North East Valley DGP eNews

No 0906: March 5, 2009
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:

Chronic Disease Management      Banyule & Nillumbik Life! Programs      

Professional Development           CPD events         

HMR                                                Partnership Program to Improve Medication Compliance         

Immunisation                                 GPII, HPV – Changes to Dates, Changes to Due and Overdue Rules, Measles Alert, HPV Register latest news, Immunisation for Health Care Workers        

Information Management            includes General Computer Tip, Medical Director Tips and New on the Web

Items of interest                            “ACCESS” - Cutting Edge Chlamydia Surveillance, BECC waiting times           

News for Practice Staff                 Practice Managers and Nurses Network Meeting, Triage: a team approach, Nurses supporting Nurses         

NPS                                                 1st NPS Audit for NEW QPI PIP year, GP Focus Group Meeting, NEW NPS Program – Treating the Symptoms of Dementia

Women’s Health                            Medical & Psychiatric Interventions to Improve Perinatal & Maternal Outcomes               

Positions vacant/wanted                

Fun stuff                                            

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Chronic Disease Management

Banyule Community Health is offering two life! Programs for 2009

“Go for your life” is a Victorian Government strategy that has been developed to support Victorians aged 40 years & over & Aboriginal & Torres Strait Island people of all ages who are at risk of developing Type 2 Diabetes. “The life! Program is a community based lifestyle behaviour changing program, which has been proven internationally to prevent progression to Type 2 Diabetes in those with a high Diabetes risk score”

First Program on Fridays: 10am -12md. June 12 & 26, July 10 & 24, August 7: Final session: February 5 2010 at North East Valley Division of General Practice

Second Program on Wednesdays: 1pm – 3pm. August 12 & 26, September 9 & 23, October 7: Final session: April 7 2010 at Banyule Community Health, Pauline Toner Centre 3/25-33 Grimshaw St, Greensborough. For referrals contact: Fran Mills on ph: 9450 2055

 

Nillumbik Life! Program

Tuesdays: 7pm - 9pm. March 10 & 24, April 7 & 21, May 5 at Nillumbik Community Health Service, 917 Main Road, Eltham. Run by a Dietician, Physiotherapist, Podiatrist and Community Health Nurse. Phone Linda or Maria on 9430 9100.

 

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CPD

Term 1 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

March 10 - Migraine Update - Dr Mark Newton

For full term Tuesday lecture program click here

 

Confidence with Kidney Disease – Important Principles for Management 

Kidney Health Australia in partnership with MGPN presents an education evening for GPs. Topics covered include: Kidney disease early detection and management, drug dosing, interpreting eGFR and special issues for Kidney Management in General Practice. Meal provided. Tuesday 17th March 6:30pm. At the Chairman’s Room, Level 4 Moonee Valley Racing Club, McPherson St, Moonee Ponds. Speakers: A/Prof Robyn Langham Director, Dept of Nephrology, St Vincent’s Hospital , Dr Craig Nelson Head of Unit, Dept of Nephrology, Western Health ,Prof David Power Department of Nephrology, Austin Hospital. To register or for more information: Contact Jessica @ MGPN on 9347 1188

 

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HMR

A Partnership Program to Improve Medication Compliance

Approximately 50 per cent of patients fail to comply with their medication regimen. PricewaterhouseCoopers (PwC), in collaboration with the University of Sydney, is leading a research team to investigate and evaluate strategies that can be provided in the community pharmacy to improve compliance to long term medication regimens. Patients recruited to the study will be required to consent to the pharmacist contacting their GP to discuss their medication compliance plan. Furthermore, GPs who have a patient recruited to the study will also be asked to complete an online survey at the end of the trial regarding their perceptions of the success of the intervention for their patients.

If you have any questions about the study, or would like any further information on how this trial may affect you, please contact the researchers on 1800 819 740 or via email on info.mc@au.pwc.com.

 

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Immunisation

GPII

The February 2009 initial coverage rates for practices across the Division have just been published. There are 58 GPII registered practices in the Division. The overall coverage rate for the Division is 90.3%. Across the state the range is 93.9% down to 87.4%. Within the Division the range is from 100% down to 71.7% with 52 practices at or above 90% Most of the practices below 90% will probably increase their rate after the recalculation in March.

 

HPV – Changes to Dates for ‘Free’ Vaccination Program and using PEN CAT to assist

The availability of free vaccine for 18 to 26 year old women has been extended by 6 months. All females in this age group who are as yet un-immunised need to receive their first dose of the vaccine by 30 June 2009, and must complete all three doses by 31 December 2009.

Note: HPV will continue to be provided free to Year 7 girls only from 2010 onwards as part of the National Immunisation Program schedule in Victoria.

This change adds 6 months life to the Gardasil searches of the PEN Clinical Audit Tool. Use the CAT to find those patients who have not had their first injection and recall them so that the first injection occurs before the end of June 2009. A special reminder letter to get the first Gardasil injection has been added to the Medical Director Templates – No 9 Other

 

Changes to Due and Overdue Rules

Changes to these rules on 1 January 2009 will effect the payments associated with immunisation. The changes apply to children born from 1 January 2005 who will now be overdue at 4 years and 1 month instead of at 5 years of age. Parents who are receiving the Child Care Benefit will need to make sure their child is immunised as close as possible to the 4 year old birthday. Parents will receive a reminder notice from Centrelink if the child’s immunisation status is not received by 4 years and 1 month. They will then have 63 days to complete the immunisation schedule and ensure that Centrelink has been informed to be certain that the payments will not be cut. Unlike the parents, General Practice must ensure that the 4 year old immunisations are completed by 4 years and 1 month with no extensions.

 

Measles Alert

There have been a number of confirmed cases of measles in Melbourne, Brisbane, Adelaide and in the Northern Territory - all from imported measles and spread to unimmunised people. GPs are asked to inform their public health units in their jurisdictions if any patient is suspected of having measles. Information on measles prevalence in your area and symptoms can be obtained by calling 1300 651 160. For information on all immunisations that are part of the National Immunisation Program: Immunise Australia Program Click here

 

The HPV Register – the latest news

The next stage of development of the register (by May this year) will involve patients receiving completion or history letters and general practice receiving log on details to be able to check their patient’s history as the register becomes interactive. Details about the HPV register are available online at www.hpvregister.org.au or call 1800 478 734.

 

Accreditation - Immunisation for Health Care Workers (Information courtesy of AGPAL)

With the Flu season almost upon us it is time to remind  Practices that it is highly recommended that they provide a safe working environment for all employees, including prevention of occupational exposure to infectious diseases. All practice staff should be educated, advised to be protected and offered vaccinations appropriate to their duties.  Immunisations or screening to be considered will be dependent on each staff member’s role, their duties, current immunisation status.

Any vaccination must be given in accordance with the recommendations of the current NHMRC Australian Immunisation Handbook, with reference to the indications and contraindications. http://immunise.health.gov.au  Further clarification may be obtained from the Australian Immunisation Handbook, page 104-107.

Records of staff education, counselling and offered vaccinations should be documented, either in a central register or in personnel files. Please note the practice must obtain informed consent before screening and vaccination, preferably in writing. If recommended vaccines are refused, obtain signed documentation of refusal. To obtain a copy of a staff immunisation consent and refusal form please contact John or Janina

 

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Information Management

General Computer Tip - Finding health professionals

Sometimes you wish to find a listing of all the health professionals in a postcode area, e.g. all the GPs in Greensborough, or all the dietitians in Ivanhoe.

1.   Open the Better Health Channel website – www.betterhealth.vic.gov.au

2.   In the left panel select Health Services under Find help.

3.   Enter the postcode or suburb name and select the type of health professional from the drop down list and click on Search – a list of those health professional will then appear.

 

Medical Director Tip - Preventive Health prompts

When you open a patient record you will get, where relevant, a preventive health message such as “A weight has not been recorded in MD for over a year”. At the bottom of the window is a “Customise patient prompts” button. By selecting this you are able to turn off certain prompts. It is not recommended you do this, but the choice is yours.

 

This weeks IM problem - Viewing deceased patient records

Question: I know there is a way to reopen MD files of patients who have been deceased but I don’t remember it. Can you help?

Answer: Easy!

1.   No patient record open, Press F10 or

      MD2: Click on the Files menu and select Patients

      MD3: Click on the Patients menu and then select List…

2.   From the drop down menu at the top of the screen select Deceased Patients. Type in the patient’s name and choose from the list.

This will open the patient file and notes may be added, documents scanned, and scripts of active medication printed, new letters written. It is not possible to add new medication, past history, or add new pathology results.

 

New on the Web

1.      NEVDGP Nurse Associate Membership Form – found under Practice Nurses Network - Nurses supporting Nurses.

2.      1st NPS Audit and NEW NPS Program found under Quality Use of Medicines

 

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Items of Interest

“ACCESS” - Cutting Edge Chlamydia Surveillance

WANTED: General practices interested in joining a national network to track Chlamydial infections in young people. We will use cutting edge technology to support and adapt your information systems and provide you and Australia with unique information on this silent and growing cause of infertility and other complications. CPD points and $750 will be offered.  Very little work required. For more detailed information click here or contact Fabian Kong on 03 8506 2327 or fabian.kong@burnet.edu.au.

 

BECC waiting times

Waiting times for new referrals to Bundoora Extended Care Centre Inpatient Admissions are currently approximately Gem 3- 7 days Rehab 3 - 7 days as of Wednesday 04/03/09. Any queries regarding our waiting times please contact Access BECC on 9495 3109

 

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News for Practice Staff

Practice Managers and Nurses Network Meeting

Sterilization/Infection Control Update and IM Update: Thursday March 19, 6.30 pm – 9:00 pm at John Scott Meeting House. Flyer or register by emailing Noel

 

Triage: a team approach - Workshop for Practice Nurses and Reception staff

Tuesday 24th March 6.30pm to 8.30pm (6.15 registration). This interactive workshop is designed to give practice staff an opportunity to identify what their triage role is and what communication pathways and practice policy will support this role. Presenters – Judy Evans and Lynne Walker from walkerevans consulting

For further information and registration (Flyer)

 

Nurses supporting Nurses

We are encouraging Practice Nurses to register a list of their credentials and recommend that you complete this form and become associate members of the North East Valley Division of General Practice. In addition, we are creating a register of nurses who have the capacity, and are willing to act as a “buddy” for new practice nurses or nurses wanting to expand their skills in specific areas.

·          If you are interested in becoming a buddy please complete the form and return it via fax on 9496 4349 or email Janina or Wendy

·          If you are a practice nurse who would like some friendly support from an experienced practice nurse, please email Janina or Wendy  

 

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NPS

1st NPS Audit for NEW QPI PIP year

The 1st paper clinical audit for the new QPI PIP year 1 May 2009 - 30 April 2010 is now available for online enrolment (www.nps.org.au), enrolment using paperwork in PPR 44 or alternatively you may use the divisional flyer to enroll. The topic is Clinical audit: Antiplatelet and anticoagulant therapy in stroke prevention and is approved by RACGP for 40 category 1 points in the 2008-2010 triennium. Enrolments close on Friday 10 April 2009 and completed audit packs MUST be submitted to the NPS by Friday May 8th 2009.

 

GP Focus Group Meeting

Monash University would like to invite GPs to take part in a Focus Group Meeting on Wednesday 25th March. The session aims to explore Community pharmacist involvement in prevention of cardiovascular disease.  The session will be held in the Sissons meeting room at Monash University (Parkville Campus) - Faculty of Pharmacy and Pharmaceutical Sciences, 381 Royal Parade Parkville and will commence at 7.30pm.  The duration of discussion will be approximately one hour. Participants will be offered an honorarium of $100.00 to compensate them for their time. To register your interest and/or for more information and an Explanatory Statement on the study contact Mr Thom Donovan (Pharmacist) on 9903 9057 or Email: thomas.donovan@pharm.monash.edu.au.  

 

NEW NPS Program – Treating the Symptoms of Dementia

The first NPS program for 2009 on ‘Treating the symptoms of Dementia’ has commenced.  One to one practice visits and case study meetings for groups of 3 or more GPs are available.  Sessions award 2 RACGP points (category 2 points). The program will run until end 30th June 2009. The program discuses the limited benefits of the dementia medications (cholinesterase inhibitors & memantine), use of antipsychotics medications in dementia and more ….see program flyer. If you or your practice regularly participates in NPS divisional activities, do nothing and we will contact YOU to organise your visit(s).  If you have never taken part in an educational session and are interested in this topic please contact Dr Mary Levidiotis on 9496 4333 or email mary@nevdgp.org.au or contact Ms Melanie Hay on 9416 7689 or email Melanie.Hay@ndgp.org.au or use the attached form to contact us.

 

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Women’s Health

Medical & Psychiatric Interventions to Improve Perinatal & Maternal Outcomes

Assoc Prof Sue Walker, Perinatal Medicine Consultant & Dr Megan Galbally, Consultant Psychiatrist, Mercy Hospital for Women.

Tuesday 24th March. 7.00-9.00pm (Registration & Refreshments from 6.30pm) Level 4 Mercy Hospital for Women, Heidelberg

Registrations: Merran McDonald 8458 4833 / mmcdonald@mercy.com.au or click here for the registration flyer.

 

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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

Thornbury - VR GP, F/T or P/T required for accredited long established friendly family practice.  Mixed billing. Nursing support.  Fully computerised.  Please contact our Practice Manager Evelyn on 9484 7762 or 0408 100 279

 

Positions wanted

Nillumbik area - GP available for work. Hours flexible. Able to start immediately. Contact Dr Farhat Arjmand on 0412 419 340

 

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Humour

Speeding ticket

"What am I supposed to do with this?" grumbled a motorist as the policeman handed him a speeding ticket.
"Keep it," the cop said, "when you collect four of them you get a bicycle."

 

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And remember

 

            …if you have to pick between two evils, pick the one you’ve never tried before.