Welcome to Westvic News
Yesterday, the federal government announced ten PHN regions across Australia to trial a new chronic disease management model in primary care called Health Care Homes. The establishment of Health Care Homes across Australia was recommended by the Primary Healthcare Advisory Group to deliver continuity of care through coordinated services and a team-based approach according to the needs and wishes of patients. I have previously written and spoken about the terrific intent behind such an approach, as clearly the MBS with care plans is less than ideal, particularly for patients with more chronic and complex conditions to be managed. The establishment of Health Care Homes is a step in the right direction to resolving fragmented primary and acute care services for people with chronic conditions, but it will be important to get the funding balance right so that incentives promote value, not volume of services. Unfortunately, only one of the ten trial sites are in Victoria and none of the three regional / rural Victorian PHN regions will be participating.
The benefit for Western Victoria PHN is we have the flexibility to focus on leveraging off the current system and work together on describing and aiming for what a high performing primary care system looks like. This will be something which I will take to the four Western Victoria PHN Clinical Councils to discuss in the coming months. Let’s set the vision together and guide the work of the PHN to implement the necessary changes with general practice, the many other health care settings and local communities. Concurrently, we look forward to learning from the early experiences of the ten trial sites to inform our readiness, should trials move into new government policy from 2019/20.
Jason Trethowan, CEO, Western Victoria Primary Health Network
Board Director nominations are now open
eHealth PIP - the next quarter
My Health Record digital bulletin
From the Opioid Management team
Victorian PHN Alliance Webinars
Latrobe University - Trochanteric Pain Syndrome Research
Foundations of General Practice Nursing workshops
Focused Psychological Strategies - Level 2 skills training
The Australian Association of Practice Management (AAPM) 2016 Annual Conference
HealthPathways clocks-up 350!
Cardiac services at St John of God Hospital Emergency Department
Diabetes Victoria - Diabetes Foundations 2016
Grand Round Lecture Series in September
Secret Girls' Business masterclass
Western Victoria PHN Ballarat has moved
Ballarat Health Services seeks your feedback
Re-Engaging Life - Overcoming Chronic Back Pain
Mindfulness Based Cognitive Therapy - Program for Depression
Ballarat Cardiology - SAVE THE DATE
On Thursday 27 October at the 2016 Western Victoria PHN Annual General Meeting (AGM) there will be one Elected Director vacancy on our Board for a three year term.
If you are a current Western Victoria PHN member, you are eligible to nominate for the vacant Elected Director position.
If you are interested in the Director role, please complete the Director Nomination Pack and return by 5pm Monday 19 September 2016.
The Nomination form is an interactive PDF and can be completed electronically and must contain a signature.
If there is more than one nomination for the vacancy, an election will be held at the 2016 AGM, with information of all the eligible nominees being distributed to all members with the Notice of Meeting, at least 21 days prior to the AGM.
If you have any questions regarding the Director vacancy, please contact our Board Chair Lynne McLennan or call 0418 375 170.
Please be aware that eHealth PIP compliance is ongoing. Each quarter you are required to upload 0.5% of your SWPE from your last PIP statement. Your SWPE number may vary from one statement to the next, so do your calculation from your most recent statement. The following table outlines the payment period and the relevant SWPE reference period. For full information, please see the Human Services PIP page.
The Australian Digital Health Agency (ADHA) distributes a digital bulletin for Healthcare providers. Discover the latest news and updates, and what others are saying about My Health Record. To subscribe scroll down to the bottom of this page.
International Overdose Awareness Day Wednesday 31 August
Barwon Health is marking International Overdose Awareness Day by screening a number of short films that raise awareness of the impact of overdose, prevention tools, alongside referral information for Barwon Health’s Take Home Naloxone Program.
Date: Tuesday 30 August
Venue: HERB Lecture Theatre (behind Kitchener House), 285 Ryrie Street, Geelong
Overdose Awareness Day has been a key remembrance event for those who have died from fatal drug overdoses since 2001. On Wednesday 31 August, thousands of people worldwide will stand alongside the friends and families of fatal overdose victims to reflect on those who have been lost. The event is organised on the understanding that no-one need feel shame or disgrace over a drug overdose.
Overdose Awareness Day offers all who have been affected by overdose a chance to publicly mourn and help the wider community understand that fatal overdoses profoundly affects mainstream society.
The day also serves as a warning that it is not only illicit drugs that can be dangerous and no-one is immune to overdosing.
With the number of fatalities from prescription drugs growing, Wednesday 31 August is also a chance to see that medicines are not always our friends. Painkillers and other pharmacy drugs play an important medical role, but their misuse can have tragic long-term consequences.
Participation in International Overdose Awareness Day is free. Anyone wishing to be involved may do so.
The case for Naloxone
Naloxone can play an important role in the prevention of overdose. It should be considered by GPs when prescribing any opioid medications (not just methadone and buprenorphine).
Craig Harvey works with Barwon Health Drugs and Alcohol Services in Geelong, Victoria as a Project Worker, for the Pharmacotherapy and Naloxone Programs. He is also a member of the Opioid Management team at the Western Victoria PHN. Here he discusses the benefit of naloxone in managing overdose of opioids (both licit and illicit).
The rates of opioid overdose continue to grow globally, and Australia is no exception. The UNODC (United Nations Office on Drugs and Crime) in their 2015 World Drug Report, described Oceania has having a higher than average drug mortality rate, with between 1700 – 2100 drug related deaths in 2013. Locally in 2011, we saw 617 Australians die from opioid specific overdose, equating to over 1 person each day of the year. (NDARC 2010).
Naloxone is an easy to use, lifesaving medication, which temporarily reverses the effects of opioid overdose. It is a medicine that has been widely used for decades, and in recent years both here in Australia and overseas, has been placed in the hands of people that need it most, those who use opioids, and most likely to witness overdose. We understand from evaluation of these programs across the globe, that 70% of overdoses are witnessed, so timely intervention with a lifesaving medication is of paramount importance.
These programs, which have been established in countries ranging from the UK, USA, India, China, Kazakhstan and Russia to name a few, have saved many thousands of lives and continue to do so each day.
In February this year (2016) Australia was the second country in the world to make Naloxone available as an over the counter medication, (following Italy in 1995) which further increased its reach into the wider public. However, the means of access is costly for some, and a successful rescheduling argument sees Naloxone available both OTC and as a prescription medication, providing affordable access to those most in need.
There are many reasons for Naloxone to be part of our approach to people who use opioids, both illicit and through prescription. Naloxone is a great way to start a conversation about overdose and the risks of opioid use. It enables the physician to begin talking about overdose more generally, and open up conversation about risks. It also is a powerful message, that opioid use, like all drug use, prescribed or not, carries an element of risk, and the use of Naloxone is a powerful message that the health sector cares about individual’s wellbeing, and has trust in their own ability to manage their health.
As a cost saving measure, naloxone is very cheap. The training is quick and simple, and the savings, when it is used and a death is avoided, is significant.
Naloxone on HealthPathways
Western Victoria PHN has developed a HealthPathway, which provides GPs with a simple guide to Naloxone, covering understanding the medicine and its actions, and a training protocol, guiding the GP through the areas to cover before prescribing. It also provides links to local AOD services, which offer Naloxone training and adjunctive services, which might be of benefit to the patient, such as counselling, homebased withdrawal and pharmacotherapy treatment and stabilisation.
Further reading and resources
For further reading and resources around the benefits of prescribing naloxone see the articles and links below:
- Cope Australia
- Australia reschedules naloxone for opioid overdose
- Mainstreaming Naloxone Through Co-prescription to Patients Receiving Long-Term Opioid Therapy for Chronic Pain
- Cope information for health professionals.
Please join our online forum to discuss with your peers and colleagues your issues with patients displaying drug seeking behaviour, or any other issues you have with prescribing opioids, pain and dependence.
For more information or assistance contact:
Geelong region: Pene Wood, Dr Mark Davies or Craig Harvey or call 5222 0800
Warrnambool region: Amy Collins or Aneill Kamath or call 5564 5888
Ballarat, Ararat, Horsham regions: Jacqueline Keevins or call 5338 0511.
The Victorian PHN Alliance (VPHNA) is a platform for the six Victorian PHNs to collectively achieve the best possible outcomes for local communities and organisations through leadership, collaboration, coordination and synergy. A suite of webinars is one of the initiatives of the VPHNA. The first set of webinars are on the following topics and ready to view now:
- Infection Prevention & Control
- Vaccine & Cold Chain Management
Latrobe University is conducting a study into greater trochanteric pain syndrome (otherwise known as gluteal tendinopathy and/or trochanteric bursitis) and would appreciate your clinic letting them know about any suitable people. They have a Participant Information Statement and Advertising Flyer.
Are you a nurse seeking an orientation or refresher covering the topics most pertinent to your daily primary health care practice? New or transitioning nurses - this is the CPD for you! Workshops are located in Melbourne on Friday 7 & Saturday 8 October. Designed and delivered by nurse leaders, these workshops provide up to 12 hours of essential and engaging CPD for primary health care nurses.
Register now and secure your seat at a workshop! Earlybird registration for the Melbourne Workshop closes Monday 19 September.
CBT-derived skills taught throughout the program include psycho-education, motivational interviewing, cognitive interventions, behavioural interventions, and skills for working with families and relaxation skills training.
Date: Saturday 15 - Sunday 16 October
Time: 8.30am - 5pm
Venue: Yarraville Community Centre
The Australian Association of Practice Management (AAPM) 2016 Annual Conference will be held at Crown Melbourne from Tuesday 18 October to Friday 21 October.
The healthcare system is entering a period of unprecedented change. This conference provides opportunities to discover ways to lead and empower, to navigate through the uncertainty and challenges ahead.
Delegates will have a program that incorporates ongoing professional development, up-to-date information relating to practice managers and more.
The conference is open to all who are involved in health care management and delivery. Practice managers, team leaders, practice team members, practice nurses, specialty healthcare practitioners, policy makers, government staff, and healthcare managers are all welcome.
HealthPathways now has 350 localised guidelines to support GPs in the assessment, management and referral of their patients.
New on HealthPathways:
- Palliative care pain management
- Palliative care pain medications
- Supporting palliative care
- Breast symptoms
- Falls prevention and screening.
To stay up to date on recent, locally agreed guidelines see HealthPathways Western Victoria.
With no waiting times, St John of God Emergency Department is supported by a comprehensive cardiac service. Their medical specialists and nursing staff can provide total cardiac care including interventional cardiology, cardiothoracic surgery, intensive care, coronary care and cardiac rehabilitation.
Diabetes Foundations provides a strong grounding in essential information about diabetes including pathophysiology, prevention of complications and an overview of management of type 1 and type 2 diabetes including psychological issues. This interactive program is delivered by expert diabetes practitioners from Diabetes Victoria and is suitable for registered and enrolled nurses, GPs, dietitians, exercise physiologists, pharmacists and podiatrists.
Date: Monday 12 September
Venue: Simonds Stadium, Geelong
GPs are invited to attend one or more of these lectures at 12.45pm on Tuesday's in September preceded by lunch at 12.20pm. Topics include:
- If I improve my diet, will my health improve?
- Diagnosing, Assessing & Managing Violence in Psychotic Disorders
- Agar Memorial Lecture: Lipids.
Barwon Health invites you to attend an interdisciplinary masterclass on adolescent and paediatric gynaecology in September. Professor Sonia Grover, Director of Paediatric and Adolescent Gynaecology at the Royal Children's Hospital will be the guest speaker.
Date: Friday 2 September
Time: 1.30pm - 2.30pm
Venue: Deakin Clinical School Lecture Theatre
Ballarat and Goldfields
Our office in Ballarat is now located at 101 Drummond Street North, Ballarat effective Monday 15 August. The telephone number remains unchanged: 5331 6303.
You're invited to attend a forum to inform the review of the Operational Structure of Mental Health Services at BHS. You do not have to attend the full session.
Date: Monday 29 August
Time: The sessions run between 10 - 12 noon and 2 - 4pm
Venue: Conservatory, Ballarat Lodge, Geelong Road.
Alternatively, you may wish to express your thoughts via email. We would encourage all GPs and practice staff to take advantage of this process. Please refer to the attached document for further information.
Mindfulness-Based Cognitive Therapy (MBCT) is designed to help people who suffer repeated bouts of depression and chronic unhappiness. It combines the ideas of cognitive therapy with meditative practices and attitudes based on the cultivation of mindfulness. The heart of this work lies in becoming acquainted with the modes of mind that often characterise mood disorders, while simultaneously learning to develop a new relationship to them.
Date: Monday's 3 October - 21 November, plus one full Saturday on 5 November
Venue: Dawson House
Ballarat Cardiology will be presenting a day of information on cardiology for general practitioners - “What is new and what is the latest best practice?"
Date: Saturday 8 October
Venue: Ballarat Mercure, Main Road, Ballarat