MIME-Version: 1.0 Content-Location: file:///C:/6408E651/eNews_No_0811.htm Content-Transfer-Encoding: quoted-printable Content-Type: text/html; charset="us-ascii" North East Valley DGP eNews

<= span lang=3DEN-US style=3D'font-size:26.0pt;mso-bidi-font-size:24.0pt;mso-bidi= -font-family: Arial;color:red'>North East Valley DGP eNews <= /b>

No 0811: April 10th, 2008
eNews is a weekly electronic news= letter 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 enquiri= es welcome and should be addressed to Patty Marsha= ll. You can also visit our website at: ht= tp://www.nevdgp.org.au/. To subscribe to eNews click on s= ubscribe. To be removed from the eNews distribution list click on Unsubscribe

 

In this issue:

= Editorial &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;    No eNews next week=          

= Aged Care &= nbsp;           &nbs= p;            &= nbsp;            Aged Care Funding Instrument, Melbourne CAREX , Bundoora Retirement Village<= /st1:PlaceType> needs a visiting GP

= Chronic Disease Management=          = Community Asthma Program, Neuropathy research 

= Professional Developm= ent &= nbsp;           &nbs= p; CPD events     &nbs= p;    

= HMR   = ;            &n= bsp;            = ;            &n= bsp;        Patient Medication Profile, Paperless Prescriptions, PBS prescriptions fall    

= Immunisation=  &= nbsp;           &nbs= p;            &= nbsp;        Pertussis Myths and Facts, Immunisation Handbook &= nbsp;          <= /p>

= In= formation Management     = ;           includes Medical Director tips and New on the Web

= Items o= f interest &= nbsp;           &nbs= p;            &= nbsp;    Suicide Helpline, Prostate cancer testing, GP Network news            &nbs= p;           

= News fo= r Practice Staff        &= nbsp;           Practice Nurses working with Mental Health Issues  

= NPS   &nb= sp;            =             &nb= sp;            =         NPS Diabetes Audit, New Publications of Interest=

= Women’s Health        &= nbsp;           &nbs= p;         Post Partum Perineal Trauma - What to do when it all= falls apart? Menor= rhagia        &= nbsp; 

= Positions vacant/wanted        &= nbsp;           &nbs= p;

Fun stuff        &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;

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A Word from the Editor

Due to improving we= ather conditions the editor will be taking a week off and therefore there will be= no eNews next week. Next edition due= 24th April.

 

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Aged Care

Aged Care Funding Instrument (ACFI)

The CPD that was to be held on Wednesday 16th A= pril is now CANCELLED.

If any GP or practice nurse would like an education session on ACFI plea= se contact Diana Cooper on 9496 4333. Diana will arrange a practice visit o= r provide telephone advice as required. Cl= ick here to access our ACFI information sheet for GPs.

 

Melbourne CAREX

Australia’s premier Aged & Health Car= e Expo for CEOs, Managers, Clinicians, Health Professi= onals, Carers & Staff

April 16 & 17 at the Caulfield Racecourse, 9.30am &= #8211; 4pm each day, FREE ADMISSION.

·     To view details of the event including venue, parking, exhibitor list, floor plan - click here

·     To register your attendance - click here

·     To view details of & register for any of= the free workshops - click here

 

Bundoora Retirement Village needs a visiting GP

Bundoora Retirement Village<= /st1:PlaceType> has just expanded its accommodation and now has nearly 400 residents. Curre= ntly a GP is able to spend a couple of hours per week at the village but there i= s a need to at least double that time. If you could spare some time to visit the village please contact Ms Jill Waterman on 8467 0= 466

 

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Chronic Disease Management<= /h1>

Community Asthma Program

The Community Asthma Program (CAP) is having some problems with GP's usi= ng an old, incorrect fax number to send through referrals to our program.

Community Asthma Program (CAP) - fax referrals to 9345 6231

 

Neuropathy research

New research in a possible treatment for neuropathy associated with diabetes, using painless nerve stimulation. We are looking for patients to = take part in a 12-week study. Inclusion criteria: • Between 55 – 75 years old  • Have had diabetes for 10 years or less • Non-smokers  • Peripheral neuropathy

The study takes place at the Endocrine Centre of Excellence, Heidelberg Repatriation Hospit= al. For more information please contact Dr. Rajna Ogrin or Andrew Jardine on 9496 2986

 

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CPD

Using Decision Support Tools - Working Smarter not = Harder

For GPs and Practice Managers and Practice Nurses. The evening will look at TWO new and exciting developments in general pract= ice – the Practice Health Atlas and the Pen Clinical Audit Tool (see editorial). You will be able to sign up for one or both on the nigh= t.

Wednesday April 23, 2008, 6:30pm – 9.00pm (dinner provided), John Scott Meeting House, La Trobe University, Bundoora (E= ntry via Car Park 7). [Applicati= on Form]

 

Term 2 GP Lecture Program

Meetings are held each Tuesday starting at 12.30 in the Lecture Theatre, Ground Floor, Pathology Building, Repatriation Hospital, Austin Health, West Heidelberg. Lunch is provided. Course Leader: Dr Vin Nursey Phone: 9457 1736

April 15 - Menorrhagia - Dr Jillian Woinarski  and the following week April 22 - Pain Management - Dr William Howard

For full term Tuesday lecture program click here

 

Austin Health - Division of Medicine Grand Round

Genetic Services - “Genetics for the Heart: The Practice of Genetic Medicine” Speaker: Dr Nicholas Pachter, FRACP, Clinical Geneticist, Victorian Clinical Genetics Services=

Wedne= sday 16th April, 2008 12:10pm at John Lin= dell Lecture Theatre, Level 4, Lance Townsend Building

Opposite Medical Library - followed by lunch in Zel= tner Hall at 1:00pm

 

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HMR

Patient Medication Profile

In a new scheme starting this month community pharmacists are to give ‘at risk’ patients a visual and written summary of all the medicines they are taking in an effort to improve compliance and avoid adve= rse events. Participating pharmacies will charge customers $5 to provide them w= ith a Patient Medication Profile, which will list all current prescription, OTC= and complementary medicines. The profile will give the patient’s medicati= on details, directions for use, alternative brands and the reasons for use. And within six months the medication profiles will also include colour images of PBS medicines to help patients identify their medicines. The $34 million program is a collaboration between the F= ederal health department and Pharmacy Guild, and will see pharmacies receive subsi= dies of $4200 for taking part. To be eligible, patients must be on a regular prescription medication and not be a nursing home resident or hospital inpatient.

Jenny Gowan suggests that the Patient Medication Profile should be linke= d to an HMR referral to give an accurate list of ALL the medications that patien= ts are taking – OTC and complementary. Further information about Home Medicine Reviews from Jenny Gowan at NDGP 94= 16 7689

 

Paperless Prescriptions are a step closer, with endorsement of a nation= al electronic system

The Pharmacy Guild of Australia announced its support for the model, cal= led ScriptX, at APP2008. The system allows doctors to sen= d scripts to a fully encrypted electronic mailbox, allowing patients to retrieve the medication at their pharmacy of choice. Initially, paper prescriptions will= be issued alongside the eprescription until the Gu= ild and other health professionals are confident the system works. At that stage the Guild will approach government about phasing out paper-based prescribin= g, Guild president, Kos Sclavos, said. He said one= of the most important aspects of the electronic system was that it stored scripts = in a central repository for retrieval at a pharmacy the patient chooses, rather = than the “point-to-point” structure used in the US and UK, which can lead to a chann= elling of prescriptions.

Medicare Australi= a chief executive officer, Catherine Argall, said she was keen to work with t= he Guild on the system, and that Medicare could act as the central repository. “A central repository residing externally to Medicare Australia may lead to public concerns regarding the security of data. Using Medicare Australia in the structure could [assure] consumers and providers that their personal information is stored in a trusted store,” she said. The Guild has prepurchased 10 million transactions on ScriptX for its members. The system is based on a pharmacy user-pays system, althou= gh federal government support will be sought in the long term. The system is f= ree for doctors. ScriptX is expected to be launched= by March 2009.

 

PBS prescriptions fall

There has been a massive fall in the number of PBS prescriptions in Australia compared to government projections, taking huge pressure off the PBS and creating much needed headroom for health innovation and development for the Government before the PBS reforms come into force on 1 August 2008. Based on data for the first eight months of the current financial year, there will be approximately 22 million fewer prescriptions in the system in 2007-08 than = was predicted in the Guild Government

Community Pharmacy Agreement, creating a saving of around $700 million f= or this year alone. = Full article

 

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Immunisation

Pertussis Myths and Facts

6. Myth: Natural infection with pertussis or vaccination provides lifelong protection.

Fa= ct: Immunity to pertussis, whether from vaccination or natur= ally acquired infection, only lasts for approximately six to ten years. The National Health and Medical Research Council (NHMRC) re= commends a booster dose with an acellular pertussis-containing vaccine (dTpa) for teenagers aged 15-17 years o= f age or adults requiring a booster. A booster can be administered at any time following a previously administered dose of tetanus to= xoid-containing vaccine.=

7. Myth: The NHMRC recommendations for pertussis cover child= ren and adolescents only.<= /o:p>

Fact: The Australian Sta= ndard Vaccination Schedule includes a primary course of pert= ussis vaccinations at 2, 4 and 6 months. A booster dose is then administered at 4 years and 15-17 years. Due to waning immunity, the NHMRC also recommends an adult pertussis booster in certain risk groups = if they have not previously received an adolescent/adult = pertussis booster. The adult pertussis= immunisation strategy in Australia aims to ‘cocoon’ infants by recommending booster vaccination in adults likely to come into contact with infants including family members, healthcare workers and childcare workers.

 =

9th Edition of Immunisation Handbook launch= ed!

The 9th Edition of The Australian Immunisation Handbook was officially launched on Tuesday 8 April 2008 in Canberra at 11.30 am by the Hon. Nicola Roxon, MP. Minister for Health and Ageing. Natio= nal Mail and Marketing will commence distribution of copies of the Handbook and= the 4th Edition of Myths and Realities on Tuesday. The Handbook is available for download here and the 4th Edition of Myths and Realities here

 

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Information Management

Medical Director Tip - Starting a new pregnancy

Click in the Obstetric tab (female patients only) and then click on the New pregnancy button. Enter the LMP or By Scan date and click on t= he Calculate button and then Save.

 

This weeks IM problem - Recording multiple births

Question: How do I record t= wins in the obstetric section?

Answer: You can’t! Th= ere is only room to record ONE baby’s name. This shortcoming of recording multiple births was brought to the attention of HCN several years ago and no change has been made. Is there a “workaround”? Not really, you = can add both babies’ names to the Notes but this is a poor way of recordi= ng the information.  

 

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Items of Interest

Suicide Helpline

New Suicide Helpline Call-back Service: 1300 6= 59 467 (Monday- Friday 9am to 5pm)

SHL CB offers up to 6 sessions of telephone counselling, of approx 50 minutres and for over a period of up to 6 months with= each client. They offer support, info, referral to specialist services and counselling.

Support is for: people at risk of suicide; carers of people who are suic= idal; people bereaved by suicide.

The service caters for CALD clients and uses TIS interpreters.

 

Informed choice the key to prostate cancer testing 

The Cancer Council is advising GPs to expect a surge in the number of requests they receive for PSA tests, as a result of football personality Sam Newman’s highly publicised prostate cancer surgery. The Cancer Council has responded to media coverage of Sam Newman’s surgery by urging men= not to be panicked into having a PSA test. Instead, men are encouraged to have a discussion with their GP about the issues around prostate cancer testing and treatment so they can make an informed decision about whether testing is ri= ght for them.  

So why does the Cancer Council advise men to consult their GP about prostate cancer testing, rather than advocate population-based screening for all men of a specified age?

‘The answer is that not all men who have a prostate specific antig= en (PSA) test will benefit from it. In fact, some may be harmed, so individual= men should understand the pros and cons and make an informed decision,’ s= aid CEO of The Cancer Council Australia, Professor Ian Olv= er.

 

GP Network news

This edition contains Education Events By Pharmaceutical Companies, New PBS Listings, Close the Gap, National Electronic Prescribing System on its Way. <= span class=3DGramE>Full version.

 

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News for Practice Staff

Practice Nurses working with Mental Health Issues

This session will provide an excellent opportunity to meet your local me= ntal health service providers and for you to learn: more about their mental heal= th services – who they are, what they do, what patients they provide ser= vice to and how to refer to them; how prevalent are mental health issues; how to identify mental health issues; how to manage risk; how to navigate the ment= al health services.

Small group learning: Three case studies will be discussed which will include examples of relevant pathways and appropriate referrals.

Tuesday May 13, 6:30pm – 9pm= (dinner provided), John Scott Meeting House, La Trobe<= /span> University, Bundoora (Entry via Car Park 7). Application Form

 

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NPS

Reminder - NPS Diabetes Audit

Friday April 11th is the deadline for submission of the 1st audit for the = May 2008/April 2009 QPI PIP entitled ‘Optimizing management of type 2 diabetes’. 

Please send completed audits directly to NPS.

 

New Publications of Interest

The April 2008 issue of Vol 31 No 2 is now online: Articles include Compounding in community pharmacy [editoria= l]; The role of drugs in road safety; Treatment of perinat= al depression; Ear drops and ototoxicity; Therapeu= tic drug monitoring: which drugs, why, when and how to do it; Corticosteroid-induced osteoporosis and fracture; New drug reviews include  lenalidomide, nilotinib, paliperidone, = raltegravir, rotigotine, = sitagliptin

 

The current edition of NPS News No 57 April 2008 focuses on improving outcomes in chronic heart failure: Discussion points include: Identify, diagnose & intervene early; Targeted education works; ACE inhibitors fi= rst line; Use heart failure specific beta blockers; Avoid drugs that exacerbate heart failure also Case study 52: Optimising chronic heart failure therapy = is available .

 

The current ADRAC Bulletin Vo= l 27 No 2 April 2008: Considers Nicorandil<= /span>-associated ulceration; Withdrawal of lumiracoxib in Australia<= /st1:place>; Topiramate and other drugs causing glaucoma; Dr= ugs of current interest; What to report.

 

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Women’s Health

Post Partum Perineal Trauma - What to do wh= en it all falls apart?

Tuesday 22 April 2008 7 - 9pm (refreshments from 6.30pm) at Lecture Theatre, Level 4, Mercy Hospital for Women, Heidelberg. Presenters: Dr Lore Schierlitz - Specialist Gynaecologist, Dr Alison De Souza - Specialist Gynaecologist, Dr Joseph Lee= - Urogynaecology Fellow, Ms Elisabeth Thomas - Clinical= Nurse Consultant, Ms Laura Burchill - Physiotherpaist. QA&CPD: 4 (Cat. 2) Women’s Health points applied for.

RSVP to Merran McDonald on 8458 4833 or= email mmcdonald@mercy.com.au or Jan= ine Martin on 8458 4819

 

Menorrhagia

April 15 – the Tuesday GP lecture see under CPD<= /span>

 

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Positions vacant/wanted

Please note: only new ads, paid ads or resubmitted ads will be posted here. All ot= her ads can be found on the website

 

Positions vacant

Practice Staff

North= cote area – Full time Div 1 Practice Nurse required to assist our medical staff in a busy general practice. Duties include wound care, travel health, immunisatons, health assessments, patient triage 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.c= om.

 = ;

Sunshine - solo GP practice with an elderly patient base seeks= to employ a mature minded, part-time Div 1 Practice Nurse. The hours of work w= ill be 2 x 5 hour morning sessions per week initially, with the option to incre= ase hours depending on future patient load. Please call the Practice Manager on= 03 9 311 2979 with enquiries or to obtain a position descr= iption . Send your WRITTEN application to:=   Dr S. Selvendra, c/- 96 McIntyre Road, Sunshine, Vic 302= 0.

 

See the = website for all other positions vacant and wanted

 

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Humour

An elderly couple was attending a church service and ab= out halfway through she leans over and says to her husband, “I just silen= tly broke wind. What do you think I should do?”

  
He replies “Put a new battery in your hearing aid= .”

 

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