North East Valley DGP eNews

No 38: November 8, 2007
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                                           Invitation to NEVDGP’s 2007 AGM 

Chronic Disease Management         Get into Life, Diabetes Risk Assessment Tool         

Professional Development               CPD events          

Immunisation                                   Measles, HPV reminders               

Information Management                Encryption and IM PIP payments, Coming soon in MD3.7, Medical Director tips and New on the Web

Items of interest                               NEV website Hitwise award, Drug Alert – DHS, BECC Speech Pathology Service, Referrals to ACCESS BECC, GP Network news, BECC waiting times           

News for Practice Staff                    Final Networking Session, Aged Care - A Collaborative Model                       

Paediatrics                                      RCH Primary Care Liaison, GP Advisory Groups      

Women’s Health                              Conference: Abortion in Victoria, Women’s Health in the North, Breast Cancer Risk Assessment tool   

Positions vacant/wanted                     

Fun stuff                                              

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A Word from the Editor

Invitation to NEVDGP’s 2007 AGM, Wednesday 21st November

All GP members (and partners) of the North East Valley Division of General Practice are invited to attend this year’s AGM to be held at Adams of La Trobe, John Scott Meeting House, La Trobe University, Bundoora campus. This includes an excellent four course meal with wine and music together with much sought after door prizes – a bottle of Hill of Grace wine, dinner for 2 at a restaurant of choice and membership of a football club of choice. This year’s guest speaker is Dr Howard Goldenberg, a former GP of the division. Howard has recently completed his lifelong ambition to write an account of his father’s role (as a GP for over 60 years) in his upbringing and choice of career. “My Father’s Compass” has been widely applauded. Contact Jennie at the division on 9496 4333 for an invitation or download an invitation here.

 

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Chronic Disease Management

Get into Life!

‘Life! Taking Action on Diabetes’ is an evidence based, behaviour change intervention program aimed at substantially delaying or preventing the development of type 2 diabetes in Victorians, at high risk, over 50 years of age. DA-Vic is currently recruiting 100 health professionals to deliver the Life! behaviour change intervention programs. For more information see here. If a health professional in your practice would like to be a Life! provider please contact Rebecca Cheers on 9667 1765 or email rcheers@dav.org.au

 

Diabetes Risk Assessment Tool

The risk assessment tool will be widely available and publicly promoted through a broad social marketing campaign, and patients will be encouraged to assess themselves for risk. All GPs will need to know about the ‘diabetes risk assessment tool’ so as they are not caught out when patients present to the clinic with expectations and questions about the tool and the Life! Program – see above.    

 

Unite for Diabetes on Wed 14 Nov - World Diabetes Day

 

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CPD

Arthritis Victoria - Exercise and Arthritis Seminar

Arthritis Victoria is conducting for the first time a seminar on chronic musculoskeletal conditions for fitness instructors, allied health assistants and nurses with experience in exercise. This specially designed one-day seminar will help you to manage and assist your clients who have a chronic musculoskeletal condition such as osteoarthritis or osteoporosis.

Wednesday 21 November 9.30 - 4pm in Elsternwick. Enquiries and bookings to Sandra Barry, Training Co-ordinator on 8531 8008 or visit http://www.arthritisvic.org.au

 

Starting out in general practice – What you need to know from a financial, insurance and employment perspective

Sunday 25 November 2007 - The RACGP New Fellows Committee is conducting a family-friendly education seminar at the Royal Melbourne Zoo to assist new Fellows who are starting out in general practice. This seminar will provide information from practice owners, financial experts, insurance experts, GP supervisors and other new Fellows. It will also draw on the RACGP Employment Kit. Bring your family for an afternoon of socialising and interactive education. For more information contact Victoria Faculty Events on 03 8699 0563 or email vic.events@racgp.org.au. To download the event flyer, visit, http://www.racgp.org.au/vic/events This event is proudly sponsored by major sponsors Tolhurst Ltd and MDA National and exhibitor sponsors Experien Medical Finance and National Medical and Imaging Group.

 

The Female GP End of Year Dinner

“The Changing Face of General Practice: can women GPs shape it?” - Speaker: Dr Barbara Burge

Thursday 22nd November, 6.45pm – 9.30pm at University House, Melbourne University, Grattan St Parkville. Ph: 8344 5254

Dr Barbara Burge is a recently retired GP. Women’s health issues have been the focus of a career in which she has practiced as a family therapist. She is currently a representative on the Mental Health Standards Collaboration. Barbara established the first shared care arrangements with the Royal Women’s Hospital and Kensington Community Health Centre and has organised the shared care system at the Mercy Hospital for Women. This is an interdivisional event. A flyer has been mailed to all women GPs in the Division. For further information or registration contact Pamela at the NWMDGP on 8345 5644.

 

Term 4 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

November 13 - Metabolic Syndrome - Dr Mario Deluise 

For full term Tuesday lecture program click here

 

Austin Health - Division of Medicine Grand Round

World Diabetes Day + 1 - “Year of the Child”, “Diabetes in the Young”,”Diabetes and Me” 

Speakers: Dr Anton Harding, Paediatric Endocrinologist Consultant, Austin Health and Jeremy Metha, Youth Ambassador, Juvenile Diabetes Research Foundation

Thursday 15 November 12.10 pm at John Lindell lecture theatre, Level 4, Lance Townsend building. Opposite medical library. Followed by a healthy free lunch outside John Lindell lecture theatre at 1:00pm

 

Austin Health Surgical Grand Round

15 November, 8.15-9am Lecture Theatre, Dept of Surgery, 8th Floor, Lance Townsend Building, Austin Campus. Followed by breakfast.

This week’s topic “Current Management in Ovarian Cancer” - Prof D Allen, Director of Gynaecology, Mercy Hospital

For full years program click here

 

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Immunisation

Measles

There are still extensive measles epidemics occurring overseas often in the more "civilized" parts of the world where people don't normally think of the need for travel vaccines.  Japan and Ireland, for example have recently had measles at epidemic levels.  It is always good to check MMR status of prospective travellers.  Those people born on or after 1/1/1966 should have documented evidence of two doses of MMR or a positive measles titre as a result of having the disease.  If not it is a good idea to give an MMR vaccine before they travel.  Personal histories can be unreliable as any rash with a fever may have been labelled "measles". Those born before 1966 would usually have come in contact with the disease and would there for show a positive result to a serology test.

 

HPV reminders

18 – 26 is a prime age for females wanting to travel. Many will organise to have health checks and vaccinations prior to departure. We recommend that you use this opportunity to check their HPV immunisation status and offer it to those who have not had it yet. Remember that the funded HPV vaccine for those 18 – 26 year old finishes 30 June 2009 and they may not be back from their travels in time!

 

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Information Management

Encryption and IM PIP payments

The question was recently raised as to whether a practice was breaking the rules re PIP IM payments for receiving unencrypted discharge summaries and reports from Austin Health. Because a practice has an “opt in” choice of receiving unencrypted health information, does this disqualify them from being eligible for the PIP payment? After a lengthy delay Medicare has given us clarification of this issue in writing!

“The receiving of patient information into the practice is not in question, only the transferring of data. The practice can choose to receive data either by email or by fax, depending on what the practice finds most expedient and secure. It is what the practice does with the information once it has received it that the issue of encryption becomes a factor”.

In short you can request the Austin to send you unencrypted email health information and still be eligible for your Tiers 1 and 2 PIP payments.

 

Coming soon in MD3.7

The December release of MD3.7 will include the ATSI status being visible from the main patient screen (like smoking and occupation). There will also be room for a patient photo.

 

Medical Director Tip - Creating a vaccination schedule

When you open Travel Medicine you get general disease recommendations. Once you put in a departure date the vaccination schedule appears which allows you to give today’s vaccinations and make appointments for the next. 

 

This weeks IM problem

Question: In MD2 I used to save both my Recall searches and my Database searches and later, open them. In MD3 I can save a database search but don’t know how to open it.

Answer: This is a known problem and at the time of writing the HCN Helpdesk told me that it will be fixed in a future release (?!). Once you close a search and go the File menu there is an Open menu item, but nothing happens when you click on it. MD2 users will be happy to know that you can save and open both Recall and Database searches. With MD2 you will find that the MDW2 directory contains Recall and Searches folders. There is no equivalent of this in any of the HCN directories.

 

New on the Web

1.   RACGP QA&CPD Program 2008-2010 – this flyer provides an overview of key elements of the 2008–2010 Program. Found under GP Education Resources.

2.   Combined PM and PN Final Network session Dec. 13, 2007 – application form found under Calendar of Events.

 

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Items of Interest

NEV website Hitwise award

The NEVDGP website has been ranked No. 2 by visits on all Australian websites in the Health and Medical - Primary and Specialist industry for the quarter ending July-September 2007.

 

Drug Alert - DHS

DHS has issued an alert on a woman seeking the drug Oxycontin 80mg from many different medical practitioners. The woman in question is 27 years old with tattoos. She has been mainly active in the northern suburbs and has sometimes been reported to be travelling with a 38 year old male from Wagga Wagga or Mildura.

For further information, please contact the Drugs and Poisons Duty Officer on 1300 364 545 and quote reference number 163481.

 

Bundoora Extended Care Centre Speech Pathology Service

BECC provides an extensive rehabilitation and (HACC funded) community speech pathology service. The focus is on rehabilitation and ongoing support to people with acquired or progressive communication and/or swallowing problems who live at home or reside in low level residential care facilities (hostels), CRUs and SRSs. Either contact Speech Pathology Department, BECC for further information (ph: 9495 3163 or email: matthew.bradley@nh.org.au) or refer direct to ACCESS BECC on 9495 3109.

 

Referrals to ACCESS BECC

To streamline referrals for in-patients, outpatients or community services it is strongly recommended that you use the Victorian Statewide Referral Form.  This is available as a supplied template in Medical Director and Genie. You can also download it from the NEVDGP website under IM Resources – No. 2 Hospital Referrals – don’t forget to right click and select Save as Target... Please follow the download instructions on the IM resources page. If you have difficulties or questions regarding the download process please contact Noel at the division on 9496 4333.

 

GP Network news

This edition contains the Coalition announcements of practice nurses and more training places for general practice and their commitment to extend the Rural Medical Infrastructure Fund. Full version.

 

BECC waiting times

Waiting times for new referrals to Bundoora Extended Care Centre Inpatient Admissions are currently approximately GEM 2-3 days and Rehab 3-5 days. Any queries regarding our waiting times please contact Access BECC on 9495 3109

 

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News for Practice Staff

Practice Managers and Practice Nurses Network - Final Networking Session 2007

- Resilience in the Workforce - Sally Trembath-Hastings

- Training Opportunities for practice staff – Corey Harris

- Information Management Update – Noel Stewart

Thursday December 13, 6:30pm – 9.00pm (Dinner Provided), John Scott Meeting House, La Trobe University, Bundoora (Entry via Car Park 7)

Use this Application Form to view details and register OR email Noel to confirm attendance.

 

Aged Care - A Collaborative Model

An overview of how doctors and practice nurses can work together to provide medical care to residents of aged care homes

Thursday 29th November 7-9pm (Registration and light meal from 6.30) To be held in the Board Room, North East Valley Division of General Practice,  Level 1 Pathology Building, Repatriation Hospital. Flier & Application form under CPD calendar

 

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Paediatrics

RCH Primary Care Liaison

Do you know about Kids Connect, Primary Care Liaison at the RCH? We have a website for community healthcare professionals and are available by phone or email if you are having problems or have a query regarding the RCH.  Our website is now listed at the bottom of many RCH discharge summaries for your convenience and we send a card with the website on it out with summaries posted from Health Information Services.  Please also contact us with any suggestions. 

Kids Connect (Primary Care Liaison) www.rch.org.au/kidsconnect / tel (03) 93454645 / susan.jury@rch.org.au (GPLO) / maria.cendanapaiva@rch.org.au (GP Consultant)

 

GP Advisory Groups

Kids Connect, Primary Care Liaison at the RCH has recently formalised partnerships with the highest referring Divisions of General Practice for both urban and rural/regional areas.  We are working together to help build relationships between the hospital and primary care.  If you want to know more or have a contribution to make, please speak to your Division staff or contact Kids Connect directly.

Kids Connect (Primary Care Liaison) www.rch.org.au/kidsconnect / tel (03) 93454645

 

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Women’s Health

Conference: Abortion in Victoria: Where Are We Now? Where Do We Want To Go?

the latest information about the provision of abortion in Victoria, including medical, legislative, clinical, and policy information. Friday 30 November, 9am - 4pm at The University of Melbourne, 10 category 2 women's health points. Cost: $143. Registration closes 21 November. Contact: Dr Louise Keogh/Atlanta Zwar or Jennifer Sievers on 03 8344 4417 email enquiries-kcwhs@unimelb.edu.au or visit http://www.kcwhs.unimelb.edu.au/

 

Women’s Health in the North

In 2004 WHIN developed an online ‘Quick Reference Guide’ (QRG) http://www.whin.org.au/QRG.html which provides a convenient way for you to find information regarding local services and programs. An evaluation workshop is being held on Thursday 15th November 10-11:30 am or 2-3:30pm, at Jika Jika Community Centre, 2 East St. Northcote. FREE refreshments will be provided. Please RSVP to Amy Mallett on 9484 1666 or Email: amym@whin.org.au

 

Breast Cancer Risk Assessment tool

The Breast Cancer Risk Assessment tool can be found at http://www.nbcc.org.au/risk/ 

 

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Positions vacant/wanted

There are no new ads this week. See the website for positions vacant and wanted.

 

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Humour

What Gender is a Computer?

A Spanish teacher was explaining to her class that in Spanish, unlike English, nouns are designated as either masculine or feminine. 

"House" for instance, is feminine: "la casa." "Pencil," however, is masculine: "el lapiz."

A student asked, “What gender is 'computer'?" 

Instead of giving the answer, the teacher split the class into two groups, male and female, and asked them to decide for themselves whether "computer" should be a masculine or a feminine noun.

 

Each group was asked to give four reasons for its recommendation. 

 

The men's group decided that "computer" should definitely be of the feminine gender ("la computadora"), because:

1. No-one but their creator understands their internal logic; 

2. The native language they use to communicate with other computers is incomprehensible to everyone else;

3. Even the smallest mistakes are stored in long term memory for possible later retrieval; and

4. As soon as you make a commitment to one, you find yourself spending half your pay-cheque on accessories for it.

 

The women's group, however, concluded that computers should be Masculine ("el computador"), because:

1. In order to do anything with them, you have to turn them on;

2. They have a lot of data but still can't think for themselves;

3. They are supposed to help you solve problems, but half the time they ARE the problem; and

4. As soon as you commit to one, you realize that if you had waited a little longer, you could have gotten a better model.

 

The women won.....

 

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