North East Valley DGP eNews

No 0918: May 27, 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:

Editorial                                          Going green and being on the cutting edge of technology       

Professional Development           CPD events         

HMR                                                Osteoporosis - best management         

Immunisation                                 Latest Swine Flu News, Immunisation Encounter Error, Gardasil reminder      

Information Management            Clinical Audit Tool – new website, General Computer Tip, Medical Director Tips and New on the Web

Items of interest                            Reminder:  Urgent Outpatient Referrals, Support for Bereaved Parents and Siblings, North Eastern Metropolitan Integrated Cancer Service Forum, Assistance with implementing EPC items, GP Network News, BECC waiting times   

Mental Health                                Mental Health Program for GP Health, Upcoming Changes to Mental Health Item Numbers

News for Practice Staff                 Treating Symptoms of Dementia           

Positions vacant/wanted                

Fun stuff                                            

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A Word from the Editor

Going green and being on the cutting edge of technology

Due to pressure from our very active practice managers, invitations to education events will now have a paperless option, i.e. you will be able to submit by email, rather than printing and faxing. This green approach will save a lot of paper!!

The first form to do this will be the invitation to the next IM meeting at La Trobe called “The Cutting Edge” where the main event is a presentation by Dr Anton Knieriemen where he will showcase Going Green with the Doctors Control Panel, a program he has written to assist in preventive care measures for MD and Best Practice users. Also on the bill is a demonstration of the new electronic imaging technology by MIA Victoria whereby you can view streamed radiology images on your PC. See the new Application Form here.

 

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CPD

The “Cutting Edge” in Information Management

Dr Anton Knieriemen will showcase the Doctors Control Panel, for MD and Best Practice. He writes: “I am passionate about preventive care and change principles. I leverage the software that I create to implement change in the way I practice medicine. A feedback loop for improvement has emerged. With better information access and workflow improvements new opportunities for innovation have arisen.”

MIA Victoria will show the technology whereby you can view streamed radiology images on your PC. And last and definitely least a quick demonstration by the division’s IM officer of a 3G modem card combined with remote access.

Don’t just take my word for it, others are just as enthusiastic about the Doctors Control Panel:

Cool Tools – article by Dr Tony Lembke (Collaboratives)

Keeping it Simple – article on the DCP by Noel Stewart in Australian Doctor

Doctors Control Panel Homepage – read all about it and download for free and if you like it, make a donation to Unicef or a charity of your choice.

Application Form here.

 

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. Course Leader: Dr Vin Nursey Phone: 9457 1736

June 2 -  Management of Dyslipidaemias - Dr Omar Farouque 

For full term Tuesday lecture program click here

 

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HMR

Osteoporosis - best management: Northern & NEV Divisions’ HMR meeting

Wednesday 3 June 6.30 pm for 7pm start at John Scott Meeting Room, LaTrobe University. Sit down dinner. Speaker: Dr Roland Ebringer, Rheumatologist

RSVP Cherry Braine 9416 7689. HMR or medication issues contact Dr Jenny Gowan 0417 506 944. Click here for flyer.

 

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Immunisation

Latest Swine Flu News

See the latest communication from the Commonwealth Chief Medical Officer under latest news on our website (dated 24 May, 2009), noting again that references to Public Health Units translates to contacting the Communicable Disease Prevention & Control Unit on 1300 651 160 or through our after hours paging service 1300 790 733. It is advised that you keep up to date by checking the DHS website daily.

 

Immunisation Encounter Error

Practices are asked to check their childhood immunisation encounter data transmission to ACIR for the following error - Infantrix hexa at 2, 4 and 6 months is being mis-reported as infantrix IPV.

 

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

Clinical Audit Tool – new website

The PEN CAT, in conjunction with the RACGP has set up a new website which can be found at: http://www.clinicalaudit.com.au/

To celebrate the launch of this website and to provide CAT users with valuable tools to assist them in getting the most out of CAT, they are asking you to submit recipes and success stories from your experience with CAT. Some examples are already available at www.clinicalaudit.com.au/how

 

General Computer Tip - Prioritising eMails

When checking your email you will see some items that need following up but you don’t have the time to do it immediately!! In the Outlook Inbox there is a “Flag” column. Click once on the flag in the row of the item to be followed up later – this changes the colour of the flag to red.

Later, you can see all your red flagged items in the For follow up folder in the list of mail folders on the left of the screen. Once you follow the item up (i.e. complete it) click on the red flag in the For follow up folder – this removes it from the For follow up list and when you return to your Inbox the item will have a tick next to it - job done and done well!

 

Medical Director Tip - Checking “what’s new” in the Reason for contact

With each update of MD, or drug database update, new items are added to the DOCLE code – these are the coded lists for diagnoses and reasons for contact. It is worthwhile having a look at these as they may prove valuable as Reason for contact, Reason for Prescription.

1.   From the Resources menu select What’s New in DOCLE…

2.   Go through the list

For example the May 2009 DOCLE list included new codes for:

·        Admission to hospital

·        Diuresis

·        Doctor Shopper

·        Kidney pain

·        Osteitis Pubis

 

This weeks IM problem - How to change your default pathology provider

Question: I would like to change my pathology provider to default to another provider.

Answer: To change your default provider:

1.   From the Tools menu select Options.

2.   Click on the Investigations tab.

3.   From the Company drop down list choose your preferred pathology provider.

4.   Click on the box: Use as preferred provider.

 

New on the Web

1.   “The Cutting Edge” – CPD event showcasing the Doctors Control Panel and MIA Direct – found under CPD – Calendar of Events

2.   GP Referral to a Lifestyle Modification Program combined – an updated template for the Life Diabetes or Item 713 – found under Information Management - templates

 

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Items of Interest

Austin Health Outpatient Referrals

To assist in triaging Outpatient referrals, the name of the Clinic and the "Head of Unit" need to be included on the referral.  Information regarding the Clinic names and Heads of Units can be found on the Austin Health internet here. Referrals that do not have this information will be sent a fax requesting further information.  Should you have any questions, please contact Dr. Wendy Fisher, GP Liaison Officer, on 9496 2681 (Mondays and Tuesdays) or wendy.fisher@austin.org.au

 

Reminder:  Urgent Outpatient Referrals

All URGENT Austin Health Outpatient referrals should be sent to the GP Liaison Nurse, Ann Steven, on phone 9496 2533 (direct line) or email ann.steven@austin.org.au.  Ann is available to assist GPs from 10am to 8pm Mon-Fri, and 9am to 1pm on Saturday. Outside these hours, an answering machine will take a message. 

 

Support for Bereaved Parents and Siblings

One of the most difficult tasks facing any GP is assisting a distraught parent who is seeking help following the death of a child. There is a unique organisation called The Compassionate Friends (TCF) which can offer support to you or your patient.

Please contact Fiona Heylan, The Compassionate Friends, Community Education Coordinator on (03) 9888 4034 or fionah@compassionatefriendsvictoria.org.au to organise educational in-house programs for staff of your clinic. Website: www.compassionatefriendsvictoria.org.au if you would like more information. She will also be happy to provide your rooms with brochures or other information.

 

North Eastern Metropolitan Integrated Cancer Service

NEMICS Annual Forum: Tuesday 16 June 2009 5.30 pm - 7.30 pm (Registration and refreshments from 5.15 pm) at Function Room 1, Manningham Council Offices, 699 Doncaster Road, Doncaster.

RSVP essential: Jan Townsend on 9496 3322 Email: jan.townsend@austin.org.au by Wednesday 10 June 2009 or visit http://www.nemics.org.au/Display.aspx

 

Assistance with implementing EPC items

National Primary Care Pty.Ltd is one of several companies assisting pratices to complete EPC items. Services provided include Health Assessments either in the home or in the surgery, contributing to the GPMP & TCA's. For more information please call Rhonda on 9432 8936

 

GP Network News

This week’s edition includes: AMACDT farewells Alex Markwell, AMACDT Leadership Development Dinner 2009, AMA’s salaried doctors and doctors in training committees meet in Canberra, AMA writes to Minister on clinical training places, Federal Budget outcomes, AMA online fatigue risk assessment tool, 6th National Doctors Health Conference, 2010 Australian General Practice Training program intake, 2009 MIGA Doctors in Training Grants Program

 

BECC waiting times

Waiting times for new referrals to Bundoora Extended Care Centre Inpatient Admissions are currently approximately Gem 0-1, Rehab 0 days as of Tuesday 26/05/2009. Any queries regarding our waiting times please contact Access BECC on 9495 3109

 

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Mental Health

Mental Health Program for GP Health

The Mental Health Small Group for GPs has commenced it’s second program and will meet on the last Tuesday night of each month at 7pm - 9pm.  The meeting is held in the Board Room, North East Valley Div of General Practice, Repatriation Hospital, West Heidelberg. The next meeting on June 30, 2009 will discuss treatment of Bipolar Disease. A light meal is provided at low cost. New participants are welcome to this pleasant, non-threatening group discussion of common GP Mental Health problems.

If you wish to attend on June 30 ring Jennie Rickard on 9496 4333 for further information.

 

Upcoming Changes to Mental Health Item Numbers

There is a planned change to the mental health item numbers. From July 09 GPs will be required to document a diagnosis of a mental health disorder in the mental health plan. The GP Mental Health Care Plan name will be changed to “GP Mental Health Treatment Plan”. From January 2010 there will be a new Medicare Schedule fee ($125.95) to develop a GP Mental Health Treatment Plan, for those GPs who have not completed level 1 mental health skills training. For GPs who have completed the level 1 Mental Health training the current Medicare Schedule fee of $156.85 will remain. The Division will provide a Level 1 training prior to Jan 2010. Other trainings will be advertised as they become available.

 

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News for Practice Staff

Treating Symptoms of Dementia - an interactive case study session for General Practice Nurses

Wednesday 10th June 7 - 8.30pm (Registrations 6.30) at John Scott Meeting House. Registration: see flyer.  

This session provides a valuable opportunity to discuss up-to-date, independent, practical, evidence-based information on current therapeutic issues with a trained NPS facilitator.

 

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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

Practice Staff

Alphington MC - Part time or Full Time position now available for an experience practice nurse RN Div 1 for a busy general practice. Friendly supportive, environment and excellent remuneration. Inquiries: Rosa Merigan 9481 4861 or email rosa@alphingtonmc.com.au.

 

Bundoora - Busy Family Medical Centre, fully accredited, requires a part time Medical Receptionist for approximately 15 hours a week. Willing to relieve for holidays and sick leave. Contact Michele Jones, Practice Manager or Penny Ashton on 94671444.

 

North Eltham - Division 1 nurse part-time. 2 shifts per week plus relieving. Shifts: 8 or 9am-1pm and 1-2pm to 7pm. Contact Lorraine Lee Tet on 9439 2222 or email:  lorraine@nemc.com.au

Positions wanted

Eastern and north-eastern suburbs - Italian speaking nurse available to assist GPs requiring Health Assessments and Care Plans for their Italian patients. Call Monica on 0409 559 227.

 

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Humour

Evils of alcohol

A Professor of Medicine, a man well known for his earnest and oft-proclaimed temperance views, was (yet again) lecturing the medical students on the damage that alcohol can do. To demonstrate its effect on the nervous system, he took a worm and dropped it into a glass of gin & tonic. The worm wriggled around for a few minutes before finally giving a few convulsive twitches and dying.
"And can we deduce anything from that?" asked the Professor with the triumphant air implying that only the obvious conclusion could be drawn.
"Yes," came a voice from the back, "if you've got worms, drink alcohol."

 

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And remember

 

            for every action there is an equal and opposite criticism.