North East Valley DGP eNews

No 1415: May 21, 2014
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                                                Future of the Personally Controlled Electronic Health Record (PCEHR)    

Chronic Disease Management            DAFNE (Dose Adjustment for Normal Eating)

Professional Development                 CPD events   

Information Management                  Medical Director, Best Practice Computer Tips

Items of interest                                  Kidney Health Week Resources, GP Network News

Men’s Health                                        International Men’s Health Week

Mental Health                                      Mental Health Nurse Program REFUNDED for 2014-15

News for Practice Staff                       APNA's 2014 National Conference - Thriving Through Change

Positions vacant/wanted                  

Fun stuff                                              

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A Word from the Editor

Future of the Personally Controlled Electronic Health Record (PCEHR)

The federal government has finally released the Royle review into the PCEHR, which includes 38 recommendations on how to improve the system, but Health Minister Dutton has stated that the government's response to the review's recommendations was still some time away.

Among the recommendations that the government could take up, are:

·         making the system an opt-out choice (from January 1, 2015)

·         changing the name of the system to the My Health Record (MyHR)

·         dissolving the National E-Health Transition Authority (NEHTA) and replacing it by Australian Commission for Electronic Health (ACeH), to report directly to the Standing Council on Health (SCoH).

·         incent” GPs by changing the eHealth practice incentive payment (ePIP) to link ongoing ePIP funding to actual usage of the MyHR

·         altering the MBS item numbers next year for health assessments, comprehensive assessments, mental health care plans, medication management reviews and chronic disease planning items to require a copy of the information to be uploaded to the MyHR.

·         proceeding in the implementation of diagnostic imaging and pathology into the system

·         implementing a standardised secure messaging platform (including secure messaging between medical services and consumers).

 

What does the division think?

We have no particular problem with the name change and the opt-out choice but we do not believe there should be any linkages to incentives or remuneration that require actual usage of the Shared Health Summary until the bugs are ironed out. Currently the clinical software creates a very “faulty” Shared Health Summary. Despite careful and accurate record keeping of the patient record in the clinical software, the Shared Health Summary re-scrambles that careful work by creating an eHealth record where trivial items are included and there is no clear distinction between current and past history items.

We also share the concerns expressed in many of the submissions to the Royle review which include:

·         the difficulty in using the system

·         the lack of education and training modules

Once the Shared Health Summary difficulties are worked out, the division is still well placed to provide the much needed training and training modules.

 

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Chronic Disease Management

DAFNE (Dose Adjustment for Normal Eating)

Do you have clients with type 1 diabetes? DAFNE is a 5-day group self-management course for people with T1 diabetes who are not using an insulin pump. It covers topics such as insulin dose adjustment, carb counting, exercise, and illness management. Participants also get to meet others with T1 and share their experiences.

There are currently vacancies in the next two Melbourne courses running from 2-6 June and 7-11 July. Clients can self-refer by calling Susan on 03 9667 1719 or visit the website for more information.

 

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Continuing Professional Development

Epilepsy

It is currently estimated that 800,000 people in Australia will be diagnosed with epilepsy at some point in their lives. This week ThinkGP invites you to take part in a four-part education series exploring the diagnosis and management of epilepsy in general practice. These activities examine the major risks and effects of epilepsy across a range of different patient groups and consider the intricacies of diagnosis and classification of seizure disorders and the implementation of one or more pharmacological management strategies in the treatment of epilepsy. The activities around epilepsy education are available in the format of one module and three videos. Click here to begin.

 

Dementia, Driving & New Directions Forum RACGP ALM 40 points

Saturday 31 May (Registration 8.30) 9-4.30 pm at the Whitehorse Centre, 397 Whitehorse Road Nunawading. Alzheimer's Australia Victoria, DBMAS, The Dementia Training Study Centre & Inner East Melbourne Medicare Local invite GPs, Practice Nurses and allied health staff to an all-day education event focusing on roles & responsibilities driving assessment for people with dementia. There will also be sessions on new directions in dementia care. Speakers include Geriatricians, Vic Roads, OT driving assessor, GPs, practice nurses and other specialist speakers. Click here for more information and registration or see flyer.

 

Digestive Health

Saturday 28 June 8-3.30pm at Law Building, 185 Pelham St, Parkville Campus, University of Melbourne

An Australian Doctor Seminar - topics:  Investigating dysphagia; Inflammatory bowel disease and biologics; Constipation; Managing patients post-bariatric surgery; Non-alcoholic fatty liver disease

For more information and registration click here.

 

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Information Management

Medical Director Tip - Bulk notifying of results

Patients need to be “notified” of their results (Remember to click on the “Notify” button) so that a pathology management system concludes. When not done administrative staff find they are following up undiscussed results, even though the doctor has actually notified the patient of their results, but has neglected to click the Notify button..

There is a way of streamlining this system by using the “bulk notify” feature of MD.

Usually you are in the Results section of MD and when discussing multiple results you use the “bulk notify” feature:

·         for a non-contiguous selection (not all results are in a row), hold down the Control key and click once on each result to highlight them. When all are highlighted, click on the Notify button.

·         for a contiguous selection (all results one after the other without gaps) select the first item, hold down the Shift key and click on the last item. All result in between will be highlighted.  Click on the Notify button.

 

Best Practice Tip - Forcing “Reason for Visit”

You are able to set one of the Options so that a patient record cannot be closed without recording a “Reason for visit”. This may seem harsh but it ultimately leads to better record keeping. Such a move, however, should be discussed and approved at a clinical meeting.

1.      From the front screen (no patient record open), Setup >Preferences >Clinical

2.      Click on the 3rd checkbox: “Enforce entry of Reason for Visit when closing patient record

3.      Click on Save & Close.

 

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Items of Interest

Kidney Health Week May 25 -31 – Resources for your practice

Promotional packs from Kidney Health Australia are now available and contain a range of posters, booklets, balloons, templates and more. With the date fast approaching this may be your last opportunity to access these resources for your surgery. To order please visit www.kidney.org.au or contact Annette Smith on 1800 454 363 or email event@kidney.org.au.

 

GP Network News

This week’s edition is available here.

 

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Men’s Health

International Men’s Health Week (June 9 – 15)

International Men’s Health Week on 9-15 June 2014 is a great time to raise the awareness and support the health and wellbeing of the men in your local community. For your men’s health event or display there is a poster plus a selection of men’s health information brochures, all of which can be ordered here.

 

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Mental Health

Mental Health Nurse Program REFUNDED for 2014-15

The Division has received advice that the Mental Health Nurse Program has been refunded in the recent budget for the 2014-15 year. This program offers GPs medium to long term support and service coordination for those patients with more disabling conditions.

Now in its sixth year, this service is currently used by more than 60 of our GP members, primarily for patients with complex needs and a serious mental health disorder. Working with time poor GPs, mental health nurse services can help improve patient links to other health professionals and clinical service providers including  arranging access to interventions from psychiatrists and other allied health professionals.

In addition, these specialised professionals can assist by undertaking periodic reviews of the patient’s mental state, medication monitoring and management, providing information about physical healthcare to clients, and liaising with family and carers (including family interventions if needed). If you have patients that you consider would benefit from such support make a referral NOW.

Call Ken Luxmoore on 0407 528 055 to arrange a visit. Download the referral (MD/BP or paper version) from the Mental Health template section of the NEVDGP website.

 

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News for Practice Staff

APNA's 2014 National Conference - Thriving Through Change
29 to 31 May at the Hilton Sydney. This is an excellent opportunity for nurses working in primary health care including general practice, to enhance their clinical expertise and add to their personal and professional development. Thriving Through Change will showcase the ‘hot topics’ of 2014 for primary health care nurses, offering the best in clinical and professional education, delivered by a host of outstanding international and national speakers who will inform, educate and engage with delegates. Please click here to view the full program, keynote speakers, exhibitors, social events and more. 

 

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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

Carlton - Full Time/Part Time VR GPs wanted (flexible hours). We are a group of female medical practitioners running a high-quality, family-orientated general practice, with a practice manager, practice nurse and allied health personnel onsite (podiatrist, dietitian, psychologist and women’s physio) plus on-site pathology. The practice is fully computerised and accredited. Phone 9380 4655, Email carltonmedical@bigpond.com, Web  www.carltonmedicalcentre.com.au

 

Greensborough Road Surgery is currently seeking a Full-Time GP, approx 8 sessions pw. A position is available for an enthusiastic GP to join our team in a modern, well-equipped 10-doctor practice, offering high-quality care in an experienced and supportive environment. Private billing, computerised, 2.5 full-time nurses, (clinical CVC, and CDM.)  Contact Ann McCormack (03) 9435 0711 or email grs@grs.net.au or see www.grs.net.au

 

Montmorency - GP needed to join 10 doctor busy family practice. Accredited, purpose built clinic. Fully computerized. Flexible hours. Supported by Div 1 nurses, pathology on site. No AH or on-call, excellent remuneration and support. Call Kay on 03 9435 1144 or Email: srmc@netspace.net.au.

 

Reservoir - Summerhill Medical Centre is seeking Full Time/Part Time VR GPs (flexible hours) to join a well-established practice of over 18 years. The practice is going through an unprecedented growth and is located in an ideal location only 15min from the CBD and in a shopping complex that will soon have Aldi, Coles, Kmart and IGA.  Excellent remuneration of 70% plus. The practice is computerised and accredited. Phone John on 0403 178 141 or email - summerhill@iinet.net.au.

 

West Heidelberg - GP wanted to join a solo GP practice, part time or full time. Please call 0435 815 187 or email lathaherath@hotmail.com.

 

Practice Staff

Northcote - Division 1 Nurse. An old, established, solo, fully computerised practice with warm and friendly atmosphere is seeking a Division 1 Nurse to work Monday, Wednesday and Friday from 9 am to 1 pm - total 12 hours. Salary: Award Rates. Contact details: Neelam Berera on 0411 196 940 (mobile).

 

Rosanna Medical Group is a family oriented Private General Practice that is fully computerised and accredited.  We are seeking a medical receptionist for 30 hours plus per week inclusive of evening work.  Knowledge in PracSoft and Medical Director is preferred.  This position would include general reception and administrative duties. Please contact Jeda or Jan on 9457 1463 and email CV to jeda@dmccoll.com.au

 

West Heidelberg - Div 1 GP nurse wanted to join a solo GP practice. Initialy 22 hours per week. Please call 0435 815 187 or email lathaherath@hotmail.com.

 

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Humour

Driving compliment

You know, somebody actually complimented me on my driving today.

They left a little note on the windscreen. It said, 'Parking Fine.'

So that was nice.

 

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And remember

 

            … Does the name Pavlov ring a bell?