North East Valley DGP eNews

No 1229: August 15, 2012
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                                                Doctors Control Panel (DCP) hits 100,000 mark for online test results      

Australian Doctor Articles                  Making progress with Progress Notes

Chronic Disease Management            Diabetes Australia – Vic presents ‘Getting Started’, #OzDOC, Supermarket Tours

Professional Development                 CPD events   

Immunisation                                       Parents urged to get their two year olds free vaccine       

Information Management                  Medical Director Tips

Items of interest                                  Dr Chandra Krishnamurthi retiring Oct 2012, GP Network News  

Mental Health                                      Focus Study  

NPS                                                       NPS Audit Update, New Edition of RADAR

Paediatrics                                           Paediatrics Seminar 

Positions vacant/wanted                            

Fun stuff                                                        

--------------------------------------------------------------------------------------------------------------

A Word from the Editor

Doctors Control Panel (DCP) hits 100,000 mark for online test results

There are a few GPs in the North East Valley Division who swear by the DCP for the distribution of routine test results to patients via the Wedgetail web-based interface. 

Dr Alan McCleary of St Helena Mediplex is one of those:

“The patients love it. They are able to get quick access to their results and print them for their own use. Our Practice Nurse likes it even more as she has far fewer people phoning for results. The doctors like it as well, as patients ring and make an appointment themselves if a recall is recommended. This saves doctor time on the phone explaining why they should return. It does not replace the normal follow up of abnormal results; it just makes the whole thing a lot easier for all of us. 5 doctors at St Helena Mediplex have now loaded it and if we have some occasional troubles with updates Anton (Dr Anton Knierman, author of the DCP) sorts it out fairly quickly”.

Dr Jenny Bourke is another enthusiastic user: 

“I love the DCP, even though I probably only use a fraction of its capacity! Wedgetail for results is fabulous and the patients love it. Many patients now insist it is how they want to get their results. It has cut my phone calls from 4-5 per day to 2-3 per week. It is also helpful for patients who need to come back to discuss their results as they already have an idea what it is about and can have done their own research before you see them e.g. cholesterol, diabetes monitoring – sometimes a useful thing, sometimes not. I also love the ability to print out envelopes for referrals and to show patients where to go on Google maps”.

For more information on the DCP, from Pulse+IT Online magazine, click here. There is also a DCP section on the NEVDGP website.

 

Back to top

--------------------------------------------------------------------------------------------------------

Australian Doctor Articles

Making progress with Progress Notes

Apology: In last week’s edition we gave the wrong link to the article on Progress Notes. This has been rectified in today’s edition – it was Noel’s fault NOT the editor.

In this section we are re-visiting some of the articles written by Noel for Australian Doctor over the last 5 years. This week’s article discusses using the handy features of the Progress Notes: using the Search function, the Procedure button, some useful Reasons for contact as well as how actions and recordings are automatically transferred to the Progress Notes.” For the full article click here.

 

Back to top

-------------------------------------------------------------------------------------------------------

Chronic Disease Management

Diabetes Australia – Vic presents ‘Getting Started’

A diabetes information session for people with type 2 diabetes who are newly diagnosed or have not had diabetes education in the past. The 3.5 hour session is run by our diabetes educator and dietitian, who will provide you with valuable information to get you started managing your diabetes. Information sessions are held at DA–Vic Head Office, 570 Elizabeth Street, Level 1 (stairs only) Melbourne. Cost is $10 for DA–Vic members plus one guest, or $15 for non-members. No referral is required but bookings are essential. For enquiries or to register, please phone the Diabetes Infoline on 1300 136 588. The next information session is on Friday 24 August from 9.30am-1.00pm. Encourage your patients to register and Get Started.

 

#OzDOC

The Diabetes Online Community (DOC) is made up of a vibrant group of people living with diabetes from across the globe, including many from Australia. Following the highly successful Diabetes Social Media Advocacy Twitter chats, a new chat specifically for the Australian diabetes community – the OzDOC is being launched. If you are on Twitter, make sure you are following @OzDiabetesOC and the #OzDOC hashtag. The first Twitter chat was held recently. For more information contact Gen Dickson at Diabetes Australia – Vic on 9667 1761.

 

Supermarket Tours

Diabetes Australia – Vic organises supermarket tours to help make shopping for food easier. As part of the two hour tour, local dietitians show you how to accurately read and understand food labels, select healthy food alternatives and identify products that are appropriate for people with diabetes. Participants will receive a show bag with the Diabetes Australia Healthy Shopping Guide, information sheets and other useful information. A tour is taking place at Coles, Northcote Plaza, 3 Separation Street, Northcote on Tuesday 21 August and at Coles, Epping Plaza, Cnr High and Cooper Streets, Epping on Wednesday 29 August. Cost: $10 members and $15 for non-members. Limited bookings are available for each tour. To confirm time/date and to make a booking, contact the Diabetes Info and Advice Line (DIAL) on 1300 136 588.

 

Back to top

-------------------------------------------------------------------------------------------------------

Continuing Professional Development

Final module of the FREE Coordinated Veterans' Care Program online training modules available now for nurses and GPs!

The Coordinated Veterans' Care (CVC) online training program is specifically designed for general practitioners, practice nurses, community nurses and Aboriginal health workers offering opportunity for professional development to effectively use the CVC Program for their patients. All four modules are available now! These modules are designed to build your capacity to provide effective chronic condition self-management support to veterans enrolled onto the CVC Program.

All four modules have been accredited for RACGP QI&CPD, ACRRM PDP and have been endorsed by APNA and RCNA.

Go to http://www.cvcprogram.net.au/

 

Dementia: How You – The GP – Can Assist 

Thursday 23rd August 8.00 – 9.00pm (7pm for dinner) at Parkview Hotel, 562 St Kilda Rd, Melbourne.

RSVP: r.brown@latrobe.edu.au or phone 9479 6004

GPs will be provided an opportunity to learn about medication and dementia and /or nursing interventions to assist them with best practice identification and management of your patients. Flyer  

 

North Eastern Melbourne Integrated Cancer Service (NEMICS) Annual Forum

Tuesday 28th August 6-8pm (Registration and refreshments from 5.30pm) at Manningham Function Centre, 699 Doncaster Road, Doncaster.

Keynote address by Professor Stewart Dunn - Painting the Emotional Spectrum; Managing Difficult Conversations. Registration is essential - please RSVP to megan.dendle@austin.org.au by Wednesday 22nd August. Flyer.

 

Surgical Office Skills (SOS)

Accredited hands-on training workshop for GPs.

Saturday 8th September, 9am – 3.30pm at Royal Australasian College of Surgeons, 250-290 Spring Street (corner Latrobe Street), East Melbourne. Flyer

 

Back to top

---------------------------------------------------------------------------------------------------------

Immunisation

Parents urged to get their two year olds free vaccine

Parents of two year olds have been less likely to take up the offer of a free, one-off dose of the new pneumococcal vaccine for their toddler, recent data shows.

“Since the free vaccine became available on 1 October last year, Victorian parents have been very vigilant about ensuring their toddlers have the new vaccine, however our data shows that two year olds are not receiving the vaccine in the numbers that they should,” explained Michael Batchelor, Immunisation Manager, Department of Health Victoria

The improved vaccine has been administered to all babies at their two, four and/or six month immunisations since 1 July 2011.

Pneumococcal bacteria can cause illnesses such as middle ear infection, pneumonia, bloodstream infection and meningitis.

Parents are advised to arrange for their eligible toddler to visit their doctor or attend a council vaccination session as soon as they can before the program ends on 30 September 2012.

 

Back to top

---------------------------------------------------------------------------------------------------------

Information Management

Medical Director Tip - Recording of medicines

According to the RACGP guidelines the following information should be captured when possible (as supported by the software):

·         date of entry/update/review

·         all medicines (e.g. over the counter; complementary therapies; topical therapies)

·         medicine brand and generic name (codeable). When medicine not identified by Australian MedicinesTerminology item description can be carried in free text

·         strength, dose, and form (i.e. capsule, liquid, ointment)

·         dose instructions and duration

·         diagnosis/problem as to why medicine prescribed (coded)

It may be the case that there are no medicines to record. Record utilising the functionality of the software: unknown; none; or not asked.

For the RACGP’s complete guidelines see General practice fact sheet – Medicines list

 

This week’s IM problem - What to do with the date field when adding retrospective history items

Question:   When I add a retrospective history item, I change the year to that history event (e.g. 2009) but I notice the date field always defaults to today’s date (which I also note is not a true date field as you can type in any text, such as a “?”). Is the date field the date of onset or the date when the history item is added?

Answer: Well... there are two schools of thought on this. It can be the date of onset or the date when the history item is added? That’s up to the clinician. If you leave today’s date in the date field the history items are sorted to that date field, not the year. In order to have a chronological listing of history items you need to click on the “Year” heading of the Year field.

 

Back to top

---------------------------------------------------------------------------------------------------------

Items of Interest

Dr Chandra Krishnamurthi retiring Oct 2012

We are all going to miss Dr Chandra Krishnamurthi terribly after she retires from General Practice in October. Dr Chandra has been a GP in Ivanhoe for 32 years and takes on a difficult challenge in her retirement of helping the survival of an orphanage in Chennai, India that her family has supported for many years.

All Doctors, Nurses & staff at ‘Doctors of Ivanhoe’ thank Chandra for her outstanding service and dedication to her work and for being such a wonderful person to work with over so many years. We all wish her well for the highly admirable charity work for which she has such great passion.

 

GP Network News

This week’s edition includes: Reminder to Renew AHPRA Registration by 30 September 2012; Comprehensive Plan Needed to Attract Doctors to Live and Work in the Bush for the Long Term; Medical Care – An Integral Part Of Aged Care; Aged Care Medical Workforce is Ageing – AMA Survey.

 

Back to top

---------------------------------------------------------------------------------------------------------

Mental Health

Focus Study

The professorial unit at The Melbourne Clinic is recruiting people for a clinical trial of a new antidepressant. If you have a patient who has been prescribed an antidepressant in the past, has depression recently returned and aged 18-65 they could participate in this clinical trial looking at whether an investigational antidepressant medication can affect their thought processes. Call 9420 9255 for more information.

 

Back to top

---------------------------------------------------------------------------------------------------------

National Prescribing Service

NPS Audit Update

NPS clinical audits are free quality improvement activities that help GPs to review their current prescribing practice for patients with certain conditions compared to current best practice guidelines.

The following audits are open for enrolment for the current QPI PIP year: 1 May 2012 – 30 April 12013:

·         Headaches – Safe diagnosis, effective management (paper) – submit initial patient data forms by 7th SEPT   2012, receive feedback in FEB 2013

·         Depression - Challenges in primary care (paper) – submit initial patient data by OCT 10th 2012, receive feedback in FEB 2013

·         CVD risk & lipid modifying therapy (electronic) - complete before 30 April 2013 to be recognised in the QPI year in which it is completed

·         Management of hypertension (electronic) - complete before 30 April 2013 to be recognised in the QPI year in which it is completed

·         Review of proton pump inhibitors prescribing (electronic) - complete before 30 April 2013 to be recognised in the QPI year in which it is completed

·         Management of specific respiratory tract infections (electronic) – now open

You can obtain more information about each of these audits and enrol online on the NPS website.

Alternatively call Dr Mary Levidiotis on 9496 4333 for more information.

 

New Edition of RADAR

A new edition of RADAR has been released this month.   RADAR articles provide timely, independent, evidence-based assessment of new drugs, new PBS listings and research for health professionals.  In this edition the following topics are covered:

·       Rasagiline (Azilect) was  added to the Schedule of Pharmaceutical Benefits on 1 August 2012 as an Authority required (Streamlined) listing for Parkinson’s disease (review article)

·       Bone mineral density T-score cut-off changed in denosumab (Prolia) osteoporosis PBS listing (brief item)

·       PRODIGY study: duration of dual antiplatelet therapy under review (brief item)

Download AUG RADAR articles. Find out more about NPS RADAR.

 

Back to top

---------------------------------------------------------------------------------------------------------

Paediatrics

Paediatrics Seminar

Nutrition issues in children; Food allergies and intolerances; Investigating learning problems; The child with chronic cough; Fever of unknown origin.

Saturday 1st September 8am-2.30pm at Law Building, Corner of Pelham & Barry Street, Carlton. Flyer.

 

Back to top

----------------------------------------------------------------------------------------------------------

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

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.

 

Back to top

-----------------------------------------------------------------------------------------------------------

Humour

Amazing simple home remedies: these really work!!

·         To avoid cutting yourself when slicing vegetables, get someone else to hold the vegetables while you chop.

·         To avoid arguments with the females about lifting the toilet seat - use the sink.

·         For high blood pressure sufferers simply cut yourself and bleed for a few minutes, thus reducing the pressure on your veins. [Remember to use a timer.]

·         A mouse trap placed on top of your alarm clock will prevent you from rolling over and going back to sleep after you hit the snooze button.

·         You only need two tools in life - WD-40 and duct tape. If it doesn't move and should, use the WD-40.  If it shouldn't move and does, use the duct tape.

·         If you can't fix it with a hammer, you've got an electrical problem.

 

Back to top

-----------------------------------------------------------------------------------------------------------

 

And remember

 

            The trouble with retirement is...you never get a day off!