MedicineInsight is a program developed by NPS MedicineWise. MedicineInsight extracts data from participating practices for quality improvement purposes. All participation is based on consent from practices, and is supported as a quality improvement program by the RACGP National Research Ethics and Evaluation Committee (NREEC).
This activity involves a whole of practice meeting to discuss practice data around a single topic i.e. type 2 diabetes. A trained MedicineInsight facilitator meets with the practice team (GPs, practice nurses, practice manager and others as relevant). Each practice is provided with a report on their data and how it relates to best practice guidelines and organisational measures.
The facilitator then guides the practice through a discussion to consider their data and look for areas they wish to improve. The facilitator helps practice staff identify goals for attainment and articulates these in follow-up communication with a key contact from the practice.
Relevance to General Practice
This activity helps practices understand their own data and identify practical actions to improve performance and close evidence-practice gaps. A national needs assessment conducted by NPS MedicineWise highlighted that practices wanted access to their aggregated data across a range of therapeutic areas in a way that was easy to understand. Around a million Australians have diabetes and about 85% have type 2 diabetes.
Management of people with type 2 diabetes is complex, especially when dual therapy is necessary. Management of diabetes includes managing glycaemia and CVD risk factors; cardiovascular disease is the primary cause of death in patients with diabetes. Many patients with diabetes are not achieving recommended targets for HbA1c, blood pressure or cholesterol. This activity will help familiarise GPs with updated guidelines and treatment algorithms with a focus on selection of second-line glucose lowering medicines based on consideration of both medicine and patient factors.
- Produce comprehensive medical records to ensure continuity of care and reduce risk for patients
- Compare report results with best practice guidelines to identify gaps in the management of patients with type 2 diabetes
- Discuss report results and outline roles, responsibilities and opportunities to improve the management of patients with type 2 diabetes at a practice level
- Prioritise areas to improve the management of patients with type 2 diabetes to increase achieved HbA1c targets (if required)
Domains of General Practice
D1. Communication skills and the patient-doctor relationship
D2. Applied professional knowledge and skills
D3. Population health and the context of general practice
D4. Professional and ethical role
D5. Organisational and legal dimensions
Curriculum Contextual Units