Index. 1. Medical Sleep Testing. 2. The Basecamp Forum for Practice Managers: A place to share ideas, resolve issues and build relationships

Transcription

1 1. Medical Sleep Testing 2. The Basecamp Forum for Practice Managers: A place to share ideas, resolve issues and build relationships 3. MOB Mobile Outreach Boomerang 4. Allied Health 5. Suga Shakers Clinic 6. Marketing your Practice 7. Developing Leaders of the Future 8. Practice Management Qualifications

2 Sleep apnoea diagnosis is usually: Referral to an external clinic, laboratory or hospital Long waiting times for testing Inconsistent follow-up between providers This consistently leads to frustrated patients Now, GPs can provide a better service Medical Sleep Testing provides your GP medical centre all the tools to run your own sleep apnoea diagnostic service Medicare bulk billable Additional income for your clinic Australian Sleep Physician supported

3 HOW DOES IT WORK? Meets the requirements of specialist MBS Item No Referral GP generates a referral form using the letter writer of your clinic software. The patient comes to reception and the form is faxed. 2. Approval The faxed referral form is reviewed by an Australian Sleep Physician and will send a confirmation letter to approve the test. 3. Fitting An appointment will be made for the fitting. A nurse fits the portable device and the patient goes home to sleep with it. 4. Processing Upon return, you upload data to our server. An Australian Sleep Physician personally reviews and reports on the test results. 5. Follow-up Full reports will be transmitted within 10 working days. You will recall patients on behalf of the GP to arrange follow-up. WHAT S IN IT FOR ME? Your clinic receives: Additional income - Payments for your nursing time Increased range of diagnostic services - Increase rural patient access & staff utilisation Greater marketing - We help customise the white label service specifically for your clinic

4 Find Matthew at the AAPM Conference ( * matthew@medicalsleeptesting.com EXCLUSIVE INTRODUCTORY OFFER * FREE EQUIPMENT LOAN FOR UP TO 3 MONTHS - VALUED AT OVER $3000 * PAYMENT OF $51.05 PER TEST COMPLETED - EARN AN EXTRA $3000 PER MONTH * NO OBLIGATION EQUIPMENT PURCHASE AFTER LOAN - 70% OFF RRP - YOUR PRICE $3570 To claim this offer SMS your name and clinic to Offer expires Friday 7 November 2014 at 5PM No lock in contracts, no obligations, terminate at any time. Available to the first 5 eligible clinics. Limited equipment available. Eligibility criteria and terms and conditions apply.

5 The Basecamp forum for practice managers: a place to share ideas, resolve issues, and build relationships A project by Inner East Melbourne Medicare Local (IEMML). IEMML provides practice managers with in-depth phone, , and face-to-face support; organises professional development events; and encourages networking between those at different types of practice and of differing levels of experience. As part of our work to support managers, we run a regular Practice Managers Special Interest Group where they can discuss important issues and build relationships. The groups have proven so popular that we decided to create a digital platform where managers could continue to engage with each other outside of the groups. This platform is our Basecamp for Practice Managers Forum. The goal of the forum is to help practice managers connect with their peers, benefit from each other s knowledge and experience, and resolve common issues all without leaving their practice.

6 Easily accessible, highly flexible Our Basecamp forum is accessible from any computer, tablet, or smartphone with web access; has no limit to the number of possible users; and facilitates speedy interaction and issue resolution by allowing all users to view and reply to every discussion thread. It also allows document sharing, has a customisable interface, and can be set up to send notifications that alert users to the latest posts. The forum is moderated by our experienced practice manager consultant, who keeps discussion relevant, coherent, and constructive, and who makes posts about important news, changes in the MBS, and any administrative or policy changes.

7 Our Basecamp forum has been a success because: It was designed by a practice manager, for practice managers: content is relevant and interesting. It s quickly and easily accessible, and gives managers access to valuable information and support. Most importantly, it creates a sense of community, and encourages managers to share and expand their knowledge. For further information, contact Koula Totsidis by phone on or via at KTotsidis@iemml.org.au

8 Hi, my name is Shelly Reynolds. I am the Clinic Manager at Carbal Medical Centre, in Toowoomba Queensland. Carbal is an Aboriginal and Torres Strait Islander medical service. We are the busiest AMS in SW Qld, with a current active population of 3700 clients. We have many initiatives on the go, and here is just a snap shot of the many programs with beneficial outcomes for our community. 1. MOB Mobile Outreach Boomerang - servicing the Warwick and surrounding communities, the MOB Van operates 3 days per week unfunded by the government. An indigenous specific medical centre that commenced on the 7 th of May 2014, in partnership with the University of Queensland. With an active client base of 400 new clients already.

9 1. Mob Mobile Outreach Boomerang. Rationale for the project The recent Closing the Gap initiative highlighted the need for culturally safe, primary health care to detect and reduce the risks of chronic disease in indigenous communities. The Mobile Outreach and Training Clinic aims to improve chronic disease management by addressing barriers to accessing primary health care from indigenous communities.

10 1. MOB Medical Outreach Boomerang Background A recent funding partnership between Health Workforce Australia and The University of Queensland (UQ) has provided Darling Downs Shared Care, Trading as Carbal Medical Centre with the opportunity to deliver additional clinic training placements to medical, nurse and allied health care students while expanding their clinical training capacity via a Mobile Medical Outreach and Training Clinic (MMOTC). MMOTC S will extend Carbal s general practitioner services to outlying areas from Toowoomba City region. It is envisioned primary health care services will provide fundamental, essential and culturally safe care to Aboriginal and Torres Strait Islanders residing in identified localities. In achieving this, the MMOTC will play a key role in: Delivering effective, quality teaching of medical, nursing and allied health students Providing students with an alternative approach to Indigenous primary health care.

11 2. Allied Health The Allied Health Specialists commenced on the 1 st of August The services are provided on site, both in Toowoomba and Warwick and is very culturally appropriate and safe. The clients feel safe and has identified the Allied Health as part of the team to help Close the Gap on their health and chronic disease issues. We have had many clients ask how to become involved and access this service. The Allied Health Specialists are as follows: Diabetes Educator, Dietician, Exercise Physiologist, Physiotherapist, Podiatrist and Speech Therapy. This is a brand new service for our community and they started with over 100 clients ready and willing to access.

12 2. Allied Health Eligible Patients Community-based patients may be eligible if they have a chronic (or terminal) medical condition and their GP has provided the following Chronic Disease Management (CDM) services: A GP Management Plan (GPMP) and Team Care Arrangements (TCAs). A chronic medical condition is one that has been (or is likely to be) present for six months or longer, for example, asthma, cancer, cardiovascular disease, diabetes, musculoskeletal conditions and stroke. There is no list of eligible conditions. However, the CDM items are designed for patients who require a structured approach and to enable GPs to plan and coordinate the care of patients with complex conditions requiring ongoing care from a multidisciplinary team. Patients have complex care needs if they need ongoing care from a multidisciplinary team consisting of their GP and at least two other health or care providers.

13 2. Allied Health Referral arrangements The need for allied health services must be directly related to a patient s chronic condition and identified in their care plan. GPs determine whether the patient s chronic medical condition would benefit from allied health services. Patients need to be referred by their GP for services recommended in their care plan, using the referral form issued by the Department that can be found at the Department of Health website or a form that contains all the components of the Department s form. It is not appropriate for allied health providers to provide part-completed referral forms to GPs for signature, or to pre-empt the GP's decision about the services required by the patient. Referral validity A referral is valid for the stated number of services. If all services are not used during the calendar year in which the patient was referred, the unused services can be used in the next calendar year. However, those services will be counted towards the five rebates for allied health services available to the patient during that calendar year. When all referred services have been used, or a referral to a different allied health provider is required, patients need to obtain a new referral. Note: It is not necessary to have a new GPMP or TCAs prepared each calendar year in order to access a new referral(s) for eligible allied health services. Patients continue to be eligible for rebates for allied health services while they are being managed under a GPMP and TCAs as long as the need for eligible services continues to be recommended in their plan. Service length and type Services must be of at least 20 minutes duration and be provided to an individual patient. The allied health provider must personally attend the

14 3. Suga Shakers Clinic The Suga Shakers Clinic is an initiative of MBS where each Type 2 Diabetes client has had a 715 health check or a GPMP during which they have been identified as a possible candidate for this program. The client is then referred via the DOAH referral for Allied Health for a one on one consultation to assess them for group therapy. The clients are then engaged by the Suga Shakers Clinic Aboriginal Health Worker to along with Allied Health professionals, provide options to address and manage their type 2 diabetes. The clients are screened at the commencement of the program, which runs for 12 weeks. The Dietician does group therapy on Good Quick Tukka, reading of food labels, easy food choices and a shopping trip to look at cheap, easy and healthy alternatives to cook whilst on a budget.

15 3. Suga Shakers The Exercise Physiologist does group exercise of Thai Chi, stretching, walking and swimming groups. The Diabetes Educator discusses medications, and has a foot soak morning to address foot care. Each week, clients of the program join in to help prepare the food, whilst learning new skills and socialisation with other clients with the same chronic disease. At the completion of the program all clients are re-screened, and we hope to see an overall reduction of 2mmols in the clients Hba1c. The aim of this is to provide evidence that through engagement, socialisation and education we can empower our community with knowledge to better manage their chronic disease.

16 3. Suga Shakers The Suga Shakers Program provides a holistic service to clients with Type 2 Diabetes, including a clinical service, training in self-monitoring and a comprehensive health and education program. The program runs fortnightly and involves health assessments, cooking sessions and diabetes education. Role of clients To attend the program each fortnight To keep appointments they have been allocated To see doctor if requested by the Health Workers To listen to the Health Workers To take part in the activities required to complete the selfmonitoring process To develop a better understanding of the chronic disease

17 Offer Online Bookings Have a responsive website for desktop, tablets & smartphones Make the website interactive and community focussed Reach your full range of patient demographics

18 Show your practice is progressive Increase level of communication to new, existing and potential patients Building awareness of practice

19 Grow and expand your practice Increase engagement with your existing patients Offer benefits to new patients for joining Build team morale and build momentum for growth

20 Developing Leaders of the Future Derived from a larger workforce strategy to support and develop the clinical workforce in the South Eastern Melbourne Medicare Local (SEMML) catchment. Aim: To develop beacon practices that will be the active voice, the early adopters, the mentors and leaders and the training and teaching practices. SEMML recognises the valuable contribution of the current cohort of clinical leaders, of which there are 40 actively involved with SEMML s activities and programs. As part of succession planning it was recognised that it is also important to engage and develop new leaders. Program Design 10 multidisciplinary private health services in the SEMML catchment were selected to participate in this program via Expression of Interest applications. 7 general practices, 1 Chiropractor clinic, 1 Physiotherapy clinic, 1 Psychology clinic. Business Development Medical Business Network Provided health services with one on one consultancy and support for 10 months to implement business recommendations that will lead to increased operational and financial efficiency. Leadership Development- Tracey Ezard 30 hour program to motivate and skill up clinical staff and the practice manager in building emotional and learning intelligence and driving transformation through planning change with a strategic team approach.

21 Business Development Observe how the health service functions Provide recommendations for improvement & change Develop a 12 month business plan in conjunction with the health service Support the implementation of business plan over a 10 month period Leadership Development 30 hours leadership training over 5 sessions Attendees: Clinical staff, Practice Managers and Allied Health Topics included: Leading change, emotional intelligence, difficult conversations, culture and people styles. Participants gained valuable knowledge and practical skills to use day to day as well as positioning themselves as leaders in their chosen profession. "I have been around a while and have attended a few leadership courses. I feared that this might be more of the same, but attended the first session knowing I still had a lot to learn. I am now looking forward to the remaining sessions. This gnarly old 'super doc' is really enjoying and valuing what I am learning. GP Our practitioners are very grateful for the personal and professional growth that this program offers, and our practice has already experienced significant growth as a result. We're confident that the process will continue to provide sustained growth as we streamline our processes, enhance our communication and develop stronger relationships with other local health care providers. It's an excellent program to be involved in. Chiropractor

22 Clinical Placement Coordination All 10 health services are committed to participating in student placements. SEMML program officer acts as the coordinator between the tertiary institution, health service and the student. SEMML provide the orientation to Primary Care, support throughout the placement and debriefing and the conclusion of the placement. The role is crucial for ensuring high quality, coordinated placements that aim to have students return to the region for future employment. Students are multidisciplinary including Registered Nurses, allied health, mental health and social work. Support is provided to all health services throughout SEMML catchment hosting students. Outcomes of Clinical Workforce Support Increased engagement with health providers Improved health service team dynamics Increased levels of individual confidence Increased emotional intelligence Improved business proficiency Developing high quality, sustainable healthcare Development of larger pool of clinical leaders Greater appreciation of the importance of high quality clinical placements Commenced building the workforce of the future

23 UNE Partnerships wishes to introduce our new Practice Management qualifications

24 Certificate IV in Business for health practice managers Certificate IV in Frontline Management for health practice managers Certificate IV in Business for dental practice managers Certificate IV in Frontline Management for dental practice managers Diploma of Professional Practice Leadership for health practice managers Diploma of Professional Practice Leadership for dental practice managers

25 For further details about our new Practice Management qualifications please see Meg or Linda at the UNE Partnerships stand.