North East Valley DGP eNews

No 0809: March 28th, 2008
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 CAT is out of the bag  

Aged Care                                       ACFI Information session, Fast Track X-ray update  

Chronic Disease Management         How do I get my patient into a Life! Course?

Professional Development               CPD events          

HMR                                                 Seeing is believing - common eye conditions in the aged      

Immunisation                                   Pertussis: Myths and Facts           

Information Management                includes Medical Director tips and New on the Web

Items of interest                               Managing My Heart Health 

News for Practice Staff                    MyPracticeTeam   

Women’s Health                              Weave Project      

Positions vacant/wanted                     

Fun stuff                                              

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A Word from the Editor

The CAT is out of the bag

The North East Valley Division of General Practice has given its practices a "leg-up" through the free provision of the Pen Computer Systems Clinical Audit Tool (CAT) for the next 12 months.

"New practice accreditation standards, the need for improvements in the management and measurement of chronic disease management, and the business requirement for this to be achieved within a financial model that can improve general practice incomes are the drivers for this initiative" said Bill Newton, CEO at GPV, who has warmly supported the initiative from the outset.

An information and training evening in using the CAT (plus a short session on the Practice Health Atlas) will be held on the evening of Wednesday April 23. We would encourage as many members of your practice team (GPs, Nurses and Practice Managers) to attend this session. Even if you have CAT installed the evening will show you new enhancements and provide the platform to share your CAT experiences. Click here for flier and further information.

 

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Aged Care

ACFI Information session

From March 20th 2008 aged care homes will be grappling with the “ACFI” (Aged Care Funding Instrument). ACFI will replace the old RCS system. As overall facility funding is based on these assessments, staff will be anxious to get their assessments performed as well as possible. The new ACFI system will be far less reliant on nursing care plans, but more reliant on documentation of diagnoses and management. This is where the GP comes in!

Click here for details on the information session we are offering on ACFI run by ex-aged care home DON and Manager Diana Cooper. Session to be held at NEVDGP Board Room, Level 1, Pathology Building, Repatriation Hospital on Wednesday 16 April, 2008.

Click here to access our ACFI information sheet for GPs.

 

Fast Track X-ray update

Click here to access Fast Track x-ray forms, and an update and on using this great new service for obtaining non-urgent X-rays for aged care home residents who require ambulance transport. This service is considered a trial and needs to be shown to be successful in order to continue. One of the key aims is to have a short turn around time at the Austin. In order to achieve this we need GPs to complete the Fast Track X-ray request forms as well as possible. So please include clinical details, especially what conditions you can manage back at the aged care home.

 

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Chronic Disease Management

How do I get my patient into a Life! Course?

The six session lifestyle modification course has been shown to reduce the risk of diabetes by 58% in participants.

The process to refer a patient to a Life! course is as follows:

1. Patient completes the Diabetes Risk Test - The DRT can be accessed at www.goforyourlife.vic.gov.au/life or order copies by calling 1300 136 588

2. Score and eligibility confirmed by GP - If a patient scores seven or more on the DRT, they are encouraged to see their GP. To be eligible for the Life! course, the patient must: Be 50 years or above, or an adult Aboriginal or Torres Strait Islander person; Score 15 or above on the Diabetes Risk Test; Have had diabetes excluded in the past 12 months

3. Refer your patient to a Life! Course if they meet the three criteria above. The course assists participants to make small, achievable changes to their lifestyle to improve their health and reduce their risk of type 2 diabetes. Further information on course content can be found under ‘Life Courses’ at www.goforyourlife.vic.gov.au/life.

Referral forms in word format or as templates for importing into Medical Director, Best Practice, ZedMed or GP Complete are available from www.goforyourlife.vic.gov.au/life or by calling 1300 136 588. Once completed, the form can be faxed to your local Life! provider or to Diabetes Australia – Vic on 9667 1778. Template also available on NEVDGP website under 9.Other.

For further information about the Life! Program, please contact Angie Deegan on 9341 5247 or a.deegan@gpv.org.au

 

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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 practice – 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 night.

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

 

Austin Health - Division of Medicine Grand Round

“There is No Such Thing as a Free Lunch: Relations between Medical Professionals and the Pharmaceutical Industry.” Speaker: Professor Paul Komesaroff, Director, Centre for Ethics in Medicine and Society, Monash University.

Wednesday 2nd April, 2008 12:10pm at John Lindell Lecture Theatre, Level 4, Lance Townsend Building Opposite Medical Library - followed by lunch Zeltner Hall at 1pm

 

GP Lecture Program

There will be no Tuesday lecture next week. The next lecture is on April 8.

For full term 2 Tuesday lecture program click here

 

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HMR

HMR Group/ Aged Care panels:  Seeing is believing - common eye conditions in the aged

Wednesday 2 April at NDGP Training room. Light meal 6.30-7pm. 7.45pm main lecture

Dr Alice Rota- Bartelink, specialist in vision disorders . Flyer on the website or call 9416 7689 to RSVP.

All HMR enquiries contact Jenny Gowan 0417 506 944 or jenny.gowan@ndgp.org.au

 

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Immunisation

Pertussis: Myths and Facts

1. Myth: Pertussis infection is uncommon in Australia.

Fact: Pertussis is the most common vaccine-preventable disease, with epidemics occurring every three to four years.1 In 2006, there were over 11,000 reported cases of pertussis,2 however the figures are likely to be much higher as up to 95% of patients with pertussis may go undiagnosed.

2. Myth: Pertussis occurs mostly in childhood.

Fact: Although infants less than one year of age recorded the highest pertussis notification rates of any age group, i.e.100 per 100,000 in 2005,4 adults now account for >90% of all reported pertussis infections.

3. Myth: Pertussis is a mild disease.

Fact: Severe morbidity and mortality are less likely in adults, however when transmitted to susceptible infants, pertussis can cause severe or life-threatening illness. Potentially serious neurological complications include cerebral hypoxia, which can result in brain damage, and even death. Pertussis pneumonia, sometimes complicated by seizures and encephalopathy, is the leading cause of death from pertussis infection in young infants.5  Infants less than one year of age are consistently observed to represent the highest proportion of hospitalised cases each year, accounting for over 50%.

More myths next week.

 

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Information Management

Medical Director Tip - Displaying the Data toolbar in LetterWriter

When working with templates you quite often want to add fields “on the fly”. The Data toolbar allows you to do this and it can be displayed by pressing Control + D. This allows you to populate your templates with from the MD data fields. This includes people/organisation from your address book, clinical details (medications, histories, allergies, family and social histories, smoking/alcohol), patient demographics and summary (where you can add selected investigations and progress notes).

You can also have the Data toolbar permanently displayed by changing one of the preferences. From within LetterWriter go to the File menu and select Preferences. Click on the Defaults tab and check the box marked Display Data toolbar.

 

This weeks IM problem - Displaying table gridlines in LetterWriter

Question: When working with templates that have tables I have to go to the Table menu and select Gridlines. I can then enter information in the correct place within the table. Is there a way that Gridlines are always on?

Answer: It is simply a matter of setting your Preferences in LetterWriter. From within LetterWriter go to the File menu and select Preferences.ow do I fix this?

 

 

 

 Click on the Defaults tab and make sure there is a green tick in the Display Gridlines box. This will ensure that the Gridlines are always displayed. By the way gridlines do not print.

 

New on the Web

1. Updated information on dental items – Found under EPC/CDM and Aged Care Allied and Dental Health.

2. Aged Care Funding Instrument (ACFI) – new information re new funding model for residential aged care. See under Aged Care - ACFI  

3. Tuesday GP Lecture Program Calendar Term 2, 2008

 

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Items of Interest

Patient resource - Managing My Heart Health

This is an interactive resource for people with or at high risk of coronary heart disease, to help improve heart health and reduce the risk of further heart problems. It provides tools to help take action on important heart health goals and includes vital information on heart health related lifestyle, medical and psychological issues. Managing My Heart Health is available free of charge for single copies. To order call the Heart Foundation on 1300 362 787 or by email heartline@heartfoundation.org.au. Click here for more information.

 

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News for Practice Staff

MyPracticeTeam

Is a FREE Publication developed by the Royal Australian College of General Practice (RACGP) for Practice Managers, Practice Nurses and other practice staff. MyPracticeTeam has been designed specifically for practice nurses, practice managers and other practice staff, it has been developed in collaboration with AAPM and APNA. It provides access to many valuable resources to help practice staff save time, money and provide better patient care. It also contains subscriptions valued at $300 plus per year including Ambulatory Care Procedures for the Nurse Practitioner, Delmar's Fundamental and Advanced Nursing, Nursing Assistant Illustrated and Wound Management - Principles and Practice - 2nd edition. GPDirect™, an online shop for general practice supplies can also be accessed through MyGeneralPractice (a separate monthly subscription fee applies).

MyPracticeTeam is available free to all practice staff around Australia (you do not have to be an RACGP member). For assistance, email contactus@mygeneralpractice.org.au or call the Help Desk on 1800 284 789. For information on RACGP membership email membership@racgp.org.au or call 1800 331 626 to obtain a personalised login password

 

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Women’s Health

Weave Project

You may be approached by the University of Melbourne in the next few weeks to participate in the NHMRC funded weave project. Please consider being involved. Partner abuse is a common hidden problem for women attending general practice (if you are fulltime, you probably see five such women each week) and the highest cause of morbidity and mortality for women under 45. The project is exploring how we can improve care for women who have experienced partner abuse. Please consider the invitation, and contribute to helping women with this common social issue. Contact Lorna on 03 8344 3369 for further information.

 

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Positions vacant/wanted

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

 

Positions vacant

Doctors

Carlton - F/T or P/T GP position available at the Health Service, University of Melbourne providing services to the staff and students of the university. The practice is accredited, fully computerised and supported by nursing staff and a pathology collector. Excellent remuneration and hours - no after hours or week ends. Please call Anne 0418 541 138 or 03 8344 5172

 

Ivanhoe Medical Clinic - Sessions for PT or FT VR GP, large supportive group (9 GPs), FT nurses, computerized, EPCs, no A/Hs, friendly, flexible, mixed billing. Contact:- Dr.Stephen Smith or Dr.David Doig on 9499 1245

Practice Staff

Northcote 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 manger@doctorsofnorthcote.com.

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Humour

Cyanide

A nice, calm and respectable lady went into the pharmacy, walked up to the pharmacist, looked straight into his eyes, and said, 'I would like to buy some cyanide.'
The pharmacist asked, 'Why in the world do you need cyanide?'
The lady replied, 'I need it to poison my husband.'
The pharmacist's eyes got big and he exclaimed, 'Lord have mercy! I can't give you cyanide to kill your husband. That's against the law! I'll lose my licence! They'll throw both of us in jail! All kinds of bad things will happen. Absolutely not! You CANNOT have any cyanide!'
The lady reached into her purse and pulled out a picture of her husband in bed with the pharmacist's wife.
The pharmacist looked at the picture and replied, 'Well now, that's different. You didn't tell me you had a prescription.'

 

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