Community PULSE West Moreton Oxley Medicare Local
ISSUE 9 | MARCH - MAY 2015
MAKE A CHANGE Move it or lose it!
New refugee women’s health resource Spotlight on diabetes General practice plays critical role www.westmoretonoxley.com.au
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Suite 0551, Level 5, World Knowledge Centre Education City, Sinnathamby Boulevard, Springfield Central QLD 4300
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Innovative, award-winning project helps improve refugee women’s health Best practice management in primary health care is critical to reducing morbidity and mortality from diabetes. Diabetes Queensland online peer support program Chronic disease - general practice playing a critical role in meeting future health challenges Innovative technology at home for heart patients Move it, or lose it! Bowel screening a must for people 50+ West Moreton opens door to health career New flu vaccine to safeguard against severe northern hemisphere strains Roll-up your sleeves and get cooking with Jamie’s Ministry of Food – Ipswich Food safety is everyone’s business Kambu – a holistic approach to preventative health One21seventy – Indigenous primary health care at every stage St Andrew’s Ipswich celebrates the Cardiac Catheter Laboratory’s first year of operation New App for National Relay Service Calling all runners, all abilities Mater Private Hospital Springfield update Rural Primary Health Service Assisting general practice across the West Moreton Oxley region Advisory groups update Mushroom and haloumi burger with red onion jam
www.westmoretonoxley.com.au T 07 3470 5653 F 07 3470 5678 PO Box 4299 Springfield QLD 4300 Medicare Locals gratefully acknowledge the financial and other support from the Australian Government Department of Health. West Moreton-Oxley Medicare Local Limited (ACN 152 842 030), trading as West Moreton-Oxley Medicare Local west moreton-oxley medicare local
CEO Report Community Pulse March 2015
We would like to thank everyone involved in the community, the primary health professionals and the many networks whose good work has contributed to the articles published in Community Pulse over the past three years.
Changes ahead Over recent months West Moreton-Oxley Medicare Local (WMOML) has regularly shared information about the upcoming changes to the primary health care sector. On 1 July 2015, the 61 Medicare Locals across Australia will be replaced by 30 new organisations, known as Primary Health Networks (PHNs). In Queensland seven PHNs will be established. The PHN boundaries will align with the boundaries of Hospital and Health Services to facilitate all parts of the local health system working together on behalf of patients, and reducing duplication of effort. Most of the West Moreton-Oxley Medicare Local region will become part of the new Darling Downs and West Moreton Primary Health Network. The new Darling Downs and West Moreton Primary Health Network covers an area of approximately 95,000 km2 and includes key centres of Ipswich, Warwick, Toowoomba, Goondiwindi, Dalby, Kingaroy and Miles. The new PHN organisations are being established through a competitive tender process managed by the Commonwealth Department of Health. West Moreton-Oxley Medicare Local has bid to become the new Primary Health Network for the Darling Downs and West Moreton region. We expect to know the outcome of the tender process in the next month. In the meantime our focus remains on the continued delivery of services and the
provision of support to general practice and primary health care professionals. We will also continue to work closely with our partners in improving health outcomes in areas such as mental health and child development. Due to the pending changes to Medicare Locals this will be WMOML’s final edition of Community Pulse. We would like to thank everyone involved in the community, the primary health professionals and the many networks whose good work has contributed to the articles published in Community Pulse over the past three years. Over the next few months we will keep you informed about changes to primary health care and other relevant health information through our website www.westmoretonoxley.com.au I hope you find the articles in this edition of Community Pulse interesting. We have enjoyed sharing information on the many aspects of primary health care and related services that operate throughout the West Moreton Oxley region. Thank you for your continued support. As always, your feedback and questions are welcome.
Sue Scheinpflug CEO
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Innovative, award-winning project helps improve refugee women’s health
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A group of African women living in Brisbane, determined to improve the health of female refugees in their community, has turned to technology to spread important health messages. West Moreton-Oxley Medicare Local’s (WMOML) Refugee Health Literacy Project was developed after health workers discovered refugee women often can’t understand health information brochures – whether they be in English or written in their own languages. The project’s importance was highlighted last November when it was awarded the Community Initiative Award at the Celebrate African-Australians Inc event.
Medicare Local Community Engagement team leader Bernadette Praske said that in some pockets of the West Moreton Oxley region – such as Inala-Richlands and Durack – around 30 per cent of residents were born in non-English speaking background countries.
The information in the videos is a combination of information that general practitioners need to know about people from a refugee background and information refugee women have identified they need to know.
“We know many of these residents are new arrivals and often can’t read the health information provided to them. Addressing this issue is extremely important not only to these residents, but also the wider community and health workers,” Ms Praske said.
Mater Health Services Senior Program Manager Paula Peterson said the Mater UQ Centre for Primary Care Innovation has been engaged in innovative strategies for building health literacy in refugee background communities for several years.
WMOML partnered with the University of Southern Queensland (USQ), the Mater Hospital, Queensland African Communities Council (QACC) and the Queensland Program of Assistance to Survivors of Trauma and Torture (QPASTT) to find a solution.
“What has been produced is an exciting, user-friendly resource that has incorporated the community perspective at each level: presentation, content, appearance, health topics, and production. It is wonderful to find the resource addressing the health topics of highest concern to women,” Ms Peterson said.
“Extensive community consultations revealed the women’s inability to read in their first language is because they’ve often experienced disrupted and traumatic experiences in their lives,” Ms Praske said. “We want these women to feel safe and confident when learning about ways to improve their health. There’s certainly nothing worse than feeling stressed or upset when you are already struggling with personal health concerns. “With that in mind, we decided to create a series of short videos on a variety of health topics in languages including French, Kirundi, Arabic and Swahili (Congolese, Sudanese and Kenyan),” she said. The project involves five African women appearing online, speaking about health information in their own languages on a variety of topics. These topics include issues that are sometimes quite sensitive and difficult to discuss such as contraception, HIV, breast exams, Pap smears and incontinence. Data on the health of refugees living in Australia is difficult to determine. However, the Queensland Program of Assistance to Survivors of Torture and Trauma (QPASTT) Organisation believes that pre-migration torture and trauma and post-migration acculturation stress are recognised as risk factors for poor mental health outcomes among refugees.
Topics covered in the DVD include: Seeing a doctor/specialists/community health Emergencies Consent and privacy Safe use of medicines Cancer, cancer screening, breast cancer, Pap smears and cervical cancer Women’s health/sexual health – including HIV and continence Hygiene and staying well Community groups, service providers and community leaders can now download the videos from the website www.communityhealthhub.com.au. There are also plans for a mobile phone “app” to be developed, a series of topics for men, and the number of languages expanded.
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Best practice management in primary health care is critical to reducing morbidity and mortality from diabetes. An exciting new West Moreton-Oxley Medicare Local project aims to improve the capacity of general practices in the region to identify people at risk of developing diabetes, as well as promote optimal management of patients already diagnosed. Central to this approach is collaboration and integration with other services through the continuum from prevention and early diagnosis to advanced disease care. West Moreton-Oxley Medicare Local (WMOML) is working closely with Diabetes Queensland and the Improvement Foundation to promote best practice, evidence-based care management through support and education to health professionals and community members.
THE DIABETES PREVENTION AND MANAGEMENT PROJECT HAS TWO MAIN STRATEGIES: The first strategy involves intensive support to practice nurses. This includes a series of activities to increase skills in screening for diabetes, identifying those at-risk of developing diabetes, and managing patients diagnosed with diabetes. Six general practices are taking part in this intensive program of education and support – primarily for practice nurses - over six months. The program includes monthly education sessions delivered by the Improvement Foundation and other providers, and practice visits from Medicare Local staff and a credentialed Diabetes Queensland educator. Kaye McDonald, a Registered Nurse at The Lockyer Doctors Rosewood, attended the program’s initial workshop, held recently at Springfield. “The information presented at the workshop was very practical and the whole day was brilliant. I am confident now that with the added support from the team at the Medicare Local and Diabetes Queensland, we can improve the care for our patients living with diabetes as well as prevent some of our patients from developing Type 2 Diabetes in the first place,” Kaye said.
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The project’s second strategy aims to increase knowledge and awareness through the delivery of regional educational events. In partnership with Diabetes Queensland, WMOML is hosting workshops for health professionals and people living with diabetes and their carers. WMOML is also working with the West Moreton Hospital and Health Service (WMHHS) to provide education to GPs. An information session was recently held for the Lowood Women’s Group — a local group of women who come together twice a month to discuss issues on health and wellbeing. The education session covered information about diabetes, working with your GP to manage your health and highlighted some of the support programs and services available through their GP. The group also completed The Australian Type 2 Diabetes Risk Assessment Tool (AUSDRISK), which included waist measurement using the Diabetes Queensland tape measure. For more information on this project visit www.westmoretonoxley.com.au
Diabetes Queensland online peer support program
Diabetes fast facts
Are you an Aboriginal or Torres Strait Islander person living with Type 2 Diabetes and interested in connecting with other people on the same diabetes journey? The Diabetes Queensland Aboriginal and Torres Strait Islander Type 2 Diabetes online peer support program is all about people across Queensland coming together to learn from others who live with this condition. The program is hosted in a closed Facebook group and is led by Aboriginal and Torres Strait Islander peer volunteers who share aspects of their lives and their diabetes management through video. As the program is in a closed Facebook setting, people can interact with volunteers and participants in a safe, online environment, sharing their challenges and successes. Volunteers share their experience with participants on a wide range of issues, including diagnosis, physical activity, healthy eating, family and support. The program provides encouragement and support and there are lots of handy hints and tips on how to better manage diabetes.
Diabetes is the fastest growing chronic disease in Australia. It is a medical condition where the body fails to process blood glucose in the usual way. There are approximately 250,000 people in Queensland diagnosed with diabetes: www.diabetesqld.org.au
The program features film clips of four volunteers - Kevin Maund, Deb DeBree, Terriceta Salam and James Sandy - who are available to provide advice and support and to guide participants to authoritative sources of information about diabetes care. They are also able to assist participants with diabetes management and goal setting. The program kicked off last month with Kevin Maund, a Mamu man now living in Brisbane, who talks about what it was like being diagnosed at an early age, how he was able to minimise visits to the doctor and how he came to turn his diabetes around. This is a fantastic opportunity to talk to other Aboriginal and Torres Strait Islander people with Type 2 Diabetes in a discreet environment. The peer volunteers are not a replacement for health professionals. Rather, their role is to help complement formal primary care services and provide another perspective and form of support for people living with this condition. Simply email Diabetes Queensland at info@diabetesqld.org.au or phone (07) 3506 0955 to find out how to join this online community.
Diabetes is one of the most significant health concerns affecting the population in the West Moreton-Oxley Medicare Local (WMOML) region. Data from the Australian Diabetes Map shows close to 18,000 people with Type 1, 2, gestational or other cause diabetes residing in the West Moreton Oxley region were registered with the National Diabetes Services Scheme (NDSS): www.ndss.com.au
Not only is the prevalence of Type 2 Diabetes in some areas of the region higher than the rest of Queensland, the region’s population is also affected by higher than average rates of risk factors such as smoking, cardiovascular disease, lack of exercise and obesity.
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Chronic disease
general practice playing a critical role in meeting future health challenges
fast facts Population within West Moreton-Oxley Medicare Local area
14,143
Inala Primary Care is not your usual general practice. It is a not for profit organisation established by Queensland Health and the University of Queensland to trial new ways of caring for patients. Their focus is to provide, prove, teach and replicate models of care which improve patient outcomes above agreed benchmarks for people from disadvantaged populations. The practice recently introduced a new service in collaboration with Queensland Health to provide a local cardiac rehab service at Inala. The service went live on 30 January 2015. This means that people in the West Moreton Oxley region no longer have to travel to the Princess Alexandra Hospital, Eight Mile Plains or Bayside. Patients at very high risk of a cardiac event (which includes chronic kidney disease sufferers) now also have new avenues for seeking lifestyle modification support in their community. In addition, Inala Primary Care takes patients with chronic kidney disease as part of their Keeping Kidneys Service. The Keeping Kidneys Service is the first of its kind in the world. Using upskilled GPs under the oversight of a Nephrologist, the practice aims to screen, diagnose and develop management plans for the increasing number of renal patients in the community. Being closely linked to the University of Queensland, Inala Primary Care is at the forefront of research, especially in relation to some common chronic diseases. The ability to bring specialised care into a general practice setting means that Inala Primary Care has a growing range of links to medical specialists in a variety of hospitals and academic placements. Specialist knowledge about diabetes, kidney disease, respiratory care and much more is accessible to the practice doctors which means that they are at the leading edge of evidence based practice in these fields.
LIVING WITH DIABETES Estimated population aged 18+ (2011-2013)
79,699 LIVING WITH HIGH CHOLESTEROL Estimated population aged 18+ (2011-2013)
32,833 LIVING WITH HYPERTENSION Estimated population (2011-2013)
54,115 LIVING WITH CIRCULATORY SYSTEM DISEASE estimated population aged 2+ (2011-2013)
100,125 LIVING WITH RESPIRATORY SYSTEM DISEASE estimated population (2011-2013)
91,737 LIVING WITH MUSCULOSKELETAL DISEASES 8
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estimated population (2011-2013)
Innovative technology at home for heart patients The Heart Failure Clinic at West Moreton Hospital and Health Service is the first in Queensland to use innovative technology to remotely monitor heart failure patients within their own home. Patients who have been hospitalised for heart failure require ongoing clinical assessment of their physical condition, blood pressure and heart rate as well as regular monitoring of the effectiveness of their medication.
The benefit of remote telemonitoring is that patients can return home earlier to continue their recovery without having their level of care compromised... A survey of participating patients indicates that they consider using the telemonitoring equipment as a positive experience. Phillip Gramlick, 74 year old father of nine from Plainland uses the telemonitoring system every day to upload his vital signs. “I don’t have to travel the 40 kilometres into Ipswich Hospital these days because I can provide all the information remotely, from my own home,” Mr Gramlick said. “Using this equipment means clinical staff can monitor me every day which is good because there were some tablets that really made me feel unwell.
“It takes about four minutes to upload the information each day. There is some manual input but that’s easy to do – ‘easy as pie’”, he said. Prior to joining the remote telemonitoring program, heart failure patients would have to attend regular appointments, on a fortnightly or monthly basis, through the Heart Failure Clinic. Ipswich Hospital Senior Medical Officer, Dr Johanne Neill said 2072 patients with a cardiac condition presented to emergency departments in West Moreton during 2013-14. This figure is expected to increase as the population expands and ages. “Patients admitted to hospital with heart failure can endure a long stay in hospital while their condition and treatment is stabilised,” Dr Neill said. “The alternative is for specialist nurses to spend much of their time travelling to undertake individual home visits. “The benefit of remote telemonitoring is that patients can return home earlier to continue their recovery without having their level of care compromised, while specialist nurses can now spend more time reviewing patients’ daily results and if needed, intervene to improve patient understanding and compliance with their treatment regime,” she said. Remote telemonitoring of heart failure patients was introduced in July 2014 when Dr Neill and her team were granted funding through the West Moreton Hospital and Health Service Board’s Innovation Fund. 9
Move it, or lose it! With the high rates of obesity and chronic disease in the West Moreton Oxley region, it’s up to each of us to stay well and keep healthy.
“Usually around five to nine people will join in, meeting at the proposed time and meeting spot and as we all know, running with a buddy is always more enjoyable as well as safe” Jodie said.
One group of mums has taken this philosophy seriously and run with it. Literally!
“There is great camaraderie in the group, with runners, walkers and trail runners of all ages participating and welcome.
Jodie Turner and Lisa Sandaver established the Augustine Heights mums who love to run group after meeting one morning late last year at the Ipswich Park run event.
“An unexpected upshot is that we often have time for post-run coffee and breakfast. We even have social events which included a Christmas party last year.” Jodie said.
Augustine Heights mums who love to run is a running group connecting mums, leading equally busy lives, who love to run in the local area.
Runners and walkers of all ages and levels welcome. If you’re interested, please join the Facebook group (by typing Augustine Heights mums who love to run into Facebook)
Jodie says it’s often hard for mums who are juggling family and work, to even fit in exercise let alone run at specific times and dates each week. “Lisa and I said wouldn’t it be good if we could connect with others online who love to run and arrange suitable times in the morning or evening to fit in a run. “Through our Facebook page ‘Augustine Heights mums who love to run’, the 50 plus members specify a date and time they’re thinking of going for a run giving other group members an opportunity to join in.
Bowel screening a must for people 50+
OTHER RUNNING GROUPS IN THE REGION Springfield Running Group meets on a Monday and Wednesday evenings and Saturday at the Orion Caltex. The group caters for all abilities and is a great way to meet new people and enjoy a run! If you’re interested, check out their public Facebook page for dates and times. www.facebook.com/groups/ SpringfieldRunnersGroup
The National Bowel Cancer Screening Program has been implemented nationally to help assist early detection of bowel cancer and reduce the number of Australians who die each year from the disease. Under the screening program, eligible men and women will be sent a bowel cancer screening kit by mail when they turn 50, 55, 60, 65 or 70 years old. The kit contains a Faecal Occult Blood Test (FOBT) which is a simple test that can be completed in the privacy of your own home. Bowel cancer can develop with few, if any, warning signs. It is a type of cancer that can be treated successfully if detected in its early stages, but currently fewer than 40 per cent of bowel cancers in Australia are detected early. Regular screening, using an FOBT, can reduce the number of people who die each year from bowel cancer. If you do a FOBT every two years, you can reduce your risk of dying from bowel cancer by up to one third. If at any time you develop any of the symptoms of bowel cancer (eg. rectal bleeding, blood in bowel motions, recent changes in bowel habits, unexplained tiredness, anaemia, abdominal pain etc) or discover a family history of bowel cancer you should contact your doctor as soon as possible. For more information visit Queensland Health’s website at: www.health.qld.gov.au/ bowelcancer
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West Moreton opens door to health career West Moreton high school students are taking their first steps towards a career in healthcare by winning places in a two-year traineeship. The 18 Year 11 students were selected from a pool of 62 candidates to undertake a Certificate III in Aged Care, a schoolbased traineeship which aims to provide young people with a foundation for future health qualifications. Students will undertake work experience in a variety of clinical areas at one of West Moreton Hospital and Health Service’s facilities at Gatton, Laidley and Ipswich. West Moreton Hospital and Health Service Executive Director of Workforce, Alan Millward, said the two year traineeship program, now in its second year, was proving to be a successful pathway to a career in health. “The West Moreton catchment is predicted to experience an 82 percent population growth by 2026, which is the highest percentage increase of any health service region in Queensland,” Mr Millward said. “From this perspective it is critical that we support students in the region to have careers in health if we are to meet the healthcare needs of our community into the future.” The traineeship is an initiative of the Health Pathways Alliance – Ipswich and West Moreton, which was formed by West Moreton Hospital and Health Service in partnership with not for profit training provider - Australian Training Company and TAFE Queensland South West. “By completing the traineeship, students work towards a university ranking and gain valuable real world experience,” Mr Millward said. “All eight of our 2014 graduates are progressing their health education and are employed as casual nursing assistants within West Moreton Hospital and Health Service, which is very exciting for us.’
New flu vaccine to safeguard against severe northern hemisphere strains Annual vaccination is the single most effective measure to prevent influenza. Vaccination reduces your chances of catching the flu, and it may also reduce the severity of the flu if you do catch it. This year Australia’s influenza vaccine has been changed to ensure greater protections against those strains that caused widespread and severe outbreaks of influenza in the northern hemisphere, particularly in the US. The change to the vaccine has caused manufacturing delays, which means that The National Seasonal Influenza Immunisation Program, which usually starts on March 15, has now been pushed back to April 20. There will still be plenty of time for you to be vaccinated so make sure you have your flu vaccine and get yourself protected.
WHO SHOULD BE VACCINATED? • Any person aged over six months who wishes to reduce the likelihood of becoming ill with Influenza • people aged 65 years or over • pregnant women • Aboriginal and Torres Strait Islanders aged 15 years or older • people with underlying medical conditions • health professionals
ARE THERE ANY SIDE EFFECTS FROM THE VACCINE? Most side effects are minor, last a short time and do not lead to any long-term problems. However, some people may experience mild flu-like symptoms for up to 48 hours as their immune system responds to the vaccine.
WHEN SHOULD I BE VACCINATED? Between March and May, before the influenza season starts. Vaccination usually takes up to two weeks to be effective, so the sooner you are vaccinated, the better.
WHERE CAN I BE VACCINATED?
Year 11 students undertaking work experience in a variety of clinical areas at one of West Moreton’s facilities at Gatton Hospital, Laidley Hospital and Ipswich Hospital.
You can be vaccinated by a doctor or immunisation nurse at your local medical centre. Those in a high risk group can be vaccinated for free under the Immunise Australia program. For more information visit the website at www.immunise.health.gov.au 11
Roll-up your sleeves and get cooking
with Jamie’s Ministry of Food – Ipswich Jamie’s Ministry of Food, developed by the UK-based celebrity chef, Jamie Oliver, teaches people to cook from scratch using fresh ingredients. The program increases confidence in the kitchen by teaching some of Jamie’s tips and shortcuts. Participants learn how to prepare and cook a variety of dishes, how to budget and shop for fresh ingredients, and the importance of eating fresh food for better overall health. Jamie’s Ministry of Food cooking course covers all the basics that will enable participants to make better food choices and ultimately live a healthier life. West Moreton-Oxley Medicare Local staff had the privilege of participating in one of the cooking classes and speaking with novice cooks: Torie, Ernie, Sue and Simon. “It’s a totally hands on experience, so you get to see, smell, feel and taste everything that you cook. I didn’t know how to cook before taking the course and now I love it!” Torie said. An evaluation of Jamie Oliver’s Ministry of Food program in Ipswich by Deakin University and the University of Melbourne, has found that the program increased participants’ daily vegetable consumption, cooking confidence, and ability to prepare meals from scratch. Furthermore, the increases were sustained for six months after completion of the program. Jamie Oliver says the positive findings from the study are the best news he’s had all year. “The biggest killers in Australia today are from diet-related disease,” he says. “It is sadly a time where one has to be reactive and I’m massively passionate about local people teaching local people and about what creates sustainable change and what really makes a difference”. The evaluation of Jamie’s program was headed by Boyd Swinburn, Professor of
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Population Nutrition and Global Health at the University of Auckland and Director of the World Health Organisation Collaborating Centre for Obesity Prevention at Deakin University in Melbourne. He says increasing people’s vegetable consumption is difficult. “Half a serve per day might sound trivial but in effect it is not. It has a significant effect on reducing things associated with low-vegetable intake like heart disease and cancer. For a program to achieve that and sustain it is, I think, pretty good value for money.” Professor Swinburn says he has performed quite a few similar program evaluations in the past and had never seen anything as incredibly consistent as the Ministry of Food findings. He points to Oliver’s celebrity status as one of the reasons for the program’s success.
It’s a totally hands on experience, so you get to see, smell, feel and taste everything that you cook. “Jamie Oliver has an edge on other cooking programs because he has a very strong name and brand,” he says. The Ministry of Food program has been running in Britain since 2008. There are other Ministry of Food centres in Victoria, South Australia and New South Wales. Thousands of people have been through the Ipswich program since opening in April 2011. Participants pay $10 or $5 for concessioncard holders per 90 minute class. For further information visit Jamie’s Ministry of Food website www.jamieoliver.com/ jamies-ministry-of-food-australia/ ipswich
P U B L I C H E A LT H CA M PA I G N
Food safety is everyone’s business World Health Day - 7 April 2015
We are fortunate in the West Moreton Oxley region to have a wealth of fertile land and locally grown produce to provide our population with fresh food. However, as food supplies become increasingly globalised, the need to strengthen food safety systems locally and globally is becoming more important. Unsafe food is linked to the deaths of an estimated 2 million people annually – including many children. Food containing
harmful bacteria, viruses, parasites or chemical substances is responsible for more than 200 diseases, ranging from diarrhoea to cancers. Just recently we experienced how berries originating from China, contaminated with Hepatitis A, affected people in Australia. That is why the World Health Organisation (WHO) is promoting efforts to improve food safety, from farm to plate (and every step in between) on World Health Day, which is on 7 April 2015.
FIVE KEYS TO SAFER FOOD Food safety is a shared responsibility – from farmers and manufacturers to vendors and consumers. The WHO’s five keys to safer food offers practical guidance for handling and preparing food:
KEY 1:
KEY 4:
Keep clean
Keep food at safe temperatures
KEY 2:
KEY 5:
Separate raw and cooked food
KEY 3:
Cook food thoroughly
Use safe water and raw materials.
World Health Day 2015 is an opportunity to alert people about the importance of food safety and to ensure that the food on their plate is safe to eat. Visit www.who.int for updates and more information. 13
Kambu
a holistic approach to preventative health Kambu Medical Centre practices a holistic and preventative approach to health care. The Centre offers general and specialist care, complemented with long-term healthy lifestyle change programs which promote healthy eating, exercise and the importance of education. Kambu’s focus is not just around health management - Kambu develops deep connections in the community including aunties, uncles, mums, dads, kids and babies. Kambu Health provides the following services: Clinic- this is the first point of contact for clients when they come to Kambu, where they will be assessed and, if necessary, relevant referrals are made. Children and Family Centre- provides holistic health care and support to mothers and babies/young children as well as antenatal care, postnatal care, immunisations and women’s health checks. Social Health- is a counselling and advocacy service, which includes drug and alcohol counselling, social and emotional well-being counselling, prison visits and services, school health checks and mentoring, men’s and women’s groups and mental health advocacy. Specialist Services- specialist doctors and allied health professionals regularly work from Kambu Health. Their services include, but are not limited to physiotherapy, podiatry, exercise physiology, dietetics, psychology, psychiatry, cardiology, endocrinology, occupational therapy, speech pathology and pharmacy. Kambu encourages all their clients to take an active role in improving their own health. Jump on to their deadly website to see what’s happening and how you can get involved www.kambuhealth.com.au Kambu clinics are situated at:
IPSWICH - 27 Roderick Street, Ipswich Queensland 4305 call (07) 3812 3843 LAIDLEY - 2/235 Patrick Street, Laidley Queensland 4341 call (07) 5465 3541 GOODNA - 13 Church Street, Goodna Queensland 4300 call (07) 3436 9600 14
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One21seventy
Indigenous primary health care at every stage The One21seventy Centre aspires to increase life expectancy for Indigenous people beyond One in infancy, beyond 21 in children and young adults and beyond seventy in the lifespan. One21seventy grew out of the successful Audit and Best Practice in Chronic Disease (ABCD) research project that supported more than 120 Indigenous primary health care centres to use continuous quality improvement (CQI) tools and methods, and showed that CQI could make a difference in Indigenous health care. One21seventy works with health centre staff to identify strengths and weaknesses in their systems, set goals for improvement, develop strategies to achieve these goals, and assess the effectiveness of these strategies in improving chronic illness care. One21seventy looks at building capacity, enhancing motivation and focus and bringing new energy to services at the frontline of Aboriginal and Torres Strait Islander primary health care. At the local health service level, primary health care teams use One21seventy report data to plan improvements in service delivery in order to improve the quality of care. This means changes can be planned and implemented, based on real evidence.
Contact One21seventy
T: 1800 082 474 E: one21seventy@menzies.edu.au www.one21seventy.org.au
Aboriginal And Torres Strait Islander Peoples 715 Health Assessment
SERVICES
Attendance Rates 2012 - 2014 1600 1500 1400 1300 1200 1100 1000 900 800 700 600 500 400
2012 3rd Qtr
2012 4th Qtr
2013 1st Qtr
2013 2nd Qtr
2013 3rd Qtr
2013 4th Qtr
2014 1st Qtr
2014 2nd Qtr
2014 3rd Qtr
2014 4th Qtr
Source: Australian Government Department of Human Services - MBS statistics www.medicarestatistics.humanservices.gov.au/statistics/mbs_item The MBS item 715 Health Assessment is an annual assessment offered to Aboriginal and Torres Strait Islander people to help ensure that they receive primary health care matched to their needs, by encouraging early detection, diagnosis and intervention for common and treatable conditions that cause morbidity and early mortality.
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New App for National Relay Service The National Relay Service (NRS) has launched a new app - an exciting development in the way people who are deaf or have a hearing or speech impairment can make phone calls. The NRS takes between 2-3000 calls a day nationally, so this technology is vital in keeping the community connected to their loved ones, colleagues and services. The first of its kind in the world, the app provides access to a range of relay calls and support functions via a single interface for smartphones or tablets.
St Andrew’s Ipswich celebrates the Cardiac Catheter Laboratory’s first year of operation January marked the one-year anniversary of the completion of St Andrew’s Cardiac Catheter Laboratory, an important milestone for the Ipswich and West Moreton region; eliminating the need for patients to travel to Brisbane for cardiac angiography. The cardiac catheter laboratory, mainly used for diagnostic angiography, features the latest Toshiba Infinix-I floor mounted system with dose tracking technology to improve patient safety, enabling doctors to instantaneously monitor and minimise patient radiation and exposure, the technology reduces the risk of skin injury to the patient. St Andrew’s Hospital CEO, Christine Went is so proud of the Cath Lab Team and the services that they can provide locally in Ipswich. “The unit is staffed by our locally-based cardiologists and has been very well received – the patient feedback has been exceptional,” Ms Went said.
“I like the way the NRS continues to improve services as technology changes - that is the exciting part.” The app is available to anyone who uses the NRS, or who wants to and is eligible to use the NRS. The app provides users with access to a number of NRS call options, including internet relay, Speak and Listen, captioned relay, and video relay. Both internet relay and Speak and Listen include additional features that are only available through the app, such as creating customised phrases for regular use and using the device’s GPS in providing location information. The app also includes a link to the NRS website. You will need an Apple or Android internet-connected mobile device – that is, a smartphone or tablet. The app itself is free and so are any calls you make using the app. However, you will be connecting to the internet and thus using broadband data. How you are charged for this data will depend on the plan you have with your service provider. In most cases data is part of a monthly cap. “I like the way the NRS continues to improve services as technology changes - that is the exciting part. It means more options and ways to contact people, in my work and my personal life. And that makes me realise how connected I am.” Melinda Smith, Melbourne.
St Andrew’s continues to expand its cardiac services and has recently registered to become one of the first facilities in Queensland to join the Heart Foundation’s ‘New Start Program’; providing important patient support and follow-up post discharge. Pictured: Lorina Le Blanc, Nurse Unit Manager Cardiac Catheter Laboratory with Chris Jung, Director of Clinical Services, Jacqueline Lee, Karen Birch, Sarah Jones and Toni Vuzem, Cardiac Catheter Laboratory Nurses.
EMAIL: helpdesk@relayservice.com.au 16
HELPDESK: 1800 555 660 COMMUNITYPULSE
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west moreton-oxley medicare local
Calling all runners, all abilities
Ipswich Hospital Foundation (IHF) believes that ultimately Ipswich and West Moreton will become the healthiest community in Australia. To achieve this goal the IHF works with community organisations to promote healthy lifestyles and offer a variety of healthy events, particularly those that involve a challenge for participants. Scheduled for 2 May 2015, the annual One Mile Gift is a Queensland Athletics running event which is supported by the Ipswich Hospital Foundation. Ipswich Hospital Foundation events coordinator, Ashton Cooper said the One Mile Gift is a handicap event which enables runners of all ages and abilities to take out the prize. “Participants are provided with a handicap based on previous best times (information supplied over a variety of distances) and are at the final discretion of the handicapper. “Being the fastest runner in Queensland does not guarantee that you will win... you will have to work hard for your place! “Ipswich Hospital Foundation puts up the prize money for the races and hosts guests in the trackside lounge at the Ipswich Turf Club. “Race goers can even place a bet on the runners in the Open One Mile race!” To register or purchase tickets to the Ipswich Hospital Foundation trackside lounge visit www.ihfoundation.org.au First, second and third place getters in the OPEN 300m race
Mater Private Hospital Springfield UPDATE Development at the new Mater Private Hospital Springfield is well underway with the construction of stage one scheduled to be completed by the end of 2015. Fritha Mackay has recently been appointed to the new position of Director of Mater Springfield having previously worked on several projects at Mater Health Services in South Brisbane. Fritha is excited to be bringing Mater to Greater Springfield when it opens at the end of this year. Mater has a master plan for the hospital precinct within Health City Springfield Central, which incorporates a number of expansion stages to be rolled out as demand in the region grows. Ms McKay said that stage one of Mater Private Hospital Springfield will provide a range of medical and surgical services as well as a combination of inpatient, day and chemotherapy beds and a cancer care centre. “Works are progressing well with the hospital on schedule to open at the end of this year. The exterior of the building is taking
shape and there is a great deal of construction activity building internal walls and installing services.” In addition to caring for locally insured patients, Mater Health Services has entered into an agreement with West Moreton and Metro South Hospital and Health Services to provide treatment and care to 4800 uninsured patients at the hospital each year. The new hospital will provide patients exceptional acute and sub-acute treatment and care, while promoting wellness and illness prevention. The 10 000m² facility includes four operating theatres, inpatient wards, a day surgery unit and medical imaging services. The cancer care centre will initially have one linear accelerator and 15 medical oncology treatment bays and is being developed in an alliance with Radiation Oncology Queensland. For more information visit www.mater.org.au/Home/Hospitals/ Mater-Private-Hospital-Springfield 17
Rural Primary Health Service to five allied health services in a calendar year. As Bill lives in a rural area, his GP referred him to the Rural Primary Health Service (RPHS) program which is funded by the West Moreton-Oxley Medicare Local. This additional service allows Bill access to eight free additional allied health services a year.
Rural Primary Health Service is improving health and wellbeing for people in rural and remote Australia. Bill is a 72 year old man who has lived with diabetes for the last 18 years. Bill has always worked as a farmer and although his son and daughter-in-law have taken over much of the day-to-day running of the business, he continues to work long days because ‘there’s always something to do’. Bill’s diabetes is not optimally controlled – he sometimes forgets to take his medication out with him and rewards himself after a long day with ‘a few cold beers’. Bill has developed complications from his diabetes and now has peripheral neuropathy (pain, numbness, tingling) in, and ulcers on, both feet. If left untreated, these ulcers could result in serious infections and put Bill at risk of limb amputation. When Bill saw his local doctor, she started him on a GP Management Plan and Team Care Arrangement, using the Chronic Disease Management (CDM) items under Medicare. This meant Bill was eligible to claim Medicare rebates for up
Assisting general practice across the West Moreton Oxley region
Using the CDM items under Medicare, Bill received services from a credentialed diabetes educator and a dietician. Through the RPHS program Bill was also able to access the podiatry services he desperately needed. By gaining Bill’s input and support for his diabetes management plan and accessing available services, Bill is better managing his diabetes and his ulcers have continued to improve. His care team has supported him to achieve a healthy eating plan, manage his alcohol intake and to take things a little easier around the farm. The improvement in his foot health has benefited his overall health and well being and decreased the immediate risk of limb amputation.
West Moreton-Oxley Medicare Local (WMOML) recognises the critical role of general practice in delivering primary health care across our region. A key role for WMOML is to provide regular and timely support to general practice. We do this by: • providing professional education to general practitioners, practice managers, practice nurses and other practice staff. • engaging specialist speakers on a range of issues, for example chronic disease management, childhood development and cultural awareness. • providing general practices with information on community services to assist ongoing patient health and wellbeing. These services can include transport, allied health services, health and wellbeing clinics, as well as services for the aged in our community. • supporting practices to achieve and maintain their accreditation, in accordance with the 4th Edition RACGP Standards for general practices, by offering practice visits, relevant recommendations, phone support and a variety of useful resources. Call West Moreton-Oxley Medicare Local on 3470 5653 for further information or email info@westmoretonoxley.com.au
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COMMUNITYPULSE
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west moreton-oxley medicare local
COM MU N I T Y U P DAT E
Mushroom and haloumi burger with red onion jam Serves 4
Advisory groups update WEST MORETON-OXLEY MEDICARE LOCAL’S COMMUNITY ADVISORY GROUP West Moreton-Oxley Medicare Local’s (WMOML) Community Advisory Group (CAG) plays a key role in supporting WMOML’s vision of healthy and thriving communities throughout the region. Members of the CAG contribute their expertise, and local knowledge in assisting WMOML to identify community health care needs and to develop responses to these needs. The CAG members also participate in the development of the Medicare Local’s Comprehensive Needs Assessment for the region - westmoretonoxley.com.au/about/ publications Members of the Community Advisory Group are: Lisa Sandaver – Physiotherapist, Move Play Learn; Victor Attwood – Councillor, Deputy Mayor, Ipswich City Council; Helen Fraser - Bluecare; Michelle Warren – Boonah State High School; Elizabeth Niyokushima – Registered Nurse; Daphne Toby – West Moreton Hospital and Health Service; Dave Mazzaferri - Manager Disaster Management and Community Engagement, Lockyer Valley Regional Council; Phillip Phan - Diversicare; Justin Lekot – Settlement Grants Program, Inala Community House. The CAG meets bi-monthly The most recent CAG meeting, held on 10 February 2015, focused on diabetes where CAG members provided important advice to WMOML in the development of health messages about diabetes. If you would like to know more about the role and activities of the Community Advisory Group please contact Bernadette Praske on bpraske@westmoretonoxley.com.au
WEST MORETON-OXLEY MEDICARE LOCAL’S LOCAL CLINICAL GOVERNANCE GROUP West Moreton-Oxley Medicare Local’s (WMOML) Local Clinical Governance Group (LCGG) is comprised of general practitioners, practice managers, practice nurses and allied health professionals. The group meet monthly to discuss clinical issues related to the coordindation of primary health care. A recent area of focus for the LCGG was reviewing new general practice referral guidelines for diabetes, cardiology and general surgery. The new referral guidelines have now been finalised and are available for health professionals’ use on the West Moreton-Oxley Medicare Local and West Moreton Hospital and Health Service websites. For more information please contact Melissa Heather on mheather@westmoretonoxley.com.au
Ingredients 2 tablespoons balsamic vinegar 2 tablespoons olive oil 4 Portobello mushrooms 1 zucchini, finely sliced 120g haloumi, thinly sliced 4 wholegrain bread rolls, halved, to serve Large handful rocket, per burger, to serve
Red onion jam 1 tablespoon olive oil 2 red onions, thinly sliced 1 tablespoon balsamic vinegar 1 tablespoon brown sugar
Method 1.
Heat olive oil in a heavy-based pan over medium heat and add onions. Fry, stirring for 10 minutes or until onions are soft. Add vinegar and sugar. Reduce heat and gently cook for a further ten minutes or until onions have darkened and are completely cooked. If the onions start to burn add a little water.
2. Combine balsamic vinegar and olive oil in a shallow bowl. Add mushrooms and allow to marinate for 10-15 minutes, turning several times.
3. Heat frying pan (or grill) over high heat. Add mushrooms and cook for 4-5 minutes each side or until tender, basting several times with leftover vinegar and olive oil. Remove mushrooms from pan and set aside. Add zucchini and cook for 1-2 minutes or until golden brown. Remove from pan before adding haloumi. Cook for 1-2 minutes on each side or until golden brown.
4. Toast bread rolls if desired. Top with a spoonful of red onion jam, mushroom, zucchini, haloumi and rocket. Serve with a fresh green salad on the side. This recipe and image is courtesy of Dieticians Association of Australia www.daa.asn.au
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