North East Valley DGP eNews

No 0822: July 3, 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                                           Secure Electronic Communication using ArgusConnect        

Chronic Disease Management         Life! Taking Action on Diabetes      

Professional Development               CPD events          

Immunisation                                   Gardasil   

Information Management                includes Medical Director tips and New on the Web

Items of interest                               GP referrals for dental services under Medicare, Healthy Kids Check, Helping Children with Autism, Austin Health Neurology Guidelines for GPs, GP Network News       

Mental Health                                  Free Forum - Managing Dual Diagnosis in General Practice  

News for Practice Staff                    Spirometry Training Course, Preventing Osteoporosis and Reducing Fracture Risks, Practice Nurse Conference

Paediatrics                                      Referring to the Royal Children’s Hospital, Royal Children's Hospital - Seeking new GP consultant

Positions vacant/wanted                     

Fun stuff                                              

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A Word from the Editor

Secure Electronic Communication using ArgusConnect

Argus is a computer program that enables health service providers to securely exchange clinical documents between their computer systems via email. It runs on any doctor’s computer alongside existing clinical software and enhances internet email with additional features for clinical needs such as security through the use of PKI encryption. If you are using Medicare online billing you already have a PKI site licence. If not Argus will arrange PKI for you.

The North East Valley Division of General Practice is encouraging its general practice members and local specialist to pass referral information, reports and specialist letters using Argus. The division has negotiated with ArgusConnect to a half cost installation fee of $110.00. This offer is only valid for 2 months – August and September 2008. After that the installation cost reverts to $220.00. There will be an optional “priority support” hotline and the cost of this being still negotiated by the division (non-priority support is free).

To take advantage of this offer, you need to send an application form ASAP to Noel who will then forward this to ArgusConnect. We will devise strategies to involve specialists, allied health, pharmacists and local hospitals to become licensed Argus users. Further information contact Noel on (03) 9496 4333.

 

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Chronic Disease Management

Life! Taking Action on Diabetes

Four Life! courses are now available in your area. The six session lifestyle intervention course has been shown to reduce the risk of diabetes in course participants by 58%.

Organisation:     Northern Division of General Practice

Venue:              Preston

Start date:         14 July 2008

Organisation:     Banyule Community Health Service

Venue:              West Heidelberg

Start date:         4 August 2008

Organisation:     Nillumbik Community Health Service

Venue:              Diamond Creek                          Venue: Research

Start date:         12 August 2008                         Start date: 25 August (evening course)

Is your patient eligible?

1. Assess: Encourage your patient to complete the Diabetes Risk Test (available from 1300 136 588 or http://www.diabeteslife.org.au).

2. Test: If your patient is 50 or above, score above 15 on the risk test, and have had diabetes excluded they are eligible for the program.

3. Refer: Obtain a referral form (available from 1300 136 588 or http://www.diabeteslife.org.au) and fax it to Diabetes AustraliaVictoria on 9667 1778.

For further information please contact Angie Deegan on 9341 5247 or a.deegan@gpv.org.au

 

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CPD

Spirometry Training Course for GPs and Practice Nurses   (only 7 places remaining)

Saturday August 16, 9am – 4.30pm (Refreshments and meal will be provided) at John Scott Meeting House, Latrobe University, Bundoora. Invitation to GPs and PNs. The presenters for this workshop are members of the National Asthma Council and are trained asthma experts: General Practitioner: and an Asthma Educator. The workshop will provide education and training specifically around evidence-based best practice asthma management. In addition, each participant will receive a kit and resources covering an interactive 6-hour workshop with practical sessions, training in the application, measurement and interpretation of expiratory spirometry. This is an ANZSRS endorsed spirometry training course for GPs. The modules include spirometry, medications, allergy, paediatric asthma, older adult asthma, device technique and COAPD. Application form

 

Term 3 GP Lecture Program

Meetings are held on Tuesdays 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

There is no lecture next week (8th July), the next lecture is July 15 - Treatment of Burns in General Practice - Dr Jim Goutzamanis

For full term Tuesday lecture program click here

 

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Immunisation

Gardasil

Catch-up ceases on the 30th June 2009

The national Gardasil vaccine catch-up program for girls and women aged 13 years to 26 years will cease on 30 June 2009. All eligible females will need to have completed their course of three doses of Gardasil by 30 June 2009 in order to be eligible for free vaccine. In order to be eligible for the free vaccine program, girls and women commencing the course of vaccine will need to be given dose one of Gardasil vaccine in December 2008. Girls and women (other than girls in Year 7 of secondary school) who have either not started a Gardasil vaccine course or who have not completed their vaccine course, will have to purchase vaccine doses on prescription after 30th June 2009.

Do not repeat earlier doses of Gardasil vaccine       

If the recommended time intervals have been exceeded, give the missing dose(s) as soon as practicable, making efforts to complete the schedule within 12 months but observing the minimum intervals. Refer to The Australian Immunisation Handbook 9th Edition, 3.7 Human Papillomavirus chapter.

 

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Information Management

Medical Director Tip - Recording a patient education leaflet in progress notes

When you print an education leaflet in both MD2 and MD3 there is no record of this in your progress notes. You need to go back into the progress notes of the patient record, click on the Reason button and type in “ed” (without quotes). Double click on “Education – patient. Uncheck Save in PMH and this will place Education – patient under Reason for visit. Simply add to this by typing what the leaflet was about, e.g. Education – patient given sheet on haemorrhoids.

 

This weeks IM problem -  Adding to coded lists

Question: Can you add an item to the coded list for “Reason for visit” or “Reason for contact”?

Answer: No!!!! What a dog’s breakfast would ensue if you could!!! Forward any item to me (via email) that you would like to see added to the coded list and I will forward it on to Dr Andrew Magennis at HCN.

 

New on the Web

1. PEN Clinical Audit Users Guide Version 2.1 – July 2008

    PENPals Newsletter No. 3 (June 30, 2008) –

    See under Pen Clinical Audit

2. New Medical Director templates

    - Four year old health check (item 709, 711) – under Health Assessments

    - Victorian Workcover Certificate (colour) – under Medical certificates

    - Victorian Workcover Certificate (no colour) – under Medical certificates

    - Application to treat an opioid dependent person with methadone or buprenorphine – under Other templates

    Found under IM Resources – MD templates

3.         Resurrection of the EPC Dental item – see under Chronic Disease Management - Dental

4.         Tuesday GP Lecture Program Calendar Term 3, 2008 – see under Education and Events – Tuesday lecture Program

5. The Australian Immunisation Handbook, 9th Edition – this electronic version is found under Immunisation Resources

 

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Items of Interest

GP referrals for dental services under Medicare - Going, going, almost gone!! Now back!!!

Changes to the Medicare dental referral where eligible patients could access up to $4,250 in Medicare benefits for dental services over two consecutive calendar years was to be phased out by June 30, 2008. As change to this system was blocked in the senate the “old” system is still valid until further notice. More information including referral templates can be found under Chronic Disease Management – EPC Dental Items.

 

Healthy Kids Check (items 709 and 711)

The Australian Government has introduced a new item number in the Medicare Benefits Schedule for a ‘Healthy Kids Check’. The item number has been introduced to support general practitioners and practice nurses to undertake a health check for a patient who is receiving or has received their four year old immunisation. The rebate is $45. Item number 10990 of $5.40 can be claimed at the same time. Details of the item number are available from the July 2008 MBS supplement.
The NEVDGP has produced 2 MD templates for the assessment, one with DoHA logo, the other without – found under IM Resources – Health Assessments.

Practices will be able to order copies of the Guide as per their requirements.

·         Fact sheet

·         Questions and Answers Sheet

·         Checklist (paper-based version of the assessment)

·         Get Set 4 Life – habits for healthy kids (PDF 3223 KB) 

 

Helping Children with Autism

A new referral pathway for children with autism or any other pervasive developmental disorder (PDD), available through the MBS from 1 July. Further information on the initiative is available from the Department of Health and Ageing at - www.health.gov.au/autism 

 

Austin Health Neurology Guidelines for GPs

To assist GPs with the treatment of patients with Carpal Tunnel Syndrome, Ulnar Nerve Entrapment, and Bell’s Palsy, pre-referral guidelines have been developed.  A guide to the Outpatient Department’s triaging process of patient’s with a neurological complaint has also been developed. These documents can be found on the Austin Health Internet (www.austin.org.au), click on “Information for GPs”.  Should you have any questions, please contact the GP Liaison Officer, Dr. Wendy Fisher on email wendy.fisher@austin.org.au or phone (Mon/Tues) on 9496 2681.

 

GP Network News

This edition contains: GPs The Heart Of Primary Care, Time for Aged Care to Come Out of the ‘Policy Inertia Zone’, AMA meets with DOHA on Level C And D Consultation Items, AMA Meets With Minister’s Office on GP MRI, Resources for Understanding Medicare. Full version.

 

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Mental Health

Free Forum - Managing Dual Diagnosis in General Practice

Speakers: Dr Enrico Cementon, Psychiatrist, SUMIT and Dr Matthew Frei, Addiction Specialist, Chapter of Addictions Medicine. The speakers will discuss management principles, available assistance and present case studies.

Tuesday 29th July 6.30pm to 9.00pm at Metropole Conference Centre, Duncan Reilly Room, 44 Brunswick Street, Fitzroy, 9411 8100

Please RSVP to Mal Doreian by Friday 25th July mald@turningpoint.org.au or 03 8413 8721

It’s free, open to all GPs and finger food and refreshments will be provided.

 

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News for Practice Staff

Spirometry Training Course for GPs and Practice Nurses

See under CPD

 

Preventing Osteoporosis and Reducing Fracture Risks – Invitation to Practice Nurses

Dr Mary Levidiotis, NPS Program Coordinator for NEVDGP & NDGP will present an interactive workshop for practices nurses focusing on the patient population over the age of 60. One in two women and one in three men are at risk of an osteoporotic fracture.  A ‘real case’ study will be discussed. This workshop will be held on Thursday 7th August, from 6:45pm, Start 7pm to 8.30pm at John Scott Meeting House, Latrobe University. For further information and registration click here or contact Janina on 9496 4333

 

Practice Nurse Conference

Ausmed runs more than 150 educational events for nurses, midwives, allied health and school teachers each year. All programs are evaluated and Continuing Nurse Education Points are allocated where appropriate. These programs are run in all capital cities and Territories within Australia. (Email ausmed@ausmed.com.au or call (03) 9375 7311 for detail).
Chronic Disease Management - Conference for all Nurses,  in Melbourne: Program Details Conference Program  Thursday 4th and Friday 5th September 2008 at The Hotel IBIS, Therry Street, Melbourne  Register Now

 

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Paediatrics

Referring to the Royal Children’s Hospital

Typed referrals are easier for triage staff to read, especially after faxing.  The Victorian Statewide Referral Form and RCH Referral Form can be saved as a Word document or downloaded to your Practice software and then be auto-populated with much of your patient information.  

See RCH Kids Connect for referral forms, contact details, pre-referral guidelines and more information on referring.

 

Royal Children's Hospital - Seeking new GP consultant

Are you interested in changing the world?  Perhaps in making a difference at the interface between general practice and the RCH for paediatrics in Victoria?  If you said yes, come join Kids Connect at the RCH as our new GP Consultant, 8-10 hours per week. This is a non-clinical role and the innovative nature of the program demands flexibility and a diverse range of skills.  As well as being practical and ‘hands-on’, you’ll have a strong advocacy role for both general practice and the RCH, contributing to strategic developments for smoother, safer transitions of care. You can find out more about Kids Connect at www.rch.org.au/kidsconnect or contact Susan Jury on tel. 9345 4645 or susan.jury@rch.org.au.  

 

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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

Cheltenham-We are looking for a VR GP to join our midsized accredited practice. Comfortable new rooms, fully computerised, flexible sessions, pathology, podiatry, physiotherapy and psychology all on site. Excellent remuneration, you will not be disappointed. Will suit subsequent trainees. For further information please phone Peter Enten on (03) 9584 9504 or peterenten@bigpond.com

 

Deer Park - Brand new rooms opening in September 2008 – 2 Full Time General Practitioner Positions available. Salaried position with fully maintained car and generous salary packaging.  Outer metro relocation payment of $30 000 may be available. We are seeking enthusiastic, compassionate, dedicated GPs to join our busy team in providing medical services to the community. You will have access to a supportive team of nursing and administrative staff and will be able to concentrate on quality medicine and the care of clients while others do your billing. Enquiries to Dr Caroline Ong on 9219 7142.  For position description telephone 9296 1217 or email hr@isispc.com.au  

 

Ivanhoe Medical Clinic - sessions for female VR GP. Modern, large group with supportive colleagues and full time nurses, computerised, CDMs, mixed billing, flexible, friendly, no A/H, good remuneration. Contact Dr.Stephen Smith or Dr.David Doig on 03 9499 1245.

 

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Humour

NB: The Practice Manager from Dundas Street, who shall remain nameless, has advised me that the joke in issue No 0820 was a repeat. Therefore, in compensation (or punishment), you get 2 jokes this week.

 

Australian sensitivity

Three Aussies were working on a high-rise building project - Steve, Bruce and Bluey.
Steve falls off and is killed instantly.
As the ambulance takes the body away, Bruce says, “Someone should go and tell his wife”
Bluey says, “OK, I'm pretty good at that sensitive stuff, I'll do it”
Two hours later, he comes back carrying a case of Fosters.
Bruce says, “Where did you get that, Bluey?”
“Steve's wife gave it to me,” Bluey replies.
“That's unbelievable, you told the lady her husband was dead and she gave you the beer?”
“Well not exactly,” Bluey says. “When she answered the door, I said to her, ”You must be Steve's widow”
She said, “No, I'm not a widow”
And I said, “I'll bet you a case of Fosters you are”

 

Cross eyed

A man takes his Rottweiler to the vet.

"My dog is cross-eyed, is there anything you can do for him?"

"Well," said the vet, "let's have a look at him". So he picks the dog up and examines his eyes, then he checks his teeth. Finally, he says, "I'm going to have to put him down."

"What? Because he's cross-eyed?"

"No, because he's really heavy".

 

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