will be required at 12 months of age.

·         Priorix-Tetra®: is a new quadrivalent (MMRV) vaccine to be given at 18 months and as their second dose of MMR.

DO NOT use Priorix-Tetra® at 12 months of age or as the first dose of MMR vaccine. There is an increased risk of febrile convulsions when MMRV vaccine is given as the first MMR-containing vaccine dose. The increased risk of febrile convulsions is greatly reduced by giving an MMR vaccine as the first dose at 12 months of age.

The Department of Health newsletter describes the alternate vaccine brands and the new vaccines.

 

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Information Management

Medical Director Tip - Management and Comment shortcuts

The Management and Comment tabs of the Progress Notes are used to create shortcuts that can save you a lot of typing time. If ever you find yourself typing the same thing over and over again or your typing skills are poor, it is time that you set up the shortcuts.

You may create typing shortcuts in both the Comment and Management parts of the Progress Notes. If you put the same shortcut in both the Comment and Management lists the one in the Comment list will be used if typed directly into the Progress Notes. Management shortcuts place the heading “Management” above the shortcut whereas Comment shortcuts place the comment where the cursor is placed.

Comment shortcuts (Management shortcuts work the same way)

1.  Click on the Comment button of the Progress Notes and then click on the Add to list button.

2.  Type in a comment and its shortcut in the appropriate boxes. Click on Available to all doctors button if you want to share this shortcut with the other doctors of the practice.

 

This week’s MD problem - Reason for deletion prompt

Question: On one of my GP colleague’s computer when he deletes a drug it asks for “Reason for cessation” whereas I simply delete the drug, no questions asked. How do I set it to ask the question and where is that information stored when answered?

Answer: Ah ha! Two questions!!

1.      With no patient record open select Setup ->Preferences.

2.      Click on the Prescribing icon and place a tick in the “Prompt for reason for ceasing Rx” so the next time you delete a drug the following dialogue box appears.

3.     

The deleted items are recorded in Today’s notes but without the reason for deletion. To see your deleted drugs click on Past prescriptions (left hand side) and click on the “include deleted” box. Once again the reason for deletion is not included.

 

Best Practice Tip Adding to favourites

Frequently prescribed drugs can be added to your “Favourites”.

  1. In the New Rx window click the Add button.
  2. In the Search for window type in the drug name and highlight it.
  3. Click in the Add to favourites box.
  4. The next time you wish to prescribe that medication click open the New Rx window and click on the “Favourites” radio button and select the dose for that particular medication

 

Best Practice problem - Changing column order in medication screen and widening columns

Question: The order of the columns in my medication screen has changed. I want the Reason for prescription where it is visible on the left of the screen, not way over to the right. How do I fix this?

Answer: You can’t change the column placements in BP, all you can do is make the columns wider or narrower. Place the cursor on the vertical line between the columns to get a 2 headed arrow. Hold down the mouse button and drag the column border to increase or narrow the width of the column.

Your best option is to get a wider screen.

 

General Computer Tip - One or two clicks

The most frequently asked question is “When do I do one click or two clicks?” The most frequent answer by GPs to this question is if one click doesn’t work try two, or vice-versa. Unfortunately this is not the best method.

It does take some practice to know when to use one or two clicks. Try the following guide.

Two clicks is a short cut way of performing two actions, for example, Highlighting a patient’s name and then clicking on the OK button is two actions. Double clicking on the patient’s name is the shortcut of achieving the same result.

A single click is used for the following:

§  when clicking on a toolbar button, e.g. the Print button

§  when selecting a menu item, e.g. select File menu (one click and the menu drops), select Open (one click).

Don’t ever click twice on the Print button – you will most likely get two printouts of the one item, dangerous if the item is a multi-page document.

 

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Items of Interest

GP Network News

This week’s edition includes: Fair decision from fair work commission; Work related self education expenses – new survey; Improved Contract for GP After Hours Care; Ministers get ‘Gold Star’ for food labelling decision; Have PBS Authority phone line waiting times improved?; Seeking GP views on prostate cancer screening techniques; AMA Family Doctor Week - 15-21 July 2013; AMA advice following anti vax bullying tactics;

 

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Women’s Health

Discussing Contraception

This week ThinkGP in partnership with Family Planning NSW presents a new video in our Women's Health Series
In this video Dr Deborah Bateson discusses the key factors in matching a female patient's history to a particular contraceptive choice based on what is available, individual needs and circumstances. 

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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

Bundoora - Part-time position for Practice Nurse. Fully computerised, accredited Practice. Tel : 0433 155 451.

 

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Humour

Taste test

A teacher was doing a study testing the senses. Starting with taste she gave the children multi-coloured lifesavers. The children began to identify the flavours by their colour:
Red.....................Cherry
Yellow................Lemon
Green..................Lime
Orange...............Orange
Finally the teacher gave them all HONEY lifesavers. None of the children could identify the taste.
The teacher said, “I will give you all a clue. It's what your mother may sometimes call your father.”
One little girl looked up in horror, spat her lifesaver out and yelled, “Oh my God! They're arse-holes!” 

 

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And remember

 

            You're never too old to learn something stupid.