North East Valley DGP eNews

No 0912: April 16, 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/.
To subscribe to eNews click on subscribe. To be removed from the eNews distribution list click on Unsubscribe

 

In this issue:

Editorial                                          PIP Ehealth Update        

Chronic Disease Management      Life! - Taking action on diabetes programs       

Professional Development           CPD events         

Immunisation                                 Immunisation Question, Gardasil reminder      

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

Items of interest                            Life in the Medical Workforce, GP Network News, BECC waiting times          

News for Practice Staff                 Pathological Behaviours in the Workplace, New Training Sessions Available, Wound Awareness Campaign, Practice Nurses with Interesting Hobbies

Paediatrics                                     Paediatric upskilling - A Practical Approach to the Management of Autism, Childhood Allergies Active Learning Module    

Women’s Health                            Natural Fertility Enhancement               

Positions vacant/wanted                

Fun stuff                                            

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A Word from the Editor

PIP Ehealth Update

There is some confusion when completing the PIP eHealth Application Form.

iKey or Smart Card? – the iKey is the better way to go as 95% of practices have opted for it. Who wants a card reader on their desktop? The exception is if you have Terminal Services or a Macintosh, in which case you need the Smart Card.

Must I fill in which eClinical resources the doctors will have available from their desktops? The answer is “yes” but if you have left it blank you will be given an opportunity later to fill it in. It is up to the practice to determine which electronic clinical resources meet the specific eligibility criteria of the eHealth Incentive and the unique needs of their patients and practice setting. There will be NO definitive list of compliant resources published; any published lists are a guide only. Practices/practitioners need to determine which resources best meet their own requirements. Do not rely solely on claims made by third parties that use of such a product ensures compliance.

This was the advice received from Medicare/AAPM/RACGP at the time of writing. We suggest you complete the Application Form after you have attended our PIP eHealth Forum on April 23 and to keep an eye on the Q&As on the DoHA website and to call the PIP Hotline on 1800 222 032 if in doubt.

 

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Chronic Disease Management

Life! - Taking action on diabetes programs

“Life!” is a lifestyle modification program which can prevent or delay the onset of type 2 diabetes. Studies show that lifestyle modification, particularly weight loss and increasing physical activity can significantly reduce the risk of type 2 diabetes. “Life!” is a 5 x 2 hour session program, with a follow up session 6 months later, run by a Dietician, Physiotherapist, Podiatrist and Community Health Nurse. Eligibility Criteria: 40 years plus, Score 15 or more on Diabetes Risk Test.

Nillumbik Community Health Service, 917 Main Road, Eltham on Mondays – 7pm to 9pm on April 27th, May 11th & 25th June 8th & 22nd 2009. Contact Linda or Maria on 9430 9100 

Alphington Sports Medicine, 339 Heidelberg Rd, Northcote on Friday mornings at 9:30am. Phone Cathy Sgroi on 9481 5744. Fax completed referral forms to Emma Hall on 9481 3135.

The AUSDRISK test and Life! Program referral forms are available from www.diabeteslife.org.au or by calling 13 RISK (13 7475).

 

Ages and Stages: Diabetes Throughout the Lifespan

See under CPD

 

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CPD

Childhood Allergies Active Learning Module

The Royal Children’s Hospital in partnership with Divisions of General Practice is offering you the opportunity to gain 40 Cat 1 points. The aim of this program is to provide education that will help with the diagnosis, management and prevention of allergic disease in children.

Wednesday, May 20th 6.30pm – 9pm at Royal Children’s Hospital. Main Speaker: Associate Professor Mimi Tang, Head – Department of Immunology, Royal Children’s Hospital. Click here for registration

 

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. Tea and Coffee provided provided. Course Leader: Dr Vin Nursey Phone: 9457 1736

April 21 - Pulmonary Hypertension - Dr Chris Worsnop

For full term Tuesday lecture program click here

 

Austin Health - Division of Medicine Grand Round

“A clot buster’s secret life in the brain” Speaker: Associate Professor Robert Medcalf, Australian Centre for Blood Diseases

Wednesday 22nd April, 12:10pm at John Lindell Lecture Theatre, Level 4, Lance Townsend Building, Opposite Medical Library - followed by lunch in Zeltner Hall at 1:00pm

 

St Vincent’s GP education

GP Workshop in Skin Cancer Basic Techniques: a hands-on practical workshop. Saturday, 2nd May, 8.45 am-4pm. Strictly 28 places only so get in early. Accommodation deal available at Metropole Apartments for rural GPs and/or families. See:  www.svhm.org.au/gp for flyer or contact Paul Williamson on 9288 2986 or paul.williamson@svhm.org.au

 

St Vincent’s Rheumatology:  Hands-on Workshop in Steroid Joint Injection

Learn “who to inject and how to do it” using realistic joint models of shoulder, knee elbow and wrist in small groups of 5 GPs per instructor. Workshop leader: Dr Keith Lim, Rheumatologist at St Vincent’s. Saturday 9th May 9.30am – 12.30pm, Cost: $30. Maximum of 30 GP participants. RACGP QA&CPD points applied for.

For further information see flyer and registration form       

    

Ages and Stages: Diabetes Throughout the Lifespan

Annual Diabetes Australia - Vic and Baker IDI Heart and Diabetes Institute symposium Friday 22 May at The Sebel Albert Park, Melbourne. This symposium will explore diabetes care from the 'cradle to the grave' and provide you with ideas and strategies for your practice. Speakers include: Professor Ed Fisher (US) - Peer Support in diabetes, Assoc Professor Fergus Cameron (Royal Children's Hospital) - Paediatrics and Adolescents, Dr Sue Shepherd - Coeliac disease and fructose intolerance and its effects on diabetes management.  Registrations close: Friday 8 May. Registration form

 

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Immunisation

Immunisation Question

Question from Michelle Wills, Program Consultant, General Practice Victoria:

DHS took a call from a GP clinic this morning where their Medical Director IT system would only let them select Infanrix IPV rather than Infanrix hexa at 6 months of age.  The doctor said that they could report hexa on Medical Director a few months ago at this schedule point but not now! Is this an issue that other people are hearing about?

Answer: This appears to me to be a random error in MD. I checked a half dozen kids files aged between 4 months & 4 yrs of age in MD3 at my practice. When the check box opened, some offered Infanrix-Hexa as 1 of 6 options for combo vaccines, whereas some offered Infanrix-IPV as 1 of only 2 options for combo vaccines.

Whilst that is annoying, there is no real problem because, in all cases, the manual drop down box that is used to enter ‘Other Vaccine’ listed all vaccines including Hexa. That’s my read on it.

 

Gardasil reminder

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.

 

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Information Management

General Computer Tip - getting rid of Reading Layout View

When you open a Word attachment from Outlook the document opens in “Reading Layout” view (or is that “Reading Pane/Pain”?). This is the default setting when you use Word as your email editor in Outlook. You need to get rid of it!! 

Turn off reading layout view - Open Word and on the Tools menu, click Options and then select the General tab. Clear the “Allow starting in Reading Layout” check box.

 

Medical Director Tip - Procedure or Reason for Contact

Whilst in Progress Notes you can choose Procedure or Reason to record a coded item for the visit. They both use the same DOCLE database of coded items. If you select Reason that item is automatically added to the “Reason for Contact” column of the Progress Notes. With Procedure you have a “Save as reason for contact” checkbox so you have a choice whether to record the item as the reason for contact.  Remember though, if you record several reasons for contact, it is the last one that is recorded in the “Reason for contact” column of the Progress Notes – this is based on the assumption that patients save “the best” till last.

 

This weeks IM problem - Alerting when recall has been added

Question: Our practice nurse has been saving recall letters without any ID, just in letters file, and summary of the action does not appear in progress notes. They are done as a mail merge. Can this process be augmented so when we open progress notes the action can be easily identified and followed up if need be?

Answer: When a recall mailmerge occurs a copy of the recall letter is put into the Correspondence file (this is a good thing). Nothing is put in Progress Notes. You should get a notification that the patient has new correspondence on opening the record, provided this feature is turned on. From the Tools menu select the Prompts tab and ensure there is a tick in the New Correspondence box.

Another feature to alert you is the appearance of the “bouncing” recall telephone if a recall is due within 30 days.

 

New on the Web

1.   Childhood Allergies Active Learning Module – found under CPD Calendar

 

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Items of Interest

Have your say about Life in the Medical Workforce

Join the Doctors’ e-Cohort Study today! The Doctors' e-Cohort Study is a five year longitudinal study that will explore the complex factors influencing the health and wellbeing of Australian doctors and medical students, their career choices, and their recruitment and retention in metropolitan, rural and remote regions. By choosing to take part in this study, you will help us to understand what you find satisfying and frustrating about working in medicine. You can potentially help put in place state and national policies that will lead to more positive outcomes for practitioners and their patients. We invite all medical practitioners and medical students to participate in the study by logging on to the website at http://doctors.e-cohort.net

 

GP Network News

This week’s edition includes: AMA: Better broadband good for patients, Visiting Medical Officer tax and superannuation changes, AMA survey on pharmacist requests for prescriptions and Managing the risks of fatigue in general practice.

 

BECC waiting times

Waiting times for new referrals to Bundoora Extended Care Centre Inpatient Admissions are currently approximately Gem 0 - 7 days, Rehab 0 - 4 days as of 15.4.09. Any queries regarding our waiting times please contact Access BECC on 9495 3109

 

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News for Practice Staff

Pathological Behaviours in the Workplace

A conference for all Nurses and other Health Care staff (from Ausmed). A highly significant conference designed to explore the ever changing world of interpersonal/organisational relationships. Listen to 9 speakers present throughout the two days about these destructive issues and how to deal with them. Delegates will learn how to reduce the adverse effects of these issues as well as being offered some helpful workplace strategies. Thursday 21st May & Friday 22nd May at Hotel Ibis, Melbourne. See flyer to register.

 

New Training Sessions Available

 Ausmed Conferences - Ausmed is a Melbourne-based education provider specialising in short, practical courses. Ausmed offers a large range of practical courses run over one or two days. Conferences on a range of topics can also be found on this website. For further information please telephone: (03) 9375 7311

 

Wound Awareness Campaign

The Elephant in the Room wound awareness campaign is nationwide on behalf of The Australian Wound Management Association (AWMA) that seeks to draw attention to the serious problem of chronic wounds, a condition that affects of 270,000 Australians each day. Practice Nurses and GPs are being encouraged to sign the online petition to help raise awareness and raise standards of care for all and calling for Federal action. The link to the Petition is here

 

Practice Nurses with Interesting Hobbies

The Medical Observer magazine Practice Nurse Editor is looking for a practice nurses who has an interesting life outside of work? If you know of any nurses who have any time to do other things than work and family and would like a story written about themselves please contact Kathryn Eccles, Medical Observer, email: kathryn.eccles@medobs.com.au, or phone (02) 9902 7856

 

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Paediatrics

Paediatric upskilling - A Practical Approach to the Management of Autism: navigating the 135

Would you like to join the next RACP vicFEAT paediatric upskilling session on Wednesday 29th April, 7-8.30pm?  The VicFEAT series is popular among paediatricians and now open to GPs.  You can participate at the RACP (Royal Australian College of Physicians) on St Kilda Road or through satellite link-up at the RCH and other venues throughout Victoria. The session will include a few case presentations, plenty of open discussion between all participants (in person and by video-conference) then feedback, recommendations and brief presentations from a panel of experts. You can ‘self record’ two CPD points with the RACGP.  For more information see RCH Primary Care Liaison (Kids Connect) here or call Susan Jury on 9345 4645.

 

Childhood Allergies Active Learning Module

See under CPD

 

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Women’s Health

Natural Fertility Enhancement

The Ovulation Method Research and Reference Centre of Australia Ltd, an Accredited Provider with the RACGP will offer a 6 hour Active Learning Module entitled Natural Fertility Enhancement on 4th May 9.30am - 5.45pm, held at Rydges Bell City, Preston. For further information contact OMR&RCA on 03 9802 2022 or visit website.

 

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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

Northcote – F/t P/T VR GP or Subsequent Trainee GP position. Fully accredited, computerised, long established doctor owned practice in a new purpose built facility with a fabulous work environment. Ancillary Health, Pharmacy and Pathology services on site. Inquiries Diane Cronin (Practice Manager) 9481 1214. Visit our website www.doctorsofnorthcote.com

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Humour

The plumber

A pipe burst in a doctor's house. He called a plumber. The plumber arrived, unpacked his tools, did mysterious plumber-type things for a while, and handed the doctor a bill for $600.

The doctor exclaimed, "This is ridiculous! I don't even make that much as a doctor!"

The plumber quietly answered, "Neither did I when I was a doctor."

 

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And remember

 

            the things that come to those who wait, may be the things left by those who got there first.