North East Valley DGP eNews

No 1019: June 10, 2010
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                                                Health Assessment template updates        

Chronic Disease Management            Medicare Items, Carb Counting Workshops for Pumpers, National Diabetes Week 2010               

Professional Development                 CPD events   

HMR                                                      PPIs - their place, long term effects and other GI issues    

Immunisation                                       Suspension of the seasonal influenza vaccine in children under 5 years of age   

Information Management                  Medical Director Tips

Items of interest                                  Dineen and Westcott Audiologists, GP Network News       

News for Practice Staff                       Variation to the Health Professionals and Support Services Award 2010, Scholarships 

NPS                                                       NPS Clinical Audit Update

Paediatrics                                           Whooping cough notifications are rising in Victoria           

Positions vacant/wanted                            

Fun stuff                                                        

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A Word from the Editor

Health Assessment template updates

There are new templates that cover the 6 of the time-based health assessments items: 701 (brief), 703 (standard), 705 (long) and 707 (prolonged).

These are:

  1. Over 75 Health assessment at surgery or in the home – annual [Replaces 700, 702]
  2. 4 year old health check – once only [Replaces 709]. Also Nurse item number 10986 [Replaces 711]
  3. 45-49 health assessment “at risk” of developing a chronic disease – once only [Replaces 717]
  4. Health assessment for people with an intellectual disability – annual [Replaces 718, 719]
  5. Health assessment for refugees and other humanitarian entrants – once only [Replaces 714]
  6. CMA in Residential Aged Care – annual [Replaces 712]

These can be found on the NEV website and allow you place an X in the appropriate box as well as record Nurse and Doctor time.

 

 

 

 

 

 

 

 

 ITEM  NUMBERS

X

Practice

 

 

 

 

 

 

 

 

 

 

 

 

 

 701(<30min)

 

 703(30-45 min)

 

 705 (45-60min)

 

 707(>60min)

 

 

Nurse time:

 

Doctor time:

 

Total time:

 

 

 

 

It is suggested that old templates be deleted and the new ones added.

 

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Chronic Disease Management

Medicare Items

CDM Questions and Answers updated to reflect the changes from May 1st. See here.

 

Carb Counting Workshops for Pumpers

Diabetes Australia – Vic is holding new Carb Counting Workshops for Pumpers on Thursday 24 June 2010 and Thursday 2 September 2010 at 570 Elizabeth Street. This hands-on half-day workshop, delivered by experienced dietitians is suitable for people with type 1 diabetes aged 18 years and over, and currently using an insulin pump, or who will be starting on a pump within six months. Please note:  the workshop does not cover the operations and features of various pumps. Visit the website for more information.

 

National Diabetes Week 2010 

Diabetes Australia – Vic will launch a new campaign on Sunday 11 July 2010 to mark the start of National Diabetes Week. This year the campaign theme is PREVENT type 2 diabetes and AVOID kidney damage. Campaign resources are available in the form of brochures, postcards and posters, and can be ordered by contacting Amber Osborn on (03) 9667 1783 or emailing aosborn@diabetesvic.org.au

 

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Continuing Professional Development

Lifestyle Modification Program for the 40-49 year olds + CAT training

Tuesday 15 June 7-9pm Registration: 6:30 pm For Practice Managers, Nurses and GPs - This program is for referring patients "at risk" of developing Type 2 diabetes to a FREE 6 session Lifestyle Modification Program, using the time-based item numbers 701, 703, 705 and 707. At North East Valley Division Office. Contact: Noel Stewart 9496 4333 Application form

 

Making the Connection - The interplay between mental health & chronic disease

Wednesday 23 June 7- 9:30pm (Registration/meal: 6:30). A workshop for GPs, Practice Managers & Practice Nurses, presented by Dr Lisa Engel at John Scott Meeting House, La Trobe University [Map]. [Application Form]

 

CPR Update

Tuesday 20th July 6.30pm – 9.30pm (dinner from 6.15pm) For GPs, practice staff and practice nurses. As part of RACGP QA&CPD Program, GPs have until the end of this year to complete an accredited CPR course. This course meets the requirements for CPR training and has 5 Category 2 RACGP points attached. Flyer.

 

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 15 - Sarcoma’s & Spinal Tumours - Mr Gerald Quan

For full term Tuesday lecture program click here

 

Austin Health - Division of Medicine Grand Round

“Pacemakers for ventilation, stimulating the upper and lower airways”. Speakers: Drs Maree Barnes and Mark Howard.

Wednesday 16th June, 12:30pm at John Lindell Lecture Theatre, Level 4, Lance Townsend Building, Opposite Medical Library. Lunch is now at 1.15pm outside the Lecture Theatre.

 

Orthopaedic Update        

Wednesday 16 June 7.15-9.15pm (dinner 6.15) at Epworth Richmond, Auditorium, Level 2, 89 Bridge Road. Flyer

Free car parking is available at Epworth Richmond - enter via Bridge Road. RSVP: Jenny Jones on Ph: 9426 8997 or Email: jenny.jones@epworth.org.au

 

Dementia: Diagnosis, Risk and Safety

Wednesday, 13th October - a full day conference for medical and other health care providers. Flyer

 

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Home Medicines Review

PPIs - their place, long term effects and other GI issues

An invitation to GPs, Practice nurses, Aged Care nurses and pharmacists

Topics include:

·        Risk versus benefit

·        Long term effects—doses, clopidogrel interactions

·        The place of OTC  PPIs for dinner parties

·        Your GI questions

Wednesday 7 July, 7pm-9pm (Dinner from 6.30pm) at John Scott Meeting House, La Trobe University, BUNDOORA (Entry via Car Park 7). Enquiries to Cherry Braine on Tel. 8480 4606. RSVP by FaxBack. Click here for flyer.

 

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Immunisation

Suspension of the seasonal influenza vaccine in children under 5 years of age

Previous advice suspending the use of seasonal influenza vaccine since 23 April 2010 in children aged five years and under has been modified as follows:

The 2010 free seasonal influenza vaccine program for children with medical risk factors can continue as follows:

  • Six months to under 5 years of age; the increased rate of fever and febrile convulsions should be discussed as part of the consent process with the parent, and either Vaxigrip(r) or Influvac(r) can be administered with the dose adjusted according to age i.e. 0.25ml for 6 months to under 3 years of age and 0.5ml from 3 years of age and over.
  • Healthy children under 5 years of age should not be vaccinated with the 2010 seasonal influenza vaccine. This group can receive the Panvax(r) H1N1 vaccine.
  • Five years of age and over; any seasonal influenza vaccine may be used.

 

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Information Management

Medical Director Tip - De-notifying results

Often it is difficult to get the GP to click on the “Mark as notified” button after discussing a result with a patient – this is needed to complete the pathology management cycle. Sometimes, however the reverse is the case – a result has been “marked as notified” when it should not have been. You can only rectify this situation on the day that the result has been notified. Go to the Results tab of the patient record, click on the incorrectly notified result – the “Mark as notified” button now turns into “Mark as de-notified”.  By then clicking on the “Mark as de-notified” button the date is removed from the Notified column.

There is also a “De-notified” button when you check all the Investigation results:

  1. No patient record open:
  2. Investigations >Results…

Once again, this will only allow you to “de-notify” results that have been notified today.


This weeks IM problem - Incorrect deceasing of patients

Question: We just sent 2 recall letters to deceased patients, one of whom was a suicide case. This is very embarrassing and reflects badly on the practice. I found out that one of the doctors was adding “deceased” as a coded item in the Reason for contact of the patient record. This was done in the mistaken belief that this was the method of deceasing patients. Of course these patients are still active. Is there any way I can call up a list of these incorrectly deceased patients.

Answer: Apart from the irony that Reason for contact is “deceased”, yes there is a way of finding those patients.

1.   With no patient record open, from the Search menu select Patients

2.   Click on the Condition radio button and type in DECEASED and click on the Add to search criteria button.

3.   Click on Search and the list of patients will appear. Print the list and then you can correctly decease the patient.

4.   Now go and knock on the door of the doctor who created this problem and give him/her a stern lecture. Bring the subject up at the next clinical meeting and get a proper system in place so that patients are “deceased” correctly.

 

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Items of Interest

Dineen and Westcott Audiologists

Specialising in tinnitus, hyperacusis and acoustic shock disorder (ASD) evaluation, rehabilitation and research. A professional partnership of audiologists, with extensive experience in hearing assessment and the fitting/fine-tuning of digital hearing aids, aim to make hearing aids accessible by keeping prices below the industry average and provide appointments as needed at no charge for 12 months after hearing aid fitting. Refer to the website (www.dineenandwestcott.com.au) for further information about services and ethical policy. Download guides for GPs on: sensorineural hearing loss and hearing aids; ASD and some research publications.

 

GP Network News

This week’s edition includes: Tax relief for rural doctors; Suspension of seasonal flu vaccine to children – update; More support needed for doctors working in aged care; New Chair of AMACGP; AMA National Conference 2010 – AMA Roll of Fellows

 

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News for Practice Staff

Variation to the Health Professionals and Support Services Award 2010

Fair Work Australia has recently varied this Award with respect to clause 24.2 dealing with the span of ordinary hours for medical practices and clause 29 dealing with shift work loading. See full bulletin.

 

Scholarships

Professional Development scholarships for nurses working in aboriginal medical services are available here. Applications will close 18

For information on other Australian Government Scholarships see here.

 

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National Prescribing Service

NPS Clinical Audit Update

·        Use of benzodiazepines, zolpidem and zopiclone in insomnia - Closed 21 May. Feedback reports to be distributed late September 2010.

·        Management of COPD and smoking cessation - Enrolments available online at www.nps.org.au/health_professionals; a divisional flyer was circulated recently

·        Review of opioid prescribing in chronic pain - Audits packs will be available in July 2010.

·        Clinical e-Audit: Optimising management of type 2 diabetes - Online enrolment continues to be available at www.nps.org.au/health_professionals.

·        Clinical e-Audit: Review of proton pump inhibitor (PPI) prescribing - Online enrolment continues to be available at www.nps.org.au/health_professionals.

·        Clinical e-Audit: Management of hypertension - Enrolment available in September 2010.

All activities have been approved in the 2008-2010 triennium by: RACGP QA&CPD Program, total points 40 (Category 1) & ACRRM PD Program for 30 points (extended skills) in the 2008–2010 triennium.

 

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Paediatrics

Whooping cough notifications are rising in Victoria

The RCH has seen 12 under 1yr old confirmed cases since Jan 1st 2010.  Parents of newborns can have free vaccinations – call 1300 882 008 or see www.health.vic.gov.au/immunisation for clinical & parent information and order forms.

RCH GP website (Kids Connect): www.rch.org.au/kidsconnect/clinical.cfm?doc_id=8612 to find RCH recommended vaccination schedule (Victoria) and more information for clinicians and parents.

 

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Positions vacant/wanted

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

 

Positions vacant

Doctors

Ivanhoe - VR GP Full time or Part time required to work in this GP operated accredited medical centre. A friendly and supportive team environment in this computerised medical centre with allied health, nursing staff and radiology on site. No A/H’s flexible working hours family friendly. Please contact John or Ken on 03 9497 1188

 

Kensington - GP, Full and Part-Time sessions available in The DGCHS Medical Clinic. Attractive salary, general medicine, Mental Health, Youth, Refugee and CALD communities. Reception, administrative and  nursing support provided. For enquires please contact Janina De Silva on (03) 8378 1600 or email Janina.desilva@dgchs.org.au. For more information and a copy of the position description please visit our website.

 

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

What have we learned in 2,064 years?

"The budget should be balanced, the Treasury should be refilled, public debt should be reduced, the arrogance of officialdom should be tempered and controlled, and the assistance to foreign lands should be curtailed lest Rome become bankrupt. People must again learn to work, instead of living on public assistance." - Cicero - 55 BC.

So, evidently nothing....................

 

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And remember

 

            …I wondered why the ball kept getting bigger. Then it hit me.