February 2009 - February 09 newsletter

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							                                                      Nepean News
                                                      VOLUME              15      ISSUE             7             FEBRUARY2009
Board of Directors
Chairman                                              From the Chair                                     Practice should engage the whole Practice team.
                                                                                                         Remember that the Division also has employed a
Dr Muthappa Srinivasa             9623 1430      I wish everyone a happy New Year.                       Mental Health Nurse to assist GPs. This service is
Vice Chairman                                    The Board is holding its annual Planning Day on at no cost to GPs.
Dr Brian Richardson               9623 0278      Sat 7th Feb. It is hoped, that in consultation with the Members are encouraged to attend the regular
Treasurer                                        community, Penrith Council and Area Health CPDs events run by the Division. This is especially
Dr Hany Gayed                     9623 6628      Service that there will be a greater mutual so for the first Friday of each month. Apart from
Secretary                                        understanding of the broad initiatives of each education on topical subjects, these events provide
                                                 stakeholder. Also that we will build and maintain
Dr Shiva Prakash                  4737 3333                                                              excellent “Mateship” opportunities.
                                                 appropriate health links, where there is a common                              Dr (Srini) Srinivasa
Committee Members                                focus and need.
Dr Mark Dowsett                   4729 0388
                                                 Practice Nurse’s funding remains confusing. It has             These are the views of the Chair and
Dr Steven Wong                    4731 3099      been shown that a sustainable model for General               not necessarily the views of the Board.
Executive & Division Staff
CEO
Michael Edwards                                  AGPN       Primary             Health        Care The GP’s role will remain about whole patient
Grad DIP App Sc FSAE. CAHRI,MIExpE,OMIE Aust     Position Statement                                     care, but GPs will be better supported in
Corporate Services                               As General Practice moves into the future we           providing this care with more care delegated
Administration Officers / Assistants             must respond to the increasing demands – in            to others in the team working in expanded
Jayne Wooden                                     particular, supply and distribution of the             roles.
Dawn Ryan                                        workforce, an ageing population, rising
                                                                                                        There will be an increased focus on both
Jessica Cook                                     chronic disease levels, new technologies and
                                                                                                        primary and secondary prevention rather
Carol Ang                                        scientific advances, and increasing consumer
                                                                                                        than on episodic care. This will be linked to
                                                 demand. In responding to these challenges,
General Practice Development                                                                            achieving improved population health
                                                 ensuring patient-centred care and building
Program Officer—Chronic Disease                  the capacity of the primary health care
                                                                                                        outcomes, especially for chronic disease.
Elisa Manley RN.B.Nursing                        system must remain our key motivators.                 Practice managers will play an increasingly
GP Liaison Nurse                                                                                        important role in practice data management
                                                 What is the purpose of the Statement?
Michelle Doull RN BN Hons CNC                                                                           and provision and in ensuring that good
                                                 The Statement sets out the policy principles
Program Officer-Practice Support                 and frameworks underpinning the systems
                                                                                                        chronic disease management systems are in
Tracy Forsythe M.App.Sc                                                                                 place in the practice. This will become more
                                                 and structures that need to be in place to
Cost Recovery + Workforce                                                                               important with voluntary patient registration
                                                 support quality primary health care. It is also
Program Officer/Dietitian                                                                               (for packages of chronic disease care) and
                                                 forward looking. It describes where we would
                                                                                                        the introduction of capitation payments in
Lizz Reay B.AppSc.M.Nutr&Diet.APD Ad DipBusMgt   like the primary health care system and the
                                                                                                        certain defined circumstances.
Alison Warburton B.AppSc.M.Nutr&Diet.APD         Network to be in five years time. Overall the
Charity Spalding BHlthSc (Nutr&Diet.) APD        Statement aims to:                                     A career pathway will be available for GPs
Program Officer—Youth Health                     ∗   Articulate the important role of the               that allows them to up or re-skill, interface
                                                     Network in the primary health care                 more closely with hospitals, and recognises
Kate Weston EN
                                                     system.                                            their clinical and teaching skills and
Program Officer-Diabetes Integration             ∗   Highlight the essential role of general            experience.
Phillipa Tyldsley BE, BHSc, Dip Nut                  practice in primary health care.
Practice Nursing                                                                              Regional entities will hold pooled
                                                 ∗   Describe how Divisions can continue to
                                                                                              Commonwealth / State funds and use
Morag McDonald RN                                    contribute to quality primary (health) care
Health Assessments                                                                            aggregated data provided by divisions from
                                                     outcomes by supporting general practice
Program Officer –IT                                                                           practices to better plan and fund the
                                                     and the broader community.
                                                                                              necessary health services. Funding for
Adam Ryder Dip.IT,CNE
                                                 The new ideas contained within the           general practice will include blended
Contracts + Research.                            Statement cover the following four areas:    payments that include capitation, FFS and
HMR/NPS                                          1. Ideas about regional entities and         payment for improvements in population
Paul Morcos B.Sc,MPS,JP                             regionalisation.                          outcomes that have been agreed with the
Aboriginal Liaison Officer                       2. Shifting within health care and of        professions. Funding for packages of chronic
Libby Brown                                         enhancing consumers experience of the     disease care will be available to practices for
Mental Health Nurse                                 healthcare system.                        patients who voluntarily register with their
Philip Gregory RN                                3. New and emerging roles within the         practice for such care. This funding will be in
Psychologist                                     4. general practice team: GPs working and    addition to fee-for-service and other
                                                    being remunerated as GP consultants with payments.
Sara Courtwood BSocSci (Psych), PG Dip(Psych)
                                                    delegation of work to others in the
After Hours GP Clinic                               primary care team such as practice
                                                                                              Overall the nature of GPs’ work itself will
Tracy Forsythe M.App.Sc                                                                       remain the same, but more systems and
                                                    nurses, nurses with advanced or
                                                                                              supports available to GPs to assist in the
      10 Macquarie Avenue,                          specialised skills and the like.
                                                                                              delivery of care.
      Penrith NSW 2750                           4. A blended payment system for primary
      PO Box 903, Penrith 2751                      health care that includes pay for
      P: 02 4721 1150                                                                         For more detail and the means of providing
                                                    improvement for specified chronic disease
      F: 02 4721 1176
      E: admin@nepeandgp.org.au
                                                    health outcomes delivered, that maintains feedback see “What’s New” on the Division’s
      W: www.nepeandgp.org.au                       fee-for-service.                          webpage: www.nepeandgp.org.au
PAGE 2                                    Public Health Forum to be hosted by
                                        Nepean Division and Penrith City Council
                                  – see enclosed poster and patient information brochures
                            The Division in conjunction with Penrith City Council will be hosting a public forum at
                            the Penrith City Council auditorium on 12 March 2009, 7pm to 9pm.
                            The forum will encourage people aged between 40 and 49 years to attend and is
                            aimed at increasing awareness about healthy lifestyle choices that will reduce the risk
                            of developing chronic disease later in life.
                            Representation from the peak bodies in public health promotion such as the Cancer
                            Council, Diabetes Australia NSW and the National Heart Foundation will be
                            presenting, as well as Dr Ray Seidler, a GP from Kings Cross experienced with public
Healthy heart ideas!        awareness campaigns. A well known public personality involved in increasing
                            awareness of hearing loss, Mr Angry Anderson, will facilitate the event.

Use …
                            Consumer input from the Divisions consumer reference group (a subcommittee of the
                            Board) has been instrumental in formulating the content and format of the forum. A
∗  margarine spreads
   instead of butter;
                            key factor underpinning the rationale to host the public forum will be to encourage
                            participants to see their GP for a health check (MBS item 717 [45-49yr] and 713 [40-
∗   low or reduced fat      49yr] health check).
    milk and yoghurt;
                                Please support this public forum by promoting it with your patients and
∗   have fish at least             placing the enclosed poster and flyers on display in your practice.
    twice a week;
∗   select lean meat                      When can young persons consent to their
    (trimmed of fat) &
    skinless chicken;
                                               medical treatment and care?
∗   snack on plain, un-
                            The NSW Health Care Complaint Commission (HCCC) regularly receives inquiries
    salted nuts and fresh   from concerned parents that feel the health service provider had not included them in
    fruit;                  the treatment decision relating to their children.
∗   include legumes in      Common issues include:
    two meals a week;       ∗ Tattooing or branding, body piercing, parental consent in shared custody cases,
                              non-custodial parents
Limit …
∗   take away (pies,
                            Contact the HCC regarding:
    pizza, burgers) &       ∗ Valid consent for the treatment of young people
    snacks (chips) to       ∗ Dealing with complaints directly
    once a week;            ∗ The legal framework
                            ∗ How the Commission handles complaints
∗   cakes, pastries and
    biscuits to once a      For more information visit www.hccc.nsw.gov.au or phone Commission’s Inquiry
    week;                   Service on 02 9219 7444 or toll free 1800 043 159.
Do …                        For information sessions contact Katja Beitat, Communications Officer
∗ Restrict alcohol          kbeitat@hccc.nsw.gov.au or phone 02 9219 7494.
  consumption
∗   Manage your weight                                    Heart Health Online
∗   Be active every day
                                    Participate in Research for 40 Category 1 QA & CPD points
∗   Stop smoking            Deakin, Monash and Swinburne Universities, together with Beyond Blue VcOE are
                            conducting research aiming to evaluate the effectiveness of a computerised health
                            information resource (Heart Health Online) for improving the psychological and
                            physical well-being of people who have experienced a significant adverse coronary
                            event. Heart Health Online provides patient-tailored information resources in addition
                            to psycho-education and strategies for managing psychological symptoms associated
                            with CHD.
                            We are currently seeking GPs to participate in our study. GPs who participate will be
                            asked to invite eligible patients to the study and to provide basic physiological data,
                            such as BP and serum lipids, at the end of the 9 month trial as well as a brief survey
                            regarding the effect of Heart Health Online upon the doctor-patient relationship.
                            Participating GPs who enlist at least two patients to the study will be paid $100 for
                            their time, will have on-going access to Heart Health Online, and will be eligible for 40
                            Category 1 QA & CPD points. To register interest in the study, or to find out more,
NEPEAN           NEWS       please contact Dr. Matthew Fuller-Tyszkiewicz on (03) 9251 7344 or
                            matthewf@deakin.edu.au
                                                                                                                       PAGE 3

                   Practice Bytes                              In a busy practice it can be very easy to forget one of the
                                                               most important tasks at the end of the day - properly
                   - where are the backups?                    backing up your data.
                                                    For some practices this can involve backing up your patient
                                                    records to tape, CD, DVD, USB key, external hard drive etc.
  It is always important to remember to store a copy of your vital records offsite and certainly external to the
  server that you normally use to store your records. Recently a practice suffered a hard drive failure and
  unfortunately the backups for the MD software were stored on the same hard drive. This would no doubt cause
  disruption to your practice and much anguish.
  If you have a spare laptop or PC, it is advisable for accreditation purposes and also for common sense, to test
  your backups every few months to make sure they are reliable. You can install MD or whichever software you
  are using to the spare machine and run the maintenance utility to perform a restore based on your backup files.
  If this works ok, then you know your backups are true and reliable.
  IT Support
  The Division has recently made contact with a local IT consultancy firm. They are a team of specialists who are
  able to source new PCs and servers. They are also ‘master cablers’ and so can install new networks and
  telephone systems.
  If you are setting up a new practice or refreshing the technology in your current one and would like some
  assistance, please call the Division and see what the possibilities are for your business. Don't forget, the Division
  is able to provide low cost IT support and advice to your practice through Adam, our IT Support Officer,
  4721 1150.



            Mindfulness Meditation                                 Australian Lifestyle Medicine Association
         for Cancer Patients & Carers                                               (ALMA)
        8 week Cognitive Therapy in small groups                   First Annual ‘Lifestyle Medicine’ Conference, Manly Pacific
                                                                   Hotel, Sydney, 20 to 22 March 2009. Keynote address by Dr
  Eligibility:                                                     Norman Swan.
  Cancer patients and carers of cancer patients who are
                                                                   Topics include:
  experiencing adjustment issues, depression or anxiety. A
                                                                   Inflammatory process and lifestyle-related disease, Physical
  GP Mental Health Care Plan (Item 2710) is required.
                                                                   activity, Nutrition / food and fluids, Sleep and sleep disorders,
  Facilitator:                                                     Addictions and complimentary medicine, Mood states – stress,
  Dr Elizabeth Foley                                               anxiety and depression, Using the EPC system, and The role
  BA (Psych) Hons MPsychol (Clin) PhD (Psych)Clinical              of the practice nurse in Lifestyle medicine
  Psychologist & Director of Mind Potential
                                                                   Conference Format
  Where & When:                                                    To preserve the practicality of the conference, presentations
  Cancer Council Community Hubs                                    will be divided into expert plenaries and short papers,
  Penrith: Friday 13th Feb to 3rd of April, 1pm-3pm                submitted ‘experience presentations’ within the topic areas and
  Rouse Hill: Monday 9th Feb to 30th of March, 10pm-12pm           ‘tales of the trenches’.
  There is no cost to patients but numbers are                     COST: $450.00
  limited. For further information or to enrol
                                                                   Register: www.alma-inc.com.au / Troy Grogan 1300 668 407
  phone Penrith Hub 9354 2060.



                  Please Note                                               Staff Profile
The     Division’s   Healthy       Lifestyle                              Libby Brown
Dietetic Service is located in the Old Council                        joins the Division
Chambers building, Cnr Henry and Station Streets, Penrith
4731 8055. Please give your patients the correct address
                                                                         in the role of
and telephone number.                                              Aboriginal Liaison Officer
EPC / Team Care Arrangements                                     Libby is available to assist GPs in relation to identifying
Please ensure your staff lodge the correct claims - MBS          Aboriginal patients, communication with Aboriginal patients and
items 721 and 723 with Medicare and before they see              making referrals to Aboriginal services, particularly in relation to
the dietitian. We have a number of rejected Medicare             mental health. Libby can also assist with the use of Aboriginal
claims due to incorrect lodgement by the patients practice.      specific Medicare item numbers.
Patients are entitled to a total of FIVE visits per calendar     Patients may also contact Libby, for information, support or
year with Allied Health Professionals. NOT 5 per AHP.            referrals.
If you have any queries please contact the Division on           To book an appointment or further information please contact
4721 1150, Dietitian - 4731 8055 or Medicare - 132 150.          Libby Brown at the Nepean Division of General Practice on
                                      Thank you!                 4721 1150.

VOLUME 15 ISSUE 7
What’s on ...                                                          These are Division run events

February                                                                                       Lunchtime CPD Events
Friday 6              Laryngo-Pharyngeal Reflux - Dr Michael Hunter
                      Nepean Shores      12.45pm                                               for 2009 ...
Saturday 7            Annual Strategic Planning Day                                            Speaker and Venue TBA
                      Nepean Shores        1.30pm — 8.30pm                                     All meetings - 12.45pm
                                                                                               April    Fri 3rd - Respiratory
Wed 18                ATSI Cultural Awareness Session
                      NDGP Board Room 6pm                                                      May      Fri 1st - Dementia
                      Contact Libby Brown - 4721 1150
                                                                                               June     Fri 5th - Law
                                                                                               July     Fri 3rd - Radiology
March
Friday 6th            Colorectal Surgery - Dr Simon Chew                                       Aug      Fri 7th - Chronic Pain
                                                                                                        Management
                      Venue to be advised        12.45pm
                                                                                               Sept     Fri 4th - Child Health
Thursday 12th Public Health Forum - 40+ years
              Penrith Council Auditorium 7.00pm — 9.00pm                                       Oct      Fri 2nd - Cancer Pain
                      *in conjunction with Penrith City Council, DoHA, NHF, DA, CC NSW,                 Management
                      Connect Hearing, Westfield Penrith
                                                                                               Nov      Fri 6th - Neuropathic Pain
Tuesday 31            Management of secondary                                                           Management
                      lymphoedema workshop
                      NDGP Board Room Lunch time                                               Dec      Fri 4th - Cardiology
                                                                                               Invitations will be sent out closer to these
                                                                                               dates with full information regarding
The NSW Institute of Psychiatry and NSW                                                        speaker and venue and will be available
Transcultural Mental Health Centre (TMHC)                                                      on the CPD area of the website.


TMHC are offering a unit of study Cross-cultural
Mental Health Care in General Practice for GPs or GP
registrars (doing a minimum of 3 clinical practice
sessions a week). The semester begins on February
23.                                                            Penrith Imaging is proud to announce
The unit covers a variety of topics including:                            the upgrade of our
assessment and culture, cross-cultural formulation,
working with refugees and asylum seekers, ethno-       GE SIGNA HDx 1.5T MRI scanner
psychopharmacology and issues in cross-cultural
counselling.                                        This state-of-the-art technology will improve patient comfort
                                                    and decrease scan times, while providing image quality of
For further information please contact:             the highest calibre. Our team of highly trained radiologists
Chandrani Kannangara at the TMHC on 02 9840 3800 and technical staff is ready to offer you the latest in diag-
Chandrani.Kannangara@swahs.health.nsw.gov.au        nostic imaging techniques.
Administrator General Practice 02 9840 3833
Amelia.Hatch@nswiop.nsw.edu.au
www.dhi.gov.au/thmc
www.nswiop.nsw.edu.au
                         Or go to
           www.nepeandgp.org.au “What’s new”
                 for further information

                                                                           Penrith Imaging covers a wide range of MRI applications
                                                                           including:
                                                                           Musculoskeletal                 Abdominal

This Newsletter is distributed by Barrett & Smith Pathology                Neurological                    Pelvic

                           PRIVACY POLICY
                                                                           Vascular                        Paediatric
The NDGP is committed to maintaining the confidentiality of your
                                                                           We also provide a full range of other imaging services,
personal information. It is the policy of the Division to maintain
security of personal information, including personal health
                                                                           including CT/CT angiography, general/vascular/
information where applicable, at all times to ensure that this             musculoskeletal/women's ultrasound, breast imaging,
information is only available to authorised members of staff and GP        general x-ray and screening, biopsies, MSK injections,
advisors. The Division reserves the right to disclose contact details to   dental x-ray and DEXA BMD.
Health agencies where it is reasonably expected to do so and within
the scope of collecting such information. Any complaints in relation             Contact our friendly staff on (02) 4737 3300
to this Division’s handling of personal information should be directed
to the CEO.
                                                                             Medicare Rebate Available with Specialist Referral

						
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