North East Valley DGP eNews

No 1430: September 3, 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                                                The New Primary Health Networks, Time-Based Health Assessments – nurses’ time now counted   

Chronic Disease Management            CDM the 2020 Vision - Managing the Rising Tide of Chronic Conditions

Professional Development                 CPD events   

Information Management                  Medical Director, Best Practice Computer Tips

Items of interest                                  Coeliac Disease Resources, Northern Health - Release of Information Process, GP Network News

News for Practice Staff                       Immunisation Workshop for Nurses

Paediatrics                                           Australian Doctor Paediatrics Seminar

Women’s Health                                  Medical Disorders in Pregnancy Symposium

Positions vacant/wanted                  

Fun stuff                                              

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A Word from the Editor

The New Primary Health Networks

The word around town is that the Commonwealth Health Department will release the new Primary Health Network (PHN) boundaries in the month of September (this month). The Division is keen to see these new boundaries, as they will determine not only the number of PHNs, but also their size, and geographic distribution. It is anticipated that a number of the larger health funds, possibly Telstra and even Australia Post will be seeking local partners to participate in the tender applications. Here at NEV, your Division will be very selective in responding to any future approaches in this regard, with particular emphasis on current and future GP participation in governance structures, membership and general practice support programs. With a long history of past cooperation we will be seeking to present a united front with other key primary care networks in Melbourne’s North. We hope those Medicare Locals with a strong record of successful local general practice engagement will feature prominently in future PHNs, and those who didn’t, – won’t.

 

Time-Based Health Assessments – nurses’ time now counted (extract from email to Dr Peter Eizenberg from AMA President and AMACGP Chair, August 27, 2014)

Through the efforts of the AMA Council of General Practice (AMACGP), working with both the DoH and DHS, a definitive advice has now been issued. It confirms the long standing policy position that practice nurses can assist GPs in performing a health assessment and outlines the circumstances where the time taken by the practice nurse can be added to the time taken by the GP to complete the assessment.

The statement that has been placed on the DoH website reflects accepted medical practice, recognising that it is important for the GP to have appropriate involvement and overall responsibility for the service. Circumstances where the time taken by practice nurses assisting in a health assessment is recognised include:

·         information collection, including gathering of patient information  for the medical practitioner and the taking and recording of routine measurements; and

·         providing patients with information about recommended interventions at the direction of the GP.

The statement can be found here.

 

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Chronic Disease Management

CDM the 2020 Vision - Managing the Rising Tide of Chronic Conditions
The ADMA Annual National Conference is on Thursday 11 & Friday 12 September at the Melbourne Convention Centre.

See here for Conference program & registration.

 

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Continuing Professional Development

Skin Cancers

This ThinkGP ALM, developed in partnership with Cancer Council Victoria, outlines the prevention and early detection of skin cancers in general practice. The module also examines the balance between ensuring a patient accesses adequate levels of vitamin D while avoiding over-exposure to the sun's harmful UV rays. While this ALM is available only to users registered as GPs on ThinkGP, the activity is also available in three two-hour activities for all other health care professionals.
Click here to begin.

 

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Information Management

Medical Director Tip - Changing Route of Administration

The Route of Administration for each medication you prescribe is usually correctly set, but can be manually changed. Not that you’d want to do it, but you can turn off the compulsory recording of Route of Administration.

1.      This requirement can be disabled via Tools > Options >Prescribing.

2.      Remove the tick from Route of Administration compulsory.

There is another option that allows you to ensure that the Route of administration is included in summaries.

To change the Route of Administration when prescribing

1.      Proceed with prescribing until you reach the Enter dose  window,

2.      Under Route of Admin there is a drop down menu – select the route/method you require from this list.


Furthermore, when re-prescribing a medication or printing a Summary that includes medications for which no Route of Administration was recorded, you will be prompted to add a route before the script can be printed. This requirement can also be disabled via the Prescribing Options – Route of administration (summaries).

 

This week’s MD problem - Extemporaneous preparations (recipes)

Question: One of our doctors wants to know how to add and save customised prescriptions that have been prescribed elsewhere so when the patient returns to her she is able to write a repeat script from that formula.

Answer: You can use the Recipes function in Medical Director to enter recipes for preparations into the drug database. This is especially useful for adding extemporaneous preparations and keeping a record of complementary medicines and OTC medications in the patient’s current medication screen.

1.      From the Clinical menu select Recipes... - the User Defined Preparations window is displayed.

2.      Click the Add button and the Extemporaneous Preparations window is displayed. Enter the appropriate information for this recipe and click Save. The Recipe is saved into the Medical Director drug database and can be added to the current medication list.

3.      You can now “prescribe” this item, and in this case you can mark the item product advised elsewhere when prescribing.

 

Best Practice Tip - Using “Route: (of administration)” when prescribing

Best Practice usually defaults to the correct route of administration when a particular medication is prescribed.

 

If you wish to change this you will find the drop down menu when you reach the Dose and Frequency window.

 

 

 

 

 

 

 

 

 

 

 

Best Practice problem - Custom preparations (extemporaneous preparations)

Question: One of our doctors wants to know how to add and save customised prescriptions that have been prescribed elsewhere so when the patient returns to her she is able to write a repeat script from that formula.

Answer: You can use the Custom prescription preparation function in Best Practice to enter customised preparations into the drug database. This is especially useful for adding extemporaneous preparations and keeping a record of complementary medicines and OTC medications in the patient’s current medication screen.

Adding Custom Prescription Preparations (recipes)

1.      From the main menu (no patient record open) go to Setup menu and select Custom preparations.

2.      Once the Custom prescription preparation screen appears click on the Add button.

3.     

You can add the details of your recipe in the Custom prescription item window.

4.      Click all fields and Save when complete and your preparation will be added to the Custom preparations database.

5.      Prescribe as you normally would from the Current Rx but click on Custom radio button which will display all your custom preparations.

6.      Click on the Next button to enter the dose frequency and food and other details, as you would for any new prescription. 

 

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Items of Interest

Coeliac Disease Resources

Coeliac Victoria and Tasmania are looking to increase the awareness of coeliac disease in the community and within the medical field. Research has recently projected that over 300,000 people in Australia have undiagnosed coeliac disease, yet suffer from the multitude of medical symptoms. Free resources on coeliac disease and its associated conditions are available here.

 

Northern Health - Release of Information Process

For any organisation including hospitals and general practitioners, requiring patient information from Northern Health, all requests are to be in writing and on the requesting organisations letterhead with attached patient consent. Requests are to be in writing to uphold patient’s privacy and to ensure the appropriate information is being released.

Written requests are to be faxed to: Client Data Management Unit, The Northern Hospital. Fax: 03 8405 8007. For further information please contact the Release of Information Team on 03 8405 8071.

 

GP Network News

This week’s edition can be found here.

 

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News for Practice Staff

Immunisation Workshop for Nurses
Thursday 18 September 9am-4pm at 4th Floor, 458 Swanston Street, Carlton.

See flyer and registration.

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Paediatrics

Australian Doctor Paediatrics Seminar

Saturday 11 October 8am: registrations; 8:30am - 3.25pm: Paediatrics seminar; 3.25pm - 5.00pm: CPR (optional)at Law Building, University of Melbourne.

See here for more information and registration.

 

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Women’s Health

Medical Disorders in Pregnancy Symposium – Mercy Hospital for Women

Saturday September 6 at Leonda on the Yarra. Further information and registration here or contact Natalie Harris on 8458 4753 or perinatalseminars@mercy.com.au.

 

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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

Bundoora - Female GP with Mandarin/Cantonese speaking skills wanted to work part-time in a DWS position. Tel: 0433 155 451.

 

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.

 

Northern Suburbs - Modern and well equipped practice seeking full time VR GP's, great support from nursing and allied health, in house pathology.  Partnership available for the right candidate.  Genuine enquiries most welcome.  Please contact Medprac@outlook.com.

 

South Morang Medical Centre seeking VR GP – would suit male wanting part-time afternoon sessions and some Sat am.  Contact Wendy Reichstein (9436 4222) or email southmorang@smmc.com.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

Bundoora - Div 1 Nurse to work part-time (Tuesday and Thursday) in a busy Practice. Good remuneration and friendly environment. Tel: 0433 155 451.

 

Craigieburn - Experienced Practice Nurse required for busy medical centre.  Two days per week, additional hours may be available.  Fully computerised practice. Award rates. Contact Leanne craigieburncentralmedical@gmail.com.

 

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).

 

Reservoir - Summerhill Medical Centre is seeking Full Time/Part Time Div 1 Nurses (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. The practice is computerised and accredited. Phone John on 0403 178 141 or email - summerhill@iinet.net.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.

 

Other

Reservoir – Podiatrist wanted. Summerhill Medical Centre is seeking a podiatrist to join a well-established practice of over 18 years and will be given access to a large patient base, cross discipline referrals and a rate opportunity to grow your business quickly. The practice is located only 15min from the CBD within a shopping precinct that will include Aldi, Coles and Kmart. The practice is computerised and accredited. Phone John on 0403 178 141 or email - summerhill@iinet.net.au.

 

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Humour

Mahatma Gandhi, as you know, walked barefoot most of the time, which produced an impressive set of calluses on his feet. He also ate very little, which made him rather frail and with his odd diet, he suffered from bad breath.

This made him...
…a super calloused fragile mystic hexed by halitosis.

 

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And remember

 

            … a man's home is his castle, in a manor of speaking.