Utilising available supports
Divisions and practices
Make the best possible use of your division of general practice and other expertise to plan and review prevention activities and to development a system to support your practice. Many provide a prevention coordinator and IT support to assist with prevention. A list of divisions and their specific projects can be found at www.phcris.org.au
Payment incentives are one of several motivators for strengthening prevention activities in general practice. Practices should be aware of the full range of government funded initiatives that can support prevention practice.
A metropolitan division of general practice reported that practices continually request support in diabetes management and complication prevention. In response, the division developed a range of strategies and services that GPs and practices can use to suit their individual needs. These include:
- An external diabetes register and recall program based in the division and styled on the ‘CARDIAB database’. GPs send in their clinical patient data to the division where it is collated. The division then audits the GP’s care against clinical management guidelines. A recall list is sent monthly to each practice to remind them which patients need to be reviewed
- A diabetes/asthma support program is available for PNs who coordinate the Medicare Diabetes Annual Cycle of Care and the Asthma 3+ Visit program. The practices allocate GP and practice nursing time to this program. The division provides annual diabetes and asthma in-service programs for PNs, and there is also access to the division’s diabetes/asthma educator
- The division employs qualified and experienced diabetes/asthma educators and contracts their services to provide regular clinics. The division collaborates with community health services, providing access to comprehensive diabetes education to complement the GP’s medical management, at low cost and with a minimal waiting time. A diabetes educator, dietician, community health nurse and podiatrist facilitate the program, which is run in both English and Chinese.
Leigh Barnetby, Whitehorse Division of General Practice, Victoria www.wdgp.com.au