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Aboriginal Chronic Disease Consortium Diabetes Video Resources The South Australian Aboriginal Chronic Disease Consortium have developed a series of video resources capturing the diabetes stories of members of rural and remote Aboriginal communities. The videos highlight the challenges and successes in managing their diabetes. To view the videos click on the links below. 1. Aboriginal Diabetes Video Resources Overview 2. “Understanding diabetes” – Types 1 and 2 3. “Gestational diabetes” – Gestational 4. “What helps my diabetes?” – Nutrition, physical activity, medication 5. “Safe use of medication” 6. “Monitoring my diabetes” – Blood glucose monitoring 7. “It’s getting complicated” – Diabetes complications, incl. neuropathy, retinopathy, circulatory disease (amputations) 8. “I can’t deal with that” – Diabetes and mental health 9. “Diabetes is preventable” – Prevention & lowering risks (screening)

New Type 2 Diabetes Pathways to Enhance Primary Care Prevention and Management The prevalence of type 2 diabetes is growing in South Australia. With an ageing population and increased demand for services, there is a need for enhanced diabetes management in the primary care setting. The first series of a comprehensive suite of type 2 diabetes pathways have been launched on the HealthPathways SA online portal. The following pathways and their associated referral pages are now available:

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Screening and Diagnosis of Diabetes Prediabetes Newly Diagnosed Type 2 Diabetes - Adults Ongoing Management of Type 2 Diabetes Diabetes Cycle of Care Foot Complications in Diabetes Diabetic Eye Disease Screening

These pathways are based on the best available evidence and have been adapted for our local SA context. Providing a step-by-step guide, the pathways are designed to help primary care professionals navigate screening, stratified interventions and long-term management of patients with or at risk of type 2 diabetes. The pathways include information on:

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Assessing risk factors and prevention strategies Diagnosis and initial assessment Approaches to education, behaviour change and self-management supports Care planning, Cycles of Care, goal setting and shared decision making considerations Medication management Focus on integrated multi-disciplinary team approaches

“The type 2 diabetes pathways have been developed with the expertise and feedback from leading diabetes clinicians in South Australia including endocrinologists, ophthalmologists, optometrists, vascular surgeons, podiatrists and diabetes educators.” Dr Katrina Couchman, GP Clinical Editor, HealthPathways SA. HealthPathways Clinical Coordinators undertook extensive service mapping, resulting in the development of relevant referral pages which will assist GPs to navigate the extensive locally available services across the state. Further diabetes pathways to be released in 2021 include:

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Diabetes Dietary Information Glycaemic Control Diabetes medications Insulin Therapy Hypoglycaemia

Access to our new diabetes pathways is limited to health professionals. You can request access via the HealthPathways SA website. Get involved Health professionals can get involved in HealthPathways SA in a variety of ways:

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Review final draft pathways during our online consultation process – please click here to find out more. Explore our live pathways and send your thoughts and feedback at any time by clicking on the “Send Feedback” button on the pathway Become a Subject Matter Expert and help develop new pathways

HealthPathways South Australia has been made possible by the funding and support of Country SA PHN, Adelaide PHN and SA Health. For all queries, please contact the HealthPathways South Australia team enquiries@sahealthpathways.com.au

Supporting continuity of care across the acute/primary care interface Country SA PHN and Adelaide PHN are partnering with Health Translation SA and Digital Health SA on the Primary/Acute Care Interface Data Project. GPs in our region are invited to attend a half day workshop which will be held at the end of April 2021. The Primary/Acute care interface data project is looking to make a major impact on the transition of patients care across the primary/acute interface, and through this workshop the team will be looking to identify the clinician and consumer needs regarding critical data that informs and supports the effective continuity of care. This includes data relating to discharge and admission along with referrals. If you would like to register your interest in being involved, please email Dr Ecushla Linedale at the Health Translation SA via Ecushla.Linedale@healthtranslationsa.org.au Further information and workshop dates will be made available soon on the project website.

Save the Children Supported Accommodation Program The Supported Accommodation Program provided by Save the Children Australia delivers safe and supportive temporary accommodation for families with young children residing in Ceduna and surrounding regions. The program was collaboratively developed by multiple partner agencies in recognition that the time between conception and a child’s second birthday - the First 1000days - shape lifelong health and wellbeing outcomes. Established in a 4-bedroom house provided by the SA Housing Authority, the program is an innovative, local response to improve the immediate and long-term prospects of children who are at risk of poor health, wellbeing and developmental outcomes. Barriers to vital services, insecure accommodation, or other challenges during pregnancy or in the first few years can create lasting impacts making effective interventions during this period critical to creating generational change. The program takes a whole of family, multi-disciplinary and integrated approach to support each member of the family to improve their access and experience of health across a wide range of other support services. Working primarily with Aboriginal families who self-engage or via referral the program ensures children:

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are up to date with immunization and health checks; attend early childhood and education services; receive responsive caregiving; and are safely housed.

Parents and caregivers receive:

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Perinatal and other health care; hands-on education on nutrition and smoking cessation; goal setting and problem solving skills; parenting skill development; guidance on building on strengths and improving wellbeing; and opportunities to address a range of challenges impacting their families’ wellbeing such as financial, legal and housing matters.

Feedback from parents say the service helped with reaching “goals”, establishing “routine” and learning “new life skills”. Whilst children enjoy the “fun activities”, “learning about germs” (especially COVID-19) and how it took away their worry of not knowing where they will be “sleeping tonight”. Country SA PHN Aboriginal Mother and Children Hospitalisation Avoidance program funding supports additional staffing in the after-hours period and is critical to identifying and responding to the unique needs and strengths of each family, role modelling and scaffolding parenting skill development and improving the health and nutrition of all family members. To learn more, please contact Ceduna Regional Manager Save the Children, Breony Carbines breony.carbines@savethechildren.org.au or phone (08) 9213 782 or visit the website at www.savethechildren.org.au

Practice innovation at its best in the Adelaide Hills… Nairne Medical Clinic started serving the local community in October 2012. We began as a solo practice in a small town in the Adelaide Hills, named Nairne, neighbouring Mount Barker, to serve their approximate population of 5042, as per the 2016 census. Nairne Medical Clinic prides itself of being the first bulk billing practice in the Adelaide Hills for GP consults and allied health consultations. During the last 8 years our clinic grew from a single GP to a practice with 4 GPs, nurse practitioner, dietitian, psychologist and 2 podiatrists. Clinpath provides additional venepuncture services. Nairne Medical Clinic is popular among the community due to reasons other than the bulk billing service, facilities provided by the clinic such as skin procedures, obstetrics shared care facilities, female health clinics, free gym facilities for patients with chronic disease, doctors and nurses who provide patient-centred care and friendly administration staff. The newly renovated extension came into effect in September 2019 with a modern look to accommodate the extended services of the practice. The recent accreditation process was another milestone for the Nairne Medical Clinic. The 5th Map was a great tool in assisting our practice to achieve accreditation for the first time. As part of the accreditation, the management team was able to demonstrate that it complied with RACGP standards for general practices (5th edition). We would like to thank Country SA PHN for providing and funding this valuable resource. Our main achievement is the development of a model which is aimed at the prevention and management of chronic disease and the prevention of falls in the elderly. The role of the nurse practitioner has been pivotal in achieving this goal. The clinic gymnasium has also served as an excellent social hub to bring people together who had previously felt alienated in conventional gymnasiums. The work of our nurse practitioner has brought about many success stories. We hope that one day our chronic disease management model will be adopted across all general practices resulting in enormous benefits being passed on to patients.

Niluka Hattotuwa, Practice Manager and Dr Ahmet Lokaj, General Practitioner

Niluka Hattotuwa, Practice Manager and Dr Lasath Hattotuwa, Principal

Are any of the General Practitioners in your practice at risk of losing access to higher rebates on 16 June 2021? Recent legislative changes have simplified recognition of General Practitioners (GPs) as specialists, streamlining access to higher Medicare rebates for your patients. GP access to Medicare will be determined by continued registration status with the Australian Health Practitioner Regulation Agency (AHPRA). Medical practitioners who have been awarded fellowship must be registered as a Specialist GP with AHPRA. Fellows who do not hold specialist registration with AHPRA If you have gained fellowship with the Royal Australian College of General Practitioners (RACGP) or the Australian College of Rural and Remote Medicine (ACRRM) and are not registered as a specialist with AHPRA, you must apply to update your registration status with AHPRA by 16 April 2021 prior to expiry of the transition period. Current Fellows of the RACGP and ACCRM who do not hold specialist registration with AHPRA AND do not complete an application for specialist GP registration in time will lose access to the higher rebates. You can check if you fall into this group by:

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Checking your current registration status with AHPRA by clicking here. Type in your Surname and Christian name and click on the ‘Search’ button. If there are multiple entries, scroll until you find your details and Click on ‘View Details’ Scroll down the page to ‘Registration Type’. If you are a fellow of the RACGP or ACRRM, you should hold Type: Specialist registration and Specialty: General Practice

If you hold General Registration only you will have to apply for specialist registration with AHPRA before 16 April 2021 by clicking applying to update my registration status If you need assistance to submit you application, please contact AHPRA on 1300 419 495 Doctors who were previously on the Vocational Register GPs who were previously listed on the Vocational Register and wish to be re-instated and recognised as a GP by Medicare, will need to complete an Application for Vocational Registration for General Practitioner form. Forms must be submitted to Services Australia by 30 April 2021. There will be no opportunity to return to the Vocational Register after 15 June 2021. If you no longer need access to specialist GP Medicare items no further action is necessary. If you are already registered as a specialist GP with AHPRA no further action is necessary.

Accreditation Infographic - The 5th Map An accreditation infographic summarising the RACGP’s Modules, Standards, Criterions and Indicators has been developed by Keith Saggers, a South Australian Practice Manager, and accepted by the RACGP. The 5th Map aims to provide a structured flow of information with space in the margins to record tasking, resource allocation, and tracking, assisting practices to prepare and manage pre-accreditation activities. The uptake and demand for the 5th Map Accreditation tool continues with 84 delivery requests in January 2021 from country SA practices. For more information and registration of your expression of interest in receiving the said accreditation resource please email support@countrysaphn.com.au and a member of the Practice Support Team will contact you to arrange access.

Quality Improvement Support in General Practice The aim of the PIP QI is to reward practices for participating in continuous quality improvement activities in partnership with Country SA PHN. The Practice Support team will be available in the New Year to conduct remote sessions covering the use of Pen Cat and Top Bar focussing on PIP QI and the Model for Improvement. The team can work with you to develop a tailored activity plan for quality improvement within your practice. The Model for Improvement uses the Plan-Do-Study-Act (PDSA) cycle, a tried and tested approach to achieving successful change. It offers the following benefits: • it is a simple approach that anyone can apply • it reduces risk by starting small • it can be used to help plan, develop, and implement change that is highly effective. The Model for Improvement helps you break down your change into manageable pieces, which are then tested to ensure that the change results in measurable improvements, and that minimal effort is wasted. To arrange remote training for your practice in Pen Cat or Top Bar please contact support@countrysaphn.com.au and a member of the Practice Support team will contact you.

Health Connections Community The Health Connections Community is an online portal that houses all resources that the Practice Support Team have available for Country SA PHN practices. Members of the said platform will be able to join the forum, network, ask questions, share ideas, and remain connected with Country SA PHN and other general practices.   Current Resources available include:        

Accreditations webinar recordings Quality Improvement Toolkits PDSA Templates Desktop Guide to CDM and MBS Item Numbers RACGP Accreditation Resources Secure Messaging Electronic Prescribing PRODA Guides

If you would like access to the resources, please contact support@countrysaphn.com.au to register your interest and your username and password will be forwarded with the instructions on how to register for the platform.

Expressions of interest – ELDAC Working Together Program ELDAC’s team of facilitators assist, support and enable health and aged care workers to provide best quality care for older Australians and their families at the end of life. Expressions of interest are now open for aged care service providers who wish to develop palliative care and advance care planning activities within their organisation. Expressions of interest close on 19 March 2021. To find out more visit https://www.eldac.com.au/tabid/4891/Default.aspx#EI

Visit the COVID-19 Webpage for more information and updates Free COVID-19 Vaccination Training COVID-19 vaccine information has been translated into multiple languages. Find Program In preparation for Australia's vaccine roll-out, authorised COVID-19 vaccination providers must complete COVID19 vaccination training to ensure the workforce is competent in the safe management and administration of these vaccines. To find out more about the training and to register, please visit the Department of Health website.

information in your language, click here to view. There is also the Auslan Sign versions resources, posters and products for Aboriginal and Torres Strait Islander Peoples. The disability sector also have specific information related to their needs.

Clinical governance requirements for COVID-19 vaccination in residential aged care, information about

COVID-19 Vaccine FAQs A series of

‘After your COVID-19 vaccination’ a patient fact sheet about

COVID-19 vaccine aged care readiness toolkit, information to assist

Heart Health Check Toolkit is now live

True North open access website

and accessible online! You can access it here. A suite of practical Heart Health Check tools and resources, including assessment and management templates, quality improvement tools (such as PDSAs), patient engagement resources and much more.

provides men living with prostate cancer, and their loved ones and carers, access to online self-management tools and information to make informed decisions, manage symptoms of prostate cancer and its associated treatments and side effects, and share lived experiences. Click Here

the clinical governance requirements and accountabilities for COVID-19 vaccination clinics at residential aged care facilities. Click Here

what to expect after vaccination is now available on the Department of Health website, click here.

new frequently asked questions about the South Australian COVID-19 vaccine program are now available, including information on safety and testing.

residential aged care providers prepare for the COVID-19 vaccine rollout. Click Here

Update to the My Asthma Guide,

health professionals will know of this resource as the National Asthma Council of Australia’s popular patient handbook designed to help people understand and manage their asthma. It includes information and advice based on the best evidence and provides practical strategies to help people with asthma and their families. The update to the My Asthma Guide can be accessed here.

Home Care Packages Program Manuals Update, Department of Health has updated the Home Care Packages Program Manuals; Home Care Packages Program Operational Manual: A Guide for Home Care Providers - click here and the Home Care Packages Program Operational Manual for Home Care Package Consumers click here

Rural GP Adv Dip Obstetrics (or equivalent) Working as a GP on Kangaroo Island (KI) will allow you to combine the challenge and reward of working in a busy rural practice, with a great lifestyle in the perfect location. KI is just 25 minutes to Adelaide by plane, yet being an MMM7 area, lucrative rural retention allowances and incentives are available. For more information about the General Practice Rural Incentives Program, see here. The clinic is currently staffed by 6 GP’s (who also provide emergency on-call services to the KI Health Service), supported by 2 practice nurses, a practice manager and administration team, all with a commitment to providing high quality care to our patients. At this boutique rural practice, we can offer a 3-4 day working week; up to 8 weeks annual/upskilling leave for associate; a dynamic and supportive practice team; and combine the opportunity to practice your emergency and procedural medicine skills with a great lifestyle in the perfect location. Essential requirements, FACRRM or FRACGP; Adv Dip Obstetrics; and Emergency medicine experience For more information, please contact our Practice Manager, Tanya Biddell on 08 8553 2037 or at practice.manager@kimedical.com.au.

For more professional development opportunities go to www.countrysaphn.com.au

Central Region Sports Injuries - Hahndorf Wednesday 10 March 2021 6.30pm - 9.00pm Register Here

Living with my diabetes - Victor Harbor Thursday 13 May 2021, 6.00pm - 8.30pm Register Here

Parkinson’s Disease in Primary Care Living with my diabetes - Mount - Kangaroo Island Barker Saturday 13 March 2021 9.30am - 1.00pm Register Here

Thursday 20 May 2021 6.00pm - 8.30pm Register Here

Living with my diabetes - Gawler Tuesday 13 April 2021, 6.00pm - 8.30pm Register Here

North & West Region Aboriginal Awareness - Coober Pedy Thursday 11 March 2021, 6.00pm - 9.00pm Register Here

Living with my diabetes - Port Pirie Tuesday 4 May 2021 6.00pm - 8.30pm Register Here

Living with my diabetes - Whyalla Thursday 29 April 2021, 6.00pm - 8.30pm Register Here

South & East Region Parkinson’s Disease in Primary Care Living with my diabetes - Berri Thursday 13 May 2021 - Mount Gambier Wednesday 31 March 2021 6.30pm - 9.00pm Register Here

6.00pm - 8.30pm Register Here

Asthma Management - Murray Bridge

Living with my diabetes - Mount Gambier

Wednesday 7 April 2021, 6:30pm to 9:00pm Register Here

Thursday 20 May 2021, 6.00pm - 8.30pm Register Here

Yorke & Northern Region Asthma Diagnosis and Care in General Practice - Jamestown

Friday 19 March 2021, 6.00pm - 8.30pm Register Here

Living with my diabetes - Wallaroo Tuesday 20 April 2021, 6.00pm - 8.30pm Register Here

Metro Region Country Practice Retreats - Glenelg Saturday 20 March to Sunday 21 March 2021 Commencing 9.00am Saturday and concluding at 12.00pm on Sunday Register Here

Cervical Screening Provider Course - Woodville Wednesday 28 April 2021 8.30am - 5.00pm Register Here

6th National Indigenous Drug and Alcohol Conference - Glenelg

2021 RDWA Rural GP Conference: Stronger Together - Adelaide

Tuesday 23rd March - Friday 26th March 2021 9.00am - 5.00pm Register Here

Friday 7 May to Saturday 8 May 2021 Register Here

Sexual and Reproductive Health Workshop - Woodville

Tuesday 23 March 2021 9.00am - 5.00pm Register Here

Webinar Understanding PrEP & PEP for Rural GPs

Viral Hepatitis Nurse-led Models of Care Forum

Managing STIs in Pregnancy for Rural GPs

Treating Hepatitis C in General Practice Forum

Wednesday 10 March 2021, 3.30pm - 5.00pm Register Here

Wednesday 19 May 2021, 3.30pm - 5.00pm Register Here

Saturday 29 May 2021 Register Here

Saturday 29 May 2021, 9.00am - 3.00pm Register Here

Time Management for Busy Rural Doctors Thursday 20 May 2021, 7.00pm - 9.00pm Register Here

Online Learning Governance in Aged Care: Beyond the Royal Commission 2 Day Digital Conference Wednesday 14 April to Thursday 15 April 2021, 9.00am - 2.00pm Register Here

National Diabetes Services Scheme (NDSS) Survey Diabetes Australia would like to learn more about health professional’s understanding of the National Diabetes Services Scheme (NDSS). By completing this survey, we aim to improve our communications with health professionals who are able to register people with the NDSS, and ultimately improve the availability of NDSS programs, services and support to people with diabetes. The survey will take approximately 5 minutes to complete and all responses will be

treated in accordance with the NDSS Privacy Policy. We understand that health professionals are extremely busy, and appreciate the time taken to provide us with this valuable information.

Help improve mental health outcomes for children in Australia and win 1 of 6 iPads!

Have your say today in an Australian first. Emerging Minds, along with its delivery partners, are conducting a national workforce survey for family, parent and child mental health and want to hear from professionals in health, social and community services who work with adults who might be parents, families and children. The information gathered has the potential to help shape the future workforce development initiatives for many health, welfare, education and community focused sectors to ultimately help children and their families in their social and emotional wellbeing. Take the survey here

Invitation for Health Professionals to complete a survey Movember recognises that health professional engagement and referral is crucial when reaching people with prostate cancer. To support this Movember is undertaking an important survey with health professionals to develop a clinician referral pathway for our digital tools. The survey will take approximately 10 minutes to complete and Movember will share a summary of findings from the survey with you. Movember would greatly appreciate your time to complete the Health Professional : Clinician Referral Pathway Survey


Beckwith Park, 30 Tanunda Road, Nuriootpa SA 5355 PO Box 868, Nuriootpa SA 5355 T 08 8565 8900 F 08 8311 1723 E comms@countrysaphn.com.au SA Rural Health Network trading as Country SA PHN. Country SA PHN gratefully acknowledge the financial and other support from the Australian Government Department of Health.

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Country SA News February 2021 Edition  

Country SA News February 2021 Edition  

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