North East Valley DGP eNews

No 1304: February 27, 2013
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:
To subscribe to eNews click on subscribe. To be removed from the eNews distribution list click on Unsubscribe


In this issue:

Editorial                                                The future of Medicare Locals        

Australian Doctor Articles                  All in the look

Chronic Disease Management            Free type 2 diabetes awareness sessions, Getting Started, Diabetes Australia – Vic’s Life! program           

Professional Development                 CPD events   

HMR                                                      Dose Administration Aid Service

Information Management                  eHealth and Medical Director – meeting the 5 PIP eHealth requirements, Medical Director Tips

Items of interest                                  Video resources - Complete Video Guide to Heart Disease, GP Network News         

News for Practice Staff                       Life! program – online training for practice nurses           

Women’s Health                                  Annual Women's Health Update                 

Positions vacant/wanted                            

Fun stuff                                                        


A Word from the Editor

The future of Medicare Locals

In May last year, as reported in Australian Doctor, the Federal Opposition repeated its pledge to pull the plug on Medicare Locals, warning they are an "unnecessary bureaucracy" with Peter Dutton, shadow health minister, telling the AMA conference in Melbourne : "I make a commitment that we won’t continue with the Medicare Local structure”.

And as late as this week, “MEDICARE Locals have been highlighted by Opposition health spokesman Peter Dutton as a key area of wasteful spending in the health sector that could face cuts under a coalition government”. (Medical Observer, Feb 25, 2013).

Whether the coalition has softened its stance from “pull the plug” (May 2012) to “face cuts” (February 2013) remains to be seen when the coalition releases its health policy later this year.

We all know that with divisions of general practice there were some high performing divisions (in which we unashamedly include the North East Valley Division) and some very low performing ones. This would be the same with the different Medicare Locals. For a high performing ML you only have to look at Inner Eastern Melbourne ML and its approach to eHealth. They will shortly begin a trial at Box Hill Hospital to provide a bedside registration option for patients wanting a PCEHR. “For the duration of the month-long trial, all lunch trays for patients will include a tray liner with information about the national eHealth record system”, Adam McLeod, director of strategy and eHealth at IEMML, said. (Pulse IT, February 26, 2013).

Let’s hope that other MLs are able to come up with such innovative strategies.


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Australian Doctor Articles

All in the look

In May 2009 I wrote an article how it’s worth taking time to make documents look good as well as clinically accurate. The way you present the information is very important. This includes the layout of a document so that it is visually pleasing and grammatically accurate. Sloppiness in this regard reflects poorly on the GP and the practice’s professional standards and I must say I have seen some referrals and care plans that have been appallingly presented. For full article with presentation hints click here.


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Chronic Disease Management

Free type 2 diabetes awareness sessions

Diabetes Australia – Vic offers free type 2 diabetes awareness sessions to community groups in languages other than English. The sessions are available in Arabic, Cantonese, Greek, Italian, Macedonian, Mandarin, Spanish, Turkish and Vietnamese. These sessions focus on increasing awareness of diabetes and reducing the risk of developing type 2 diabetes. The session runs for 75 minutes, and is presented by a trained bilingual health educator in your chosen language at a venue of your choice. To book a session for your practice, or connect patients with local sessions, please visit or call 9667 1733.


Getting Started

Thursday, 7 March 9:30-3pm. Presented by Diabetes Australia – Vic this is a diabetes information session for people with type 2 diabetes who are newly diagnosed or have not had diabetes education in the past. The five hours session is run by our diabetes educator and dietitian, who will provide valuable information to get you started managing your diabetes. Information sessions are held at DA–Vic 570 Elizabeth Street, Level 1 (stairs only) Melbourne. Cost is $10 for DA–Vic members plus one support person 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. Participants will need to bring a cut lunch. Click to view flyer.


Diabetes Australia – Vic’s Life! program – online training for practice nurses introductory sessions

The Life! program helps reduce the risk of developing type 2 diabetes, heart disease and stroke by encouraging participants to adopt an active lifestyle and healthy diet. Delivered as either a group course or as a telephone health coaching service, Life! is the largest prevention program of its type in Australia. A component of the Life! program is the introductory session. The Life! introductory session is a face-to-face consultation between a health professional and a participant. DA–Vic’s Life! team is developing a free online training program to certify health professionals including practice nurses to deliver this introductory session to their clients. Upon completion of an introductory session a health professional will earn $80+GST. For expressions of interest please contact Michelle Jones Primary Care Prevention Coordinator on 03 9667 1730 or via email.


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Continuing Professional Development

Influenza & Immunisation Update

Wednesday March 19th 7pm-9.15 pm (Dinner from 6.30pm) Presented by Dr Peter Eizenberg at John Scott Meeting House, La Trobe University, Bundoora. Flyer



Together with Cancer Council Victoria, ThinkGP brings you two new activities which cover vitamin D, sun protection and skin cancer.
Skin Cancer Prevention & Vitamin D is a one hour accredited education activity and Vitamin D and sun protection in general practice is a 15 minute video.
Also see a list of current education, special feature video interviews, the ThinkGP newsfeed and our discussion forums.


GP Skin Cancer Workshop

Saturday 23 & Sunday 24 March at Monash University. This two-day GP workshop includes differentiating between benign and suspicious skin lesion, managing skin cancers and Dermoscopy teaching and practical hands-on interactive sessions using pigskin.

For further information and flyer see here.


Austin Health - Division of Medicine Grand Round

Contemporary Management of Atrial Fibrillation Speaker: Associate Professor Omar Farouque, Director, Cardiology Department

Wednesday 6th March, 12:25pm at John Lindell Lecture Theatre, Level 4, Lance Townsend Building (opp. Medical Library), Austin Campus. Informal lunch at 1.15pm outside the Lecture Theatre.


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Home Medicines Review

Dose Administration Aid Service

Reminder to GPs that Dose Administration Aids packed weekly by pharmacies are available at no charge to DVA patients. Phone VAPAC (Veterans’ Affairs Pharmaceutical Advisory Centre) 1800 552 580. A Home Medicines Review is strongly recommended in conjunction with the DAA Service for veterans. However, if an HMR is not possible locally, prescribing the DAA Service is at the GP’s discretion. See website for further information

Claiming process for LMOs only

DVA will pay 115% of the MBS fee to Local Medical Officers (LMO) who also receive a Veterans Access Payment (VAP) for each eligible item of service. No separate charges may be made for a DVA beneficiary. The VAP can be claimed in accordance with the LMO Fee Schedule which can be accessed on the Service Providers section of this website.

NB: No VAP is eligible to be paid to LMOs or GPs claiming the Veterans Six Month Review (CP42) item.

Claiming process for other general practitioners

Other GPs, that is those who are not LMOs, are paid 100% of the MBS fee (and 60 cents) for consultations provided to veterans. For the DVA DAA Service, non-LMOs are able to claim the CP42 DVA item (assessment of the Veterans Six Month Review) and will receive the full payment of $50 for this service.

Non-LMOs can also claim the Medicare Bulk billing Incentive item numbers 10990 or 10991 when providing eligible bulk billed services to veterans.

Please note, non-LMOs are not eligible to claim the Veterans Access Payment for consultations provided to DVA patients.

Item CP42

A CP42 is $50 remuneration for the GP/LMO to case conference with the Community Pharmacist to discuss the recommendations of the VSMR, the veteran’s performance in managing their medication regimen while using a DAA, and the veteran’s suitability for a further six months use of the DVA DAA Service.  GPs and LMOs may claim Item CP42 when the veteran returns to the GP for a consultation and the outcomes of the case conference have been discussed with the veteran in this follow up consultation. The GP may claim a MBS consultation item at the same time as Item CP42.


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Information Management

eHealth and Medical Director – meeting the 5 PIP eHealth requirements

HCN has made available on its website eHealth section a variety of documents to help practice understand and install/setup the components that support the 5 requirements of the PIP eHealth. We suggest you print these and study them carefully and have them on hand when setting up the 5 different components. For most of these you need to have MD version 3.14d installed on your system. For the requirement you will need your NASh PKI certificate that will arrive on a CD. We understand that there has been some delay in the delivery of this CD to practices. Once it arrives you can read the HCN documentation and proceed with the installation.

There are also some short videos on the website as well. This should help facilitate what is otherwise a time consuming, complicated and nerve racking experience. Website:


Medical Director Tip - eHealth e-Referrals

The eHealth referral can only be used once you have set up your PKI and secure messaging. The referral includes:

·         Space to type in validity period for the referral (default=12 months)

·         Space to type in “Reason for referral”

·         Procedures

·         Problem / Diagnoses

·         Other Medical History

·         Medications

·         Allergies / Adverse Reactions

·         Diagnostic Investigation

·         Outstanding Requests

Please note:

·         If you wish to indicate that a document contains sensitive information, type “Sensitive Information” into the Reason for Referral field of the document.

·         Any irrelevant sections, such as Outstanding Requests, can be removed by removing the tick next to the heading

·         Individual items within a category can be deleted by highlighting the row and pressing delete

·         It appears you cannot add/include categories such as Immunisations, Warnings and Family and Social History

·         You cannot send the referral to the PCEHR

·         Any deleted items are not deleted from the MD clinical record

·         You can send via MD Exchange or an “external transport” such as Argus


This week’s IM problem - What does CDA stand for in eHealth documents?

Question: I have noticed the eHealth tab in LetterWriter and each type of document has CDA before it. What does this mean?

Answer: When you look up CDA in MD’s Help it defines CDA as: “Clinical Document Architecture (CDA) is an XML-based markup standard for specifying the encoding, structure and semantics of clinical documents for exchange. CDA-based documents are saved to the Letters tab of a patient's clinical record, along with other correspondence such as letters. When you open a CDA document, it is opened in the CDA Viewer”.

Got that? Well I don’t except that it is the HL7 standard for the secure exchange of clinical information between different health providers. Still confused? Just live with it like I do!!


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Items of Interest

Video resources - Complete Video Guide to Heart Disease

These Kwik Med videos for patient information are also available on the top consumer sites of theNEVDGP website and they include:

·         Heart attack

·         High Blood Pressure

·         Causes, Exercises Diet

·         How the Heart works

·         Symptoms

·         Recovery

... and much more


GP Network News

This week’s edition includes: AMA Welcomes ACCC Decision on GP fees; AMA Council of General Practice meets this weekend; Looking after the mental health of Doctors; New Hepatitis C treatments now on PBS; Need to better educate parents about adverse vaccine reactions; Bulk billing doesn’t pay;


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News for Practice Staff

Life! program – online training for practice nurses

See under Chronic Disease Management


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Women’s Health

Annual Women's Health Update

Saturday 2 March 8:30am to 6:30pm at Melbourne Convention and Exhibition Centre

Click here for brochure and registration.


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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


Watsonia - Rosanna Medical Centre is seeking a PT/VR GP. A computerised, accredited, mixed billing, long established practice. Friendly supportive team. Please call (03) 9435 1191.


Practice Staff

Diamond Creek Medical Centre - Practice nurse Div 1, part time. Computer literatacy – knowledge of Medical Director an advantage, Typing skills, Wound management experience, Preferably vaccination experience. Monday and Friday 9.30-2pm and available to fill in for present nursing staff holiday and sick leave.

Please contact Lina Rogers on 9438 1911 or email


Heidelberg area - Practice Nurse, RN Div 1 Grade 2, 3 days permanent/part time - Tues, Weds and Thurs 9am to 5.30pm. To apply go to: and enter ref code 1200617


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Brain Teasers

If you can read this out loud, you have a strong mind. And better than that: Alzheimer’s is a long, long way down the road before it ever gets anywhere near you.


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If you can read this, you are one of the 55 people out of 100 who can.


I cdnuolt blveiee that I cluod aulaclty uesdnatnrd what I was rdanieg. The phaonmneal pweor of the hmuan mnid, aoccdrnig to a rscheearch at Cmabrigde Uinervtisy, it dseno't mtaetr in what oerdr the ltteres in a word are, the olny iproamtnt tihng is that the frsit and last ltteer be in the rghit pclae. The rset can be a taotl mses and you can still raed it whotuit a pboerlm. This is bcuseae the huamn mnid deos not raed ervey lteter by istlef, but the word as a wlohe. Azanmig huh? Yaeh and I awlyas tghuhot slpeling was ipmorantt! 


This is a TEST. Good Luck!!!


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And remember


            … When tempted to fight fire with fire, remember that the Fire Department usually uses water.