Connect August 2019 | an Adelaide PHN Publication

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ADELAIDE PHN IN ACTION Priority Care Centres Open

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2019 SA Primary Health Care Conference Reflections

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National Psychosocial Support Measure & NDIS Update

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Paediatric Partnerships

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Supporting Providers to Work Together

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Walk In Afterhours Mental Health Service

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Membership Update

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Responding to Influenza

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New Immunisation Course

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Immunisation Spread the Word Not the Disease Campaign

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HealthPathways Update

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Central Referral Unit Update

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What’s Been Happening in Digital Health

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Supporting NAIDOC

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Tai Chi for GPs

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Primary Health Care Awards

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PRIMARY CARE IN ACTION

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CONTENTS Cover Photo | Port Adelaide, Western Adelaide PHN region

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Hello from Deb!

I hope you have managed to keep the winter germs and cold at bay and are looking forward to spring as much as we are!

We attended the official launch of the Priority Care Centres (PCCs) in early August - a fantastic partnership initiative between SA Health, general practice, SA Ambulance Service and Adelaide PHN. Whilst we all know the demand on our hospitals does spike at different times of the year, it is also high consistently across the year.

These new PCCs are a ‘proof of concept’ trial aimed at reducing the demand on our emergency departments and diverting the treatment of non-urgent patients to designated PCCs in the community. We very much look forward to supporting these four new PCCs and continuing to work in solid partnership with SA Health.

Another fantastic example of collaboration and partnerships was on display at the second biennial SA Primary Health Care Conference held in June. We received very positive feedback and look forward to collaborating, integrating and innovating with you again in 2021. You can find more details about the conference on page 6.

You will find great articles inside detailing our recent influenza response in residential aged care facilities, our Central Adelaide Local Health Network (CALHN) Round Table Workshop with primary and tertiary providers, recent membership activities, NAIDOC 2019 highlights and our adult immunisation radio campaign.

As always, you can also find updates regarding our ongoing services such as HealthPathways, Get Screened, Paediatric Partnership and digital health initiatives.

If you would like more information about our programs and services, visit our website. If your practice would like support – don’t hesitate to contact our practice support team to arrange a visit.

Warm regards,

4 Priority Care

Centres NOW OPEN!

Four Priority Care Centres have opened across the Adelaide metropolitan region, providing an alternative pathway for patients with non-life threatening illnesses and easing pressure on our emergency departments.

The Priority Care Centres are part of a new pilot program providing community based health care and treatment for eligible patients who would otherwise be seeking care at an emergency department.

Led by general practitioners with additional support from hospital staff specially trained in acute assessment and care, these centres offer a range of services to support care and treatment, including access to: • diagnostic tools such as imaging and pathology • pharmacy services • community-based health services for follow-up care The Hon. Stephen Wade, Minister for Health and Wellbeing, announced the opening of both the Hindmarsh and Hackham centres at a press conference held at the Hindmarsh Priority Care Centre on 12 August.

Two more centres have opened since in the northern suburbs of Elizabeth and Para Hills.

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onsite treatment imaging & pathology pharmacy services community based support services Photo | Stephen Wade MLC, SA Ambulance Service and Priority Care Centre Staff at Hindmarsh PCC Opening 12 August

Centre locations were determined, in part, by an assessment of patient data identifying areas of need across the Adelaide region where high volumes of patients were presenting to emergency departments.

The opening of the centres follow a series of information and co-design sessions held with general practice in April, and an expression of interest process via SA Health’s tendering website.

The pilot program is expected to run over a 16 week period, and undergo evaluation with a view to expand should the program be successful.

The centres are part of our continued partnership with SA Health to deliver better integrated health care across primary and acute settings.

Adelaide PHN would like to thank the general practice, hospital and SA Ambulance staff who have contributed to the pilot’s co-design and delivery so far.

FIND OUT MORE Read more about the Priority Care Centres and download an information sheet via SA Health’s website.

Review Stephen Wade MLC’s media release following the opening of the first two centres via premier.sa.gov.au.

Find the Q&A summary from the general practice information sessions held in April via our Adelaide PHN Consultations Report page.

SA Primary Health Care Conference 2019 saphnconference.com.au

The second South Australian Primary Health Care Conference was held over two days – Friday 14 and Saturday 15 June at the Adelaide Convention Centre.

Run by Adelaide PHN and Country SA PHN, this conference was the second of its kind and attracted over 400 people, including delegates, speakers, exhibitors, service providers and staff.

The conference also offered country and regional primary health care providers the opportunity to come together to network and share information.

The conference featured an outstanding line up of presenters and an interactive program covering themes of collaboration, integration and innovation.

Don Dunstan Foundation’s Thinker in Residence - Allyson Hewitt from Toronto, Canada - made an excellent addition to the program. Allyson participated in sessions and provided an international perspective to the local health context in her closing plenary remarks.

Friday also offered two metal health streams that ran all day, offering participants an increased understanding of primary mental health care services and the stepped care model.

The guided Aboriginal Cultural Walk along the River Torrens, led by Kaurna Elder, Frank Wanganeen, was offered on the Saturday morning and well attended by delegates.

We had a record number of sponsors and exhibitors, with 43 stakeholders exhibiting across the two days.

This conference also saw the introduction of a dedicated conference app which supported session Q&As and helped exhibitors plan their days.

Evaluations were very positive, with 93% of delegates responding that they would attend another SA Primary Health Care Conference in 2021 and 82% of delegates agreeing or strongly agreeing that their expectations of the conference were met.

Overall, the SA Primary Health Care Conference was a great success and we hope to build on these learnings for improved health outcomes for our communities.

For those that missed the conference or would like to view any of the speaker presentations, please visit saphnconference.com.au.

We would like to take this opportunity again to thank our sponsors for their generous support and we look forward to seeing you for the next SA Primary Health Care Conference in 2021.

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Photo | 1. Nick Vlachoulis, Adelaide PHN Board; Deb Lee, Adelaide PHN CEO; Hon. Stephen Wade, Minister for Health and Wellbeing; Dr. Alison Edwards, Country SA PHN Board; Kim Hosking, Country SA PHN CEO | 2. Prof. Ian Hickie delivering Friday’s keynote presentation | 4. Benchmarque team (and conference sponsors) | 5. David Pearson, Executive Director Don Dunstan Foundation | 6. Conference delegates in exhibition hall

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Photo | 2. Crowd at Saturday’s plenary session | 3. Dr Wallid Jammal, clinical lecturer Uni Sydney; Julie Di Rito, Country SA PHN | 4. HealthPathways SA team | 5. Global Health team (and conference sponsors)

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National Psychosocial Support Measure Update Adelaide PHN has commissioned Neami National to deliver the National Psychosocial Support Measure (NPSM) in the Adelaide metropolitan region.

People living with a complex and/or chronic mental health condition will be able to access the support of a trained peer or community rehabilitation support worker to improve their health and wellness so they can live their lives to their full potential.

Among other things, people can access support with homelessness issues, access to employment, social isolation, learning new skills or management of their tenancy.

People will be able to access support if they: • are aged between 18 and 64 years of age • live in the Adelaide metropolitan area • don’t already get support from the National Disability Insurance Scheme (NDIS), • have a psychosocial disability A GP referral is not necessary, nor is a diagnosis.

People can self-refer into this program or be referred by friends or family.

To access the NPSM people can...

• call the Mental Health Enquiry Line on 1300 898 213 • call Neami National on 1300 358 220 • download a referral form for the program from neaminational.org.au/NPS

National Disability Insurance Scheme Update The line between what was funded by the Health system and what was funded by the National Disability Insurance Scheme (NDIS) was blurry for many participants and their families.

However, at the meeting of the Council of Australian Governments Disability Reform Council held in June 2019, some important decisions were made regarding the funding of certain health supports. There is now more clarity around health supports which are directly related to a person’s disability.

The NDIS will now fund specific disability related health supports where those supports are a regular part of a person’s life. The NDIS will consider if the person requires support as a result of their disability, meets the reasonable and necessary criteria and most importantly will support the person to stay out of hospital and in the community.

Further information on this can be found on the fact sheet available via: dss.gov.au.

In recent months, over 300 practices across the Adelaide metropolitan region were sent Get Screened campaign packs including resources to support promotion and participation in breast, bowel and cervical screening.

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PAEDIATRIC PARTNERSHIP southern suburbs In 2018 Adelaide PHN commissioned Adelaide Paediatrics to deliver two ‘Paediatric Partnership’ projects, one in Adelaide’s northern suburbs and one covering southern suburbs.

The projects work with Northern Adelaide Local Health Network (NALHN) and Autism SA to provide Autism Spectrum Disorder, Global Developmental Delay and Psycho-Educational Assessments for children on existing wait lists.

The first referrals into the program were received in November 2018 for the northern project and February 2019 for the Southern project. Since then, both projects have seen tremendous success and through these programs:

97

children have received an Austism Spectrum Disorder Assessment

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children have received a Psycho-Educational Assessment

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children have received a Global Developmental Delay Assessment

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children have received additional appointments with a variety therapies*

*provided where immediate interventions will best serve the developmental needs of the children involved.

Where eligible, families are then supported to access the National Disability Insurance Scheme (NDIS).

Across the 2019-20 year, the project will continue to work with NALHN and Autism SA to deliver timely assessment to children during this important developmental period.

Find out more about this program via our directory of programs and services listing on our website or visit adelaidepaediatrics.com.au.

SUPPORTING PROVIDERS TO WORK TOGETHER CALHN GP Hospital Consultants’ Round Table Workshop Since November 2018, Adelaide PHN has held three GP Round Table Workshops to proactively engage with over 30 local general practitioners working across the Adelaide region.

Facilitated by Enzyme Group, these workshops served as a forum for GPs to provide feedback on the work and direction of Adelaide PHN, discuss ways in which our organisation can support general practice, and identify opportunities to enhance the relationship between primary, acute and tertiary care.

In the consolidated report of the three Round Tables, participating GPs identified that Adelaide PHN and GPs have a shared responsibility in addressing many of the issues and opportunities facing general practice. Participating GPs also identified the following top four priorities for action in the future: • poor relationship between acute and primary care • general practice education, training and business support • difficulty accessing quality mental health services • greater understanding of PHN functions and capacity As part of Adelaide PHN’s response to the first priority - a need to improve the relationship between acute and primary care Adelaide PHN partnered with the Central Adelaide Local Health Network (CALHN) in June 2019 to facilitate a workshop with GPs and hospital consultants.

Following the same Enzyme format, this CALHN GP Round Table Workshop provide the first steps for GPs, hospital consultants, Adelaide PHN and CALHN to workshop ways to develop better working relationships and achieve better health outcomes.

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The workshop saw 11 consultants and GPs participate. A summary report of the workshop has been uploaded to Adelaide PHN’s website and further cross discipline workshops are soon to be promoted in northern and southern local health network areas.

Find all of the above mentioned reports on the Consultation Reports page via the ‘Our Work’ tab on our website.

Keep an eye out on our Announcements page for upcoming SALHN and NALHN workshops.

Clinical Integration at the Local Level It has long been identified that multidisciplinary teamwork results in improved health outcomes and quality of care for patients. Providing opportunities for health professions to integrate in a professional, clinical and systemic manner enhances person centred care.

In May 2019, Adelaide PHN facilitated

the Clinical Integration at the Local Level Forum. The purpose of the forum was to bring health professional organisations together to consider how to enhance delivery of person centred, integrated care to meet the health needs of the community.

In total, 18 professionals representing 10 health organisations attended the forum and participated in the workshop discussion around clinical integration.

Participants highlighted the following strategies that will support clinical integration: • a single e-communication platform be developed to encourage communication between health professionals • explore Health Fusion Team Challenges: provide training for undergraduate students to know what others do • explore the opportunities of collaborating with GPs at the regional level Find a report from this forum on the Consultation Reports page of Adelaide PHN’s website.

Interdisciplinary Health Practitioner Network The Interdisciplinary Health Practitioner Network (IHPN) supports practitioners from a range of disciplines and provides a forum for discussing multimorbidity in the local context.

The IHPN is a collaboration between the Mental Health Professionals’ Network (MHPN) and the Allied Health Professions of Australia (AHPA).

Adelaide PHN supports and coordinates the local Adelaide network.

At the first 2019 meeting, 35 allied health professionals participated in the session titled ‘NDIS and your Role’. Presentations were provided by all three Adelaide metro NDIS Local Area Coordination Partners: Baptcare, Feros Care, and Mission Australia. They described their roles, the NDIS, and how they can support health professionals to assist customers enquiring about NDIS.

Kylie Hutchison, Adelaide PHN Psychosocial Support Capacity Building Coordinator, also presented information on how allied health professionals can get the best outcomes for patients who are eligible for the NDIS. For more information about the NDIS visit ndis.gov.au or call 1800 800 110 (Monday - Friday 8:00am – 8:00pm).

To find out more or join the Adelaide IHPN visit: ihpn.org.au.

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WALK IN AFTERHOURS MENTAL HEALTH SERVICE OFFERING IMMEDIATE SUPPORT TO THOSE IN NORTHERN ADELAIDE Delivered by Sonder and funded by Adelaide PHN, the Walk-in Afterhours Mental Health Service is the first service of its kind to open in Adelaide’s north. Up until recently, this service was only available on Saturday and Sunday evenings but service hours have now been extended.

Commencing Thursday 1 August 2019, community members will have access to mental health support on Thursday, Friday, Saturday and Monday evenings from 5:00pm – 10:00pm.

The service will be delivered from Sonder’s Edinburgh North site, at 2 Peachey Road and has been designed to help people aged 18 years and over to deal with immediate mental health issues that can be improved in a single session.

When accessing the service, clients will be supported by trained and dedicated mental health clinicians, experienced in assessing and treating mental health difficulties and associated stressors.

“Our Afterhours Service Clinicians are supportive, professional, non-judgemental and empathetic in their understanding,” explains Sageran Naidoo, CEO at Sonder.

“Clinicians aim to empower clients to access the services that they need in order to address their difficulties and issues.”

The Walk-in Afterhours Mental Health Service is appropriate for people seeking help that stretches further than phone contact, but who do not require hospital intervention, providing a bridge between the two services.

This service is not an emergency or crisis support service and Sonder will be unable to meet the needs of people who present as actively suicidal, as actively experiencing psychosis, with substance and alcohol intended difficulties, or with high risk of aggression or violence.

Clients presenting with these conditions require more urgent support and should contact 000 or visit a hospital emergency department.

This article is a summary of Sonder’s media release available via their website. For further information about this program visit sonder.net.au/after-hours.

MEMBERSHIP UPDATE CLINICAL COUNCILS June 2019 saw Adelaide PHN commence recruitment for our three regionally based Clinical Councils - southern, northern, and central. Across the application period, we received numerous expressions of interest from primary health care providers across a broad range of disciplines.

Following an assessment process - taking into account each applicant’s commitment to primary health care integration, clinical background and skill mix relevant to each Clinical Council - we are pleased to welcome 15 new appointees.

This includes six to the Southern Clinical Council, five to the Northern and four to the Central.

Adelaide PHN acknowledges the 11 retiring members and thanks them for their dedication and commitment to Adelaide PHN, Clinical Councils and the primary health care sector.

Clinical Councils provide Adelaide PHN with insights into clinical issues affecting the delivery and experience of primary health care across the Adelaide region, and assist in identifying opportunities to improve the efficiency and effectiveness of local health services.

Get to know two of our new Clinical Council members Chloe Kearns and Dr Ben Green - on the next page.

Visit the Membership pages of our website via the ‘About’ tab to learn more.

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Chloe Kearns has recently clocked her 20th year of Nursing with experience both here in Australia and in the UK. With some hospital experience, Chloe has mainly worked in the areas of primary health care and public health.

Chloe is currently working as part of the awesome team at SHINE SA (one of the clinics involved in the Health Care Homes program). Chloe is passionate about reducing health inequalities, transgender health and promoting sexual health. She also enjoys supporting clients with behavioural change. Chloe is a nurse educator and is proud to encourage and nurture the next generation of health professionals coming through.

Chloe is currently studying towards a Masters degree in Health Administration with Flinders University.

Outside of work, Chloe likes to do non-medical stuff! She is currently occupied herding two beautiful, sometimes exasperating teenagers; one large, vocal dog; gardening (enthusiastic but not very skilled!); and learning the rules of AFL- up the Lockleys Demons!!

Dr Ben Green is a psychiatry registrar working within the Southern Adelaide Local Health Network (SALHN), and a trainee of the Royal Australian and New Zealand College of Psychiatrists (RANZCP).

Ben graduated from Flinders University with the degrees of Bachelor of Behavioural Science with Honours, and Doctor of Medicine.

Ben has been working at Flinders Medical Centre and Noarlunga Health Service for the past 18 months and will be based within SALHN throughout his training as a psychiatrist over the next five years. Prior to medicine, Ben worked in the child protection sector in various roles in emergency care and therapeutic foster care.

Ben is Adelaide Hills born and bred, and intends on investing his clinical and research aspirations within the greater Adelaide region, and feels a connection with the Adelaide Hills, Barossa, and Fleurieu regions. Ben and his fiancé enjoy spending time with their Airedale Terrier ‘Bernie’ on his family’s orchards and vineyards in Lenswood, trail running through Belair National Park, dusting off the guitar to maintain his chops from his past life as a singer/songwriter in a rock band, and reading on philosophy, religion, and consciousness.

MEMBERSHIP UPDATE AFTER HOURS NEEDS ASSESSMENT

NETWORK LEADERSHIP GROUP

Adelaide PHN has commenced a review and update of the After Hours Needs Assessment to inform future commissioning, advocacy and partnership strategies. In addition to reviewing and updating population health and service usage data, membership and stakeholder consultation informs the process to understand the current gaps in local after hours services.

The Health Priority Network (HPN) was formed in 2018 in response to feedback from our existing Health Priority Groups (HPGs) who wanted a more integrated, issues based way to work together.

Membership consultation was undertaken in May/June 2019 with the Clinical Councils (CCs) and Community Advisory Councils (CACs). Members were asked the following question: Given your expertise and experience what services are we missing which impact on after hours care?

Thematic analysis identified the following themes to after hours services/care: • awareness of existing after hours services • Alcohol and Other Drugs (AOD) • dental health • pharmacy • youth – mental health, sexual health and AOD

As a part of this transition, the existing HPG chairs and Membership Advisory Council (MAC) representatives took up a new role leading the 900+ member HPN and forming the Network Leadership Group (NLG).

Earlier this year, Adelaide PHN facilitated an expression of interest process for these positions and received an overwhelming response from numerous sector and community leaders.

With the first NLG appointments finishing their sitting term in June, we look forward to introducing our newly appointed members in the near future.

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COMMUNITY ADVISORY COUNCILS Recruitment for the Northern, Central and Southern Community Advisory Councils (CACs) has concluded for 2019.

Ten new members from a diverse range of backgrounds, will join the CACs. Adelaide PHN would also like to acknowledge and thank those CAC members who are retiring, many of whom have been with us for years.

Our new CAC members will be introduced to our readership over the coming 12 months.

PHOTO | Members from our Aboriginal Community Advisory Council (CAC) met early August to discuss opportunities for reducing health inequities and increasing accessibility of health services for Aboriginal people locally.

FIND OUT MORE ABOUT OUR MEMBERSHIP VIA THE ‘ABOUT US’ TAB ON OUR WEBSITE

25–74 years old

CERVICAL screening

YEARS

EVERY

5

A simple test could save your life.

Talk to your GP about cancer screening today.

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RESPONDING TO INFLUENZA SUPPORTING RESIDENTIAL AGED CARE FACILITIES In May, Adelaide PHN implemented a response to an unprecedented and early 2019 flu season. At the time, SA Health had released a health alert indicating notifications were nine times higher than previous years and 13 flu related deaths had been reported in Residential Aged Care Facilities (RACFs).

To reduce further transmission and minimise adverse health outcomes and hospitalisations, Adelaide PHN offered immediate assistance to RACFs by mobilising and funding a workforce to assist in vaccination administration for residents and staff.

Between 14 May and 28 June, Adelaide PHN contacted 85 eligible RACFs across the metropolitan region (i.e. were not registered to receive flu vaccine directly from SA Health) and administered 205 vaccinations across seven RACF sites.

The response also supported staff education sessions.

THE LATEST 2019

INFLUENZA STATISTICS

In addition to the response in RACFs, the HealthPathways South Australia team commenced rapid development of a suite of influenza related clinical pathways to support local health care providers (read more on page 24).

Participating RACFs were pleased with the response and reported that staff uptake was supported by the provision of vaccines on-site. The response also provided learnings to support planning, coordination, and data collation which will support Adelaide PHN in delivering similar responses in the future.

Find the latest surveillance data about the current Australian influenza season below and via the Immunisation Coalition’s website.

Find health alerts relevant to the Adelaide region via sahealth.gov.au/healthalerts.

At the start of August, the Immunisation Coalition reported that since the begining of the 2019 year...

• 222,707 laboratory confirmed notifications of influenza had been reported across Australia

• 22,284 had been confirmed in South Australia, including 99 influenza attributed deaths

NEW IMMUNISATION COURSE FOR PRIMARY HEALTH CARE IMMUNISATION PROVIDERS The Benchmarque Group has partnered with Adelaide and Country SA PHN to offer an exciting new course in immunisation, designed for those who have immunisation as part of their day-to-day scope of practice.

The Course in Immunisation Practice in Primary Healthcare (10754NAT), is designed to provide students (clinicians) with the specific skills and knowledge to enable students to perform a range of comprehensive immunisation services and remain up-to-date with current programs, changes, and requirements relevant to their scope of practice.

The course includes online learning modules and assessments, and a half day face to face workshop where students will be equipped with demo doses, injection pads and mannequins to practice the reconstitution and administration of vaccines, cradling techniques for infants and the development of immunisation catch-ups.

Visit The Benchmarque Group’s website to find out more about course detail, course requirements and to enrol.

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Keep your ears open for our Immunisation. Spread The Word Not The Disease health promotion campaign running on metropolitan and regional radio for seven weeks from August to October 2019.

Developed in partnership with local advertising guru James Rikard, the radio campaign starts with the arresting sound of a baby’s whooping cough and continues with a voice over explaining ‘adults can catch whooping cough. They can also catch a range of preventable diseases like measles and of course, the flu...’.

The campaign continues explaining adults can pass vaccine preventable diseases to children and prompts the listener to consider if the sound of a child’s whooping cough is uncomfortable to listen to, ‘imagine how bad you’d feel knowing it was you who gave it to them’.

The SA Immunisation Hub, a partnership program of Adelaide PHN and Country SA PHN, developed the campaign in recognition that: • vaccine preventable conditions such as pneumonia, shingles, influenza and measles contribute to a high number of potentially preventable hospitalisations • adult immunisation is a particularly important for those living with one or more chronic conditions (i.e. diabetes) as these people are more vulnerable to long term complications and negative health outcomes when contracting a vaccine preventable condition • the focus of most immunisation campaigns typically focuses on childhood vaccination despite immunisation being important across the lifespan The campaign encourages adults to check their immunisation history and get up to date with their immunisations by visiting their GP, Aboriginal health worker or council immunisation nurse.

Find out more via immunisationhub.com.au.

WHAT’S NEW?

HEALTHPATHWAYS BUILDING CONNECTIONS HealthPathways continues to be a central source of information to facilitate primary and acute sector health care professionals working together to improve patient access to the right care, at the right time, in the right place.

In June, the HealthPathways team were a part of the SA Primary Health Care Conference. Our GP Clinical Editors and Clinical Coordinators were on site and busy engaging with providers about the program and building connections to support the consultation and drafting process of pathways currently in development.

NEW INFLUENZA PATHWAYS

HealthPathways was also incorporated into a conference session on integration, demonstrating how it can be applied in practice and supporting integrated care across primary and acute care settings.

South Australia has witnessed a significant increase in the number of notifications of influenza in 2019. To support local practices and providers to respond to cases of influenza in patients (either those presenting in their clinics or those cared for within residential aged care facilities), HealthPathways have developed three key resources in conjunction with South Australian subject matter experts, Dr David Gordon (Infectious Diseases Physician) and Angela Newbound (Immunisation Hub Coordinator).

“

The Influenza Immunisation pathway contains concise guidelines including which patients to consider for PCR testing, anti-viral treatment and prophylaxis. Useful information on how your general practice can prepare for and respond to pandemic influenza including how best to protect patients and staff has been developed.

The Influenza Immunisation pathway clearly outlines the details of the influenza vaccines available in 2019.

-Dr Katrina Couchman / Rural GP in Mount Gambier and Clinical Editor for HealthPathways

southaustraliaproject.healthpathwayscommunity.org/

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CHANGES TO ADELAIDE PHN’S

CENTRAL REFERRAL UNIT As of July 1 2019, Adelaide PHN brought its previously commissioned Central Referral Unit (CRU) internally.

The CRU provides both administrative and clinical triage for all formal Mental Health Treatment Plan (MHTP) referrals for Adelaide PHN’s commissioned primary mental health care services.

Offering both fax and secure messaging pathways, the Adelaide PHN CRU is also able to facilitate community referrals, self referrals or referrals by friends and family. The CRU also supports the Mental Health Enquiry Line - providing referral information, linkages and support to general practice, other referrers and the community.

In the first three weeks of functioning, the CRU has processed nearly 400 referrals. Clinically triaging these individuals to the most appropriate service, step of care and provider.

Clinicians are reviewing MHTPs, factoring in diagnosis, complexity and other risk factors to determine the most appropriate referral pathway.

Where necessary and appropriate, clinicians are following up with referrers to ensure accuracy and recency of information contained in a MHTP to ensure the best possible service match for clients. Where multiple referral pathways are present, the clinicians will endeavour to contact the client to discuss options and offer choice.

Referrals are being processed within 24 hours, this includes clients being informed of the outcome of their referral and GPs being notified of referral outcome. As time goes on, the Adelaide PHN CRU plans to refine and potentially expand its triaging functions.

Find out more about the CRU via the ‘Primary Mental Health’ page under the ‘Our Work’ tab on our website.

CENTRAL REFERRAL UNIT Central Referral Fax Number 1300 580 249 Mental Health Enquiry Phone Line 1300 898 213

WHAT’S BEEN HAPPENING IN

DIGITAL HEALTH My Health Record Adelaide PHN continue to work with primary health care providers around the My Health Record (MyHR) and welcomed the news that SA Pathology has gone live with uploading pathology test results to consumers records. The activation of SA Pathology has seen Adelaide PHN become one of the higher performing PHNs in relation to the MyHR. Currently, 89.3% of South Australians are registered to participate in the MyHR system and the numbers of healthcare services also registered continues to grow.

As of 1 June 2019, the following number of services have registered to participate in MyHR: • 267 pharmacies • 51 allied health providers • 304 general Practice • 30 specialist practices To support allied health providers, Adelaide PHN continues to offer MasterCare+ for free to eligible providers (i.e. who do not have currently clinical information systems).

Practice Incentives Program Quality Improvement The PIP QI commenced 1 August 2019.

The following PIP payments were ceased and rolled into the PIP QI: • Asthma Incentive • Diabetes Incentive • Cervical Screening Incentive • Quality Prescribing Incentive

Practices can register to participate in the PIP QI from 1 August through HPOS. Practices will need to familiarise themselves with the QI PIP guidelines, improvement measures, data governance, data sharing and FAQs which can all be found via this link.

The following Service Incentive Payments (SIPs) also ceased: • Asthma Incentive • Diabetes Incentive • Cervical Screening Incentive

If your practice needs support with the PIP QI or has not had contact with Adelaide PHN in relation to data sharing requirements, please contact practicesupport@adelaidephn.com.au

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Secure Messaging

PenCS Licensing

Adelaide PHN is encouraging the use of secure messaging in metropolitan Adelaide across the primary health care space via ReferralNet. Some of the benefits of secure messaging include:

We continue to support practices with free access to PenCS licences who agree to share de-identified data with Adelaide PHN.

• secure exchange of clinical information and documents • reduced use of paper correspondence - less time chasing clinical information and investigations, resending or chasing referrals, scanning, printing, filing and posting • confidential patient correspondence only seen by treating clinicians (no scanning necessary) • system notification of successful message delivery, so that sending organisations know that a message has been received and decrypted by the intended receiving organisation • potential to improve the timeliness of receipt of clinical information, and therefore the quality of care provided ReferralNet is also interoperable with the Argus secure messaging platform.

To support the uptake and utilisation of secure messaging, Adelaide PHN will offer interested practices free access to ReferralNet secure messaging.

Further information on ReferralNet can be found here referralnet.com.au

The PenCS data extraction tool, CAT4, gives medical practitioners a view of their patient cohort which is easily converted into actionable insights aligned with the Practice Incentive Program Quality Improvement (PIP QI), accreditation and RACGP Guidelines for best practice.

CAT4 also works alongside the practice management and billing software.

Adelaide PHN is providing practices with access to the following suite of PenCS tools: • CAT4 • TopBar • PIP QI for general practice We also provide support and training in relation to use and understanding of the PenCS tool.

Practices who already have current PenCS licencing agreements and Data Sharing agreements will automatically be sent variations of contracts for the new financial year, which will include the new PIP QI for general practice.

Practices who would like to access the PenCS software should contact the Digital Health Team at: digitalhealthinfo@adelaidephn.com.au

NAIDOC Poster | Awaken artwork by Kaurna & Narungga woman Charmaine Mumbulla

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SUPPORTING NAIDOC 2019 NAIDOC week ran 7 - 14 July and celebrated the theme: Voice. Treaty. Truth. Let’s work together for a shared future.

On Friday 12 July, Adelaide PHN teamed up with Sonder to take part in the NAIDOC family fun day in Victoria Square. Staff braved the wet weather and had a fantastic day talking and engaging with community about the Closing the Gap program and other services we’ve commissioned to help address health inequities and increase access to culturally appropriate primary health care for Aboriginal people across the Adelaide region.

We also promoted a range of general health and wellbeing resources including our popular ‘Lulu and Dixie’ immunisation focused children books.

Our commissioned Champion Nurse Immunisation Program provided free influenza and whooping cough vaccinations across the day.

A big thank you to the South Australian NAIDOC committee for putting on such a fabulous event.

Find out more about our immunisation activites via immunisationhub.com.au and explore the range of programs we’ve commissioned to support Aboriginal health across our region via our directory of programs and services.

Visit the NAIDOC website at naidoc.org.au.

LOCAL GPS TRY

TAI CHI In August, Leap SA, Adelaide PHN and the Australian Medical Association (AMA) supported an information and demonstration session of Tai Chi for local health care providers.

Delivered by Dr Paul Lam, a GP himself and Founder and Director of the Tai Chi Health Institute (TCHI), the session explored Tai Chi as a form of exercise and as a practice beneficial for older people and those living with joint pain, stiffness or stress.

Dr Paul Lam travels the world facilitating training workshops and studying the latest Tai Chi for health research to ensure evidence based programs are delivered.

Find out more about Tai Chi and Dr Paul Lam via the TCHI website.

Photo | Dr Chirs Moy, Australian Medical Association President and Dr Paul Lam, GP and Director of TCHI | Local providers at the Tai Chi for GPs event

Explore Adelaide PHN’s

COMMISSIONING PROCESS Find out more about our commissioning process and download a copy of Adelaide PHN’s dedicated commissioning resource ‘Commissioning Handbook: The Service Providers Guide’ via the ‘Engage With Us’ tab on our website.

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PRIMARY HEALTH CARE AWARDS 2019 ARE COMING! HERE’S WHAT DEVELOPING MINDS DID WITH THEIR PROFESSIONAL DEVELOMENT PRIZE! In recent years, Adelaide PHN has celebrated the incredible work of our commissioned service providers via our Primary Health Care Awards. Each year, winners across a range of categories are awarded a financial grant to support capacity building and professional development.

Last year, Developing Minds were awarded first prize for Outstanding Achievement in Health Promotion and Early Intervention for delivery of the ‘Calm Kids Central’ program.

With their grant, the Developing Minds team were able to support staff with annual membership to an extensive online learning platform and supported one staff member to attend the Collision (Health in Tech) Conference in Toronto. The team also participated in a professional development day to share learnings from the conference and discuss opportunities to implement these into practice.

Find links and information about the ‘Calm Kids Central’ program via Adelaide PHN’s Directory of Programs and Services.

Details of the 2019 Primary Health Care Awards will be posted soon to the Announcements page of our website.

“

I’d like to thank Adelaide PHN for providing the opportunity to think more deeply about providing health services using technology, and how we might do so more effectively in the particular area of child mental health. It has been valuable, inspirational and will continue to shape how we provide services using Calm Kid Central well into the future.

- Kirrilie Smout, Director

ADELAIDE PRIMARY CARE IN ACTION

Highlights of programs and activities affecting the delivery and experience of primary care in Adelaide.

IS IT REALLY AN EMERGENCY?

SA HEALTH DEMAND MANAGEMENT

Imagine, you’re at home with a runny nose, bit of a cough and you feel average.

What would you do? Go to an emergency department? It sounds a bit extreme, but it actually happens.

From July 2018 to May 2019, a total of 148,609 people came to an emergency department for injuries and illnesses that possibly could have been treated by a general practitioner (GP). Sometimes that’s for things like a cold, minor cut, rolled ankle, even a bruise...and that’s just in South Australia!

It’s not until you find yourself in a situation like this that you actually stop and think about where you would go to get help. Sometimes it’s pretty obvious - persistent chest pain, trouble breathing, major bleeding, heart attack or a stroke? These conditions should prompt you to call triple zero (000) or go to the emergency department straight away. But what about the smaller or less urgent things? Where can you go then?

There is actually a whole range of options available, explore these on the next page or visit sahealth.sa.gov.au/emergencydepartments to find out more.

This a summary of an article written by SA Health.

The ultimate all in one solution to manage your practice and clinical records anytime, anywhere Practice Management

Integrated with My Health Record

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The ultimate all in one solution to manage your practice and clinical records anytime, anywhere Practice Management

Integrated with My Health Record

Clinical Management

Electronic Client Record

Secure Message Delivery

Patient Engagement

Global Health is dedicated to supporting healthcare professionals digitise their services and processes. Mastercare+, which is accessible on any smartphone, tablet or desktop device, enables you to easily manage daily operations, communicate with patients, electronically exchange letters, orders, results, referrals, progress notes, encounters and discharge summaries, while delivering a superior patient experience.

Adelaide PHN is sponsoring MasterCare+ for free in South Australian allied health organisations for 12 months.

Visit our website to register your interest

www.mastercare.net.au/partners/aphn

ADELAIDE PRIMARY CARE IN ACTION

Highlights of programs and activities affecting the delivery and experience of primary care in Adelaide.

a simple bowel test a simple could save bowel test your could save life. your life.

For information in your language,

For information in your language, phone the Translating and Interpreting Service: 13 14 50 phone or thevisit Translating and Interpreting Service: 13 14 50 www.cancerscreening.gov.au/translations or visit www.cancerscreening.gov.au/translations

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REACH FOR THE FACTS ON PRESCRIPTION OPIODS Did you know, more people die from accidental prescription drug overdose than are killed on Australian roads?

While prescription opioids can be very effective in managing severe pain (like many medications) they can also cause negative side effects and have unintended consequences. In fact, 80% of people who take prescription opioids for more than three months will have a negative side effect.

South Australia has some of the highest dispensing rates of prescription opioids in the country and accidental deaths due to pharmaceutical have almost doubled in our state.

Supported by more than a dozen organisations (inlcuding Adelaide PHN), ReachForTheFacts is the South Australian community awareness campaign to address the concerns arising from prescription opioid use. The campaign will run over the next 12 months, and includes television and radio ads, billboards, print media and a website – explore ReachForTheFacts now and keep an eye out!

Find out more at reachforthefacts.com.au

ADELAIDE PRIMARY CARE IN ACTION

Highlights of programs and activities affecting the delivery and experience of primary care in Adelaide.

Join Sonder for a professionals breakfast.

Meet and greet our Employment Solutions team, In-Home Withdrawal Service team, Mental Health Clinicians and Closing the Gap team at our offices in Port Adelaide.

Learn about the array of programs and support that Sonder is able to provide to your clients.

When

Tuesday 3 September 2019 8.00-9.00am Where

2/78-80 Dale Street Port Adelaide, SA 5015

RSVP https://www.eventbrite.com. au/e/professionals-breakfasttickets-67942001355

Need more info?

Call us on (08) 8209 0700 or email sonder@info.net.au

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SONDER: LEAD AGENCY FOR

HEADSPACE ADELAIDE & EARLY PSYCHOSIS PROGRAM In December last year, Sonder was proud to have been announced as the preferred provider for the headspace Adelaide and the headspace Early Psychosis Program* by Adelaide PHN. headspace centres provide early intervention, mental health and general health services to young people aged 12 to 25. headspace centres act as a one-stop-shop for young people who need help with mental health, physical health, sexual health, alcohol and other drugs or work and study support.

In addition to the headspace core services, headspace Adelaide also offers a unique early psychosis program, supporting young people experiencing, or at risk of developing psychosis.

Sonder CEO, Sageran Naidoo said “We are excited about this new opportunity to help a new population of young people”.

Contract negotiations, including a robust transition process have been finalised and Sonder commenced operating the headspace Adelaide centre and hYEPP service from July 2019.

Accessing these services Referral to headspace Adelaide primary service can be received from GPs and other primary health care providers. Alternatively, young people can self-refer or be referred through a school or community worker. Families, carers or friends can also refer on behalf of the young person, however these referrals must take place with the person’s consent. To access the referral form, visit headspace.org.au/adelaide The headspace Early Psychosis program has temporarily limited acceptance of new referrals in a planned approach, with a vision to return to full operations in the near future. For further information, updates regarding new referrals, or if you have any concerns please contact headspace Adelaide on 1800 063 267 or visit the headspace Adelaide website.

This article is based on a summary of Sonder’s media release available via sonder.net.au/mediarelease. Some amendments have been included based on updates correct as of August 2019. *previously known as headspace Youth Early Psychosis Program (hYEPP)

ADELAIDE PRIMARY CARE IN ACTION

Highlights of programs and activities affecting the delivery and experience of primary care in Adelaide.

STOP THE SPREAD.

FluStopsWithYou.sa.gov.au 19094.1

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RUOK?DAY 12 SEPTEMBER 2019 R U OK?Day is our national day of action dedicated to reminding everyone to ask, “Are you OK?” and to remember every day of the year to support people who may be struggling with life’s ups and downs.

This year in the build up to R U OK?Day we’re encouraging everyone to Trust the Signs, Trust your Gut and Ask R U OK? We want everyone to feel confident they know the signs someone might need support by listening to what they’re saying, seeing what they’re doing or knowing what’s going on in their life. Whenever you notice a change, no matter how small, we want you to trust your gut and start an R U OK? conversation.

Is some thing go ing on in their life?

Trust th e Signs, Trust yo & Ask R ur Gut U OK? Learn the

Visit RUOK.org.au for a range of everyday resources to help you and others in your school, workplace, or community get involved.

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MY HEALTH RECORD TOOLKIT FOR MENTAL HEALTH CARE PROVIDERS Mental health care providers and their patients will benefit from the launch of a new My Health Record Mental Health toolkit, released in August 2019 by the Australian Digital Health Agency.

The toolkit was developed to ensure health care providers are equipped to assist their patients with clear and specific information to make an informed decision about using My Health Record. The toolkit also addresses the benefits of the system, and how to manage patient information securely, sensitively and privately.

For more information, please see the Agency’s media release via their website.

Media release

ADELAIDE PRIMARY CARE IN ACTION

Highlights of programs and activities affecting the delivery and experience of primary care in Adelaide.

YOUNG, DEADLY, SYPHILIS FREE #GETTESTED I’ve had mine...have you had yours?

Syphilis is a sickness you can get if you have sex without a condom.

Left untreated it can harm unborn babies, women and men.

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MOBILE X-RAY SERVICE FOR SOUTHERN ADELAIDE In a first for South Australian public health services, South Australia Medical Imaging (SAMI) will roll out a new mobile radiology service, bringing x-ray equipment direct to nursing home residents and reducing emergency departments presentations.

Announced via a media release on the Premier’s website, Minister for Health and Wellbeing Stephen Wade said the trial of the mobile imaging service will support older patients in the southern suburbs who would otherwise require transport to a nearby hospital for an x-ray.

“Once fully implemented, it is estimated that the number of emergency department presentations from nursing homes could reduce Women’s and Children’s Health Networkby up to 1,750 per year...”

Child and Adolescent Mental Health Service

Perinatal and Infant Mental Health Services

The SAMI onroad mobile x-ray service will be based at the Repat Health Precinct Helen Mayo Annual Conference radiology site andHouse will provide seven appointments a day, Monday to Friday.

Following the six-month trial, consideration will be given to expand the mobile service model to other Local Health Networks.

This article is a summary of the Hon. Stephen Wade’s media release which can be read in at premier.sa.gov.au

Women’s and Children’s Health Network and Health Children’s Service Health Network Child and AdolescentWomen’s Mental Child and Adolescent Mental Health Service

Perinatal and Infant MentalServices Health Services Perinatal and Infant Mental Health

Helen Mayo House Annual Conference Helen Mayo House Annual Conference

Parenting: Passions and Pain 25 November 2019

Workshop by Dr Maria Muzik MD

Motherhood in the Face of Trauma: Vulnerability, Resilience and Therapeutic Interventions

26 November 2019 Adelaide Convention Centre Riverbank Rooms 6,7,8 North Terrace, Adelaide

ADELAIDE PRIMARY CARE IN ACTION

Highlights of programs and activities affecting the delivery and experience of primary care in Adelaide.

Do you need mental health info or support?

Worried

Support

Unsure

Lonely

Anxious

Depressed Angry

Info

Go to headtohealth.gov.au for info, services and advice, online or over the phone.

KNOW NGUAGE ICINES

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BE MEDICINEWISE WEEK 19 - 25 AUGUST 2019 Do you know the language of medicines? Medicines are part of most people’s lives, and having access to and understanding important information, and asking the right questions about medicines is the key to getting the most out of them, safely. This is why it is so important to get to know the language of medicines.

can make cisionsHow about can you learn the language of medicines? health

1. Know all the medicines you take and why you take them. Keeping an up to date medicines list is a great way to keep track of your medicines.

2. Understand the instructions for taking your medicines. Medicines only work if you are taking them properly, and you can only take them properly if you understand the instructions.

3. Check with your health professional before starting any new medicine. A health professional can help you balance the benefits of a medicine with any potential risks.

4. Ask questions if there is anything you don’t understand about your medicines.

Seeking information from a trusted source can help you get the most out of your medicines, safely.

Find out more and get involved in Medincinewise week 2019 via nps.org.au

GET TO KNOW THE LANGUAGE OF MEDICINES So you can make better decisions about your health

out more at

NPS2197

s.org.au

Find out more at

nps.org.au

BE

EXPLORING adelaidephn.com.au Adelaide PHN’s website includes information about our organisation as well as opportunities to engage with our programs, services and activities.

Explore our directory to find out more about what services and activities we have commissioned.

Find our training and events calendar listing our local professionals development sessions for the primary health care workforce.

We also offer a free career listing service for the primary health care sector. Visit the vacancies page to find out more or explore primary care career opportunites across the Adelaide region.

CONNECT WITH US adelaidephn.com.au 8219 5900 enquiry@adelaidephn.com.au

Adelaide PHN distributes Connect to provide beneficial and relevant information. The content is sourced from credible organisations, but please note we do not undertake extensive quality reviews. While the Australian Government helped fund this document, it has not reviewed the content and is not responsible for any injury, loss or damage however arising from the use of or reliance on the information provided herein.